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Board approves GO bond appropriations, large health contract amendments and dozens of consent items

San Francisco Board of Supervisors · June 2, 2026
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Summary

The Board of Supervisors approved GO bond appropriations ($195M) for health and transportation capital projects, authorized issuance of GO bonds, and adopted multiple large contract amendments for public health, homelessness response, and supply procurement, including Medline contract increases totaling hundreds of millions.

The San Francisco Board of Supervisors approved a broad package of consent and finance items on June 2, moving forward funding and contract authorizations for health, public works, housing, and transportation.

The board took "same house, same call" action on a group of finance items. Item 10 appropriated $195,000,000 of general obligation bond proceeds for the Department of Public Health, Department of Public Works, Recreation and Parks Department, and the Municipal Transportation Agency for acquisition and improvement of property and other capital projects; Item 11 authorized issuance and sale of the GO bonds and related sale terms. Both items were presented and adopted as read, with funds placed on controller reserve pending receipt of bond proceeds.

The board also approved significant contract and grant amendments in the public health and homelessness portfolios. Notable totals read into the record include:

- Healthy San Francisco provider payments and administrative agreements with total potential amounts of $41,600,000 and $52,800,000 for multi-year terms (items 12–13). - Crestwood Behavioral Health amendment to extend and increase the contract by $17,100,000 to a new total of $26,200,000 for a crisis stabilization unit at 822 Geary (item 14). - Richmond Area MultiServices amendments to extend terms and increase funding by approximately $5,600,000 and $19,000,000, bringing totals to $15,000,000 and $48,200,000 respectively (items 15–16). - Medline Industries contract amendments increasing totals by $156,200,000 (item 18) and approximately $70,800,000 (item 19), yielding new totals around $301,000,000 and $165,000,000 for supply distribution agreements.

The board also advanced Public Utilities Commission revenue bond ordinances (items 33–36) on first reading authorizing issuance of power, wastewater, and water revenue bonds (principal amounts cited in the record). Other routine approvals covered airport lease terminations, Human Services Agency refugee grant increases, homelessness property management and shelter contracts, and a DPW grant of $14,500,000 for Powell Street improvements.

Why it matters: The bond appropriations and contract amendments fund capital projects, health services, and shelter operations that affect city infrastructure and vulnerable residents. Several procurement items involve multi-year commitments and large dollar increases that will shape program capacity for years to come.

What’s next: Bond proceeds are subject to sale and receipt; several ordinances were passed on first reading and will return for subsequent readings as required. The board placed some funds on controller reserve pending receipt of bond proceeds.