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Rules Committee hears wide-ranging debate on SB 10‑45 housing conservatorship; continues item for more information
Summary
The San Francisco Rules Committee heard presentations and extensive public comment on local implementation of SB 10‑45, a five‑year pilot to permit temporary housing conservatorships for a very small, high‑need group. Supervisors pressed departments on bed capacity, due process and racial equity and continued the matter to May 20 for follow‑up.
San Francisco Chair Supervisor Hillary Ronan convened the Rules Committee on May 13 to hear Item 1, a staff presentation on local implementation resources for SB 10‑45, and Item 2, an ordinance to amend the health code to authorize housing conservatorship procedures and establish an implementation working group.
Supervisor Rafael Mandelmann, sponsor of the local ordinance, told the committee the state law creates a limited, five‑year pilot allowing counties to seek temporary conservatorships for people with co‑occurring serious mental illness and substance use disorder who repeatedly require involuntary psychiatric holds. Mandelmann said the pool is small — ‘‘estimates are that the law is likely to apply to fewer than 10 people a year’’ — and urged the committee to forward the ordinance with a positive recommendation or without recommendation so the full Board could debate it.
Department of Public Health and Conservator staff outlined how the housing conservatorship would work in practice. Dr. Angelica Almeida and Jill Nielsen described a composite client they called "Melanie," who stabilizes while on short hospital holds but…
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