​The purpose of this memo is to detail updates to existing State General Fund Allocations to local health jurisdictions (LHJs) to support STI prevention and control activities. These include:

• STI Core Allocations – $3.6 million ongoing

• STI Prevention and Collaboration Allocations – $13.6 million ongoing 

CDPH met with the Executive Committees of the County Health Executives Association of California (CHEAC) and the California Conference of Local Health Officials (CCLHO) to determine funding plans for the next five-year cycle, covering July 1, 2026, through June 30, 2031.  Following is a summary of background and decisions made as a result of these meetings:

• CDPH will continue to issue combined allocations with one workplan for both funding streams to reduce administrative burden for LHJs and CDPH.

• Based on agreement between CDPH, CHEAC, and CCLHO, the funding formula decided upon was as follows:

• Eligibility:  Eligible LHJs are those with rates greater than the 2022-2024 mean California rates for total early syphilis or congenital syphilis, orLHJs that have at least 1% of the state's total early syphilis or congenital syphilis cases.

• Floor: LHJs with populations less than 300,000  will receive a minimum of $50,000; all other LHJs will receive a minimum of $150,000. 

• Cap:  LHJs currently receiving STI Prevention and Collaboration allocations may not receive more than their current funding plus inflation (6%). LHJs that previously received only STI Core funds are not capped at current amounts.

• Formula Inputs:  25% based on LHJ population (Department of Finance, 2024), 50% based on total early syphilis case counts (CDPH Surveillance data, mean 2022-2024), 25% based on congenital syphilis case counts (CDPH Surveillance data, mean 2022-2024)

• The updated eligibility criteria funds 37 LHJs, including 16 LHJs (43%) with a population less than 300,000.  Nine LHJs will receive STI Prevention and Collaboration funds for the first time:  Calaveras, Del Norte, Glenn, Humboldt, Lake, Mendocino, Siskiyou, Sutter, Tehama.  Six LHJs will no longer receive funding: Berkeley ($13,625), Madera ($320,368), Monterey ($359,759), Pasadena ($13,541), Placer ($13,565), and Yolo ($16,251).

• Awarded LHJs comprise 98% of total early syphilis cases, 96% of congenital syphilis cases, and 98% of gonorrhea and chlamydia cases in California.  

• Per the authorizing statute (HSC 120511), no less than fifty percent of STI Prevention and Collaboration awards must be provided to community-based organizations (CBOs) through direct funding or in-kind support. This requirement does not apply to the STI Core component of the combined awards. See Table 1 for required amount for CBO support.

• Allocation letters with detailed information about award requirements, all relevant forms, and guidance for the submission process are forthcoming.

Table 1.  Awards for Combined STI Core and STI Prevention and Collaboration Funding (FY26/27 – FY 30/31)