Workforce in Bay Area

Alameda Health System Layoffs Back on Track — April 17 Worker Rally as March Deferral Expires Without Resolution

After the March 4 deferral, Alameda Health System's 247-position elimination appears back on track as of April 17, with workers rallying under 'Stop the Layoffs, Save Our Public Healthcare.' The county working group has reportedly failed to find sufficient non-patient-facing cuts to avert the layoffs, which would close mental health and complex care programs at Highland Hospital serving Oakland's most vulnerable residents.

AFSCME 3299 Announces Open-Ended UC Strike Beginning May 14 — Bay Area and Sacramento FQHCs May See Patient Spillover

AFSCME Local 3299 announced an open-ended strike of 42,000 UC service and patient care technical workers beginning May 14, 2026, over housing aid and healthcare premium disputes. UC operates health clinics and hospitals at UCSF, UCLA, UC Davis, and UC San Diego — patient care disruption may redirect patients to nearby FQHCs, particularly in Bay Area and Sacramento markets where AHS and WellSpace Health are already under capacity pressure.

San Francisco DPH Executes 127 Layoffs as $40M Budget Cuts Take Effect — Community Health Workers and Mental Health Staff Hardest Hit

San Francisco's Department of Public Health executed 127 layoffs following City approval of $40M in DPH budget cuts — Wave 1 of reductions stemming from SF's $877M structural deficit. Positions eliminated include community health workers, mental health counselors, and substance use treatment staff serving unhoused patients. FQHC partners in SF are fielding requests from displaced DPH patients seeking alternative care, creating patient volume surges at already-strained community health centers like Asian Health Services and SF Community Health Center.