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DPH warns $45.9M current‑year gap, projects growing general‑fund pressure over 5 years
Summary
San Francisco Department of Public Health told the Budget Committee that a $45.9 million projected current‑year deficit, rising medical cost inflation and changing reimbursement under health‑care reform could add roughly $130 million more general‑fund pressure over five years unless structural changes are made.
Department of Public Health Director Barbara Garcia and CFO Greg Wagner told the committee that DPH’s budget is a roughly $1.7 billion operation and that the controller’s six‑month report shows a projected $45.9 million deficit in the current year.
Wagner said about 36 percent of DPH’s budget — approximately $450 million — is supported by the city’s general fund and that the department faces multiple structural pressures: rising labor and pharmaceutical costs, flat patient revenues,…
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