Legislation

This resolution approves a lease agreement for coffee shops in Terminal 3 and the Dianne Feinstein International Terminal at San Francisco International Airport. The lease is for 14 years with a potential 2-year extension, requiring minimum annual payments of $400,000 and $167,000 for different locations.

Resolution approving Terminal 3 Boarding Area E and Dianne Feinstein International Terminal Arrivals Coffee Shops Lease, Lease No. 26-0205, between SFO Hospitality Partners LLC, as tenant, and the City and County of San Francisco, acting by and through its Airport Commission, as landlord, for a 14-year term plus one option to extend the term by two years, and an initial minimum annual guarantee of $400,000 for the post security location and $167,000 for the pre security location.

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

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

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

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

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

Resolution retroactively authorizing the Department of Public Health to enter into a Grant Agreement for a term commencing on the execution of the Grant Agreement, through December 31, 2028, between the City and County of San Francisco (“City”), acting by and through its Department of Public Health (“DPH”), and the California Department of Health Care Services for the Behavioral Health Continuum Infrastructure Program (BHCIP), and its third-party administrator Advocates for Human Potential, Inc., having anticipated revenue of $11,199,999.98; including a provision allowing for the retroactive reimbursement of allowable project expenses incurred from February 27, 2026, the date of the Notice of Conditional Award; including a Permitted and Restricted Use at 1660 Mission Street; authorizing DPH to retroactively accept and expend grant funds; authorizing the Grantor to apply for a Receiver in the event of the City’s default; and authorizing DPH to enter into amendments or modifications to the Grant Agreement that do not materially increase the obligations or liabilities of the City and are necessary to effectuate the purpose of the Grant.

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

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

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

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

This resolution authorizes the City and County of San Francisco to issue and sell up to $83,475,000 in general obligation bonds for health and recovery purposes. It outlines the terms, sale process, and necessary actions for managing these bonds.

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

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

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

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

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

This resolution allows the Department of Public Health to lease approximately 2,992 square feet at 1290 Fillmore Street for five years, with the option to extend for two additional years, at an annual rent starting at $105,138.88, which will increase by 3% with each extension. It also gives the Director of Property the authority to make minor amendments to the lease as needed, without significantly changing the city's obligations or benefits.

Resolution approving and authorizing the Director of Property, on behalf of the Department of Public Health, to execute a lease agreement with West Bay Local Development Corporation, dba West Bay Conference Center, as Landlord, for a portion of 1290 Fillmore Street, consisting of approximately 2,992 rentable square feet; for an initial term of five years with two one-year extension options, commencing upon approval of this Resolution by the Board of Supervisors and the Mayor and the execution by the Director of Property; for an annual base rent of $105,138.88, increasing by 3% at each term extension; and authorizing the Director of Property to enter into any amendments or make certain modifications to the Office Lease that the Director of Property determines, in consultation with the Department of Public Health and the City Attorney, do not materially increase the obligations or liabilities to the City, do not materially decrease the benefits to the City, and are necessary to effectuate the purposes of the Office Lease or this Resolution.

This resolution allows the Department of Public Health to lease about 1,500 square feet at 1533 Eddy Street for five years, with the option to extend for two additional years, at an annual rent starting at $39,600 with yearly increases. It also gives the Director of Property the authority to make minor changes to the lease as needed, without significantly altering the city's obligations or benefits.

Resolution approving and authorizing the Director of Property, on behalf of the Department of Public Health, to execute a Lease Agreement with Fillmore Center Associates, LP, as Landlord, for a portion of 1533 Eddy Street, consisting of approximately 1,500 rentable square feet; for an initial term of five years with two one-year extension options, commencing upon approval of this Resolution by the Board of Supervisors and the Mayor and upon execution by the Director of Property; for an annual base rent of $39,600 with 3% annual increases; and authorizing the Director of Property, to enter into any amendments or make certain modifications to the Lease that the Director of Property determines, in consultation with DPH and the City Attorney, do not materially increase the obligations or liabilities to the City, do not materially decrease the benefits to the City, and are necessary to effectuate the purposes of the lease agreement or this Resolution.

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

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

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

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

This resolution urges state agencies to improve the CalEnviroScreen framework so that low-income urban neighborhoods in San Francisco can still qualify for important state grants. It also calls for a pause on any updates to the framework until there is meaningful consultation with local residents and advocacy groups.

Resolution urging the California Environmental Protection Agency (CalEPA) and Office of Environmental Health Hazard Assessment (OEHHA) to refine the CalEnviroScreen framework to ensure dense, low-income urban neighborhoods in San Francisco retain their eligibility for essential State grants; and suspend any proposed updates on CalEnvrioScreen until robust consultation occurs with residents, community advocates, and environmental justice organizations in San Francisco.

The ordinance authorizes a settlement of a lawsuit by Airlines for America against San Francisco, requiring no monetary payment but contingent on changes to the Healthy Airport Ordinance. Each party will cover its own legal costs, and the lawsuit challenges the ordinance's compliance with federal law and constitutional issues.

Ordinance authorizing settlement of the lawsuit filed by Airlines for America against the City and County of San Francisco for $0 and non-monetary terms, including that Airlines for America will dismiss its current lawsuit contingent on the enactment of an ordinance making specific amendments to the Healthy Airport Ordinance, with each party to pay their own costs; the lawsuit was filed on March 31, 2021 in the United States District Court, Northern District of California, Case No. 3:21-cv-02341-EMC; entitled Airlines for America v. City and County of San Francisco; the lawsuit involves a federal preemption and constitutional challenge to the Healthy Airport Ordinance.

This resolution approves an increase in the contract amount with Polydyne, Inc. for wastewater treatment polymers to $12,060,000 and allows for minor changes to the agreement before final execution, as long as they don't significantly alter the city's obligations. The resolution is currently pending committee action.

Resolution approving Amendment No. 4 to the Agreement between City, acting by and through the Office of Contract Administration, and Polydyne, Inc. for the supply of wastewater treatment polymers, to increase the Agreement’s not to exceed amount to $12,060,000; and to authorize the Office of Contract Administration to make non-material changes to the Amendment prior to its final execution by all parties that do not materially increase the obligations or liabilities to the City and are necessary or advisable to effectuate the purposes of the Agreement.

This resolution approves a lease amendment for a property at 555 Polk Street, allowing the Department of Public Health to rent it for $202,500 annually, with a 3% increase each year, starting retroactively from August 1, 2026, until July 31, 2031, with an option to extend for three more years. It also authorizes the Director of Property to make necessary changes and execute related documents for the lease.

Resolution approving and authorizing the Director of Property, on behalf of the Department of Public Health, to execute a first amendment to a lease of real property located at 555 Polk Street from Mattison Family Trust, at an annual base rent of $202,500 with 3% annual increases, for an initial term commencing retroactively on August 1, 2026, upon full execution of the lease amendment and expiring on July 31, 2031, with one three-year option to extend; and authorizing the Director of Property to execute documents, make certain modifications and take certain actions in furtherance of the lease, as amended, and this Resolution.

This resolution supports a California bill that aims to improve access to medication abortion for community college students and enhance awareness of reproductive health services in public colleges. It is set for immediate adoption by the San Francisco city government.

Resolution supporting California State Assembly Bill No. 2540, authored by Assembly Member Catherine Stefani, the Community College Student Right to Access Act, which would expand access to medication abortion for California community college students and improve awareness of reproductive health services across California’s public higher education systems.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

A formal position or approval by the Board: Allow the acceptance and expenditure of Recurring State grant funds by the San Francisco Department of Public Health for Fiscal Year (FY) 2026-2027.

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

A formal position or approval by the Board: Concurring with the Controller's certification that department services can be performed by private contractor for a lower cost than similar work performed by City and County employees, for Protective Services (Adult Probation) and Security Services (Department of Public Health).

Resolution concurring with the Controller's certification that department services can be performed by private contractor for a lower cost than similar work performed by City and County employees, for Protective Services (Adult Probation) and Security Services (Department of Public Health).

Schedules a public hearing about: Hearing on the Vicious and Dangerous Dog Unit, inquiring about the plan to hire a Hearing Officer, restart hearing proceedings, address the existing case backlog, and improve proceedings through dog behavioral course requirements.

Hearing on the Vicious and Dangerous Dog Unit, inquiring about the plan to hire a Hearing Officer, restart hearing proceedings, address the existing case backlog, and improve proceedings through dog behavioral course requirements; and requesting the San Francisco Police Department, Department of Police Accountability, City Administrator's Office, and Department of Public Health to be present.

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

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

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

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

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

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

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

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

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

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

Proposes a change to city law: Allow settlement of the lawsuit filed by Amaryllis Cruz and Elias Jimenez against the City and County of San Francisco for $3,000,000.

Ordinance authorizing settlement of the lawsuit filed by Amaryllis Cruz and Elias Jimenez against the City and County of San Francisco for $3,000,000; the lawsuit was filed on September 5, 2023, in San Francisco Superior Court, Case No. CGC-23-608832; entitled Amaryllis Cruz, et al. v. City and County of San Francisco, et al.; the lawsuit involves alleged medical negligence.

This resolution proposes to name a section of Noriega Street as "Sunset Healthcare Corridor" to honor the many healthcare providers in the area and to promote ongoing access to affordable care for local residents. It is currently awaiting action from a committee.

Resolution adding the commemorative street name "Sunset Healthcare Corridor" to Noriega Street between 19th Avenue and 33rd Avenue, in recognition of the concentration of medical, dental, optometric, pharmacy, and wellness providers that have served the Sunset District along this corridor for decades, and in support of continued access to affordable, culturally competent care for Sunset residents.

This motion schedules a hearing for July 21, 2026, to discuss the potential impacts of Kaiser Permanente's bargaining proposals on San Francisco residents and city employees who are Kaiser enrollees, particularly regarding behavioral health services. It also requests reports from key executives and union representatives to provide insights during the hearing.

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

A formal position or approval by the Board: Retroactively allow the Department of Public Health to accept and expend grant funds from the National Institutes of Health through Heluna Health for participation in a program, entitled “PrEP Blueprint: Evaluating implementation of a PrEP Choice Blueprint on PrEP Uptake and Persistence”.

Resolution retroactively authorizing the Department of Public Health to accept and expend grant funds from the National Institutes of Health through Heluna Health for participation in a program, entitled “PrEP Blueprint: Evaluating implementation of a PrEP Choice Blueprint on PrEP Uptake and Persistence”; approving a Grant Agreement between the City, acting by and through the Department of Public Health, and Heluna Health for a term of eight months from April 1, 2026, through November 30, 2026, and for a total not to exceed amount of $148,843; and to authorize the Director of Health to make necessary, non-material changes to the Grant Agreement before its execution.

An internal Board decision: Motion appointing Athena Bing-Ying Ng, term ending January 1, 2028, and Raymond Deng, term ending January 1, 2027, to the Behavioral Health Council.

Motion appointing Athena Bing-Ying Ng, term ending January 1, 2028, and Raymond Deng, term ending January 1, 2027, to the Behavioral Health Council.

Proposes a change to city law: Set aside money $195,000,000 of General Obligation (GO) Bond proceeds from Series 2026A Healthy, Safe, and Vibrant SF GO Bonds to the Department of Public Health (DPH), Department of Public Works (DPW), Recreation and Park Department (REC), and the San Francisco Municipal Transportation Agency (MTA) for acquisition and improvement of real property for various healthcare, nursing, and mental health facilities. In short: it commits city money.

Ordinance appropriating $195,000,000 of General Obligation (GO) Bond proceeds from Series 2026A Healthy, Safe, and Vibrant SF GO Bonds to the Department of Public Health (DPH), Department of Public Works (DPW), Recreation and Park Department (REC), and the San Francisco Municipal Transportation Agency (MTA) for acquisition and improvement of real property for various healthcare, nursing, and mental health facilities; certain transportation, pedestrian, street safety-related capital improvements, streetscape enhancements and other public space improvements, and related costs in Fiscal Year (FY) 2025-2026; and placing these funds on Controller’s Reserve pending receipt of bond proceeds.

A formal position or approval by the Board: Retroactively allow the Police Department to accept and expend an in-kind gift of 1,800 units of Naloxone in 2025 valued at $43,200 through the Naloxone Distribution Project, which is funded by the Substance Abuse and Mental Health Services Administration and administered 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 in 2025 valued at $43,200 through the Naloxone Distribution Project, which is funded by the Substance Abuse and Mental Health Services Administration and administered by the Department of Health Care Services.

A formal position or approval by the Board: Approve and allow the Director of Property, on behalf of the Department of Public Health, to sign Office Lease for the continued use of office space located at 796 Brannan Street, floor 2 with 796 Brannan Street, LLC, as Landlord, effective upon approval of this an official statement by the Board of Supervisors and the Mayor and upon execution of the Office Lease by the Director of Property, with an estimated commencement date of July 1, 2026, through June 30, 2031, with two five-year extension options, the initial term starting at a monthly base rent of $3,389.66, for a total annual base rent of $40,675.96 with annual 3% increases.

Resolution approving and authorizing the Director of Property, on behalf of the Department of Public Health, to execute an Office Lease for the continued use of office space located at 796 Brannan Street, floor 2 with 796 Brannan Street, LLC, as Landlord, effective upon approval of this Resolution by the Board of Supervisors and the Mayor and upon execution of the Office Lease by the Director of Property, with an estimated commencement date of July 1, 2026, through June 30, 2031, with two five-year extension options, the initial term starting at a monthly base rent of $3,389.66, for a total annual base rent of $40,675.96 with annual 3% increases; and authorizing the Director of Property to take other actions with respect to the Office Lease, including entering into amendments or modifications and exercising the extension options, or taking other actions with respect to the Office Lease that the Director of Property deems to be in the best interest of the City, and do not materially increase the obligations or liabilities of the City, do not materially decrease the benefits of the City, are necessary or advisable to effectuate the purposes of the Office Lease or this Resolution, and are in compliance with all applicable laws, including the City’s Charter.

A formal position or approval by the Board: Allow the Department of Public Health to enter into Performance Contract No.

Resolution authorizing the Department of Public Health to enter into Performance Contract No. 26-60056, with the California Department of Health Care Services, incorporating the Behavioral Health Services Act, Lanterman-Petris-Short Act, Projects for Assistance in Transition from Homelessness, Community Mental Health Services Block Grant, Substance Use Prevention, Treatment and Recovery Services Block Grant, and Crisis Counseling Assistance and Training Program for the period of July 1, 2026, through June 30, 2029.

A formal position or approval by the Board: Approve Amendment No. In short: a symbolic stance, not a binding law.

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 Westside Community Mental Health Center, to provide short-term respite beds plus health stabilization support for people experiencing homelessness, to extend the term by two years from June 30, 2026, for a new term of June 2, 2025, through June 30, 2028, and to increase the amount by $13,691,234 for a new total not to exceed amount of $21,466,168; 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.

Proposes a change to city law: Changing the Health Code to prohibit smoking in outdoor patios of bars and taverns.

Ordinance amending the Health Code to prohibit smoking in outdoor patios of bars and taverns; eliminate exceptions allowing indoor smoking in bars with no employees, bars with historically compliant semi-enclosed smoking rooms, and hotel rooms, to conform to provisions of California law; and repeal suspended and superseded provisions regulating smoking in certain locations.

A formal position or approval by the Board: Allow the issuance and sale of not to exceed $195,000,000 aggregate principal amount of one or more series of City and County of San Francisco General Obligation Bonds (Healthy, Safe and Vibrant San Francisco, 2024), Series 2026A (“Bonds”) on a tax-exempt or taxable basis.

Resolution authorizing the issuance and sale of not to exceed $195,000,000 aggregate principal amount of one or more series of City and County of San Francisco General Obligation Bonds (Healthy, Safe and Vibrant San Francisco, 2024), Series 2026A (“Bonds”) on a tax-exempt or taxable basis; prescribing the form and terms of such Bonds and any subseries designation; providing for the appointment of depositories and other agents for such Bonds; providing for the establishment of accounts and/or subaccounts related to such Bonds; authorizing the sale of such Bonds by competitive or negotiated sale or private placement; approving the forms of the Official Notice of Sale and Notice of Intention to Sell Bonds and directing the publication of the Notice of Intention to Sell Bonds; approving the form of the Purchase Contract; approving the form of the Preliminary Official Statement and the execution of one or more Official Statements relating to the sale of such Bonds; approving the form of the Continuing Disclosure Certificate; authorizing and approving modifications to such documents; ratifying certain actions previously taken, as defined herein; and granting general authority to City officials to take necessary actions in connection with the authorization, issuance, sale, and delivery of such Bonds, as defined herein.

A formal position or approval by the Board: Approve the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and San Francisco Community Health Authority, to pay private network providers for the Healthy San Francisco program, for a total term of July 1, 2026, through June 30, 2030, with one six-year option to extend, for a total not to exceed amount of $41,648,505.

Resolution approving the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and San Francisco Community Health Authority, to pay private network providers for the Healthy San Francisco program, for a total term of July 1, 2026, through June 30, 2030, with one six-year option to extend, for a total not to exceed amount of $41,648,505; 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.

A formal position or approval by the Board: Approve the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and San Francisco Community Health Authority, to provide administrative functions for San Francisco City Option, for a total term of July 1, 2026, through June 30, 2030, with one six-year option to extend, for a total not to exceed amount of $52,768,224.

Resolution approving the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and San Francisco Community Health Authority, to provide administrative functions for San Francisco City Option, for a total term of July 1, 2026, through June 30, 2030, with one six-year option to extend, for a total not to exceed amount of $52,768,224; 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.

A formal position or approval by the Board: Approve Amendment No.

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 Crestwood Behavioral Health Inc., to provide a Crisis Stabilization Unit at 822 Geary, to extend the term by two years from June 30, 2026, for a new term of March 1, 2025, through June 30, 2028, and to increase the amount by $17,192,029 for a new total not to exceed amount of $26,255,566; 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.

A formal position or approval by the Board: Approve Amendment No.

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 Richmond Area Multi Services, Inc., to provide integrated behavioral health and case management services at 15 of the high school-based Wellness Centers, to extend the term by two years from June 30, 2026, for a new term of July 1, 2023, through June 30, 2028, and to increase the amount by $5,594,232 for a new total not to exceed amount of $15,010,725 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.

A formal position or approval by the Board: Approve Amendment No.

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 Richmond Area Multi Services, Inc., to provide peer-to-peer employment and peer specialist mental health certificate services, to extend the term by three years from June 30, 2026, for a new term of July 1, 2021, through June 30, 2029, and to increase the amount by $19,095,330 for a new total not to exceed amount of $48,211,511; 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.

A formal position or approval by the Board: Approve Amendment No. In short: a symbolic stance, not a binding law.

Resolution approving Amendment No. 3 to the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and Medline Industries, Inc., for Low Unit of Measure (LUM) distribution of medical, surgical, and laboratory supplies, to extend the term by four years from June 30, 2026, for a total term of July 1, 2021, through June 30, 2030; to increase the amount by $156,250,791 for a new total not to exceed amount of $301,562,341; to update the Medline Master Distribution Agreement; 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.

A formal position or approval by the Board: Approve Amendment No. In short: a symbolic stance, not a binding law.

Resolution approving Amendment No. 4 to the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and Medline Industries, Inc., for bulk medical, surgical, and laboratory supplies and services, to extend the term by four years from June 30, 2026, for a new term of July 1, 2021, through June 30, 2030; to increase the amount by $70,835,221.36 for a new total not to exceed amount of $165,038,293; to update the Medline Master Distribution Agreement, 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.

A formal position or approval by the Board: Allow adoption of the San Francisco Behavioral Health Services Act Three-Year Integrated Plan for Fiscal Years (FY) 2026-2029.

Resolution authorizing adoption of the San Francisco Behavioral Health Services Act Three-Year Integrated Plan for Fiscal Years (FY) 2026-2029.

A formal position or approval by the Board: Approve Amendment No.

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 Homeless Children’s Network, to provide mental health treatment services, to extend the term by one year from June 30, 2026, for a new term of October 1, 2024, through June 30, 2027, and to increase the amount by $3,252,257 for a new total not to exceed amount of $11,786,969; 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.

A formal position or approval by the Board: Allow the City and County of San Francisco (City), acting by and through its Department of Public Health (DPH), to enter into the following two related agreements with the California Department of Health Care Services (State) for reimbursement under the State’s Medi-Cal County Inmate Program (MCIP): 1) Participation Agreement 26-MCIPSANFRANCISCO-38.

Resolution authorizing the City and County of San Francisco (City), acting by and through its Department of Public Health (DPH), to enter into the following two related agreements with the California Department of Health Care Services (State) for reimbursement under the State’s Medi-Cal County Inmate Program (MCIP): 1) Participation Agreement 26-MCIPSANFRANCISCO-38; and 2) Administrative Services Agreement No. 26-60140; in the amount not to exceed $35,363.08 for a term period of July 1, 2026, through and including June 30, 2029, authorizing the City to assume sole financial responsibility for any and all penalties and interest charged as a result of a federal audit disallowance related to the rendering of services by the State under the MCIP; and authorizing DPH to enter into modifications to the agreements that do not materially increase the obligations or liabilities to the City and are necessary to effectuate the purposes of the Agreements or this Resolution.

A formal position or approval by the Board: Allow the Department of Public Health to accept a capital gift of a mobile mammography van valued at $1,500,000 from the San Francisco General Hospital Foundation (SFGHF) for use by the Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG), to be purchased with a cash donation of $1,660,000 from Salesforce, Inc., in consideration for an agreement to name the mobile mammography van “ZSFG Mammovan - Salesforce in Partnership with ZSFG and SFGHF for a Healthy Community,” for the period of January 1, 2027, through December 31, 2041.

Resolution authorizing the Department of Public Health to accept a capital gift of a mobile mammography van valued at $1,500,000 from the San Francisco General Hospital Foundation (SFGHF) for use by the Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG), to be purchased with a cash donation of $1,660,000 from Salesforce, Inc., in consideration for an agreement to name the mobile mammography van “ZSFG Mammovan - Salesforce in Partnership with ZSFG and SFGHF for a Healthy Community,” for the period of January 1, 2027, through December 31, 2041.

A formal position or approval by the Board: Allow Department of Public Health (DPH) to accept and expend grant funds from the Homes for the Homeless Fund LLC, a wholly owned subsidiary of the Housing Accelerator Fund for participation in a program, entitled “Placement Solutions for Patients and Tenants Whose Needs Exceed Current PSH Capacity”.

Resolution authorizing Department of Public Health (DPH) to accept and expend grant funds from the Homes for the Homeless Fund LLC, a wholly owned subsidiary of the Housing Accelerator Fund for participation in a program, entitled “Placement Solutions for Patients and Tenants Whose Needs Exceed Current PSH Capacity”; approving the Grant Agreement between City, acting by and through the DPH, and Homes for the Homeless Fund LLC for the purpose of transforming the care DPH provides to patients, for a term of two years from July 1, 2026, through June 30, 2028, for a total not to exceed amount of $3,750,000; authorizing the Director of Public Health to make necessary, non-material changes to the Grant Agreement before its execution, as defined herein; and approving the Grant Agreement pursuant to Charter, Section 9.118(a).

A formal position or approval by the Board: Supporting California State Senate Bill No. In short: a symbolic stance, not a binding law.

Resolution supporting California State Senate Bill No. 1422, introduced by Senator Maria Elena Durazo, which seeks to restore access to full-scope Medi-Cal for undocumented adults by sunsetting the Medi-Cal enrollment freeze, and reaffirming San Francisco’s commitment to protecting the health and well-being of all residents regardless of immigration status.

Schedules a public hearing about: Hearing of the Board of Supervisors sitting as a Committee of the Whole on June 16, 2026, at 3:00 p.m., to consider the Department of Public Health's budget reducing medical and health care services provided by the City and County of San Francisco for Fiscal Years (FYs) 2026-2027 and 2027-2028, pursuant to California Health and Safety Code, Section 1442.5(a) (The Beilenson Act).

Hearing of the Board of Supervisors sitting as a Committee of the Whole on June 16, 2026, at 3:00 p.m., to consider the Department of Public Health's budget reducing medical and health care services provided by the City and County of San Francisco for Fiscal Years (FYs) 2026-2027 and 2027-2028, pursuant to California Health and Safety Code, Section 1442.5(a) (The Beilenson Act).

A formal position or approval by the Board: Approve and allow the Director of Property, on behalf of the Drug Market Agency Coordination Center to sign Lease with 33 8th Street, LLC, a California limited liability company, for a portion of the real property located at 33-8th Street, for a term of 10 years and four months at an initial annual base rent of $448,224 with 3% annual increases, effective upon approval of this an official statement by the Board of Supervisors and the Mayor and upon execution by the Director of Property.

Resolution approving and authorizing the Director of Property, on behalf of the Drug Market Agency Coordination Center to execute a Lease with 33 8th Street, LLC, a California limited liability company, for a portion of the real property located at 33-8th Street, for a term of 10 years and four months at an initial annual base rent of $448,224 with 3% annual increases, effective upon approval of this Resolution by the Board of Supervisors and the Mayor and upon execution by the Director of Property; and authorizing the Director of Property to enter into 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.

A formal position or approval by the Board: Retroactively allow the Department of Public Health to accept and expend a grant in the amount of $1,000,000 from the California Department of Health Care Services for participation in a program entitled, “Department of Health Care Services (DHCS) Grant for San Francisco Chinese Hospital,” to support the new oncology clinic and chemotherapy center at the Chinese Hospital from July 1, 2025, to December 31, 2026. In short: a symbolic stance, not a binding law.

Resolution retroactively authorizing the Department of Public Health to accept and expend a grant in the amount of $1,000,000 from the California Department of Health Care Services for participation in a program entitled, “Department of Health Care Services (DHCS) Grant for San Francisco Chinese Hospital,” to support the new oncology clinic and chemotherapy center at the Chinese Hospital from July 1, 2025, to December 31, 2026.

A formal position or approval by the Board: Retroactively allow Department of Public Health to accept and expend grant funds from July 1, 2025.

Resolution retroactively authorizing Department of Public Health to accept and expend grant funds from July 1, 2025; retroactively approving the Grant Agreement between City, acting by and through the Department of Public Health, and the California State Water Resources Control Board for the purpose of collecting bay and ocean shoreline water samples for pathogen analysis, for a term of three years from July 1, 2025, through June 30, 2028, and for a total not to exceed amount of $87,675; and to authorize the Director of Public 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.

Schedules a public hearing about: Hearing on the state of San Francisco’s Drug Court Program, including an examination of diversion criteria and practices, program outcomes and termination rates, treatment capacity and associated wait times, and the program’s implications for public safety and recovery.

Hearing on the state of San Francisco’s Drug Court Program, including an examination of diversion criteria and practices, program outcomes and termination rates, treatment capacity and associated wait times, and the program’s implications for public safety and recovery; and requesting the Office of the District Attorney, Department of Public Health, and Sheriff’s Office to report.

An internal Board decision: Motion appointing Jasper Verduin, term ending January 1, 2027, Michael Fittro, Sam Ustrzynski (residency requirement waived), and Kescha Mason, terms ending January 1, 2028, and Brandon Fountain, Amelia Harmon, Stephanie Gonzales and Tara Gamboa-Eastman, terms ending January 1, 2029, to the Behavioral Health Commission.

Motion appointing Jasper Verduin, term ending January 1, 2027, Michael Fittro, Sam Ustrzynski (residency requirement waived), and Kescha Mason, terms ending January 1, 2028, and Brandon Fountain, Amelia Harmon, Stephanie Gonzales and Tara Gamboa-Eastman, terms ending January 1, 2029, to the Behavioral Health Commission.

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 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 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.

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.

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.

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.