The purpose of this memo is to detail funding updates to existing State General Fund allocations to local health jurisdictions to support sexually transmitted infection prevention and control activities. Effective July 1, 2024, the CDPH STD Control Branch will combine the following funding sources into a single allocation:
- STD Prevention & Collaboration Allocations ($13.6 million ongoing)
- $4.5 million, appropriated in FY 2019-20
- $3.6 million, appropriated in FY 2021-22
- $5.5 million, appropriated in 2022-23
- STD Core Allocations ($3.6 million ongoing)
- Base funding with current funding formula established in FY 2018-19
The two allocations have differing funding formulas and a significant overlap in scopes of work. Current funding formula inputs for these two allocations are provided in the appendix below.
CDPH met with the Executive Committees of CHEAC and CCLHO in September 2023 to determine funding plans for the next budget cycle beginning July 1, 2024. The following decisions were made:
To reduce administrative burden, the STD Prevention and Collaboration and STD Core allocations will be combined and renamed the STI Prevention and Collaboration Allocations beginning FY 2024/2025.
Based on the agreement between CDPH, CCLHO, and CHEAC, funding formulas for both the STD Prevention & Collaboration Allocations (methodology established FY 2021-22) and STD Core Allocations (methodology established FY 2018-19) will remain unchanged.
All LHJs will receive the same funding amount for both the STD Core and STD Prevention and Collaboration as they have in the current FY, as shown in the table below. This includes base funding of $250,000 for recipients of the STD Collaboration allocation. LHJs receiving only the STD Core allocation will not receive the $250,000 base (i.e., Berkeley, Pasadena, Santa Cruz, Yolo). ā¢ Per the authorizing statute (HSC Section 120511ā), no less than fifty percent of STD 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 STD Core component of the combined STI Prevention and Collaboration awards.
CDPH will revisit statewide allocations for FY 2026-2027 to adjust for increasing syphilis and congenital syphilis cases, and present to CHEAC and CCLHO Executive Committees for input and approval.
If additional State General Fund is allocated through the state budget process, CDPH will work with CHEAC and CCLHO Executive Committees to determine funding approaches, including whether additional LHJs may be funded utilizing the combined methodology.
Table 1: Awards for Combined STI Prevention and Collaboration Funding (FY24/25 - FY25/26)
ā Alameda HD**
| ā125,603
| ā473,756
| ā599,359
| ā236,878
|
ā Berkeley
| ā13,625
| ā0
| ā13,625
| ā0
|
ā Butte
| ā23,782
| ā282,054
| ā305,836
| ā141,027
|
Contra Costa
| ā79,724
| ā412,808
| ā492,532
| ā206,404
|
ā Fresno
| ā252,182
| ā459,883
| ā712,065
| ā229,942
|
ā Imperial
| ā16,777
| ā294,165
| ā310,942
| ā147,083
|
āKern
| ā211,352
| ā432,802
| ā644,154
| ā216,401
|
āKings
| ā23,929
| ā279,903
| ā303,832
| ā139,952
|
āLong Beach
| ā91,010
| ā338,746
| ā429,756
| ā169,373
|
āLos Angeles HD**
| ā547,050
| ā1,952,013
| ā2,499,063
| ā976,007
|
āMadera
| ā38,784
| ā281,584
| ā320,368
| ā140,792
|
āMerced
| ā32,874
| ā305,549
| ā338,423
| ā152,775
|
āMonterey
| ā29,721
| ā330,038
| ā359,759
| ā165,019
|
āOrange
| ā231,622
| ā721,828
| ā953,450
| ā360,914
|
āPasadena
| ā13,541
| ā0
| ā13,541
| ā0
|
āPlacer**
| ā13,565
| ā297,834
| ā311,399
| ā148,917
|
āRiverside
| ā210,326
| 664,594
| ā874,920
| ā332,297
|
āSacramento
| ā161,204
| ā493,538
| ā654,742
| ā246,769
|
āSan Bernardino
| ā246,335
| ā646,194
| ā892,529
| ā323,097
|
āSan Diego
| ā323,689
| ā758,630
| ā1,082,319
| ā379,315
|
āSan Francisco
| ā268,666
| ā369,754
| ā638,420
| ā184,877
|
āSan Joaquin
| ā165,234
| ā383,446
| ā548,680
| ā191,723
|
āSan Mateo
| ā43,740
| ā350,560
| ā394,300
| ā175,280
|
āSanta Barbara
| ā32,237
| ā325,622
| ā357,859
| ā162,811
|
āSanta Clara
| ā147,955
| ā502,002
| ā649,957
| ā251,001
|
āSanta Cruz
| ā20,539
| ā0
| ā20,539
| ā0
|
āShasta
| ā17,346
| ā275,240
| ā292,586
| ā137,620
|
āSolano
| ā37,066
| ā316,360
| 353,426ā | ā158,180
|
āSonoma
| ā35,715
| ā316,397
| ā352,112
| ā158,180
|
āStanislaus
| ā80,093
| ā345,114
| ā425,207
| ā172,557
|
āTulare
| ā45,509
| ā349,311
| ā394,820
| ā174,656
|
āVentura
| ā49,684
| ā377,195
| ā426,879
| ā188,598
|
āYolo
| ā16,521
| ā0
| ā16,521
| ā0
|
āYuba
| ā0
| ā263,080
| ā263,080
| ā131,540
|
*50% of LHJ STD Prevention & Collaboration funds must support CBOs via direct funding or in-kind support.
**HD=health department. Alameda HD excludes Berkeley. Los Angeles HD excludes Pasadena and Long Beach.
Appendix: Current Funding Formulas
STD Core funding formula:
- All local health jurisdictions (LHJs) were eligible to receive funds, with a floor of $10,000 and a ceiling of 15% of the total amount of STD core local assistance funds available. The formula was applied to all LHJs and then reviewed to determine if they met the floor or exceeded the ceiling.
- Funds allocated to LHJs that were less than the floor or greater than the ceiling were proportionally reallocated to the remaining funded LHJs.ā
- Funding formula inputs:
āā10% of the allocation was based on 3-year mean population estimates for persons 12-30 years of age in the LHJ using California Department of Finance (DoF) estimates (2016-2018).
10% of the allocation was based on 3-year mean population estimates in the LHJ for African American/Black and Hispanic/Latinx individuals using DoF estimates (2016-2018).
80% of the allocation was based on weighted, 3-year mean gonorrhea and syphilis case counts (2016-2018) in the LHJ, with the following weights:
āGonorrhea = 1
Primary, secondary, and early latent syphilis cases among males = 25
All syphilis cases among non-pregnant females 15-44 years of age = 50
All syphilis cases among pregnant females = 100ā
STD Prevention and Collaboration funding formula:
All LHJs accounting for 95% of the total congenital syphilis and/or early syphilis morbidity for 2019 were considered eligible (N=30).
Eligible LHJs received a floor of $250,000. Remaining funds were distributed using LHJ-specific estimates of population (50%), poverty (25%), and race/ethnicity of populations disproportionally affected by syphilis and congenital syphilis in California (25%).
Population calculations used 2020 DoF estimates. Poverty was calculated using 2019 US Census Data (percent in poverty) applied to the 2020 DoF population estimates. Race/ethnicity included populations with the highest rates (Black/African American, American Indian/Alaska Native) and with the highest number of cases (Hispanic/Latinx) of early and congenital syphilis.
Funding formula was developed in collaboration with CHEAC, CCLHO, and other stakeholders.ā
Contact Information
āCalifornia Department of Public Health - STD Control Branchā
850 Marina Bay Parkway, Building P, 2nd Floor, Richmond, CA 94804
(510) 620-3400 ā¢ FAX (916) 636-6212 ā¢ Internet Address: www.std.ca.govāā