The Fulton County Department of Health and Wellness is simultaneously an entity of County Government and a district in the State Public Health system. Fulton is the only county that has this distinction. The Director is foremost a Department Head and also the Health Officer for District 3-2. Many of the powers and authorities bestowed upon the Health Officer are based in state code and are exercised through the position of Health Officer. A unique feature of this dual status is that the Board of Health in Fulton County is advisory, not authoritative, as is the case in all 158 other Counties in Georgia.
Furthermore, Health and Wellness has two overlapping budget cycles; the state fiscal year and the county fiscal year.