This brief provides an overview of current state public health funding estimates based on FY 2021 data collected by TFAH. TFAH calculates state public health funding through analyses of state spending on public health for each budget cycle using publicly available budget documents through state government websites. Depending on which information is available, TFAH uses: executive budget documents listing actual expenditures, estimated expenditures, or final appropriates; appropriations bills enacted by the state’s legislature; and documents from legislative analysis offices to calculate public health spending. TFAH defines “public health” broadly to include all health spending with the exception of Medicaid, CHIP, or comparable coverage programs for low-income residents. In most cases, all state funding--regardless of whether it is general revenue or other state funds (e.g., fee revenue)--is included in TFAH’s calculations. SHADAC’s State Health Compare provides access to TFAH’s estimates of state public health funding, which is standardized to the estimated population of each state to create per-capita estimates. State-specific data are available for the years 2005 through 2021 (with the exception of data year 2006, for which no estimates are available) and can be downloaded or visualized using a map, rank bar chart, trend line, or table.
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