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Supervisor supports treatment mandates in GA reform proposal despite criticism

September 29, 2023 | San Francisco County, California


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Supervisor supports treatment mandates in GA reform proposal despite criticism
The San Francisco County government meeting on July 4, 2025, featured a heated discussion regarding proposed reforms to General Assistance (GA) programs aimed at addressing substance abuse among recipients. The conversation highlighted differing perspectives on the implications of these reforms for vulnerable populations.

One key point raised was the proposal to condition cash assistance on participation in treatment programs for individuals struggling with drug addiction. A supervisor expressed disappointment over the proposal, emphasizing their commitment to supporting those in poverty and their own background as a Medi-Cal recipient. They argued that the intention behind the proposal is to encourage treatment participation rather than to penalize individuals by removing essential support.

The supervisor clarified that the proposal would not affect housing for GA recipients, asserting that rent payments would still be made despite changes to cash assistance. This point was met with some skepticism, as concerns were raised about how individuals would manage other living expenses without cash support.

Another supervisor, Director McSpadden, confirmed that the proposal originated from a different department and reiterated that it would not impact housing status. However, the discussion underscored the complexities of balancing support for individuals in need while addressing public health concerns related to substance abuse.

The meeting concluded with a recognition of the need for effective public policy interventions to encourage treatment participation, while also acknowledging the potential risks of displacing individuals from their homes due to financial constraints. The ongoing dialogue reflects the county's efforts to navigate the challenges of welfare reform in a way that prioritizes both health and housing stability for its residents.

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