SF QuorumQuorum
Back to legislation
Resolution#250921Passed
In plain English

This resolution adds the Department of Homelessness and Supportive Housing, the Controller’s Office, and DataSF to the list of city departments recognized as Health Care Components under HIPAA. This designation allows these departments to handle health-related information in compliance with federal privacy regulations.

Resolution accepting the report of the City Administrator and adding the Department of Homelessness and Supportive Housing, the Controller’s Office, and DataSF to the previous designation that included the Department of Public Health, Fire Department, Health Service System, City Attorney, Treasurer-Tax Collector and Department of Technology, as Health Care Components under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), pursuant to Administrative Code, Chapter 22H.

Introduced: Sep 16, 2025
Final action: Oct 24, 2025
Official record ↗

How it got here

This legislation originated from the need to update the designation of City departments as Health Care Components under HIPAA, following a mandated review process established by a prior ordinance.

1
Enactment of Chapter 22HMarch 2020
San Francisco Board of Supervisors

The Board enacted Administrative Code Chapter 22H, designating San Francisco as a HIPAA Hybrid Entity, requiring periodic reviews of City departments' functions.

Leg Final
2
Initial Designation Report2021
City Administrator

The City Administrator submitted a report identifying the Department of Public Health, Fire Department, and Health Service System as Covered Entities, and the City Attorney, Treasurer-Tax Collector, and Department of Technology as Business Associates under HIPAA.

ADM Presentation 100925
3
Follow-up Review ProcessEarly 2025
City Administrator's Office

A citywide survey was conducted to assess the functions of City departments, leading to the identification of three new departments as Business Associates under HIPAA.

ADM Presentation 100925
4
Submission of Updated ReportSeptember 8, 2025
City Administrator

The City Administrator submitted an updated report to the Board of Supervisors, identifying the Department of Homelessness and Supportive Housing, the Controller’s Office, and DataSF as new Business Associates.

HIPAA Health Components Rpt 090825
5
Legislative IntroductionSeptember 16, 2025
Clerk of the Board

The resolution to accept the updated report and designate the new departments was introduced at the Board meeting.

ADM Cover Memo 090825
6
Committee RecommendationOctober 9, 2025
Public Safety and Neighborhood Services Committee

The committee recommended the resolution for adoption by the Board of Supervisors.

Board Pkt 102125
7
Resolution AdoptionOctober 21, 2025
Board of Supervisors

The Board of Supervisors adopted the resolution, officially designating the new departments as Health Care Components under HIPAA.

Leg Final

Reconstructed from attached documents & the official record

Related / predecessor legislation
↑ predecessor#210343— not yet in database
Document trail
PDF ↗
PDF ↗
PDF ↗
PDF ↗

How they voted

Legislative journey

Clerk of the BoardSep 8, 2025
·RECEIVED FROM DEPARTMENT
PresidentSep 16, 2025
RECEIVED AND ASSIGNED
Public Safety and Neighborhood Services CommitteeOct 9, 2025
RECOMMENDEDPass
Board of SupervisorsOct 21, 2025
ADOPTEDPass
MayorOct 24, 2025
APPROVED