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Spokane Regional Health District budget draws scrutiny as county reviews post‑COVID spending
Summary
County commissioners and health‑district leaders reviewed a decade of spending and staff growth at the Spokane Regional Health District; commissioners asked for options for scaled reductions and for detail on which programs rely on discretionary local dollars.
Spokane Regional Health District (SRHD) leadership met with county commissioners on June 2 to review the health district’s budget and explain how post‑COVID grants and new programs have changed local funding demands.
The presentation: SRHD leaders outlined the agency’s mission, strategic goals and the two primary local revenue streams that support discretionary local services: the county assessment and a state appropriation often referred to in the meeting as the motor vehicle excise tax replacement appropriation (the ‘‘2877318’’ replacement allocation). The health district’s total budget rose from about $36 million in 2019 to about $57 million in 2025, a change SRHD leaders attributed largely to pandemic funding and program expansion.
Key items discussed:…
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