Participatory Planning and Budgeting (PPB) is an innovative way to manage public money, authentically engage community members in government and address social determinants of health. Through this democratic process, people directly decide how to spend part of a public budget that affects their community. Tacoma-Pierce County Health Department and its partners implemented the first-in-the-nation direct application of PPB to public health. The Health Department partnered with Tacoma Public Schools and Public Health Centers for Excellence to administer and evaluate PPB projects in three East Tacoma schools. The presentation panel will share stories, data and video for the three projects.