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Resolution#251166Passed
In plain English

This resolution extends a contract with A&A Health Services, Inc. for rehabilitative board and care residential services for an additional three years and increases the funding by $22.7 million, bringing the total to nearly $32.7 million. It also allows the Department of Public Health to make minor adjustments to the agreement as needed.

Resolution approving Amendment No. 1 to the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and A&A Health Services, Inc., to provide rehabilitative board and care residential services, to extend the term by three years from June 30, 2026, for a total term of July 1, 2024, through June 30, 2029, and to increase the amount by $22,722,200 for a total not to exceed amount of $32,654,875; 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: Dec 2, 2025
Final action: Jan 23, 2026
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How it got here

The legislation originated from the Department of Public Health's need to amend an existing contract with A&A Health Services for rehabilitative board and care residential services.

1
Original Agreement SignedJuly 1, 2024
Department of Public Health

The Department of Public Health entered into an agreement with A&A Health Services for rehabilitative board and care residential services, with a term ending June 30, 2026, and a not-to-exceed amount of $9,932,675.

Leg Final
2
Proposed Amendment DraftedNovember 10, 2025
Department of Public Health

The Department of Public Health proposed an amendment to extend the contract term by three years and increase the funding by $22,722,200, bringing the total not-to-exceed amount to $32,654,875.

DPH Ltr 111025
3
Approval of AmendmentDecember 15, 2025
Civil Service Commission

The Civil Service Commission approved the proposed amendment under Personal Service Contract No. DHRPSC0005440.

Leg Final
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Committee RecommendationJanuary 7, 2026
Budget and Finance Committee

The Budget and Finance Committee recommended the approval of the amendment to the Board of Supervisors.

Leg Final
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Legislation AdoptedJanuary 13, 2026
Board of Supervisors

The Board of Supervisors adopted the resolution approving Amendment No. 1 to the agreement with A&A Health Services.

Leg Final
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Mayor's ApprovalJanuary 23, 2026
Mayor

The Mayor approved the resolution, finalizing the amendment to the contract with A&A Health Services.

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 010726
Department of Public Health
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BLA Rpts 010726
Budget and Legislative Analyst
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How they voted

Legislative journey

Clerk of the BoardNov 14, 2025
ยทRECEIVED FROM DEPARTMENT
PresidentDec 2, 2025
โ†’RECEIVED AND ASSIGNED
Budget and Finance CommitteeJan 7, 2026
โœ“RECOMMENDEDPass
Board of SupervisorsJan 13, 2026
โœ“ADOPTEDPass
MayorJan 23, 2026
โœ“APPROVED