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Supervisors, providers warn Ryan White and CDC cuts will force San Francisco service reductions

Budget and Finance Committee · March 7, 2012
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Summary

At a March 2012 Budget & Finance Committee hearing, city health officials and community providers warned that roughly $4.7 million in Ryan White Part A reductions plus an estimated $3.1 million in CDC prevention cuts would leave a $7–8 million hole and could force cuts to medical and supportive services unless the city backfills funding.

San Francisco — Supervisors and community providers told the Budget and Finance Committee on March 13 that federal changes to HIV funding threaten programs that keep people with HIV in care and housing.

Supervisor Scott Wiener, who requested the hearing, said the federal and state retreat from long-standing commitments leaves the city to find ways to backfill losses. “we estimate to be somewhere in the order of $4,700,000 next fiscal year,” Wiener said, describing the shortfall tied to Ryan White Part A funding. DPH staff also reported multi‑year reductions in CDC prevention dollars.

The Department of Public Health’s chief financial officer, Greg Wagner, told supervisors the department’s budget submission assumes the federal losses and shows the Ryan White gap as roughly $4.7 million in FY2012–13, with the CDC prevention formula change producing an additional multi‑million shortfall. “we have a $4,700,000 gap,” Wagner said, noting that final awards (Part B) could shift the number…

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