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Metro Health frames FY2026 budget around grant funding, program consolidations and new inspection fees

5682283 · August 26, 2025
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Summary

Metro Health proposed a $79.2 million FY2026 budget with continued reliance on grants, proposed staffing realignments and changes to food-inspection fees; councilmembers pressed for details about Medicaid-funded positions, senior services and public-health capacity.

Dr. Clark Jacob, director of Metro Health, presented the department’s proposed fiscal 2026 operating plan and budget, describing program priorities, grant reliance and several cost-savings and restructuring proposals.

Metro Health staff said the department’s FY2026 proposal totaled approximately $79.2 million and included roughly 593 positions. Dr. Jacob told the council that external grants and subsidies make up a large share of the department’s revenue and that the department expects roughly $33 million in grant funding in the proposal year.

Staff proposed $2.2 million in restructuring savings, including reductions tied to administrative positions and the discontinuation of a paid…

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