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 |
