Given the magnitude of transformation efforts, it is likely that changes to financial and operational practices will need to be phased in over time. Incremental increases in funding, modifications to the allocation of funds, and reconfigurations for service delivery may not only be necessary but also can help ensure the smoothest possible transition to a modern public health system. Kentucky has identified a financing strategy, while Oregon and Washington are in the midst of implementing strategies to transform their public health systems.
Kentucky’s proposal to strengthen public health includes a financing strategy.
In order to ensure equitable availability of services throughout the state, Oregon is phasing in support for specific FPHS over several years. In the first phase, new funding is available for local health departments working on a regional basis to enhance communicable disease control. Oregon’s legislature allocated funding to begin implementing this first phase in the 2017-19 and 2019-21 biennia.
The first funds were a one-time investment in communicable disease control, with an allocation to the state health department, formula-based allocations to all local health jurisdictions, and support for eight pilot projects.