Legislation

This ordinance changes the expiration date of the Mental Health SF Implementation Working Group from September 1, 2026, to the date this ordinance takes effect. This means the group will continue to operate without a set end date.

Ordinance amending the Administrative Code to change the sunset date for the Mental Health SF Implementation Working Group from September 1, 2026, to the effective date of this Ordinance.

This resolution allows the Department of Public Health to use a $180,000 grant from the San Francisco General Hospital Foundation for a program supporting the MedSurg/ICU and Family Birth Center from September 2024 to August 2025. It has been approved retroactively.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $180,000 from the San Francisco General Hospital Foundation for participation in a program, entitled “MedSurg/ICU and the Family Birth Center,” for the period of September 1, 2024, through August 31, 2025.

This resolution allows the Department of Public Health to use a $1,000,000 grant from the Health Resources and Services Administration for a construction program from September 30, 2024, to September 29, 2027. It was passed retroactively to authorize the funding.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $1,000,000 from the Health Resources and Services Administration for participation in a program, entitled "Community Project Funding/Congressionally Directed Spending - Construction," for the period of September 30, 2024, through September 29, 2027.

This resolution allows the Department of Public Health to accept and use COVID-19 test kits valued at over $1.3 million from the California Department of Public Health for its clinic patients and staff. It has been approved retroactively.

Resolution retroactively authorizing the Department of Public Health to accept and expend an in-kind gift of COVID-19 test kits in the total amount of $1,372,318.27 from the California Department of Public Health, in support of the Department of Public Health clinic patients and staff.

This resolution allows the Department of Public Health to apply for continued funding under the Ryan White Act for HIV/AIDS emergency relief. It requests $15,705,906 to support services in San Francisco from March 1, 2025, to February 28, 2026.

Resolution retroactively authorizing the Department of Public Health to submit an application to continue to receive funding for the Ryan White Act HIV/AIDS Emergency Relief Grant Program grant from the Health Resources Services Administration; and requesting $15,705,906 in HIV Emergency Relief Program funding for the San Francisco Eligible Metropolitan Area for the period of March 1, 2025, through February 28, 2026.

This ordinance allows hotel employees or their unions to sue tourist hotels for not following required cleaning and disease prevention standards. It also gives courts the power to impose penalties and provide remedies if the hotels are found in violation.

Ordinance amending the Health Code to authorize employees of tourist hotels, or the labor organizations that represent those employees, to file civil lawsuits against tourist hotels or operators for violations of certain cleaning and disease prevention standards and practices required in tourist hotels; and authorizing courts to impose appropriate legal and equitable relief, including civil penalties, against the defendants in any such lawsuits.

This resolution allows the San Francisco Department of Public Health to accept and use a $750,000 grant from the California Department of Health Care Services to implement a therapy program for children and youth dealing with mental health issues from October 2024 to June 2025. It was passed retroactively to ensure funding for the program.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $750,000 from the California Department of Health Care Service through Heluna Health for participation in a program, entitled “San Francisco Department of Public Health (SFDPH) Behavioral Health Service (BHS) Children, Youth and Families (CYF) Proposed Approach for implementing Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems (MATCH),” for the period of October 4, 2024, through June 30, 2025.

This resolution allows the Department of Public Health to accept and spend a $1.6 million grant from the Department of Justice for a program addressing opioid and substance use issues from October 2024 to September 2027. It also gives the Director of Health the authority to finalize the grant agreement with the Department of Justice.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $1,600,000 from the Department of Justice for participation in a program entitled, “Comprehensive Opioid, Stimulant, and Substance Use Site-Based Program,” for the period of October 1, 2024, through September 30, 2027; and delegating authority under Charter, Section 9.118(a), to the Director of Health to approve a Grant Agreement between the City, acting by and through the Department of Public Health, and the Department of Justice, for a term of three years from October 1, 2024 to September 30, 2027, and for a total not to exceed amount of $1,600,000.

This ordinance changes how certain city departments manage their cash revolving funds by removing authorization for some, adjusting limits for others, and adding new funds for specific departments. It aims to streamline financial operations within the city government.

Ordinance amending the Administrative Code to remove the authorization for certain cash revolving funds (Controller, Ethics Commission, Department of Police Accountability, Planning Department, Public Defender, Department of Public Health - Community Mental Health Services Vocational Rehabilitation, Department of Public Health - Laguna Honda Hospital, Public Utilities Commission - Hetch Hetchy Project, Public Utilities Commission - Water Department); reduce the maximum amount of cash revolving fund for certain funds (Human Services Agency, Department of Public Health - Zuckerberg San Francisco General Hospital, Treasurer-Tax Collector); increase the maximum amount of cash revolving fund for Public Utilities Commission; and authorize additional revolving funds (Public Utilities Consumer, Recreation and Park Department, and Department of Elections).

The ordinance extends the no-shouting and no-amplified sound zone around reproductive health care facilities from 50 feet to 100 feet, and increases the harassment-free zone from 25 feet to 100 feet. It also mandates annual training for police on enforcing laws protecting access to these facilities and requires biannual meetings with facility representatives to address safety and operational concerns.

Ordinance amending the Police Code to extend the zone in which shouting and using amplified sound is prohibited outside a reproductive health care facility from 50 feet from the property line to 100 feet from the facility entrance or driveway, extend the zone in which following or harassing a person is prohibited from 25 feet from the facility entrance to 100 feet from the facility entrance, and specify that approaching within eight feet of a person inside the 100-foot perimeter of the facility entrance while impersonating a facility worker with the effect of intimidating the person is unlawful harassment; and amending the Administrative Code to direct that Police Department officers be trained annually on enforcement of local and state laws protecting access to reproductive health care facilities, and that the Police Department meet with representatives of a reproductive health care facility every two years, on request, to develop a plan to prevent and respond to incidents that interfere with access to the facility, the facility’s operations, and/or the lawful exercise of First Amendment rights by the public.

This resolution allows the Police Department to accept and use 1,800 units of Naloxone, a medication that reverses opioid overdoses, valued at $81,300. The Naloxone is provided through a federal project aimed at addressing substance abuse and is managed by the Department of Health Care Services.

Resolution retroactively authorizing the Police Department to accept and expend an in-kind gift of 1,800 units of Naloxone valued at $81,300 through the Naloxone Distribution Project, funded by the Substance Abuse and Mental Health Services Administration, and administered by the Department of Health Care Services.

This resolution allows the Department of Public Health to accept an additional $13,431 grant from the National Institutes of Health, increasing the total funding to $104,508 for a clinical trials program. The funding will support the program from April 1, 2022, to February 28, 2025.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant increase in the amount of $13,431 from the National Institutes of Health through the University of Texas Southwestern Medical Center, for a new total amount of $104,508 for participation in a program, entitled “NIDA Clinical Trials Network: Big South/West Node,” for the period of April 1, 2022, through February 28, 2025.

This legislation is a hearing to review how well Mental Health SF is working, what has been achieved, and what still needs to be done. It also asks the Department of Public Health's Behavioral Health Services to provide a report on these topics.

Hearing to discuss the progress, successes, and provisions left to implement of Mental Health SF; and requesting the Department of Public Health's Behavioral Health Services to report.

This resolution allows the San Francisco Department of Public Health to apply for over $70 million in grant funds from the California Department of Health Care Services to support behavioral health infrastructure. It also authorizes the department to enter into agreements and make necessary adjustments to those agreements without significantly increasing the city's obligations.

Resolution authorizing the San Francisco Department of Public Health (SFDPH) to submit applications for Grant funds to the California Department of Health Care Services, through its contractor Advocates for Human Potential, Inc., under the Behavioral Health Continuum Infrastructure Bond Round 1 Launch Ready Program, pursuant to the Behavioral Health Infrastructure Bond Act of 2024, for a term not to exceed 10 years, with anticipated revenue to the City in excess of $70,000,000; to enter into Grant Agreements, if one or more is awarded, including binding arbitration and/or a waiver of claims against the State or its third-party Grant Administrator; and authorizing SFDPH to enter into amendments or modifications to the Grant Agreements that do not materially increase the obligations or liabilities of the City and are necessary to effectuate the purpose of the Grant.

This resolution allows the Department of Public Health to accept an additional $1,212,299 grant from the CDC, increasing the total grant to $13,635,302 for STD prevention efforts. The funding will support the program from January 1, 2019, through February 28, 2026.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant increase in the amount of $1,212,299 for a total grant amount of $13,635,302 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, 2026; and approving the Notice of Award agreement pursuant to Charter, Section 9.118(a).

This resolution urges the city to fully implement California's Proposition 36, which focuses on reducing drug addiction and theft through treatment rather than incarceration. It aims to enhance drug treatment services and prioritize communities most affected by drug-related issues to improve public safety and reduce open drug use in San Francisco.

Resolution urging the full and prompt implementation of California State Proposition 36, the Drug Addiction and Theft Reduction Act, which passed overwhelmingly in California and San Francisco, to make maximum use of Treatment-Mandated Felonies by increasing enforcement and drug treatment capacity, and by prioritizing Equity Priority Communities for expedited progress toward drug-free sidewalks and ending the phenomenon of illegal public drug use and open-air drug scenes in San Francisco.

This resolution allows the San Francisco Public Utilities Commission to purchase easements from Kaiser Foundation Hospitals for an underground water pipeline and electrical utilities, as well as temporary construction easements, for a total cost of $266,100. The agreement will take effect once both parties have signed it.

Resolution approving the terms and conditions and authorizing the General Manager of the San Francisco Public Utilities Commission to execute a Purchase and Sale Agreement and Easement Deeds with Kaiser Foundation Hospitals for the acquisition of 1) a 441-square-foot easement for an underground water pipeline and associated appurtenances; 2) a 1,273-square-foot easement for electrical utilities and associated appurtenances; 3) an 824-square-foot temporary construction easement; and 4) a 1,886-square-foot temporary construction easement across a portion of San Mateo County Assessor’s Parcel No. 010-292-450, known as 1200 El Camino Real, South San Francisco, California 94080 for $266,100 pursuant to Charter, Section 9.118; the Agreement becomes effective on the date on which the Agreement is executed by both parties.

This resolution allows the Department of Public Health to accept and use an additional $648,354 grant from the CDC for HIV prevention and surveillance programs, bringing the total funding to $5,701,459 for the period from August 1, 2024, to July 31, 2025. It was passed retroactively to ensure the department can effectively implement the program.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant increase from the Centers for Disease Control and Prevention for participation in a program, entitled “High-Impact HIV Prevention and Surveillance Programs for Health Departments,” in the amount of $648,354 for a total amount of $5,701,459 for the period of August 1, 2024, through July 31, 2025.

This resolution allows the Department of Public Health to apply for continued funding for HIV prevention and surveillance programs from the CDC and requests nearly $5.9 million in emergency relief funding for the San Francisco area for the upcoming year. It was passed to ensure ongoing support for HIV-related health initiatives.

Resolution retroactively authorizing the Department of Public Health to submit an application to continue to receive funding for the High-Impact HIV Prevention and Surveillance Programs for Health Departments grant from the Centers for Disease Control and Prevention; and requesting $5,909,395 in HIV Emergency Relief Program funding for the San Francisco Eligible Metropolitan Area for the period of August 1, 2024, through May 31, 2025.

This resolution extends a contract with Richmond Area Multi Services, Inc. for vocational rehabilitation programs by three and a half years and increases funding by over $22 million, totaling nearly $38 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 the City, acting by and through the Department of Public Health (DPH), and Richmond Area Multi Services, Inc., to provide vocational rehabilitation employment and training programs, to extend the term by three years and six months from December 31, 2024, for a total term of May 1, 2022, through June 30, 2028, and to increase the amount by $22,039,855 for a total not to exceed amount of $38,083,630; 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 extends the agreement between the City and the San Francisco AIDS Foundation to provide mental health and substance abuse treatment services for an additional three and a half years, increasing the total contract amount to nearly $19.6 million. It also allows the Department of Public Health to make minor amendments to the agreement as needed.

Resolution approving Amendment No. 2 to the agreement between the City, acting by and through the Department of Public Health (DPH), and San Francisco AIDS Foundation, to provide mental health and substance abuse treatment services, extending the term by three years and six months from December 31, 2024, for a total term of July 1, 2018, through June 30, 2028, and to increase the contract amount by $9,965,200 for a new total not to exceed amount of $19,635,695; 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 allows the Department of Public Health to check state and federal criminal history records for applicants seeking licenses or permits for massage businesses. It aims to ensure that applicants meet safety and regulatory standards.

Resolution authorizing the Department of Public Health to access state and federal level summary criminal history for the licensing, permitting, and/or certification of massage business applicants.

This resolution approves the annual update for the San Francisco Mental Health Services Act for the fiscal year 2024-2025. It outlines the funding and services aimed at improving mental health care in the city.

Resolution authorizing adoption of the San Francisco Mental Health Services Act Annual Update Fiscal Year (FY) 2024-2025.

The hearing will evaluate how the $120 million allocated to the Dream Keepers Initiative has been spent and identify additional needs the initiative can address. Various city departments, including the Human Rights Commission and the Department of Public Health, have been asked to provide reports on this matter.

Hearing on the resources allocated for the Dream Keepers Initiative, specifically on which programs have been funded by the allocated $120,000,000 and assessing other needs that the Dream Keepers Initiative can support; requesting the Human Rights Commission, Office of Economic and Workforce Development, Mayor's Office of Housing and Community Development, Department of Children Youth and their Families, Arts Commission, Department of Public Health, Office of Early Care and Education, Fire Department, and Department of Human Resources to report.

This resolution expresses support for an independent and impartial judiciary, emphasizing its importance in maintaining justice and a healthy democracy. It has been filed but is not yet passed.

Resolution reaffirming support for the fundamental role of an independent, impartial, and qualified judiciary in upholding the law in the pursuit of justice and the functional operation of a healthy democracy.

This ordinance adopts specific chapters of the 2022 California Existing Building Code for San Francisco and confirms local conditions related to health and safety. It also affirms the Planning Department's environmental assessment and directs the Clerk to send the ordinance to the California Building Standards Commission once it is passed.

Ordinance adopting Chapters 6 through 11 of the 2022 California Existing Building Code; adopting findings of local conditions 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.

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 resolution allows the Department of Public Health to accept and use a $440,000 grant from the CDC for a program focused on physical activity and nutrition from August 1, 2024, to September 30, 2028. It has been officially approved and is now in effect.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $440,000 from the Centers for Disease Control and Prevention through the California Department of Public Health (CDPH) for participation in a program, entitled “State Physical Activity and Nutrition (SPAN) Program and CDPH CalFresh Health Living Grant,” for the period of August 1, 2024, through September 30, 2028.

This ordinance allows new buildings that meet specific design guidelines for electric-ready construction to also install gas infrastructure for certain appliances. It includes local health and safety findings and requires the Clerk to send the ordinance to the California Building Standards Commission after it is finalized.

Ordinance amending the Building Code to allow new construction that complies with the Design Guidelines for Electric-Ready Buildings to install gas infrastructure to serve appliances covered by the Energy Policy and Conservation Act (EPCA); adopting findings of local conditions 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 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 resolution extends a public health agreement for an additional 18 months and increases its funding by over $1.3 million, bringing the total to approximately $21.3 million. It also allows the Department of Public Health to make minor adjustments to the agreement as needed.

Resolution approving Amendment No. 4 to the agreement between the City, acting by and through, the Department of Public Health (DPH), and San Francisco Public Health Foundation for community health engagement, to extend the term by one year and six months from January 1, 2025, for a total term of January 1, 2020, through June 30, 2026, and to increase the amount by $1,302,153 for a total not to exceed amount of $21,329,720; 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 legislation calls for a hearing to discuss evictions in the city's Permanent Supportive Housing projects that receive city funding and to explore ways to prevent and reduce these evictions. It also requests reports from relevant city departments on the issue.

Hearing on the evictions in the City's Permanent Supportive Housing (PSH) project-based sites that receive city funds, and efforts to prevent and reduce evictions at PSH sites; and requesting the Department of Homelessness and Supportive Housing, Department of Public Health, and Mayor's Office of Housing and Community Development to report.

This resolution allows the Department of Public Health to use a grant of approximately $3.86 million from the California Department of Health Care Services for a health program from October 2021 to June 2025. It was passed to support the program aimed at improving health access and infrastructure.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $3,862,929.40 from the California Department of Health Care Services for participation in a program, entitled “Providing Access and Transforming Health (PATH) Capacity and Infrastructure, Transition, Expansion and Development (CITED) 1B,” for the period of October 1, 2021, through June 30, 2025.

This resolution allows San Francisco to accept and use over $1.6 million in grant funds from the California Department of Health Care Services for a health program through February 2026. It also permits the city to release claims against the department related to the grant and authorizes the Director of Health to make necessary adjustments to the grant agreement.

Resolution retroactively authorizing the City and County of San Francisco to accept and expend $1,612,839.48 in Grant funds from the California Department of Health Care Services (DHCS) for the Capacity and Infrastructure, Transition, Expansion and Development (CITED) Program - Intergovernmental Transfer (IGT), part of the California Providing Access and Transforming Health Initiative, for a Grant term of October 1, 2022, through February 28, 2026; authorizing the City to release all claims against DHCS and its Third-Party Administrator arising out of or relating to the receipt of Grant funds and/or activities associated with the Grant program; and to authorize the Director of Health to enter into amendments or modifications to the Grant 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.

The ordinance allows the Department of Public Health to increase funding for Planned Parenthood Northern California by $171,000, bringing the total to $571,000, to provide security personnel for family planning and reproductive healthcare services. It also waives the usual competitive bidding process for this grant.

Ordinance authorizing the Department of Public Health to amend an existing grant to Planned Parenthood Northern California by increasing the not to exceed amount by $171,000 for a total not to exceed amount of $571,000 to fund security personnel to support access to family planning and other sexual and reproductive healthcare services, with no changes to the grant term of April 1, 2023, through March 31, 2025; and waiving the competitive solicitation requirements in the Administrative Code.

This ordinance aims to prevent housing discrimination against individuals based on pregnancy or related medical conditions. It is currently awaiting action from the committee.

Ordinance amending the Police Code to prohibit housing discrimination based on pregnancy or medical conditions related to pregnancy.

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.

This resolution allows the Department of Public Health to accept an additional $88,930 grant from the National Institutes of Health for a program aimed at improving access to injectable PrEP for transgender and non-binary individuals. The total funding for the program will now be $160,074, covering the period from April 1, 2023, to January 31, 2025.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant increase from the National Institutes of Health through Heluna Health for participation in a program, entitled “The Bridge Clinic: Optimizing Injectable PrEP Delivery for Transgender and Non-Binary People,” in the amount of $88,930 for the period of February 22, 2024, through January 31, 2025, for a total amount of $160,074 for the total period of April 1, 2023, through January 31, 2025.

This resolution urges UCSF to rectify wage, benefit, and advancement disparities between Clinical Social Workers at its medical centers and those at its campus clinics. It also calls for an end to a two-tiered mental health system that worsens workplace inequities.

Resolution urging the University of California San Francisco (UCSF) to address the wage, benefit, and advancement inequities between their Clinical Social Workers, represented by the University Professional & Technical Employees (UPTE)-CWA 9119, stationed at the UCSF's medical centers, versus UCSF's "Campus" clinics associated with Zuckerberg San Francisco General Hospital and other community clinics; and urging UCSF to stop the implementation of a two-tiered mental health system between these workers, which further exacerbates existing injustices in the workplace.

This resolution supports California Proposition 36, which aims to establish a treatment-focused court process for specific drug possession offenses. If passed, it would help San Francisco address illegal public drug use and work towards cleaner sidewalks.

Resolution supporting California State Proposition 36, the Homelessness, Drug Addiction, and Theft Reduction Act on the November 5, 2024 General Election ballot, which will create a new treatment-focused court process for certain drug possession crimes, and enable San Francisco to make needed progress toward Drug-Free Sidewalks and ending the phenomenon of illegal public drug use citywide.

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.

This legislation authorizes the Department of Public Health to increase funding for Planned Parenthood Northern California by $171,000 to support security for family planning and reproductive healthcare services. It also waives the usual competitive bidding process for this funding increase.

Hearing of the Board of Supervisors sitting as a Committee of the Whole on October 1, 2024, at 3:00 p.m., to hold a public hearing to consider an Ordinance authorizing the Department of Public Health to amend an existing grant to Planned Parenthood Northern California by increasing the not to exceed amount by $171,000 for a total not to exceed amount of $571,000 to fund security personnel to support access to family planning and other sexual and reproductive healthcare services, with no changes to the grant term of April 1, 2023, through March 31, 2025; and waiving the competitive solicitation requirements in the Administrative Code; scheduled pending approval of the Motion contained in File No. 240945, to be considered on October 1, 2024.

This motion schedules a public hearing for October 1, 2024, to discuss increasing a grant to Planned Parenthood Northern California by $171,000 for security personnel to support access to healthcare services. It also waives the usual competitive bidding process for this grant amendment.

Motion scheduling the Board of Supervisors to sit as a Committee of the Whole on October 1, 2024, at 3:00 p.m., to hold a public hearing to consider an Ordinance authorizing the Department of Public Health to amend an existing grant to Planned Parenthood Northern California by increasing the not to exceed amount by $171,000 for a total not to exceed amount of $571,000 to fund security personnel to support access to family planning and other sexual and reproductive healthcare services, with no changes to the grant term of April 1, 2023, through March 31, 2025; and waiving the competitive solicitation requirements in the Administrative Code.

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 hearing will evaluate the Controller's Annual Performance Report and its effects on the city budget, while also assessing how various departments are achieving their performance goals. Several city departments, including the Fire Department and Police Department, will be asked to provide updates during this hearing.

Hearing to consider the Controller’s Annual Performance Report and its impact on the budget and to hear how departments are meeting their performance goals; and requesting the Controller’s Office, Fire Department, Public Works, Department of Homelessness and Supportive Housing, Department of Emergency Management, Human Services Agency, Recreation and Park Department, Department of Public Health, Library, Police Department, and City Administrator to report.

This legislation calls for a hearing to address the staffing shortages at San Francisco General Hospital. It requests reports from the hospital and relevant city departments on the issue.

Hearing on the ongoing staffing shortages at San Francisco General Hospital; and requesting San Francisco General Hospital, the Department of Public Health, and Department of Human Resources to report.

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 $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 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 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 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."

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.

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 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.

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.

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.