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SFHSS approves FY26–27 budgets, keeps 2026 vision rates and names acting executive director; CFO warns of $37M trust-fund decline
Summary
At its Feb. 13 meeting the San Francisco Health Service Board approved the general fund administrative budget and the healthcare sustainability fund budget for FY 2026–2027 (including a $2 PMPM sustainability increase), approved 2026 VSP vision insured rates with no change, and appointed Ray Guillen as acting executive director effective March 15, 2025.
At its Feb. 13 meeting the San Francisco Health Service Board approved several fiscal and administrative items needed for operations and plan renewals while receiving a warning from its chief financial officer that claims pressure threatens the trust fund balance.
Key votes and outcomes - General fund administrative budget (FY 2026–2027): Approved (roll-call vote recorded as unanimous). The board’s finance committee reviewed the proposal and recommended approval after discussion about staffing and vacancies. - Healthcare sustainability fund budget (FY 2026–2027): Approved (unanimous). The board accepted a recommendation that raises the per-member-per-month (PMPM) sustainability allocation from $4 to $6 for the 2026 plan year; staff said the $2 increase is intended to stabilize the fund over a five-year forecast. - VSP vision insured rates and premier plan member…
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