Legislation

This resolution extends a contract with Community Forward SF to provide medical respite and sobering center services for an additional three and a half years, increasing the total funding to over $32 million. It also allows the Department of Public Health to make minor adjustments to the agreement as needed.

Resolution approving Amendment No. 1 to the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and Community Forward SF, to provide medical respite and sobering center services, to extend the term by three years and six months from December 31, 2025, for a total term of July 1, 2024, through June 30, 2029, and to increase the amount by $22,263,326 for a total not to exceed amount of $32,262,830; 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 accept and use a $626,000 grant from the California Department of Health Care Services for a program aimed at addressing housing and homelessness from July 1, 2024, to June 30, 2026. It has been approved retroactively.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant from the California Department of Health Care Services through Blue Cross of California Partnership Plan, Inc. (Anthem) for participation in a program, entitled, “Housing and Homelessness Incentive Program,” in the amount of $626,000 for the period of July 1, 2024, through June 30, 2026.

This resolution allows the Department of Public Health to accept and use an additional $2,518,000 grant from the California Department of Health Care Services for a program aimed at addressing housing and homelessness. The total funding for the program will be $7,658,684.63 from July 1, 2023, to November 1, 2026.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant increase from the California Department of Health Care Services through San Francisco Health Plan for participation in a program, entitled, “Housing and Homelessness Incentive Program,” in the amount of $2,518,000 for the period of January 1, 2025, through November 1, 2026, for a total amount of $7,658,684.63 for the total period of July 1, 2023, through November 1, 2026; and approving the Notice of Award agreement pursuant to Charter, Section 9.118(a).

This resolution allows the Department of Public Health to accept an additional $2,046,778 grant from the CDC for HIV prevention and surveillance programs, bringing the total grant amount to $12,756,614 for the period from August 2024 to May 2026. It also authorizes the Director of Health to make necessary amendments to the grant agreement without increasing the city's financial obligations.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant increase of $2,046,778 from the Centers for Disease Control and Prevention for participation in a program, entitled “High-Impact HIV Prevention and Surveillance Programs for Health Departments,” for an amount of $7,055,155 for the period of June 1, 2025, through May 31, 2026, and a total grant amount of $12,756,614 for the period of August 1, 2024, through May 31, 2026; 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 Agreement or this Resolution.

This resolution allows the Department of Public Health to accept and use a grant of $62,295 from the National Institutes of Health for a program focused on HIV/AIDS interventions, bringing the total grant amount to $235,358. The funding is retroactively effective from May 21, 2025, covering the period from January 25, 2023, to November 30, 2025.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant 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 an increased amount of $62,295 for a total amount of $235,358 effective on May 21, 2025, for the total period of January 25, 2023, through November 30, 2025.

This resolution extends a contract with the Bayview Hunters Point Foundation for mental health and substance abuse services by 18 months and increases funding by over $7.5 million, bringing the total to nearly $25.6 million. It also allows the Department of Public Health to make minor adjustments to the agreement as needed.

Resolution approving Amendment No. 6 to the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and Bayview Hunters Point Foundation, to provide mental health and substance abuse services, to extend the term by 18 months from December 31, 2026, for a total term of July 1, 2018, through June 30, 2028, and to increase the amount by $7,531,723 for a total not to exceed amount of $25,611,719; 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 San Mateo County's District Attorney to pause the time limits for filing legal claims against San Francisco International Airport related to health and safety violations. It ensures that the county has more time to investigate and potentially pursue these claims.

Resolution approving a Tolling Agreement to toll the statutes of limitation for San Mateo County District Attorney to bring potential claims against San Francisco International Airport for California Health and Safety Code violations.

This resolution honors Dr. Jian Zhang for her significant work as CEO of Chinese Hospital and officially designates December 2, 2025, as Dr. Jian Zhang Day in San Francisco. It has been passed by the city legislature.

Resolution commending Dr. Jian Zhang for her outstanding contributions as Chief Executive Officer of Chinese Hospital; and declaring December 2, 2025, as Dr. Jian Zhang Day in the City and County of San Francisco.

This resolution urges various city departments to assess how they distribute ultra-processed foods and to ensure their practices align with California's Real Food, Healthy Kids Act. It also calls for the Department of Public Health to create a framework for identifying and evaluating these foods for better decision-making in food distribution.

Resolution urging the Sheriff’s Office, the Department of Public Health, the Department of Children, Youth and Their Families, and the Department of Homelessness and Supportive Housing to review their distribution of ultra-processed foods directly and through contractors and to align with the goals of California’s Real Food, Healthy Kids Act; and urging the Department of Public Health to develop a framework for identifying and evaluating ultra-processed foods for the City to use in decisions concerning food distribution and procurement and for reporting purposes.

The ordinance authorizes the City and County of San Francisco to settle lawsuits totaling $1,191,000 filed by several hospitality companies. These lawsuits were related to claims for attorneys' fees and other costs stemming from previous court decisions against the City.

Ordinance authorizing settlement of the lawsuits filed by AGPME Tenant LLC, KPH Management LLC, Mangal Inc., Gajanan, Inc., Engage Hospitality LLC, Engage with SF Hospitality LLC, and Lombard Hospitality LLC against the City and County of San Francisco for $1,191,000; the lawsuits were filed on February 9, 2016, and September 16, 2016, in San Francisco Superior Court, Case Nos. CGC-16-554309, CGC-16-550354, CGC-16-550351, and CGC-16-554304, and California Court of Appeal Case Nos. A160539 and A168328; entitled Gajanan Inc. et al. v. City and County of San Francisco et al.; AGPME Tenant, LLC v. City and County of San Francisco et al.; KPH Management LLC et al. v. City and County of San Francisco et al.; and Mangal Inc. et al. v. City and County of San Francisco et al.; the remaining issues in the lawsuits involve claims for attorneys’ fees on the City’s appeal of the San Francisco Superior Court’s decision against the City on attorneys’ fees, claims for interest on the City’s attorneys’ fees payment, and claims for costs on appeal.

The ordinance authorizes the City and County of San Francisco to settle a lawsuit for $5,845,000 related to claims of elder abuse and violations of patients' rights involving over 700 residents of Laguna Honda Hospital. This lawsuit was filed in March 2020 and has now been resolved with this settlement.

Ordinance authorizing settlement of the lawsuit filed by Tommy O. Johnson, by and through his Attorney-in-Fact Rev. Doris White and John Doe, by and through his conservator Thomas O’Connor, on behalf of themselves and all others similarly situated, against the City and County of San Francisco for $5,845,000; the lawsuit was filed on March 24, 2020, in San Francisco Superior Court, Case No. CPF-20-517064; entitled Tommy O. Johnson, by and through his Attorney-in-Fact Rev. Doris White and John Doe, by and through his conservator Thomas O’Connor, on behalf of themselves and all others similarly situated v. City and County of San Francisco, et al.; the lawsuit involves claims of elder/dependent adult abuse, invasion of privacy, negligence, and violations of patients’ rights brought by over 700 former and current residents of Laguna Honda Hospital.

This resolution extends a contract with Priority Healthcare Distribution for specialty drug procurement by four years and increases the total contract amount by $89.48 million, bringing it to $98.48 million. It also allows the Department of Public Health to make minor amendments to the agreement as needed.

Resolution approving Amendment No. 1 to the agreement between the City and County of San Francisco, acting by and through the Department of Public Health (DPH), and Priority Healthcare Distribution, Inc. d/b/a CuraScript Specialty Distribution, for the procurement of specialty drugs, to extend the term by four years from November 30, 2026, for a total term of December 1, 2023, through November 30, 2030, and to increase the amount by $89,480,168 for a total not to exceed amount of $98,480,168; 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 a contract with Hyde Street Community Services, Inc. for mental health services by two years and increases the funding by nearly $11.8 million, bringing the total contract amount to approximately $38.8 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 and County of San Francisco, acting by and through, the Department of Public Health (DPH), and Hyde Street Community Services, Inc., to provide mental health services, to extend the term by two years from June 30, 2026, for a total term of July 1, 2018, through June 30, 2028, and to increase the amount by $11,758,765 for a total not to exceed amount of $38,789,762; 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 approves an agreement that allows the San Francisco Department of Public Health to receive $7,431,615 in funding from the California Department of Social Services through June 30, 2029. It also authorizes the Department to make necessary amendments to the agreement without increasing the city's obligations.

Resolution approving an agreement between the City and County of San Francisco, acting by and through its Department of Public Health (DPH), and the California Department of Social Services and its third-party administrator BDO Government Services, LLC, having anticipated revenue of $7,431,615 for a performance base period commencing on execution of the Grant Agreement through June 30, 2029; and authorizing 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 outlines a hearing where the Mayor will discuss topics submitted by Supervisors, specifically addressing the Fentanyl State of Emergency Ordinance for District 5. The Mayor will have five minutes to speak initially, followed by a two-minute limit for each question and answer during the discussion.

Pursuant to Charter, Sections 2.103 and 3.100(7), and Administrative Code, Section 2.11, the Mayor shall discuss eligible topics submitted from the Supervisors. The Mayor may address the Board initially for up to five minutes. Discussion shall not exceed two minutes per question or answer. The following topic was noticed on the agenda representing District 5: 1. Fentanyl State of Emergency Ordinance

This ordinance updates the Planning Code to specify areas where Reproductive Health Clinics can operate and aligns with Proposition O, which was approved by voters in November 2024. It also confirms compliance with environmental regulations and the city's General Plan.

Ordinance amending the Planning Code to indicate districts where Reproductive Health Clinics are principally permitted and to make other conforming changes to the Planning Code and Zoning Control Tables, as required by Proposition O, passed by the voters in November 2024; 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 findings of public necessity, convenience, and welfare pursuant to Planning Code, Section 302.

The ordinance repeals the current San Francisco Fire Code and replaces it with a new code based on the 2025 California Fire Code and parts of the 2024 International Fire Code, along with local amendments, effective January 1, 2026. It also establishes fees for permits and inspections and requires local findings to be submitted to state authorities.

Ordinance repealing the existing San Francisco Fire Code in its entirety and enacting a new San Francisco Fire Code consisting of the 2025 California Fire Code and portions of the 2024 International Fire Code, together with amendments specific to San Francisco, including provisions for fees for permits, inspections, and various City services, with an operative date of January 1, 2026; adopting findings of local conditions pursuant to California Health and Safety Code, Section 17958.7; directing the Clerk of the Board of Supervisors to forward San Francisco's amendments to the California Building Standards Commission and State Fire Marshal; and making environmental findings.

The resolution allows the Department of Public Health to accept an additional $23,687.72 grant from the National Institutes of Health for a training program aimed at reaching hard-to-count populations, bringing the total grant amount to $102,464.72. It also authorizes the Director of Health to make necessary changes to the grant agreement without increasing the city's financial obligations.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant increase from the National Institutes of Health through The Regents of the University of California, San Francisco for participation in a program, entitled “Short Trainings on Methods for Recruiting, Sampling, and Counting Hard-to-Reach Populations: The H2R Training Program,” in the amount of $23,687.72 for a total amount of $102,464.72 from June 1, 2025, for the total period of October 1, 2022, through May 31, 2026; 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 Agreement or this Resolution.

This resolution allows the Human Services Agency to receive and use a $1,072,000 grant from the San Francisco Health Plan for a program aimed at addressing housing and homelessness from April 1, 2026, to March 31, 2030. The funding is designated for initiatives that support individuals experiencing homelessness in the city.

Resolution authorizing the Human Services Agency to accept and expend a grant in the total amount of $1,072,000 from the San Francisco Health Plan for participation in the program entitled “Housing and Homelessness Incentive Program Funding - San Francisco” for the period of April 1, 2026, through March 31, 2030.

This resolution allows the San Francisco Department of Public Health to enter into a grant agreement with the California Department of Health Care Services, securing $21,347,760 in funding through June 30, 2030. It also includes provisions for retroactive expense reimbursement and the ability to make necessary amendments to the agreement without increasing the city's liabilities.

Resolution authorizing the Department of Public Health to enter into a Grant Agreement for a term commencing on the execution of the Grant Agreement, through June 30, 2030, 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 and its third-party administrator Advocates for Human Potential, Inc., having anticipated revenue to the City of $21,347,760; including a provision allowing for the recapture of allowable project expenses incurred retroactive to May 6, 2025; including a Permitted and Restricted Use at 887 Potrero Avenue; retroactively authorizing DPH to accept and expend grant funds for the period of May 6, 2025, through June 30, 2030; 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 allows the San Francisco Department of Public Health to enter into a grant agreement with the California Department of Health Care Services, providing $6,337,140 in funding for health services through June 30, 2030. It also includes provisions for retroactive expense recapture and authorizes the department to make necessary amendments to the agreement without increasing the city's obligations.

Resolution authorizing the Department of Public Health to enter into a Grant Agreement for a term commencing on the execution of the Grant Agreement, through June 30, 2030, 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 and its third-party administrator Advocates for Human Potential, Inc., having anticipated revenue of $6,337,140; including a provision allowing for the recapture of allowable project expenses incurred retroactively to May 6, 2025; including a Permitted and Restricted Use at 333 7th Street; retroactively authorizing DPH to 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 allows the District Attorney's Office to accept and use a $420,000 grant from the California Office of Traffic Safety for a program aimed at prosecuting alcohol and drug-impaired drivers. The grant will support activities and services from October 1, 2025, to September 30, 2026.

Resolution retroactively authorizing the Office of the District Attorney to accept and expend a grant in the amount of $420,000 from the California Office of Traffic Safety, for the grant period of October 1, 2025, through September 30, 2026, to support the Alcohol and Drug Impaired Driver Vertical Prosecution Program activities and services.

This resolution outlines how various city departments will implement strategies to reduce drug overdoses among clients who use drugs. It is currently awaiting action from a committee.

Resolution receiving Overdose Prevention Policies for the Department of Public Health, the Department of Homelessness and Supportive Housing, the Department of Emergency Management, and the Human Services Agency describing how the department and its grantees that provide direct services to clients who use drugs will promote strategies to reduce drug overdoses, submitted as required by Administrative Code, Section 15.17.

This legislation calls for a hearing to address the U.S. Navy's delay in disclosing airborne plutonium detection at the Hunter's Point Shipyard, aiming for full transparency and accountability regarding public health and safety. It seeks reports from various agencies to understand the situation and the protections that were in place during the delay.

Hearing to discuss the United States (U.S.) Navy's failure to promptly disclose the detection of airborne plutonium at the Hunter's Point Shipyard; to obtain full disclosure, ensure accountability, and protect the Bayview-Hunter's Point community as well as provide every document, every test result, and every explanation for this failure, and to outline what protections, if any, were in place during the eleven months the public was kept in the dark; the Navy identified contamination in November 2024 but did not report it to the City and County of San Francisco until October 2025, raising serious concerns about transparency, public health, and trust in federal oversight; and requesting the U.S. Navy, Environmental Protection Agency, California Department of Public Health, and the San Francisco Department of Public Health to report.

This resolution urges the San Francisco Police Department to create a detailed plan to address drug use near parks, schools, and youth centers by issuing citations and providing detox services. It aims to enhance public safety and support individuals struggling with substance use.

Resolution urging the San Francisco Police Department (SFPD) to develop and implement a comprehensive enforcement and intervention plan to address drug use or suspected drug activity especially within 250 feet of parks, playgrounds, schools, and youth centers including issuing citations, conducting assessments, and removing individuals for processing or detoxification services.

This ordinance repeals the existing 2022 Plumbing Code and replaces it with a new 2025 Plumbing Code that aligns with the 2025 California Plumbing Code, with specific amendments for San Francisco. It will take effect on January 1, 2026, and the Clerk of the Board will send it to the California Building Standards Commission as required.

Ordinance repealing the 2022 Plumbing Code in its entirety and enacting a 2025 Plumbing Code consisting of the 2025 California Plumbing Code as amended by San Francisco; adopting environmental findings and findings of local conditions under the California Health and Safety Code; providing an operative date of January 1, 2026; and directing the Clerk of the Board of Supervisors to forward the Ordinance to the California Building Standards Commission as required by State law.

This ordinance repeals the 2022 Mechanical Code and replaces it with the 2025 Mechanical Code, which includes specific amendments for San Francisco. It will take effect on January 1, 2026, and the Clerk will send it to the California Building Standards Commission as required by state law.

Ordinance repealing the 2022 Mechanical Code in its entirety and enacting a 2025 Mechanical Code consisting of the 2025 California Mechanical Code as amended by San Francisco; adopting environmental findings and findings of local conditions under the California Health and Safety Code; providing an operative date of January 1, 2026; and directing the Clerk of the Board of Supervisors to forward the Ordinance to the California Building Standards Commission as required by State law.

This ordinance repeals the 2022 Electrical Code and replaces it with the 2025 Electrical Code, which includes specific amendments for San Francisco. It will take effect on January 1, 2026, and the Clerk of the Board will send it to the California Building Standards Commission as required by state law.

Ordinance repealing the 2022 Electrical Code in its entirety and enacting a 2025 Electrical Code consisting of the 2025 California Electrical Code as amended by San Francisco; adopting environmental findings and findings of local conditions under the California Health and Safety Code; providing an operative date of January 1, 2026; and directing the Clerk of the Board of Supervisors to forward the Ordinance to the California Building Standards Commission as required by State law.

This ordinance repeals the existing 2022 Green Building Code and replaces it with a new 2025 Green Building Code that aligns with California's updated standards, effective January 1, 2026. It also includes necessary environmental and local condition findings and mandates the Clerk to submit the ordinance to the California Building Standards Commission.

Ordinance repealing the 2022 Green Building Code in its entirety and enacting a 2025 Green Building Code consisting of the 2025 California Green Building Standards Code as amended by San Francisco; adopting environmental findings, findings of local conditions under the California Health and Safety Code, and findings under the California Public Resources Code; providing for an operative date of January 1, 2026; and directing the Clerk of the Board of Supervisors to forward the Ordinance to the California Building Standards Commission as required by State law.

This ordinance repeals the current 2022 Existing Building Code and replaces it with a new 2025 Existing Building Code, which aligns with the updated California standards and includes local amendments. It will take effect on January 1, 2026, and the Board of Supervisors will send it to the California Building Standards Commission as required.

Ordinance repealing the 2022 Existing Building Code in its entirety and enacting a 2025 Existing Building Code consisting of the 2025 California Existing Building Code as amended by San Francisco; adopting environmental findings and findings of local conditions under the California Health and Safety Code; providing for an operative date of January 1, 2026; and directing the Clerk of the Board of Supervisors to forward the Ordinance to the California Building Standards Commission as required by State law.

This ordinance repeals the existing 2022 Building Code and replaces it with the new 2025 Building Code, which includes updates from the 2025 California Building Code and Residential Code, tailored for San Francisco. It will take effect on January 1, 2026, and the Clerk will send the necessary documents to the California Building Standards Commission.

Ordinance repealing the 2022 Building Code in its entirety and enacting a 2025 Building Code consisting of the 2025 California Building Code and the 2025 California Residential Code, as amended by San Francisco; adopting environmental findings and findings of local conditions under the California Health and Safety Code; providing for an operative date of January 1, 2026; and directing the Clerk of the Board of Supervisors to forward the legislation to the California Building Standards Commission as required by State law.

This resolution allows the Department of Public Health to accept and use a grant of $6,755,486.26 from the San Francisco General Hospital Foundation for a program aimed at improving healthcare practices from January 1, 2026, to June 30, 2029. It also gives the Director of Health the authority to make necessary adjustments to the grant agreement without increasing the city's financial obligations.

Resolution authorizing the Department of Public Health to accept and expend a grant in the amount of $6,755,486.26 from the San Francisco General Hospital Foundation for participation in a program, entitled “ZPCQI Round 3: Optimizing Epic to Drive True North and Developing our people: The ZSFG Way,” for the period of January 1, 2026, through June 30, 2029; approving the Notice of Award 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 Agreement or this Resolution.

This resolution allows the Department of Public Health to accept and use COVID-19 test kits valued at $527,664 for the fiscal year 2024-2025. The kits are provided as an in-kind gift from the Administration for Strategic Preparedness and Response to support clinic patients and staff.

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 $527,664 for Fiscal Year (FY) 2024-2025, from the Administration for Strategic Preparedness and Response through the California Department of Public Health in support of the Department of Public Health clinic patients and staff.

The ordinance requires most dogs in San Francisco to be spayed, neutered, or chemically sterilized, expanding the current requirement beyond just pit bulls. It also outlines a permit process for unaltered dogs, including fees, regulations for their sale and breeding, and penalties for non-compliance.

Ordinance amending the Health Code to require that every dog in San Francisco, with certain exceptions, be spayed, neutered, or chemically sterilized, rather than requiring such procedures only for pit bulls; to establish a process and fee for applying for an unaltered dog permit, and a process for granting, denying, or revoking such permit, with a hearing following a denial or revocation; to regulate the transfer, sale, and breeding of unaltered dogs; and to establish penalties and conditions of impoundment for violations of the mandatory spay, neuter, or chemical sterilization requirements.

This resolution extends a contract with Catholic Charities for HIV health services rental subsidies by five years and increases the funding by over $7 million, totaling approximately $13.4 million. It also allows the Department of Public Health to make minor adjustments to the agreement as needed.

Resolution approving Amendment No. 1 to the agreement between City, acting by and through, the Department of Public Health (DPH), and Catholic Charities, to provide HIV health services rental subsidies services, to extend the term by five years from June 30, 2026, for a total term of July 1, 2021, through June 30, 2031, and to increase the amount by $7,317,206 for a total not to exceed amount of $13,426,414; 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 accept a $77,000 donation from Epic Systems Corporation to support Federally Qualified Health Centers and their underserved patients. The funding will be used from July 1, 2024, to June 30, 2025.

Resolution retroactively authorizing the Department of Public Health to accept and expend a monetary gift, entitled “2024 Epic for Federally Qualified Health Centers,” in the amount of $77,000 from the Epic Systems Corporation to help support Federally Qualified Health Centers and their underserved patient populations, for the period of July 1, 2024, through June 30, 2025.

The resolution allows the Department of Public Health to accept and use a $1,123,180 grant from the California Department of Health for a program aimed at developing the Disease Intervention Specialist workforce from July 1, 2025, to June 30, 2026. It also gives the Director of Health the authority to make necessary amendments to the grant agreement without increasing the city's financial obligations.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $1,123,180 from the California Department of Health for participation in a program, entitled “Disease Intervention Specialist (DIS) Workforce Development Grant,” for the period of July 1, 2025, through June 30, 2026; 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.

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 $15,552,315 to support services in San Francisco from March 1, 2026, to February 28, 2027.

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 $15,552,315 in HIV Emergency Relief Program funding for the San Francisco Eligible Metropolitan Area for the period of March 1, 2026, through February 28, 2027.

This resolution extends a contract with A&A Health Services, Inc. for rehabilitative board and care residential services for an additional three years and increases the funding by $22.7 million, bringing the total to nearly $32.7 million. It also allows the Department of Public Health to make minor adjustments to the agreement as needed.

Resolution approving Amendment No. 1 to the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and A&A Health Services, Inc., to provide rehabilitative board and care residential services, to extend the term by three years from June 30, 2026, for a total term of July 1, 2024, through June 30, 2029, and to increase the amount by $22,722,200 for a total not to exceed amount of $32,654,875; 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 supports a statewide initiative to tax the net worth of California billionaires in 2025, aiming to generate revenue for health care and public education. It targets over 200 billionaires with a combined wealth of nearly $2 trillion.

Resolution supporting the passage of the 2026 Billionaire Tax Act, a statewide initiative to implement a tax on the 2025 net worth of billionaires who live in California, over 200 people who altogether have a combined wealth of nearly $2,000,000,000,000; the collected revenue would go to fund health care programs and public education.

This ordinance requires certain airport employers to make guaranteed health care payments for their workers based on household size, starting January 1, 2027. The payments will be tiered, meaning larger households will receive higher contributions.

Ordinance amending the Labor and Employment Code to revise the Healthy Airport Ordinance to require, beginning on January 1, 2027, that Contracting Parties employing certain airport workers make Irrevocable Health Care Expenditures on behalf of their employees at tiered rates reflecting the employee’s household size.

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.

This ordinance allows the Health Service System to bypass certain labor laws regarding minimum compensation and health care accountability for its life and long-term disability insurance services contract. It has been officially passed and is now in effect.

Ordinance exempting the Health Service System’s Life and Long-Term Disability Insurance services contract from the requirements of Article 111 (Minimum Compensation) and Article 121 (Health Care Accountability) of the Labor and Employment Code.

This resolution allows the Department of Homelessness and Supportive Housing to amend a grant agreement with the San Francisco Health Plan to enhance services in permanent supportive housing, extending the agreement through December 31, 2025, and increasing funding by $2,820,000. It also permits automatic yearly renewals and authorizes HSH to make minor adjustments to the agreement as needed.

Resolution retroactively authorizing the Department of Homelessness and Supportive Housing (“HSH”) to enter into a Grant Agreement Amendment effective July 1, 2025, between the City and County of San Francisco (“City”), acting by and through HSH, and the San Francisco Health Plan, to continue to provide enhanced onsite services in permanent supportive housing and data integration under the Housing and Homelessness Incentive Program; amending the existing term of the Grant Agreement through December 31, 2025, with automatic one-year term renewals effective January 1st of each year until the Grant Agreement is terminated by either party; increasing the grant amount by $2,820,000 for a total not to exceed amount of $6,047,884; and authorizing HSH to enter into any amendments or other modifications to the amendment 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 allows the Department of Public Health to enter into a grant agreement with the California Department of Social Services for nearly $9.9 million to build a substance use disorder residential facility on Treasure Island, with funding available until June 30, 2029. It also permits the Department to make necessary adjustments to the agreement and outlines the process for the grantor to seek a receiver if the City defaults.

Resolution authorizing the Department of Public Health to enter into a Grant Agreement for a term commencing on execution of the Grant Agreement, through June 30, 2029, between the City and County of San Francisco ("City"), acting by and through its Department of Public Health ("DPH"), and California Department of Social Services and its third party administrator Horne LLP, under the Community Care Expansion Program, having anticipated revenue to the City of $9,895,834 for construction of a substance use disorder (SUD) residential step-down facility at Parcel E1.2, Treasure Island, including a Permitted and Restricted Use; authorizing DPH to accept and expend an increase to the grant award; 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 aims to classify all 911 calls about drug use or suspected drug activity near parks, playgrounds, and schools as high-priority, requiring quick action from the Police Department and the Department of Emergency Management. It is currently awaiting committee review.

Resolution urging the Police Department and the Department of Emergency Management to designate all 911 calls reporting drug use or suspected drug activity within 1,500 feet of parks, playgrounds, and schools as “Priority A” calls requiring swift and immediate response.

This resolution expresses San Francisco's support for women's professional basketball players and urges the WNBA to negotiate fair contracts that provide equitable pay and benefits. It emphasizes the importance of ensuring players' health, safety, and overall well-being.

Resolution expressing the City and County of San Francisco’s support for women’s professional basketball players represented by the Women’s National Basketball Players Association, including the Golden State Valkyries; and urging the Women’s National Basketball Association to negotiate fair contracts that ensure equitable pay, benefits, and working conditions that protect players’ health, safety, and overall well-being.

This resolution allows the San Francisco Fire Department to collaborate with CAL Fire to temporarily borrow equipment and property to enhance fire and emergency medical services, including disaster relief, for three years. It has been officially approved and will take effect once the agreement is signed.

Resolution authorizing the Fire Department to enter into a Cooperative Agreement for the Firefighter Property Program with the California State Department of Forestry and Fire Protection (CAL Fire) under which the Department may receive temporary loans of property in providing fire and emergency medical services, including disaster relief activities, for an initial term of three years, effective upon execution of the Cooperative Agreement.

This resolution approves a five-month extension of the contract for unarmed security guard services at San Francisco General Hospital, increasing the total contract amount by $2,186,000 to a maximum of $12,180,000. It also allows the Office of Contract Administration to make minor amendments to the contract as needed.

Resolution approving Amendment 4 between City, acting by and through the Office of Contract Administration, and Universal Protection Service, LP dba Allied Universal Security Services for unarmed security guard services at San Francisco General Hospital, extending the contract by five months for a total term of February 15, 2023, through June 14, 2026, and increasing the contract amount by $2,186,000 for a total not to exceed amount of $12,180,000 effective upon approval of this Resolution; and to authorize OCA to enter into amendments or modifications to the contract that do not materially increase the obligations or liabilities to the City and are necessary to effectuate the purposes of the contract or this Resolution.

This resolution allows the Director of Property to lease about 11,894 square feet at 845 Jackson Street from the Chinese Hospital Association for three years, with an option to extend for one year, at an annual rent of $499,548. It also authorizes the Director to make minor amendments to the lease as needed.

Resolution approving and authorizing the Director of Property to enter into a lease of approximately 11,894 square feet of real property located at 845 Jackson Street on the 4th Floor with Chinese Hospital Association, as Landlord, for an initial term of three years with one option to extend the term for one-year, effective upon approval of this Resolution, for an initial annual base rent of $499,548 (or $42 per square foot annually) (“Lease”); authorizing the Director of Property, on behalf of the Department of Public Health, to execute the Lease; and authorizing the Director of Property to enter into other amendments or modifications to the Lease that do not materially increase the obligations or liabilities to the City and are necessary to effectuate the purposes of the Lease or this Resolution.

This resolution urges UCSF to ensure fair pay for Clinical Social Workers in its Campus division, who currently earn 31% less than those in the Medical Center. It aims to eliminate the pay disparity and promote equitable compensation within the university's mental health services.

Resolution urging the University of California, San Francisco (UCSF) to support equitable compensation for the University Professional and Technical Employees Communications Workers of America Local 9119 (UPTE-CWA 9119) Clinical Social Workers at UCSF and end the two-tiered mental health system between the University’s Medical Center Clinical Social Workers (CSWs) and “Campus” Clinical Social Workers, resulting in Campus CSWs earning 31% less on average than their Medical Center counterparts.

This resolution adds the Department of Homelessness and Supportive Housing, the Controller’s Office, and DataSF to the list of city departments recognized as Health Care Components under HIPAA. This designation allows these departments to handle health-related information in compliance with federal privacy regulations.

Resolution accepting the report of the City Administrator and adding the Department of Homelessness and Supportive Housing, the Controller’s Office, and DataSF to the previous designation that included the Department of Public Health, Fire Department, Health Service System, City Attorney, Treasurer-Tax Collector and Department of Technology, as Health Care Components under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), pursuant to Administrative Code, Chapter 22H.

This resolution allows the San Francisco Department of Public Health to enter a grant agreement with the California Department of Healthcare Services for funding up to $10 million through June 30, 2027. It also gives the department the authority to manage the funds and make necessary adjustments to the agreement without significantly increasing the city's obligations.

Resolution authorizing the Department of Public Health to enter into a Grant Agreement for a term commencing on execution of the Grant Agreement, through June 30, 2027, between the City and County of San Francisco (“City”), acting by and through its Department of Public Health (“DPH”), and the California Department of Healthcare Services and its third-party administrator Advocates for Human Potential, Inc., having anticipated revenue to the City of $10,000,000; including a Permitted and Restricted Use; authorizing DPH to 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 supports the rights of immigrants to access healthcare services without facing harassment or discrimination. It emphasizes the importance of treating all individuals with dignity and respect in healthcare settings.

Resolution supporting the rights of immigrants to seek healthcare with dignity, respect, and without harassment.

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 allows the San Francisco Department of Public Health to apply for over $25 million in grants from the California Department of Health Care Services to improve behavioral health infrastructure. The funding will support projects under the Behavioral Health Infrastructure Bond Act of 2024, with grant terms lasting up to 10 years.

Resolution authorizing the San Francisco Department of Public Health to submit applications to the California Department of Health Care Services, under the Bond Behavioral Health Continuum Infrastructure Program (Bond BHCIP) Round 2 Unmet Needs Program, pursuant to the Behavioral Health Infrastructure Bond Act of 2024, for grants with terms not to exceed 10 years, with anticipated revenue to the City in excess of $25,000,000.

This legislation involves a hearing to review the Treatment on Demand Annual Report for the fiscal year 2023-2024. It also requests the Department of Public Health to provide additional information during the hearing.

Hearing on the Treatment on Demand Annual Report for Fiscal Year 2023-2024; and requesting the Department of Public Health to report.

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.

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 ordinance updates definitions and regulations for mobile food facilities and related permits to align with California law, including new categories like compact mobile food operations and mobile support units. It also establishes fees for certain permits while waiving fees for compact mobile food operations and expands the Department of Public Works' authority to regulate these vendors.

Ordinance amending the Health and Business and Tax Regulations Codes to revise the definition of a mobile food facility permit, add definitions for compact mobile food operations, mobile support unit, and permitted auxiliary conveyance permits to reflect recent amendments to the California Retail Food Code, revise existing definitions of various other terms to reflect State law definitions in that Code, and expand the definition of stadium concession to include food facilities in stadiums with a seating capacity of 5,000 or more; establish annual permit and plan check fees for auxiliary conveyance, compact mobile food operation, and mobile support unit permits; and waive license and permit fees for compact mobile food operations; amending the Public Works Code to include a definition for compact mobile food operations and to expand the Department of Public Works’ street vending authority to include regulation of compact mobile food operations, and to require that Department to consult with the Department of Public Health and the Fire Department when issuing rules and regulations that regulate street vendors.

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 approves a contract between the City’s Department of Public Health and Good Guard Security for unarmed security services from October 1, 2025, to September 30, 2028, with a budget of up to $18 million. It also allows the Department of Public Health to make minor changes to the agreement without increasing the City’s financial obligations.

Resolution approving the agreement between City, acting by and through, the Department of Public Health (DPH), and Good Guard Security, to provide unarmed security services, for a total term of October 1, 2025, through September 30, 2028, for a total not to exceed amount of $18,000,000; 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.

The ordinance authorizes a partial settlement of a lawsuit against the Sackler family and others, requiring them to pay between $8 million and $12 million over 15 years to address the opioid crisis in San Francisco. This lawsuit alleges that they contributed to the epidemic by promoting opioid sales despite awareness of its harmful effects.

Ordinance authorizing the partial settlement of the lawsuit filed on behalf of the City and County of San Francisco and the People of the State of California against, inter alia, Richard S. Sackler, Jonathan D. Sackler, Mortimer D.A. Sackler, Kathe A. Sackler, Ilene Sackler Lefcourt, Beverly Sackler, Theresa Sackler, David A. Sackler, Trust for the Benefit of Members of the Raymond Sackler Family (collectively, “Sacklers”) for abatement funds in the range of $8,000,000 to $12,000,000 to be paid over 15 years; the lawsuit was filed on December 18, 2018, in the United States District Court for the Northern District of California, Case No. 3:18-cv-7591-CRB-JSC; entitled The City and County of San Francisco and the People of the State of California v. Purdue Pharma L.P., Richard S. Sackler, Jonathan D. Sackler, Mortimer D.A. Sackler, Kathe A. Sackler, Ilene Sackler Lefcourt, Beverly Sackler, Theresa Sackler, David A. Sackler, Trust for the Benefit of Members of the Raymond Sackler Family, Rhodes Pharmaceuticals L.P., Cephalon, Inc., Teva Pharmaceutical Industries Ltd., Teva Pharmaceuticals USA, Inc., Endo International Plc, Endo Health Solutions Inc., Endo Pharmaceuticals Inc., Janssen Pharmaceuticals, Inc., Insys Therapeutics, Inc., Mallinckrodt Plc, Mallinckrodt LLC, Allergan Plc F/K/A Actavis Plc, Watson Pharmaceuticals, Inc. N/K/A Actavis, Inc., Watson Laboratories, Inc., Actavis LLC, Actavis Pharma, Inc. F/K/A/ Watson Pharma, Inc., AmerisourceBergen Corporation, Cardinal Health, Inc., and McKesson Corporation; the lawsuit involves allegations that Purdue and the Sacklers contributed to the opioid crisis in San Francisco by incentivizing the sale and use of opioids despite knowledge of the growing epidemic caused by opioid misuse.

This ordinance updates the food purchasing goals and reporting requirements for the Department of Public Health and the Sheriff’s Department regarding City hospitals and jails, extending the program's standards until December 31, 2035. It aims to ensure better food quality and accountability in these facilities.

Ordinance amending the Administrative Code to revise the goals and reporting requirements for food purchasing by the Department of Public Health and the Sheriff’s Department for City hospitals and jails; and revising the sunset date such that the program’s standards and reporting requirements will remain in effect until December 31, 2035.

This resolution approves an increase of $1,727,928 to the existing contract with Project Open Hand for HIV/AIDS food and nutrition services, raising the total contract amount to $20,528,272. The contract term remains unchanged, running from April 1, 2017, to March 31, 2027, and allows for minor amendments by the Department of Public Health as needed.

Resolution approving Amendment No. 4 to the agreement between the City, acting by and through, the Department of Public Health (DPH), and Project Open Hand, to provide HIV/AIDS food and nutrition services, to increase the contract amount by $1,727,928 for a new total not to exceed amount of $20,528,272 with no changes to the term of April 1, 2017, through March 31, 2027; 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 San Francisco Department of Public Health to secure funding from the California Department of State Hospitals for a mental health diversion program aimed at individuals deemed incompetent to stand trial, covering a five-year period from July 2025 to June 2030, with expected revenue of $15,060,000. It also permits the Department to make necessary adjustments to the agreement without increasing the city's financial obligations.

Resolution retroactively authorizing the San Francisco Department of Public Health (DPH) to enter into an agreement with the California Department of State Hospitals, to provide funding for the Felony Incompetent to Stand Trial (IST) Mental Health Diversion Program for individuals found incompetent to stand trial for a term of five years from July 1, 2025, through June 30, 2030, having anticipated revenue of $15,060,000; and authorizing 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 ordinance aims to ensure fair distribution of homeless shelters and behavioral health facilities by preventing new City-funded ones from being placed in neighborhoods that already have a higher proportion of such services compared to their unsheltered population. It also prohibits new shelters from being located within 300 feet of existing ones, though the Board of Supervisors can waive these rules if deemed beneficial for the public.

Ordinance amending the Administrative Code to promote equitable access to shelter and behavioral health services by prohibiting the City from siting a new, City-funded homeless shelter, transitional housing facility, or certain behavioral health residential care and treatment facilities (collectively, “Covered Facilities”) in a neighborhood where the neighborhood’s share of the City’s shelter and transitional housing beds exceeds the neighborhood’s share of the City’s unsheltered persons, and prohibiting the City from siting a new City-funded homeless shelter within 300 feet of an existing homeless shelter; and authorizing the Board of Supervisors to waive these prohibitions upon a finding that approving the Covered Facility or homeless shelter at the proposed location is in the public interest; and providing that this ordinance shall sunset on December 31, 2031.

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.