The bill establishes an "Essential Public Health Functions Contingency Account" within the state treasury to ensure the continuity of essential public health functions in Minnesota. It defines essential public health functions as activities aimed at preventing or controlling health threats, including disease investigation and response to waterborne disease outbreaks. The account is funded through a one-time transfer from the general fund, and the commissioner of health is authorized to use these funds when there is a significant reduction or elimination of federal funding for essential public health functions.

To access the funds, the commissioner must meet specific criteria, including providing written notice to legislative committees and seeking review from the Legislative Advisory Commission before making expenditures. Additionally, the commissioner is required to submit an annual report detailing the expenditures from the account, including the amount of federal funding lost and the purposes of the expenditures. This report is exempt from certain documentation requirements, ensuring transparency and accountability in the use of the contingency funds.