San Francisco Health Department outlines transition plans for COVID and behavioral health services

The San Francisco Health Commission convened on July 4, 2025, to discuss key operational transitions and ongoing initiatives within the Department of Public Health (DPH). The meeting focused on four primary areas: the transition of COVID-19 task force operations, enhancements to behavioral health services, strengthening core operational functions, and the implementation of the CalAIM program.

The first agenda item addressed the transition of COVID-19 task force functions back into regular operations. The DPH is planning to integrate these functions as the city moves beyond the pandemic phase. However, the detailed spending plan for this transition will not be submitted until later in the year due to ongoing staff deployment to manage current COVID-19 surges. Notably, there is currently no long-term funding identified for COVID-19 operations, with FEMA reimbursements set to expire in April. The commission acknowledged the need to evaluate the governor's budget proposals for potential funding sources.

Next, the commission discussed behavioral health services and support for individuals experiencing homelessness. The DPH is committed to continuing initiatives from the previous year, particularly those related to Mental Health SF. Specific timelines for these initiatives were requested by Commissioner Gerardo, who will receive updates in the following month. The DPH is also working on expanding bed capacity and has recently acquired a site on Geary Street for this purpose. Additionally, six street crisis response teams are operational, with plans for a seventh team, and efforts are underway to enhance street medicine and mental health services.

The third focus area was on strengthening core operational functions to support service delivery. The DPH highlighted the need for increased investment in operational areas such as human resources, compliance, and data systems to ensure effective program implementation.

Finally, the meeting addressed the CalAIM initiative, a multi-year framework aimed at reforming Medi-Cal delivery systems. The DPH is preparing for the rollout of new benefits and incentive programs, including enhanced care management and community supports, which are designed to address the needs of high-cost, high-need individuals. The commission noted that these programs represent an opportunity for ongoing funding for services that have historically been underfunded.

In conclusion, the meeting underscored the DPH's commitment to adapting its operations in response to evolving public health needs while navigating funding challenges. The commission will continue to monitor these initiatives and their implementation in the coming months.