To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Grant Award #78-006-5 with the State of California Department of Public Health
Recommendation: Recommendation of the County Administrator
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to accept Grant Award #78-006-5 with the State of California Health and Human Services Agency, California Department of Public Health (CDPH), to pay the County an amount not to exceed $3,872,956, for the Future of Public Health (FoPH) funding for the period from July 1, 2026 through June 30, 2027.
FISCAL IMPACT:
Acceptance of the Grant Award will result in payment to the county up to $3,872,956 for Fiscal Year 2026/2027 in funding from the CDPH. No County match required.
BACKGROUND:
The Budget Act of 2022 provides $200,400,000 annually to local health jurisdictions for public health workforce and infrastructure. These funds are considered ongoing funds and part of ongoing baseline state budget.
The County’s Public Health Division collaborates with all other Health Services Department’s divisions on a regular basis. Enhancing the infrastructure of the division will support the Health Services Department at large by providing a streamlined and centralized center of operations. The Public Health Division supports the Contra Costa Regional Medical Center and Health Centers in several clinical functions including quality improvement coordination. Other Public Health Programs such as the Opioid Initiative overlaps operations with Contra Costa Regional Medical Center and Health Centers and Behavioral Health divisions. The Health Care for the Homeless and Enhanced Care Management Programs coordinate directly with Health Housing and Homeless Division on a regular basis. This funding will improve the relationships and outcomes of all these collaborative relationships.
On August 12, 2025, the Board of Supervisors approved Grant Award #78-006-3 with CDPH, to pay the County in an amount not to exceed $3,872,956 for FoPH funding for the period July 1, 2025 through June 30, 2026.
On November 11, 2025, the Board of Supervisors approved Grant Award #78-006-4 with CDPH, to pay the County an additional amount of $16,724 to a new amount payable to the County not to exceed 3,889,680 for FoPH funding for the period July 1, 2025 through June 30, 2026.
Acceptance of Grant Award #78-006-5 will allow County to receive funding from CDPH for County’s Public Health Division’s workforce and infrastructure through June 30, 2027. The Grant Award is being processed late due to County receiving the award from CDPH on July 1, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Award is not approved, the County will not receive FoPH funding to support public health workforce and infrastructure for Contra Costa County.