The Joint Committee on Ways and Means Subcommittee on Human Services convened on April 21, 2025, to discuss critical funding needs and resource gaps in Oregon's public health system. The meeting focused on the assessment of current spending and the necessary investments to enhance foundational programs and capabilities aimed at improving health equity across the state.

During the session, officials highlighted that local public health authorities (LPHAs) and the Oregon Health Authority (OHA) spent approximately $602.2 million on foundational programs, with a significant resource gap of around $262.1 million needed for full implementation. Additionally, $233.5 million was spent on additional programs, which are not universally required but may be prioritized based on community needs, revealing a gap of about $42 million.

The discussion underscored the importance of diverse funding sources, emphasizing that public health modernization should not rely solely on state general funds. Key areas identified for investment included prevention and health promotion, which has the highest resource gap among foundational programs, and organizational competencies, which also require substantial funding to enhance operational efficiency.

The committee noted that while there has been considerable investment in assessment and epidemiology capabilities, which received $73.6 million, there remains a pressing need for improved data systems and specialized staff roles. The ongoing challenges posed by the end of federal COVID-19 funding were also acknowledged, as this could exacerbate existing resource gaps in clinical and preventive services.

To address these issues, the OHA proposed an incremental increase of $2 million in public health modernization funding. This funding aims to tackle systemic gaps that hinder progress in eliminating health inequities, particularly in immunization rates for both children and adults. The additional funds will be allocated to LPHAs, federally recognized tribes, and community-based organizations, ensuring that resources are directed where they are most needed.

The meeting concluded with a clear call to action for continued investment in public health to ensure that Oregon can effectively respond to health challenges and promote equity across its communities.