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Mayor's budget director warns of multi‑year gap; health care costs near $971 million for city
Summary
Anna Dunning, the mayor’s budget director, told the SFHSS board that city general‑fund pressures and high health care cost growth — roughly $971 million in combined employee and employer health spending this year — contribute to a projected multi‑year general fund shortfall requiring difficult choices.
San Francisco’s budget outlook presents an acute challenge for agencies that fund employee benefits, the mayor’s budget director told the Health Service Board.
Anna Dunning said the city expects to spend about $971,000,000 on health care this calendar year and that revenue growth is slow while costs — including salaries, pensions and benefits — are escalating. "We're projecting that our revenues over the next 4 years grow by about 2…
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