​Memorandum

Date: April 13, 2026

From: Jennifer ​Flood, Tuberculosis Control Branch Chief

To: LHJ Directors, Health Officers, TB Controllers, & Program Managers 

Subject: Tuberculosis Local Assistance Allocations, FY 2026-27 – FY 2027-28

The California Department of Public Health (CDPH) Tuberculosis Control Branch (TBCB) is providing an update on the Fiscal Year 2026-2027 TB local assistance allocations. 

Purpose

TB local assistance funding assists local health jurisdictions (LHJs) with current efforts to prevent, control, and eventually eliminate TB in California. Financial assistance is provided to local TB control programs to augment local support for TB prevention and control activities

TB local assistance allocations are made up of both state funds and federal funds, with the exception of state fund-only allocations to three LHJs that receive federal funds directly from the Centers for Disease Control and Prevention (CDC). The federal funds fiscal information is: ALN number – 93.116; FAIN number – NU52PS910282.

Authority

California Health and Safety Code (H&SC) Sections 121450, 121451 and 121452 authorize CDPH TBCB to distribute for the purpose of TB Control an annual subvention, paid quarterly, to any LHJ that maintains a TB control program consistent with standards and procedures established by the Department.

Allocation of Local Assistance Funds

Local assistance funds are allocated using a funding formula (see table below). The multi-variable funding formula, modeled after the national TB allocation formula, was developed in 2009 in collaboration with the California TB Controllers Association (CTCA) and revised in FY 2012-13. For 2024-25, the allocation process was modified to incorporate low morbidity jurisdictions (averaging <6 cases annually) in base award funding calculations.

Allocations are calculated every two years using five years of surveillance data. FY 2026-27 and FY 2027-28 allocations are based on the five-year average number of TB cases and associated case characteristics reported between 2021 and 2025. As the first year of a two-year funding cycle, FY 2026-27 represents a new funding baseline based on current state and federal authority. Therefore, it cannot be compared to previous funding cycles.

Table 1. Tuberculosis Local Assistance Allocation Formula FY 2026-27

Timeline: CDPH TBCB anticipates issuing a TB Local Assistance-Intent and Guidance communication to LHJs by April 15, 2026.

Additional Details:

TB local assistance allocations are separated by funding source and budget period:

• The federal funding period is from July 1, 2026 through December 31, 2026

• ​The state funding period is from July 1, 2026 through June 30, 2027 
  

TB local assistance allocations are contingent upon the availability of funds appropriated by the State of California and the federal government. CDPH TBCB reserves the right to reduce, amend, or withdraw funding, in whole or in part, should funding from the state or federal government be reduced, delayed, or otherwise adjusted.

Final funding allocations are shown in the table below.

CDPH Contact for LHJs

For additional information or questions about these funding allocations, LHJs may contact TBCB.Awards@cdph.ca.gov.​

​Table 2. FY 2026-2027 Tuberculosis Local Assistance Allocations