The San Francisco HSA DOS Commission held a meeting on July 4, 2025, addressing key procedural matters and acknowledging the city's indigenous heritage. The commission began by thanking the public for their patience during what they described as unprecedented times, urging attendees to expect delays, particularly during public comment periods.

In a significant gesture of respect, the commission acknowledged that they were meeting on the unceded ancestral homeland of the Ramaytush Ohlone people. They recognized the Ohlone as the original inhabitants of the San Francisco Peninsula and affirmed their ongoing responsibilities as caretakers of the land. The commission expressed their commitment to honoring the ancestors, elders, and relatives of the Ramaytush Ohlone community, emphasizing the importance of recognizing their sovereign rights as the first peoples of the area.

Following the acknowledgment, the meeting proceeded with a roll call to establish a quorum, confirming the presence of several commissioners while noting the absence of President Janet Spears and Commissioner Barbara Sklar. The meeting then moved on to communications, setting the stage for further discussions.

This meeting highlights the commission's dedication to inclusivity and respect for indigenous communities, while also navigating the challenges of conducting public meetings in a time of uncertainty.