DATE: November 17, 2026
TO: Board of Supervisors
SUBMITTED BY: Joe Prado, Director, Department of Public Health
SUBJECT: Retroactive Revenue Agreement with the California Department of Public Health
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive revenue Agreement with the California Department of Public Health, for Proposition 99 and Proposition 56 Tobacco Control Program funds, effective July 1, 2026, through June 30, 2027 ($379,600).
REPORT
There is no additional Net County Cost associated with the recommended action. Approval of the recommended action represents acceptance of the Local Lead Agency (LLA) Allocation Agreement for Proposition 99 and Proposition 56 funds, for Fiscal Year (FY) 2026-27, from the California Department of Public Health (CDPH) California Tobacco Prevention Program (CTPP). The annual 12-month allocation for FY 2026-27 totals $379,600 and will fund the Department of Public Health’s (Department) Tobacco Prevention Program staff, services, and supplies. The Department’s Tobacco Prevention Program will continue their work to provide tobacco prevention education and promotion activities throughout the County. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, the Department will be unable to fund tobacco prevention education and promotion activities in the County, leaving a significant gap in these essential services being provided in the community.
RETROACTIVE AGREEMENT:
The recommended Agreement is retroactive to July 1, 2026 because of a delay in the Department receiving the notification letter from CDPH/CTPP, which was received on September 22, 2026. This item is being brought to your Board in accordance with agenda item processing timelines.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. Total funding for the 2022-2027 plan period ($3,102,596) is comprised of Proposition 99 - Tobacco Tax and Health Promotion Act of 1988 funds, and Proposition 56 - California Healthcare, Research and Prevention Tobacco Tax Act of 2016 funds. The recommended revenue allocation for FY 2026-27 is $379,600.
The annual fiscal year allocation breakdown of the comprehensive 2022-2027 plan period for Proposition 99 and Proposition 56 funds, is shown below:
Fiscal Year Prop 99 Prop 56 Total Prop 99 & 56
FY 2021-22 $75,000 $315,515 $390,515
FY 2022-23 $150,000 $516,485 $666,485
FY 2023-24 $150,000 $556,281 $706,281
FY 2024-25 $150,000 $329,854 $479,854
FY 2025-26 $150,000 $329,861 $479,861
FY 2026-27 $150,000 $229,600 $379,600
Sufficient appropriations and estimated revenues are included in the Department’s Org 5620 FY 2026-27 Adopted Budget and will be included in future budget requests.
DISCUSSION:
Approval of the recommended action will allow the Department to accept the CDPH/CTPP 12-month annual allocation for FY 2026-27. FY 2026-27 represents the final period covered in the six-year comprehensive 2022-2027 plan period. The annual allocation is a combination of both Proposition 99 and Proposition 56 tobacco tax funds, with the California Tobacco Control Program. The program’s main goals are to reduce tobacco use among adults and youth in California, using the guidelines issued by CDPH/CTCP based on legislative enactment. Specifically, Health and Safety Code Sections 104375, 104380, 104400, and 104405 through 104415.
During FY 2026-27, funding will support the following activities:
• Assess the viability of the Fresno County Tobacco Retailer Permit Program enactment in Fresno County.
• Provide technical assistance to the Cities of Fresno and Fowler in implementing its tobacco retail licensing ordinance.
• Conduct a comprehensive tobacco control needs assessment.
• Conduct evaluation activities to assess the impact of the contract project.
• Continue to convene the program’s Coalition of adult partners.
• Develop the scope of work and budget for the next CDPH/CTPP 2027-2030 contract period.
• Release a Request for Proposal for the program’s Evaluation Consultant and identify an evaluator for the 2027-2030 contract period.
• Provide technical assistance and support to non-profit tobacco partners in the County.
• Revise current County ordinance prohibitions related to smoking near public building entryways to include K-12 public schools.
The County’s Risk Management Division has reviewed the allocation agreement and found that it does not contain the County’s standard insurance and indemnification language but deems this acceptable as CDPH is providing the funding to the County.
Per the LLA Allocation Agreement Terms and Conditions, the LLA annual allocations from Proposition 99 and Proposition 56 are required to be deposited into separate interest-bearing, insured trust accounts in accordance with the LLA Administrative and Policy Manual. Any unspent balances must be returned to the CDPH/CTPP when the 2022-2027 LLA Comprehensive Tobacco Control Plan ends on June 30, 2027, and are due 60 days after receiving the plan’s closeout letter.
REFERENCE MATERIAL:
BAI #40, November 4, 2025
BAI #56, November 5, 2024
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Agreement with CDPH
CAO ANALYST:
Ron Alexander