TITLE
Title
HHS-PUBLIC HEALTH BUDGET ALIGNMENT, NCDHHS: AGREEMENT ADDENDUM ALLOCATIONS ($631,754)
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SPONSOR
Sponsor
Courtney McFadden
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BACKGROUND
Background
The North Carolina Department of Health and Human Services (NCDHHS) awards annual Public Health appropriations to local health departments through a State Consolidated Agreement. This agreement specifies funded activities across various divisions and ensures that resources are directed toward evidence-based and community-driven public health priorities.
Guilford County Public Health (GCPH) requests approval to amend the FY2026 budget to align with awarded state funds. These budget adjustments are intended to maximize efficiency, support program integrity, and sustain essential services across divisions.
Clinical Services:
The Clinical Services Division received increased Maternal Health and Communicable Disease funding to strengthen High-Risk Maternity Services and enhance Pandemic Recovery and Disease Control operations.
Maternal Health received additional funds in the amount of $27,903 bringing the full award for FY2025-26 to $242,996. Additional funding will standardize high-risk maternity protocols, expand STI tracking and treatment systems, and ensure evidence-based communicable disease prevention practices. The Maternal Health Program served 1,409 clients year-to-date.
Family Planning received a funding reduction in the amount of ($21,419) the full award for FY2025-26 $571,662. The reduction will decrease the number of family planning devices purchased with state funding.
Communicable Disease received additional funds in the amount of $500,706 bringing the full award for FY2025-26 to $1,010,444. The Communicable Disease team investigates an average of 93 cases per month. This can include illnesses such as TB, food-borne illness investigation, measles investigation, etc. Additional funding will be used to cover communicable disease vaccines, purchase freezers for both Greensboro and HP clinics and pay salaries for hourly nurses.
Total Increase for Clinical Services: $507,190
Community Services:
Care Coordination Program received additional funding of $3,442 bringing the full award to $169,324 for FY2025-26. This was provided to expand Care Coordination for Children (CC4C) by offering non-Medicaid case management to improve child health outcomes and support at-risk families. Care Coordination currently serve 35 non-Medicaid eligible children.
Total Increase for Community Services: $3,442
Health Education:
The Integrated Targeted Testing Services (ITTS) program received expanded funding of $52,681 bringing the full award to $526,814 for FY2025-26. This will enhance outreach and testing efforts essential for prevention and early intervention of HIV, Syphilis, and other STIs. Supports deployment of evidence-based testing protocols, integration of preventive education, and testing within community health settings. ITTS teams perform an average of 273 tests per month.
Total Increase for Health Education: $52,681
Administration
General Aid to County reduction of ($50,000) bringing the full award to $228,875 for FY2025-26. Funding used to support public health’s 10 Essential Services activities. Public Health along with all other NC Health departments received this funding in FY2023-24 and FY2024-25, funding was not reallocated for FY2025-26.
Total Reduction for Administration: ($50,000)
Allied Health:
WIC client services received additional $118,441, bringing the full award 1,832,715. WIC client services funding supports prenatal and early childhood nutrition services. Continues to fund salaries and fringe benefits for WIC staff serving pregnant women and children from birth to age four. In FY2024-2025, WIC served 13,685 clients, achieving 105.23% of the state-assigned caseload. The current caseload as of October 2025 is 13,005.
Total Increase for Allied Health: $118,441
Summary of Additional State Funding by Division:
Clinical Services: $507,190
Community Services: $3,442
Health Education: $52,681
Administration: ($50,000)
Allied Health: $118,441
Total Additional State Funds: $631,754
These adjustments reflect the alignment of the FY2026 Public Health budget with the actual state award allocations. Original allocations received during February of 2025, the additional funding or reductions notification received in various months after FY2025-26 budget adoption. The amendments do not impact local appropriations.
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BUDGET IMPACT
Budget Impact
$631,754 increase in appropriation to Health & Human Services - Public Health
$631,754 increase in Federal/State Revenue
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REQUESTED ACTION
Requested Action
Amend the General Fund Budget Ordinance to increase the appropriation to Health & Human Services by $631,754 and increase Federal/State revenue by $631,754.
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