TL;DR (generated · confidence: high)

The Community Health Division operates the CHAT program, which provides pre-hospital care for lower-acuity medical calls and overdoses in Southeast Portland and downtown. CHAT assesses and treats patients in the field, coordinates follow-up care, and connects patients to resources. The FY 2026-27 budget is $3.74M with $3.7M in external grants revenue and $3.57M in personnel costs. No program changes are noted for the upcoming year.

Key points (each cites a PDF page):

CHAT program mission: respond to lower-acuity medical calls and overdoses, assess and treat in field rather than transporting to emergency departments (p. 654 ↗)
Partnership with coordinated care organization serving low-income Oregonians to address increase in lower-acuity medical calls (p. 654 ↗)
Two CHAT response units operate in Southeast Portland and downtown core; Overdose Support Team provides medication for opioid use disorder (MOUD) (p. 655 ↗)
FY 2026-27 proposed budget total: $3,742,193 with $3,700,000 external revenue (Grants Fund) (p. 654 ↗)
Personnel costs represent $3,566,162 of the $3,742,193 total budget (p. 654 ↗)
Services include low-acuity medical response, overdose response, field assessments and treatments, follow-up care, and patient connection to system-wide support services (p. 655 ↗)
No noted changes to the program area for FY 2026-27 (p. 655 ↗)
Division goal is to meet people where they are and provide treatment to the most vulnerable members of the population (equity focus) (p. 655 ↗)

Amounts: $3,700,000 · $42,193 · $3,742,193 · $3,566,162 · $176,031 · $2,665,323 · $4,665,323 · $4,904,944 · Programs: Community Health Assess & Treat (CHAT) · CHAT Overdose Support Team · Low-acuity medical call response · Overdose response · Parties: City of Portland · Portland Fire & Rescue · Community Health Division · Coordinated care organization

Community Health Division

Source: PDF pp. 654-655 ↗ · raw: 654 · 655

Breadcrumb: Service Area Summaries > Public Safety > Portland Fire & Rescue > Community Health Division

City of Portland Fiscal Year 2026-27 Proposed Budget Public Safety > Portland Fire & Rescue > Community Health Division Community Health Division Budget Revenues by Fund 2023-24 Actuals 2024-25 Actuals 2025-26 Revised Budget 2026-27 Proposed External Revenues ($86,350) ($276,098) $2,665,323 $3,700,000 General Fund $0 $60 $0 $0 Grants Fund ($86,350) ($276,158) $2,665,323 $3,700,000 Internal Revenues $4,404,761 $543,474 $2,000,000 $42,193 General Fund $3,781,898 $543,474 $2,000,000 $42,193 Grants Fund $622,863 $0 $0 $0 Grand Total $4,318,411 $267,376 $4,665,323 $3,742,193 Program Expenses by Major Object Program expenses only include personnel, internal materials and services, external materials and services, and capital. 2023-24 Actuals 2024-25 Actuals 2025-26 Revised Budget 2026-27 Proposed External Materials and $102,808 $102,046 $168,979 $0 Services Internal Materials and $261,330 $217,780 $231,578 $176,031 Services Personnel $2,642,789 $2,680,688 $4,504,387 $3,566,162 Grand Total $3,006,927 $3,000,513 $4,904,944 $3,742,193 Program Description and Goals The mission of the Community Health Assess & Treat (CHAT) program is to change the system of health delivery in a pre-hospital care setting by responding to lower acuity medical calls and overdoses traditionally responded to by PF&R Units, assessing and treating in the field (rather than transporting to emergency departments), and then following up, when feasible and requested, within 24 hours. The intent of CHAT is to address social and behavioral determinants of health barriers by directing community members to resources and educating them about available options aside from 9-1-1 response. PF&R has partnered with a coordinated care organization that provides health care services to low-income Oregonians to address the dramatic increase in lower acuity medical calls across the region, by establishing CHAT units. The CHAT units respond to lower acuity medical type code calls across the city, 654

City of Portland Fiscal Year 2026-27 Proposed Budget with a focus in Southeast Portland and the downtown core area. CHAT has two response units that also respond to overdose calls in the downtown core area and outer Southeast Portland. The CHAT Overdose Support Team responds after an opioid overdose reversals to provide medication for opioid use disorder (MOUD). Services Low-acuity medical call response; overdose response; field assessments and treatments; follow-up care; patient connection to system-wide support services Equity Impacts The goal of the division is to meet people where they are and to provide treatment and services to the most vulnerable members of the population. Changes to Program There are no noted changes to this program area for FY 2026-27. 655

Parent: Portland Fire & Rescue · PDF: pp. 654-655 ↗