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Resolution#251133Passed
In plain English

This resolution extends a contract with the Bayview Hunters Point Foundation for mental health and substance abuse services by 18 months and increases funding by over $7.5 million, bringing the total to nearly $25.6 million. It also allows the Department of Public Health to make minor adjustments to the agreement as needed.

Resolution approving Amendment No. 6 to the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and Bayview Hunters Point Foundation, to provide mental health and substance abuse services, to extend the term by 18 months from December 31, 2026, for a total term of July 1, 2018, through June 30, 2028, and to increase the amount by $7,531,723 for a total not to exceed amount of $25,611,719; and to authorize DPH to enter into amendments or modifications to the agreement 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: Nov 18, 2025
Final action: Dec 23, 2025
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How it got here

The legislation originated from the need to extend and increase funding for mental health and substance abuse services provided by the Bayview Hunters Point Foundation, following a series of competitive solicitations and amendments to the original contract.

1
Original Agreement SignedJuly 1, 2018
Department of Public Health

The Department of Public Health entered into an agreement with the Bayview Hunters Point Foundation for mental health and substance abuse services, with a term from July 1, 2018, to June 30, 2021, and a not-to-exceed amount of $9,757,806.

Original Agreement
2
First AmendmentMay 1, 2021
Department of Public Health

The agreement was amended to extend the term by nine months and increase the maximum expenditure to $9,800,113.

BOS Reso No. 248-25
3
Second AmendmentJune 1, 2021
Department of Public Health

The agreement was further amended to extend the term by one year and three months, increasing the maximum expenditure to $13,489,343.

BOS Reso No. 51-22
4
Third AmendmentJune 1, 2023
Department of Public Health

The agreement was amended to extend the term by one year and increase the maximum expenditure to $16,300,000.

BOS Reso No. 291-23
5
Fourth AmendmentJuly 1, 2024
Department of Public Health

The agreement was amended to extend the term by one year and increase the maximum expenditure to $16,800,000.

BOS Reso No. 291-23
6
Fifth AmendmentJuly 1, 2025
Department of Public Health

The agreement was amended to extend the term by 18 months and increase the maximum expenditure to $18,079,996.

BOS Reso No. 248-25
7
Sixth Amendment ApprovedDecember 16, 2025
Board of Supervisors

The Board approved the sixth amendment to extend the term to June 30, 2028, and increase the maximum expenditure to $25,611,719.

Leg Final

Reconstructed from attached documents & the official record

Document trail
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DPH Ltr 111025
Department of Public Health
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DPH Presentation 121025
Department of Public Health
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BLA Rpt 121025
Budget and Legislative Analyst
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How they voted

AMENDED, AN AMENDMENT OF THE WHOLE BEARING NEW TITLE
Budget and Finance Committee ยท Dec 10, 2025Pass
3-0
REFERRED WITHOUT RECOMMENDATION AS AMENDED
Budget and Finance Committee ยท Dec 10, 2025Pass
3-0

Legislative journey

Clerk of the BoardNov 10, 2025
ยทRECEIVED FROM DEPARTMENT
PresidentNov 18, 2025
โ†’RECEIVED AND ASSIGNED
Budget and Finance CommitteeDec 10, 2025
โœ“REFERRED WITHOUT RECOMMENDATION AS AMENDEDPass
โœŽAMENDED, AN AMENDMENT OF THE WHOLE BEARING NEW TITLEPass
Board of SupervisorsDec 16, 2025
โœ“ADOPTEDPass
MayorDec 23, 2025
โœ“APPROVED