Legislation

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 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 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.

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 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.

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.

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).

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.

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 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.

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 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.

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 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.

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.

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.

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.

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).

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.

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.

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

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

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 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 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.

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.

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 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 hearing is focused on discussing the implementation of the CARE Court, which aims to provide support for individuals with mental health and substance use issues by October 1, 2023. It will involve presentations from the Department of Public Health, Superior Court, and Department of Homelessness and Supportive Housing.

Hearing on plans to implement the Community Assistance, Recovery, and Empowerment (CARE) Court by October 1, 2023; and requesting the Department of Public Health, Superior Court, and Department of Homelessness and Supportive Housing to present.

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 ordinance aims to increase the availability of Permanent Supportive Housing (PSH) for homeless individuals that requires abstinence from illegal drug use, while prohibiting funding for drug tolerant housing until at least 25% of PSH is designated as Recovery Housing. It also allows the Board of Supervisors to bypass this funding restriction for specific expenditures deemed in the public interest.

Ordinance amending the Administrative Code to state that it is City policy to expand the availability of Permanent Supportive Housing (“PSH”) for people experiencing homelessness that emphasizes abstinence from illegal substance use (“Recovery Housing”); to prohibit the City from funding PSH for people experiencing homelessness that bars evictions on the basis of drug use alone (“Drug Tolerant Housing”) until at least 25% of the City’s PSH portfolio is operated as Recovery Housing, except where operation of the funded housing as Recovery Housing would conflict with standards imposed by law or as a condition of other funding; and to authorize the Board of Supervisors to suspend the funding restriction by Resolution for a specific expenditure, upon finding that the expenditure is in the public interest.

This 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 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.

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 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.