{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-345.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-345.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-345.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-345.html"}],"law_id":58295,"edition_id":1,"section_id":58295,"structure_id":13750,"section_number":"32.1-345","catch_line":"Counties and cities required to participate; allocation and payment of funds to and payments by counties and cities","history":"1989, cc. 657, 746; 1996, cc. 782, 792.","full_text":"A\n\nThe governing body of each city and county in the Commonwealth shall participate in the State\/Local Hospitalization Program for indigent persons established in this chapter.B\n\nThe Director shall allocate annually to the counties and cities of the Commonwealth such funds as may be appropriated by the General Assembly for this program. The allocation of state funds shall be based on the estimated total cost of required services in each county and city less the funds which shall be provided by the counties and cities.C\n\nEach county and city shall provide funds for a share of the estimated total costs as determined by the Director. The share for each county and city shall be calculated by dividing its per capita revenue capacity by the statewide total per capita revenue capacity, as determined by the Commission on Local Government, and by multiplying the resulting ratio by an aggregate local share of twenty-five percent. Each local share shall be adjusted according to local income, as determined by dividing the median adjusted gross income for all state income tax returns in each county and city by the median adjusted gross income for all income tax returns statewide. However, no county or city shall contribute more than twenty-five percent to the total cost for providing required hospitalization and treatment for indigent persons. The Director of Medical Assistance Services shall report each year by December 1 to the Senate Committees on Education and Health and on Finance and Appropriations and the House Committees on Health and Human Services and Appropriations on the estimates of the costs of the program, based on trend analyses of the estimated costs of the actual local per capita demand.D\n\nUpon allocation of funds appropriated pursuant to subsection B of this section, each city and county shall remit within thirty days to the Department the amount determined to be the local share pursuant to subsection C of this section.","order_by":null,"text":{"0":{"id":213546,"text":"The governing body of each city and county in the Commonwealth shall participate in the State\/Local Hospitalization Program for indigent persons established in this chapter.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":213547,"text":"The Director shall allocate annually to the counties and cities of the Commonwealth such funds as may be appropriated by the General Assembly for this program. The allocation of state funds shall be based on the estimated total cost of required services in each county and city less the funds which shall be provided by the counties and cities.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A","next_prefix":"C"},"2":{"id":213548,"text":"Each county and city shall provide funds for a share of the estimated total costs as determined by the Director. The share for each county and city shall be calculated by dividing its per capita revenue capacity by the statewide total per capita revenue capacity, as determined by the Commission on Local Government, and by multiplying the resulting ratio by an aggregate local share of twenty-five percent. Each local share shall be adjusted according to local income, as determined by dividing the median adjusted gross income for all state income tax returns in each county and city by the median adjusted gross income for all income tax returns statewide. However, no county or city shall contribute more than twenty-five percent to the total cost for providing required hospitalization and treatment for indigent persons. The Director of Medical Assistance Services shall report each year by December 1 to the Senate Committees on Education and Health and on Finance and Appropriations and the House Committees on Health and Human Services and Appropriations on the estimates of the costs of the program, based on trend analyses of the estimated costs of the actual local per capita demand.","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B","next_prefix":"D"},"3":{"id":213549,"text":"Upon allocation of funds appropriated pursuant to subsection B of this section, each city and county shall remit within thirty days to the Department the amount determined to be the local share pursuant to subsection C of this section.","type":"section","prefixes":["D"],"prefix":"D","entire_prefix":"D","prefix_anchor":"D","level":1,"prior_prefix":"C"}},"ancestry":[{"id":13750,"edition_id":1,"name":"State\/Local Hospitalization Program","identifier":"12","label":"chapter","depth":2,"order_by":1,"parent_id":12727,"metadata":{},"date_created":"2026-06-26 03:45:46","date_modified":"2026-06-26 03:45:46","permalink":{"id":201573,"object_type":"structure","relational_id":13750,"identifier":"12","token":"32.1\/12","url":"\/32.1\/12\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12727,"edition_id":1,"name":"Health","identifier":"32.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":201099,"object_type":"structure","relational_id":12727,"identifier":"32.1","token":"32.1","url":"\/32.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":84264,"structure_id":13750,"section_number":"32.1-343","catch_line":"Definitions","url":"\/32.1-343\/","token":"32.1\/12\/32.1-343","metadata":false},{"id":83242,"structure_id":13750,"section_number":"32.1-344","catch_line":"State\/Local Hospitalization Program","url":"\/32.1-344\/","token":"32.1\/12\/32.1-344","metadata":false},{"id":58295,"structure_id":13750,"section_number":"32.1-345","catch_line":"Counties and cities required to participate; allocation and payment of funds to and payments by counties and cities","url":"\/32.1-345\/","token":"32.1\/12\/32.1-345","metadata":false},{"id":74862,"structure_id":13750,"section_number":"32.1-346","catch_line":"Director to establish standards; reimbursement of services","url":"\/32.1-346\/","token":"32.1\/12\/32.1-346","metadata":false},{"id":70261,"structure_id":13750,"section_number":"32.1-347","catch_line":"Eligibility for Program; duty of the Department of Social Services and local welfare or social services agencies; data required","url":"\/32.1-347\/","token":"32.1\/12\/32.1-347","metadata":false},{"id":54752,"structure_id":13750,"section_number":"32.1-348","catch_line":"Applicability of chapter","url":"\/32.1-348\/","token":"32.1\/12\/32.1-348","metadata":false},{"id":58809,"structure_id":13750,"section_number":"32.1-349","catch_line":"Liability for excess payments","url":"\/32.1-349\/","token":"32.1\/12\/32.1-349","metadata":false},{"id":58686,"structure_id":13750,"section_number":"32.1-350","catch_line":"Fraudulently obtaining benefits; criminal penalty","url":"\/32.1-350\/","token":"32.1\/12\/32.1-350","metadata":false}],"previous_section":{"id":83242,"structure_id":13750,"section_number":"32.1-344","catch_line":"State\/Local Hospitalization Program","url":"\/32.1-344\/","token":"32.1\/12\/32.1-344","metadata":false},"next_section":{"id":74862,"structure_id":13750,"section_number":"32.1-346","catch_line":"Director to establish standards; reimbursement of services","url":"\/32.1-346\/","token":"32.1\/12\/32.1-346","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-345\/","history_text":"

This law was first created in 1989. The record of its establishment is cataloged in chapters 657 and 746 of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year. Unfortunately, the 1989 \u201cActs\u201d aren\u2019t available online. It has been modified 1 time. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. That modification is as follows: in 1996, chapters 782<\/a> and 792<\/a>.<\/p>","references":false,"refers_to":false,"permalink":{"id":201583,"object_type":"law","relational_id":58295,"identifier":"32.1-345","token":"32.1\/12\/32.1-345","url":"\/32.1-345\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-345\/","token":"32.1\/12\/32.1-345","dublin_core":{"Title":"Counties and cities required to participate; allocation and payment of funds to and payments by counties and cities","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-345","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

A.<\/span> The governing body of each city and county in the Commonwealth shall participate in the State\/Local Hospitalization Program for indigent persons<\/span> established in this chapter. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

B.<\/span> The Director<\/span> shall allocate annually to the counties and cities of the Commonwealth such funds as may be appropriated by the General Assembly for this program. The allocation of state funds shall be based on the estimated total cost of required services in each county and city less the funds which shall be provided by the counties and cities. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

C.<\/span> Each county and city shall provide funds for a share of the estimated total costs as determined by the Director<\/span>. The share for each county and city shall be calculated by dividing its per capita revenue capacity by the statewide total per capita revenue capacity, as determined by the Commission on Local Government, and by multiplying the resulting ratio by an aggregate local share of twenty-five percent. Each local share shall be adjusted according to local income, as determined by dividing the median adjusted gross income for all state income tax returns in each county and city by the median adjusted gross income for all income tax returns statewide. However, no county or city shall contribute more than twenty-five percent to the total cost for providing required hospitalization and treatment for indigent persons<\/span>. The Director<\/span> of Medical Assistance Services shall report each year by December 1 to the Senate Committees on Education and Health and on Finance and Appropriations and the House Committees on Health and Human Services and Appropriations on the estimates of the costs of the program, based on trend analyses of the estimated costs of the actual local per capita demand. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

D.<\/span> Upon allocation of funds appropriated pursuant to subsection B of this section, each city and county shall remit within thirty days to the Department<\/span> the amount determined to be the local share pursuant to subsection C of this section. <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nCOUNTIES AND CITIES REQUIRED TO PARTICIPATE; ALLOCATION AND PAYMENT OF FUNDS TO\nAND PAYMENTS BY COUNTIES AND CITIES (\u00a7 32.1-345)\n\nA. The governing body of each city and county in the Commonwealth shall\nparticipate in the State\/Local Hospitalization Program for indigent persons\nestablished in this chapter.\n\nB. The Director shall allocate annually to the counties and cities of the\nCommonwealth such funds as may be appropriated by the General Assembly for this\nprogram. The allocation of state funds shall be based on the estimated total\ncost of required services in each county and city less the funds which shall be\nprovided by the counties and cities.\n\nC. Each county and city shall provide funds for a share of the estimated total\ncosts as determined by the Director. The share for each county and city shall be\ncalculated by dividing its per capita revenue capacity by the statewide total\nper capita revenue capacity, as determined by the Commission on Local\nGovernment, and by multiplying the resulting ratio by an aggregate local share\nof twenty-five percent. Each local share shall be adjusted according to local\nincome, as determined by dividing the median adjusted gross income for all state\nincome tax returns in each county and city by the median adjusted gross income\nfor all income tax returns statewide. However, no county or city shall\ncontribute more than twenty-five percent to the total cost for providing\nrequired hospitalization and treatment for indigent persons. The Director of\nMedical Assistance Services shall report each year by December 1 to the Senate\nCommittees on Education and Health and on Finance and Appropriations and the\nHouse Committees on Health and Human Services and Appropriations on the\nestimates of the costs of the program, based on trend analyses of the estimated\ncosts of the actual local per capita demand.\n\nD. Upon allocation of funds appropriated pursuant to subsection B of this\nsection, each city and county shall remit within thirty days to the Department\nthe amount determined to be the local share pursuant to subsection C of this\nsection.\n\nHISTORY: 1989, cc. 657, 746; 1996, cc. 782, 792.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}