Legislation

Proposes a change to city law: Allow settlement of the lawsuit filed by Amaryllis Cruz and Elias Jimenez against the City and County of San Francisco for $3,000,000.

Ordinance authorizing settlement of the lawsuit filed by Amaryllis Cruz and Elias Jimenez against the City and County of San Francisco for $3,000,000; the lawsuit was filed on September 5, 2023, in San Francisco Superior Court, Case No. CGC-23-608832; entitled Amaryllis Cruz, et al. v. City and County of San Francisco, et al.; the lawsuit involves alleged medical negligence.

A formal position or approval by the Board: Retroactively allow the Police Department to accept and expend an in-kind gift of 1,800 units of Naloxone in 2025 valued at $43,200 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.

Resolution retroactively authorizing the Police Department to accept and expend an in-kind gift of 1,800 units of Naloxone in 2025 valued at $43,200 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.

A formal position or approval by the Board: Approve the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and San Francisco Community Health Authority, to pay private network providers for the Healthy San Francisco program, for a total term of July 1, 2026, through June 30, 2030, with one six-year option to extend, for a total not to exceed amount of $41,648,505.

Resolution approving the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and San Francisco Community Health Authority, to pay private network providers for the Healthy San Francisco program, for a total term of July 1, 2026, through June 30, 2030, with one six-year option to extend, for a total not to exceed amount of $41,648,505; 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.

A formal position or approval by the Board: Approve the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and San Francisco Community Health Authority, to provide administrative functions for San Francisco City Option, for a total term of July 1, 2026, through June 30, 2030, with one six-year option to extend, for a total not to exceed amount of $52,768,224.

Resolution approving the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and San Francisco Community Health Authority, to provide administrative functions for San Francisco City Option, for a total term of July 1, 2026, through June 30, 2030, with one six-year option to extend, for a total not to exceed amount of $52,768,224; 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.

A formal position or approval by the Board: Approve Amendment No.

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 Crestwood Behavioral Health Inc., to provide a Crisis Stabilization Unit at 822 Geary, to extend the term by two years from June 30, 2026, for a new term of March 1, 2025, through June 30, 2028, and to increase the amount by $17,192,029 for a new total not to exceed amount of $26,255,566; 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.

A formal position or approval by the Board: Approve Amendment No. In short: a symbolic stance, not a binding law.

Resolution approving Amendment No. 3 to the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and Medline Industries, Inc., for Low Unit of Measure (LUM) distribution of medical, surgical, and laboratory supplies, to extend the term by four years from June 30, 2026, for a total term of July 1, 2021, through June 30, 2030; to increase the amount by $156,250,791 for a new total not to exceed amount of $301,562,341; to update the Medline Master Distribution Agreement; 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.

A formal position or approval by the Board: Approve Amendment No. In short: a symbolic stance, not a binding law.

Resolution approving Amendment No. 4 to the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and Medline Industries, Inc., for bulk medical, surgical, and laboratory supplies and services, to extend the term by four years from June 30, 2026, for a new term of July 1, 2021, through June 30, 2030; to increase the amount by $70,835,221.36 for a new total not to exceed amount of $165,038,293; to update the Medline Master Distribution Agreement, 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.

A formal position or approval by the Board: Allow adoption of the San Francisco Behavioral Health Services Act Three-Year Integrated Plan for Fiscal Years (FY) 2026-2029.

Resolution authorizing adoption of the San Francisco Behavioral Health Services Act Three-Year Integrated Plan for Fiscal Years (FY) 2026-2029.

Schedules a public hearing about: Hearing on the Vicious and Dangerous Dog Unit, inquiring about the plan to hire a Hearing Officer, restart hearing proceedings, address the existing case backlog, and improve proceedings through dog behavioral course requirements.

Hearing on the Vicious and Dangerous Dog Unit, inquiring about the plan to hire a Hearing Officer, restart hearing proceedings, address the existing case backlog, and improve proceedings through dog behavioral course requirements; and requesting the San Francisco Police Department, Department of Police Accountability, City Administrator's Office, and Department of Public Health to be present.

A formal position or approval by the Board: Retroactively allow Department of Public Health to accept and expend grant funds from July 1, 2025.

Resolution retroactively authorizing Department of Public Health to accept and expend grant funds from July 1, 2025; retroactively approving the Grant Agreement between City, acting by and through the Department of Public Health, and the California State Water Resources Control Board for the purpose of collecting bay and ocean shoreline water samples for pathogen analysis, for a term of three years from July 1, 2025, through June 30, 2028, and for a total not to exceed amount of $87,675; and to authorize the Director of Public 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.

A formal position or approval by the Board: Approve Amendment No.

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 Richmond Area Multi Services, Inc., to provide integrated behavioral health and case management services at 15 of the high school-based Wellness Centers, to extend the term by two years from June 30, 2026, for a new term of July 1, 2023, through June 30, 2028, and to increase the amount by $5,594,232 for a new total not to exceed amount of $15,010,725 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.

A formal position or approval by the Board: Approve Amendment No.

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 Richmond Area Multi Services, Inc., to provide peer-to-peer employment and peer specialist mental health certificate services, to extend the term by three years from June 30, 2026, for a new term of July 1, 2021, through June 30, 2029, and to increase the amount by $19,095,330 for a new total not to exceed amount of $48,211,511; 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.

An internal Board decision: Motion appointing Jasper Verduin, term ending January 1, 2027, Michael Fittro, Sam Ustrzynski (residency requirement waived), and Kescha Mason, terms ending January 1, 2028, and Brandon Fountain, Amelia Harmon, Stephanie Gonzales and Tara Gamboa-Eastman, terms ending January 1, 2029, to the Behavioral Health Commission.

Motion appointing Jasper Verduin, term ending January 1, 2027, Michael Fittro, Sam Ustrzynski (residency requirement waived), and Kescha Mason, terms ending January 1, 2028, and Brandon Fountain, Amelia Harmon, Stephanie Gonzales and Tara Gamboa-Eastman, terms ending January 1, 2029, to the Behavioral Health Commission.

The hearing will evaluate how the $120 million allocated to the Dream Keepers Initiative has been spent and identify additional needs the initiative can address. Various city departments, including the Human Rights Commission and the Department of Public Health, have been asked to provide reports on this matter.

Hearing on the resources allocated for the Dream Keepers Initiative, specifically on which programs have been funded by the allocated $120,000,000 and assessing other needs that the Dream Keepers Initiative can support; requesting the Human Rights Commission, Office of Economic and Workforce Development, Mayor's Office of Housing and Community Development, Department of Children Youth and their Families, Arts Commission, Department of Public Health, Office of Early Care and Education, Fire Department, and Department of Human Resources to report.

Proposes a change to city law: Changing the Health Code to prohibit smoking in outdoor patios of bars and taverns.

Ordinance amending the Health Code to prohibit smoking in outdoor patios of bars and taverns; eliminate exceptions allowing indoor smoking in bars with no employees, bars with historically compliant semi-enclosed smoking rooms, and hotel rooms, to conform to provisions of California law; and repeal suspended and superseded provisions regulating smoking in certain locations.

Proposes a change to city law: Set aside money $195,000,000 of General Obligation (GO) Bond proceeds from Series 2026A Healthy, Safe, and Vibrant SF GO Bonds to the Department of Public Health (DPH), Department of Public Works (DPW), Recreation and Park Department (REC), and the San Francisco Municipal Transportation Agency (MTA) for acquisition and improvement of real property for various healthcare, nursing, and mental health facilities. In short: it commits city money.

Ordinance appropriating $195,000,000 of General Obligation (GO) Bond proceeds from Series 2026A Healthy, Safe, and Vibrant SF GO Bonds to the Department of Public Health (DPH), Department of Public Works (DPW), Recreation and Park Department (REC), and the San Francisco Municipal Transportation Agency (MTA) for acquisition and improvement of real property for various healthcare, nursing, and mental health facilities; certain transportation, pedestrian, street safety-related capital improvements, streetscape enhancements and other public space improvements, and related costs in Fiscal Year (FY) 2025-2026; and placing these funds on Controller’s Reserve pending receipt of bond proceeds.

A formal position or approval by the Board: Approve and allow the Director of Property, on behalf of the Drug Market Agency Coordination Center to sign Lease with 33 8th Street, LLC, a California limited liability company, for a portion of the real property located at 33-8th Street, for a term of 10 years and four months at an initial annual base rent of $448,224 with 3% annual increases, effective upon approval of this an official statement by the Board of Supervisors and the Mayor and upon execution by the Director of Property.

Resolution approving and authorizing the Director of Property, on behalf of the Drug Market Agency Coordination Center to execute a Lease with 33 8th Street, LLC, a California limited liability company, for a portion of the real property located at 33-8th Street, for a term of 10 years and four months at an initial annual base rent of $448,224 with 3% annual increases, effective upon approval of this Resolution by the Board of Supervisors and the Mayor and upon execution by the Director of Property; and authorizing the Director of Property to enter into amendments or modifications to the Lease that do not materially increase the obligations or liabilities to the City and are necessary to effectuate the purposes of the Lease or this Resolution.

A formal position or approval by the Board: Retroactively allow the Department of Public Health to accept and expend a grant in the amount of $1,000,000 from the California Department of Health Care Services for participation in a program entitled, “Department of Health Care Services (DHCS) Grant for San Francisco Chinese Hospital,” to support the new oncology clinic and chemotherapy center at the Chinese Hospital from July 1, 2025, to December 31, 2026. In short: a symbolic stance, not a binding law.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $1,000,000 from the California Department of Health Care Services for participation in a program entitled, “Department of Health Care Services (DHCS) Grant for San Francisco Chinese Hospital,” to support the new oncology clinic and chemotherapy center at the Chinese Hospital from July 1, 2025, to December 31, 2026.

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 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.

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.