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Department of Health

RCW 43.70

The Department of Health works with its federal, tribal, state and local partners to help people in Washington stay healthy and safe. The programs and services help prevent illness and injury, promote healthy places to live and work, provide information to help people make healthy choices, and ensure that the state is prepared to respond to emergencies.

Agency Mission

The Department of Health works with others to protect and improve the health of all people in Washington state.
Request 1,970,417,000
Net change from current biennium 514,973,000 Increase
Percent change from current biennium 35.4% Increase

Operating Budget: Summary

Appropriated Funds

2019-21 Appropriations Appropriated Funds Expenditures
Amount Estimated Balance   2017-19 Actual 2019-21 Estimated 2021-23 Proposed
957,898,961 378,441,961 General Fund - Federal 486,815,413 579,457,000 623,084,000
17,000,000 (67,125,000) Drinking Water Assistance Account - Federal 13,690,300 84,125,000 81,599,000
192,691,000 60,000 General Fund - Private/Local 170,452,265 192,631,000 233,276,000
5,497,000 260,000 Public Health Supplemental Account - Private/Local 3,864,086 5,237,000 3,599,000
189,392,000 26,527,000 General Fund - State 146,641,635 162,865,000 586,809,000
362,000 Hospital Data Collection Account - State 263,362 362,000 364,000
147,610,000 Health Professions Account - State 128,487,197 147,610,000 157,042,000
633,000 Aquatic Lands Enhancement Account - State 615,954 633,000 633,000
10,091,000 Emer Med Ser/Trauma Care Sys Trust - State 9,157,341 10,091,000 10,029,000
6,057,000 Safe Drinking Water Account - State 5,667,000 6,057,000 5,892,000
(71,450,000) Drinking Water Assistance Account - State 71,450,000 54,644,000
1,990,000 Waterworks Operator Certification - State 1,698,585 1,990,000 1,969,000
(12,305,000) State Building Construction Account - State 12,305,000 32,068,000
14,400,000 14,400,000 Disaster Response Account - State
1,628,000 Drinking Water Assistance Admin - State 371,000 1,628,000 1,592,000
183,000 Site Closure Account - State 152,540 183,000 172,000
1,694,000 Biotoxin Account - State 1,438,764 1,694,000 1,661,000
State Toxics Control Account - State 4,247,990
1,374,000 1,374,000 Medicaid Fraud Penalty Account - State 1,008,502
3,233,000 Medical Test Site Licensure Account - State 2,578,554 3,233,000 3,290,000
Suicide-safer Homes Project Account - State 50,000
1,008,000 Secure Drug Take-back Program Acct - State 1,008,000 1,124,000
4,237,000 Youth Tobacco/Vapor Prod Prev Acct - State 2,506,233 4,237,000 3,215,000
4,468,000 Model Toxics Control Operating Acct - State 4,468,000 4,710,000
1,473,000 1,473,000 Foundational Public Health Servs Ac - State
21,402,000 Dedicated Marijuana Acct - State 19,100,977 21,402,000 21,075,000
3,816,000 3,816,000 Pension Funding Stabilization Acct - State 3,821,000
362,000 Accident Account - State 333,165 362,000 344,000
54,000 Medical Aid Account - State 52,260 54,000 53,000
1,588,553,961 275,471,961 Total Appropriated Funds 1,003,014,123 1,313,082,000 1,828,244,000

Non-Appropriated Funds

2019-21 Non-Appropriated Funds Expenditures
Amount Balance Non-Apropriated Funds 2017-19 Actual 2019-21 Estimated 2021-23 Proposed
(1,114,000) Nursing Resource Center Account - Nonappropriated 1,076,409 1,114,000 1,114,000
(140,928,000) Universal Vaccine Purchase Account - Nonappropriated 133,870,885 140,928,000 140,762,000
(320,000) Temporary Worker Housing Account - Nonappropriated 217,703 320,000 297,000
3,278,460 3,278,460 Info Tech Invest Rev Acct - Nonappropriated
Impaired Physician Account - Nonappropriated 3,525,199
3,278,460 (139,083,540) Total Non-Appropriated Funds 138,690,196 142,362,000 142,173,000

Capital Budget: Summary

  Appropriated Funds Expenditures
Amount Estimated Balance   Actual Estimated Proposed
916,000 916,000 General Fund - Federal
65,302,630 65,302,630 Drinking Water Assistance Account - Federal 24,814,210
69,766,595 69,766,595 Drinking Water Assistance Account - State 64,939,816
12,126,978 12,126,978 State Building Construction Account - State 3,695,713
State Tax Bld Construction Account - State 10,000,000
148,112,203 148,112,203 Total Appropriated Funds 103,449,740

Operating Budget: Program Summary

Program Title Actual Estimated Proposed
Actual Estimated Estimated Proposed Proposed
Annual Total 585,292,754 652,167,462 334,899,386 1,117,270,000 700,692,000

Operating Budget: Change from Preceding Biennium

Actual Estimated Proposed
Amount Percent Amount Percent Amount Percent
59,795,126 5.5% (151,112,273) (13.3%) 830,895,153 84.2%

Employment Summary

  Actual Estimated Proposed
  2018-19 Actual 2019-20 Estimated 2020-21 Estimated 2021-22 Proposed 2022-23 Proposed
FTE Staff Years 1,811.4 1,898.6 1,963.9 2,264.8 2,030.5