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Health Commission approves DPH patient rate ordinance extending charge master through FY26–27
Summary
The San Francisco Health Commission approved an ordinance extending Department of Public Health (DPH) patient rates through fiscal years 2025–26 and 2026–27, with commissioners receiving assurances that patient protections (charity care, sliding-scale caps and elimination of balance billing) limit individual liability.
The San Francisco Health Commission voted to approve the Department of Public Health’s patient rate ordinance, extending DPH’s charge master and related rate authorizations through fiscal years 2025–26 and 2026–27.
CFO Drew Morrell explained that the ordinance sets the ceiling rates DPH uses when negotiating reimbursements with payers and that many individual patients never pay the listed charges. Reimbursement director Matthew Surr outlined the methodology for different service lines and said the ordinance applies CPI-based increases for most non-emergency physical health services (2.76% in FY25–26 and 2.82% in FY26–27) while adopting Medi-Cal and Medicare fee schedules or markups where…
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