Anticipating federal cutbacks or funding freezes, Georgia lawmakers held a hearing Wednesday to explore a redesign of the state’s public health system, which protects residents from diseases and offers preventative health care in some places.

The state’s public health districts operate under the Department of Public Health. Most of the staff work for local government, but the amount counties must contribute has not changed in 50 years.

Nearly $403 million of the $922.5 million budget for public health comes from the state, while almost $465 million is provided by the federal government. Some expect the administration of President Trump to issue more “block grants,” with less oversight, giving states an opportunity to redesign their systems for health services, such as dental hygiene, and

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