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City warns of major local risks if federal cuts go ahead; Medicaid, CDBG and EPA singled out

Full Budget and Finance Committee · March 23, 2017
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Summary

Controller and department heads told supervisors that San Francisco could lose large federal funding streams under proposed cuts: health and human services (Medicaid), Community Development Block Grants and EPA/NOAA programs, and urged coordinated advocacy and contingency planning.

The Budget and Finance Federal Select Committee convened to review potential federal budget actions and to assess local exposure to proposed cuts.

Controller Ben Rosenfield opened with an overview: San Francisco’s fiscal picture includes roughly $1.2 billion in federal operating funds that flow annually through the city budget and about $800 million in infrastructure grants already appropriated but not yet received. Rosenfield said most of the annual operating funds—about 92 percent—support health and human services, particularly Medicaid and public-health programs.

Rosenfield identified three principal risk areas: the January executive order on sanctuary cities (unclear in scope and currently subject to litigation), proposed repeal and replacement of the Affordable Care Act…

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