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Public Health Funding in Washington State <br /> 1993 <br /> Motor Vehicle Excise Tax(MVET)revenues(2.95%) <br /> dedicated to core public health funding$49M/biennium; <br /> Health Services Act establishes Local Capacity <br /> Development Fund (LCDF)as"down payment"for 1995 <br /> estimated need for$115M per year for local public health Legislature increase LCDF$16M/biennium. Fund <br /> —$10M/biennium to remain at this level for the next 20 years without <br /> adjustment for inflation or population <br /> 1999 <br /> Voters approve 1-695 repealing MVET <br /> 2000 <br /> Legislature upholds MVET repeal—about a$49M/ <br /> biennium loss for local health jurisdictions <br /> 2001 <br /> Legislature creates"MVET Backfill"account for public <br /> health—$48M/biennium <br /> 2005-2006 <br /> Legislature convenes Joint Select Committee on public <br /> health finance to study public health funding; its report <br /> finds$315M shortfall in public health funding <br /> 2007 <br /> Governor's Blue Ribbon Commission on Health Care <br /> Costs and Access calls for investment in public health; <br /> in SB 5930,the legislature creates new account"Blue <br /> Ribbon Public Health Fund"to support local public health 2009 <br /> —$20M/biennium Legislature cuts"Blue Ribbon Public Health Fund"— <br /> $16M/biennium <br /> 2011 <br /> Legislature cuts"Blue Ribbon Public Health Fund"— <br /> $10M/biennium <br /> 2012 <br /> Funding levels maintained$48M; LCDF: $16M; Blue <br /> Ribbon: $10M—numbers are per biennium <br /> 2013-2014 <br /> The MVET, LCDF and Blue Ribbon Commission/5930 <br /> Funds combined into newly created"County Public <br /> Health Assistance Account."It is administered by the <br /> State Treasurer, rather than DOH <br /> Source:Washington State Public Health Association,in <br /> partnerhip with the Public Health Roundtable. <br />