Legislation

This ordinance allows certain medical cannabis dispensaries in San Francisco to convert into cannabis retail stores. It also confirms that this change complies with environmental regulations and the city's planning policies.

Ordinance amending the Planning Code to establish a process for the conversion of certain Medical Cannabis Dispensaries to Cannabis Retail establishments; 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 public necessity, convenience, and welfare findings pursuant to Planning Code, Section 302.

The ordinance updates the Health Code to require that new buildings and major renovations with sensitive uses must have ventilation systems that maintain positive pressure, and it limits enhanced ventilation standards to single-family homes starting January 1, 2026. It also includes findings related to state law and environmental quality regulations.

Ordinance amending the Health Code to clarify the City’s enhanced ventilation standards by codifying the requirement that all new buildings and major renovations of buildings that contain a sensitive use certify that the building’s ventilation system is capable of maintaining positive pressure; limiting applicability of the City’s enhanced ventilation standard to single family homes, effective January 1, 2026, to align with state law; making findings under the California Health and Safety Code; affirming the Planning Department’s determination under the California Environmental Quality Act; and directing the Clerk of the Board of Supervisors to forward this Ordinance to the California Building Standards Commission upon final passage.

This resolution extends a contract with Edgewood Center for Children and Families to provide crisis services for nearly five more years and increases funding by over $22 million, totaling nearly $31.6 million. It also allows the Department of Public Health to make minor adjustments to the agreement as needed.

Resolution approving Amendment No. 2 to the agreement between City, acting by and through, the Department of Public Health (DPH), and Edgewood Center for Children and Families, to provide hospital diversion and crisis stabilization unit services, to extend the term by four years and nine months from September 30, 2025, for a total term of October 1, 2023, through June 30, 2030, and to increase the amount by $22,048,994 for a total not to exceed amount of $31,603,801; and to authorize 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 or this Resolution.

This resolution officially designates the week of August 4 through August 8, 2025, 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 4 through August 8, 2025, as National Health Center Week in the City and County of San Francisco.

This ordinance aims to create an Independent Pharmacy Task Force that will provide guidance on improving the City’s prescription drug purchasing and expanding access to affordable medications through an independent pharmacy network. It also seeks to revise licensing requirements to allow more pharmacies to participate in this network.

Ordinance amending the Administrative Code to establish an Independent Pharmacy Task Force to advise City bodies and officials on expanding the City’s wholesale prescription drug contracts and purchasing capacity, expanding the City’s 340B Drug Pricing Program coverage, creating an independent pharmacy network in the City including the benefits of membership and criteria for joining the network, and revising existing licensing requirements to allow more pharmacies to be members of an independent pharmacy network.

This ordinance allows San Francisco city employees to donate to the San Francisco Firefighter and EMS Behavioral Health Foundation through payroll deductions. It adds this foundation to the list of approved organizations for such donations.

Ordinance amending the Administrative Code to add the San Francisco Firefighter and EMS Behavioral Health Foundation to the list of organizations to which City officers and employees may make donations by payroll deduction.

This ordinance approves the health insurance plans and the contribution rates that the city will use for its employees in 2026. It ensures that the city's health service system is funded and operational for that year.

Ordinance approving Health Service System plans and contribution rates for calendar year 2026.

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 resolution allows the Department of Public Health to accept and use a $105,832 grant from the National Institutes of Health for a program focused on improving HIV prevention methods. The funding will support the program from March 1, 2023, to February 28, 2026.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant from the National Institutes of Health through Fred Hutchinson Cancer Center for participation in a program, entitled “Statistical Methods for Advancing HIV Prevention,” in the amount of $105,832 for the period of March 1, 2023, through February 28, 2026.

This resolution allows the Department of Public Health to accept and use a $108,968 grant from the National Institutes of Health for a program focused on HIV prevention from April 1, 2024, to November 30, 2025. 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 from the National Institutes of Health through the Family Health International for participation in a program, entitled “HIV Prevention Trials Network (HPTN),” in the amount of $108,968 for the period of April 1, 2024, through November 30, 2025.

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 urges the University of California Health and Blue Shield of California to settle their disagreement over medical service reimbursements by renewing their contract. This action aims to ensure that members can continue to access important healthcare services.

Resolution urging University of California Health and Blue Shield of California to resolve dispute regarding reimbursement for medical services and treatment by renewing their contract, thereby continuing to preserve members’ ability to access crucial healthcare services.

This ordinance allocates $150 million from 2020 Health and Recovery bonds to the Department of Public Health and the Mayor’s Office of Housing and Community Development for acquiring and improving facilities related to behavioral and mental health, as well as supportive housing and shelters for Fiscal Year 2025-2026. The funds will be held in reserve until the bond proceeds are received.

Ordinance appropriating $150,000,000 of General Obligation (GO) Bond proceeds from 2020 Health and Recovery GO Bonds, Series 2025G to the Department of Public Health (DPH) and Mayor’s Office of Housing and Community Development (MOHCD) for acquisition and improvement of real property for various behavioral and mental health facilities, permanent supportive housing or shelters, and related costs in Fiscal Year (FY) 2025-2026; and placing these funds on Controller’s Reserve pending receipt of bond proceeds.

This ordinance removes $160,467,200 in funding from the 2020 Health and Recovery General Obligation Bonds that was allocated to the Department of Public Health and the Department of Homelessness and Supportive Housing for the fiscal year 2025-2026. The funds will no longer be available for their intended purposes.

Ordinance de-appropriating $160,467,200 General Obligation (GO) Bond proceeds from 2020 Health and Recovery GO Bonds, Series 2021D from the Department of Public Health (DPH) and the Department of Homelessness and Supportive Housing (HOM) in Fiscal Year (FY) 2025-2026.

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.