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Resolution#251259Passed
In plain English

This resolution allows the San Francisco Department of Public Health to enter into a grant agreement with the California Department of Health Care Services, securing $21,347,760 in funding through June 30, 2030. It also includes provisions for retroactive expense reimbursement and the ability to make necessary amendments to the agreement without increasing the city's liabilities.

Resolution authorizing the Department of Public Health to enter into a Grant Agreement for a term commencing on the execution of the Grant Agreement, through June 30, 2030, between the City and County of San Francisco (“City”), acting by and through its Department of Public Health (“DPH”), and the California Department of Health Care Services and its third-party administrator Advocates for Human Potential, Inc., having anticipated revenue to the City of $21,347,760; including a provision allowing for the recapture of allowable project expenses incurred retroactive to May 6, 2025; including a Permitted and Restricted Use at 887 Potrero Avenue; retroactively authorizing DPH to accept and expend grant funds for the period of May 6, 2025, through June 30, 2030; authorizing the Grantor to apply for a Receiver in the event of the City’s default; and authorizing DPH to enter into amendments or modifications to the Grant Agreement that do not materially increase the obligations or liabilities of the City and are necessary to effectuate the purpose of the Grant.

Introduced: Dec 16, 2025
Final action: Jan 20, 2026
Official record ↗

How it got here

The legislation originated from the need to expand mental health treatment facilities in San Francisco, prompted by a statewide shortage of locked subacute treatment beds.

1
Proposition 1 ApprovedMarch 2024
California Voters

California voters approved Proposition 1, authorizing state bond funding for the Behavioral Health Continuum Infrastructure Program (BHCIP).

Leg Final
2
Request for Applications ReleasedMay 2024
California Department of Health Care Services (DHCS)

DHCS released the Request for Applications for up to $3.3 billion in Round 1 of BHCIP funding.

Leg Final
3
Application for Grant Funds AuthorizedNovember 2024
San Francisco Department of Public Health (DPH)

The Board of Supervisors authorized DPH to apply for grant funds under BHCIP Round 1, specifically for the expansion project at the Behavioral Health Center.

Leg Final
4
Conditional Grant AwardMay 6, 2025
California Department of Health Care Services (DHCS)

DHCS awarded Bond BHCIP Round 1 grant funds to the City in the amount of $21,347,760 for the Behavioral Health Center project.

Leg Final
5
Resolution IntroducedDecember 16, 2025
Mayor's Office

The Mayor's Office introduced a resolution to authorize DPH to enter into a Grant Agreement for the awarded funds.

MYR Memo 121625
6
Resolution AdoptedJanuary 13, 2026
Board of Supervisors

The Board of Supervisors adopted the resolution authorizing DPH to accept and expend the grant funds retroactively.

Leg Final

Reconstructed from attached documents & the official record

Related / predecessor legislation
↑ predecessor#241097— not yet in database
Document trail
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DPH Memo 112625
Department of Public Health
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DPH Stmnt on Retro 1229225
Department of Public Health
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DPH Presentation 010726
Department of Public Health
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How they voted

Legislative journey

PresidentDec 16, 2025
RECEIVED AND ASSIGNED
Budget and Finance CommitteeJan 7, 2026
RECOMMENDEDPass
Board of SupervisorsJan 13, 2026
ADOPTEDPass
MayorJan 20, 2026
APPROVED
Clerk of the BoardJan 27, 2026
·RECEIVED FROM DEPARTMENT