Trump budget will drain 315M a year from San Franciscos coffers, city says

San Francisco projects an annual loss of $315 million by fiscal year 2027 due to federal budget cuts stemming from President Trump's Big Beautiful Bill. The report from the Department of Public Health and the Human Services Agency indicates that between 25,400 and 50,500 residents may lose Medi-Cal coverage, while nearly 20,000 could lose CalFresh benefits. Mayor Daniel Lurie highlighted the threat these changes pose to both the city’s budget and its residents. The Department of Public Health anticipates losses between $90 million and $180 million annually starting in 2027-28, driven by increased ineligibility and cuts to Medi-Cal funding. Additionally, the Human Services Agency will see a $26 million decrease in federal support for CalFresh administrative costs.

Lurie intends to collaborate with the Board of Supervisors and community leaders to develop a responsible budget that protects residents. The Trump administration's One Big Beautiful Bill Act of 2025 includes significant cuts to Medicaid and SNAP, which will exacerbate the situation. San Francisco's budget plans include $400 million in reserves to counteract these anticipated federal cuts.