Funding & Budget in Bay Area

SF DPH Announces Wave 2: 121 Additional Position Cuts — Total SF Health Department Reductions Push Past 250 Jobs in Two Months

San Francisco Department of Public Health released a memo April 20 identifying 121 additional full-time positions to eliminate, fulfilling Mayor Lurie's late-February mandate for an additional $40M in cuts over two years. About 60% of the 121 positions are currently vacant, but the cut targets administrative redundancy including analyst and manager roles. This is distinct from and additive to the 127 Wave 1 layoffs (CHW and mental health staff) executed in early April. Combined, SF DPH is shedding 240+ positions against a $634M city deficit.

SF DPH to Close 3 Youth-Serving Clinics Including Huckleberry and Larkin Street by August 2026

San Francisco DPH confirmed plans to close the Cole Street Youth Clinic (Huckleberry), the Michael Baxter Larkin Street Youth Clinic, and the Southeast Mission Geriatric Clinic by August 2026 due to Mayor Lurie's $40M DPH cut mandate. The closures eliminate drop-in care for homeless youth, LGBTQ youth, undocumented immigrants, and low-income seniors — compressing safety-net demand onto SFCHC and other FQHC partners in the city.

SF DPH Budget Cuts Force Closure of Youth Health Clinics — Huckleberry & Larkin Street Programs Hit

San Francisco DPH budget cuts are forcing the closure of youth-serving health clinics operated by Huckleberry Youth Programs and Larkin Street Youth Services, extending the SF safety-net crisis beyond adult services. These programs serve some of SF's most vulnerable youth including unhoused and LGBTQ+ populations.

Contra Costa County: $307M Revenue Loss, 93,000 Could Lose Medi-Cal Coverage Under H.R. 1

A new analysis quantifies Contra Costa County's H.R. 1 exposure: $307M in revenue losses and 93,000 residents at risk of losing Medi-Cal coverage. This is among the most granular county-level impact assessments published to date. Contra Costa Health operates FQHCs directly and partners with community health centers throughout the county. The data provides a template for other Bay Area counties to model their own exposure.