David, a county health staff member, told the commissioners court that the combined state and federal tuberculosis prevention and control grant for fiscal year 2026 will reflect a funding reduction passed down from the state. "DSHS has informed us that we're only gonna see about a 5% hit to the budget," David said; he added staff expect to adjust personnel-distribution percentages and other allocations to absorb the reduction.

The court considered and approved a contract amendment for the tuberculosis prevention and control combined state and federal grant (HHS 0014374000027) to add funds and extend the contract for the period beginning Sept. 1, 2025, through fiscal 2026. David said the "adding funds" language was potentially misleading because the action represents the budget for the next fiscal year; staff will return with a detailed amended budget once exact dollar amounts are confirmed by the state before the fiscal year begins.

Why it matters: public-health grant funding affects staffing and service levels for tuberculosis prevention and control programs administered by the county. David estimated the reduction at roughly 5%, which he described as about $4,500 on this specific budget line, and said staff will try to shift funded personnel distributions and other line items to accommodate the cut.

Court context: The court approved the contract amendment on June 23 and will receive a refined amended budget from staff when exact state allocations are known.