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SFHSS warns of growing claims and prepares for mayor's budget cuts
Summary
SFHSS finance staff told trustees the health benefit trust faces higher claims and the mayor asked departments to identify core services while citywide general fund reductions of $400 million were expected; SFHSS projects a trust decrease and plans to protect core services.
Theresa Tan, SFHSS chief financial and affordability officer, reported through November 2025 that high medical claims are driving a projected fiscal year end decrease in the employee benefit trust of $38.1 million. She said pharmacy rebates of about $22.5 million and $3.0 million in interest income are expected to partially offset costs.
Tan also explained mayoral budget instructions for FY2026-27 and FY2027-28: departments must…
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