FY 2026 Program Offers

The County's Board of Commissioners adopts an annual budget to plan for the effective delivery of services to the community and to responsibly manage the public resources that support these services.

Below are the individual Program Offers in the FY 2026 budget. All County functions – from operating programs to the General Fund contingency account – request funding through a program offer. Program offers combine information on program descriptions, budget overviews, and performance data for a given set of services. The table below contains five columns. Columns 1 and 2 provide the program offer names and numbers. The remaining three columns contain the program offer documents for each phase of the budget. The farthest right column contains the program offers as they were formally adopted in the budget. (as shown below)

Sort by Department Program Offer, Program Offer Number, or Program Offer Name

Department Requested - these base program offers are submitted by the departments as the first step in the budget process. The departments prepare the program offers for the County Chair to consider funding as part of the Executive/Proposed Budget. The Department Requested budget consists of three components : 

  1. Base budget (program offers - shown on this page) 
  2. Reduction packages (which provide options to address the General Fund deficit while meeting the most critical needs of Multnomah County residents)
  3. Addition packages (ongoing and one-time-only) 

For more information on the reduction and addition packages, please see multco.us/info/fy-2026-department-requested-budgets.  

Chair's Proposed - are program offers that have been included (funded) in the FY 2026 Chair's Executive/Proposed Budget. Program offers may be revised or changed from when they were submitted as part of the Chair’s Executive budget. At this point, public deliberation begins.

Adopted - these are the program offers that are included (funded) once the Board votes on the County's Adopted Budget. This is the final stage of the budget process and creates the legally adopted budget.

Complete budget documents and additional resources, including a detailed explanation of how Multnomah County budgets can be found at: multco.us/info/fy-2026-budget

Last reviewed November 12, 2024

Program Offers

Program Offer Number Program Offer Name Chair’s Proposed Adopted
40000D-26 Behavioral Health CLP+ & System Transformation
40002-26 Tri-County Health Officer
40003-26 Health Department Facilities, Safety and Administrative Support
40004-26 Ambulance Services (Emergency Medical Services)
40005-26 Public Health & Regional Health Systems Emergency Preparedness
40006-26 Tobacco Prevention and Control
40007-26 Health Inspections and Education
40008-26 Vector-Borne Disease Prevention and Code Enforcement
40009-26 Vital Records
40010A-26 Communicable Disease Prevention and Control
40010B-26 STI Clinical and Community Services
40010C-26 Communicable Disease Community Immunization Program
40011-26 Services for Persons Living with HIV - Regional Education and Outreach
40012-26 FQHC-HIV Clinical Services
40016-26 FQHC-Medicaid/Medicare Eligibility
40017-26 FQHC-Dental Services
40018-26 Women, Infants, and Children (WIC)
40019-26 FQHC-North Portland Health Clinic
40020-26 FQHC-Northeast Health Clinic
40022-26 FQHC-Mid County Health Clinic
40023-26 FQHC-East County Health Clinic
40024-26 FQHC-Student Health Centers
40026-26 FQHC-La Clinica de Buena Salud
40027-26 FQHC-Southeast Health Clinic
40029-26 FQHC-Rockwood Community Health Clinic
40030-26 FQHC-Medical Director
40031-26 FQHC-Pharmacy
40032-26 FQHC-Lab and Medical Records
40033-26 FQHC-Primary Care and Dental Access and Referral
40034A-26 FQHC-Administration and Operations
40034B-26 FQHC - Contingency and Reserves
40036-26 FQHC-Community Health Council and Civic Governance
40037A-26 Environmental Health Community Programs
40037B-26 Gas Powered Leaf Blower Project
40039-26 Human Resources