​​Public Health Transformation (PHT) is a set of initiatives intended to modernize Kentucky's Public Health System to a more effective and efficient model. With the passage of House Bill 129, Public Health Transformation became law in 2020. PHT supports a culture of change designed to explore new ways to offer services and improve health outcomes across the state.

PHT categorizes and prioritizes public health programs into core services which include mandated foundational programs to address population health, enforcement of regulations, emergency preparedness and response, communicable disease control and administrative and organization infrastructure, as well as Women, Infants and Children's Program (WIC)​, Health Access Nurturing Development Services (HANDS)​, and programs designed to address substance use disorders including harm reduction initiatives. The remaining public health programs are categorized as local public health priorities (LPHP). LPHS are programs and services not included in core public health that are identified through a local needs assessment (LNA) as priorities of the agency. 

Public​​ Health Transformation Goals

• ​Ensure equitable access to public health services across the commonwealth
• Increase focus on population health
• Promote fiscal responsibility
• Strengthen collaboration and partnerships
• Optimize internal capacity​​