Legislation

The ordinance amends various city codes to streamline regulations by removing certain permit requirements and fees for veterinary hospitals and laundry facilities, while also establishing new fees for solid waste compliance and food safety activities. It also adjusts existing fees and penalties related to agricultural inspections, hazardous waste management, and tobacco sales violations.

Ordinance amending the Business and Tax Regulations Code, Health Code, Administrative Code, and Public Works Code to: 1) eliminate Department of Public Health permit requirement for veterinary hospitals and laundry facilities; 2) eliminate the food facility surcharge and certain fees for agricultural inspections; 3) establish fees for regulatory compliance activities for solid waste facilities, refuse service for commercial and residential properties, and licensing of refuse collectors; 4) establish regulatory fee for food safety classes and food safety examinations; 5) increase existing regulatory fees for agricultural inspections, and hazardous waste management; 6) increase penalties for violations of tobacco sales ordinances by tobacco retailers; and 7) decrease fees for certified farmers’ market permits.

This ordinance sets the patient rates for services offered by the Department of Public Health for the fiscal years 2025-2026 and 2026-2027. It also allows the Department to waive or reduce fees for low-income patients through charity care and discounted payment programs.

Ordinance amending the Health Code to set patient rates for services provided by the Department of Public Health (DPH), for Fiscal Years 2025-2026 and 2026-2027; and authorizing DPH to waive or reduce fees to meet the needs of low-income patients through its provision of charity care and other discounted payment programs.

The resolution allows certain city services, such as security and food services, to be contracted out to private companies if they can be provided at a lower cost than by city employees. This includes services for various departments like the Board of Supervisors, Public Works, and the Sheriff’s Department.

Resolution concurring with the Controller's certification that department services previously approved can be performed by private contractor for a lower cost than similar work performed by City and County employees, for the following services: Budget and Legislative Analyst Services (Board of Supervisors); Fleet Security Services, Real Estate Division Custodial Services, Real Estate Division Security Services, Convention Facilities Management (General Services Agency - Administrative Services); Security Services (Department of Public Works); Security Services (Homelessness and Supportive Housing); Security Services (Human Services Agency); Food Services at County Jails (Sheriff’s Department); Assembly of Vote by Mail Services (Department of Elections); Security Services (Mayor’s Office of Housing and Community Development); and Security Services (Department of Public Health).

A formal position or approval by the Board: Allow the acceptance and expenditure of Recurring State grant funds by the San Francisco Department of Public Health for Fiscal Year (FY) 2025-2026.

Resolution authorizing the acceptance and expenditure of Recurring State grant funds by the San Francisco Department of Public Health for Fiscal Year (FY) 2025-2026.

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.

This resolution allows the Department of Public Health to accept and use a grant of approximately $2.49 million from the California Department of Health Care Services for a program aimed at supporting housing and homelessness initiatives. It also gives the Director of Health the authority to finalize the grant agreement with the San Francisco Health Plan.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $2,489,698.63 from the California Department of Health Care Services (DHCS) through San Francisco Health Authority, a local governmental entity doing business as the San Francisco Health Plan (“Health Plan” or “SFHP”) for participation in a program entitled, “Housing and Homelessness Incentive Program (“HHIP”) Expanding San Francisco Department of Public Health Recuperative Care Community Supports,” for a term of one year, one month, and sixteen days from May 15, 2025 to June 30, 2026; and delegating authority under Charter, Section 9.118(a), to the Director of Health to approve a Grant Agreement between the City, acting by and through the Department of Public Health, and SFHP.

This resolution allows the San Francisco Department of Public Health to accept a $6 million grant from the California Department of Health Care Services for a program aimed at enhancing health services over one year. It also gives the Director of Health the authority to finalize the grant agreement with the San Francisco Health Plan.

Resolution authorizing the Department of Public Health to accept and expend a grant in the amount of $6,000,000 from the California Department of Health Care Services (DHCS) through San Francisco Health Plan (SFHP) for participation in a program entitled, “Incentive Payment Program (“IPP”) San Francisco Department of Public Health Epic Enhancement Implementation Project,” for a term of one year from July 1, 2025, through June 30, 2026; and delegating authority under Charter, Section 9.118(a) to the Director of Health to approve a Grant Agreement between the City, by and through the Department of Public Health, and the SFHP.

This ordinance aims to ensure fair distribution of homeless shelters and behavioral health facilities by preventing new City-funded ones from being placed in neighborhoods that already have a higher proportion of such services compared to their unsheltered population. It also prohibits new shelters from being located within 300 feet of existing ones, though the Board of Supervisors can waive these rules if deemed beneficial for the public.

Ordinance amending the Administrative Code to promote equitable access to shelter and behavioral health services by prohibiting the City from siting a new, City-funded homeless shelter, transitional housing facility, or certain behavioral health residential care and treatment facilities (collectively, “Covered Facilities”) in a neighborhood where the neighborhood’s share of the City’s shelter and transitional housing beds exceeds the neighborhood’s share of the City’s unsheltered persons, and prohibiting the City from siting a new City-funded homeless shelter within 300 feet of an existing homeless shelter; and authorizing the Board of Supervisors to waive these prohibitions upon a finding that approving the Covered Facility or homeless shelter at the proposed location is in the public interest; and providing that this ordinance shall sunset on December 31, 2031.

The ordinance amends the Police Code to increase fees for certain outdoor sound permits, remove permit requirements for specific activities, and streamline the application process for entertainment permits. It also adjusts public notice requirements and modifies conditions under which hearings are held for certain permits.

Ordinance amending the Police Code to 1) increase the filing fee for One Time Outdoor Amplified Sound Permits; 2) eliminate permit requirements for ball or ring throwing games, dance halls, and masked balls; 3) eliminate referral of Place of Entertainment Permit applications to the Department of Building Inspection (“DBI”); 4) eliminate referral of Limited Live Performance and Fixed Place Outdoor Amplified Sound permits to the Planning Department; 5) relax public notice requirements on the applicant and the Entertainment Commission with respect to applications for Place of Entertainment, Limited Live Performance, and Fixed Place Amplified Sound permits; 6) require the Entertainment Commission to hold a hearing on any application for a One Time Event Permit or One Time Outdoor Amplified Sound Permit in cases where an applicant has previously obtained 12 or more such permits in the same calendar year, rather than the preceding 12 months; 7) for Extended-Hours Permits, eliminate referral to DBI, and eliminate referral to the Department of Public Health and the Fire Department in cases where the applicant or permittee already holds valid permits from those departments; and 8) amend definitions relevant to noise limit enforcement.

This legislation involves a hearing to review the Treatment on Demand Annual Report for the fiscal year 2023-2024. It also requests the Department of Public Health to provide additional information during the hearing.

Hearing on the Treatment on Demand Annual Report for Fiscal Year 2023-2024; and requesting the Department of Public Health to report.

This resolution allows the Director of Health to sign an agreement to ensure San Francisco can access mental health treatment and manage funding for it, covering a period from October 1, 2023, to June 30, 2025, with a budget limit of $10 million. It also permits the Director of Public Health to make necessary adjustments to the agreement without increasing the city's financial obligations.

Resolution retroactively authorizing the Director of Health to sign a California Department of State Hospitals and California Mental Health Services Authority Memorandum of Understanding to facilitate access to mental health treatment and facilitate the transfer of funds to cover San Francisco's obligation to pay for mental health treatment at the California Department of State Hospitals, for a term of one year and nine months, from October 1, 2023, through June 30, 2025, as required by Welfare and Institutions Code Sections 4330 and 4331, and for a total not to exceed amount of $10,000,000; and to authorize the Director of Public Health to enter into any amendments or modifications to the Memorandum of Understanding that the Department determines, in consultation with the City Attorney, 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 a four-year amendment to an agreement between the City and San Francisco Health Plan for community support services under CalAIM, expected to generate up to $6,039,300 in revenue. It also allows the Executive Director of the Department of Disability and Aging Services to make minor changes to the amendment before it is finalized.

Resolution approving an amendment to the agreement between the City, acting by and through the Department of Disability and Aging Services, and San Francisco Health Plan, for CalAIM community supports services, for a term of four years from July 1, 2024, through June 30, 2028, with an anticipated revenue to the City not to exceed $6,039,300 pursuant to Charter, Section 9.118; and authorizing the Executive Director of the Department of Disability and Aging Services to make necessary, non-material changes to the amendment before its execution.

This resolution approves an amendment to an agreement between the City and the San Francisco Health Plan for enhanced care management services, with expected revenue of up to $3,944,000. It also allows the Executive Director of the Department of Disability and Aging Services to make minor changes to the agreement as needed, without altering the contract's duration.

Resolution approving Amendment No. 3 to the agreement between the City and County of San Francisco, acting by and through the Department of Disability and Aging Services, and San Francisco Health Plan, for enhanced care management fee for services, having anticipated revenue to the City not to exceed $3,944,000 pursuant to Charter, Section 9.118, with no changes to the term of July 1, 2023, through June 30, 2028; and to authorize the Executive Director of the Department of Disability and Aging Services to enter into any amendments or modifications to Amendment No. 3 that the Department determines, in consultation with the City Attorney, that do not materially increase the obligations or liabilities to the City and are necessary to effectuate the purposes of the Agreement and Amendment No. 3.

This hearing seeks input from city departments and stakeholders on potential updates to a 2021 ordinance requiring annual reports on overdose prevention policies. It follows the passage of the "Recovery First" Ordinance, which prioritizes long-term recovery from substance use disorders in San Francisco's drug policy.

Hearing to solicit input from relevant City departments and stakeholders regarding potential updates to the 2021 Ordinance mandating, through Administrative Code, Section 15.17, annual reports on "Overdose Prevention Policies;” this hearing follows the final passage of the “Recovery First” Ordinance, which establishes long-term recovery from substance use disorders as the primary objective of San Francisco's drug policy; and requesting the Department of Public Health, Department of Homelessness and Supportive Housing, Department of Emergency Management's "Healthy Streets Operation Center," and Human Services Agency to report.

This resolution allows the Department of Public Health to accept and use a $265,000 grant from the California Department of Health Care Services for a Medi-Cal program from July 1, 2024, to June 30, 2025. It has been officially passed and is now in effect.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $265,000 from the California Department of Health Care Services through the Blue Cross of California Partnership Plan, Inc. (Anthem) for participation in a program entitled, “California Advancing and Innovating Medi-Cal (CalAIM) Capacity Building Incentive Payment Program,” for the period of July 1, 2024, through June 30, 2025.

This resolution allows the Department of Public Health to accept a $37,500 donation from Epic Systems Corporation to fund the Community Resource Directory and Behavioral Health Project from July 1, 2023, to June 30, 2025. It has been officially approved and is now in effect.

Resolution retroactively authorizing the Department of Public Health to accept and expend a monetary gift in the amount of $37,500 from the Epic Systems Corporation to support the Community Resource Directory and Behavioral Health Project, for the period of July 1, 2023, through June 30, 2025.

This resolution allows the Department of Public Health to use a $37,000 donation from Epic Systems Corporation to support low-income and at-risk populations from July 1, 2023, to June 30, 2024. It has been officially approved and is now in effect.

Resolution retroactively authorizing the Department of Public Health to accept and expend a monetary gift, entitled “RAMS Richmond Area Multi Services,” in the amount of $37,000 from the Epic Systems Corporation to help low income and at-risk populations for the period of July 1, 2023, through June 30, 2024.

This resolution allows the Department of Public Health to accept and use a donation of $1,744,131 from the San Francisco Public Health Foundation for its programs from July 1, 2024, to June 30, 2025. It has already been approved.

Resolution retroactively authorizing the Department of Public Health (DPH) to accept and expend a gift valued in the amount of $1,744,131 from the San Francisco Public Health Foundation in support of various Department of Public Health program needs, for the period of July 1, 2024, through June 30, 2025.

This ordinance changes how certain city departments manage their cash revolving funds by removing authorization for some, adjusting limits for others, and adding new funds for specific departments. It aims to streamline financial operations within the city government.

Ordinance amending the Administrative Code to remove the authorization for certain cash revolving funds (Controller, Ethics Commission, Department of Police Accountability, Planning Department, Public Defender, Department of Public Health - Community Mental Health Services Vocational Rehabilitation, Department of Public Health - Laguna Honda Hospital, Public Utilities Commission - Hetch Hetchy Project, Public Utilities Commission - Water Department); reduce the maximum amount of cash revolving fund for certain funds (Human Services Agency, Department of Public Health - Zuckerberg San Francisco General Hospital, Treasurer-Tax Collector); increase the maximum amount of cash revolving fund for Public Utilities Commission; and authorize additional revolving funds (Public Utilities Consumer, Recreation and Park Department, and Department of Elections).

This legislation calls for a hearing to discuss the final report from the Residential Care and Treatment Workgroup, which focuses on improving behavioral health placements for individuals with complex needs. It also requests reports from the Office of the Controller and the Department of Public Health on this matter.

Hearing on the findings of the Residential Care and Treatment Workgroup’s final report, entitled “Expanding Behavioral Health Placements for a Complex Population;” and requesting the Office of the Controller and Department of Public Health to report.

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.