Legislation

This resolution approves a contract between Heluna Health and the Department of Homelessness and Supportive Housing to provide outreach and case management services for the homeless in San Francisco, running from January 1, 2024, to June 30, 2027, for up to $36,897,380. It also allows for minor amendments to the contract as needed without significantly changing the city's obligations or benefits.

Resolution approving the contract between Heluna Health and the Department of Homelessness and Supportive Housing (“HSH”) to provide comprehensive outreach and case management through the San Francisco Homeless Outreach Team; approving a term of January 1, 2024, through June 30, 2027, and a total amount not to exceed $36,897,380; and authorizing HSH to enter into any amendments or other modifications to the contract that do not materially increase the obligations or liabilities or materially decrease the benefits to the City, and are necessary or advisable to effectuate the purposes of the contract.

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 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 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.