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Resolution#260887For Immediate Adoption
In plain English

This resolution urges Kaiser Permanente to withdraw its contract demands that could limit the input of Northern California behavioral health therapists, potentially leading to layoffs, increased outsourcing, and reliance on AI for patient care. The goal is to protect the quality of care for patients and ensure therapists have a say in their work.

Resolution urging Kaiser Permanente to drop its “Terrible Three” contract demands that would deny Northern California behavioral health therapists an appropriate voice in the care they provide and negatively impact the quality of care that patients receive due to the potential for layoffs of staff clinicians, increased outsourcing of care, and referral of larger numbers of patients onto artificial intelligence therapy platforms.

Introduced: Jul 28, 2026
Final action: —
Official record ↗

How it got here

This legislation originated from concerns about Kaiser Permanente's contract demands affecting behavioral health services in Northern California.

1
Committee of the Whole HearingJuly 21, 2026
San Francisco Board of Supervisors

The Board held a hearing to discuss Kaiser Permanente's 'Terrible Three' contract demands affecting behavioral health clinicians, outlining the potential negative impacts on care quality.

Leg Ver1
2
Settlement AgreementFebruary 2026
U.S. Department of Labor

Kaiser was required to pay penalties for making enrollees pay out of pocket for behavioral health treatment that should have been covered by insurance.

Leg Ver1
3
Fine Imposed2023
Department of Managed Health Care

Kaiser was fined $50 million as part of a settlement for deficiencies in its behavioral health services and violations of patient rights.

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4
Survey ResultsMarch 2026
National Union of Healthcare Workers

A survey revealed that 75% of Kaiser behavioral health clinicians reported insufficient staffing to provide timely care.

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5
Resolution PreparationAugust 28, 2026
Calvin Ho

The resolution urging Kaiser to drop its contract demands was prepared for introduction to the Board of Supervisors.

Board Pkt 090126
6
Resolution IntroductionSeptember 1, 2026
San Francisco Board of Supervisors

The resolution was introduced to the Board for immediate adoption without committee reference.

Board Pkt 090126

Reconstructed from attached documents & the official record

Document trail
PDF ↗
PDF ↗

How they voted

No recorded roll-call vote yet. This item may have passed without a recorded individual vote, or is still pending.

Legislative journey

PresidentJul 28, 2026
✓REFERRED FOR ADOPTION WITHOUT COMMITTEE REFERENCE AGENDA AT THE NEXT BOARD MEETING