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Committee forwards 'Cash Not Drugs' pilot to Board, citing evidence for contingency management
Summary
The Government Audit & Oversight Committee voted Oct. 17 to send Supervisor Matt Dorsey’s three‑year Cash Not Drugs pilot to the full Board with a positive recommendation. The voluntary program would offer up to $100 per week to eligible CAP recipients who test negative for illicit drugs, with a six‑month planning period and external evaluation.
San Francisco — The Government Audit & Oversight Committee on Oct. 17 voted to forward to the full Board of Supervisors an ordinance that would authorize a three‑year pilot program called Cash Not Drugs, which would let a human services agency, in coordination with the Department of Public Health, offer weekly financial incentives to some recipients of the county adult assistance program (CAP).
Sponsor Supervisor Matt Dorsey, who introduced the legislation, said the program would add a contingency‑management option to treatment pathways created under March 2024’s Proposition F. “Contingency management is one of the most effective behavioral interventions for initiating and maintaining abstinence,” Dorsey said, summarizing evidence cited in the bill and in recent clinical literature. The ordinance would exempt incentive payments from CAP eligibility calculations and require a six‑month…
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