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Board of Health · 2026-03-30 · 2026.HL31.6

The filed record

City Approved Toronto Public Health 2026 Operating Budget

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2026-03-30 · Board of Health · adopted

As filed

The Board of Health: 1. Received the report (March 12, 2026) from the Medical Officer of Health for information.

On the agenda

As the city filed it

This report provides an update on the Toronto Public Health 2026 Operating Budget deemed adopted by City Council on February 10, 2026. City Council deemed adopted a 2026 Toronto Public Health Operating Budget of $307.421 million gross, $103.489 million net and 1,865.5 full-time equivalent positions. The City approved Operating Budget reflects a decrease of $8.846 million gross and $9.038 million net, and an increase of eighteen (18) positions compared with Board of Health recommendations made on September 15, 2025.

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The differences are attributable to the following: - Decrease of $9.020 million gross and net for adjustments to the phased expansion of the Student Nutrition Program and the elimination of three new positions intended to enhance the Food Safety program to support the expansion, due to budgetary constraints. - Increase of 19 positions for the Downtown Homelessness and Addiction Recovery Treatment (HART) Hub program, which is fully funded by the Province. - Increase of $0.174 million gross and decrease of $0.019 million net and increase of 2 positions for the delivery of capital projects, fully funded under Toronto Public Health's 10-Year Capital Plan. The City approved 2026 Operating Budget represents an increase of $5.911 million gross (2.0 percent) and $9.526 million net (10.1 percent) over the 2025 approved Operating Budget. At its meeting on February 10, 2026 City Council adopted a recommendation to authorize the City Manager and the Chief Financial Officer and Treasurer to allocate the $75.0 million in-year expenditure management target, across applicable City divisions, which will amend the Council-adopted 2026 Operating Budgets for specific divisions while maintaining the overall consolidated City Budget. A portion of this corporate affordability target will be assigned to Toronto Public Health and applied through an in-year adjustment. As a result, Toronto Public Health will receive an allocation through an in-year adjustment that will be reflected through the quarterly variance reporting process. Toronto Public Health will be required to identify savings from within its existing programs during 2026 to meet this corporate target without impacting service levels.

Staff recommended

The Medical Officer of Health recommends that: 1. The Board of Health receives this report for information.

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