2026 Public Health Fiscal Austerity Webinar Series

CPHS is convening a public webinar series to discuss practical strategies for protecting communities when budgets tighten.

Why fiscal austerity? Many state, local, tribal, and territorial health departments have long navigated revenue volatility, expiring time-limited funds, and structural underinvestment. With many organizations confronting this fiscal austerity, leaders seek evidence-informed approaches to protect essential capabilities, steward limited resources, and communicate tradeoffs transparently. Our yearlong series is planned to have four quarterly arcs: Introduction to Fiscal Austerity, Assessing and Analyzing Impacts, Practical Strategies for Health Departments, and Practical Strategies for Communities.

This tentative schedule will continue to be revised until registration links become available. Recordings will be posted 3-5 weeks after each webinar and emailed to all registrants at that time as well.

Introduction to Fiscal Austerity

Navigating Fiscal Austerity: Lessons from Past Public Health Retrenchment

Date: January 28, 3 p.m. Central Time

Introduce the history and context of fiscal austerity for governmental public health through historical episodes (e.g., post-Great Recession, early 2000s federal cuts) and panelist perspectives to identify patterns in workforce reductions, service prioritization, and long-term recovery.

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Legal and Ethical Dimensions of Austerity

Date: March 10, 2 p.m. Central Time

Discuss the legal and ethical considerations for fiscal austerity, including review of legal mandates for minimum service provision, liability issues in service withdrawal, and ethical frameworks for prioritizing populations or programs during cuts.

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Protecting the Core: Prioritizing Foundational Public Health Services Under Fiscal Constraint

Date: March 25, 12 p.m. Central Time

Introduce frameworks for preserving essential capabilities (assessment, preparedness, communications) when discretionary funds shrink.

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Assessing and Analyzing Impacts

Measuring Fiscal Stress: Indicators and Early Warning Systems

Date: April 22, 12 p.m. Central Time

Overviews quantitative and qualitative measures of fiscal stress (e.g., fund balance ratios, grant volatility,
vacancy rates, deferred maintenance) and demonstrates how to interpret signals before crisis conditions emerge.

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Data-Driven Decision-Making in Lean Times

Date: May 29, 2 p.m. Central Time

Examines how evidence-based prioritization (e.g., cost-effectiveness analysis, activity-based costing, FPHS metrics) supports difficult allocation decisions, including examples of tools or dashboards developed by partner jurisdictions.

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Scenario Planning for the Next Budget Contraction

Date: June 24, 12 p.m. Central Time

Demonstrate structured forecasting and scenario analysis for revenue losses across multiple streams
(federal, state, local, fee-based), including equity implications.

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Practical Strategies for Health Departments

Communicating Austerity: Messaging Fiscal Realities to Policymakers and the Public

Date: July (date/time TBA)

Examine best practices for communications and messaging that prioritize transparency, public engagement, and advocacy during budget crises.

Workforce Under Constraint: Maintaining Capacity During Hiring Freezes and Layoffs

Date: August (date/time TBA)

Explores workforce triage strategies, cross-training, and retention incentives when hiring or salary increases are restricted; discusses burnout prevention and essential workforce preservation.

Resilience Funding: Building Financial Shock Absorbers

Date: September (date/time TBA)

Discusses strategies for developing reserves, diversifying revenue, and institutionalizing contingency planning (e.g., using ARPA or opioid settlement funds for structural stabilization).

Practical Strategies for Communities

Partnerships in Times of Austerity

Date: October (date/time TBA)

Overview strategies for leveraging partnerships to sustain functions via shared service models or braided funding, such as cross-jurisdictional or cross-sectoral partnerships with governments, hospitals, or nonprofits.

Collaboration and Shared Services as Fiscal Strategy

Date: November (date/time TBA)

Highlights regionalization models, shared epidemiology or environmental health units, and intergovernmental agreements that sustain essential services under fiscal duress.

Reinvestment and Recovery: Rebuilding Capacity After Austerity

Date: December (date/time TBA)

Explores how jurisdictions may reinvest when funds return, including discussion of lessons from previous funding rebounds, managing “catch-up” spending, and using crisis periods for modernization.

Contact Jason Orr if you have questions or suggestions for this webinar series.

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