COUNTY HEALTH DEPARTMENTS LOCAL HEALTH NEEDSGovernor's Recommendations
2026-27
Current Year Budget
2025-26
Difference
DollarsPositionsDollarsPositionsDollarsPositions
$1,254,029,1698,365.81$1,262,708,0148,569.81($8,678,845)(204.00)
 
Budget Issues (Continuation and New)
 Show Funding SourceGovernor's Recommendations
2026-27
Current Year Budget
2025-26
Difference
 DollarsPositionsDollarsPositionsDollarsPositions
Policy Area: COUNTY HEALTH DEPARTMENTS
ANNUALIZATION OF ADMINISTERED FUNDS APPROPRIATIONS      
 ANNUALIZATION OF STATE HEALTH INSURANCE ADJUSTMENTS FOR FY 2024 - 25 - FIVE MONTHS OF ANNUALIZATION$00.00$5,997,1480.00($5,997,148)0.00
 ANNUALIZATION OF STATE HEALTH INSURANCE ADJUSTMENTS FOR FY 2025 - 26 - FIVE MONTHS ANNUALIZATION$6,158,6890.00$00.00$6,158,6890.00
BUDGET REDUCTIONS      
 OPERATIONAL EFFICIENCY($12,992,103)(185.00)$00.00($12,992,103)(185.00)
CAPITAL IMPROVEMENT PLAN      
 MAINTENANCE AND REPAIR$00.00$4,000,0000.00($4,000,000)0.00
 SPECIAL PURPOSE$2,417,2000.00$00.00$2,417,2000.00
ESTIMATED EXPENDITURES      
 ADJUSTMENT TO STATE HEALTH INSURANC E PREMIUM CONTRIBUTION - FY 2025-26 - EFFECTIVE 12/1/2025$8,622,1650.00$8,622,1650.00$00.00
 ADJUSTMENT TO STATE HEALTH INSURANCE PREMIUM CONTRIBUTION - FY 2024-25 - EFFECTIVE 12/1/2024$00.00$8,396,0070.00($8,396,007)0.00
 CASUALTY INSURANCE PREMIUM ADJUSTMENT$90,3150.00$267,2380.00($176,923)0.00
 ESTIMATED EXPENDITURES - OPERATIONS$1,036,271,5258,569.81$1,012,433,6248,993.51$23,837,901(423.70)
 FLORIDA RETIREMENT SYSTEM - PENSION PLAN BENEFIT ENHANCEMENTS$1,839,9790.00$2,052,7570.00($212,778)0.00
 MINIMUM PAY GRADE ADJUSTMENT- EFFECTIVE 7/1/2025$705,5210.00$705,5210.00$00.00
 REALLOCATION OF HUMAN RESOURCES OUTSOURCING$22,0400.00($4,318)0.00$26,3580.00
 SALARY INCREASE FOR FY 2024-25 - STATEWIDE PAY INCREASE - EFFECTIVE 7/1/2024$00.00$16,772,1420.00($16,772,142)0.00
 SALARY INCREASE FY 2025-26 STATEWID E 2% PAY INCREASE - EFFECTIVE 7/1/2 025$10,998,4630.00$10,998,4630.00$00.00
ESTIMATED EXPENDITURES REALIGNMENT      
 REALIGN BUDGET AUTHORITY FROM COMMUNITY HEALTH PROMOTION TO COUNTY HEALTH DEPARTMENT TRUST FUND - ADD$1,000,0000.00$00.00$1,000,0000.00
 TECHNICAL ADJUSTMENT - REALIGN BUDGET BETWEEN CATEGORIES FOR ENTERPRISE ACCESS - ADD$6,884,0000.00$00.00$6,884,0000.00
 TECHNICAL ADJUSTMENT - REALIGN BUDGET BETWEEN CATEGORIES FOR ENTERPRISE ACCESS - DEDUCT($6,884,000)0.00$00.00($6,884,000)0.00
FUND SHIFT      
 ADMINISTRATIVE INFRASTRUCTURE FOR CASEY DESANTIS CANCER RESEARCH PROGRAM AND CANCER INNOVATION INITIATIVES - DEDUCT($2,367,970)(2.00)$00.00($2,367,970)(2.00)
HEALTH INITIATIVES      
 ROUTINE SCREENING EXPANSION FOR HIV, HEPATITIS, AND SYPHILIS$336,7280.00$00.00$336,7280.00
NONRECURRING EXPENDITURES      
 ADDITIONAL MOTOR VEHICLES - DEPARTMENT OF HEALTH$00.00($1,106,098)0.00$1,106,0980.00
PROGRAM REDUCTIONS      
 VACANT POSITION REDUCTIONS$00.00($6,584,641)(423.70)$6,584,641423.70
WORKLOAD      
 WORKLOAD - OFFICE OF MEDICAL MARIJUANA USE (OMMU) - DEDUCT($1,813,960)(17.00)$00.00($1,813,960)(17.00)
Total Policy Area: COUNTY HEALTH DEPARTMENTS$1,051,288,5928,365.81$1,062,550,0088,569.81($11,261,416)(204.00)
 
Policy Area: LOCAL HEALTH NEEDS
ANNUALIZATION OF ADMINISTERED FUNDS APPROPRIATIONS      
 ANNUALIZATION OF STATE HEALTH INSURANCE ADJUSTMENTS FOR FY 2024 - 25 - FIVE MONTHS OF ANNUALIZATION$00.00$2,438,1580.00($2,438,158)0.00
 ANNUALIZATION OF STATE HEALTH INSURANCE ADJUSTMENTS FOR FY 2025 - 26 - FIVE MONTHS ANNUALIZATION$2,582,5710.00$00.00$2,582,5710.00
ESTIMATED EXPENDITURES      
 ADJUSTMENT TO STATE HEALTH INSURANC E PREMIUM CONTRIBUTION - FY 2025-26 - EFFECTIVE 12/1/2025$3,615,5990.00$3,615,5990.00$00.00
 ADJUSTMENT TO STATE HEALTH INSURANCE PREMIUM CONTRIBUTION - FY 2024-25 - EFFECTIVE 12/1/2024$00.00$3,413,4210.00($3,413,421)0.00
 ESTIMATED EXPENDITURES - OPERATIONS$190,397,1450.00$177,576,9310.00$12,820,2140.00
 FLORIDA RETIREMENT SYSTEM - PENSION PLAN BENEFIT ENHANCEMENTS$846,3900.00$914,1130.00($67,723)0.00
 MINIMUM PAY GRADE ADJUSTMENT- EFFECTIVE 7/1/2025$239,5790.00$239,5790.00$00.00
 SALARY INCREASE FOR FY 2024-25 - STATEWIDE PAY INCREASE - EFFECTIVE 7/1/2024$00.00$6,983,1950.00($6,983,195)0.00
 SALARY INCREASE FY 2025-26 STATEWID E 2% PAY INCREASE - EFFECTIVE 7/1/2 025$5,059,2930.00$5,059,2930.00$00.00
VETOED APPROPRIATIONS      
 MANATEE COUNTY RURAL HEALTH SERVICES VETO$00.00($82,283)0.00$82,2830.00
Total Policy Area: LOCAL HEALTH NEEDS$202,740,5770.00$200,158,0060.00$2,582,5710.00