[{"_1":2,"_123":-5,"_124":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87,99,111],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6580499,"mediaKeyId","3081473-16d10df17c2e21dfb6d8a059eb819e1e","parentId",3081473,"title","Public commenter urges Health Commission to prioritize youth education on marijuana risks","audioSeconds",194,"startMs",244000,"endMs",438000,"viewUrl","/Search/View?dp=1&key=3081473-16d10df17c2e21dfb6d8a059eb819e1e&start=244&end=438","thumbnailUrl","https://assets.pipeline.soar.com/3081473-16d10df17c2e21dfb6d8a059eb819e1e/thumbnail_244000.jpg","articleUrl","/articles/6580499/San-Francisco-City/San-Francisco-County/California/Public-commenter-urges-Health-Commission-to-prioritize-youth-education-on-marijuana-risks","mediaUrl","https://secure.pipeline.soar.com/6580499-ec2251927426660fc4c9995b3e469586/orig.mp4?Expires=1775369408&Signature=CWr2Yk~Rr3Hh5KI01rEQ5R4KTDyMBRwJ4jRbtHkdaIQviGLpLvLYKFdIaggCnxe6etbdz4nzG50iCQZ1ceumj7ktk1DRfTNV21yWBqiLjvgv7M3Rs~-9aTNJEiX67Jzw7TXHrs3eiZj~SZra7zW2N4wQPL0n-Kqcw~U5ujRJog-Snxq2-KgMsYQmiWuius6DJ9z0F7xkhfy40KK2B7LiQg91l22tM~nOVaoA6EkKU2lRU0jvTuzA3DiKJcMs1eXdONskKJK-YwLxvxGkvor-W3lFZx4cCKZUZU-inOl3E1WhXoqcYaMvfQklVqJHudlgIAHUYRxHOb54ZFgYUo4lQA__&Key-Pair-Id=KUT5TJCACFTXG","author","City of San Francisco","date","2025-04-21T00:00:00Z","article","During general public comment, Shannon Bryant asked the San Francisco Health Commission to support education, community programs and policy measures aimed at reducing marijuana use among people under age 21 and younger adults, citing scientific literature on adolescent brain development and risks linked to early and heavy THC exposure.

Details from the comment: Bryant noted that brain development continues into the mid-20s and cited summaries from addiction research centers that link early chronic cannabis use to cognitive problems, educational impacts and higher risks of mood disorders and psychosis. She said THC potency has increased over the past decade and that legalization has made cannabis more accessible in many neighborhoods. Bryant recommended a community-based educational campaign drawing on Iceland's 1990s approach, which combined government, research and community action to reduce teen substance use.

Commission response: Commissioners acknowledged the public comment and several asked the department to provide a formal assessment of youth marijuana risks and potential educational or policy interventions at a future meeting.

Ending: The commission requested DPH prepare an informational update for a future meeting on evidence and possible agency responses to youth cannabis use.","mediaType","Video","parentTitle","City of San Francisco - Video Open Video Only in Windows Media Player - Apr 21, 2025","oneSentenceSummary","A member of the public asked the Health Commission to pursue education and policy actions to protect people under 21 from cannabis-related neurodevelopmental harms and suggested a community-led campaign modeled on Iceland's approach.","taxTitle","San Francisco City, San Francisco County, California","taxId",5751,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6580504,"DPH CIO outlines AI policy, EPIC roadmap and plan for generative tools under city safeguards",2383,4975000,7358000,"/Search/View?dp=1&key=3081473-16d10df17c2e21dfb6d8a059eb819e1e&start=4975&end=7358","https://assets.pipeline.soar.com/3081473-16d10df17c2e21dfb6d8a059eb819e1e/thumbnail_4975000.jpg","/articles/6580504/San-Francisco-City/San-Francisco-County/California/DPH-CIO-outlines-AI-policy-EPIC-roadmap-and-plan-for-generative-tools-under-city-safeguards","https://secure.pipeline.soar.com/6580504-788d61473266fdac721fa134828a3afe/orig.mp4?Expires=1775369408&Signature=HxlernfHQE1vYU9kkdnmwVjWIzPSJ7pxwgTgyULE4YUIXMOK5R1eTeEeiZp~i6nOMDnc1G69JFnEnv-ndaB0GamFmvQIJcQaZ4wPgEDEj9mhsG9XF49fKkCWfxoAK1GetyaVAy4AsHo2v5XEJC2xMLH~LE8uKjPNkm-os~Nzxa-VFUEJHavWimQfowMielJDub6Xdd0DKTJby9VMtsrMt~keovT1SMklr8Q5JUYry2ck21DPwDPxEmPTe6BrnCmp9Xys4-rknBVFcNkwRBVLEjuK1Pb3nkZLnZ4M9fTOzAYGvLhB8uG9TCyNywsW1k9U5p30E8H7kFLHiWabpT3rAA__&Key-Pair-Id=KUT5TJCACFTXG","San Francisco Department of Public Health Chief Information Officer Eric Raffman and Deputy CIO Jeff Scarfaria updated the Health Commission on health IT initiatives, including the department\u0000approach to artificial intelligence, an enterprise generative-AI rollout, and EPIC electronic health record priorities.

Why it matters: The department is integrating new AI tools while emphasizing human oversight, HIPAA protections and city-level requirements for transparency. IT work also supports clinical goals such as earlier sepsis detection and consolidation of laboratory systems.

AI policy and legal context: Raffman summarized relevant legal and policy changes: a recently enacted California law (referred to in the briefing as AB 3030) requires attribution when AI generates healthcare communications that have not been reviewed by a licensed provider. The city also adopted an ordinance creating a public inventory of AI systems (chapter 22J) and DPH has been aligning its internal AI inventory with that requirement. Raffman said the department\u0000has piloted generative-AI tools in an administrative context and is reviewing enterprise-level Microsoft CoPilot Chat under the city's BAA and data-protection terms before broader rollout.

Pilot work and clinical AI: DPH completed a pilot using OpenAI's ChatGPT for administrative tasks and found staff used it mainly as a productivity helper. Raffman and Scarfaria said clinical AI work will prioritize human review and start in lower-risk domains (for example, administrative summarization and automated claims appeals) before moving to higher-risk clinical decision support. They also described planned integration of AI-driven capabilities inside EPIC for sepsis early detection and other clinician-facing tools.

EPIC roadmap and projects: Scarfaria outlined EPIC priorities: ongoing support for CORE initiatives, onboarding additional clinical areas, a multi-year Beaker laboratory project to consolidate separate lab systems on EPIC, and other speciality modules. He said the department remains busy with competing priorities and that some positions remain vacant: IT vacancy rate is about 14%, with higher rates on teams central to strategic initiatives.

Privacy and HIPAA: Commissioners asked about PHI protections. Raffman said DPH will not place protected health information into unmanaged public generative-AI tools and will only deploy AI with PHI under business-associate agreements that limit retention and re-use. He described Microsoft CoPilot Chat safeguards, including a 30-day retention limit and contractual assurances that customer data will not be used to train vendor models. He also stressed \"human warranty\" principles requiring human oversight where AI influences clinical communication.

Ending: DPH said it will move carefully with generative AI, prioritize low-risk, high-value use cases and continue to brief the commission as pilots expand into clinical workflows and EPIC-integrated tools are deployed.","Department of Public Health CIO Eric Raffman and deputy CIO Jeff Scarfaria briefed the Health Commission on AI governance, a generative-AI pilot, upcoming Microsoft CoPilot Chat under enterprise terms, and EPIC priorities including sepsis detection and the Beaker laboratory integration.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6580508,"DPH outlines behavioral-health roadmap: RESTORE program, unified street teams and bed-expansion targets",1374,6970000,8344000,"/Search/View?dp=1&key=3081473-16d10df17c2e21dfb6d8a059eb819e1e&start=6970&end=8344","https://assets.pipeline.soar.com/3081473-16d10df17c2e21dfb6d8a059eb819e1e/thumbnail_6970000.jpg","/articles/6580508/San-Francisco-City/San-Francisco-County/California/DPH-outlines-behavioral-health-roadmap-RESTORE-program-unified-street-teams-and-bed-expansion-targets","https://secure.pipeline.soar.com/6580508-746e0903e0e1b54f3cfbedf4c857d046/orig.mp4?Expires=1775369408&Signature=cR9wXDGTqNrH4uupkTOjvmh0kpxUzOD08Cwb~iiq6NJEAx4vhn6akSpj183cwfwVwkN0IIOV68HU4Iu2I67CZja5Z7Q6zTObhQA654sKamVUYCWqFOoyxk256g0LgxhGlobWH8QTZkxZfmZRAA9SZTV3HSk6NKSF8fUYKB8XQiOf5lVq4Lk0xWMpTrwhimEO35HAG7oSFNyOfkTODo8ZoeXFPC0ZKA489TSgZIWPa1EhQGdEy9A9qWb4CaykWlaEAPBCHd2UppRoX2JZz25udC5h-v-wNws~3RnhBJiYjs1A6XcmQAOU60T9VK51xJtf-bM4rZkLeyz77sBDEuxinw__&Key-Pair-Id=KUT5TJCACFTXG","San Francisco Department of Public Health officials presented a behavioral-health roadmap to the Health Commission that emphasizes faster engagement on the street, low-barrier pathways into treatment and significant bed expansions.

Why it matters: The department said it aims to make it easier for people who are unhoused and living with substance use disorders or serious mental illness to move from street outreach into treatment and longer-term care. Officials described both programmatic and capacity changes intended to reduce fatal overdoses and improve treatment retention.

Street teams: DPH described a citywide consolidation of street outreach into a single, multidisciplinary, neighborhood-based model. The consolidated teams combine clinical behavioral-health staff, nurses, social workers, peers and public-agency partners (including HSH, Department of Emergency Management, Fire and Police) to stabilize people in place and create rapid, longitudinal pathways into services. Two teams (Tenderloin/Northern Station and Mission) have launched and operate with daytime hours and evening/night coverage via a night navigator team. The teams use shared-priority caseloads and data tools to focus resources on people with greatest need.

RESTORE program and immediate pathways: The RESTORE program offers a 24/7 bed plus a structured treatment plan and a requirement to start medication for opioid use disorder (MOUD). DPH reported the program has engaged approximately 380 clients to date; 88% of RESTORE clients started MOUD and about 50% exited to another stable location (including residential treatment or housing) after program participation. The department plans phased expansion of RESTORE to additional sites with a long-term target of roughly 200 concurrent slots across multiple locations.

Bed expansion and timeline: DPH said it expects to open between 135 and 285 new beds in 2025 across DPH-led and HSH-partnered projects, with about 37 beds identified as DPH-led in the current fiscal year. Additional projects are in planning for 2026 and beyond, including locked subacute beds and adult residential facilities. The department noted it has applied for state capital funding (about $140 million in Prop 1 infrastructure requests) and is pursuing a mix of city, state and federal funds to support construction and operations.

Staffing, data and outcome measures: Presenters said hiring remains a challenge but has improved relative to prior years; DPH is using batch recruitment and other strategies to fill clinical positions. The department also emphasized improved data sharing through a unified electronic health record and specialized data tools to help prioritize and track clients and service outcomes. Presenters said performance measures will include reductions in emergency services utilization for priority clients and increased linkage to stabilizing outpatient and residential care.

Commission and public reaction: Commissioners generally supported the consolidation and expansion, asked for continued focus on forensic and justice-involved populations, and pushed for clear performance metrics and ongoing reporting to the commission. Public commenters included neighborhood residents, providers and service agencies who both urged rapid progress and raised site-specific concerns (transportation, visibility, unit size and neighborhood impacts).

Ending: DPH will continue monthly updates to committee and commission bodies as projects move through site-selection, procurement and entitlement steps and as RESTORE and other pilots scale.","San Francisco DPH presented a behavioral-health update that consolidates street outreach into a neighborhood-based model, reported initial RESTORE pilot results and outlined a multi-year plan to expand treatment and shelter capacity as part of a mayoral 1,500-bed goal.",{"_33":100,"_35":36,"_37":38,"_39":101,"_41":102,"_43":103,"_45":104,"_47":105,"_49":106,"_51":107,"_53":108,"_55":56,"_57":58,"_59":109,"_61":62,"_63":64,"_65":110,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6580511,"Health Commission endorses draft term sheet for Mercy Housing senior project at Laguna Honda campus",2887,2077000,4964000,"/Search/View?dp=1&key=3081473-16d10df17c2e21dfb6d8a059eb819e1e&start=2077&end=4964","https://assets.pipeline.soar.com/3081473-16d10df17c2e21dfb6d8a059eb819e1e/thumbnail_2077000.jpg","/articles/6580511/San-Francisco-City/San-Francisco-County/California/Health-Commission-endorses-draft-term-sheet-for-Mercy-Housing-senior-project-at-Laguna-Honda-campus","https://secure.pipeline.soar.com/6580511-580828b3a751184688a51a2aaaf7ea04/orig.mp4?Expires=1775369408&Signature=jAFknl63jd4I4Cs2DYYQ699CFhZR3DgdQkrEEYsj7SzcislTx3POZNV6rSQT5m1l9oEtufRLHQCVubWaITXC6PhypcMkCEA-cwIwhBrAuh3FR~4eK1IFV1Y835FYDwg~xa9UH1mpocCYfuLUwshcWGp2qm1dsdZ5H84v-7Ah1kD6N-rbyNpjxmd3MguLYTUAJKgtOhqQvcnGnaCTOVv73nnb7x-dCi7aXa6j6UHqFxYdT8JTcm2L9yMYJBWO7iGFVzgH0xZJvi0Q97vbekBsbpI1FHWBkWpaqYUcoyeu5doX0z5hRmrqemLQsHZNCtDQcb8meVWun7kZ~9IuDa4M4g__&Key-Pair-Id=KUT5TJCACFTXG","The San Francisco Health Commission voted to endorse a draft nonbinding term sheet that outlines the principal terms for a proposed senior housing development on the Laguna Honda Hospital campus and authorized the Mayor's Office of Housing and Community Development (MOHCD) and Mercy Housing California to pursue planning entitlements.

Why it matters: The project, proposed in two phases, is intended to add affordable senior housing and supportive services near Laguna Honda while reserving part of the development for referrals of Laguna Honda residents who can live in a community setting. The term sheet is a prerequisite for financing applications and planning entitlements; it does not itself bind the city to construction or implementation.

Key points of the term sheet: Anne Romero, senior project manager at MOHCD, told the commission the draft concept envisions two phases. Phase 1 would include approximately 131 one-bedroom units and an early childhood education center; Phase 2 would include roughly 90 studio units, one two-bedroom staff unit and an adult day health center. The target resident age is 62 and older, though MOHCD said it will explore whether an age 55+ threshold would unlock financing opportunities. The term sheet proposes typical affordable housing financing sources including the $50,000,000 Prop A bond allocation for Laguna Honda, low-income housing tax credits, state tax-exempt bonds and a proposed local senior operating subsidy that could cover up to 40% of units in each phase.

Ground-lease and ownership: MOHCD would serve as the ground lessor under a standard 75-year ground lease with base rent of $15,000 per year; Mercy Housing would form a limited partnership (required for tax-credit financing) to own improvements and serve as property manager and service-provider.

Commission and public concerns: Commissioners and public commenters raised questions and conditions the commission asked staff and partners to address as the project moves forward: final determination of age and financial eligibility; how many units (if any) would be set aside for referrals from Laguna Honda; accessibility and transportation for seniors living on the site; potential impacts of federal policy changes and tariffs on financing and construction costs; the relationship between a proposed child-care center on campus and the adult day health center; unit size and suitability for assistive devices; and neighborhood visibility and design impacts. Director Tsai and MOHCD staff said many of those issues will be refined during entitlement and financing stages and that monthly updates to the Laguna Honda Joint Conference Committee are requested in the resolution.

Vote and next steps: The commission\u0000endorsed the draft term sheet and directed DPH staff to continue working with MOHCD and Mercy Housing to develop project details, and to allow Mercy Housing to submit entitlement applications to the Planning Department and Department of Public Works. The resolution makes clear endorsement is not a final approval of implementation and does not foreclose alternatives, mitigation measures or a decision not to proceed.

Public testimony: Neighbors and service providers broadly supported moving the project forward to entitlements so the city can pursue state funding cycles, while others warned the site\u0000(steep campus topography and limited nearby retail/transportation) and unit sizes may not best serve the frailest seniors. Stepping Stone Health urged inclusion of adult day health and integrated services; other commenters urged quicker movement through entitlements to access state capital funds.

Ending: MOHCD and Mercy Housing will proceed with entitlement submissions while DPH, the Laguna Honda JCC and the full Health Commission continue monthly briefings on project design, eligibility, and potential mitigations.","The San Francisco Health Commission endorsed a nonbinding term sheet allowing Mercy Housing California to pursue entitlements for a two-phase senior housing project on the Laguna Honda campus; commissioners expressed support but noted concerns about eligibility, accessibility, financing and impacts on Laguna Honda residents.",{"_33":112,"_35":36,"_37":38,"_39":113,"_41":114,"_43":115,"_45":116,"_47":117,"_49":118,"_51":119,"_53":120,"_55":56,"_57":58,"_59":121,"_61":62,"_63":64,"_65":122,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6580512,"Health Department submits revised waiver to CMS to restore Laguna Honda————————————————————————————————",469,826000,1295000,"/Search/View?dp=1&key=3081473-16d10df17c2e21dfb6d8a059eb819e1e&start=826&end=1295","https://assets.pipeline.soar.com/3081473-16d10df17c2e21dfb6d8a059eb819e1e/thumbnail_826000.jpg","/articles/6580512/San-Francisco-City/San-Francisco-County/California/Health-Department-submits-revised-waiver-to-CMS-to-restore-Laguna-Honda","https://secure.pipeline.soar.com/6580512-b80f17d53dcecd2fd8e6d23e02b41bca/orig.mp4?Expires=1775369408&Signature=i~eDH5klYmcr8NwCewMNaAupRysP3ovGHsOTXWa0HwDkY1UZnDlvLA67z-N3oWrpehPO2ZE8tk8IQDqcWotZRIbT-r4OyXr8DUsmkhLdLfpQQC21TzLe4Vo3rgDHo~vtdMMAvUKKdPelAFZtpb51goU~wbrdaEg3KW0HzgJE3HtYeYum7xEq-eniiHLXNMo7mL~bDBhFHI~gi4EyNqu~KpGu7lNrhvkJI6aRhkc9X-VPKSVCac3m6DEZWSQNrtzgxpsgsPpz06AigkxTKhNc~Zyrrs8dJCDRSrSgtLrpAG-~qeqsSISbZoKrEbOsElFAQOFAQBDwotBfDtu~Rp-~AQ__&Key-Pair-Id=KUT5TJCACFTXG","San Francisco Department of Public Health Director Daniel Tsai told the Health Commission that the department resubmitted a 119-page waiver request to the Centers for Medicare & Medicaid Services seeking approval to bring 120 Laguna Honda Hospital (LHH) skilled-nursing beds back online after a prior CMS denial. Tsai said the letter argues that Laguna Honda was certified before the February 2016 CMS rule limiting room occupancy and that, even if the rule applied, the facility\u0000meets or exceeds the rule\u0000tests.

Why it matters: The 120 beds have been offline since decertification and recertification issues; the department says restoring them is a priority to reduce out-of-county discharges and improve local skilled-nursing capacity. Tsai emphasized the city made a detailed legal and factual case and has provided exhibits to CMS.

Details: Tsai told commissioners the department has had numerous discussions with CMS and on a recent Friday submitted an updated waiver that outlines both legal and programmatic arguments in support of the 120 beds. He said the letter explains why the 2016 regulation should not be applied retroactively to Laguna Honda and provides documentation about room sizes, clinical benefits for residents with behavioral-health needs and other supporting exhibits. Tsai said there is no formal timeline for a CMS response and that the department will follow up if it does not hear back promptly.

Commissioners praised the resubmitted letter as thorough. Commissioner Ed Chow and President Green both described the cover letter and exhibits as well crafted and said they increased optimism that CMS will approve the waiver. The commission asked the department to keep the commission informed of any CMS reply.

Public comments: Dr. Teresa Palmer, speaking remotely, thanked the Laguna Honda team and asked the department to provide a census update for Laguna Honda at every commission meeting so families and referral sources know current bed availability. Another public commenter, who identified himself as having filed public records requests, said San Francisco advocates believed the 120 beds were always \"grandfathered\" and urged the city to consider litigation if CMS again refuses the waiver.

What the city said it might do next: Speakers at public comment and some commissioners said the resubmitted waiver positions the city to pursue further action, including legal options, if CMS again denies the request. The department reiterated CMS is the federal authority and that appeals outside of CMS are limited, but staff said they will continue pressing the case.

Ending: The commission did not take a formal vote on this update; staff said they will return with further updates when CMS responds and will continue to brief the Laguna Honda Joint Conference Committee and the full commission as developments occur.","San Francisco\u0000Department of Public Health filed a 119\u0000page waiver asking CMS to allow Laguna Honda Hospital to keep 120 skilled nursing beds that CMS previously declined to certify; Director Daniel Tsai told the Health Commission the city is awaiting CMS\u0000response and may pursue further steps if denied.","actionData","errors"]

Article not found

Public commenter urges Health Commission to prioritize youth education on marijuana risks

DPH CIO outlines AI policy, EPIC roadmap and plan for generative tools under city safeguards

DPH outlines behavioral-health roadmap: RESTORE program, unified street teams and bed-expansion targets

Health Commission endorses draft term sheet for Mercy Housing senior project at Laguna Honda campus

Health Department submits revised waiver to CMS to restore Laguna Honda————————————————————————————————