Department of Health
| Average Annual FTEs | Near General Fund State | Other Funds | Total Funds | |
|---|---|---|---|---|
| (Dollars in Thousands) | ||||
| Current Budget | 2,226.1 | 263,729 | 1,468,325 | 1,732,054 |
| 2025-27 Maintenance Level | 2,708.9 | 263,704 | 1,490,315 | 1,754,019 |
| Difference from 2025-27 Original | 482.8 | (25) | 21,990 | 21,965 |
| % Change from 2025-27 Original | 21.7% | (0.0%) | 1.5% | 1.3% |
2026 Policy Other Changes |
||||
| 988 Call Centers | 0.0 | 0 | 8,598 | 8,598 |
| 988 Call Centers | 0.0 | 0 | 120 | 120 |
| Administrative Reduction | 0.0 | (21) | 0 | (21) |
| Administrative Reduction | 0.0 | (16) | 0 | (16) |
| Administrative Reduction | 0.0 | (12) | 0 | (12) |
| Administrative Reduction | 0.0 | (26) | 0 | (26) |
| Administrative Reduction | 0.0 | (110) | 0 | (110) |
| Administrative Reduction | 0.0 | (9) | 0 | (9) |
| Administrative Reduction | 0.0 | (27) | 0 | (27) |
| Administrative Reduction | 0.0 | (69) | 0 | (69) |
| Ambulance Services | 0.0 | (986) | 986 | 0 |
| Ambulance Services | 0.0 | (14) | 14 | 0 |
| Assoc of State and Territorial Hlth | 0.0 | 0 | 42 | 42 |
| Assoc of State and Territorial Hlth | 1.0 | 0 | 257 | 257 |
| Birth Equity Exp Removal | 0.0 | (972) | 0 | (972) |
| Birth Equity Exp Removal | 0.0 | (178) | 0 | (178) |
| Birth Equity Project | 0.0 | 0 | 2,913 | 2,913 |
| Birth Equity Project | 0.0 | 0 | 41 | 41 |
| Cannabis Revenue Distribution | 0.0 | 0 | (128) | (128) |
| Center for Health Stats Staff | 24.0 | 0 | 6,216 | 6,216 |
| Center for Health Stats Staff | 0.0 | 0 | 945 | 945 |
| Certificate of Need | 1.8 | 0 | 532 | 532 |
| Certificate of Need | 0.0 | 0 | 80 | 80 |
| Drinking Water Grant Increase | 7.0 | 0 | 14,713 | 14,713 |
| Drinking Water Grant Increase | 0.0 | 0 | 414 | 414 |
| Env Justic Taskforce Outreach | 0.0 | (435) | 0 | (435) |
| Env Justic Taskforce Outreach | 0.0 | (65) | 0 | (65) |
| Fees for Shellfish | 0.0 | 0 | 1,861 | 1,861 |
| Forensic Nurse Exam Coord | 0.0 | (261) | 0 | (261) |
| Forensic Nurse Exam Coord | 0.0 | (39) | 0 | (39) |
| Increased AGO Fees | 1.0 | 0 | 120 | 120 |
| Increased AGO Fees | 0.0 | 0 | 18 | 18 |
| Newborn Screening Fees | 0.0 | 0 | 1,627 | 1,627 |
| Nurse Delegation Improvement | 0.0 | 0 | 86 | 86 |
| Nurse Preceptor Grant Reduction | 0.0 | (1,479) | 0 | (1,479) |
| Nurse Preceptor Grant Reduction | 0.0 | (21) | 0 | (21) |
| OIT Essential Operations | 3.9 | 0 | 0 | 0 |
| OTP Accrediting Body Sustainability | 2.2 | 0 | 887 | 887 |
| OTP Accrediting Body Sustainability | 0.0 | 0 | 133 | 133 |
| Office of Infectious Disease Adj | 4.3 | 0 | 8,326 | 8,326 |
| Office of Infectious Disease Adj | 0.0 | 0 | 297 | 297 |
| WMC Investigations Workload | 0.60 | 0 | 211 | 211 |
| WMC Investigations Workload | 0.20 | 0 | 31 | 31 |
| 2026 Policy Other Changes Total | 46.0 | (4,740) | 49,340 | 44,600 |
2026 Policy Central Services Changes |
||||
| Archives/Records Management | 0.0 | 2 | 5 | 7 |
| Audit Services | 0.0 | 1 | 2 | 3 |
| DES Central Services | 0.0 | 23 | 177 | 200 |
| GOV Central Services | 0.0 | 21 | 104 | 125 |
| Legal Services | 0.0 | 31 | 167 | 198 |
| OFM Central Services | 0.0 | 1,570 | 4,017 | 5,587 |
| Self-Insurance Liability Premium | 0.0 | 569 | 2,776 | 3,345 |
| WTS Central Services | 0.0 | 73 | 344 | 417 |
| 2026 Policy Central Services Changes Total | 0.0 | 2,290 | 7,592 | 9,882 |
| Total Policy Changes | 46.0 | (2,450) | 56,932 | 54,482 |
| 2026 Policy Level | 2,754.9 | 261,254 | 1,547,247 | 1,808,501 |
| Difference from 2025-27 Original | 528.8 | (2,475) | 78,922 | 76,447 |
| % Change from 2025-27 Original | 23.8% | (0.9%) | 5.4% | 4.4% |
Policy Changes
988 Call Centers
Funding is provided for increased staffing levels to meet the statutorily required 90% in-state answer rate for the 988 Lifeline due to growth in call volumes and the increase in calls after the national LGBTQ+ line was shut down. (General Fund - Cash, General Fund - Medicaid Federal, Stw988BehavHealth&SuicidePrevLine - State, other funds)
988 Call Centers
Funding is provided for the indirect costs required to support increased staffing levels to meet the statutorily required 90% in-state answer rate for the 988 Lifeline due to growth in call volumes and the increase in calls after the national LGBTQ+ line was shut down. (General Fund - Cash, General Fund - Medicaid Federal, Stw988BehavHealth&SuicidePrevLine - State, other funds)
Administrative Reduction
Funding is reduced to reflect a reduction in administrative services. (General Fund - State)
Administrative Reduction
Funding is reduced to reflect a reduction in administrative services. (General Fund - State)
Administrative Reduction
Funding is reduced to reflect a reduction in administrative services. (General Fund - State)
Administrative Reduction
Funding is reduced to reflect a reduction in administrative services. (General Fund - State)
Administrative Reduction
Funding is reduced to reflect a reduction in administrative services. (General Fund - State)
Administrative Reduction
Funding is reduced to reflect a reduction in administrative services. (General Fund - State)
Administrative Reduction
Funding is reduced to reflect a reduction in administrative services. (General Fund - State)
Administrative Reduction
Funding is reduced to reflect a reduction in administrative services. (General Fund - State)
Ambulance Services
One-time funding for ambulance services in the health district serving the Coyote Ridge Corrections Center is moved from General FundState to the Emergency Medical Services and Trauma Care Systems Trust Account. (Emer Med Ser/Trauma Care Sys Trust - State, General Fund - State)
Ambulance Services
One-time funding for the indirect costs related to ambulance services in the health district serving the Coyote Ridge Corrections Center is moved from General Fund-State to the Emergency Medical Services and Trauma Care Systems Trust Account. (Emer Med Ser/Trauma Care Sys Trust - State, General Fund - State)
Archives/Records Management
Adjustments are made for each agency's anticipated share of charges for archives and records management services provided by the Office of the Secretary of State. (General Fund - Federal, General Fund - Local, General Fund - State, other funds)
Assoc of State and Territorial Hlth
Local expenditure authority is increased for the indirect costs required to provide the Association of State and Territorial Health Officials with contracted services to test enhancements of the framework for intergovernmental data usage agreements to strengthen emergency response capabilities. (General Fund - Local, General Fund - Private/Local)
Assoc of State and Territorial Hlth
Local expenditure authority is increased to provide the Association of State and Territorial Health Officials with contracted services to test enhancements of the framework for intergovernmental data usage agreements to strengthen emergency response capabilities. (General Fund - Local, General Fund - Private/Local)
Audit Services
Adjustments are made for each agency's anticipated cost of audits performed by the Washington State Auditor. (General Fund - Federal, General Fund - Local, General Fund - State, other funds)
Birth Equity Exp Removal
Savings are achieved by reducing the expansion of community outreach and education. (General Fund - State)
Birth Equity Exp Removal
The corresponding indirect costs related to the expansion of community outreach and education are removed. (General Fund - State)
Birth Equity Project
Increased expenditure authority is provided for the Birth Equity Project grant award to provide parenting and birth support including doula care, lactation support, workforce training, and childbirth education to Washingtons Black/African American, African Immigrant, and American Indian/Alaska Native families. (Public Health Supplemental Account - Local, Public Health Supplemental Account - Private/Local)
Birth Equity Project
Increased expenditure authority is provided for the indirect costs required to support the Birth Equity Project grant award to provide parenting and birth support including doula care, lactation support, workforce training, and childbirth education to Washingtons Black/African American, African Immigrant, and American Indian/Alaska Native families. (Public Health Supplemental Account - Local, Public Health Supplemental Account - Private/Local)
Cannabis Revenue Distribution
Appropriations from the Dedicated Cannabis Account are adjusted pursuant to Chapter 169, Laws of 2022 (E2SSB 5796) and the November 2025 revenue forecast. (Dedicated Cannabis Account - State)
Center for Health Stats Staff
Funding is provided for a one-time extension of staff previously supported by the COVID Epidemiology and Laboratory Capacity grant to complete system modernization and address workload increases in the vital records program. (General Fund - Local, General Fund - Private/Local)
Center for Health Stats Staff
Funding is provided for the indirect costs required for a one-time extension of staff previously supported by the COVID Epidemiology and Laboratory Capacity grant to complete system modernization and address workload increases in the vital records program. (General Fund - Local, General Fund - Private/Local)
Certificate of Need
Funding is provided one time to sustain operations of the Certificate of Need program until fee increases are implemented in fiscal year 2027. (Health Professions Account - State)
Certificate of Need
Funding is provided one time for indirect costs required to sustain operations of the Certificate of Need program until fee increases are implemented in fiscal year 2027. (Health Professions Account - State)
DES Central Services
Adjustments are made to reflect each agency's anticipated share of charges from the Department of Enterprise Services for Capitol Campus costs; real estate, risk management, and small agency services; the Perry Street and Capitol Campus child care centers; enterprise applications, and other items. (General Fund - Federal, General Fund - State, Health Professions Account - State, other funds)
Drinking Water Grant Increase
Federal expenditure authority is increased for the U.S. Environmental Protection Agency Drinking Water State Revolving Fund grant. (Drinking Water Assistance Account - Federal)
Drinking Water Grant Increase
Federal expenditure authority is increased for the indirect costs required to support the U.S. Environmental Protection Agency Drinking Water State Revolving Fund grant work. (Drinking Water Assistance Account - Federal)
Env Justic Taskforce Outreach
The recent expansion to the Environmental Justice Taskforce community outreach is removed. (General Fund - State)
Env Justic Taskforce Outreach
The corresponding indirect costs related to the recent expansion to the Environmental Justice Taskforce community outreach is removed. (General Fund - State)
Fees for Shellfish
Expenditure authority is increased to match revenue from fee increases to sustain regulatory services in the shellfish program. (General Fund - Local, General Fund - Private/Local)
Forensic Nurse Exam Coord
Savings are achieved by reducing the administrative support for the Forensic Nurse Examiner Coordination workgroup established in 2024. (General Fund - State)
Forensic Nurse Exam Coord
The corresponding indirect costs related to the Forensic Nurse Examiner Coordination workgroup established in 2024 are removed. (General Fund - State)
GOV Central Services
Adjustments are made to reflect each agency's anticipated share of charges from the Office of the Governor for the Office of Equity. (General Fund - Federal, General Fund - Local, General Fund - State, other funds)
Increased AGO Fees
Funding is provided for the increased demand for Attorney General services related to the Charity Care Program due to the increased eligible populations for charity care in Washinton. (Hospital Data Collection Account - State)
Increased AGO Fees
Funding is provided for the indirect costs required to support the increased demand for Attorney General services related to the Charity Care Program due to the increased eligible populations for charity care in Washinton. (Hospital Data Collection Account - State)
Legal Services
Adjustments are made for each agency's anticipated cost of legal services provided by the Office of the Attorney General. Funding provided in the central service model is not all inclusive, as legal services expenditures are based on consumption. (General Fund - Local, General Fund - State, Health Professions Account - State, other funds)
Newborn Screening Fees
Funding is provided one time to sustain operations of the Newborn Screening program until fee increases are implemented in fiscal year 2027. (General Fund - Local, General Fund - Private/Local, Health Professions Account - State)
Nurse Delegation Improvement
Nurse delegation allows credentialed and trained Nursing Assistants and Home Care Aides working in Department of Social and Health Services Community-Based Residential settings to perform certain tasks that would otherwise have to be performed by a licensed nurse. Funding is provided to streamline the nurse delegation regulatory process, reduce confusion for providers, and ensure that delegation standards can be updated more responsively to meet evolving health care needs. (Health Professions Account - State)
Nurse Preceptor Grant Reduction
Savings are achieved by reducing the available grants for nursing supervisors by one-half. (General Fund - State)
Nurse Preceptor Grant Reduction
The corresponding indirect costs related to the grants for nursing supervisors are removed. (General Fund - State)
OFM Central Services
Adjustments are made to reflect each agency's anticipated share of charges from the Office of Financial Management for existing statewide applications, the One Washington program, and other central services. (General Fund - Local, General Fund - State, Health Professions Account - State, other funds)
OIT Essential Operations
Funding is provided to support the cost of core IT infrastructure needed to meet public health priorities and maintain the state's public health systems. (General Fund - State)
OTP Accrediting Body Sustainability
Funding is provided one time to sustain operations of the Opioid Treatment Provider Accreditation program until fees are established in fiscal year 2027. (General Fund - Local, General Fund - Private/Local, Health Professions Account - State)
OTP Accrediting Body Sustainability
Funding is provided for the one time indirects costs required to sustain operations of the Opioid Treatment Provider Accreditation program until fees are established in fiscal year 2027. (General Fund - Local, General Fund - Private/Local, Health Professions Account - State)
Office of Infectious Disease Adj
Increased expenditure authority is provided for the nonfederal rebate revenue generated by the AIDS Drug Assistance Program, which supports staff, programs, and community resources at the Office of Infectious Disease. (General Fund - Local, General Fund - Private/Local)
Office of Infectious Disease Adj
Increased expenditure authority is provided for the required indirect costs to support the nonfederal rebate revenue generated by the AIDS Drug Assistance Program, which supports staff, programs, and community resources at the Office of Infectious Disease. (General Fund - Local, General Fund - Private/Local)
Self-Insurance Liability Premium
Adjustments are made to reflect each agency's share of actuarially projected costs of the self-insurance liability premium. (General Fund - Federal, General Fund - Local, General Fund - State, other funds)
WMC Investigations Workload
Funding is provided for an additional FTE staff to address the significant increases in the workload for investigations. (Health Professions Account - State)
WMC Investigations Workload
Funding is provided for indirect costs associated with an additional FTE staff to address the significant increases in the investigations workload. (Health Professions Account - State)
WTS Central Services
Adjustments are made to reflect each agency's anticipated share of charges from Washington Technology Solutions for the Office of Cybersecurity, the state network, enterprise services, small agency IT services, enterprise architecture and data management, Microsoft 365 licenses, and other items. (General Fund - Federal, General Fund - Local, General Fund - State, other funds)