Department of Health

Chapter 43.70 RCW

Good organizations know what they do and how they do it. Great organizations know what they do, how they do it, and why they do it. Our values are: Human-centered: We see others as people who matter like we do and take into account their needs, challenges, contributions, and objectives. Equity: We are committed to fairness and justice to ensure access to services, programs, opportunities, and information for all. Collaboration: We seek partnership and collaboration to maximize our collective impact. We cannot achieve our vision alone. Seven Generations: Inspired by Native American culture, we seek wisdom from those who came before us to ensure our current work protects those who will come after us. Excellence: We strive to demonstrate best practices, high performance, and compelling value in our work every day.

Agency Mission

The Department of Health works with others to protect and improve the health of all people in Washington state.
Request 2,157,838,000
Net change from current biennium (1,171,115,000) Decrease
Percent change from current biennium (35.2%) Decrease

Operating Budget: Summary

Appropriated Funds

2021-23 Appropriations Appropriated Funds Expenditures
Amount Estimated Balance   2019-21 Actual 2021-23 Estimated 2023-25 Proposed
610,878,000 12,492,000 General Fund - Federal 627,814,729 598,386,000 611,734,000
20,908,000 (146,597,000) Drinking Water Assistance Account - Federal 12,676,384 167,505,000 168,968,000
144,364,000 (1,894,000) Coronavirus St Fiscal Recovery Fund - Federal 146,258,000 28,916,000
248,325,000 9,000 General Fund - Private/Local 190,076,267 248,316,000 264,276,000
3,702,000 Public Health Supplemental Account - Private/Local 4,588,702 3,702,000 3,845,000
(1,114,000) Nursing Resource Center Account - Nonappropriated 1,103,045 1,114,000 1,114,000
(140,960,000) Universal Vaccine Purchase Account - Nonappropriated 142,061,126 140,960,000 141,477,000
(324,000) Temporary Worker Housing Account - Nonappropriated 545,085 324,000 367,000
6,286,288 6,286,288 Info Tech Invest Rev Acct - Nonappropriated 8,469,145
(1,396,674,000) Covid-19 Public Health Response Acc - Nonappropriated 1,396,674,000 18,116,000
Impaired Physician Account - Nonappropriated 3,429,389
HIV Pharmaceutical Rebates - Nonappropriated 100,749,000
416,332,000 171,302,000 General Fund - State 181,244,677 245,030,000 309,542,000
472,000 Hospital Data Collection Account - State 67,176 472,000 594,000
157,658,000 Health Professions Account - State 135,857,803 157,658,000 179,528,000
637,000 Aquatic Lands Enhancement Account - State 624,659 637,000 642,000
10,105,000 Emer Med Ser/Trauma Care Sys Trust - State 9,736,850 10,105,000 10,189,000
7,237,000 Safe Drinking Water Account - State 4,741,722 7,237,000 9,017,000
(94,605,000) Drinking Water Assistance Account - State 94,605,000 54,588,000
2,006,000 Waterworks Operator Certification - State 1,260,907 2,006,000 2,097,000
(31,001,000) State Building Construction Account - State 31,001,000 101,620,000
Disaster Response Account - State 14,398,153
1,634,000 Drinking Water Assistance Admin - State 904,740 1,634,000 2,486,000
186,000 Site Closure Account - State 153,076 186,000 197,000
1,727,000 Biotoxin Account - State 1,412,522 1,727,000 1,778,000
State Toxics Control Account - State
Medicaid Fraud Penalty Account - State 27,000
3,275,000 Medical Test Site Licensure Account - State 3,191,894 3,275,000 5,276,000
Suicide-safer Homes Project Account - State
1,435,000 Secure Drug Take-back Program Acct - State 781,841 1,435,000 1,487,000
3,242,000 Youth Tobacco/Vapor Prod Prev Acct - State 4,035,603 3,242,000 3,282,000
7,750,000 Model Toxics Control Operating Acct - State 3,675,525 7,750,000 8,285,000
1,394,000 1,394,000 Foundational Public Health Servs Ac - State 1,473,000
34,905,000 Stw988BehavHealth&SuicidePrevLine - State 34,905,000 27,708,000
Climate Investment Account - State 702,000
Climate Commitment Account - State 21,240,000
Natural Climate Solutions Account - State 72,000
Air Qual Health Disparities Imprv A - State 38,600,000
22,384,000 Dedicated Cannabis Account - State 19,971,876 22,384,000 24,038,000
Public Health Supplemental Account - State 293,000
185,272 185,272 SW Info Tech Sys Dev Rev Acct - State
Pension Funding Stabilization Acct - State 3,816,000
368,000 Accident Account - State 334,455 368,000 392,000
57,000 Medical Aid Account - State 41,310 57,000 60,000
2,000 2,000 - State
Distributor Opioid Abatement Settle - State 14,536,000
1,707,454,560 (1,621,498,440) Total Appropriated Funds 1,378,487,661 3,328,953,000 2,157,838,000

Non-Appropriated Funds

Capital Budget: Summary

  Appropriated Funds Expenditures
Amount Estimated Balance   Actual Estimated Proposed
20,806,000 20,806,000 General Fund - Federal 54,745
146,597,000 146,597,000 Drinking Water Assistance Account - Federal 31,605,374
1,894,000 1,894,000 Coronavirus St Fiscal Recovery Fund - Federal
94,605,000 94,605,000 Drinking Water Assistance Account - State 15,414,655
29,917,710 29,917,710 State Building Construction Account - State 8,317,811
State Tax Bld Construction Account - State
293,819,710 293,819,710 Total Appropriated Funds 55,392,586

Operating Budget: Program Summary

Program Title Actual Estimated Proposed
Actual Estimated Estimated Proposed Proposed
Annual Total 722,890,810 700,309,181 319,294,601 898,913,000 898,658,000

Operating Budget: Change from Preceding Biennium

Actual Estimated Proposed
Amount Percent Amount Percent Amount Percent
241,177,142 21.3% (355,454,489) (25.9%) 777,967,218 76.3%

Employment Summary

  Actual Estimated Proposed
  2020-21 Actual 2021-22 Estimated 2022-23 Estimated 2023-24 Proposed 2024-25 Proposed
FTE Staff Years 2,103.4 2,680.9 2,853.9 2,275.6 2,231.9