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Mayor Breed to Introduce Ordinance to Speed Up Process of Securing Residential Treatment, Care Beds

Mayor London N. Breed, in partnership with the San Francisco Department of Public Health (SFDPH), introduced legislation Tuesday to make it easier to procure public health beds, and providing needed flexibility in obtaining much-needed mental health and/or substance use disorders beds. Supervisors Rafael Mandelman and Hillary Ronen are co-sponsoring the legislation.

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Since 2020, San Francisco has been expanding the supply of residential treatment and care beds to meet the need of people with a variety of behavioral health conditions. iStock illustration courtesy of wildpixel.
Since 2020, San Francisco has been expanding the supply of residential treatment and care beds to meet the need of people with a variety of behavioral health conditions. iStock illustration courtesy of wildpixel.

Legislation will reduce red tape and help City meet residents’ behavioral health needs as San Francisco continues to add beds for those struggling with mental health and substance use disorder.

S.F. Mayor’s Media Office

 Mayor London N. Breed, in partnership with the San Francisco Department of Public Health (SFDPH), introduced legislation Tuesday to make it easier to procure public health beds, and providing needed flexibility in obtaining much-needed mental health and/or substance use disorders beds. Supervisors Rafael Mandelman and Hillary Ronen are co-sponsoring the legislation.

Since 2020, San Francisco has been expanding the supply of residential treatment and care beds to meet the need of people with a variety of behavioral health conditions. The City currently offers approximately 2,550 behavioral health treatment and care beds.

“We have been working to expand services for those struggling with mental health and addiction, and this legislation will allow us to move even faster to get people the care they need,” said Breed. “People are in crisis, and we can’t allow delays and bureaucracy to get in the way of getting people help. Our goal is to be able to deliver services as quickly as possible, and by removing these barriers, we can be ready when there are opportunities available to add beds to our system.”

At a time when clients in need of residential care are most vulnerable, San Francisco often has to compete with other counties and health care systems for out of county beds and often miss opportunities due to the City’s time-consuming request for proposals (RFP) process.

The proposed ordinance would waive the lengthy RFP process required for SFDPH to contract beds for public health use in third-party facilities both in and outside of San Francisco, while still adhering to key transparency and accountability measures.

“Our goal is to provide people the treatment and care they need as fast as possible. This legislation will help us do just that,” said Director of Health Dr. Grant Colfax. “This will allow us to secure beds more quickly when the opportunity arises.”

By waiving the lengthy RFP process SFDPH is currently required to undergo when contracting beds for public health use from third-party facilities, the City hopes to:

 

  • Reduce wait times for beds to quickly meet the city’s high demand
  • Provide greater diversity of potential providers who may not otherwise respond to RFPs due to bureaucratic hurdles
  • Provide flexibility for individual clients with specific placement needs
  • The proposed ordinance is limited in scope and only waives the RFP process for public health beds, including residential care and treatment and isolation and quarantine beds.

“For people with serious mental health or substance use disorders, it is vital for their health that we are able to provide care that is timely and appropriate for their needs.Waiting for that care can adversely affect their health and our community,” said Dr. Hillary Kunins, Director of Behavioral Health Services and Mental Health SF at SFDPH.

The ordinance will waive the RFP process for five years. However, SFDPH will still adhere to City contracting checks and balances, as well as its own internal measures, to ensure that all providers comply with Federal, State and local contract monitoring recruitments.

Currently, SFDPH is at a disadvantage when acquiring out-of-county beds. Because of the City’s contracting process, competing counties and health care systems with fewer bureaucratic barriers can move more quickly than San Francisco and claim available beds for themselves.

This creates a challenge for the City when placing clients in need of residential care in a timely manner.

After introduction, the legislation will sit for 30 days before the Board of Supervisors conducts hearings and then ultimately votes on whether to approve the legislation. The ordinance requires majority approval by the Board of Supervisors.

For more information about San Francisco’s work to expand treatment beds and services, please visit this page or go to https://londonbreed.medium.com/expanding-treatment-in-san-francisco-e0acfcc980bc

Activism

Agricultural Engineer Effie Gant Plans Bay Area Farmers Market Initiative

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Agricultural Engineer Effie Gant displays watermelons from her Sacramento farm at the Temescal Festival in Oakland. Photo by Carla Thomas.

In her 80s and still actively working as an agricultural engineer, Effie Gant continues to break barriers in urban farming and community leadership.

The certified USDA grower and respected urban farmer, based in South Sacramento, was recently spotted vending at the Freedom Farmers’ Market by the Temescal Street Fair on Saturday, July 11, where she proudly displayed dozens of sweet, juicy watermelons.

Festivalgoers gathered not only to purchase her produce but also to enjoy activities like the popular watermelon-eating contest. Yet beyond the festive atmosphere, Gant has a larger vision.

Gant is now setting her sights on the Bay Area, where she plans to launch a farmers’ market to increase access to fresh, locally grown food.

Known for her leadership in sustainable agriculture and food justice, she brings decades of hands-on experience and community advocacy to regions where food access remains inconsistent.

She has built a strong reputation through her work with Meadowview Urban Farm and the Yisrael Family Urban Farm, cultivating crops such as watermelons, honeydew melons, and collard greens. Her approach emphasizes sustainability, education, and empowering residents to grow their own food, even in small urban spaces. 

As a USDA-certified grower, Gant blends technical expertise with grassroots engagement to combat food insecurity.

Beyond farming, Gant serves as CEO and President of Highways to Hedges, a nonprofit focused on environmental justice and community development. She is also president of the Hampton Station Neighborhood Association and board chairman for HHCORE, where she advocates for safety, equity, and economic opportunity.

Her proposed farmers market will connect small-scale farmers with urban communities while elevating Black farmers and other underrepresented growers.

“I want to teach the next generation about farming and how lucrative it can be,” Gant said. “You don’t need hundreds of acres. You can start with one acre or even your backyard.”Gant also noted her involvement in a collective of farmers who supply produce through government-supported programs.

“We operate as a team, and we all benefit,” she said.

Through workshops, speaking engagements, and hands-on training, Gant and her organization continue to educate communities about agriculture and food justice. Her market initiative will emphasize affordability, cultural relevance, and nutrition education.

Her broader work includes creating edible forests in partnership with Soil Born Farms, planting fruit trees directly in neighborhoods to expand food access. As a mentor with the Center of Expertise on Food Justice and Health Equity, Gant remains a leading voice in building sustainable and resilient food systems.

Gant says she welcomes the community to join her in creating a new farmer’s market. 

“Farming is essential to life,” she said. “I want to train as many people as I can to use food and farming as a tool for empowerment, health, and long-term change.”



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Activism

Oakland Post: Week of July 15 – 21, 2026

The printed Weekly Edition of the Oakland Post: Week of July 15 – 21, 2026

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Activism

From Disparity Study to Solutions: Oakland Coalition and Mayor Barbara Lee Renew Commitment to Reform City Contracting

She committed to ensuring the coalition has direct access to City leadership by designating Assistant Deputy City Administrator Chuck Baker the primary liaison. Working alongside Deputy City Administrator Sofia Navarro, DWES Director Emylene Aspilla, Race and Equity Director Darlene Flynn, and other City departments, the coalition will continue advancing these priorities while maintaining regular communication with City leadership.

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Present at the recent meeting on implementing recommendations on Oakland’s Disparity Study on city work contracts were (first row, l. to r.):  Chuck Baker, Oakland Mayor Barbara Lee and Darlene Flynn. Second row, l. to r.) Samuel Adams, Erica Astrella, Chadwick Spell, Cathy Adams, Stanley Cooper, Maria Wagner, Len Turner, Derek Barnes, Paul Cobb. Photo courtesy of Oakland Mayor’s Office.
Present at the recent meeting on implementing recommendations on Oakland’s Disparity Study on city work contracts were (first row, l. to r.):  Chuck Baker, Oakland Mayor Barbara Lee and Darlene Flynn. Second row, l. to r.) Samuel Adams, Erica Astrella, Chadwick Spell, Cathy Adams, Stanley Cooper, Maria Wagner, Len Turner, Derek Barnes, Paul Cobb. Photo courtesy of Oakland Mayor’s Office.

Special to The Post

On June 30, a coalition of minority business leaders, contractors and others met with Oakland Mayor Barbara Lee to discuss the City’s commitment to implement recommendations outlined in Oakland’s Disparity Study and eliminate barriers that have historically prevented Black and minority-owned businesses from fully participating in public contracting opportunities.

Representatives of the Oakland African American Chamber of Commerce (OAACC), National Association of Minority Contractors Northern California (NAMC NorCal), Construction Resource Center (CRC), and the East Bay Rental Housing Association (EBRHA) said the meeting represented an important milestone in a process that has been underway for several months.

On April 21, the Oakland City Council’s Life Enrichment Committee received a progress report from the Department of Workplace and Employment Standards (DWES), where Director Emylene Aspilla presented the coalition’s working document and outlined a collaborative implementation plan between the coalition and the City. That report established 30-, 60-, and 90-day objectives focused on five key priorities:

  • Reforming Local and Small Local Business Enterprise (L/SLBE) waiver practices
  • Strengthening prompt payment compliance
  • Improving procurement forecasting and transparency
  • Expanding contractor capacity building and business development
  • Increasing oversight, accountability, and public reporting

A series of working sessions was scheduled between coalition representatives, DWES, and the City Administrator’s Office to begin implementing those priorities but were temporarily delayed by the resignation of former City Administrator Jestin Johnson.

Rather than allowing that momentum to stall, OAACC President and CEO Cathy Adams requested a meeting with Lee to gain clarity on the City’s direction and reaffirm its commitment to implementing the recommendations contained within the Disparity Study.

Coalition leaders described the meeting as productive, candid, collaborative, and encouraging.

During the meeting, Lee spoke not only from her role as mayor but also from her experience as an 8(a) contractor and business owner, sharing that she understands firsthand what it takes to build and grow a successful company, employ a substantial workforce, compete for public work, and navigate the complexities of municipal contracting.

She committed to ensuring the coalition has direct access to City leadership by designating Assistant Deputy City Administrator Chuck Baker the primary liaison. Working alongside Deputy City Administrator Sofia Navarro, DWES Director Emylene Aspilla, Race and Equity Director Darlene Flynn, and other City departments, the coalition will continue advancing these priorities while maintaining regular communication with City leadership.

Mayor Lee also expressed her commitment to personally participate in future working meetings with the coalition.

“This meeting represents a renewed commitment to partnership,” said Adams. “Mayor Lee listened, engaged, and demonstrated that she wants to move beyond conversation and into implementation.”

CRC’s Len Turner said the roadmap is already in place. ““The City already has the evidence. What’s been missing is execution. …Now it’s time to deliver results.”

Mario Wagner, president of NAMC NorCal agreed that the next phase must focus on implementation, funding, and accountability.

“The coalition is ready to get to work. …The next step is ensuring these initiatives receive meaningful funding in the upcoming fiscal budget cycle. Just as important, the City must establish transparent reporting mechanisms that keep the public informed through regular progress reports, measurable benchmarks, and accountability.”

Coalition leaders also acknowledged that while City leadership has indicated it is reviewing Local and Small Local Business Enterprise waiver practices, the community continues to seek a formal response regarding existing long-term waivers, including waivers extending 10 and 25 years. The coalition believes those waivers should be comprehensively reviewed and, where appropriate, rolled back as part of the City’s broader contracting reforms.

The coalition is also calling on the City to include meaningful funding in the upcoming fiscal budget cycle to support implementation of the Disparity Study recommendations and establish better methods and mechanisms to keep the public informed through regular progress reports, measurable benchmarks, and transparent accountability.

The coalition’s immediate next step is to schedule a working meeting with Baker, Aspilla, Lee, and the appropriate City staff to review what has already been accomplished under the implementation framework.

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