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DPH outlines Prop C spending plan, warns of $30 million structural shortfall; overdose deaths reported down 20%
Summary
San Francisco Department of Public Health told the committee Prop C funds support residential treatment beds, outreach and case management but projected revenues (~$70M) fall short of planned proxy spending (~$100M), creating an approximate $30M gap; presenters highlighted a 20% drop in overdose deaths and data improvements after a May Epic EHR migration.
San Francisco — The Department of Public Health (DPH) briefed the committee on the mental‑health portion of the city's Prop C spending plan and warned that revenues are projected below planned proxy spending, creating a near‑term structural shortfall.
Director Kirkpatrick said DPH's overall budget is about $3,400,000,000 and the department's behavioral health services budget is roughly $663,000,000. "We receive approximately $100,000,000 a year in Prop C funding," Kirkpatrick said, noting that the largest single allocation in the plan is about $40,000,000 a year for residential care and treatment beds. She told committee members that revenues may be closer to $70,000,000 a year, "which leaves us currently at about a $30,000,000 structural shortfall." The department said it has relied on one‑time savings to sustain services while planning for tighter budgets in year three of the projection.
Why it matters: Prop C funds pay for a range of…
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