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Health Commission approves DPH two‑year budget plan using one‑time measures to buy time
Summary
The Health Commission approved the Department of Public Health’s proposed fiscal 2021–22 budget that relies heavily on one‑time solutions and reserves to cover a projected multi‑year city shortfall while preserving services in year one; commissioners flagged long‑term risks and the need for clarity on federal reimbursements.
The Health Commission voted to approve the San Francisco Department of Public Health’s proposed budget for fiscal years 2021 and 2022 after presentations from CFO Greg Wagner and Budget Director Jenny Louis DuPage on the department’s response to mayoral deficit instructions.
Wagner described the citywide context: the mayor’s office provided revised budget instructions in response to COVID‑19 that include a $250 million gap for the current year (which the mayor resolved with DPH assistance) and an outstanding approximately $1.4 billion deficit over the next two years. Departments were directed to plan for a 10% reduction in general‑fund support in year one, 15% in year two, plus an additional 5%…
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