This bill establishes an "Essential Public Health Functions Contingency Account" within the state treasury to support critical public health activities. It defines essential public health functions, which include preventing and controlling health threats and responding to waterborne disease outbreaks. The account is funded through a one-time transfer from the general fund and is appropriated to the commissioner of health under specific circumstances, particularly when there is a significant reduction or elimination of federal funding for essential public health functions.

The bill outlines the criteria for the commissioner to access funds from the contingency account, requiring a determination of unexpected funding changes and the necessity for additional funding to continue essential services. It also mandates that the commissioner provide written notice to legislative committees before making expenditures and seek review from the Legislative Advisory Commission. Additionally, the commissioner is required to submit an annual report detailing expenditures from the account, including the reasons for the expenditures and the amounts of federal funding affected.