San Francisco City Council passes Recovery First Ordinance to combat substance use crisis

The San Francisco County Board of Supervisors convened on April 24, 2025, to discuss the Recovery First Ordinance, a significant legislative proposal aimed at reshaping the city's drug policy. Introduced by Supervisor Matt Dorsey, the ordinance seeks to establish the cessation of illicit drug use and the attainment of long-term recovery from substance use disorders as the primary objective of San Francisco's drug policy.

Dorsey emphasized the urgent need for a compassionate and effective approach to the city's ongoing drug crisis, particularly in light of the devastating impact of synthetic drugs like fentanyl and methamphetamine. He described the ordinance as a "North Star" for drug policy, aiming to unite various recovery strategies, including medication-assisted treatment and harm reduction, under a common goal of recovery.

The ordinance has garnered support from various stakeholders, including the San Francisco Marin Medical Society, which contributed amendments to enhance the legislation. These amendments clarify definitions related to recovery and remission, ensuring that the ordinance accommodates diverse pathways to recovery without undermining harm reduction efforts.

During the meeting, Dorsey acknowledged the contributions of his colleagues and the public, highlighting the importance of building consensus around the legislation. He expressed gratitude for the input from the medical community and emphasized the need for a collaborative approach to address the complexities of substance use disorders.

Public comments reflected a range of perspectives on the ordinance. Supporters praised the legislation for its focus on recovery and accountability, while some expressed concerns about the potential implications for harm reduction strategies. Advocates for harm reduction stressed the importance of meeting individuals where they are in their recovery journey, emphasizing that housing and support services must be prioritized to facilitate successful outcomes.

As the meeting concluded, Dorsey reiterated the significance of aligning civic priorities with the aspirations of those affected by addiction, stating that a drug policy worthy of San Francisco must reflect the hopes of the recovery community. The ordinance is poised to move forward, with further discussions anticipated as the city continues to grapple with its substance use challenges.