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.
Key takeaways
- SF FQHCs should expect slower DPH contract disbursements, harder compliance interactions, and displaced safety-net demand pushing onto their capacity — especially following Wave 1's CHW and MH cuts
- The analyst/manager reductions in Wave 2 will reduce DPH's bandwidth for FQHC partnership management — plan for longer response times on grant questions and program approvals through end of FY26
Linked evidence
Mission LocalSource packet
This story's linked evidence + 4 related tracked stories with theirs — one print-ready digest for your team or board packet.
Free — unlocks the packet and submits a single opt-in for Intel Brief. Eligible addresses are subscribed immediately and no confirmation email is sent; a prior unsubscribe, verified deletion, or bounce is not overridden. Individual sources are always clickable above, no email needed.
Affected FQHCs
FQHC Talent. (2026, April 20). SF DPH Announces Wave 2: 121 Additional Position Cuts — Total SF Health Department Reductions Push Past 250 Jobs in Two Months. Linked evidence: Mission Local. Retrieved September 20, 2026, from https://www.fqhctalent.com/intel/sf-dph-wave-2-121-additional-cuts-april-2026
More in Funding & Budget
Sep 9
DHCS's draft PPS guidance RESTRICTS outreach allowability — and puts enrollment assistance by clinic or contracted staff on the non-reimbursable list, effective October 6
Sep 4
Texas HHSC's required 3% budget-reduction list proposes eliminating Healthy Texas Women navigator and cost-reimbursement funding
Sep 2
The stopgap signed September 2 sets a December 11 funding deadline — 20 days before the Community Health Center Fund expires
Aug 31
CMS has not approved about $9.8 billion in Texas Medicaid directed payments for the fiscal year that began September 1, most of it hospital CHIRP funding