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Home » Budget » Agency Activities » Healthy and Safe Communities

Healthy and Safe Communities

Last Updated: 10/13/2021

Improve healthy behaviors

Strategy: Improve healthy behaviors

Agency: 303 - Department of Health

A001 - Department of Health Administration

Department of Health administration manages the day-to-day operations and leadership functions of the agency. Staff in this area provides executive leadership, policy development and review, financial services, computer and information technology services, personnel services, communications, performance management and quality improvement, internal audit, and safety and emergency management support for the agency's programs.

Account FY 2022 FY 2023 Biennium Total
FTE 202.0 213.5 207.8
001 - General Fund
State 3,609,000 3,685,000 7,294,000
Federal 9,611,000 9,611,000 19,222,000
Local 7,027,000 7,091,000 14,118,000
001 - General Fund Totals 20,247,000 20,387,000 40,634,000
002 - Hospital Data Collection Account
State 13,000 13,000 26,000
02G - Health Professions Account
State 9,325,000 9,321,000 18,646,000
02R - Aquatic Lands Enhancement Account
State 10,000 10,000 20,000
03C - Emer Med Ser/Trauma Care Sys Trust
State 125,000 139,000 264,000
03R - Safe Drinking Water Account
State 403,000 398,000 801,000
04R - Drinking Water Assistance Account
Federal 1,075,000 985,000 2,060,000
04W - Waterworks Operator Certification
State 92,000 86,000 178,000
05R - Drinking Water Assistance Admin
State 90,000 91,000 181,000
09L - Nursing Resource Center Account
Non-Appropriated 84,000 82,000 166,000
125 - Site Closure Account
State 12,000 11,000 23,000
15M - Biotoxin Account
State 124,000 124,000 248,000
16G - Universal Vaccine Purchase Account
Non-Appropriated 978,000 978,000 1,956,000
202 - Medical Test Site Licensure Account
State 167,000 167,000 334,000
214 - Temporary Worker Housing Account
Non-Appropriated 20,000 20,000 40,000
22U - Secure Drug Take-back Program Acct
State 37,000 37,000 74,000
235 - Youth Tobacco/Vapor Prod Prev Acct
State 59,000 58,000 117,000
23P - Model Toxics Control Operating Acct
State 474,000 508,000 982,000
315 - Dedicated Marijuana Acct
State 355,000 364,000 719,000
319 - Public Health Supplemental Account
Local 82,000 82,000 164,000
608 - Accident Account
State 23,000 23,000 46,000
609 - Medical Aid Account
State 4,000 5,000 9,000
FY 2022 FY 2023 Biennium Total
FTES 202.0 213.5 207.8
GFS 3,609,000.0 3,685,000.0 7,294,000.0
Other 30,190,000.0 30,204,000.0 60,394,000.0
Totals 33,799,000.0 33,889,000.0 67,688,000.0
Expected Results

Leadership and organizational support ensure a reliable and responsive public health network.

A002 - Prevent Chronic Disease

Prevention is the cornerstone of public health. The Department of Health works through many channels to provide public health promotion resources, materials, and evidence-based strategies to educate and inform the public on how to be healthy and prevent disease. The Department provides technical assistance in community planning with the goal of making the healthy choice the easy choice. Activities include tobacco prevention and control; promotion of regular physical activity and proper nutrition; chronic disease prevention and disease management strategies; cancer prevention and control; and cardiovascular disease prevention and control.

Account FY 2022 FY 2023 Biennium Total
FTE 65.3 48.9 57.1
001 - General Fund
State 1,923,000 1,789,000 3,712,000
Federal 7,978,000 4,698,000 12,676,000
Local 207,000 159,000 366,000
001 - General Fund Totals 10,108,000 6,646,000 16,754,000
235 - Youth Tobacco/Vapor Prod Prev Acct
State 1,280,000 1,835,000 3,115,000
315 - Dedicated Marijuana Acct
State 9,233,000 9,244,000 18,477,000
319 - Public Health Supplemental Account
Local 115,000 83,000 198,000
FY 2022 FY 2023 Biennium Total
FTES 65.3 48.9 57.1
GFS 1,923,000.0 1,789,000.0 3,712,000.0
Other 18,813,000.0 16,019,000.0 34,832,000.0
Totals 20,736,000.0 17,808,000.0 38,544,000.0
Expected Results

People have the information they need to prevent disease and injury, manage chronic conditions, and make healthy decisions.

A003 - Protect Drinking Water

The Drinking Water program works with the State Board of Health, local water systems, and communities to make sure that drinking water is safe and reliable. Activities include monitoring water quality tests; conducting inspections of water systems; enforcing regulations and safety measures; assisting water systems during planning, design, and construction of new facilities and upgrades; training and certifying water system operators; and providing funding for water system improvements.

Account FY 2022 FY 2023 Biennium Total
FTE 79.1 86.5 82.8
001 - General Fund
State 2,976,000 2,416,000 5,392,000
Federal 2,714,000 2,407,000 5,121,000
Local 833,000 822,000 1,655,000
001 - General Fund Totals 6,523,000 5,645,000 12,168,000
03R - Safe Drinking Water Account
State 2,401,000 2,371,000 4,772,000
04R - Drinking Water Assistance Account
Federal 7,122,000 6,606,000 13,728,000
04W - Waterworks Operator Certification
State 870,000 837,000 1,707,000
05R - Drinking Water Assistance Admin
State 658,000 662,000 1,320,000
FY 2022 FY 2023 Biennium Total
FTES 79.1 86.5 82.8
GFS 2,976,000.0 2,416,000.0 5,392,000.0
Other 14,598,000.0 13,705,000.0 28,303,000.0
Totals 17,574,000.0 16,121,000.0 33,695,000.0
Expected Results

People using public water systems have safe and reliable drinking water.

A004 - Prepare for Public Health Emergencies

Public health agencies play a key role in making sure our communities are prepared for emergencies. The Department of Health works with local health departments, hospitals, emergency managers, and others to help prepare our state for everything from natural disasters to bioterrorism threats. The Department coordinates the development of state, regional, and local public health emergency response plans as part of this work. The agency also works with emergency responders and others to provide training and exercises on topics such as mass vaccination and risk communication. The Department is improving preparedness in Washington State through a variety of activities including facilitating local, regional, state, and tribal partnerships, public education campaigns and activities, and building systems to quickly share health information.

Account FY 2022 FY 2023 Biennium Total
FTE 127.3 110.1 118.7
001 - General Fund
State 2,887,000 2,883,000 5,770,000
Federal 18,625,000 17,851,000 36,476,000
001 - General Fund Totals 21,512,000 20,734,000 42,246,000
704 - Covid-19 Public Health Response Acc
Non-Appropriated 108,230,000 57,538,000 165,768,000
FY 2022 FY 2023 Biennium Total
FTES 127.3 110.1 118.7
GFS 2,887,000.0 2,883,000.0 5,770,000.0
Other 126,855,000.0 75,389,000.0 202,244,000.0
Totals 129,742,000.0 78,272,000.0 208,014,000.0
Expected Results

Public agencies are better equipped to help people through a public health emergency.

A005 - Protect Community Environmental Health

The Department of Health works with public health partners and businesses to protect the community from hazards in the environment by educating the public about how to make and keep their environment safe and healthy; developing environmental public health standards for septic systems and swimming pools; conducting environmental surveillance and technical assistance to help the public prevent disease spread by animals; monitoring sources of radiation, radioactive materials, and radioactive waste; providing resources to clean areas that have been contaminated by dangerous materials; monitoring and preventing pesticide-related illness; and helping communities minimize or eliminate exposure to contaminants in the environment.

Account FY 2022 FY 2023 Biennium Total
FTE 142.8 149.7 146.3
001 - General Fund
State 6,413,000 6,677,000 13,090,000
Federal 6,132,000 11,079,000 17,211,000
Local 7,885,000 10,123,000 18,008,000
001 - General Fund Totals 20,430,000 27,879,000 48,309,000
02R - Aquatic Lands Enhancement Account
State 201,000 414,000 615,000
03R - Safe Drinking Water Account
State 264,000 261,000 525,000
04R - Drinking Water Assistance Account
Federal 694,000 635,000 1,329,000
04W - Waterworks Operator Certification
State 57,000 54,000 111,000
05R - Drinking Water Assistance Admin
State 59,000 60,000 119,000
125 - Site Closure Account
State 58,000 103,000 161,000
15M - Biotoxin Account
State 29,000 30,000 59,000
214 - Temporary Worker Housing Account
Non-Appropriated 133,000 142,000 275,000
23P - Model Toxics Control Operating Acct
State 2,769,000 2,995,000 5,764,000
319 - Public Health Supplemental Account
Local 12,000 13,000 25,000
608 - Accident Account
State 155,000 159,000 314,000
609 - Medical Aid Account
State 23,000 23,000 46,000
704 - Covid-19 Public Health Response Acc
Non-Appropriated 219,000 217,000 436,000
FY 2022 FY 2023 Biennium Total
FTES 142.8 149.7 146.3
GFS 6,413,000.0 6,677,000.0 13,090,000.0
Other 18,690,000.0 26,308,000.0 44,998,000.0
Totals 25,103,000.0 32,985,000.0 58,088,000.0
Expected Results

The places where people live, work and play are healthy and safe from hazards in the environment.

A007 - Ensure Shellfish and Other Foods are Safe to Eat

The Department of Health helps make sure that food served in restaurants and other businesses is safe to eat. The Department ensures that shellfish harvested from Washington waters is also safe to eat. Activities include monitoring local waters and beaches where shellfish grow for pollution and harmful toxins; developing public health standards for the safe sale and service of food; educating food service workers and the public on proper food safety; inspecting commercial shellfish companies; and investigating and controlling outbreaks of foodborne illnesses.

Account FY 2022 FY 2023 Biennium Total
FTE 16.9 19.0 18.0
001 - General Fund
State 1,476,000 1,590,000 3,066,000
Federal 3,460,000 3,422,000 6,882,000
Local 94,000 49,000 143,000
001 - General Fund Totals 5,030,000 5,061,000 10,091,000
15M - Biotoxin Account
State 358,000 369,000 727,000
FY 2022 FY 2023 Biennium Total
FTES 16.9 19.0 18.0
GFS 1,476,000.0 1,590,000.0 3,066,000.0
Other 3,912,000.0 3,840,000.0 7,752,000.0
Totals 5,388,000.0 5,430,000.0 10,818,000.0
Expected Results

Shellfish from Washington waters is safe to eat. Restaurants and other food businesses sell and serve food that is safe to eat.

A008 - Strengthening the Public Health System

The Department of Health maintains an active partnership and continuous communication with public health decision-makers at the local, state, and federal level. Coordinated response is essential in responding to widespread disease threats, negotiating policy and budget objectives for health improvement and assuring that information can flow across county lines or to other health partners. Activities include providing resources for emergency medical and trauma services; promoting access to healthcare in rural communities; increasing electronic communications between the Department, local health partners, hospitals, and emergency responders; coordinating response to emerging health issues with federal, state, and local partners; offering certified copies of birth, death, divorce, and marriage records to the public; building and supporting information networks to provide data that helps people make good decisions about public health. Blue Ribbon Commission and Local Capacity Development Funds distributed to local jurisdictions are an essential source of support to assure a minimum level of public health services everywhere in the state and are primarily used to address issues pertaining to communicable disease, maternal and child health, immunizations and community health assessments.

Account FY 2022 FY 2023 Biennium Total
FTE 46.2 46.0 46.1
001 - General Fund
State 2,369,000 1,746,000 4,115,000
Federal 1,465,000 1,253,000 2,718,000
Local 3,526,000 3,560,000 7,086,000
001 - General Fund Totals 7,360,000 6,559,000 13,919,000
002 - Hospital Data Collection Account
State 132,000 270,000 402,000
319 - Public Health Supplemental Account
Local 16,000 15,000 31,000
FY 2022 FY 2023 Biennium Total
FTES 46.2 46.0 46.1
GFS 2,369,000.0 1,746,000.0 4,115,000.0
Other 5,139,000.0 5,098,000.0 10,237,000.0
Totals 7,508,000.0 6,844,000.0 14,352,000.0
Expected Results

The public depends on a resilient and effective public health network. The public health network is coordinated and responsive to the public's needs.

A010 - Promote Family and Child Health and Safety

Working with many state and local partners, the Department of Health promotes healthy behaviors and the use of preventive health services. The agency promotes regular health checkups for everyone and prenatal care and education for parents. Some of the agency's most important work is to distribute vaccines for children and investigate and control vaccine-preventable disease. The agency provides health promotion materials and consultation on the best strategies; provides nutrition and health education for pregnant women; and helps thousands of state residents by providing healthy food through the Women, Infants, and Children (WIC) program. The Department of Health supports family planning/reproductive health services for women, men, and teens; linking children and families to health services; and providing programs to prevent injuries.

Account FY 2022 FY 2023 Biennium Total
FTE 299.6 277.9 288.8
001 - General Fund
State 33,051,000 30,802,000 63,853,000
Federal 185,650,000 188,421,000 374,071,000
Local 38,540,000 36,408,000 74,948,000
001 - General Fund Totals 257,241,000 255,631,000 512,872,000
16G - Universal Vaccine Purchase Account
Non-Appropriated 56,085,000 82,855,000 138,940,000
319 - Public Health Supplemental Account
Local 1,862,000 1,287,000 3,149,000
704 - Covid-19 Public Health Response Acc
Non-Appropriated 60,148,000 60,517,000 120,665,000
FY 2022 FY 2023 Biennium Total
FTES 299.6 277.9 288.8
GFS 33,051,000.0 30,802,000.0 63,853,000.0
Other 342,285,000.0 369,488,000.0 711,773,000.0
Totals 375,336,000.0 400,290,000.0 775,626,000.0
Expected Results

Washington has healthy infants, children, youth and well-informed parents. Communities are safe and supportive of children, youth and families.

A011 - Promote Accurate and Timely Public Health Laboratory Results

The Department of Health's Public Health Laboratories serve the people of our state by providing accurate and timely laboratory results. The laboratories' broad spectrum of tests are available to local health agencies, Department of Health programs, and the state's health care and emergency response system. During an emergency response, testing services are available 24/7 or on an as needed basis. The laboratories provide a broad range of tests including those that look for communicable disease, shellfish poisoning, foodborne illnesses, health issues in newborn babies, and contamination of air, water, and food that may endanger human health.

Account FY 2022 FY 2023 Biennium Total
FTE 139.2 96.9 118.1
001 - General Fund
State 6,440,000 6,228,000 12,668,000
Federal 9,997,000 292,000 10,289,000
Local 8,890,000 8,895,000 17,785,000
001 - General Fund Totals 25,327,000 15,415,000 40,742,000
15M - Biotoxin Account
State 325,000 346,000 671,000
23P - Model Toxics Control Operating Acct
State 502,000 427,000 929,000
704 - Covid-19 Public Health Response Acc
Non-Appropriated 35,740,000 22,447,000 58,187,000
FY 2022 FY 2023 Biennium Total
FTES 139.2 96.9 118.1
GFS 6,440,000.0 6,228,000.0 12,668,000.0
Other 55,454,000.0 32,407,000.0 87,861,000.0
Totals 61,894,000.0 38,635,000.0 100,529,000.0
Expected Results

Public health departments and health care providers receive accurate and timely, science-based information to use when making decisions about public health.

A013 - State Board of Health

The State Board of Health is housed within the Department of Health but works independently to understand and prevent disease across the entire population. The Board adopts rules that protect the public’s health and guide many public health functions, including newborn screening, food safety, public water systems, and immunizations for school and child care entry. The Board also serves as a public forum and works with many public and private partners to develop public health regulations and policy. The Board assists the Governor’s Interagency Council on Health Disparities in developing a state action plan to eliminate health disparities by race/ethnicity and gender.

Account FY 2022 FY 2023 Biennium Total
FTE 9.9 10.9 10.4
001 - General Fund
State 1,354,000 1,351,000 2,705,000
FY 2022 FY 2023 Biennium Total
FTES 9.9 10.9 10.4
GFS 1,354,000.0 1,351,000.0 2,705,000.0
Other
Totals 1,354,000.0 1,351,000.0 2,705,000.0
Expected Results

Public health rules and state policy recommendations reflect current scientific knowledge, public values and the perspectives of health practitioners, local governments and consumers.

A014 - Access to Quality Healthcare Services

All people in Washington State deserve to have access to competent and safe, quality healthcare. The Department's programs work to build and maintain systems so that people in all parts of the state can access healthcare. Programs include: a specialized emergency medical services and trauma care system that sets standards and works with hospitals and ambulance/aid services to ensure that the critically ill and injured get timely, high quality and appropriate care; Indian health planning, providing technical assistance to help address health disparities in this population; rural healthcare systems development and health professional shortage area designations, providing federal funding and technical assistance to hospitals and medical services to help maintain and improve care in rural communities. The Department of Health assists communities to recruit and retain physicians, dentists, and nurses in rural and underserved parts of the state.

Account FY 2022 FY 2023 Biennium Total
FTE 13.4 14.1 13.8
001 - General Fund
State 3,415,000 3,485,000 6,900,000
Local 53,000 53,000 106,000
001 - General Fund Totals 3,468,000 3,538,000 7,006,000
03C - Emer Med Ser/Trauma Care Sys Trust
State 5,087,000 4,731,000 9,818,000
319 - Public Health Supplemental Account
Local 100,000 100,000
704 - Covid-19 Public Health Response Acc
Non-Appropriated 2,131,000 2,404,000 4,535,000
FY 2022 FY 2023 Biennium Total
FTES 13.4 14.1 13.8
GFS 3,415,000.0 3,485,000.0 6,900,000.0
Other 7,371,000.0 7,188,000.0 14,559,000.0
Totals 10,786,000.0 10,673,000.0 21,459,000.0
Expected Results

People receive professional, safe and reliable health care from qualified providers and facilities.

A015 - Patient and Consumer Safety

Patient and consumer safety are among the Department of Health's top priorities. The Department works to ensure that health care providers and facilities comply with health, safety, and professional standards through licensing, investigation, and disciplinary activities. The Department collaborates with health profession boards, commissions and committees to regulate care by providers. The Department of Health provides information to health care facilities, health care professionals, and consumers that allows them to make informed decisions.

Account FY 2022 FY 2023 Biennium Total
FTE 491.8 539.2 515.5
001 - General Fund
State 9,509,000 8,665,000 18,174,000
Federal 6,272,000 6,388,000 12,660,000
Local 11,562,000 12,545,000 24,107,000
001 - General Fund Totals 27,343,000 27,598,000 54,941,000
02G - Health Professions Account
State 65,828,000 65,911,000 131,739,000
09L - Nursing Resource Center Account
Non-Appropriated 472,000 476,000 948,000
202 - Medical Test Site Licensure Account
State 1,444,000 1,461,000 2,905,000
22U - Secure Drug Take-back Program Acct
State 119,000 106,000 225,000
315 - Dedicated Marijuana Acct
State 996,000 1,001,000 1,997,000
704 - Covid-19 Public Health Response Acc
Non-Appropriated 1,474,000 1,133,000 2,607,000
FY 2022 FY 2023 Biennium Total
FTES 491.8 539.2 515.5
GFS 9,509,000.0 8,665,000.0 18,174,000.0
Other 88,167,000.0 89,021,000.0 177,188,000.0
Totals 97,676,000.0 97,686,000.0 195,362,000.0
Expected Results

Details pending.

A016 - Prevent and Respond to the Transmission of Communicable and Infectious Disease

The Department of Health works with many partners to protect people from communicable and infectious disease. The agency educates the public on ways to stay healthy and avoid contracting and spreading communicable and infectious disease. It monitors and tracks disease trends as well as the rate and frequency of infectious disease. State health programs pay for drugs and limited medical care for HIV clients and works with local health agencies to investigate disease outbreaks. The Department also works to prevent and reduce the spread of communicable and infectious disease.

Account FY 2022 FY 2023 Biennium Total
FTE 312.9 351.0 332.0
001 - General Fund
State 16,615,000 16,678,000 33,293,000
Federal 30,901,000 45,936,000 76,837,000
Local 38,671,000 39,398,000 78,069,000
001 - General Fund Totals 86,187,000 102,012,000 188,199,000
704 - Covid-19 Public Health Response Acc
Non-Appropriated 788,674,000 414,802,000 1,203,476,000
FY 2022 FY 2023 Biennium Total
FTES 312.9 351.0 332.0
GFS 16,615,000.0 16,678,000.0 33,293,000.0
Other 858,246,000.0 500,136,000.0 1,358,382,000.0
Totals 874,861,000.0 516,814,000.0 1,391,675,000.0
Expected Results

Details pending.

A018 - Payments To Other Agencies

The Department of Health is required as a state agency to make payments to other agencies for certain statewide, central service operation costs. These payments are mandatory and are billed to the department based on either the department’s actual service usage or a statewide allocation method. . These charges include but are not limited to payments for use or support for the following: auditing from the State Auditor’s Office; archive services and storage from Secretary of State; personnel services and personnel systems; financial systems; state data center; network and security from Department of Enterprise Services; and risk management from the Office of Financial Management.

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 8,710,000 9,704,000 18,414,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 8,710,000.0 9,704,000.0 18,414,000.0
Other
Totals 8,710,000.0 9,704,000.0 18,414,000.0
Expected Results

Support by other agencies vital services to ensure our business continuity