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San Francisco Department of Public Health presents $2.6 billion budget emphasizing COVID response, behavioral health and racial equity
Summary
DPH told the Budget & Appropriations Committee its $2.6 billion base budget for FY2021–23 will prioritize COVID-19 infrastructure, expanded behavioral-health services (including Mental Health SF) and implementation of a Racial Equity Action Plan while relying on federal/state drawdowns and anticipated CalAIM changes.
The San Francisco Department of Public Health (DPH) presented a two-year budget to the Board of Supervisors Budget & Appropriations Committee on March 10, outlining a $2.6 billion base budget for FY2021–22 and FY2022–23 and highlighting continued COVID-19 response, investments in behavioral health and steps to advance racial equity.
Director Colfax told the committee that DPH’s “mission ... is to protect and promote the health and well-being of all San Franciscans,” and said the department remains focused on sustaining a COVID-19 response while developing longer-term programs. Colfax noted major expenditure areas include operations of Zuckerberg San Francisco General (budgeted at over $1 billion) and Laguna Honda Hospital as significant cost centers, and that salaries and benefits represent just over half of departmental spending. The department reported roughly 7,163 full‑time equivalents across its system of care.
DPH described a mixed-revenue approach that relies on federal and state funding—particularly Medicaid—and on…
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