Government Audit and Oversight Committee Meeting – June 4, 2026

The Government Audit and Oversight Committee of the San Francisco Board of Supervisors, chaired by Supervisor Stephen Sherrill and joined by Vice Chair Mahmood, met on June 4, 2026, to consider 11 items. Items included contracts and grants for the Department of Public Health, labor memoranda of understanding, Treasure Island infrastructure financing, and a code cleanup ordinance. All items that were voted on passed unanimously (2-0), with no public comments received.

Consent Calendar

• No consent calendar was designated; all items were considered individually.

Public Comments & Testimony

• No members of the public provided oral or written comment on any agenda item.

Discussion Items

• Item 1 – Homeless Children’s Network Mental Health Contract Amendment
  Dr. Faranaz Farman, Director of the Children Youth Family System of Care at DPH, presented a resolution to amend an agreement with Homeless Children’s Network. The amendment extends the term by one year (to June 30, 2027) and increases the contract amount by approximately $3.25 million, for a new total not to exceed approximately $11.7 million. The program provides culturally congruent behavioral health services to historically underserved children, youth, and families, including outreach, low‑threshold groups, and specialty mental health treatment. The Budget and Legislative Analyst (BLA) reported the program is 60% general fund‑funded and 40% state/federal, and noted the latest monitoring rating was “4 – commendable,” exceeding standards. Metrics include client improvement on clinical tools and compliance with treatment assessments. DPH agreed with BLA recommendations. The item was forwarded to the full board with a positive recommendation.

• Item 2 – Medical County Inmate Program (MCIP) Agreements
  Matt Sir, Revenue Cycle and Reimbursement Director at DPH, presented two agreements with the California Department of Health Care Services (DHCS) for the MCIP program. The participation agreement (July 1, 2026 – June 30, 2029) allows San Francisco to voluntarily participate, enabling DPH to bill for services provided to inmates at Zuckerberg San Francisco General and other network hospitals, and to share the non‑federal share of costs for services at outside hospitals. The administrative services agreement (same term) requires the city to pay DHCS up to $35,363.08 for San Francisco’s portion of state‑level program administration. DPH requested approval. The item was forwarded to the full board with a positive recommendation.

• Item 3 – Mobile Mammography Van Gift
  Sabrina Robinson, COO of Zuckerberg San Francisco General Hospital, presented a resolution to accept a capital gift of a mobile mammography van valued at approximately $1.5 million from the San Francisco General Hospital Foundation. The van will be purchased using a cash donation of about $1.6 million from Salesforce Inc. In exchange, the van will be named “ZSFG MAML van Salesforce in partnership with ZSFG and SFGHF for a healthy community” for the period January 1, 2027 – December 31, 2041. The current van is out of service, and the new van will restore mobile mammography services. The item was forwarded to the full board with a positive recommendation.

• Item 4 – Grant for Placement Solutions for Patients Exceeding PSH Capacity
  Dr. Todd Barrett, Chief Medical Officer of the San Francisco Health Network, presented a grant from Homes for the Homeless Fund LLC (a subsidiary of Housing Accelerator Fund) for $3.75 million over two years (July 1, 2026 – June 30, 2028). The grant aims to transform care for behaviorally complex patients whose needs exceed permanent supportive housing (PSH). The program will conduct a system‑wide analysis, create an interdisciplinary team, implement transitional services for a pilot group, and evaluate impact. DPH requested approval. The item was forwarded to the full board with a positive recommendation.

• Items 5–8 – Labor Memoranda of Understanding (MOUs) and Unrepresented Compensation
  Artist Graham, Employee Relations Director from the Department of Human Resources, presented four ordinances:

  • Item 5 & 6: MOUs with the Municipal Executives Association (MEA) for police and fire executives. Changes include aligning merit pay with the city’s Miscellaneous Compensation Plan (MCCP), increasing retention funding for police commanders, and adding incentives for fire executives to develop San Francisco‑specific training programs. Compensation includes a series of 2% and 1% increases, with a final 2% increase on June 30, 2020 (as noted in the transcript).
  • Item 7: Ordinance fixing compensation for unrepresented employees (approximately 92 full‑time positions in the mayor’s office, human resources, controller, etc.) to align with miscellaneous bargaining units.
  • Item 8: First Amendment to the Machinists Union Local 1414 MOU, changing the apprenticeship program so that apprentices remain at one department responsible for all skill training, rather than rotating between departments.
    All four items were forwarded to the full board as committee reports with a positive recommendation.

• Items 9 & 10 – Treasure Island Infrastructure Revitalization Financing District (IRFD) Expansion
  Jamie Karubin, Acting Director of the Treasure Island Development Authority (TIDA), presented two resolutions. Item 9 is a resolution of intention to add territory to the existing IRFD (originally formed in 2017) to include stage two properties (project areas F, G, H, I) as development occurs. Item 10 authorizes preparation of an appendix to the infrastructure financing plan related to the annexation. Future board actions include a public hearing scheduled for September 15, 2026, at 3 p.m., an election by property owners, approval of the annexation, an amended financing plan, and a maximum bond amount, with final legislative action anticipated in early October 2026. A non‑substantive amendment to Item 9 was made to insert the date and time of the public hearing. Both items were forwarded to the full board with positive recommendations (Item 9 as a committee report as amended).

• Item 11 – Code Cleanup Ordinance (Continued)
  Supervisor Sherrill noted that the ordinance amending multiple codes to modify reporting requirements, remove obsolete programs, and perform cleanup is still being perfected with amendments from city departments. He made a motion to continue the item to the next committee meeting on June 18, 2026. The motion passed 2-0.

Key Outcomes

• Item 1: Forwarded to full board with positive recommendation (2-0).
• Item 2: Forwarded to full board with positive recommendation (2-0).
• Item 3: Forwarded to full board with positive recommendation (2-0).
• Item 4: Forwarded to full board with positive recommendation (2-0).
• Items 5-8: Forwarded to full board as committee reports with positive recommendation (2-0).
• Item 9: Amended to add public hearing date (September 15, 2026, 3 p.m.); forwarded to full board as committee report with positive recommendation (2-0).
• Item 10: Forwarded to full board with positive recommendation (2-0).
• Item 11: Continued to June 18, 2026 committee meeting (2-0).