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Supervisors approve first‑reading ordinance to protect LGBT residents of long‑term care facilities

3006086 · April 16, 2025
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Summary

Supervisor Scott Wiener introduced and the board passed on first reading an ordinance aimed at protecting LGBT residents and patients in long‑term care facilities by requiring liaisons, training, pronoun respect, room‑sharing rules and private enforcement options; the Human Rights Commission would publish compliance guidance.

Supervisor Scott Wiener introduced an ordinance on March 31 to amend the Police Code to prohibit discrimination in long‑term care facilities on the basis of sexual orientation and gender identity and to provide enforcement tools for aggrieved persons; the ordinance passed on its first reading by unanimous consent.

Why it matters: The ordinance is framed by its sponsor as a “bill of rights” for LGBT seniors in nursing homes, assisted‑living settings and similar facilities. It prescribes facility practices and creates enforcement pathways that city officials say will clarify residents’ rights and facility responsibilities.

Wiener, who co‑sponsored the ordinance with Supervisor David Campos, described demographic changes and needs in the city’s LGBT senior population and said the measure implements recommendations from the city’s LGBT Aging Task Force. “This legislation is a bill of rights for LGBT residents of long term care facilities,” Wiener said. He told colleagues the law will establish specific protections including, among other provisions, a facility‑designated LGBT liaison who will receive periodic training; respecting residents’ pronoun preferences; allowing two residents to request to share a room; forbidding involuntary room reassignment based on a resident’s sexual orientation or gender identity; access to medical care appropriate to an LGBT resident’s needs; and restroom access consistent with a resident’s gender identity.

The ordinance also would give aggrieved persons the right to request investigation and mediation by the Human Rights Commission and would create a private right of action to enforce rights under the law. Wiener said the Human Rights Commission would publish a compliance manual to assist facilities.

Wiener noted community support for the bill, naming organizations that had expressed backing, including the National Center for Lesbian Rights, the Transgender Law Center, Lambda Legal, the National Center for Transgender Equality, FORGE Transgender Aging Network, Openhouse, the ACLU of Northern California and California Advocates for Nursing Home Reform. He acknowledged Daniel Redmond and staffer Adam Taylor for their work on the legislation.

The clerk called the item and, after the sponsor’s presentation, the board took the item “same house, same call” and passed the ordinance on first reading without objection.

What’s next: The ordinance passed first reading and will return for further readings or final passage as required by the city’s legislative process. The Human Rights Commission is directed in the ordinance text to develop guidance for facility compliance.