Legislation

This resolution allows the Department of Public Health to accept and use a $1,281,000 grant from the California Department of Public Health for a program aimed at preventing fentanyl overdoses, covering the period from March 1, 2024, to February 28, 2027. It was passed retroactively to authorize the funding for the program.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $1,281,000 from the California Department of Public Health for participation in a program, entitled “Fentanyl Overdose Prevention Grant,” for the period of March 1, 2024, through February 28, 2027.

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 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 urges the Mayor and the Department of Human Resources to create an emergency hiring plan that includes incentives to attract and keep behavioral healthcare workers. The goal is to fill vacant positions within the city and at contracted service providers.

Resolution urging the Mayor and Department of Human Resources (DHR) to initiate an emergency hiring plan with recruitment and retention incentives for behavioral healthcare workers to fill city employee vacancies and vacancies at city-contracted providers.

The ordinance establishes a voluntary three-year program called "Cash Not Drugs," which provides eligible participants in the County Adult Assistance Programs a weekly payment of up to $100 if they test negative for illicit drugs and engage in substance use disorder treatment. It also exempts these payments from the eligibility calculations for CAAP benefits and includes a six-month implementation plan before the program starts.

Ordinance amending the Administrative Code to authorize the Human Services Agency, in coordination with the Department of Public Health, to establish a voluntary three-year sobriety and recovery incentive treatment program, known as “Cash Not Drugs,” to provide a weekly payment of up to $100 to eligible beneficiaries of the County Adult Assistance Programs (“CAAP”) who have been screened for a substance use disorder and referred to substance use disorder treatment as a condition of further receipt of CAAP benefits, and who test negative for illicit drugs once per week; exempting the Cash Not Drugs payments from the CAAP eligibility calculation; providing for a six-month implementation plan before the program becomes operational; and revising the Homelessness and Supportive Housing Fund to include the Cash Not Drugs program as a permitted use of funds.

This ordinance requires certain city departments to regularly report to the Board of Supervisors on how well the city's street teams are performing. The goal is to improve the efficiency and effectiveness of these teams in addressing community needs.

Ordinance amending the Administrative Code to require regular reporting to the Board of Supervisors by the Department of Emergency Management, Department of Homelessness and Supportive Housing, Department of Public Health, and Fire Department, concerning the efficiency and effectiveness of the City’s street teams.

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.

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.

This resolution approves an increase of over $5.3 million to the existing agreement between the Positive Resource Center and the Department of Public Health for emergency financial services, raising the total agreement amount to over $15.3 million and extending the contract term by two years until February 29, 2028. It also allows the Department of Public Health to make minor amendments to the contract without further approval, as long as they do not significantly increase the city's obligations.

Resolution approving Amendment No. 3 to the agreement between Positive Resource Center and the Department of Public Health (DPH), for emergency financial services; to increase the agreement by $5,365,891 for an amount not to exceed $15,359,513; to extend the term by two years, from February 28, 2026, for a total agreement term of March 1, 2018, through February 29, 2028; and to authorize DPH to enter into amendments or modifications to the contract prior to its final execution by all parties that do not materially increase the obligations or liabilities to the City and are necessary to effectuate the purposes of the contract or this Resolution.

This resolution designates the week of August 4 through August 10, 2024, as National Health Center Week in San Francisco. It acknowledges the contributions of the San Francisco Community Clinic Consortium and its member health centers to the community.

Resolution proclaiming the week of August 4 through August 10, 2024, as National Health Center Week in the City and County of San Francisco; and recognizing the work of the San Francisco Community Clinic Consortium and its member community health centers.

This ordinance aims to increase the availability of Permanent Supportive Housing (PSH) for homeless individuals that requires abstinence from illegal drug use, while prohibiting funding for drug tolerant housing until at least 25% of PSH is designated as Recovery Housing. It also allows the Board of Supervisors to bypass this funding restriction for specific expenditures deemed in the public interest.

Ordinance amending the Administrative Code to state that it is City policy to expand the availability of Permanent Supportive Housing (“PSH”) for people experiencing homelessness that emphasizes abstinence from illegal substance use (“Recovery Housing”); to prohibit the City from funding PSH for people experiencing homelessness that bars evictions on the basis of drug use alone (“Drug Tolerant Housing”) until at least 25% of the City’s PSH portfolio is operated as Recovery Housing, except where operation of the funded housing as Recovery Housing would conflict with standards imposed by law or as a condition of other funding; and to authorize the Board of Supervisors to suspend the funding restriction by Resolution for a specific expenditure, upon finding that the expenditure is in the public interest.

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 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.

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.

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 Department of Public Health to accept and use an additional $138,434 grant, bringing the total to $173,063, from the National Institutes of Health for a program focused on HIV/AIDS interventions for adolescents. The funding will support the program from December 1, 2023, to November 30, 2024.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant increase in the amount of $138,434 for a total amount of $173,063 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 the period of December 1, 2023, through November 30, 2024.

This resolution allows the Department of Public Health to accept and use a $177,860 grant for a program aimed at developing support tools for transgender women regarding pre-exposure prophylaxis (PrEP) from September 7, 2023, to September 6, 2025. It has been officially passed.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $177,860 from the Department of Health and Human Services through Heluna Health for participation in a program, entitled “MyPrEP Plus: Development and Pilot Testing of Novel Pre-Exposure Prophylaxis Support Tools for Transgender Women,” for the period of September 7, 2023, through September 6, 2025.

The resolution allows the San Francisco Department of Public Health to enter into a 10-year agreement with federal agencies to secure $3.5 million in funding for a dementia care program. It also permits the department to make minor adjustments to the agreement as needed, with legal consultation.

Resolution retroactively authorizing the San Francisco Department of Public Health (“DPH”) to enter into a Participation Agreement with the Federal Centers for Medicare & Medicaid Services to provide federal funding for an innovative dementia care program, for a term of 10 years and 26 days from June 5, 2024, through June 30, 2034, having anticipated revenue of $3,500,000 and authorizing DPH to make necessary, non-material changes to the agreement that DPH determines, in consultation with the City Attorney, are necessary to correct clerical and/or administrative errors, as long as those changes are consistent with this Resolution.

The ordinance authorizes a $350,000 settlement for a lawsuit involving allegations of breach of contract related to cost overruns and delays in a hospital project. It includes a complete release of claims from all parties involved.

Ordinance authorizing settlement of the lawsuit filed by David M. Schmitt. against Build Group, Inc., which then filed a cross-complaint against the City and County of San Francisco, for $350,000; the lawsuit was filed on August 30, 2022, in San Francisco Superior Court, Case No. CGC-22-601503, entitled David M. Schmitt v. Build Group, Inc. et al.; the lawsuit involves allegations of breach of contract arising from cost overruns and delay on the Zuckerberg San Francisco General Hospital Building 5 Rehabilitation Department Relocation Project; other material terms of the settlement are a complete release of claims relating to the project, including any pass through claims from David M. Schmitt or other subcontractors of Build Group, Inc.

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 requires all retail pharmacies in San Francisco that carry controlled substances to stock enough buprenorphine to fill at least two new prescriptions. It also provides a defense for pharmacies that have ordered more stock and sets penalties for those that do not comply.

Ordinance amending the Health Code to require each retail pharmacy in San Francisco that stocks controlled substance prescription drugs to stock sufficient buprenorphine to provide for at least two new prescriptions, provide for an affirmative defense for retail pharmacies that ordered replacement prescriptions, and establish penalties for violating the requirement to stock sufficient buprenorphine.

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 legislation calls for a public hearing to discuss a special election on November 5, 2024, where San Francisco voters will decide on a proposition to incur up to $390 million in bonds for various healthcare, mental health, and infrastructure improvements. It also includes provisions for landlords to pass on half of any resulting property tax increase to tenants and establishes oversight for the bond expenditures.

Hearing of the Board of Supervisors sitting as a Committee of the Whole on July 23, 2024, at 3:00 p.m., during the regular Board of Supervisors meeting, to hold a public hearing to consider the Ordinance (File No. 240497) 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); scheduled pursuant to the approval of a motion made, as part of the action taken for File No. 240497, at the Board of Supervisors meeting of July 16, 2024.

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.

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.

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 ordinance allocates $5.5 million from the city's reserve funds to the Department of Public Health to establish wellness hubs aimed at providing drug and alcohol treatment services. The funding is designated for the fiscal year 2022-2023.

Ordinance appropriating $5,500,000 of General Fund General Reserves to the Department of Public Health for wellness hubs for the purpose of providing drug and alcohol treatment to members of the public in Fiscal Year (FY) 2022-2023.

This resolution states that the Board of Supervisors plans to use some of the funds from the city's opioid litigation to create wellness hubs as part of the Department of Public Health's Overdose Prevention Plan by 2025. It is currently filed and has not yet been enacted.

Resolution declaring the Board of Supervisors’ intent to use a portion of the abatement funds arising from San Francisco’s opioid litigation to open and operate wellness hubs, as outlined by the Department of Public Health’s Overdose Prevention Plan, by 2025.

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.