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DPH outlines $2.4 billion operating budget, Mental Health SF priorities and revenue plan to close projected shortfall
Summary
DPH presented a $2.4 billion operating budget and previewed Mental Health SF—s five pillars, described revenue strategies (fee-for-service, supplemental Medi-Cal payments, EPIC capture, reserves), and noted mayoral reduction targets of 3% then 7% to address an estimated $420 million two-year shortfall.
CFO Greg Wagner and budget director Jenny Louie presented the Department of Public Health—s high-level budget framework for fiscal years 2020–21 through 2021–22 and previewed key initiatives, including the Mental Health SF framework and Medi-Cal waiver monitoring.
Louie said DPH's budget is "currently projected to be $2,400,000,000" across operations, capital and grants, with personnel costs as the largest expenditure and San Francisco General the department's biggest division. She said departmental revenues offset roughly 65 percent of costs and that a roughly 35 percent general-fund subsidy (about $861 million) remains necessary.
Why it matters: Louie and Wagner told commissioners the city faces a two-year projected gap the department will help address as part of the mayor—s instructions to seek efficiency reductions (about 3 percent in year one, rising toward 7 percent in year…
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