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Board of Supervisors appoints Grant Colfax as Contra Costa Health director
Summary
The Contra Costa County Board of Supervisors unanimously appointed Grant Colfax as director of health services on Aug. 12, 2025. Colfax, formerly San Francisco'health director, will begin next week at a step 3 salary of $42,680.61 per month; supervisors praised his experience and urged focus on equity and the county's African American wellness work.
The Contra Costa County Board of Supervisors unanimously approved the appointment of Grant Colfax as the county's director of health services on Aug. 12.
Colfax, who the county said brings roughly 25 years of public health and local government experience, was recommended by county staff and introduced at the meeting by the county administrator. County materials said Colfax previously led the San Francisco Department of Public Health and served in leadership roles in Marin County and in federal HIV prevention work. The board packet lists a step 3 salary of $42,680.61 per month, plus benefits.
Why it matters: Supervisors said Colfax's background running large health departments and his focus on health equity are relevant as Contra Costa faces budget and policy challenges that will affect services for vulnerable residents. Several supervisors and public speakers also urged Colfax to prioritize the county's African American wellness initiatives.
Supporters at the meeting described Colfax's record in San Francisco and elsewhere. Colfax told the board he was honored and said he looked forward to advancing health equity in the county: “I'm so honored to be here… I look forward to advancing the mission of Contra Costa Health, especially to serve and protect the most vulnerable.” (Grant Colfax)
The board voted without recorded opposition, and the county announced Colfax is expected to start next week. County staff said the board had pulled a related consent item for further meet'and'confer with labor after a union speaker raised concerns about classification and pay for multi'program intake workers.
The next step: County staff will finalize onboarding and benefits details. Supervisors signaled interest in quick collaboration with Colfax on county priorities including the African American wellness hub and the broader public'health response to federal funding changes.
