Legislation

This hearing focuses on how San Francisco is implementing California State Senate Bill No. 43, which aims to improve mental health services and substance-use disorder treatment in the city. The Mayor's Executive Steering Committee is being asked to provide a report on this progress.

Hearing on the status of the City's implementation of California State Senate Bill No. 43 (SB 43) regarding modernizing the City's mental health services and substance-use disorder treatment system; and requesting the Mayor's Executive Steering Committee to report.

This ordinance allows the Office of the Chief Medical Examiner to use a grant of over $1 million from the California Department of Public Health to fund new positions related to forensic analysis and toxicology. It also updates the city's salary ordinance to include these grant-funded roles for the next several years.

Ordinance retroactively authorizing the Office of the Chief Medical Examiner to accept and expend a grant in the amount of $1,086,740.83 from the California Department of Public Health, Substance and Addiction Prevention Branch; and amending Ordinance No. 145-23 (Annual Salary Ordinance for Fiscal Years (FYs) 2023-2024 and 2024-2025) to provide for the addition of grant-funded Class 2403 Forensic Laboratory Analyst, Class 2456 Forensic Toxicologist, and Class 2457 Forensic Toxicologist Supervisor positions, as required, for the period beginning December 1, 2023, through June 30, 2028.

The ordinance authorizes the City and County of San Francisco to settle a lawsuit for $190,000 related to allegations of negligence and violations of patient rights concerning care at Laguna Honda Hospital. The lawsuit was filed by Alfred Coutts in May 2020.

Ordinance authorizing settlement of the lawsuit filed by Alfred Coutts against the City and County of San Francisco for $190,000; the lawsuit was filed on May 14, 2020, in San Francisco Superior Court, Case No. CGC-20-584459; entitled Alfred Coutts, et al. v. City and County of San Francisco, et. al.; the lawsuit involves allegations of negligence, dependent adult neglect/abuse, and violations of the Patient’s Bill of Rights concerning Mr. Coutts’ care at Laguna Honda Hospital and Rehabilitation Center.

The ordinance requires medical specimen collection sites to partner with certain approved entities, maintain hygiene and privacy standards, and prohibits them from paying individuals for tests. Violations of these standards can result in misdemeanor charges and administrative penalties from the Department of Public Health.

Ordinance amending the Health Code to require that sites that collect medical specimens on behalf of clinical laboratories partner with either a governmental entity, a licensed health care provider located in the City, or an educational or academic institution, establish hygiene, sanitation, and privacy standards, and adhere to the Health Insurance Portability and Accountability Act; prohibiting such sites from paying individuals to take a medical test; and providing that a violation of the specimen collection standards is a misdemeanor offense and a public health nuisance subject to an administrative penalty that may be imposed by the Department of Public Health.

This resolution urges the Mayor and the Department of Human Resources to create an emergency hiring plan that includes incentives to attract and keep behavioral healthcare workers. The goal is to fill vacant positions within the city and at contracted service providers.

Resolution urging the Mayor and Department of Human Resources (DHR) to initiate an emergency hiring plan with recruitment and retention incentives for behavioral healthcare workers to fill city employee vacancies and vacancies at city-contracted providers.

This hearing addresses the progress of San Francisco's plan to increase residential treatment beds for individuals with mental health and substance use disorders, focusing on higher levels of care and identifying barriers to expansion. It also requests reports from relevant city departments and courts on these issues.

Hearing on the status of the City's residential treatment bed expansion plan for people suffering from mental health and substance use disorders; additional needs for treatment beds, particularly for higher acuity levels of care; barriers and solutions to achieving the City's goals of expanding treatment beds across its behavioral health system; and requesting the Department of Public Health, Department of Homelessness and Supportive Housing, and the San Francisco Superior Court - Collaborative Courts to report.

This hearing is focused on discussing the implementation of the CARE Court, which aims to provide support for individuals with mental health and substance use issues by October 1, 2023. It will involve presentations from the Department of Public Health, Superior Court, and Department of Homelessness and Supportive Housing.

Hearing on plans to implement the Community Assistance, Recovery, and Empowerment (CARE) Court by October 1, 2023; and requesting the Department of Public Health, Superior Court, and Department of Homelessness and Supportive Housing to present.

This legislation calls for a hearing to review the Department of Public Health's Behavioral Health Services case management system, focusing on the number of case managers, their locations, client interaction frequency, caseloads, and vacant positions. The Department of Public Health is required to provide a report on these aspects.

Hearing on Department of Public Health's Behavioral Health Services case management system; specifically examining how many behavioral health and substance use case managers are in the system, their work location, the process for providing case management at varying levels of need, frequency of case managers interacting with their clients, the caseload of case managers at every level of care, and the number of funded but vacant case manager positions exist in the entire system of care; and requesting Department of Public Health's Behavioral Health Services to report.

This resolution approves an emergency declaration to replace essential equipment at Zuckerberg San Francisco General Hospital, with costs exceeding $250,000. It also confirms that the project complies with environmental regulations.

Resolution approving the Director of Public Works’ declaration of emergency under Administrative Code, Section 6.60, to replace chiller, boiler, and cooling tower and perform associated repair and upgrades at Zuckerberg San Francisco General Hospital located at 1001 Potrero Avenue, estimated to cost in excess of $250,000; and affirming the Planning Department’s determination under the California Environmental Quality Act.

This ordinance reduces the Behavioral Health Commission's membership from 17 to 12 members and changes the appointment process to involve the full Board of Supervisors instead of individual Supervisors. It also ensures at least one member is a veteran or veteran advocate, adjusts the number of seats for consumers and families, adds two seats for mental health professionals, updates term lengths, and keeps current members in their positions.

Ordinance amending the Administrative Code to reduce the membership of the Behavioral Health Commission from 17 to 12 seats; provide that the full Board of Supervisors rather than individual Supervisors makes these appointments; require that at least one seat be held by a veteran or veteran advocate; reduce the minimum number of seats reserved for consumers and families of consumers from nine to six; provide two seats for mental health professionals; update staggered terms for all seats; and retain existing members.

This resolution urges city departments to provide the Board of Supervisors with information needed to develop a comprehensive strategy called "San Francisco Recovers" aimed at addressing accidental drug overdose deaths, supporting recovery from addiction, and eliminating open drug markets and related public issues. The goal is to create a coordinated approach to improve community safety and health.

Resolution urging City departments to report to the Board of Supervisors with specific information necessary to permit the Board to scope a comprehensive, coordinated, and sustained citywide strategy called ?San Francisco Recovers' to reverse the City's crisis in accidental drug overdose deaths; to incentivize and support recovery from drug addiction; and to end overt drug markets, open-air drug scenes and associated public nuisances and harms to the community.

This resolution allows the Police Department to accept and use 900 units of Naloxone, a medication that can reverse opioid overdoses, valued at $48,750. The Naloxone is provided through a project funded by a federal health agency and managed by the Department of Health Care Services.

Resolution retroactively authorizing the Police Department to accept and expend an in-kind gift of 900 units of Naloxone valued at $48,750 through the Naloxone Distribution Project, which is funded by the Substance Abuse and Mental Health Services Administration and administered by the Department of Health Care Services.

This ordinance allocates $5.5 million from the city's reserve funds to the Department of Public Health to establish wellness hubs aimed at providing drug and alcohol treatment services. The funding is designated for the fiscal year 2022-2023.

Ordinance appropriating $5,500,000 of General Fund General Reserves to the Department of Public Health for wellness hubs for the purpose of providing drug and alcohol treatment to members of the public in Fiscal Year (FY) 2022-2023.

This resolution states that the Board of Supervisors plans to use some of the funds from the city's opioid litigation to create wellness hubs as part of the Department of Public Health's Overdose Prevention Plan by 2025. It is currently filed and has not yet been enacted.

Resolution declaring the Board of Supervisors’ intent to use a portion of the abatement funds arising from San Francisco’s opioid litigation to open and operate wellness hubs, as outlined by the Department of Public Health’s Overdose Prevention Plan, by 2025.

This legislation calls for a hearing to discuss the housing needs of San Francisco's growing senior population and how the city plans to address these needs. It also requests reports from various city departments on their strategies for providing housing for seniors.

Hearing on the continuum of housing needs of the growing senior population and the City’s strategies to comprehensively plan for and provide this housing across the spectrum; and requesting that the Department of Disability and Aging Services, Planning Department, Mayor’s Office of Housing and Community Development, Department of Homelessness and Supportive Housing, and Department of Public Health to report.