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Resolution#250512Passed
In plain English

This resolution allows the Director of Health to sign an agreement to ensure San Francisco can access mental health treatment and manage funding for it, covering a period from October 1, 2023, to June 30, 2025, with a budget limit of $10 million. It also permits the Director of Public Health to make necessary adjustments to the agreement without increasing the city's financial obligations.

Resolution retroactively authorizing the Director of Health to sign a California Department of State Hospitals and California Mental Health Services Authority Memorandum of Understanding to facilitate access to mental health treatment and facilitate the transfer of funds to cover San Francisco's obligation to pay for mental health treatment at the California Department of State Hospitals, for a term of one year and nine months, from October 1, 2023, through June 30, 2025, as required by Welfare and Institutions Code Sections 4330 and 4331, and for a total not to exceed amount of $10,000,000; and to authorize the Director of Public Health to enter into any amendments or modifications to the Memorandum of Understanding that the Department determines, in consultation with the City Attorney, that do not materially increase the obligations or liabilities to the City and are necessary to effectuate the purposes of the agreement or this Resolution.

Introduced: Jun 3, 2025
Final action: Aug 5, 2025
Official record โ†—

How it got here

This legislation originated from the need for San Francisco to formalize its financial obligations for mental health treatment at state hospitals, as mandated by California law.

1
Initiation of ServicesOctober 2023
California Department of State Hospitals

The California Department of State Hospitals began providing services to San Francisco residents under an informal understanding, despite the absence of a formal Memorandum of Understanding (MOU).

Leg Final
2
Agreement on MOU TermsFebruary 27, 2024
San Francisco Department of Public Health, California Department of State Hospitals, California Mental Health Services Authority

The parties reached an agreement on the terms of the MOU, which outlines the reimbursement obligations for the use of state hospital beds as required by California Welfare and Institutions Code.

Updated Retroactive Explanation 060325
3
Submission for Board ApprovalMay 12, 2025
San Francisco Department of Public Health

The Department of Public Health submitted a proposed resolution to the Board of Supervisors for retroactive approval of the MOU with the California Department of State Hospitals and California Mental Health Services Authority.

DPH Cover Letter 051225
4
Introduction of Substitute ResolutionJune 3, 2025
San Francisco Department of Public Health

A substitute resolution was introduced to the Board of Supervisors to formalize the MOU, reflecting the finalized terms and conditions.

DPH Cover Ltr 052225
5
Committee RecommendationJuly 17, 2025
Government Audit and Oversight Committee

The Government Audit and Oversight Committee recommended the resolution for approval, facilitating the next steps for the Board of Supervisors.

Comm Pkt 071725
6
Resolution AdoptionJuly 29, 2025
Board of Supervisors

The Board of Supervisors adopted the resolution, retroactively authorizing the Director of Health to sign the MOU for mental health treatment funding.

Leg Final

Reconstructed from attached documents & the official record

Document trail
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DPH Retroactive Explanation 051225
Department of Public Health
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DPH Cover Letter 051225
Department of Public Health
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PDF โ†—
DPH Cover Ltr 052225
Department of Public Health
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How they voted

Legislative journey

Clerk of the BoardMay 12, 2025
ยทRECEIVED FROM DEPARTMENT
PresidentMay 20, 2025
โ†’RECEIVED AND ASSIGNED
Clerk of the BoardMay 22, 2025
ยทRECEIVED FROM DEPARTMENT
PresidentJun 3, 2025
โ†’SUBSTITUTED AND ASSIGNED
Government Audit and Oversight CommitteeJul 17, 2025
โœ“RECOMMENDEDPass
Board of SupervisorsJul 29, 2025
โœ“ADOPTEDPass
MayorAug 5, 2025
โœ“APPROVED