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DPH projects multi‑year shortfall; five‑year city projection shows structural deficit and uncertainty around Medi‑Cal waivers
Summary
At the first commission budget hearing, DPH outlined a $2.3 billion department budget, five‑year city projections showing a potential $643 million structural deficit by year five and further risk from a modeled recession. Staff proposed technical revenue measures, inflationary corrections, and continuing hepatitis C treatment in jail health.
The San Francisco Department of Public Health presented its first public hearing on the FY2019–21 budget, warning of a multi‑year fiscal challenge and laying out technical corrections and program priorities for commissioners’ review.
“The Controller and Mayor's Office issued their 5 year financial projection in December,” Budget Director Jenny Louie said, summarizing citywide projections she said show revenue growth outpaced by faster expenditure growth and a possible structural deficit of approximately $643 million by the end of a five‑year projection. Louie also described a modeled recession scenario that would increase downside risk.
Louie…
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