FY 2027 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 2027 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-2027-department-requested-budgets.  

Chair's Proposed - are program offers that have been included (funded) in the FY 2027 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-2027-budget

Last reviewed February 13, 2026

Program Offers

Program Offer Number Program Offer Name Chair’s Proposed Adopted
40030-27 FQHC-Medical Director
Document
40031-27 FQHC-Pharmacy
Document
40032-27 FQHC-Lab and Medical Records
Document
40033-27 FQHC-Primary Care and Dental Access and Referral
Document
40034A-27 FQHC-Administration and Operations
Document
40034B-27 FQHC - Contingency and Reserves
Document
40036-27 FQHC-Community Health Council and Civic Governance
Document
40037-27 Environmental Health Community Programs
Document
40039-27 Human Resources
Document
40040-27 Financial and Business Management Services
Document
40041-27 Medical Accounts Receivable
Document
40042-27 Contracts & Procurement
Document
40043-27 Corrections Health Dental
Document
40044-27 Data Governance & Quality
Document
40045-27 Corrections Health Operations
Document
40046-27 Health Operations Administration
Document
40047-27 Corrections Health Transition Services
Document
40048-27 Epidemiology, Evaluation, and Policy Research
Document
40049-27 Corrections Health Juvenile Clinical Services
Document
40050-27 Corrections Health Multnomah County Detention Center (MCDC) Clinical Services
Document
40051-27 Corrections Health Inverness Jail (MCIJ) Clinical Services
Document
40052-27 Medical Examiner
Document
40053-27 Prevention and Health Promotion
Document
40059-27 Corrections Health Behavioral Health Services
Document
40061-27 Harm Reduction
Document
40065-27 Behavioral Health Division Administration
Document
40067-27 Medical Records for Behavioral Health Division
Document
40068-27 Behavioral Health Quality Management
Document
40069-27 Behavioral Health Crisis Services
Document
40071-27 Behavioral Health Division Adult Protective Services
Document
40072-27 Mental Health Commitment Services
Document
40074-27 Mental Health Residential Services
Document
40075-27 Choice Model
Document
40077-27 Mental Health Treatment & Medication for the Uninsured
Document
40078-27 Early Assessment & Support Alliance
Document