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 | 1,789,933,000 |
|---|---|
| Net change from current biennium | 1,789,933,000 Increase |
| Percent change from current biennium | 100.0% Increase |
Operating Budget: Summary
Appropriated Funds
| 2023-25 Appropriations | Appropriated Funds | Expenditures | |||
|---|---|---|---|---|---|
| Amount | Estimated Balance | 2021-23 Actual | 2023-25 Estimated | 2025-27 Proposed | |
| 589,612,000 | 589,612,000 | General Fund - Federal | 502,450,478 | 607,332,000 | |
| 25,901,000 | 25,901,000 | Drinking Water Assistance Account - Federal | 13,196,675 | 27,196,000 | |
| 3,222,000 | 3,222,000 | Coronavirus St Fiscal Recovery Fund - Federal | 139,141,027 | ||
| 189,302,000 | 189,302,000 | General Fund - Private/Local | 196,591,887 | 195,983,000 | |
| 4,117,000 | 4,117,000 | Public Health Supplemental Account - Private/Local | 3,000,597 | 3,897,000 | |
| Nursing Resource Center Account - Nonappropriated | 1,424,409 | 1,114,000 | |||
| Universal Vaccine Purchase Account - Nonappropriated | 153,992,624 | 141,502,000 | |||
| Temporary Worker Housing Account - Nonappropriated | 122,345 | 1,191,000 | |||
| Med for People Living W/HIV Rebate - Nonappropriated | 92,388,000 | ||||
| 18,715,808 | 18,715,808 | Info Tech Invest Rev Acct - Nonappropriated | 7,602,552 | ||
| Covid-19 Public Health Response Acc - Nonappropriated | 18,116,000 | ||||
| Impaired Physician Account - Nonappropriated | 4,022,993 | ||||
| 647,959,000 | 647,959,000 | General Fund - State | 415,022,473 | 291,351,000 | |
| 592,000 | 592,000 | Hospital Data Collection Account - State | 278,748 | 610,000 | |
| 197,128,000 | 197,128,000 | Health Professions Account - State | 146,942,163 | 207,783,000 | |
| 642,000 | 642,000 | Aquatic Lands Enhancement Account - State | 632,626 | 647,000 | |
| 10,175,000 | 10,175,000 | Emer Med Ser/Trauma Care Sys Trust - State | 6,764,130 | 10,239,000 | |
| 8,964,000 | 8,964,000 | Safe Drinking Water Account - State | 3,337,603 | 13,468,000 | |
| 2,089,000 | 2,089,000 | Waterworks Operator Certification - State | 1,507,839 | 2,948,000 | |
| Disaster Response Account - State | |||||
| 2,479,000 | 2,479,000 | Drinking Water Assistance Admin - State | 1,201,441 | 2,521,000 | |
| 197,000 | 197,000 | Site Closure Account - State | 140,224 | 202,000 | |
| 1,772,000 | 1,772,000 | Biotoxin Account - State | 1,374,552 | 1,854,000 | |
| 3,027,000 | 3,027,000 | Medicaid Fraud Penalty Account - State | 158,000 | ||
| 5,238,000 | 5,238,000 | Medical Test Site Licensure Account - State | 2,823,541 | 5,342,000 | |
| 1,474,000 | 1,474,000 | Secure Drug Take-back Program Acct - State | 837,572 | 1,507,000 | |
| 3,272,000 | 3,272,000 | Youth Tobacco/Vapor Prod Prev Acct - State | 2,549,908 | 3,289,000 | |
| 10,382,000 | 10,382,000 | Model Toxics Control Operating Acct - State | 5,150,761 | 11,900,000 | |
| 51,116,000 | 51,116,000 | Foundational Public Health Servs Ac - State | 2,367,000 | ||
| 55,066,000 | 55,066,000 | Stw988BehavHealth&SuicidePrevLine - State | 15,966,399 | 81,016,000 | |
| 902,000 | 902,000 | Climate Investment Account - State | 698,000 | ||
| 89,822,000 | 89,822,000 | Climate Commitment Account - State | 19,136,000 | ||
| 72,000 | 72,000 | Natural Climate Solutions Account - State | 78,000 | ||
| 19,785,000 | 19,785,000 | Opioid Abatement Settlement Account - State | 17,498,000 | ||
| 24,231,000 | 24,231,000 | Dedicated Cannabis Account - State | 20,174,730 | 25,859,000 | |
| Public Health Supplemental Account - State | 288,000 | ||||
| 1,468,000 | 1,468,000 | SW Info Tech Sys Dev Rev Acct - State | 7,239 | ||
| Pension Funding Stabilization Acct - State | |||||
| 387,000 | 387,000 | Accident Account - State | 344,433 | 394,000 | |
| 58,000 | 58,000 | Medical Aid Account - State | 53,431 | 61,000 | |
| 1,969,166,808 | 1,969,166,808 | Total Appropriated Funds | 1,646,655,401 | 1,789,933,000 | |
Non-Appropriated Funds
Capital Budget: Summary
| Appropriated Funds | Expenditures | ||||
|---|---|---|---|---|---|
| Amount | Estimated Balance | Actual | Estimated | Proposed | |
| 19,263,040 | 40 | General Fund - Federal | 1,542,965 | 19,263,000 | 45,261,000 |
| 245,701,570 | (430) | Drinking Water Assistance Account - Federal | 31,500,410 | 245,702,000 | 244,482,000 |
| 1,894,000 | Coronavirus St Fiscal Recovery Fund - Federal | 194,335 | 1,894,000 | 447,000 | |
| 60,922,970 | 970 | Drinking Water Assistance Account - State | 37,181,980 | 60,922,000 | 205,984,000 |
| 76,474,320 | (50,680) | State Building Construction Account - State | 17,021,378 | 76,525,000 | 77,537,000 |
| 2,200,000 | Model Toxics Control Capital Accoun - State | 2,200,000 | 1,897,000 | ||
| 406,455,900 | (50,100) | Total Appropriated Funds | 87,441,068 | 406,506,000 | 575,608,000 |
Operating Budget: Program Summary
| Program Title | Actual | Estimated | Proposed | ||
|---|---|---|---|---|---|
| Actual | Estimated | Estimated | Proposed | Proposed | |
| Epidemiology, Health Statistics, an | 142,105,733 | 152,690,644 | 57,270,169 | ||
| Environmental Health | 48,188,593 | 54,906,279 | 26,526,376 | ||
| Health Systems Quality Assurance | 117,913,444 | 125,906,267 | 51,205,541 | ||
| Community and Family Health | 384,688,282 | 440,087,132 | 173,590,662 | ||
| Administration | 215,140,794 | 169,723,360 | 155,528,695 | 124,167,000 | 116,797,000 |
| State Board of Health | 1,631,029 | 2,005,246 | 1,268,019 | ||
| Public Health Strat And Preparednes | 32,655,351 | 25,242,255 | 9,176,068 | ||
| Health Data, Quality Assess & Plan | 34,221,591 | 16,979,799 | |||
| Environmental Public Health | 73,012,000 | 78,102,000 | |||
| External Affairs | 8,679,000 | 10,409,000 | |||
| Prevention and Community Health | 393,134,000 | 418,464,000 | |||
| Health Science and Emergency Prepar | 142,600,000 | 148,162,000 | |||
| Health Systems Quality Assurance | 136,507,000 | 139,900,000 | |||
| Annual Total | 942,323,226 | 1,004,782,773 | 491,545,328 | 878,099,000 | 911,834,000 |
Operating Budget: Change from Preceding Biennium
| Actual | Estimated | Proposed | |||
|---|---|---|---|---|---|
| Amount | Percent | Amount | Percent | Amount | Percent |
| 291,019,949 | 21.5% | (146,304,307) | (8.9%) | 293,604,899 | 19.6% |
Employment Summary
| Actual | Estimated | Proposed | |||
|---|---|---|---|---|---|
| 2022-23 Actual | 2023-24 Estimated | 2024-25 Estimated | 2025-26 Proposed | 2026-27 Proposed | |
| FTE Staff Years | 349.3 | 402.0 | 442.0 | 2,208.7 | 2,207.0 |
