Budget Hearing for Boston Public Health Commission FY27 Operating Budget - May 21, 2026
Budget Hearing for Boston Public Health Commission FY27 Operating Budget - May 21, 2026
The Boston City Council's Ways and Means Committee, chaired by Councilor Ben Weber (District 6), held a morning hearing on May 21, 2026, to review the Fiscal Year 2027 operating budget for the Boston Public Health Commission (BPHC). The session focused on BPHC overview, Emergency Medical Services (EMS), recovery services, and homeless services. Presenters included Commissioner Dr. Basola Ojikutu, Budget Director Chris Valdez, and EMS Chief Jim Hooley. The hearing began at 10:15 AM and featured a presentation, councilor questions, and public testimony. An afternoon session was scheduled for 3:00 PM to cover infectious diseases, child/adolescent health, violence prevention, and behavioral health.
Public Comments & Testimony
- Jason Yudkins (President, BPPA EMS Division): Expressed concerns about low pay for EMTs and paramedics, noting a 60% pay disparity compared to firefighters. Emphasized retention struggles due to inadequate compensation and called for investment in personnel, equipment, and infrastructure.
- Miles Royal (EMT, Boston EMS): Highlighted the high volume of 140,000+ emergency incidents per year and stressed the need for continued investment in staffing, equipment, and mental health support for first responders.
- Rory Deering (EMT, Boston EMS): Raised health and safety concerns about aging ambulance fleet, citing diesel exhaust exposure. Urged modernization and proactive maintenance.
- James McCabe (Vice President, BPPA EMS Division): Called for equal treatment of EMS as essential work and addressed pay disparity, emphasizing the life-saving role of EMS in city violence responses.
- George May IV (Paramedic, virtual testimony): Reported a recent incident where a personal flotation device (PFD) was not available in an ambulance during a water rescue. Requested equipment improvements.
Discussion Items
- BPHC Overview and Budget (Dr. Basola Ojikutu & Chris Valdez): The Commission faces fiscal pressures from rising fringe benefit costs. The FY27 budget shows a 1.6% year-over-year increase after restructuring to avoid service cuts. Federal funding decreased from ~$50M to $41M, partly due to ARPA phase-out. Opioid settlement funds total $18M for a four-year plan. Capital projects include a new EMS station on the South Boston waterfront (2026) and radio infrastructure upgrades.
- Live Long and Well Initiative: Aims to close life expectancy gaps by 2035. Highlights include $5M investment in community partnerships for wealth building in Dorchester, Roxbury, and Mattapan; $1M for Black men's health; and $1M for cancer prevention.
- Recovery Services: Reported a 39% decrease in overdose mortality from 2023 to 2024, and a continued 9% decrease into 2025. The PASS program made 1,274 client placements through April 2026. Syringe collection uses multiple strategies (Mobile Sharps, outreach teams, New Market partnership, kiosks). The High Utilizer Table case-managed 30 individuals, connecting 22 to services.
- Homeless Services: Shelters served 2,884 unique individuals and 643,942 meals by April 2026. 80 clients moved to permanent housing, 9 to long-term treatment.
- EMS Performance (Chief Jim Hooley): In 2025, EMS responded to 141,000 incidents with 95,503 transports. Priority one median response time improved to 6.8 minutes citywide (down from 7.5). A new 24-hour ambulance (Ambulance 21) added in Dorchester; night shift expanded in Jamaica Plain/Roslindale (Ambulance 17). Alternative Response Model (ARM) units handle behavioral health calls, expanded to 7 days/week, 16 hours/day. EMS budget is 89% personnel costs. Attrition decreased from 40 departures in 2022 to 15 in 2025. Hired 67 new EMTs in 2025. 22 members promoted. 26 ambulances on order.
- Pay and Retention Concerns: Councillors Flynn, Braden, Fitzgerald, and others raised the issue of low EMT/paramedic pay relative to police and fire. Chief Hooley noted pay is set through collective bargaining. Multiple councilors expressed support for increasing compensation and advocated for better recognition of EMS.
- Other Issues: Councillor Braden asked about immigration enforcement deterring care; Dr. Ojikutu confirmed anecdotal reports of fear and assured safe spaces. Councillor Fitzgerald asked about operational priorities; Chief Hooley identified personnel as top priority. Councillor Culpepper asked about diversity in hiring; Chief Hooley committed to providing demographic breakdowns. Councillor Culpepper also raised a feasibility study on in-house laundry services for shelters.
Key Outcomes
- No votes taken; this was a review hearing with Q&A.
- Data commitments: Chief Hooley agreed to provide breakdowns by race and gender for EMT recruit classes (80 students), 67 new hires, and 22 promotions.
- Follow-up: Councillor Flynn requested a meeting on HIV outreach. Councillor Fitzgerald noted a working session on Kratom ban.
- Next steps: The opioid settlement RFP ($600,000) will be released in June. The Commission will continue workforce improvement and compensation studies.
- Noted: The incident involving a missing PFD led to immediate distribution of flotation devices in all ambulances.
Adjournment
The morning hearing adjourned at approximately 12:45 PM, with the afternoon session scheduled for 3:00 PM.
Meeting Transcript
And the Good morning. For the record, my name's Ben Weber. I'm the district six city counselor and the chair of the Ways and Means Committee. Today is May 21st, 2026, and the exact time is ten fifteen AM. Apologize for the late start. So I have a few preliminary things to go through, and then we're going to have a presentation from the panel and then questions from my colleagues.gov slash city dash council-tv and broadcast on Xfinity Channel 8, RCN Channel 82, and FIOS channel nine sixty-four. The council's budget review process encompasses a series of public hearings that begin in April and run through June. First, for a full hearing schedule, please look at our website, Boston.gov slash council dash budget. You can give public testimony by attending any one of our hearings. If you are looking to testify virtually, please uh you can sign up using the online form on our council budget review website, or by emailing the committee at ccc.wm at Boston.gov, or by emailing Karishma Choan at K A R I S H M A. C H O U H A N at Boston.gov. Yeah, once you're called on, you'll have two minutes to testify. Uh please tell us your name, uh uh where you live in the city and if you're with an organization, your affiliation, and uh you'll again have two minutes to make comments. Um, in uh you can also testify in person or virtually at the fourth of four of our listening sessions. Our last one will be Tuesday, May twenty sixth here in the chamber at six p.m. Again, you can testify at that hearing in person or virtually. Uh, in lieu of testifying at one of the hearings, you can email written testimony to the committee at ccc.wm at Boston.gov. You can also submit a two-minute video of your testimony through the form on our website. For more information on the city council budget process and how to testify, please visit the city council's budget website at Boston.gov slash counsel dash budget. Uh, in-person testimony again, will be taken following the first round of counselor questions, and in each person will be given two minutes to testify. Uh, if you again, if you're online and looking to for a Zoom link, you can get one uh by emailing our director of legislative budget analysis, Karishma, at K A R ISHMA. C H O U H A N at Boston.gov for the zoom link, and your name will be added to the list. This morning's hearing is on docket number zero seven three three to 0740, an overview of the fiscal year 2027 operating budget for the Boston Public Health Commission. This hearing, this morning's hearing will cover topics including the uh BPHC uh BPHC overview, emergency medical services, recovery services, and homeless services. This is one in a series of hearings to review the fiscal year 27 budget. This afternoon, we'll be hearing from uh the Boston Public Health Commission, where we'll be covering the topics of infectious disease, child adolescent and family health, violence prevention, and behavioral health and wellness. So if your questions are on those topics, uh we can save those for the afternoon. Uh again, that hearing is starting at three. Uh usually started two. We started three uh advocates, I think wanted to come and and speak, and so I really want to thank BPHC for being accommodating to that. It really helps us uh, you know, um do our jobs. Uh so these matters were sponsored by Mayor Michelle Wu and referred to the committee on April 8th, 2026. This morning I'm joined by my colleagues Norva Arrival. We have Councillor Flynn and Councillor Braden. We've received letters of absence from Councillor Santana and Counselor Louis Gen. I believe we may also have questions submitted by uh Councillor Coletta Zapata, who gets special dispensation for being on maternity leave. I will read her questions for you to answer if I receive them. That is not, unless somebody is on maternity leave or paternity leave. I am not extending that invitation to any of my colleagues, so don't get any ideas. Um so I'm just gonna introduce the panel and then hand things over. Uh we're joined this morning by the Chief of Public, uh, the Chief of Public Health Commission. Uh I don't know if I got that right. Uh Dr. Basola Ojikutu. Uh, we're joined by the Public Health Commission budget director, Chris Valdez, and we're joined by the Chief of Emergency Medical Services and my constituent, Jim Hooley. Uh, nice to see you. Uh, and uh, I believe you're my constituent. If I do I have that wrong, maybe I have increasing 14. Yeah, I think that's me. But if you were in Pepin's district, you're now in mine.
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