|  | First Year - FY2023 | Second Year - FY2024 | Totals | 
|---|
|  Office of Health and Human Resources | $26,373,225,775 | $26,816,144,181$28,903,136,299
 |  | 
|---|
|  Secretary of Health and Human Resources | $1,653,270 | $903,270 |  | 
| 283 | Administrative and Support Services | $1,653,270 | $903,270 |  | 
| Children's Services Act | $388,331,762 | $388,292,097 |  | 
| 284 | Protective Services | $385,591,773 | $385,591,773 |  | 
| 285 | Administrative and Support Services | $2,739,989 | $2,700,324 |  | 
|  Department for the Deaf and Hard-Of-Hearing | $3,916,606 | $3,877,656 |  | 
| 286 | Social Services Research, Planning, and Coordination | $3,916,606 | $3,877,656 |  | 
|  Department of Health | $1,227,022,682 | $963,310,045$1,066,685,960
 |  | 
| 287 | Higher Education Student Financial Assistance | $6,860,000 | $6,860,000$11,360,000
 |  | 
| 288 | Emergency Medical Services | $49,997,611 | $49,997,611 |  | 
| 289 | Medical Examiner and Anatomical Services | $17,754,161 | $17,754,161$18,500,136
 |  | 
| 290 | Vital Records and Health Statistics | $8,676,912 | $8,676,912 |  | 
| 291 | Communicable Disease Prevention and Control | $468,799,929 | $246,001,145 |  | 
| 292 | Health Research, Planning, and Coordination | $38,397,213 | $23,041,547 |  | 
| 293 | State Health Services | $163,699,331 | $164,139,331 |  | 
| 294 | Community Health Services | $322,671,697 | $303,690,401$305,332,579
 |  | 
| 295 | Financial Assistance to Community Human Services Organizations | $26,932,423 | $25,015,423$26,265,423
 |  | 
| 296 | Drinking Water Improvement | $42,071,518 | $39,511,518$134,749,280
 |  | 
| 297 | Environmental Health Hazards Control | $14,730,847 | $14,690,956 |  | 
| 298 | Emergency Preparedness | $34,835,757 | $34,835,757 |  | 
| 299 | Administrative and Support Services | $31,595,283 | $29,095,283 |  | 
|  Department of Health Professions | $37,849,871 | $38,218,945 |  | 
| 300 | Higher Education Student Financial Assistance | $65,000 | $65,000 |  | 
| 301 | Regulation of Professions and Occupations | $37,784,871 | $38,153,945 |  | 
|  Department of Medical Assistance Services | $20,682,856,509 | $21,216,680,251$23,040,568,817
 |  | 
| 302 | Pre-Trial, Trial, and Appellate Processes | $15,654,501 | $15,654,501$15,404,501
 |  | 
| 303 | Children's Health Insurance Program Delivery | $316,304,616 | $331,516,495$336,473,568
 |  | 
| 304 | Medicaid Program Services | $19,756,373,008 | $20,261,485,218$22,082,853,471
 |  | 
| 305 | Medical Assistance Services (Non-Medicaid) | $821,702 | $821,702 |  | 
| 306 | Medical Assistance Services for Low Income Children | $248,907,357 | $271,519,009$269,332,249
 |  | 
| 307 | Medical Assistance Management Services (Forecasted) | $48,921,627 | $47,421,627 |  | 
| 308 | Administrative and Support Services | $295,873,698 | $288,261,699 |  | 
|  Department of Behavioral Health and Developmental Services | $224,351,137 | $218,065,419$318,531,817
 |  | 
| 309 | Regulation of Public Facilities and Services | $11,501,803 | $11,501,803 |  | 
| 310 | Language Only |  |  | 
| 311 | Administrative and Support Services | $129,607,903 | $128,262,769$146,512,769
 |  | 
| 312 | Central Office Managed Community and Individual Health Services | $83,241,431 | $78,300,847$160,517,245
 |  | 
| Grants to Localities | $591,923,587 | $655,486,687$712,036,687
 |  | 
| 313 | Financial Assistance for Health Services | $591,923,587 | $655,486,687$712,036,687
 |  | 
| Mental Health Treatment Centers | $472,355,726 | $517,247,166 |  | 
| 314 | Instruction | $176,397 | $176,397 |  | 
| 315 | Secure Confinement | $21,246,650 | $21,246,650 |  | 
| 316 | Pharmacy Services | $22,339,849 | $22,339,849 |  | 
| 317 | State Health Services | $304,888,516 | $301,774,574 |  | 
| 318 | Facility Administrative and Support Services | $123,704,314 | $171,709,696 |  | 
| 319 | Language Only |  |  | 
| Intellectual Disabilities Training Centers | $58,788,866 | $67,522,050 |  | 
| 320 | Instruction | $3,646,346 | $3,646,346 |  | 
| 321 | Pharmacy Services | $2,800,042 | $2,800,042 |  | 
| 322 | State Health Services | $35,537,262 | $35,537,262 |  | 
| 323 | Facility Administrative and Support Services | $16,805,216 | $25,538,400 |  | 
| 324 | Language Only |  |  | 
| Virginia Center for Behavioral Rehabilitation | $53,026,898 | $58,666,244 |  | 
| 325 | Instruction | $251,126 | $251,126 |  | 
| 326 | Secure Confinement | $21,452,776 | $21,452,776 |  | 
| 327 | Pharmacy Services | $1,557,890 | $1,557,890 |  | 
| 328 | State Health Services | $13,848,868 | $19,488,214 |  | 
| 329 | Facility Administrative and Support Services | $15,916,238 | $15,916,238 |  | 
|  Department for Aging and Rehabilitative Services | $246,346,752 | $246,021,752$245,834,576
 |  | 
| 330 | Rehabilitation Assistance Services | $103,142,327 | $103,142,327$103,255,151
 |  | 
| 331 | Individual Care Services | $39,789,449 | $39,539,449$40,239,449
 |  | 
| 332 | Nutritional Services | $22,144,603 | $22,144,603 |  | 
| 333 | Language Only |  |  | 
| 334 | Continuing Income Assistance Services | $56,355,832 | $56,355,832$55,355,832
 |  | 
| 335 | Adult Programs and Services | $8,882,584 | $8,807,584 |  | 
| 336 | Administrative and Support Services | $16,031,957 | $16,031,957 |  | 
| 337 | Language Only |  |  | 
| Wilson Workforce and Rehabilitation Center | $23,770,087 | $23,770,087 |  | 
| 338 | Rehabilitation Assistance Services | $13,027,544 | $13,027,544 |  | 
| 339 | Facility Administrative and Support Services | $10,742,543 | $10,742,543 |  | 
|  Department of Social Services | $2,266,418,556 | $2,323,469,046$2,326,367,461
 |  | 
| 340 | Program Management Services | $57,657,545 | $50,975,425 |  | 
| 341 | Financial Assistance for Self-Sufficiency Programs and Services | $163,668,940 | $161,265,129 |  | 
| 342 | Financial Assistance for Local Social Services Staff | $552,763,472 | $552,716,954$552,916,954
 |  | 
| 343 | Child Support Enforcement Services | $786,527,047 | $786,844,647 |  | 
| 344 | Adult Programs and Services | $48,227,762 | $48,227,762$55,477,762
 |  | 
| 345 | Child Welfare Services | $298,006,080 | $307,495,745$300,254,160
 |  | 
| 346 | Financial Assistance for Supplemental Assistance Services | $142,757,450 | $205,257,450 |  | 
| 347 | Financial Assistance to Community Human Services Organizations | $68,514,789 | $62,900,789$65,590,789
 |  | 
| 348 | Regulation of Public Facilities and Services | $15,795,849 | $15,285,523 |  | 
| 349 | Emergency Preparedness | $901,997 | $901,997 |  | 
| 350 | Administrative and Support Services | $131,597,625 | $131,597,625 |  | 
| 351 | Language Only |  |  | 
| 352 | Language Only |  |  | 
|  Virginia Board for People with Disabilities | $2,134,448 | $2,134,448 |  | 
| 353 | Social Services Research, Planning, and Coordination | $1,732,973 | $1,732,973 |  | 
| 354 | Financial Assistance for Individual and Family Services | $401,475 | $401,475 |  | 
|  Department for the Blind and Vision Impaired | $89,332,377 | $89,332,377 |  | 
| 355 | Statewide Library Services | $1,325,674 | $1,325,674 |  | 
| 356 | State Education Services | $1,831,435 | $1,831,435 |  | 
| 357 | Rehabilitation Assistance Services | $14,947,012 | $14,947,012 |  | 
| 358 | Regional Office Support and Administration | $3,098,229 | $3,098,229 |  | 
| 359 | Rehabilitative Industries | $62,857,956 | $62,857,956 |  | 
| 360 | Administrative and Support Services | $5,272,071 | $5,272,071 |  | 
| Virginia Rehabilitation Center for the Blind and Vision Impaired | $3,146,641 | $3,146,641 |  | 
| 361 | Rehabilitation Assistance Services | $1,705,313 | $1,705,313 |  | 
| 362 | Administrative and Support Services | $1,441,328 | $1,441,328 |  |