Legislation

This resolution designates the week of August 2 to August 8, 2026, as National Health Center Week in San Francisco. It aims to acknowledge the contributions of health centers to the community's well-being.

Resolution recognizing the week of August 2, 2026, through August 8, 2026, as National Health Center Week in the City and County of San Francisco.

A formal position or approval by the Board: Retroactively allow the Department of Public Health to accept and expend a monetary gift, entitled “2025 UGM Safety Net Grant,” in the amount of $12,710.44 from the Epic Systems Corporation to help low income and at-risk populations for the period of July 1, 2025, through June 30, 2026.

Resolution retroactively authorizing the Department of Public Health to accept and expend a monetary gift, entitled “2025 UGM Safety Net Grant,” in the amount of $12,710.44 from the Epic Systems Corporation to help low income and at-risk populations for the period of July 1, 2025, through June 30, 2026.

A formal position or approval by the Board: Retroactively allow the Department of Public Health to accept and expend a monetary gift, entitled “2025 Safety Net Gift,” in the amount of $115,000 from the Epic Systems Corporation to help low income and at-risk populations for the period of July 1, 2025, through June 30, 2026.

Resolution retroactively authorizing the Department of Public Health to accept and expend a monetary gift, entitled “2025 Safety Net Gift,” in the amount of $115,000 from the Epic Systems Corporation to help low income and at-risk populations for the period of July 1, 2025, through June 30, 2026.

Proposes a change to city law: Changing the Health Code to set patient rates for services provided by the Department of Public Health for Fiscal Years 2026-2027 and 2027-2028.

Ordinance amending the Health Code to set patient rates for services provided by the Department of Public Health for Fiscal Years 2026-2027 and 2027-2028.

Proposes a change to city law: Changing the Health Code to repeal the prohibition on transporting bread in open baskets or containers on City streets, the prohibition on selling unsterilized rags and other types of cloth to be used for cleaning in industrial places of employment and related regulations, and the prohibition on operating a laundry for sterilizing such rags without a permit.

Ordinance amending the Health Code to repeal the prohibition on transporting bread in open baskets or containers on City streets, the prohibition on selling unsterilized rags and other types of cloth to be used for cleaning in industrial places of employment and related regulations, and the prohibition on operating a laundry for sterilizing such rags without a permit.

This resolution allows the Department of Public Health to accept and use a $250,000 grant from the State of California to enhance the Comprehensive Sexual and Reproductive Health Program for one year. It also gives the Director of Health the authority to make minor changes to the grant agreement as needed.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $250,000 from the State of California through Essential Access Health for participation in a program, entitled “Comprehensive Sexual and Reproductive Health Program”; retroactively approving the Grant Agreement between the City, acting by and through the Department of Public Health, and the Essential Access Health for the purpose of strengthening the overall quality of the California Comprehensive Sexual and Reproductive Health program for a term of one year from April 1, 2026, through March 31, 2027, for a total not to exceed amount of $250,000; and to authorize the Director of 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 or this Resolution.

This resolution allows the Department of Public Health to accept an additional $1,119,045 grant from the CDC, increasing the total grant to $15,873,392 for a program focused on strengthening STD prevention and control. It also retroactively approves the related Notice of Award agreement for the funding period from January 1, 2019, to February 28, 2027.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant increase in the amount of $1,119,045 for a total grant amount of $15,873,392 from the Centers for Disease Control and Prevention for participation in a program, entitled “Strengthening STD Prevention and Control for Health Departments (STD PCHD),” for the period of January 1, 2019, through February 28, 2027; and retroactively approving the Notice of Award agreement pursuant to Charter, Section 9.118(a).

This resolution allows the Department of Public Health to accept a $37,500 donation from Epic Systems Corporation to support low-income and at-risk populations from July 1, 2025, to June 30, 2026. It is a retroactive authorization for the use of these funds.

Resolution retroactively authorizing the Department of Public Health to accept and expend a monetary gift, entitled “2025 Unrestricted Gift,” in the amount of $37,500 from the Epic Systems Corporation to help low income and at-risk populations for the period of July 1, 2025, through June 30, 2026.

This resolution supports California Assembly Bill No. 1448, which aims to protect the coastline from oil and gas development to ensure environmental safety and promote climate resilience. It emphasizes the importance of safeguarding marine ecosystems and public health while supporting the state's economy.

Resolution supporting California State Assembly Bill No. 1448, authored by Assembly Member Gregg Hart, Coastal Resources: California Coastal Sanctuary: Tidelands and Submerged Lands: Oil and Gas Development, to preserve the state’s coastline, safeguard the economy, protect marine environments and public health, and advance California’s climate resilience goals.

This resolution allows the Director of Property to amend a lease for office space at 650-5th Street, with an annual rent of $122,400 that increases by 3% each year, lasting until July 31, 2031, with an option to extend for five more years. It also gives the Director the authority to make necessary changes and execute related documents for the lease.

Resolution approving and authorizing the Director of Property, on behalf of the Department of Public Health, to execute a second amendment to the lease of real property located at 650-5th Street, Suites 307-309 from Townsend Associates, LLC, at an annual base rent of $122,400 with 3% annual increases, for an initial term commencing upon full execution of the lease amendment and expiring on July 31, 2031, plus one five-year option to extend; and authorizing the Director of Property to execute documents, make certain modifications and take certain actions in furtherance of the lease, as amended, and this Resolution.

This ordinance reallocates $43,505,000 in bond funds away from the Department of Public Health and directs $83,475,000 in new bond funds to both the Department of Public Health and the Recreation and Park Department for the fiscal year 2026-2027. It also places the new funds on reserve until the bond proceeds are received.

Ordinance de-appropriating $43,505,000 General Obligation (GO) Bond proceeds from 2020 Health and Recovery GO Bonds, Series 2025G from the Department of Public Health (DPH) and appropriating $83,475,000 of GO Bond proceeds from 2020 Health and Recovery GO Bonds, Series 2026B to the DPH and Recreation and Park Department (REC) in Fiscal Year 2026-2027; and placing the $83,475,000 in Series 2026B proceeds on Controller’s Reserve pending receipt of bond proceeds.

This ordinance updates the Healthy Airport Ordinance to change the requirements for minimum health care spending by contractors for specific airport workers, starting on January 1, 2027, or when the ordinance takes effect. It aims to ensure that airport workers receive adequate health care support.

Ordinance amending the Labor and Employment Code to revise the Healthy Airport Ordinance to modify, beginning on the later of January 1, 2027, or the effective date of this Ordinance, contracting parties’ obligations for providing minimum health care expenditures to certain airport workers.

This resolution allows the Department of Public Health to accept and use a $204,313.34 grant from the San Francisco Health Plan for a community health assessment and improvement program from July 1, 2025, to December 31, 2026. It is currently scheduled for a committee hearing.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $204,313.34 from the San Francisco Health Plan for participation in a program entitled, “San Francisco Health Plan Community Health Assessment (CHA) / Community Health Improvement Plan (CHIP) Grant” for the period of July 1, 2025, through December 31, 2026.

This resolution allows the Department of Public Health to accept and use a $300,000 in-kind donation of materials and supplies from Community Initiatives for their Food Pharmacies program for the fiscal year 2026-2027. It is currently awaiting action from a committee.

Resolution retroactively authorizing the Department of Public Health to accept and expend an in-kind gift of materials, supplies and other in-kind items in the amount of $300,000 for the period of July 1, 2026, through June 30, 2027, from Community Initiatives, through their Food as Medicine Collaborative project, in support of the Food Pharmacies at Department of Public Health Clinics.

This resolution allows the Department of Public Health to enter into a grant agreement with the California Department of Health Care Services for funding related to behavioral health infrastructure, totaling approximately $11.2 million, and permits retroactive reimbursement for certain expenses. It also grants the department authority to manage the grant and make necessary amendments without significantly increasing the city's obligations.

Resolution retroactively authorizing the Department of Public Health to enter into a Grant Agreement for a term commencing on the execution of the Grant Agreement, through December 31, 2028, between the City and County of San Francisco (“City”), acting by and through its Department of Public Health (“DPH”), and the California Department of Health Care Services for the Behavioral Health Continuum Infrastructure Program (BHCIP), and its third-party administrator Advocates for Human Potential, Inc., having anticipated revenue of $11,199,999.98; including a provision allowing for the retroactive reimbursement of allowable project expenses incurred from February 27, 2026, the date of the Notice of Conditional Award; including a Permitted and Restricted Use at 1660 Mission Street; authorizing DPH to retroactively accept and expend grant funds; 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 authorizes the City and County of San Francisco to issue and sell up to $83,475,000 in general obligation bonds for health and recovery purposes. It outlines the terms, sale process, and necessary actions for managing these bonds.

Resolution authorizing the issuance and sale of not to exceed $83,475,000 aggregate principal amount of one or more series of bonds on a tax-exempt or taxable basis of City and County of San Francisco General Obligation Bonds (Health and Recovery, 2020), Series 2026B; prescribing the form and terms of such bonds and any subseries designation; providing for the appointment of depositories and other agents for such bonds; providing for the establishment of accounts and/or subaccounts related to such bonds; authorizing the sale of such bonds by competitive or negotiated sale; approving the forms of the Official Notice of Sale and Notice of Intention to Sell Bonds and directing the publication of the Notice of Intention to Sell Bonds; approving the form of the Purchase Contract; approving the form of the Preliminary Official Statement and the execution of the Official Statement relating to the sale of such bonds; approving the form of the Continuing Disclosure Certificate; authorizing and approving modifications to such documents; ratifying certain actions previously taken, as defined herein; and granting general authority to City officials to take necessary actions in connection with the authorization, issuance, sale, and delivery of such bonds, as defined herein.

This resolution urges Kaiser Permanente to withdraw its contract demands that could limit the input of Northern California behavioral health therapists, potentially leading to layoffs, increased outsourcing, and reliance on AI for patient care. The goal is to protect the quality of care for patients and ensure therapists have a say in their work.

Resolution urging Kaiser Permanente to drop its “Terrible Three” contract demands that would deny Northern California behavioral health therapists an appropriate voice in the care they provide and negatively impact the quality of care that patients receive due to the potential for layoffs of staff clinicians, increased outsourcing of care, and referral of larger numbers of patients onto artificial intelligence therapy platforms.

This resolution encourages healthcare providers in San Francisco to maintain hepatitis treatment and care services while honoring those dedicated to fighting the disease. It also designates July 28, 2026, as World Hepatitis Day in the city.

Resolution urging healthcare providers to continue providing hepatitis treatment and care; honoring health care professionals and advocates committed to eliminating hepatitis; and recognizing July 28, 2026, as World Hepatitis Day in the City and County of San Francisco.

This hearing aims to evaluate the current state of drug markets in San Francisco, focusing on how different city departments are working together and what resources are needed to improve the situation. It will also assess whether any positive changes are permanent or if drug activity has simply moved to other areas.

Hearing to assess citywide drug market conditions, interdepartmental coordination, and resource allocation, including progress made to date, whether improvement in some areas reflects lasting change or the displacement of drug activity to other neighborhoods, and what additional resources or coordination are needed to stabilize conditions citywide; and requesting the Mayor's Office, Police Department, District Attorney, Department of Public Health, Office of Economic and Workforce Development, and Bay Area Rapid Transit to report.

This ordinance approves the health insurance plans and the contribution rates that city employees will pay for their health coverage in 2027. It is currently scheduled for a committee hearing for further discussion.

Ordinance approving Health Service System plans and contribution rates for calendar year 2027.

This resolution allows the Department of Public Health to accept and use $87,000 worth of wastewater analysis services from Biobot Analytics for one year, starting July 1, 2026. It is currently scheduled for a committee hearing.

Resolution retroactively authorizing the Department of Public Health to accept and expend an in-kind gift of wastewater analysis services valued in the amount of $87,000 from Biobot Analytics in support of the Department of Public Health for the period of July 1, 2026, through June 30, 2027.

This resolution allows the Mayor’s Office of Housing and Community Development to accept $2.52 million worth of consulting services from seven FUSE Fellows to improve coordination and service delivery in public health, housing, homelessness, and human services in San Francisco. It also authorizes the Director of MOHCD to finalize the agreement for these services, which will begin in August 2026 and end in October 2028.

Resolution authorizing the Mayor’s Office of Housing and Community Development (“MOHCD”), on behalf of the City and County of San Francisco, to accept an in-kind gift of consulting services provided by seven FUSE Fellows through the FUSE Fellows Program valued at $2,520,000 from FUSE Corp for the term to commence on August 1, 2026, and to expire October 20, 2028, to strengthen coordination, strategy, and systems across public health, housing, homelessness, and human services to improve service delivery for San Francisco residents; and the Director MOHCD (or designee) to execute a Master Agreement for the acceptance of the in-kind gift of consulting services.

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) 2026-2027.

Resolution authorizing the acceptance and expenditure of Recurring State grant funds by the San Francisco Department of Public Health for Fiscal Year (FY) 2026-2027.

A formal position or approval by the Board: 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 Protective Services (Adult Probation) and Security Services (Department of Public Health).

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 Protective Services (Adult Probation) and Security Services (Department of Public Health).

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.

This hearing will assess San Francisco's preparedness for extreme heat events, focusing on planning, infrastructure improvements, and risk reduction efforts. It also requests reports from various city departments on their progress and strategies related to these issues.

Hearing on San Francisco's readiness for extreme heat events, including operational planning/procedures, infrastructure investments, and progress on risk mitigation; and requesting the Departments of Emergency Management, Public Health, Environment, and the Office of Resilience and Capital Planning to report.

The ordinance aims to ban the retail sale of nitrous oxide, allowing exceptions for specific uses like medical procedures and food production. Violating this ban could result in fines, imprisonment, and other penalties, with enforcement handled by the Director of Public Health.

Ordinance amending the Police Code to prohibit the retail sale of nitrous oxide, with exceptions for medical or dental procedures, research and development, manufacturing or industrial operations, and food-product purposes; make violations of the prohibition an infraction or misdemeanor, subject to imprisonment and or fine; authorize the Director of Public Health to enforce the prohibition; and make violations of the prohibition a public nuisance, subject to administrative fines, civil penalties, and revocation of a tobacco sales permit.

This resolution designates August 21, 2026, as National Fentanyl Prevention and Awareness Day in San Francisco to honor those affected by the overdose crisis and support efforts in prevention and treatment. It also acknowledges the work of responders and service providers in addressing substance use disorders.

Resolution recognizing August 21, 2026, as National Fentanyl Prevention and Awareness Day to honor the lives impacted by the overdose crisis, support families and communities affected by substance use disorders, recognize frontline responders and service providers, and reaffirm the City's commitment to prevention, treatment, recovery, and public safety.

This legislation schedules a hearing for the Board of Supervisors to discuss the potential impacts of Kaiser Permanente's collective bargaining proposals on San Francisco residents and city employees who are Kaiser enrollees, particularly regarding behavioral health services. It also requests reports from key executives at Kaiser and union representatives.

Hearing of the Board of Supervisors sitting as a Committee of the Whole on Tuesday, July 21, 2026 at 3:00 p.m., to examine the potential consequences of Kaiser Permanente’s proposals in collective bargaining with the National Union of Healthcare Workers for San Francisco residents and employees of the City and County of San Francisco who are Kaiser enrollees, for behavioral health clinicians employed by Kaiser, and for standards of behavioral healthcare professional practice; and requesting that the Chief Executive Officer of the Kaiser Foundation Health Plan, Inc., the Chief Executive Officer of the Permanente Medical Group, and representatives from the National Union of Healthcare Workers to report to the Board.

This resolution authorizes the City to accept and use a grant of $2,307,936.20 from the San Francisco General Hospital Foundation for a program called "Solid Start," which will run from July 1, 2025, to June 30, 2028. It also allows the Director of Health to make minor changes to the grant agreement as needed.

Resolution retroactively authorizing and approving a Grant Agreement between the City acting by and through the Department of Public Health, and the San Francisco General Hospital Foundation (SFGHF); to accept and expend a grant from the SFGHF for participation in a program entitled, “Solid Start,” for a term of three years from July 1, 2025, through June 30, 2028, and for a not to exceed amount of $2,307,936.20; approving the Grant Agreement pursuant to Charter, Section 9.118(a); and to authorize the Director of 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 or this Resolution.

This resolution allows the Department of Public Health to accept and use a $475,000 grant for improvements to the Women’s Options Center at San Francisco General Hospital, focusing on physical and digital security infrastructure. The funding will support the program from September 1, 2024, to December 31, 2026, and is currently awaiting committee approval.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $475,000 from the Governor's Office of Emergency Services (Cal OES) through San Francisco General Hospital Foundation for participation in a program, entitled “Physical and Digital Infrastructure Security (PDIS) Women’s Options Center (WOC) 6G Improvements,” for the period of September 1, 2024, through December 31, 2026.

This resolution allows the Department of Public Health to accept and use an increased grant of $2,433,239 from the Health Resource and Service Administration to support the Ryan White HIV/AIDS Program. It also retroactively approves the agreement for a total funding of $6,102,743 covering the period from March 1, 2025, to February 28, 2027.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant increase from the Health Resource and Service Administration for participation in a program, entitled “Ending the HIV Epidemic: A Plan for America - Ryan White HIV/AIDS Program Parts A and B”; approving the Notice of Award Agreement pursuant to Charter, Section 9.118(a); and retroactively approving a Notice of Award Agreement between the City, acting by and through the Department of Public Health, and the Health Resource and Service Administration in the amount of $2,433,239 for the period March 1, 2026, through February 28, 2027, for a total amount of $6,102,743 for the total period of March 1, 2025, through February 28, 2027.

This ordinance aims to remove certain disclosure and reporting requirements for candidates running for specific city boards and for those making independent expenditures related to those candidates. It also seeks to eliminate related training, audit, and enforcement measures.

Ordinance amending the Administrative Code to eliminate statement of intention, disclosure, and reporting requirements for candidates seeking election to the Retirement Board, Health Service Board, and Retiree Health Care Trust Fund Board; eliminate third-party disclosure requirements for persons or entities making independent expenditures to support or oppose such candidates; and delete corresponding training, audit, and enforcement provisions.

This resolution allows the Office of the Chief Medical Examiner to accept and use a grant of $846,952.62 from the California Highway Patrol to improve drug testing related to driving under the influence. It covers the grant period from July 1, 2026, to June 30, 2028, and authorizes the office to sign a draft agreement for the grant.

Resolution retroactively authorizing the Office of the Chief Medical Examiner to accept and expend a grant in the amount of $846,952.62 from the California Highway Patrol for the Cannabis Tax Fund Grant Program to support optimizations and advancements in toxicology testing capabilities related to driving under the influence of drugs for the grant term of July 1, 2026, through June 30, 2028; and authorizing the Office of the Chief Medical Examiner to execute a draft Grant Agreement.

Proposes a change to city law: Changing the the city's public-safety rules to modify provisions of the Fair Chance city law that regulate the use of criminal history in certain employment and housing decisions specifically by providing that employers and affordable housing providers may not use out-of-state criminal convictions or arrests for conduct that is lawful in California related to abortion-related healthcare, drag performances, gender-affirming care, and spontaneous abortion, as defined, in making certain employment or housing-related decisions.

Ordinance amending the Police Code to modify provisions of the Fair Chance Ordinance that regulate the use of criminal history in certain employment and housing decisions specifically by providing that employers and affordable housing providers may not use out-of-state criminal convictions or arrests for conduct that is lawful in California related to abortion-related healthcare, drag performances, gender-affirming care, and spontaneous abortion, as defined, in making certain employment or housing-related decisions; increasing administrative penalties for violations; and increasing liquidated damages available in a lawsuit.

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.