San Francisco health department plans 121 more job cuts
Issue
San Francisco's Department of Public Health released a memo on April 20, 2026 listing 121 more full-time positions to cut, about 60% of them vacant, as Mission Local reported. With 127 layoffs in early April, the department is shedding over 240 positions against a $634 million city deficit.
San Francisco health centers should expect slower DPH contract payments and approvals.
Key points
- Expect slower DPH contract payments and more patients coming to your clinics after the first wave's CHW and mental health cuts.
- Fewer DPH analysts and managers means slower answers on grants and program approvals through the end of FY26.
Sources for this story
Mission LocalPart of
- Safety-net workforce and capacity shifts
Layoffs and hiring freezes
Affected FQHCs
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More in Funding & Budget
FQHC Talent. (2026, April 20). San Francisco health department plans 121 more job cuts. Source: Mission Local. Retrieved November 11, 2026, from https://www.fqhctalent.com/intel/sf-dph-wave-2-121-additional-cuts-april-2026