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State Budget Revisions and the Implications for Public Health Funding

Governor Gavin Newsom’s recent May budget revision has stirred significant concern among county public health leaders, as it proposes cuts to the annual $300 million Future of Public Health (FoPH) funding initiated in 2022. This funding has been crucial in supporting state and local health departments post-COVID-19, with a third allocated to the state and two-thirds to counties.


The governor's plan aims to address a nearly $28 billion deficit by making substantial budget reductions, including the elimination of FoPH funding. Public health leaders argue that this funding has been essential for local health departments to hire over 900 critical positions, such as communicable disease investigators, public health nurses, and laboratory personnel. These roles are vital for maintaining public health infrastructure and preparedness for future health crises.


In communities like Yolo County, for instance, FoPH funding accounted for approximately 5% of the public health budget, enabling the county to hire a farmworker health coordinator and implement wellness vending machines providing free health supplies. The loss of this flexible funding could result in significant job cuts and reduced public health services, impacting the county's ability to respond effectively to health emergencies.


Governor Newsom acknowledged the challenges of continuing this funding amid the state’s fiscal shortfall, emphasizing the need to prioritize core programs while highlighting significant investments in the Health and Human Services Department and Medi-Cal. The revised budget, which proposes $288.1 billion in spending for the next fiscal year, is 7.3% smaller than the current year’s budget due to lower-than-expected tax revenues.


Key numbers from the revised budget include:

  • $27.6 billion deficit: The remaining shortfall for the upcoming fiscal year.

  • $21.5 billion in reserve funds: Proposed use of state reserve accounts to address the deficit.

  • $19.1 billion in unspent funding: Reallocation of previously promised funds from brighter fiscal days.

  • $13.7 billion in ongoing cuts: Proposed reductions in programs, including public health funding.

Newsom’s proposal has prompted mixed reactions from state legislators. Democratic leaders have expressed cautious optimism, emphasizing the need to protect core programs for vulnerable residents while navigating difficult budget decisions. Meanwhile, Republican lawmakers have criticized the proposed solutions, advocating for more sustainable fiscal management.


As the Legislature faces a June 15 deadline to pass a balanced budget, the public health community continues to advocate for the preservation of FoPH funding, stressing its importance for workforce readiness and health infrastructure. The potential cuts underscore the ongoing challenges of maintaining public health preparedness in the face of financial constraints.

Written By: Henry Rogers

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