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_ 360 Item Details($) Appropriations($) ITEM 272. First Year Second Year First Year Second Year FY2025 FY2026 FY2025 FY2026 paragraph which are unexpended on June 30, 2025, shall not revert to the general fund but shall be carried forward and reappropriated. 2. The pilot program shall be designed to (i) contract with a health system-affiliated cancer screening center located in Planning District 8 to implement the pilot program, (ii) be multi- year, and (iii) screen at least 450 firefighters annually, distributed among firefighters serving localities in Planning District 8. The design of the pilot program should include: (i) the use of an occupational cancer screening and risk assessment for eligible firefighters within a defined age and risk band; (ii) a randomized clinical trial investigating the optimal type of full-body imaging for cancer early-detection for the unique occupational cancer risk of firefighters; and (iii) an independent evaluation of the pilot program, assessing the effectiveness of the screening program and results of the clinical trials and their potential for use by other hospitals and health systems across Virginia, in partnership with the public safety divisions in their localities. 3. The Virginia Department of Health shall provide an interim report on the pilot program to the Chairs of the House Appropriations Committee and Senate Finance and Appropriations Committee by December 1, 2025 and a report on the evaluation upon completion of the pilot program. 273. Medical Examiner and Anatomical Services (40300) $20,974,550 $20,974,550 Anatomical Services (40301) $755,257 $755,257 Medical Examiner Services (40302) $20,219,293 $20,219,293 Fund Sources: General $17,994,475 $17,994,475 Special $1,492,740 $1,492,740 Federal Trust $1,487,335 $1,487,335 Authority: §§ 32.1-277 through 32.1-304, Code of Virginia. Any unexpended general fund appropriation for the purpose of providing salaries to employees and for unfilled positions in the Office of the Chief Medical Examiner remaining in this Item on the last day of each fiscal year shall not revert to the general fund, but shall be reappropriated in the following fiscal year. 274. Vital Records and Health Statistics (40400) $9,470,393 $9,470,393 Health Statistics (40401) $1,135,593 $1,135,593 Vital Records (40402) $8,334,800 $8,334,800 Fund Sources: Special $8,803,837 $8,803,837 Federal Trust $666,556 $666,556 Authority: §§ 8.01-217, 32.1-249 through 32.1-276, Code of Virginia; and P.L. 93-353, as amended, Federal Code. A. Effective July 1, 20042025, the standard vital records fee shall be $12.00 and the fee for the expedited record search shall be $48.00$53.00. B. Notwithstanding § 32.1-273.D, Code of Virginia, the revenues generated from the sale of birth, marriage, or divorce records in state administered health districts shall be distributed between the districts that issue the records and the Division of Vital Records. The revenues will be split with 65 percent remaining in the district to support the costs of that district and 35 percent to be transferred to the Division of Vital Records to support ongoing infrastructure costs associated with the collection, retention and issuance of the Commonwealth's vital records. C. Notwithstanding § 32.1-273.1., Code of Virginia, two dollars of each fee collected by the State Registrar shall be deposited by the Comptroller to the Virginia Vital Statistics Automation Fund. 275. Communicable Disease Prevention and Control (40500) $253,718,468 $253,763,468 $191,148,466 Immunization Program (40502) $62,778,087 $62,778,087 $19,640,225