Multnomah County ARP investments: Public health emergency response

Multnomah County’s ARP investments into our public health emergency response included support for testing, tracing, outbreak responses, vaccinations, call center and emergency operations, and more.

Total ARP Investments: $92.5 million

American Rescue Plan Act funding has been critical for supporting the County’s COVID-19 testing, tracing, outbreak response, vaccination, call center, emergency operations, communication, education and engagement efforts, especially during FY 2022. This set of investments also includes funding for wraparound supports to aid people and households in isolation and quarantine.

Program NameProgram DescriptionFY22 Amount BudgetedFY23 Amount BudgetedNotes
Non-departmental (NOND) Emergency Management - Logistics/Community & County PPE

Since the beginning of our COVID-19 response activities, Multnomah County has been a critical resource in providing personal protective equipment (PPE) and other supplies to reduce the spread of the virus. Much of this focus was on supporting County departments and their employees, County contractors, community organizations that support people experiencing homelessness, and organizations that support Black, Indigenous and other communities of color and other underserved communities.

$4,090,000The “COVID-19 Policy and Project Coordination” investment that was originally included in this program in FY22 was broken out and moved to the Crisis Response and Community Recovery in the amount of $215,000 for FY23.

NOND Communication focus on Culturally Specific Communities

Expanded connections to communities with low use of existing communication channels, allowing the County to offer more videos, social media and graphics in multiple languages. This investment furthered equity through new distribution channels, which included partnering with community organizations and culturally specific media.

$300,000

$325,000

Department of Community Justice (DCJ) Enhanced Cleaning Juvenile Justice/Adult Transportation ServicesEnhanced cleaning in Juvenile detention facilities, as well as transport from voluntary isolation motels to transitional housing or private residence. Funds from this investment were also used to transport clients to vaccinations and follow-up medical appointments.$140,000$140,000
Department of County Human Services (DCHS) Aging Disability & Veterans Services (ADVSD) Home Assessments and Infection Prevention/Intellectual and Developmental Disabilities Support

Funding supported training and provided technical assistance to adult care home providers to ensure residents’ health and safety needs are met in a culturally appropriate, safe, and welcoming 24-hour care setting.

Also supported the delivery of technology, education, vaccine coordination, and unconditional cash transfers to clients with intellectual and developmental disabilities, as well as Personal Support Workers who are from Black, Indigenous and other communities of color and/or experienced language or economic barriers to accessing technology.

$280,000$280,000

Health Department (HD) Public Health COVID-19 Contact Tracing and Case Investigation

The investment helped protect community health by responding to reportable communicable diseases with prompt investigation to limit spread through disease control interventions, particularly in BIPOC communities.

FY22 highlight: More than 6,500 contact tracing interviews were conducted to help identity and mitigate potential outbreaks.

$4,913,480$4,800,720
HD Public Health COVID-19 Testing and Vaccination Distribution

Provided low-barrier, no-cost testing and outbreak response in partnership with culturally specific community-based organizations, with testing locations in geographically sited areas with high rates of COVID-19 infection among BIPOC and immigrant/refugee communities, especially areas without other low-barrier testing access. Outbreak response focused on deploying resources to outbreak facilities (large congregate care, worksites, etc.) to reduce virus spread. Working with culturally specific organizations and healthcare providers, funding helped ensure access to COVID-19 vaccination, implementing a phased vaccination plan and providing vaccination clinics.

FY22 highlight: The investment supported the distribution of 12,672 rapid test kits through community partnership programs and resulted in a rapid and effective deployment of vaccinations across the community, contributing to a current vaccination rate of over 88% among Multnomah County residents.

$10,416,410$1,398,394Due to the high rate of vaccination in Multnomah County, the FY23 investment reflects a ramp down of money allocated for COVID-19 testing and vaccine distribution. The program has been renamed to “Public Health Communicable Disease Community Immunization Program,” which supports providers in their use of federally subsidized Vaccines for Children (VFC) and 317 (adults at high risk) programs. The program also assures that schools and childcare facilities comply with state school immunization rules and supports the provision of COVID-19 vaccines and testing and annual influenza vaccinations.

HD Public Health COVID-19 Isolation and Quarantine

Wraparound services were provided to COVID-19-positive individuals, their families, and households and their close contacts with the goal to slow community disease transmission by providing the resources needed to successfully isolate or quarantine. Services include timely, low-barrier rental, mortgage, utility, and food assistance, and other resources to minimize the financial impact of self-isolating, as well as access to the Voluntary Isolation Motel (VIMo) program. Individuals were also linked to behavioral health and other services as needed.

FY22 highlight: This funding helped 3,321 households successfully quarantine by providing rent or mortgage, utilities or food access support. This investment also helped 5,237 households with food assistance.

$20,399,000

$13,841,425

HD Behavioral Health COVID-19 ResponseProvided behavioral health counseling and connection to ongoing behavioral health services for residents impacted by COVID including culturally specific Asian, Latinx, and African American services. This funding also supported connections to culturally specific peer support, as well as to resources like the Voluntary Isolation Motel program and other supports in the community at large. These funds also supported the development of culturally specific services in the African American community that reflect community cultural values.$1,611,040$0

The FY23 allocation for this program was moved to the Crisis Response and Community Recovery category in the amount of $1,625,888.

HD Health Officer COVID-19 Response

Funding for a Health Officer that supported ongoing vaccination coordination and community engagement, tracking of severe weather shelter needs, voluntary isolation motel workflows, and coordination of licensed volunteers for ongoing county efforts.

$191,300

$205,848

COVID-19 Response Support Services

Funding supported finance and business management services that directly impacted our community-based partners, many of which are culturally specific organizations that depend on expedited contracts and prompt payment of services. Additionally, funding supported County infrastructure to help distribute client assistance, business relief and other large-scale community support efforts.

The allocation also supported additional human resources staff focused on recruitment and hiring support related to the COVID-19 response.

$1,359,950$1,406,494In FY22, this program was originally presented as two separate programs: “HD Director’s Office Department Wide Emergency Response and COVID-19 Support Services” ($851,160) and “HD Human Resources COVID-19 Response” ($508,790).
HD Integrated Clinical Services COVID-19 Vaccine Access and
Addressing Health Disparities

Additional grant funding helped provide low-barrier, no-cost testing and outbreak response in partnership with culturally specific community-based organizations, with testing locations in geographic areas with high rates of COVID-19 infection among BIPOC and immigrant/refugee communities, and especially in areas without other low-barrier testing access. The County’s outbreak response focused on deploying resources to outbreak facilities (large congregate care, worksites, etc.) to reduce virus spread. Working with culturally specific organizations and healthcare providers, this funding helped ensure access to COVID-19 vaccination through the implementation of a phased vaccination plan and providing vaccination clinics.

FY22 highlight: All told, direct and grant ARP funds supported the distribution of 19,490 vaccinations.

$13,000,000$8,075,272

Health Department (HD) Public Health Community Partnerships and REACH Expansion

$0

$1,023,795

The original $1,166,000 investment for this program was in the FY22 Crisis Response and Community Recovery category.

HD Public Health Communicable Disease Prevention, Intervention and Surveillance

$0

$711,208

The original $1,166,000 investment for this program was in the FY22 Crisis Response and Community Recovery category.

HD Health Officer Health Data Exchange

$0

$400,000

The original $1,166,000 investment for this program was in the FY22 Crisis Response and Community Recovery category.

Sustainability - Wood Stove Replacement Pilot

$0

$500,000

Included in FY23 only

Sustainability - Electric School Buses$0

$500,000

Included in FY23 only

Public Health CDC COVID-19 Health Disparities

$0

$3,654,224

Included in FY23 only

Public Health REACH COVID-19/Flu Vaccine Supplement

$0

$253,884

Included in FY23 only

Early Assessment and Support Alliance (EASA) COVID-19 Stimulus Funding

$0

$133,333

Included in FY23 only

Last reviewed November 19, 2024