Legislation

This ordinance establishes a new annual retail food permit for food operators who want to sell at special events in San Francisco and sets the associated fees for obtaining this permit. It amends existing health and business tax regulations to accommodate this change.

Ordinance amending the Health and Business and Tax Regulations Codes to create a new annual retail food permit for food operators participating in special events and set the fees for the new permit.

This ordinance establishes a two-year pilot program that restricts retail food and tobacco establishments in a high-crime area of the Tenderloin from operating between midnight and 5 a.m. It allows for fines and legal actions against businesses that violate these hours.

Ordinance amending the Police Code to create a two-year pilot program, during which retail food and tobacco establishments in a high-crime area of the Tenderloin police district are prohibited from being open to the public from 12:00 a.m. to 5:00 a.m., or from 2:00 a.m. to 5:00 a.m. if subject to regulation by the California Department of Alcoholic Beverage Control; authorizing the Department of Public Health to impose administrative fines for violation of the hours restrictions; declaring an establishment’s operation in violation of the hours restrictions to be a public nuisance; authorizing enforcement actions by the City Attorney; and creating a private right of action for persons harmed by a violation of the hours restriction.

This resolution approves a settlement where the U.S. Department of Health and Human Services will pay San Francisco $441,521.39 for underpayment of Medicare costs related to specific fiscal years. The claims were originally filed in late 2016 and pertain to outlier payments under the Medicare system.

Resolution approving the settlement of unlitigated claims in favor of the City and County of San Francisco against the U.S. Department of Health and Human Services by payment of $441,521.39 to the City; the administrative claims were filed on December 29, 2016, and August 16, 2016; the claims involve underpayment of Medicare costs by the U.S. Department of Health and Human Services for outlier payments under the Medicare Inpatient Prospective Payer System for Federal Fiscal Years 2005-2006.

The ordinance calls for a special election on November 5, 2024, to let voters decide on borrowing up to $390 million for various healthcare, emergency services, and infrastructure improvements in San Francisco. It also allows landlords to pass on half of any property tax increase to tenants and establishes oversight for how the bond money is spent.

Ordinance calling and providing for a special election to be held in the City and County of San Francisco on Tuesday, November 5, 2024, for the purpose of submitting to San Francisco voters a proposition to incur bonded indebtedness of not to exceed $390,000,000 to finance the acquisition or improvement of real property, including: facilities to deliver primary healthcare services, emergency medical services, skilled nursing services, and services for persons experiencing mental health challenges or persons with substance use disorders; acquire, improve, and seismically upgrade critical medical care and mental health facilities and emergency shelter facilities; and improvements for certain transportation, pedestrian, and street safety related capital improvements, streetscape enhancements and other public space improvements, and related costs necessary or convenient for each of the foregoing purposes; authorizing landlords to pass-through 50% of the resulting property tax increase, if any, to residential tenants under Administrative Code, Chapter 37; providing for the levy and collection of taxes to pay both principal and interest on such Bonds; incorporating review of Bond expenditures under the provisions of the Administrative Code by the Citizens’ General Obligation Bond Oversight Committee; setting certain procedures and requirements for the election; adopting findings under the California Environmental Quality Act; and finding that the proposed Bonds are in conformity with the General Plan, and with the eight priority policies of Planning Code, Section 101.1(b).

This resolution authorizes the city to acquire or improve properties for healthcare, emergency services, and public safety enhancements, while allowing landlords to pass on half of any resulting property tax increase to tenants. It also confirms compliance with environmental regulations and city planning policies.

Resolution determining and declaring that the public interest and necessity demand the acquisition or improvement of real property, including: facilities to deliver primary healthcare services, emergency medical services, skilled nursing services, services for persons experiencing mental health challenges, and persons experiencing substance use disorders; acquire, improve, and seismically upgrade critical medical care and mental health facilities; emergency shelter facilities; and improvements for certain transportation, pedestrian, and street safety related capital improvements, streetscape enhancements, and other public space improvements, and related costs necessary or convenient for the respective foregoing purposes; authorizing landlords to pass-through 50% of the resulting property tax increase, if any, to residential tenants under Administrative Code, Chapter 37; adopting findings under the California Environmental Quality Act; and finding that the proposed Bonds are in conformity with the General Plan, and with the eight priority policies of Planning Code, Section 101.1(b).

This resolution allows the San Francisco Public Utilities Commission to use over $23 million in federal funds to help residential and commercial customers who fell behind on their water and wastewater bills during the COVID-19 pandemic. The funds are aimed at assisting those who accrued arrears or received discounts between June 2021 and December 2022.

Resolution authorizing the San Francisco Public Utilities Commission to accept and expend federal funds from the American Rescue Plan Act of 2021 and administered by the State Water Resources Control Board with a total amount of $23,368,920.23 to assist eligible residential and commercial customers who accrued water and/or wastewater arrears or received discounts for water and/or wastewater services during the extended COVID-19 pandemic from June 16, 2021, through December 31, 2022, effective upon approval of this Resolution.

This ordinance updates the agreement between San Francisco and the Service Employees International Union to improve staffing and hiring for registered nurses and public health nurses. It specifically addresses the needs for 2,320 registered nurses and 2,830 public health nurses over the next few years.

Ordinance adopting and implementing the First Amendment to the 2024-2027 Memorandum of Understanding between the City and County of San Francisco and Service Employees International Union, Local 1021, Staff and Per Diem Nurses to address staffing and hiring of 2320 Registered Nurses and 2830 Public Health Nurses.

This ordinance approves the health insurance plans and the contribution rates that the city will use for its employees in 2025. It ensures that city workers have access to health services and outlines how much they and the city will pay for those services.

Ordinance approving Health Service System plans and contribution rates for calendar year 2025.

The ordinance establishes the Library Read to Recovery Program, which provides free written materials and books related to recovery from substance-use and non-substance-related addictive disorders at the Main Library and all Library branches. This initiative aims to support individuals seeking help with their recovery journey.

Ordinance amending the Administrative Code to establish the Library Read to Recovery Program to provide at the Main Library and all Library branches free written materials and books from mutual-help programs, for individuals who seek recovery from substance-use disorders and non-substance-related addictive disorders.

This legislation involves a hearing scheduled for June 25, 2024, where the Board of Supervisors will review the Department of Public Health's proposed budget cuts to medical and health care services for the next two fiscal years. The hearing is conducted under the Beilenson Act, which allows for public scrutiny of health service reductions.

Hearing of the Board of Supervisors sitting as a Committee of the Whole on June 25, 2024, at 3:00 p.m., to consider the Department of Public Health's budget reducing medical and health care services provided by the City and County of San Francisco for Fiscal Years (FYs) 2024-2025 and 2025-2026, pursuant to California Health and Safety Code, Section 1442.5(a) (The Beilenson Act).

The proposed Initiative Ordinance aims to safeguard reproductive freedoms in San Francisco by establishing a fund for reproductive rights, providing public information about available services, and ensuring access to abortions and emergency contraception. It also seeks to limit cooperation with state or federal prosecutions related to lawful reproductive health care and amend zoning laws to allow reproductive health care centers in non-residential areas.

Hearing to consider the proposed Initiative Ordinance submitted by the Mayor to the voters for the November 5, 2024, Election, entitled "Ordinance amending the Administrative Code to 1) declare it official City policy to safeguard comprehensive reproductive freedoms; 2) establish a fund to receive monies to support reproductive rights and health services; 3) require the City to provide public information through website and signage about where abortions and emergency contraception may be available, including signage in front of limited services pregnancy centers that do not provide those services; 4) direct the City to identify and allocate funding that supports access to abortions and emergency contraception services in San Francisco; 5) prohibit City-funded providers from requiring providers to obtain additional medical qualifications not required by state or federal law; 6) restrict City officers and employees from cooperating with state or federal prosecutions as to reproductive health care that is provided or obtained lawfully in California; and 7) direct City departments to monitor changes in state and federal law that prevent discrimination on the basis of a person's reproductive health decision making; and amending the Planning Code to establish that reproductive health care centers that provide services for abortions and emergency contraception are principally permitted in non-residential zoning districts."

This resolution approves a three-and-a-half-year extension of the lease for Joe & the Juice at San Francisco International Airport, extending the lease term to June 30, 2032. The extension is part of the COVID-19 Lease Extension Program.

Resolution approving the COVID-19 Lease Extension Program for the International Terminal Food and Beverage Concession Lease 8, Lease No. 16-0018 (Lease), at the San Francisco International Airport by and between Joe & the Juice New York, LLC DBA Joe & the Juice, as tenant, and City and County of San Francisco, acting by and through its Airport Commission, as landlord, providing for a lease extension of three and one-half years from December 30, 2028, with a total term of August 22, 2016, through June 30, 2032.

This resolution allows the Department of Public Health to use a $250,000 grant from the San Francisco Health Plan for a program called "Specialty Services Access Grant" from February 28, 2024, to December 31, 2024. It has been approved and is now in effect.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $250,000 from the San Francisco Health Plan for participation in a program, entitled “Specialty Services Access Grant,” for the period of February 28, 2024, through December 31, 2024.

This resolution allows the Department of Public Health to use a $376,000 grant from the San Francisco General Hospital Foundation for a program aimed at improving emergency care for older adults, covering the period from January 1, 2020, to June 30, 2025. It was passed retroactively to authorize the funding for the project.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $376,000 from the San Francisco General Hospital Foundation for participation in a program, entitled “Geriatric Emergency Department Planning Grant, Pilot Project 2020,” for the period of January 1, 2020, through June 30, 2025.

This motion appoints several individuals to the San Francisco Health Authority with varying term lengths, ensuring leadership continuity in health governance. The appointments include Abigail Laurence Alderson, Jian Zhang, and four others, with terms ending between 2025 and 2027.

Motion appointing Abigail Laurence Alderson, term ending January 15, 2025, Jian Zhang, term ending January 15, 2026, and Roland Pickens, Joseph Woo, Steven Fugaro, Norlissa Cooper, and Juthaport Chaloeicheep, terms ending January 15, 2027, to the San Francisco Health Authority.

This ordinance aims to restrict retail food and tobacco establishments in a high-crime area of the Tenderloin from operating between midnight and 5 a.m. for two years, allowing for fines and legal actions against those that violate these hours.

Ordinance amending the Police Code to create a two-year pilot program, during which retail food and tobacco establishments in a high-crime area of the Tenderloin police district are prohibited from being open to the public from 12:00 a.m. to 5:00 a.m., or from 2:00 a.m. to 5:00 a.m. if subject to regulation by the California Department of Alcoholic Beverage Control; authorizing the Department of Public Health to impose administrative fines for violation of the hours restrictions; declaring an establishment’s operation in violation of the hours restrictions to be a public nuisance; authorizing enforcement actions by the City Attorney; and creating a private right of action for persons harmed by a violation of the hours restriction.

This ordinance updates the Health Code to establish the patient rates and fees for healthcare services offered by the Department of Public Health for the fiscal years 2024-2025 and 2025-2026. It aims to ensure that healthcare services are appropriately priced during this period.

Ordinance amending the Health Code to set patient rates and rates for other healthcare services provided by the Department of Public Health, for Fiscal Years 2024-2025 and 2025-2026.

The ordinance allows the Department of Public Health to give a one-time grant of up to $456,000 to Planned Parenthood Northern California for security personnel to enhance access to family planning and reproductive healthcare services over a two-year period. It also mandates annual reports to the Board of Supervisors on the selected security personnel and any security incidents at Planned Parenthood NC.

Ordinance authorizing the Department of Public Health (“Department”) to award a one-time grant to Planned Parenthood Northern California (“Planned Parenthood NC”) by waiving the competitive solicitation requirements of Administrative Code, Chapter 21G, for the purpose of funding security personnel to support access to family planning and other sexual and reproductive healthcare services in an amount not to exceed $456,000 for a term not to exceed two years to commence on April 1, 2025, through March 31, 2027; and requiring the Department to provide an annual report to the Board of Supervisors on the security personnel selected by Planned Parenthood NC and security incidents experienced by Planned Parenthood NC.

This resolution allows the San Francisco Department of Public Health to accept and spend recurring state grant funds for the fiscal year 2024-2025. It ensures that the department has the financial resources needed to support its health programs during that period.

Resolution authorizing the acceptance and expenditure of Recurring State grant funds by the San Francisco Department of Public Health for Fiscal Year (FY) 2024-2025.

This resolution approves a partnership between the Department of Public Health and the National Association of County and City Health Officials to reduce overdoses through community mentorship from July 1, 2023, to July 31, 2024, with expected revenue of $98,999 for the city. It also allows the Director of Public Health to make minor changes to the agreement as needed without increasing the city's obligations.

Resolution retroactively approving an agreement between the Department of Public Health (DPH) and the National Association of County and City Health Officials for reducing overdose through community approaches mentorship program, for a term of July 1, 2023, through July 31, 2024, including binding arbitration and anticipated revenue to the City of $98,999; and authorizing the Director of 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.

This resolution allows the Department of Public Health to accept and use a $2,597,683 grant from the California Department of Health Care Services for a program aimed at supporting justice-involved individuals from August 29, 2023, to December 31, 2026. It was passed retroactively to ensure funding is available for the program's activities.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $2,597,683 from the California Department of Health Care Services for participation in a program, entitled “Path Justice-Involved Capacity Building Program,” for the period of August 29, 2023, through December 31, 2026.

This resolution allows the Department of Public Health to accept an additional $225,730 grant from the CDC, increasing the total funding to $1,124,506 for a program aimed at enhancing HIV prevention efforts. The funding will support the program from April 1, 2023, to June 30, 2024.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant increase in the amount of $225,730 from the Centers for Disease Control and Prevention for a total amount of $1,124,506 for participation in a program, entitled “Capacity Building Assistance (CBA) for High-Impact HIV Prevention,” for the period of April 1, 2023, through June 30, 2024.

This resolution allows the Department of Homelessness and Supportive Housing to enter into a grant agreement with the San Francisco Health Plan for nearly $3.23 million to improve services and accessibility for permanent supportive housing from July 2023 to December 2025. It also permits HSH to make minor amendments to the agreement as needed without significantly changing the city's obligations or benefits.

Resolution retroactively authorizing the Department of Homelessness and Supportive Housing (“HSH”) to enter into a Grant Agreement for a term commencing on July 1, 2023, through December 31, 2025, between the City and County of San Francisco (“City”), acting by and through HSH, and the San Francisco Health Plan, not to exceed $3,227,884 in order to provide enhanced onsite services, increase site accessibility and support data integration for permanent supportive housing under the Housing and Homelessness Incentive Program (“HHIP”); and authorizing HSH to enter into any amendments or other modifications to the agreement 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 agreement.

This ordinance removes the fees that permitted cannabis businesses previously had to pay for inspections conducted by the Department of Public Health. It aims to reduce the financial burden on these businesses.

Ordinance amending the Business and Tax Regulations Code to eliminate fees charged to permitted cannabis businesses to cover the cost of inspections of those businesses by the Department of Public Health (DPH).

This resolution allows certain city services, including security and food services, to be contracted out to private companies if they can perform the work at a lower cost than city employees. It has been approved by the Controller, confirming the cost-effectiveness of this approach.

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).

This resolution allows the city to hire a private contractor to provide security services for the Office of the Medical Examiner at a lower cost than if city employees performed the same work. It has been officially approved by the city.

Resolution concurring with the Controller's certification that department services can be performed by private contractor for a lower cost than similar work performed by City and County employees, for Security Services for the Office of the Medical Examiner at 1 Newhall Street for the General Services Agency - Administrative Services.

This resolution allows the Department of Public Health to accept and use a donation of supplies worth $57,264.40 from the San Francisco Public Health Foundation, supporting its Primary Care Division for the fiscal year from July 1, 2022, to June 30, 2023. It has already been approved.

Resolution retroactively authorizing the Department of Public Health to accept and expend an in-kind gift of supplies valued in the amount of $57,264.40 from the San Francisco Public Health Foundation, in support of the Primary Care Division of the Department of Public Health, for the period of July 1, 2022, to June 30, 2023.

The resolution allows the Department of Public Health to accept an additional $18,016 grant from the CDC, increasing the total funding to $107,707 for a program focused on HIV and tuberculosis assistance. This funding will support efforts related to the President’s Emergency Plan for AIDS Relief and the Global Fund for one year, from September 30, 2023, to September 29, 2024.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant increase in the amount of $18,016 from the Centers for Disease Control and Prevention through The Regents of the University of California, San Francisco for a total amount of $107,707 for participation in a program, entitled “Targeted HIV/TB Strategic Information Technical Assistance for President’s Emergency Plan for AIDS Relief (PEPFAR) and Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) Countries,” for the period of September 30, 2023, through September 29, 2024.