Legislation

This ordinance aims to create an Independent Pharmacy Task Force that will provide guidance on improving the City’s prescription drug purchasing and expanding access to affordable medications through an independent pharmacy network. It also seeks to revise licensing requirements to allow more pharmacies to participate in this network.

Ordinance amending the Administrative Code to establish an Independent Pharmacy Task Force to advise City bodies and officials on expanding the City’s wholesale prescription drug contracts and purchasing capacity, expanding the City’s 340B Drug Pricing Program coverage, creating an independent pharmacy network in the City including the benefits of membership and criteria for joining the network, and revising existing licensing requirements to allow more pharmacies to be members of an independent pharmacy network.

This ordinance allows hotel employees or their unions to sue tourist hotels for not following required cleaning and disease prevention standards. It also gives courts the power to impose penalties and provide remedies if the hotels are found in violation.

Ordinance amending the Health Code to authorize employees of tourist hotels, or the labor organizations that represent those employees, to file civil lawsuits against tourist hotels or operators for violations of certain cleaning and disease prevention standards and practices required in tourist hotels; and authorizing courts to impose appropriate legal and equitable relief, including civil penalties, against the defendants in any such lawsuits.

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.

Schedules a public hearing about: Hearing on the state of San Francisco’s Drug Court Program, including an examination of diversion criteria and practices, program outcomes and termination rates, treatment capacity and associated wait times, and the program’s implications for public safety and recovery.

Hearing on the state of San Francisco’s Drug Court Program, including an examination of diversion criteria and practices, program outcomes and termination rates, treatment capacity and associated wait times, and the program’s implications for public safety and recovery; and requesting the Office of the District Attorney, Department of Public Health, and Sheriff’s Office to report.

The ordinance repeals the current San Francisco Fire Code and replaces it with a new code based on the 2025 California Fire Code and parts of the 2024 International Fire Code, along with local amendments, effective January 1, 2026. It also establishes fees for permits and inspections and requires local findings to be submitted to state authorities.

Ordinance repealing the existing San Francisco Fire Code in its entirety and enacting a new San Francisco Fire Code consisting of the 2025 California Fire Code and portions of the 2024 International Fire Code, together with amendments specific to San Francisco, including provisions for fees for permits, inspections, and various City services, with an operative date of January 1, 2026; adopting findings of local conditions pursuant to California Health and Safety Code, Section 17958.7; directing the Clerk of the Board of Supervisors to forward San Francisco's amendments to the California Building Standards Commission and State Fire Marshal; and making environmental findings.

The resolution allows the Department of Public Health to accept an additional $23,687.72 grant from the National Institutes of Health for a training program aimed at reaching hard-to-count populations, bringing the total grant amount to $102,464.72. It also authorizes the Director of Health to make necessary changes to the grant agreement without increasing the city's financial obligations.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant increase from the National Institutes of Health through The Regents of the University of California, San Francisco for participation in a program, entitled “Short Trainings on Methods for Recruiting, Sampling, and Counting Hard-to-Reach Populations: The H2R Training Program,” in the amount of $23,687.72 for a total amount of $102,464.72 from June 1, 2025, for the total period of October 1, 2022, through May 31, 2026; and to authorize the Director of Health to enter into amendments or modifications to the Grant Agreement that do not materially increase the obligations or liabilities to the City and are necessary to effectuate the purposes of the Grant Agreement or this Resolution.

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.

This resolution allows the San Francisco Department of Public Health to enter into a grant agreement with the California Department of Health Care Services, providing $6,337,140 in funding for health services through June 30, 2030. It also includes provisions for retroactive expense recapture and authorizes the department to make necessary amendments to the agreement without increasing the city's obligations.

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 of $6,337,140; including a provision allowing for the recapture of allowable project expenses incurred retroactively to May 6, 2025; including a Permitted and Restricted Use at 333 7th Street; retroactively authorizing DPH to accept and expend grant funds; 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.

This resolution allows the District Attorney's Office to accept and use a $420,000 grant from the California Office of Traffic Safety for a program aimed at prosecuting alcohol and drug-impaired drivers. The grant will support activities and services from October 1, 2025, to September 30, 2026.

Resolution retroactively authorizing the Office of the District Attorney to accept and expend a grant in the amount of $420,000 from the California Office of Traffic Safety, for the grant period of October 1, 2025, through September 30, 2026, to support the Alcohol and Drug Impaired Driver Vertical Prosecution Program activities and services.

This resolution allows the Department of Public Health to accept and use COVID-19 test kits valued at $527,664 for the fiscal year 2024-2025. The kits are provided as an in-kind gift from the Administration for Strategic Preparedness and Response to support clinic patients and staff.

Resolution retroactively authorizing the Department of Public Health to accept and expend an in-kind gift of COVID-19 test kits in the total amount of $527,664 for Fiscal Year (FY) 2024-2025, from the Administration for Strategic Preparedness and Response through the California Department of Public Health in support of the Department of Public Health clinic patients and staff.

This resolution allows the Department of Public Health to accept a $77,000 donation from Epic Systems Corporation to support Federally Qualified Health Centers and their underserved patients. The funding will be used from July 1, 2024, to June 30, 2025.

Resolution retroactively authorizing the Department of Public Health to accept and expend a monetary gift, entitled “2024 Epic for Federally Qualified Health Centers,” in the amount of $77,000 from the Epic Systems Corporation to help support Federally Qualified Health Centers and their underserved patient populations, for the period of July 1, 2024, through June 30, 2025.

This resolution allows the Department of Public Health to apply for continued funding under the Ryan White Act for HIV/AIDS emergency relief. It requests $15,552,315 to support services in San Francisco from March 1, 2026, to February 28, 2027.

Resolution retroactively authorizing the Department of Public Health to submit an application to continue to receive funding for the Ryan White Act HIV/AIDS Emergency Relief Grant Program grant from the Health Resources Services Administration; and requesting $15,552,315 in HIV Emergency Relief Program funding for the San Francisco Eligible Metropolitan Area for the period of March 1, 2026, through February 28, 2027.

This ordinance aims to increase the availability of Permanent Supportive Housing (PSH) for homeless individuals that requires abstinence from illegal drug use, while prohibiting funding for drug tolerant housing until at least 25% of PSH is designated as Recovery Housing. It also allows the Board of Supervisors to bypass this funding restriction for specific expenditures deemed in the public interest.

Ordinance amending the Administrative Code to state that it is City policy to expand the availability of Permanent Supportive Housing (“PSH”) for people experiencing homelessness that emphasizes abstinence from illegal substance use (“Recovery Housing”); to prohibit the City from funding PSH for people experiencing homelessness that bars evictions on the basis of drug use alone (“Drug Tolerant Housing”) until at least 25% of the City’s PSH portfolio is operated as Recovery Housing, except where operation of the funded housing as Recovery Housing would conflict with standards imposed by law or as a condition of other funding; and to authorize the Board of Supervisors to suspend the funding restriction by Resolution for a specific expenditure, upon finding that the expenditure is in the public interest.

This ordinance updates definitions and regulations for mobile food facilities and related permits to align with California law, including new categories like compact mobile food operations and mobile support units. It also establishes fees for certain permits while waiving fees for compact mobile food operations and expands the Department of Public Works' authority to regulate these vendors.

Ordinance amending the Health and Business and Tax Regulations Codes to revise the definition of a mobile food facility permit, add definitions for compact mobile food operations, mobile support unit, and permitted auxiliary conveyance permits to reflect recent amendments to the California Retail Food Code, revise existing definitions of various other terms to reflect State law definitions in that Code, and expand the definition of stadium concession to include food facilities in stadiums with a seating capacity of 5,000 or more; establish annual permit and plan check fees for auxiliary conveyance, compact mobile food operation, and mobile support unit permits; and waive license and permit fees for compact mobile food operations; amending the Public Works Code to include a definition for compact mobile food operations and to expand the Department of Public Works’ street vending authority to include regulation of compact mobile food operations, and to require that Department to consult with the Department of Public Health and the Fire Department when issuing rules and regulations that regulate street vendors.

This resolution allows the Human Services Agency to receive and use a $1,072,000 grant from the San Francisco Health Plan for a program aimed at addressing housing and homelessness from April 1, 2026, to March 31, 2030. The funding is designated for initiatives that support individuals experiencing homelessness in the city.

Resolution authorizing the Human Services Agency to accept and expend a grant in the total amount of $1,072,000 from the San Francisco Health Plan for participation in the program entitled “Housing and Homelessness Incentive Program Funding - San Francisco” for the period of April 1, 2026, through March 31, 2030.

This resolution allows the Department of Public Health to accept and use a grant of $6,755,486.26 from the San Francisco General Hospital Foundation for a program aimed at improving healthcare practices from January 1, 2026, to June 30, 2029. It also gives the Director of Health the authority to make necessary adjustments to the grant agreement without increasing the city's financial obligations.

Resolution authorizing the Department of Public Health to accept and expend a grant in the amount of $6,755,486.26 from the San Francisco General Hospital Foundation for participation in a program, entitled “ZPCQI Round 3: Optimizing Epic to Drive True North and Developing our people: The ZSFG Way,” for the period of January 1, 2026, through June 30, 2029; approving the Notice of Award agreement pursuant to Charter, Section 9.118(a); and to authorize the Director of Health to enter into amendments or modifications to the Grant Agreement that do not materially increase the obligations or liabilities to the City and are necessary to effectuate the purposes of the Grant Agreement or this Resolution.

The resolution allows the Department of Public Health to accept and use a $1,123,180 grant from the California Department of Health for a program aimed at developing the Disease Intervention Specialist workforce from July 1, 2025, to June 30, 2026. It also gives the Director of Health the authority to make necessary amendments to the grant agreement without increasing the city's financial obligations.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $1,123,180 from the California Department of Health for participation in a program, entitled “Disease Intervention Specialist (DIS) Workforce Development Grant,” for the period of July 1, 2025, through June 30, 2026; approving the Grant Agreement pursuant to Charter, Section 9.118(a); and to authorize the Director of Health to enter into amendments or modifications to the Grant Agreement that do not materially increase the obligations or liabilities to the City and are necessary to effectuate the purposes of the Grant.

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.

This ordinance updates the Planning Code to specify areas where Reproductive Health Clinics can operate and aligns with Proposition O, which was approved by voters in November 2024. It also confirms compliance with environmental regulations and the city's General Plan.

Ordinance amending the Planning Code to indicate districts where Reproductive Health Clinics are principally permitted and to make other conforming changes to the Planning Code and Zoning Control Tables, as required by Proposition O, passed by the voters in November 2024; affirming the Planning Department’s determination under the California Environmental Quality Act; making findings of consistency with the General Plan, and the eight priority policies of Planning Code, Section 101.1; and making findings of public necessity, convenience, and welfare pursuant to Planning Code, Section 302.

This resolution allows the Department of Public Health to enter into a grant agreement with the California Department of Social Services for nearly $9.9 million to build a substance use disorder residential facility on Treasure Island, with funding available until June 30, 2029. It also permits the Department to make necessary adjustments to the agreement and outlines the process for the grantor to seek a receiver if the City defaults.

Resolution authorizing the Department of Public Health to enter into a Grant Agreement for a term commencing on execution of the Grant Agreement, through June 30, 2029, between the City and County of San Francisco ("City"), acting by and through its Department of Public Health ("DPH"), and California Department of Social Services and its third party administrator Horne LLP, under the Community Care Expansion Program, having anticipated revenue to the City of $9,895,834 for construction of a substance use disorder (SUD) residential step-down facility at Parcel E1.2, Treasure Island, including a Permitted and Restricted Use; authorizing DPH to accept and expend an increase to the grant award; 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.