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San Francisco DPH outlines budget cuts: 185 vacant positions given up, $9.6M in CBO reductions this year and $17M next fiscal year
Summary
Director Grant Tsai told the Health Commission that DPH will give up about 185 vacant positions and reassign 24 staff while pursuing roughly $500 million in new medical revenue over two years and identifying $9.6 million in CBO reductions for 2025–26 plus $17 million in potential cuts beginning July 2026.
Director Grant Tsai delivered the department's budget briefing on June 16, telling the San Francisco Health Commission that DPH is trying to protect direct care while making difficult expenditure reductions.
Tsai said the department is pursuing two main principles: preserve services and direct care where possible, and prioritize workforce support. To balance the budget, he said DPH will “give up about 200 positions” (later clarified in discussion), pursue increased medical revenue and make targeted reductions.
Numbers cited in the briefing and follow-up discussion included:
- Positions and staffing: Tsai said DPH will give up about 185 full‑time equivalent vacant positions and will reassign…
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