Legislation

This hearing addresses the progress of San Francisco's plan to increase residential treatment beds for individuals with mental health and substance use disorders, focusing on higher levels of care and identifying barriers to expansion. It also requests reports from relevant city departments and courts on these issues.

Hearing on the status of the City's residential treatment bed expansion plan for people suffering from mental health and substance use disorders; additional needs for treatment beds, particularly for higher acuity levels of care; barriers and solutions to achieving the City's goals of expanding treatment beds across its behavioral health system; and requesting the Department of Public Health, Department of Homelessness and Supportive Housing, and the San Francisco Superior Court - Collaborative Courts to report.

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 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 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 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.

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."