Budget & Taxes

What's happening

• The amendment extends the contract term to June 30 2030.
• It adds $156,250,791, raising the total ceiling to $301,562,341 and updates the master distribution agreement.

Why it matters

It secures a reliable supply of medical, surgical and laboratory supplies for city health facilities, affecting patient care.

Who is affected

How to act

What's happening

• The Board adopted a resolution approving an agreement for administrative functions for the San Francisco City Option that runs from July 1 2026 to June 30 2030, with one six‑year extension option.
• The agreement permits spending up to $52,768,224, and DPH may amend it without materially increasing city obligations.

Why it matters

The agreement funds administration of a health insurance option for city residents, influencing health coverage and city expenditures.

Who is affected

How to act

What's happening

• The Board approved a resolution to issue up to $195,000,000 in General Obligation Bonds.
• The bonds will fund the Healthy, Safe and Vibrant San Francisco 2024 program.
• The bonds can be sold on a tax‑exempt or taxable basis and will be managed by appointed depositories.

Why it matters

The bond financing provides money for city projects aimed at health, safety, and vibrancy, affecting city services and future tax obligations.

Who is affected

How to act

What's happening

• The Board adopted a resolution approving an agreement for the Healthy San Francisco program that runs from July 1 2026 to June 30 2030, with one six‑year extension option.
• The agreement allows payments to private network providers up to a total not to exceed $41,648,505, and DPH may amend it without materially increasing city obligations.

Why it matters

Funding supports health services for residents, affecting access to care and the city health budget.

Who is affected

How to act

What's happening

• The ordinance extends a parking‑tax exemption for special events on school‑district property.
• The exemption applies to volunteer‑run non‑profits earning less than $10,000 per event and lasts until Dec 31 2035.

Why it matters

Reduces costs for school‑benefiting events, encouraging community activities while forgoing tax revenue.

Who is affected

How to act

What's happening

• The ordinance appropriates $195,000,000 from Series 2026A GO bonds to DPH, DPW, REC and MTA.
• The funds will be used for health facilities, transportation safety improvements, and park projects.

Why it matters

Funds will support new health, transit and park infrastructure, benefiting residents’ wellbeing and mobility.

Who is affected

How to act

What's happening

• The City and County will increase funding for the Crisis Stabilization Unit at 822 Geary by $17,192,029, raising the total contract limit to $26,255,566.
• The contract term is extended to March 1 2025 through June 30 2028.

Why it matters

More funding keeps the crisis unit operating longer and expands capacity for people experiencing mental‑health emergencies.

Who is affected

How to act

What's happening

• The committee will adopt the three‑year Integrated Plan for the Behavioral Health Services Act covering FY 2026‑2029.
• The plan outlines coordinated mental‑health services and funding priorities for the city.

Why it matters

Adopting the plan guides citywide behavioral health services, improving coordination and resource allocation.

Who is affected

How to act

What's happening

• Funding for Medline’s low‑unit‑of‑measure medical supply distribution will rise by $156,250,791, bringing the contract ceiling to $301,562,341.
• The agreement term is extended to July 1 2021 through June 30 2030.

Why it matters

Additional funds ensure a reliable supply of essential medical items for city health facilities.

Who is affected

How to act

What's happening

• The ordinance would retroactively extend a parking‑tax exemption for special events on School District property from Jan 1 2026 to Dec 31 2035.
• The exemption applies to volunteer‑led non‑profit events that earn less than $10,000 per event.

Why it matters

It reduces costs for community events that support public schools, making it easier for nonprofits to host fund‑raising activities.

Who is affected

How to act

What's happening

• The bulk medical, surgical and laboratory supplies contract with Medline will increase by $70,835,221.36, capping the total at $165,038,293.
• The contract term is also extended to July 1 2021 through June 30 2030.

Why it matters

The increase secures bulk supplies needed for hospitals and clinics, supporting patient care.

Who is affected

How to act

What's happening

• The property‑management contract with DISH SF for six homeless housing buildings will increase by $15,365,212, raising the total limit to $25,361,109.
• The contract term is extended 18 months, ending December 31 2027.

Why it matters

More funding and a longer contract help maintain safe, managed housing for homeless residents.

Who is affected

How to act