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_ 365 Item Details($) Appropriations($) ITEM 277. First Year Second Year First Year Second Year FY2025 FY2026 FY2025 FY2026 Quality Collaborative. The Perinatal Quality Collaborative shall work to improve pregnancy outcomes for women and newborns by advancing evidence-based clinical practices and processes through continuous quality improvement with an initial focus on pregnant women with substance use disorder and infants impacted by neonatal abstinence syndrome. 2. Out of this appropriation, $315,000 the first year and $315,000 the second year from the general fund shall be provided to support efforts by the Virginia Neonatal Perinatal Collaborative (VNPC) to decrease maternal mortality and morbidity. Funding shall be used for a coordinator position for community engagement, training and education; the development of a pilot program of the Centers for Disease Control's levels of care assessment tool (LOCATe) tool in the Richmond metropolitan region and Tidewater region; and development of a Project ECHO tele-education model for education and training. Funding shall also be used to assist the VNPC with expanding capacity to address these issues through the use of software to advance data analytics. F. Out of this appropriation, $880,000 the first year and $880,000 the second year from the general fund is provided for a comprehensive adult program for sickle cell disease. G. Out of this appropriation, $333,333 the first year and $500,000 the second year from the general fund is provided as state match for additional federal awards to support evidence-based home visiting services from the federal Maternal Infant Early Childhood Home Visiting program. H.1. Out of this appropriation, $2,500,000 the second year from the general fund shall be provided to pilot perinatal health hub programs throughout the Commonwealth. The Virginia Department of Health, in collaboration with the Virginia Neonatal Perinatal Collaborative, shall provide two-year grant awards for community-based providers (hubs) to improve perinatal outcomes and to reduce maternal and infant mortality in their communities. 2. The Virginia Department of Health, in collaboration with the Virginia Neonatal Perinatal Collaborative, and in consultation with the Department of Medical Assistance Services, shall establish grant application selection and award criteria. Essential elements shall include: (i) a description of how the funds will be utilized and a description of the services to be provided, (ii) a description of the populations who will be served, (iii) a requirement for collaboration with local and regional stakeholders, (iv) a required physical presence in the region in which a hub will be located, (v) a contractual collaboration with a regional birthing hospital and/or obstetrical clinic for pregnant and postpartum families in the region which the hub is located, (vi) partnerships and/or contracts with Medicaid managed care organizations for the purpose of sharing data and collaboration, (vii) the use of evidence based quality standards as defined by the Virginia Neonatal Perinatal Collaborative and the Health Resources Services Administration, (viii) an evaluation of program impact on populations served, and (ix) a plan for future sustainability. 3. The Virginia Department of Health, in collaboration with the Virginia Neonatal Perinatal Collaborative, shall develop a report that includes, but is not limited to, a listing of participating community providers and award amounts, a description of services provided, a description of populations served, the number of individuals served, and an assessment of health outcomes and program effectiveness. This report shall be provided to the Governor, and the Chairs of the House Appropriations and Senate Finance and Appropriations Committees on or before June 30, 2026. Any unexpended balance in this paragraph at the close of business on June 30, 2026, associated with perinatal hubs shall not revert to the general fund but shall be carried forward and reappropriated. I. Out of this appropriation, $100,000 the second year from the Commonwealth Opioid Abatement and Remediation fund shall be provided for one-time costs associated with the development of the Opioid Impact Reduction Registry. J. The Virginia Department of Health shall maintain a list of all agencies and organizations that submit requests for and receive opioid antagonists through its distribution program. At least quarterly, the department shall submit a report to the Chairs of the House Appropriations Subcommittee on Health and Human Resources,