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Austin Public Health staff warn presidential order could strip nearly half of agency funding and affect 274 employees

2232500 · February 5, 2025
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Summary

Austin Public Health staff told the commission they are mapping grants at risk after a presidential executive order limiting federal funding; an internal crosswalk and contingency planning are underway to identify which programs and services could be preserved locally.

Austin Public Health staff told the Austin-Travis County Public Health Commission that a recent presidential executive order restricting certain federal funding could materially change how public health services are delivered in Austin and Travis County and could affect roughly 274 public health employees and nearly half of the department's funding.

The department is compiling a “crosswalk” of specific grants and reviewing agreements with the Texas Department of State Health Services (DSHS) to identify funds and pass-through dollars at risk, staff said. They emphasized that local outcomes will depend in part on how the state manages its allotments to local jurisdictions.

"From a public health perspective, it's nearly half of our funding, and it's 274 employees that would be impacted," the Austin Public Health director said, adding that the department is preparing a plan for what local maintenance of service would require if federal funds are restricted. That work will include prioritizing essential functions—staff named disease surveillance and public health emergency preparedness as top priorities—and identifying services community partners might absorb.

County health officials said Travis County Health and Human Services is conducting a parallel review of potential gaps, including options to supplement lost federal dollars with general fund resources if necessary. Both city and county offices of intergovernmental relations are compiling information for counsel and for elected officials.

Staff said they will provide the commission and other governing bodies updates as the analysis continues and noted that prior incidents have seen state health departments retain federal funds or change contractual terms with local agencies, which affects local operations.

No formal action was taken; commissioners asked staff to return with more detailed findings as they become available.