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County Health proposes clinic staffing cuts and pharmacy consolidation amid federal funding shifts
Summary
County Health recommended $24.3M in reductions for FY2627 — concentrated in clinics — including a proposed consolidation of three county pharmacies into one to save about $8.4M; director Hamami requested a partial $2M restoration for medical assistants to preserve clinic operations.
County Health told the Board on April 13 that federal and state reimbursement changes and long‑running structural deficits have forced a painful set of recommendations that focus the bulk of reductions on clinic operations.
Director Hamami said the department is proposing $24.3 million in cuts and a reduction of roughly 129 full‑time positions countywide within Health, with the heaviest impacts in the county’s five health centers. In clinic operations specifically, the department recommended cutting 97.5 FTE (72 of them currently filled), producing about $13.2 million in savings. Hamami said the cuts are intended to “right‑size” staff to industry standards and align staffing with lower…
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