Victoria is spending an extra $2.9 billion on its health system but advocates say mental health has been forgotten.
There will be $428 million of upgrades at some of the state's busiest hospitals, with $50 million to plan for a new Footscray Hospital, and $319.9 million to cut elective surgery waiting lists.
Australian Medical Association Victoria president Lorraine Baker was pleased to see the money to cut waiting lists.
"(But) we remain very disappointed that mental health services have yet again been failed to be addressed," she told reporters on Tuesday.
"We are frankly appalled that no further funding has gone to mental health, both at the inpatient level and in community health services."
Victorian Healthcare Association welcomed hospital upgrades and family violence funding but was disappointed by cuts to rural health services.
"The VHA is hopeful the cuts will be offset by significant investment in community-based health and aged care in these services," chief executive Tom Symondson said.
A "massive boost" of $1.67 billion will be sent to hospitals, including $174.3 million to provide extra operations - the equivalent of nearly 12,000 hip replacements or more than 51,000 eye operations.
The Monash Medical Centre emergency department will get $63.2 million, the Royal Melbourne $40 million and Austin Health $29.8 million.
Australian Nursing and Midwifery Federation Victorian secretary Lisa Fitzpatrick welcomed an $81.1 million package to expand Victoria's maternal and child health nursing service and cut down on family violence.
About $38 million will also be used to train health workers to identify signs of domestic violence and provide support.
Ambulance services will get $26.5 million for an additional 127 full-time paramedics, new vehicles and new ambulance stations across Victoria.
There will also be a mental health overhaul for more staff and Aboriginal health workers.
But it all wasn't enough money to satisfy the state opposition, which says the Royal Melbourne Hospital is in such dire need of an upgrade, it's "being held together with chicken wire".
"Daniel Andrews is holding money back so he can go on a vote-buying exercise for next year's election," health spokeswoman Mary Wooldridge said.
Opposition mental health spokeswoman Emma Kealy said the government was struggling with mental health and had wound back targets for mental health beds.
"Daniel Andrews likes to brag about his doctored Code 1 ambulance figures, but his own budget papers show that Victorians in the midst of a mental health crisis are being let down," she said.
