The San Francisco County government meeting held on July 4, 2025, focused on critical issues surrounding the city's emergency medical services and homelessness response strategies. The discussions highlighted the challenges faced by the Fire Department and the Street Crisis Response Team in addressing the needs of the unhoused population, particularly those struggling with mental health and substance abuse issues.

The meeting began with inquiries regarding the budget implications of adding 14 new Emergency Medical Technicians (EMTs) to the Street Crisis Response Team. Chief Pang explained that the Fire Department has been managing staffing through overtime due to the removal of previously funded behavioral health staff by the Department of Public Health. Director Mark Corso provided a cost estimate of nearly $2 million annually for the proposed EMTs, emphasizing the need for sustainable funding sources, such as Proposition C funds, to alleviate the financial burden on the Fire Department.

The conversation then shifted to the operational challenges faced by the Street Crisis Response Team. Chief Pang noted that their teams are currently responding to approximately 91% of calls, with an anticipated increase in demand. However, the lack of available shelter beds, particularly during evening hours, poses significant obstacles. Currently, the team has access to only one shelter bed after 5 PM, which is often gender-specific and not always usable. This scarcity of resources leads to difficult decisions about which individuals in crisis can receive assistance.

Supervisors expressed frustration over the limited options for individuals in crisis, particularly the absence of facilities that can provide temporary safe housing while awaiting treatment. Chief Pang highlighted the need for "bridge beds" that could accommodate individuals for one or two days, allowing for a smoother transition into treatment programs. The discussion also touched on the importance of same-day placement for those willing to enter treatment, which remains a challenge due to bureaucratic delays.

The meeting concluded with a call for improved coordination among city departments, including the Department of Public Health and the Department of Homelessness and Supportive Housing, to enhance the effectiveness of the response teams. Supervisors emphasized the urgency of addressing the gaps in services and the need for a comprehensive strategy to support individuals experiencing homelessness and mental health crises.

Overall, the meeting underscored the pressing need for increased resources and better collaboration among city agencies to effectively address the complex issues surrounding homelessness and emergency medical responses in San Francisco.