Texas Loses $600M+ in Federal Public Health Funds as OBBBA + Pandemic-Era Streams Expire
The Texas Medical Association reports Texas is losing more than $600 million in expired pandemic-era federal public health funding plus reductions under the One Big Beautiful Bill Act — including ~$270M from infectious-disease programs, immunization funds more than halved, ~$90M off HIV/STI prevention, and elimination of CDC's tobacco-control office.
Dallas County laid off 21 public-health staff (April 2025) and Bell County temporarily closed a clinic, straining systems FQHC patients rely on.
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FQHC Talent. (2025, December 19). Texas Loses $600M+ in Federal Public Health Funds as OBBBA + Pandemic-Era Streams Expire. Source: Texas Medical Association. Retrieved October 6, 2026, from https://www.fqhctalent.com/intel/tx-600m-federal-public-health-loss-obbba