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
Primary source
Mission LocalAffected 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. Primary source: Mission Local. Retrieved June 12, 2026, from https://www.fqhctalent.com/intel/sf-dph-wave-2-121-additional-cuts-april-2026
More in Funding & Budget
Dec 31
CalAIM Section 1115 Waiver Expires December 2026 — $1.2B/Year at Stake
Jun 10
The $50B rural health fund is now real money with real deadlines: Florida June 17, Alaska June 22, Indiana July 1, Tennessee July 6-20 — and FQHCs must compete for every dollar
Jun 10
The first post-H.R. 1 budget season splits the states: New York invests $80M in FQHCs while Colorado cuts rates 2% and New Jersey stares into a $3.6B/yr hole
Jun 10
LA County's Measure ER Passes — the $1B/Year Safety-Net Sales Tax Pulls Ahead by ~24,000 Votes as 'Yes' Prevails on Late Ballots; Backers Declare Victory June 10, County Certifies by July 2