Legislation

This resolution extends a contract with Community Forward SF to provide medical respite and sobering center services for an additional three and a half years, increasing the total funding to over $32 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 Community Forward SF, to provide medical respite and sobering center services, to extend the term by three years and six months from December 31, 2025, for a total term of July 1, 2024, through June 30, 2029, and to increase the amount by $22,263,326 for a total not to exceed amount of $32,262,830; 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 resolution allows the Department of Public Health to accept and use a $626,000 grant from the California Department of Health Care Services for a program aimed at addressing housing and homelessness from July 1, 2024, to June 30, 2026. It has been approved retroactively.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant from the California Department of Health Care Services through Blue Cross of California Partnership Plan, Inc. (Anthem) for participation in a program, entitled, “Housing and Homelessness Incentive Program,” in the amount of $626,000 for the period of July 1, 2024, through June 30, 2026.

This resolution allows the Department of Public Health to accept and use an additional $2,518,000 grant from the California Department of Health Care Services for a program aimed at addressing housing and homelessness. The total funding for the program will be $7,658,684.63 from July 1, 2023, to November 1, 2026.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant increase from the California Department of Health Care Services through San Francisco Health Plan for participation in a program, entitled, “Housing and Homelessness Incentive Program,” in the amount of $2,518,000 for the period of January 1, 2025, through November 1, 2026, for a total amount of $7,658,684.63 for the total period of July 1, 2023, through November 1, 2026; and approving the Notice of Award agreement pursuant to Charter, Section 9.118(a).

This resolution allows the Department of Public Health to accept an additional $2,046,778 grant from the CDC for HIV prevention and surveillance programs, bringing the total grant amount to $12,756,614 for the period from August 2024 to May 2026. It also authorizes the Director of Health 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 increase of $2,046,778 from the Centers for Disease Control and Prevention for participation in a program, entitled “High-Impact HIV Prevention and Surveillance Programs for Health Departments,” for an amount of $7,055,155 for the period of June 1, 2025, through May 31, 2026, and a total grant amount of $12,756,614 for the period of August 1, 2024, through May 31, 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 Agreement or this Resolution.

This resolution allows the Department of Public Health to accept and use a grant of $62,295 from the National Institutes of Health for a program focused on HIV/AIDS interventions, bringing the total grant amount to $235,358. The funding is retroactively effective from May 21, 2025, covering the period from January 25, 2023, to November 30, 2025.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant from the National Institutes of Health through Florida State University for participation in a program, entitled “Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN) Scientific Leadership Center,” for an increased amount of $62,295 for a total amount of $235,358 effective on May 21, 2025, for the total period of January 25, 2023, through November 30, 2025.

This resolution extends a contract with the Bayview Hunters Point Foundation for mental health and substance abuse services by 18 months and increases funding by over $7.5 million, bringing the total to nearly $25.6 million. It also allows the Department of Public Health to make minor adjustments to the agreement as needed.

Resolution approving Amendment No. 6 to the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and Bayview Hunters Point Foundation, to provide mental health and substance abuse services, to extend the term by 18 months from December 31, 2026, for a total term of July 1, 2018, through June 30, 2028, and to increase the amount by $7,531,723 for a total not to exceed amount of $25,611,719; 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 resolution allows San Mateo County's District Attorney to pause the time limits for filing legal claims against San Francisco International Airport related to health and safety violations. It ensures that the county has more time to investigate and potentially pursue these claims.

Resolution approving a Tolling Agreement to toll the statutes of limitation for San Mateo County District Attorney to bring potential claims against San Francisco International Airport for California Health and Safety Code violations.

This resolution honors Dr. Jian Zhang for her significant work as CEO of Chinese Hospital and officially designates December 2, 2025, as Dr. Jian Zhang Day in San Francisco. It has been passed by the city legislature.

Resolution commending Dr. Jian Zhang for her outstanding contributions as Chief Executive Officer of Chinese Hospital; and declaring December 2, 2025, as Dr. Jian Zhang Day in the City and County of San Francisco.

This resolution urges various city departments to assess how they distribute ultra-processed foods and to ensure their practices align with California's Real Food, Healthy Kids Act. It also calls for the Department of Public Health to create a framework for identifying and evaluating these foods for better decision-making in food distribution.

Resolution urging the Sheriff’s Office, the Department of Public Health, the Department of Children, Youth and Their Families, and the Department of Homelessness and Supportive Housing to review their distribution of ultra-processed foods directly and through contractors and to align with the goals of California’s Real Food, Healthy Kids Act; and urging the Department of Public Health to develop a framework for identifying and evaluating ultra-processed foods for the City to use in decisions concerning food distribution and procurement and for reporting purposes.

The ordinance authorizes the City and County of San Francisco to settle lawsuits totaling $1,191,000 filed by several hospitality companies. These lawsuits were related to claims for attorneys' fees and other costs stemming from previous court decisions against the City.

Ordinance authorizing settlement of the lawsuits filed by AGPME Tenant LLC, KPH Management LLC, Mangal Inc., Gajanan, Inc., Engage Hospitality LLC, Engage with SF Hospitality LLC, and Lombard Hospitality LLC against the City and County of San Francisco for $1,191,000; the lawsuits were filed on February 9, 2016, and September 16, 2016, in San Francisco Superior Court, Case Nos. CGC-16-554309, CGC-16-550354, CGC-16-550351, and CGC-16-554304, and California Court of Appeal Case Nos. A160539 and A168328; entitled Gajanan Inc. et al. v. City and County of San Francisco et al.; AGPME Tenant, LLC v. City and County of San Francisco et al.; KPH Management LLC et al. v. City and County of San Francisco et al.; and Mangal Inc. et al. v. City and County of San Francisco et al.; the remaining issues in the lawsuits involve claims for attorneys’ fees on the City’s appeal of the San Francisco Superior Court’s decision against the City on attorneys’ fees, claims for interest on the City’s attorneys’ fees payment, and claims for costs on appeal.

The ordinance authorizes the City and County of San Francisco to settle a lawsuit for $5,845,000 related to claims of elder abuse and violations of patients' rights involving over 700 residents of Laguna Honda Hospital. This lawsuit was filed in March 2020 and has now been resolved with this settlement.

Ordinance authorizing settlement of the lawsuit filed by Tommy O. Johnson, by and through his Attorney-in-Fact Rev. Doris White and John Doe, by and through his conservator Thomas O’Connor, on behalf of themselves and all others similarly situated, against the City and County of San Francisco for $5,845,000; the lawsuit was filed on March 24, 2020, in San Francisco Superior Court, Case No. CPF-20-517064; entitled Tommy O. Johnson, by and through his Attorney-in-Fact Rev. Doris White and John Doe, by and through his conservator Thomas O’Connor, on behalf of themselves and all others similarly situated v. City and County of San Francisco, et al.; the lawsuit involves claims of elder/dependent adult abuse, invasion of privacy, negligence, and violations of patients’ rights brought by over 700 former and current residents of Laguna Honda Hospital.

This resolution extends a contract with Priority Healthcare Distribution for specialty drug procurement by four years and increases the total contract amount by $89.48 million, bringing it to $98.48 million. It also allows the Department of Public Health to make minor amendments 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 Priority Healthcare Distribution, Inc. d/b/a CuraScript Specialty Distribution, for the procurement of specialty drugs, to extend the term by four years from November 30, 2026, for a total term of December 1, 2023, through November 30, 2030, and to increase the amount by $89,480,168 for a total not to exceed amount of $98,480,168; 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 resolution extends a contract with Hyde Street Community Services, Inc. for mental health services by two years and increases the funding by nearly $11.8 million, bringing the total contract amount to approximately $38.8 million. It also allows the Department of Public Health to make minor amendments to the agreement as needed.

Resolution approving Amendment No. 2 to the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and Hyde Street Community Services, Inc., to provide mental health services, to extend the term by two years from June 30, 2026, for a total term of July 1, 2018, through June 30, 2028, and to increase the amount by $11,758,765 for a total not to exceed amount of $38,789,762; 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 resolution approves an agreement that allows the San Francisco Department of Public Health to receive $7,431,615 in funding from the California Department of Social Services through June 30, 2029. It also authorizes the Department to make necessary amendments to the agreement without increasing the city's obligations.

Resolution approving an agreement between the City and County of San Francisco, acting by and through its Department of Public Health (DPH), and the California Department of Social Services and its third-party administrator BDO Government Services, LLC, having anticipated revenue of $7,431,615 for a performance base period commencing on execution of the Grant Agreement through June 30, 2029; and authorizing 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 legislation outlines a hearing where the Mayor will discuss topics submitted by Supervisors, specifically addressing the Fentanyl State of Emergency Ordinance for District 5. The Mayor will have five minutes to speak initially, followed by a two-minute limit for each question and answer during the discussion.

Pursuant to Charter, Sections 2.103 and 3.100(7), and Administrative Code, Section 2.11, the Mayor shall discuss eligible topics submitted from the Supervisors. The Mayor may address the Board initially for up to five minutes. Discussion shall not exceed two minutes per question or answer. The following topic was noticed on the agenda representing District 5: 1. Fentanyl State of Emergency Ordinance

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.

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 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 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 outlines how various city departments will implement strategies to reduce drug overdoses among clients who use drugs. It is currently awaiting action from a committee.

Resolution receiving Overdose Prevention Policies for the Department of Public Health, the Department of Homelessness and Supportive Housing, the Department of Emergency Management, and the Human Services Agency describing how the department and its grantees that provide direct services to clients who use drugs will promote strategies to reduce drug overdoses, submitted as required by Administrative Code, Section 15.17.

This legislation calls for a hearing to address the U.S. Navy's delay in disclosing airborne plutonium detection at the Hunter's Point Shipyard, aiming for full transparency and accountability regarding public health and safety. It seeks reports from various agencies to understand the situation and the protections that were in place during the delay.

Hearing to discuss the United States (U.S.) Navy's failure to promptly disclose the detection of airborne plutonium at the Hunter's Point Shipyard; to obtain full disclosure, ensure accountability, and protect the Bayview-Hunter's Point community as well as provide every document, every test result, and every explanation for this failure, and to outline what protections, if any, were in place during the eleven months the public was kept in the dark; the Navy identified contamination in November 2024 but did not report it to the City and County of San Francisco until October 2025, raising serious concerns about transparency, public health, and trust in federal oversight; and requesting the U.S. Navy, Environmental Protection Agency, California Department of Public Health, and the San Francisco Department of Public Health to report.

This resolution urges the San Francisco Police Department to create a detailed plan to address drug use near parks, schools, and youth centers by issuing citations and providing detox services. It aims to enhance public safety and support individuals struggling with substance use.

Resolution urging the San Francisco Police Department (SFPD) to develop and implement a comprehensive enforcement and intervention plan to address drug use or suspected drug activity especially within 250 feet of parks, playgrounds, schools, and youth centers including issuing citations, conducting assessments, and removing individuals for processing or detoxification services.

This ordinance repeals the existing 2022 Plumbing Code and replaces it with a new 2025 Plumbing Code that aligns with the 2025 California Plumbing Code, with specific amendments for San Francisco. It will take effect on January 1, 2026, and the Clerk of the Board will send it to the California Building Standards Commission as required.

Ordinance repealing the 2022 Plumbing Code in its entirety and enacting a 2025 Plumbing Code consisting of the 2025 California Plumbing Code as amended by San Francisco; adopting environmental findings and findings of local conditions under the California Health and Safety Code; providing an operative date of January 1, 2026; and directing the Clerk of the Board of Supervisors to forward the Ordinance to the California Building Standards Commission as required by State law.

This ordinance repeals the 2022 Mechanical Code and replaces it with the 2025 Mechanical Code, which includes specific amendments for San Francisco. It will take effect on January 1, 2026, and the Clerk will send it to the California Building Standards Commission as required by state law.

Ordinance repealing the 2022 Mechanical Code in its entirety and enacting a 2025 Mechanical Code consisting of the 2025 California Mechanical Code as amended by San Francisco; adopting environmental findings and findings of local conditions under the California Health and Safety Code; providing an operative date of January 1, 2026; and directing the Clerk of the Board of Supervisors to forward the Ordinance to the California Building Standards Commission as required by State law.

This ordinance repeals the 2022 Electrical Code and replaces it with the 2025 Electrical Code, which includes specific amendments for San Francisco. It will take effect on January 1, 2026, and the Clerk of the Board will send it to the California Building Standards Commission as required by state law.

Ordinance repealing the 2022 Electrical Code in its entirety and enacting a 2025 Electrical Code consisting of the 2025 California Electrical Code as amended by San Francisco; adopting environmental findings and findings of local conditions under the California Health and Safety Code; providing an operative date of January 1, 2026; and directing the Clerk of the Board of Supervisors to forward the Ordinance to the California Building Standards Commission as required by State law.

This ordinance repeals the existing 2022 Green Building Code and replaces it with a new 2025 Green Building Code that aligns with California's updated standards, effective January 1, 2026. It also includes necessary environmental and local condition findings and mandates the Clerk to submit the ordinance to the California Building Standards Commission.

Ordinance repealing the 2022 Green Building Code in its entirety and enacting a 2025 Green Building Code consisting of the 2025 California Green Building Standards Code as amended by San Francisco; adopting environmental findings, findings of local conditions under the California Health and Safety Code, and findings under the California Public Resources Code; providing for an operative date of January 1, 2026; and directing the Clerk of the Board of Supervisors to forward the Ordinance to the California Building Standards Commission as required by State law.

This ordinance repeals the current 2022 Existing Building Code and replaces it with a new 2025 Existing Building Code, which aligns with the updated California standards and includes local amendments. It will take effect on January 1, 2026, and the Board of Supervisors will send it to the California Building Standards Commission as required.

Ordinance repealing the 2022 Existing Building Code in its entirety and enacting a 2025 Existing Building Code consisting of the 2025 California Existing Building Code as amended by San Francisco; adopting environmental findings and findings of local conditions under the California Health and Safety Code; providing for an operative date of January 1, 2026; and directing the Clerk of the Board of Supervisors to forward the Ordinance to the California Building Standards Commission as required by State law.

This ordinance repeals the existing 2022 Building Code and replaces it with the new 2025 Building Code, which includes updates from the 2025 California Building Code and Residential Code, tailored for San Francisco. It will take effect on January 1, 2026, and the Clerk will send the necessary documents to the California Building Standards Commission.

Ordinance repealing the 2022 Building Code in its entirety and enacting a 2025 Building Code consisting of the 2025 California Building Code and the 2025 California Residential Code, as amended by San Francisco; adopting environmental findings and findings of local conditions under the California Health and Safety Code; providing for an operative date of January 1, 2026; and directing the Clerk of the Board of Supervisors to forward the legislation to the California Building Standards Commission as required by State law.

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.

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.

The ordinance requires most dogs in San Francisco to be spayed, neutered, or chemically sterilized, expanding the current requirement beyond just pit bulls. It also outlines a permit process for unaltered dogs, including fees, regulations for their sale and breeding, and penalties for non-compliance.

Ordinance amending the Health Code to require that every dog in San Francisco, with certain exceptions, be spayed, neutered, or chemically sterilized, rather than requiring such procedures only for pit bulls; to establish a process and fee for applying for an unaltered dog permit, and a process for granting, denying, or revoking such permit, with a hearing following a denial or revocation; to regulate the transfer, sale, and breeding of unaltered dogs; and to establish penalties and conditions of impoundment for violations of the mandatory spay, neuter, or chemical sterilization requirements.

This resolution extends a contract with Catholic Charities for HIV health services rental subsidies by five years and increases the funding by over $7 million, totaling approximately $13.4 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 City, acting by and through, the Department of Public Health (DPH), and Catholic Charities, to provide HIV health services rental subsidies services, to extend the term by five years from June 30, 2026, for a total term of July 1, 2021, through June 30, 2031, and to increase the amount by $7,317,206 for a total not to exceed amount of $13,426,414; 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 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.

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 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 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 resolution supports a statewide initiative to tax the net worth of California billionaires in 2025, aiming to generate revenue for health care and public education. It targets over 200 billionaires with a combined wealth of nearly $2 trillion.

Resolution supporting the passage of the 2026 Billionaire Tax Act, a statewide initiative to implement a tax on the 2025 net worth of billionaires who live in California, over 200 people who altogether have a combined wealth of nearly $2,000,000,000,000; the collected revenue would go to fund health care programs and public education.