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 LocalSource packet
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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. Primary source: Mission Local. Retrieved July 28, 2026, from https://www.fqhctalent.com/intel/sf-dph-wave-2-121-additional-cuts-april-2026
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