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S.F. Board of Supervisors OKs Mayor Breed’s Streamlining Legislation to Speed Up New Residential Treatment, Care Beds

The San Francisco Board of Supervisors unanimously approved legislation sponsored by Mayor London N. Breed to make it easier to procure public health beds and provide needed flexibility in obtaining much-needed mental health and/or substance use disorders beds.

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Approved legislation will reduce red tape and help City meet residents’ behavioral health needs as San Francisco continues to add beds for those struggling with mental health and substance use disorder. iStock image by maximbg.
Approved legislation will reduce red tape and help City meet residents’ behavioral health needs as San Francisco continues to add beds for those struggling with mental health and substance use disorder. iStock image by maximbg.

By S.F. Mayor’s Office 

The San Francisco Board of Supervisors unanimously approved legislation sponsored by Mayor London N. Breed to make it easier to procure public health beds and provide needed flexibility in obtaining much-needed mental health and/or substance use disorders beds.

Approved on Tuesday, the legislation was put forward in partnership with the San Francisco Department of Public Health (SFDPH) and co-sponsored by Supervisors Rafael Mandelman and Hillary Ronen.

Since 2020, San Francisco has been expanding the supply of residential treatment and care beds to meet the need of people with a variety of behavioral health conditions. Under Breed’s expansion plan, the City has added 355 beds, so there is now a total of approximately 2,550 behavioral health treatment and care beds. The City has additional plans to expand this further this year.

These beds come at a critical time for San Francisco as it becomes the first county in California to implement the new state conservatorship laws under Senate Bill 43, which became effective Jan. 1.

While other counties are delaying implementation, Mayor Breed issued an executive directive to begin the process of submitting people for conservatorship under these new laws at the beginning of the year.  Along with CARE Court, which became effective last fall, San Francisco has more tools available to help get people into the care they need.

“This streamlining law is exactly the kind of tool we need to deliver services faster for those in need, and I appreciate the Board of Supervisors for quickly approving it so we can get more people help,” Breed said. “When people in our city see people struggling on our street, they want us to move faster and more aggressively to get people into care. Too often we cling to long, bureaucratic processes that stand in the way of solutions, and I’m grateful for support for this common-sense legislation that will expedite our ability to acquire beds and save lives.”

At a time when clients in need of residential care are most vulnerable, and San Francisco is vying for out-of-county beds along with other counties and health systems, the City and County continues to find ways to be more competitive.

The approved ordinance waives the lengthy RFP process required for SFDPH to contract beds for public health use in third-party facilities both in and outside of San Francisco, while still adhering to key transparency and accountability measures.

“With the recent expansion of our conservatorship laws through SB 43, it is critical that we have the treatment placements necessary to meet increased demand,” said Mandelman.

“We are experiencing a severe behavioral health crisis on the streets of our city and this legislation will allow our health professionals to better serve individuals with serious mental illness and substance use disorder immediately,” said Ronen.

 

“Accelerating the process to obtain these critical treatment beds will better serve our most vulnerable clients,” said Director of Health Dr. Grant Colfax. “Thank you to Mayor Breed and our sponsoring Board of Supervisors for championing this legislation to address our residents’ behavioral health needs and streamline contracting.”

By waiving the lengthy RFP process SFDPH is currently required to undergo when contracting beds for public health use from third-party facilities, the City will be able to:

  • Reduce wait times for beds to quickly meet the city’s high demand
  • Provide greater diversity of potential providers who may not otherwise respond to RFPs due to bureaucratic hurdles
  • Provide flexibility for individual clients with specific placement needs

The approved ordinance is limited in scope and only waives the RFP process for public health beds, including residential care and treatment and isolation and quarantine beds.

“We want to ensure treatment options are available and provide appropriate care as quickly as possible, especially for people with serious mental health or substance use disorders,” said Dr. Hillary Kunins, Director of Behavioral Health Services and Mental Health SF at SFDPH. “Our continued goal is to get more people the treatment they may need and make treatment more accessible, putting them on a path to recovery and wellness.

The approved ordinance waives the RFP process for five years. However, SFDPH will still adhere to City contracting checks and balances, as well as its own internal measures, to ensure that all providers comply with Federal, State and local contract monitoring recruitments.

For more information about San Francisco’s work to expand treatment beds and services, please visit this page or https://londonbreed.medium.com/expanding-treatment-in-san-francisco-e0acfcc980bc

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San Francisco Is Investing Millions to Address Food Insecurity. Is Oakland Doing the Same?

There are over 350 grocery programs across San Francisco. Less than a handful in District 10, a neighborhood classified as a food desert, and includes Hunters Point, one of the lowest income areas in the city.

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The San Francisco District 10 Community Market is a fully government funded free grocery store for families in need of food assistance. The market is located in Hunters Point, one of the lowest income areas in the city. Photo by Magaly Muñoz.
The San Francisco District 10 Community Market is a fully government funded free grocery store for families in need of food assistance. The market is located in Hunters Point, one of the lowest income areas in the city. Photo by Magaly Muñoz.

By Magaly Muñoz

On a Thursday evening in February, Marquez Boyd walked along the aisles of San Francisco’s District 10 Community Market looking for eggs and fresh produce to take home to his children. He has been trying new recipes with ingredients he previously couldn’t afford or access.

“I learned how to cook greens since they got a lot of fresh greens here,” Boyd said. “All that stuff is better and more healthy for my kids because they’re still young.”

Meals filled with fresh produce are now possible for Boyd since the District 10 market in Hunters Point opened in 2024 when Bayview Senior Services, a non-profit running the program, received a $5 million investment from the city of San Francisco.

The market is a twist on a traditional food bank, where people can often wait in long lines for pre-bagged groceries they may not need. Here, the goal is to offer people in need a more traditional grocery store setting, with a bigger range of healthy options and less shame for needing assistance.

It’s a twist that Boyd appreciated. “This set up is way better as opposed to maybe like a food bank line,” he said. “It’s easier and faster.”

Similar models exist in Santa Barbara and Tennessee.

There are over 350 grocery programs across San Francisco. Less than a handful in District 10, a neighborhood classified as a food desert, and includes Hunters Point, one of the lowest income areas in the city.

Census Bureau data show that the median income for households in the 94124 zip code, where Hunters Point is located, is just under $83,000 annually. Black households earn about $46,000, Native Hawaiian or other Pacific Islanders earn almost $41,000, and Hispanic households make just above the median income- an average of $86,000.

Located at 5030 3rd Street, the aisles are lined with fresh produce, canned goods, bread and snacks. While refrigerators and freezers in the back of the market are filled with dairy products and meat.

The best part- everything inside is free for eligible customers.

The San Francisco District 10 Community Market is stocked with fresh produce, dairy, meat and chicken, bread, and cultural food staples. Directors of the market say they pride themselves on providing healthy options for community members. Photo by Magaly Muñoz.

The San Francisco District 10 Community Market is stocked with fresh produce, dairy, meat and chicken, bread, and cultural food staples. Directors of the market say they pride themselves on providing healthy options for community members. Photo by Magaly Muñoz.

“The interesting thing about this market is that it’s a city-funded effort to create something besides the average food line to give more dignity and choice than is normally given to low-income people,” said Cathy Davis, executive director of Bayview Senior Services.

Davis said people feel more comfortable coming into the market because they can choose the food they want and at a time that’s convenient for them.

Boyd, a single father of two kids, recently lost his job and relied on his sister’s generosity before discovering the market. He comes to market when he gets off of work in the evening.

“It’s a lot of people in these communities that don’t get a chance to eat healthy,” Boyd said. “They don’t have the money to go to grocery stores to buy expensive stuff.”

Another shopper, Rhonda Hudson, said the market helped her meet her grandson’s diet-related health problems. She used to travel outside the neighborhood for affordable groceries, but now she no longer has to.

According to the city’s Human Services Agency, there are no plans to expand the markets in San Francisco due to budget constraints.

But Davis isn’t worried about losing the market funding.

“City leaders were on board with creating it and finding the money to put it together so I would say we didn’t have to advocate because it came through the government. Now it’s our job to keep it going to prove that it’s a pilot worth maintaining,” Davis said.

District 10 Supervisor Shamann Walton, who co-sponsored the ordinance, said that projects like the market are “essential to our neighborhoods,” where access to affordable food has been a challenge.

“Investing in local community markets helps ensure that families have reliable, healthy food options close to home, addressing food insecurity and supporting the well-being of our community regardless of income,” Walton said.

Rhonda Hudson is a shopper of the District 10 Community Market in San Francisco. The fresh produce she gets at the free grocery store program helps her grandson, who has a diet-related illness, stay healthy. Photo by Magaly Muñoz.

Rhonda Hudson is a shopper of the District 10 Community Market in San Francisco. The fresh produce she gets at the free grocery store program helps her grandson, who has a diet-related illness, stay healthy. Photo by Magaly Muñoz.

Why Not Oakland?

Only slightly larger than San Francisco, Oakland has over 400 food distribution sites. Oakland provides grants to nonprofit-run organizations who run grocery programs. But in recent months, the city has begun to reduce those, forcing some organizations to regroup, and making it challenging to implement a community market similar to San Francisco’s.

The Oakland Post repeatedly reached out to city and county officials for comment on the story but did not receive a response.

At several food banks across West and East Oakland, residents shared their frustrations about long lines, wilting produce, and limited food choices.

At one food bank, located at Christian Tabernacle Church, a young mother, who requested anonymity for privacy reasons, waited in the rain for over three hours for a single bag of groceries.

“I like to get here early because I get better [quality] fruits and vegetables,” she said. She added that it’s not a lot of food that she receives for her family, but it helps close the gap when her budget is tight.

Behind her, several other women waited their turn. Neither the timing of the distribution nor the location of the food bank fit their schedules, the women said, but their choices feel limited.

Only a handful of Oakland food bank sites operate throughout the day, like the San Francisco market. Most food distribution programs are sustained by Alameda County Food Bank, not by city funding. Private grants and donations also help fund the programs.

Securing city funding is increasingly challenging. Oakland faces a $130 million budget shortfall, with a projected $280 million deficit in the next biennial cycle. Citing budget concerns, the city has reduced numerous department budgets and grants. One of those cuts included slashing the longstanding SOS Meals on Wheels grant, which helped provide food to 3,000 seniors.

Charlie Deterline, executive director of Meals on Wheels, said the termination of their $150,000 annual grant could mean that Oakland residents might see a change in the amount of meals they receive. The organization has gone 19 months without funding from that grant, Deterline said, but “continued working on good faith from the city” because they were assured they would be paid out. Now, Deterline is having doubts.

The program also received a grant of more than $125,000 from the Sugar Sweetened Beverage Tax. Yet, on June 12, the city informed grant recipients that the funding could be rescinded in order to balance the budget. That ultimately happened, said Deterline.

“Oakland is by far the most expensive city for us to operate in. It is also where the greatest need is – for us to meet that need, it will take the entire community coming together,” Deterline said.

From the sugar tax, money from that measure is also not being allocated correctly as the majority of the funding has been used to fund government services, said members of the SSB tax advisory board.

The tax generates around $7 million annually. 25% to 40% of the funding goes towards grants for community based organizations instead of the 60% allocation that the SSBT advisory board recommended the city to use for health programs. The rest of the funding goes to the city, according to Oakland’s mid-cycle budget.

Advisory board member Dwayne Aikens said he’s not sure Oakland will ever renew the grants that have been cut from this tax. “I’m looking at the conditions of the city and I’m not optimistic,” Aikens said. “If they don’t have the money now, I don’t think they’ll have the money in the future.”

Aikens said the tax was “kind of a waste.” He’s heard displeasure from the community about the lack of funding into Black and Brown neighborhoods, groups who typically live in areas of Oakland that see health and income disparities.

Meanwhile, the Community Market, which reflects the diversity of the Bayview Hunters Point community, is investing in over 800 of the city’s most vulnerable households. In-store staff and directors speak the languages common to the area and the program provides a culture-of-the week selection of foods for those interested in trying something new.

Davis said it’s up to local municipalities to ensure that residents don’t go to bed hungry, and investments need to be made in order to combat the pockets of neighborhoods who are on the brink of food insecurity.

“That’s just such a core responsibility and a core goal of everyone, to make sure that people are fed and healthy. It’s not a luxury item,” Davis said. “It’s something that needs to happen, whether we’re in a budget crisis or not.”

Reporter Magaly Muñoz produced this story as part of a series as a 2024 USC Annenberg Center for Health Journalism Data Fellow and Engagement Grantee.

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Oakland Post: Week of March 12 – 18, 2025

The printed Weekly Edition of the Oakland Post: Week of March 12 – 18, 2025

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Oakland Post: Week of March 5 – 11, 2025

The printed Weekly Edition of the Oakland Post: Week of March 5 – 11, 2025

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