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San Francisco Overview
San Francisco Charter
San Francisco Administrative Code
ADMINISTRATIVE CODE
THE SAN FRANCISCO CODES
PREFACE TO THE ADMINISTRATIVE CODE
CHAPTER 1: GENERAL PROVISIONS
CHAPTER 2: BOARD OF SUPERVISORS
CHAPTER 2A: EXECUTIVE BRANCH
CHAPTER 2B: ASSESSMENT APPEALS BOARDS (TAX APPEAL BOARDS)
CHAPTER 3: BUDGET PROCEDURES
CHAPTER 4: CITY BUILDINGS, EQUIPMENT, AND VEHICLES
CHAPTER 5: COMMITTEES
CHAPTER 6: PUBLIC WORKS CONTRACTING POLICIES AND PROCEDURES
CHAPTER 7: DISASTER COUNCIL
CHAPTER 8: DOCUMENTS, RECORDS AND PUBLICATIONS
CHAPTER 9A: FARMERS' MARKET
CHAPTER 9B: FLEA MARKET
CHAPTER 10: FINANCE, TAXATION, AND OTHER FISCAL MATTERS
CHAPTER 10B: SPECIAL LAW ENFORCEMENT AND PUBLIC WORKS SERVICES
CHAPTER 10C: REIMBURSEMENT FOR TOWING AND STORAGE OF VEHICLES
CHAPTER 10E: PLANNING MONITORING
CHAPTER 10F: 1660 MISSION STREET SURCHARGE
CHAPTER 10G: BOARD OF APPEALS SURCHARGE FOR PERMITS AND FEES
CHAPTER 10H: RECOVERY OF COSTS OF EMERGENCY RESPONSE
CHAPTER 11: FRANCHISES
CHAPTER 12: HOUSING AUTHORITY
CHAPTER 12A: HUMAN RIGHTS COMMISSION
CHAPTER 12B: NONDISCRIMINATION IN CONTRACTS
CHAPTER 12C: NONDISCRIMINATION IN PROPERTY CONTRACTS
CHAPTER 12D: MINORITY/WOMEN/LOCAL BUSINESS UTILIZATION
CHAPTER 12E: CITY EMPLOYEE'S SEXUAL PRIVACY ORDINANCE
CHAPTER 12F: IMPLEMENTING THE MACBRIDE PRINCIPLES - NORTHERN IRELAND
CHAPTER 12G: PROHIBITION ON USE OF PUBLIC FUNDS FOR POLITICAL ACTIVITY BY RECIPIENTS OF CITY CONTRACTS, GRANTS, AND LOANS
CHAPTER 12H: IMMIGRATION STATUS
CHAPTER 12I: CIVIL IMMIGRATION DETAINERS
CHAPTER 12J: CITY BUSINESS WITH BURMA PROHIBITED
CHAPTER 12K: SALARY HISTORY*
CHAPTER 12L: PUBLIC ACCESS TO RECORDS AND MEETINGS OF NONPROFIT ORGANIZATIONS
CHAPTER 12M: PROTECTION OF PRIVATE INFORMATION*
CHAPTER 12N: LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER, AND QUESTIONING YOUTH: YOUTH SERVICES SENSITIVITY TRAINING
CHAPTER 12O: EARNED INCOME CREDIT INFORMATION
CHAPTER 12P: MINIMUM COMPENSATION
CHAPTER 12Q: HEALTH CARE ACCOUNTABILITY
CHAPTER 12R: MINIMUM WAGE
CHAPTER 12S: WORKING FAMILIES CREDIT PROGRAM
CHAPTER 12T: CITY CONTRACTOR/SUBCONTRACTOR CONSIDERATION OF CRIMINAL HISTORY IN HIRING AND EMPLOYMENT DECISIONS
CHAPTER 12U: SWEATFREE CONTRACTING
CHAPTER 12V: PERSONAL SERVICES MINIMUM CONTRACTUAL RATE ORDINANCE
CHAPTER 12W: SICK LEAVE*
CHAPTER 12X: PROHIBITING CITY TRAVEL AND CONTRACTING IN STATES THAT ALLOW DISCRIMINATION*
CHAPTER 12Y: SAN FRANCISCO SLAVERY DISCLOSURE ORDINANCE*
CHAPTER 12Z: SAN FRANCISCO FAMILY FRIENDLY WORKPLACE ORDINANCE
CHAPTER 13: JAILS AND PRISONERS
CHAPTER 14: SAN FRANCISCO HEALTH CARE SECURITY ORDINANCE
CHAPTER 14A: DISADVANTAGED BUSINESS ENTERPRISE PROGRAM
CHAPTER 14B: LOCAL BUSINESS ENTERPRISE UTILIZATION AND NON-DISCRIMINATION IN CONTRACTING ORDINANCE
CHAPTER 14C: [EXPIRED]
CHAPTER 15: MENTAL HEALTH SERVICE
CHAPTER 16: OFFICERS AND EMPLOYEES GENERALLY
CHAPTER 17: PUBLIC OFF-STREET PARKING FACILITIES
CHAPTER 18: PAYROLL PROCEDURE
CHAPTER 19. COMMUNITY SAFETY CAMERA ORDINANCE
CHAPTER 19A: PUBLIC HEALTH
CHAPTER 19B: ACQUISITION OF SURVEILLANCE TECHNOLOGY
CHAPTER 20: SOCIAL SERVICES
CHAPTER 21: ACQUISITION OF COMMODITIES AND SERVICES
CHAPTER 21A: HEALTH-RELATED COMMODITIES AND SERVICES
CHAPTER 21B: COMMODITIES AND SERVICES RELATING TO PROJECTS ADDRESSING HOMELESSNESS
CHAPTER 21C: MISCELLANEOUS PREVAILING WAGE REQUIREMENTS
CHAPTER 21D: [RESERVED]
CHAPTER 21E: [RESERVED]
CHAPTER 21F: [RESERVED]
CHAPTER 21G: [RESERVED]
CHAPTER 22: RADIO COMMUNICATION FACILITIES
CHAPTER 22A: INFORMATION AND COMMUNICATION TECHNOLOGY
CHAPTER 22B: TELECOMMUNICATIONS FACILITIES
CHAPTER 22C: PUBLIC INTERNET ACCESS
CHAPTER 22D: OPEN DATA POLICY
CHAPTER 22E: CITY-OWNED FIBER-OPTIC FACILITIES
CHAPTER 22G: OFFICE OF EMERGING TECHNOLOGY
CHAPTER 23: REAL PROPERTY TRANSACTIONS
CHAPTER 23A: SURPLUS PUBLIC LANDS ORDINANCE
CHAPTER 24: REDEVELOPMENT AGENCY
CHAPTER 24A: ADMINISTRATIVE STRUCTURE LOCAL RENT SUPPLEMENT PROGRAM IN THE OFFICE OF MAYOR
CHAPTER 24B: RELOCATION APPEALS BOARD
CHAPTER 25: STREET LIGHTING
CHAPTER 26. DEEMED APPROVED OFF-STREET ALCOHOL USE NUISANCE REGULATIONS
CHAPTER 27: HEALTHY NAIL SALON RECOGNITION PROGRAM
CHAPTER 28: ADMINISTRATIVE DEBARMENT PROCEDURE
CHAPTER 29: FINDINGS OF FISCAL RESPONSIBILITY AND FEASIBILITY
CHAPTER 29A: [APPROVAL OF POWER PLANT; PLANNING CODE SEC.
CHAPTER 29B: CHILD CARE FEASIBILITY STUDY FOR CITY AND CITY-FUNDED PROJECTS
CHAPTER 30: CENTRALIZATION OF WORKFORCE DEVELOPMENT
CHAPTER 31: CALIFORNIA ENVIRONMENTAL QUALITY ACT PROCEDURES AND FEES
CHAPTER 32: RESIDENTIAL REHABILITATION LOAN PROGRAM
CHAPTER 33: COMMISSION ON THE STATUS OF WOMEN
CHAPTER 33A: LOCAL IMPLEMENTATION OF THE UNITED NATIONS CONVENTION ON THE ELIMINATION OF ALL FORMS OF DISCRIMINATION AGAINST WOMEN (CEDAW)*
CHAPTER 34: NOTIFICATION TO ASSESSOR CONCERNING ZONING RECLASSIFICATIONS OF PROPERTY, CONDITIONAL USE PERMITS AND VARIANCES
CHAPTER 35: RESIDENTIAL, HOTEL, AND PDR COMPATIBILITY AND PROTECTION
CHAPTER 36: COMMUNITY IMPROVEMENTS AREA PLANS AND PROGRAMS
CHAPTER 37: RESIDENTIAL RENT STABILIZATION AND ARBITRATION ORDINANCE
CHAPTER 37A: RENT STABILIZATION AND ARBITRATION FEE
CHAPTER 38: COMMERCIAL LANDLORDS; ACCESS IMPROVEMENT OBLIGATIONS AND NOTICE TO SMALL BUSINESS TENANTS REGARDING DISABILITY ACCESS
CHAPTER 39: [RIGHT TO RETURN TO REVITALIZED PUBLIC HOUSING]
CHAPTER 40: HOUSING CODE ENFORCEMENT LOAN PROGRAM
CHAPTER 41: RESIDENTIAL HOTEL UNIT CONVERSION AND DEMOLITION
CHAPTER 41A: RESIDENTIAL UNIT CONVERSION AND DEMOLITION
CHAPTER 41B: COMMUNITY OPPORTUNITY TO PURCHASE ACT
CHAPTER 41C: TIME-SHARE CONVERSION ORDINANCE
CHAPTER 41D: RESIDENTIAL HOTEL VISITOR POLICIES
CHAPTER 41E. RESIDENTIAL HOTEL MAIL RECEPTACLE ORDINANCE
CHAPTER 41F: TOURIST HOTEL CONVERSION*
CHAPTER 42: INDUSTRIAL DEVELOPMENT AUTHORITY
CHAPTER 43: MUNICIPAL FINANCE LAW
CHAPTER 44: ADULT DAY HEALTH CARE PLANNING COUNCIL
CHAPTER 45: JURY FEES
CHAPTER 47: PREFERENCE IN CITY AFFORDABLE HOUSING PROGRAMS
CHAPTER 48: RENTAL SUBSIDY PROGRAM FOR LOW-INCOME FAMILIES
CHAPTER 49: SECURITY DEPOSITS FOR RESIDENTIAL RENTAL PROPERTY
CHAPTER 49A: RESIDENTIAL TENANT COMMUNICATIONS
CHAPTER 49B: RESIDENTIAL RENTAL UNITS: LOCK REPLACEMENTS BY LANDLORD WHEN TENANTS VACATE
CHAPTER 50: NONPROFIT PERFORMING ARTS LOAN PROGRAM
CHAPTER 51: VOLUNTARY ARTS CONTRIBUTIONS PROGRAM
CHAPTER 52: SAN FRANCISCO CARBON MITIGATION PROGRAM
CHAPTER 53: URBAN AGRICULTURE
CHAPTER 53A: URBAN AGRICULTURE INCENTIVE ZONES ACT PROCEDURES
CHAPTER 54: SOUTHEAST COMMUNITY FACILITY COMMISSION
CHAPTER 56: DEVELOPMENT AGREEMENTS
CHAPTER 57: FILM COMMISSION
CHAPTER 58: RIGHT TO COUNSEL IN CIVIL MATTERS
CHAPTER 59: HEALTHY FOOD RETAILER ORDINANCE
CHAPTER 60: ASSISTED HOUSING PRESERVATION ORDINANCE
CHAPTER 61: WATERFRONT LAND USE
CHAPTER 62: DOMESTIC PARTNERSHIPS
CHAPTER 63: WATER EFFICIENT IRRIGATION ORDINANCE*
CHAPTER 64: CITY EMPLOYEE AND CITY CONTRACTOR SAFETY AND HEALTH
CHAPTER 65: RENT REDUCTION AND RELOCATION PLAN FOR TENANTS INCONVENIENCED BY SEISMIC WORK PERFORMED PURSUANT TO CHAPTERS 14 AND 15 OF THE SAN FRANCISCO BUILDING CODE
CHAPTER 65A: COMPENSATION, OR SUBSTITUTE HOUSING SERVICE, FOR TENANTS AFFECTED BY TEMPORARY SEVERANCE OF SPECIFIED HOUSING SERVICES DURING MANDATORY SEISMIC WORK REQUIRED BY BUILDING CODE CHAPTER 34B
CHAPTER 66: SEISMIC SAFETY RETROFIT PROGRAM
CHAPTER 67: THE SAN FRANCISCO SUNSHINE ORDINANCE OF 1999
CHAPTER 67A: CELL PHONES, PAGERS AND SIMILAR SOUND-PRODUCING ELECTRICAL DEVICES
CHAPTER 68: CULTURAL EQUITY ENDOWMENT FUND
CHAPTER 69: SAN FRANCISCO HEALTH AUTHORITY
CHAPTER 70: IN-HOME SUPPORTIVE SERVICES PUBLIC AUTHORITY
CHAPTER 71: MILLS ACT CONTRACT PROCEDURES
CHAPTER 72: RELOCATION ASSISTANCE FOR LEAD HAZARD REMEDIATION
CHAPTER 74: RENT ESCROW ACCOUNT PROGRAM
CHAPTER 77: BUILDING INSPECTION COMMISSION APPEALS
CHAPTER 78: DEPARTMENT OF BUILDING INSPECTION PERMIT TRACKING SYSTEM
CHAPTER 79: PREAPPROVAL NOTICE FOR CERTAIN CITY PROJECTS
CHAPTER 79A: ADDITIONAL PREAPPROVAL NOTICE FOR CERTAIN CITY PROJECTS
CHAPTER 80: ANTI-BLIGHT ENFORCEMENT PROCEDURE
CHAPTER 80A: ORDERS TO VACATE DUE TO HAZARDOUS HOUSING CONDITIONS
CHAPTER 82: LOCAL HIRING POLICY FOR CONSTRUCTION
CHAPTER 83: FIRST SOURCE HIRING PROGRAM
CHAPTER 84: SAN FRANCISCO RESIDENTIAL RENT ASSISTANCE PROGRAM FOR PERSONS DISQUALIFIED FROM FEDERAL RENT SUBSIDY PROGRAMS BY THE FEDERAL QUALITY HOUSING AND WORK RESPONSIBILITY ACT OF 1998 (QHWRA)
CHAPTER 86: CHILDREN AND FAMILIES FIRST COMMISSION
CHAPTER 87: FAIR HOUSING IMPLEMENTATION ORDINANCE
CHAPTER 88: PERFORMANCE AND REVIEW ORDINANCE OF 1999
CHAPTER 89: DEPARTMENT OF CHILD SUPPORT SERVICES
CHAPTER 90: ENTERTAINMENT COMMISSION
CHAPTER 90A: PROMOTING AND SUSTAINING MUSIC AND CULTURE
CHAPTER 91: LANGUAGE ACCESS
CHAPTER 92: REAL ESTATE LOAN COUNSELING AND EDUCATION
CHAPTER 93: PREGNANCY INFORMATION DISCLOSURE AND PROTECTION ORDINANCE
CHAPTER 94: THE SAN FRANCISCO PLAZA PROGRAM
CHAPTER 94A: THE SAN FRANCISCO PLACES FOR PEOPLE PROGRAM
CHAPTER 95: IDENTIFICATION CARDS
CHAPTER 96: COORDINATION BETWEEN THE POLICE DEPARTMENT AND THE DEPARTMENT OF POLICE ACCOUNTABILITY
CHAPTER 96A: LAW ENFORCEMENT REPORTING REQUIREMENTS
CHAPTER 96B: POLICY MAKING MARIJUANA OFFENSES THE LOWEST LAW ENFORCEMENT PRIORITY
CHAPTER 96C: POLICE INTERROGATION OF YOUTH - JEFF ADACHI YOUTH RIGHTS ORDINANCE
CHAPTER 97: HEALTHCARE IMPACT REPORTS
CHAPTER 98: THE BETTER STREETS POLICY
CHAPTER 99: PUBLIC POWER IN NEW CITY DEVELOPMENTS
CHAPTER 100: PROCEDURES GOVERNING THE IMPOSITION OF ADMINISTRATIVE FINES
CHAPTER 101: RESTRICTING THE PURCHASE, SALE, OR DISTRIBUTION OF SUGAR-SWEETENED BEVERAGES BY OR FOR THE CITY
CHAPTER 102: OUR CHILDREN, OUR FAMILIES COUNCIL
CHAPTER 103: NON-COOPERATION WITH IDENTITY-BASED REGISTRY ORDINANCE
CHAPTER 104: COLLECTION OF SEXUAL ORIENTATION AND GENDER IDENTITY DATA
CHAPTER 105: CIGARETTE LITTER ABATEMENT FEE ORDINANCE
CHAPTER 106: CITY NAVIGATION CENTERS
CHAPTER 107: CULTURAL DISTRICTS
CHAPTER 107A: AFRICAN AMERICAN ARTS AND CULTURAL DISTRICT
CHAPTER 107B: CASTRO LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUEER (LGBTQ) CULTURAL DISTRICT
CHAPTER 109: PRIORITIZING 100% AFFORDABLE HOUSING
CHAPTER 115: AUTOMATED POINT OF SALE STATION REGISTRATION AND INSPECTION ORDINANCE
CHAPTER 116: COMPATIBILITY AND PROTECTION FOR RESIDENTIAL USES AND PLACES OF ENTERTAINMENT
CHAPTER 117: COOPERATIVE LIVING OPPORTUNITIES FOR MENTAL HEALTH PROGRAM
CHAPTER 119: SAFE PARKING PROGRAMS
CHAPTER 120: ADMINISTRATION OF AFFORDABLE HOUSING FUNDS
CHAPTER 121: CLOSURE OF JUVENILE HALL
APPENDIX: Table of Initiative Ordinances and Policy Declarations
References to Ordinances
San Francisco Business and Tax Regulations Code
BUSINESS AND TAX REGULATIONS CODE
THE SAN FRANCISCO CODES
PREFACE TO THE BUSINESS AND TAX REGULATIONS CODE
ARTICLE 1: PERMIT PROCEDURES
ARTICLE 2: LICENSE FEES
ARTICLE 3: [REPEALED]
ARTICLE 4: [RESERVED]
ARTICLE 5: ELECTRICAL MUSICAL DEVICES
ARTICLE 6: COMMON ADMINISTRATIVE PROVISIONS
ARTICLE 7: TAX ON TRANSIENT OCCUPANCY OF HOTEL ROOMS
ARTICLE 8: SUGARY DRINKS DISTRIBUTOR TAX ORDINANCE
ARTICLE 9: TAX ON OCCUPANCY OF PARKING SPACE IN PARKING STATIONS
ARTICLE 10: UTILITY USERS TAX
ARTICLE 10B: ACCESS LINE TAX
ARTICLE 11: STADIUM OPERATOR ADMISSION TAX
ARTICLE 12: BUSINESS REGISTRATION
ARTICLE 12-A: PAYROLL EXPENSE TAX ORDINANCE
ARTICLE 12-A-1: GROSS RECEIPTS TAX ORDINANCE
ARTICLE 12-B: BUSINESS TAX REFUND
ARTICLE 12B-1: NEIGHBORHOOD BEAUTIFICATION AND GRAFFITI CLEAN-UP FUND TAX OPTION
ARTICLE 12-C: REAL PROPERTY TRANSFER TAX
ARTICLE 12-D: UNIFORM LOCAL SALES AND USE TAX
ARTICLE 13: CONNECTIONS TO THE POLICE DEPARTMENT TERMINAL ALARM PANEL
ARTICLE 14: TRANSPORTATION AUTHORITY
ARTICLE 15: BUSINESS IMPROVEMENT DISTRICTS PROCEDURE CODE
ARTICLE 15A: PUBLIC REALM LANDSCAPING, IMPROVEMENT AND MAINTENANCE ASSESSMENT DISTRICTS ("GREEN BENEFIT DISTRICTS")
ARTICLE 16: LIVING WAGE FOR EDUCATORS PARCEL TAX
ARTICLE 17: BUSINESS TAX PENALTY AMNESTY PROGRAM
ARTICLE 20: FINANCIAL INFORMATION PRIVACY ORDINANCE
ARTICLE 21: EARLY CARE AND EDUCATION COMMERCIAL RENTS TAX ORDINANCE
ARTICLE 22: PARKING STATIONS; REVENUE CONTROL EQUIPMENT
ARTICLE 23: VEHICLE REGISTRATION FEE EXPENDITURE PLAN
ARTICLE 28: HOMELESSNESS GROSS RECEIPTS TAX ORDINANCE
ARTICLE 32: TRAFFIC CONGESTION MITIGATION TAX
References to Ordinances
San Francisco Campaign and Governmental Conduct Code
San Francisco Environment Code
ENVIRONMENT CODE
THE SAN FRANCISCO CODES
PREFACE TO THE ENVIRONMENT CODE
CHAPTER 1: PRECAUTIONARY PRINCIPLE POLICY STATEMENT
CHAPTER 2: ENVIRONMENTALLY PREFERABLE PURCHASING ORDINANCE
CHAPTER 3: INTEGRATED PEST MANAGEMENT PROGRAM
CHAPTER 4: HEALTHY AIR AND CLEAN TRANSPORTATION PROGRAM
CHAPTER 5: RESOURCE CONSERVATION ORDINANCE
CHAPTER 7: GREEN BUILDING REQUIREMENTS FOR CITY BUILDINGS
CHAPTER 8: TROPICAL HARDWOOD AND VIRGIN REDWOOD BAN
CHAPTER 9: GREENHOUSE GAS EMISSIONS TARGETS AND DEPARTMENTAL ACTION PLANS
CHAPTER 10: TRANSPORTATION OF AGGREGATE MATERIALS
CHAPTER 11: CELL PHONE DISCLOSURE REQUIREMENTS
CHAPTER 12: URBAN FORESTRY COUNCIL
CHAPTER 13: ARSENIC-TREATED WOOD
CHAPTER 14: CONSTRUCTION AND DEMOLITION DEBRIS RECOVERY ORDINANCE*
CHAPTER 15: GREEN BUSINESS PROGRAM
CHAPTER 16: FOOD SERVICE AND PACKAGING WASTE REDUCTION ORDINANCE
CHAPTER 17: PLASTIC BAG REDUCTION ORDINANCE
CHAPTER 18: SOLAR ENERGY INCENTIVE PROGRAM
CHAPTER 19: MANDATORY RECYCLING AND COMPOSTING
CHAPTER 20: EXISTING BUILDINGS ENERGY PERFORMANCE
CHAPTER 21: CLEAN ENERGY FULL DISCLOSURE ORDINANCE
CHAPTER 22: SAFE DRUG DISPOSAL
CHAPTER 23: DRINK TAP ORDINANCE
CHAPTER 24: BOTTLED DRINKING WATER
CHAPTER 25: CLEAN CONSTRUCTION REQUIREMENTS FOR PUBLIC WORKS
CHAPTER 26: BETTER ROOF REQUIREMENTS
CHAPTER 27: ANTIBIOTIC USE IN FOOD ANIMALS
CHAPTER 28: FLAME RETARDANT CHEMICALS IN UPHOLSTERED FURNITURE AND JUVENILE PRODUCTS
CHAPTER 29: ELECTRIC VEHICLE READINESS IMPLEMENTATION*
CHAPTER 30: RENEWABLE ENERGY FOR COMMERCIAL BUILDINGS
CHAPTER 31: ELECTRIC VEHICLE AND CHARGING IN COMMERCIAL PARKING LOTS AND GARAGES*
References to Ordinances
San Francisco Fire Code
San Francisco Health Code
HEALTH CODE
THE SAN FRANCISCO CODES
PREFACE TO THE HEALTH CODE
ARTICLE 1: ANIMALS
ARTICLE 1A: ANIMAL SACRIFICE
ARTICLE 1B: PERFORMANCE OF WILD OR EXOTIC ANIMALS FOR PUBLIC ENTERTAINMENT OR AMUSEMENT
ARTICLE 1C: SALE OF ANIMALS
ARTICLE 1D: ANIMAL FUR PRODUCTS
ARTICLE 2: COMMUNICABLE DISEASES
ARTICLE 3: HOSPITALS
ARTICLE 4: DECEASED PERSONS
ARTICLE 5: PUBLIC HEALTH - GENERAL
ARTICLE 6: GARBAGE AND REFUSE
ARTICLE 7: LAUNDRIES
ARTICLE 8: FOOD AND FOOD PRODUCTS
ARTICLE 8A: CANNABIS CONSUMPTION PERMITS
ARTICLE 9: DAIRY AND MILK CODE
ARTICLE 10: MEAT AND MEAT PRODUCTS
ARTICLE 11: NUISANCES
ARTICLE 11A: BED BUG INFESTATION PREVENTION, TREATMENT, DISCLOSURE, AND REPORTING
ARTICLE 12: SANITATION - GENERAL
ARTICLE 12A: BACKFLOW PREVENTION
ARTICLE 12B: SOIL BORING AND WELL REGULATIONS
ARTICLE 12C: ALTERNATE WATER SOURCES FOR NON-POTABLE APPLICATIONS
ARTICLE 14: AMBULANCES AND ROUTINE MEDICAL TRANSPORT VEHICLES
ARTICLE 15: PUBLIC SWIMMING POOLS
ARTICLE 16: REGULATING THE USE OF 'ECONOMIC POISONS'
ARTICLE 17: DISPOSAL OF UNCLAIMED PERSONAL PROPERTY AT SAN FRANCISCO GENERAL HOSPITAL
ARTICLE 18: PROVIDING FOR ISSUANCE OF CITATIONS TO VIOLATORS
ARTICLE 19: SMOKING POLLUTION CONTROL
ARTICLE 19A: REGULATING SMOKING IN EATING ESTABLISHMENTS [SUSPENDED]
ARTICLE 19B: REGULATING SMOKING IN SHARED OFFICE WORKPLACE [SUSPENDED]
ARTICLE 19C: REGULATING SMOKING IN PUBLIC PLACES AND IN HEALTH, EDUCATIONAL AND CHILD CARE FACILITIES [SUSPENDED]
ARTICLE 19D: PROHIBITING CIGARETTE VENDING MACHINES
ARTICLE 19E: PROHIBITING SMOKING IN PLACES OF EMPLOYMENT AND CERTAIN SPORTS ARENAS [SUSPENDED]
ARTICLE 19F: PROHIBITING SMOKING IN ENCLOSED AREAS, CERTAIN UNENCLOSED AREAS, AND SPORTS STADIUMS
ARTICLE 19G: ENFORCEMENT OF SMOKING PROHIBITIONS
ARTICLE 19H: PERMITS FOR THE SALE OF TOBACCO
ARTICLE 19I: PROHIBITING SMOKING IN CITY PARK AND RECREATIONAL AREAS AND FARMERS' MARKETS
ARTICLE 19J: PROHIBITING PHARMACIES FROM SELLING TOBACCO PRODUCTS
ARTICLE 19K: PROHIBITING SALES OF TOBACCO PRODUCTS ON PROPERTY OWNED BY OR UNDER THE CONTROL OF THE CITY AND COUNTY OF SAN FRANCISCO
ARTICLE 19L: PROHIBITING SMOKING AT CERTAIN OUTDOOR EVENTS
ARTICLE 19M: DISCLOSURE TO PROSPECTIVE RESIDENTIAL TENANTS OF WHETHER A UNIT IS SMOKE FREE OR SMOKING OPTIONAL, AND INFORMING EXISTING RESIDENTIAL TENANTS WHERE SMOKING IS OPTIONAL
ARTICLE 19N: ELECTRONIC CIGARETTES - RESTRICTIONS ON SALE AND USE
ARTICLE 19O: [SMOKELESS TOBACCO - USE PROHIBITED AT ATHLETIC VENUES]
ARTICLE 19P: PROHIBITING THE SALE OF TOBACCO PRODUCTS TO PERSONS AGED 18, 19, OR 20
ARTICLE 19Q: PROHIBITING THE SALE OF FLAVORED TOBACCO PRODUCTS
ARTICLE 19R: PROHIBITING THE SALE OF ELECTRONIC CIGARETTES LACKING FOOD AND DRUG ADMINISTRATION PREMARKET APPROVAL
ARTICLE 19S: PROHIBITING THE SALE AND DISTRIBUTION OF TOBACCO PRODUCTS IN SAN FRANCISCO
ARTICLE 20: ALKYL NITRITES
ARTICLE 21: HAZARDOUS MATERIALS
ARTICLE 21A: RISK MANAGEMENT PROGRAM
ARTICLE 22: HAZARDOUS WASTE MANAGEMENT
ARTICLE 22A: ANALYZING SOILS FOR HAZARDOUS WASTE
ARTICLE 22B: CONSTRUCTION DUST CONTROL REQUIREMENTS
ARTICLE 23: VIDEO DISPLAY TERMINAL WORKER SAFETY
ARTICLE 24: CHLOROFLUOROCARBON RECOVERY AND RECYCLING
ARTICLE 25: MEDICAL WASTE GENERATOR REGISTRATION, PERMITTING, INSPECTIONS AND FEES
ARTICLE 26: COMPREHENSIVE ENVIRONMENTAL LEAD POISONING INVESTIGATION, MANAGEMENT AND ENFORCEMENT PROGRAM
ARTICLE 27: HEALTH SERVICE SYSTEM AGREEMENT
ARTICLE 28: MEDICAL CANNABIS USER AND PRIMARY CAREGIVER IDENTIFICATION CARDS
ARTICLE 29: LICENSING AND REGULATION OF MASSAGE PRACTITIONERS AND MASSAGE BUSINESSES
ARTICLE 30: REGULATION OF DIESEL BACKUP GENERATORS
ARTICLE 31: HUNTERS POINT SHIPYARD
ARTICLE 32: DISEASE PREVENTION DEMONSTRATION PROJECT
ARTICLE 33: MEDICAL CANNABIS ACT
ARTICLE 34: HEALTHY PRODUCTS, HEALTHY CHILDREN ORDINANCE
ARTICLE 35: BIOLOGICAL AGENT DETECTORS
ARTICLE 36: CHILD COUGH AND COLD MEDICINE WARNING ORDINANCE
ARTICLE 37: TRANS FAT FREE RESTAURANT PROGRAM ORDINANCE
ARTICLE 38: ENHANCED VENTILATION REQUIRED FOR URBAN INFILL SENSITIVE USE DEVELOPMENTS
ARTICLE 39: COMMERCIAL DOG WALKING
ARTICLE 40: SAFE BODY ART
ARTICLE 41: MENTAL HEALTH
ARTICLE 42: SUGAR-SWEETENED BEVERAGES
ARTICLE 43: SURPLUS MEDICATION REPOSITORY AND DISTRIBUTION
ARTICLE 45: CITY-OPERATED ADULT RESIDENTIAL FACILITY
References to Ordinances
San Francisco Municipal Elections Code
San Francisco Park Code
San Francisco Planning Code
San Francisco Zoning Maps
San Francisco Police Code
POLICE CODE
THE SAN FRANCISCO CODES
PREFACE TO THE POLICE CODE
ARTICLE 1: PUBLIC NUISANCES
ARTICLE 1.1: REGULATING THE USE OF VEHICLES FOR HUMAN HABITATION
ARTICLE 1.2 DISCRIMINATION IN HOUSING AGAINST FAMILIES WITH MINOR CHILDREN
ARTICLE 1.3: TEMPORARY MORATORIUM ON RENTAL INCREASES RENT ROLLBACK BASED UPON APRIL 15, 1979, RENTAL RATES AND REFUNDING ANY RENT INCREASES
ARTICLE 1.5: DISPLAY OF LIFE AND PROPERTY CONSERVATION DECALS
ARTICLE 2: DISORDERLY CONDUCT
ARTICLE 3: GAMES OF CHANCE
ARTICLE 4: PARADES
ARTICLE 4.5: FUNERAL PROCESSION ESCORTS
ARTICLE 5: OFFENSIVE POWDERS
ARTICLE 6: FRAUD AND DECEIT
ARTICLE 7: ANIMALS AND BIRDS
ARTICLE 7.1: HORSE-DRAWN VEHICLES
ARTICLE 8: MINORS
ARTICLE 9: MISCELLANEOUS CONDUCT REGULATIONS
ARTICLE 9.5: PROHIBITING OF PROFESSIONAL STRIKEBREAKERS
ARTICLE 9.6: REGULATIONS FOR SOLICITATION FOR CHARITABLE PURPOSES
ARTICLE 10: REGULATIONS FOR ADVERTISING
ARTICLE 10.1: REGULATING EXPOSURE OF PHOTOGRAPHS, CARTOONS OR DRAWINGS ON NEWSRACKS
ARTICLE 10.2: REGULATION OF COMPUTER RENTAL BUSINESSES
ARTICLE 11: REGULATIONS FOR AMUSEMENTS
ARTICLE 11.1: COMMERCIAL DISPLAY OF DEAD HUMAN BODIES
ARTICLE 11.2: REGULATIONS FOR ADULT THEATERS AND ADULT BOOKSTORES PERMIT AND LICENSE PROVISIONS
ARTICLE 12: REGULATIONS FOR AUTOMOBILES
ARTICLE 13: MISCELLANEOUS REGULATIONS FOR PROFESSIONS AND TRADES
ARTICLE 13.1: JUNK DEALERS - PERMIT AND REGULATION
ARTICLE 13.2 BICYCLE MESSENGER BUSINESSES
ARTICLE 13.3: CAR RENTAL BUSINESSES
ARTICLE 13.4: REDUCING RENTAL-CAR BURGLARIES
ARTICLE 14: LICENSES FOR ADVERTISING
ARTICLE 15: LICENSES FOR AMUSEMENTS
ARTICLE 15.1: ENTERTAINMENT REGULATIONS PERMIT AND LICENSE PROVISIONS
ARTICLE 15.2: ENTERTAINMENT REGULATIONS FOR EXTENDED-HOURS PREMISES
ARTICLE 15.3: PROHIBITING NUDE PERFORMERS, WAITERS AND WAITRESSES
ARTICLE 15.4: ENCOUNTER STUDIOS
ARTICLE 15.5: NUDE MODELS IN PUBLIC PHOTOGRAPHY STUDIOS
ARTICLE 15.6: ESCORT SERVICES
ARTICLE 15.7: EVENT PROMOTERS
ARTICLE 16: REGULATION OF CANNABIS
ARTICLE 17: MISCELLANEOUS LICENSE REGULATIONS
ARTICLE 17.1: REGULATIONS FOR FORTUNETELLING; PERMIT AND LICENSE PROVISIONS
ARTICLE 18: SAN FRANCISCO POLICE PISTOL RANGE
ARTICLE 19: DISPOSAL OF UNCLAIMED PROPERTY
ARTICLE 20: REPRODUCING AND FURNISHING REPORTS
ARTICLE 22: CITATIONS FOR VIOLATIONS OF CERTAIN PROVISIONS OF THE HEALTH CODE AND POLICE CODE
ARTICLE 23: REGULATIONS FOR PORT AREA*
ARTICLE 24: REGULATING STREET ARTISTS*
ARTICLE 25: REGULATIONS FOR PRIVATE PROTECTION AND SECURITY SERVICES*
ARTICLE 26: REGULATIONS FOR PUBLIC BATH HOUSES
ARTICLE 27: REGULATIONS FOR MORTGAGE MODIFICATION CONSULTANTS
ARTICLE 28: REGULATIONS FOR PAWNBROKERS PERMIT AND LICENSE PROVISIONS
ARTICLE 29: REGULATION OF NOISE
ARTICLE 30: PERMITS FOR TOW CAR DRIVERS
ARTICLE 30.1: PERMITS FOR TOW CAR FIRMS
ARTICLE 31: REGULATIONS FOR TEMPORARY HELIPORTS AND PERMIT PROVISIONS
ARTICLE 32: REGULATIONS FOR CONDUCTING BINGO GAMES
ARTICLE 32A: REGULATIONS FOR CONDUCTING POKER GAMES
ARTICLE 33: PROHIBITING DISCRIMINATION BASED ON RACE, COLOR, ANCESTRY, NATIONAL ORIGIN, PLACE OF BIRTH, SEX, AGE, RELIGION, CREED, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY, WEIGHT, OR HEIGHT
ARTICLE 33A: PROHIBITION OF EMPLOYER INTERFERENCE WITH EMPLOYEE RELATIONSHIPS AND ACTIVITIES AND REGULATIONS OF EMPLOYER DRUG TESTING OF EMPLOYEES
ARTICLE 33B: PROHIBITION AGAINST DISCRIMINATION BY CLUBS OR ORGANIZATIONS WHICH ARE NOT DISTINCTLY PRIVATE
ARTICLE 33C: DISPLACED WORKER PROTECTION
ARTICLE 33D: GROCERY WORKER RETENTION
ARTICLE 33E: HOSPITALITY INDUSTRY WORKER RETENTION
ARTICLE 33F: HOURS AND RETENTION PROTECTIONS FOR FORMULA RETAIL EMPLOYEES
ARTICLE 33G: PREDICTABLE SCHEDULING AND FAIR TREATMENT FOR FORMULA RETAIL EMPLOYEES
ARTICLE 33H: PAID PARENTAL LEAVE
ARTICLE 33I: LACTATION IN THE WORKPLACE
ARTICLE 33J: PARITY IN PAY
ARTICLE 34: REGULATIONS FOR PHOTOGRAPHERS - PERMIT AND LICENSE PROVISIONS
ARTICLE 35: FIREARM STRICT LIABILITY ACT
ARTICLE 36: PROHIBITING THE CARRYING OF A FIREARM WHILE UNDER THE INFLUENCE OF AN ALCOHOLIC BEVERAGE OR DRUG, OR POSSESSION OF A FIREARM WHILE UPON PUBLIC PREMISES SELLING OR SERVING ALCOHOLIC BEVERAGES
ARTICLE 36A: [SALE, MANUFACTURE, AND DISTRIBUTION OF FIREARMS AND AMMUNITION; POSSESSION OF HANDGUNS]
ARTICLE 36B: STORAGE OF FIREARMS IN MOTOR VEHICLES
ARTICLE 36C: PROHIBITION OF FIREARMS AT PUBLIC GATHERINGS
ARTICLE 37: POLICE EMERGENCY ALARM ORDINANCE
ARTICLE 38: PROHIBITING DISCRIMINATION ON THE BASIS OF AIDS AND ASSOCIATED CONDITIONS
ARTICLE 39: PEDICABS
ARTICLE 40: DRUG FREE WORKPLACE ORDINANCE
ARTICLE 41: PROHIBITING THE SALE OR POSSESSION OF REPLICA HYPODERMIC NEEDLES OR SYRINGES
ARTICLE 42: SALE AND DISPLAY OF AEROSOL PAINT CONTAINERS AND MARKER PENS
ARTICLE 42A: COLOR TIRES
ARTICLE 42B: MERCURY THERMOMETERS
ARTICLE 42D: SALE AND DISPLAY OF PRODUCTS CONTAINING HYDROFLUORIC ACID
ARTICLE 43: ACCESS TO REPRODUCTIVE HEALTH CARE FACILITIES
ARTICLE 44: CLOSED CAPTIONS ACTIVATION REQUIREMENT ORDINANCE
ARTICLE 45: FIREARMS AND WEAPONS VIOLENCE PREVENTION ORDINANCE
ARTICLE 46: PROHIBITING SELF-SERVICE MERCHANDISING OF TOBACCO PRODUCTS EXCEPT IN PLACES TO WHICH MINORS HAVE NO ACCESS
ARTICLE 47: PERSONAL WATERCRAFT
ARTICLE 48: LASER POINTERS
ARTICLE 49: PROCEDURES FOR CONSIDERING ARRESTS AND CONVICTIONS AND RELATED INFORMATION IN EMPLOYMENT AND HOUSING DECISIONS
ARTICLE 50: CRIMINAL HISTORY IN ADMISSION TO POST-SECONDARY EDUCATIONAL INSTITUTIONS
ARTICLE 51: STORMWATER FLOOD RISK DISCLOSURE
ARTICLE 52: OCCUPANT'S RIGHT TO CHOOSE A COMMUNICATIONS SERVICES PROVIDER
ARTICLE 55: ACCEPTANCE OF CASH BY BRICK-AND-MORTAR BUSINESSES
References to Ordinances
San Francisco Port Code
San Francisco Public Works Code
PUBLIC WORKS CODE
THE SAN FRANCISCO CODES
PREFACE TO THE PUBLIC WORKS CODE
ARTICLE 1: GENERAL REQUIREMENTS
ARTICLE 2: PUBLIC CONTRACT PROCEDURE
ARTICLE 2.1: PERMIT FEES AND OCCUPANCY ASSESSMENTS
ARTICLE 2.3: HUNTERS POINT SHIPYARD
ARTICLE 2.4: EXCAVATION IN THE PUBLIC RIGHT-OF-WAY
ARTICLE 3: REGULATIONS IN REGARD TO WORKING CONDITIONS
ARTICLE 4: SEWERS
ARTICLE 4.1: INDUSTRIAL WASTE
ARTICLE 4.2. SEWER SYSTEM MANAGEMENT
ARTICLE 4.3: SEWERS
ARTICLE 5: STREET FLOWER MARKETS
ARTICLE 5.1: ANTI-LITTER RECEPTACLES
ARTICLE 5.2: TABLES AND CHAIRS IN PUBLIC SIDEWALK OR ROADWAY AREAS
ARTICLE 5.3: DISPLAY OF FRUITS AND VEGETABLES OR NONFOOD MERCHANDISE ON PUBLIC SIDEWALKS
ARTICLE 5.4: REGULATION OF NEWSRACKS
ARTICLE 5.5: DISTRIBUTION OF FREE SAMPLE MERCHANDISE ON PUBLIC PROPERTY
ARTICLE 5.6: POSTING OF SIGNS ON CITY-OWNED LAMP POSTS OR UTILITY POLES
ARTICLE 5.7: HANDBILL DISTRIBUTION ON PRIVATE PREMISES; DISPLAY OF BANNERS
ARTICLE 5.8: PERMIT REGULATIONS FOR MOBILE FOOD FACILITIES CONCERNING PRODUCTS FOR HUMAN CONSUMPTION
ARTICLE 6: STREET IMPROVEMENT PROCEDURE
ARTICLE 6.1: IMPROVEMENT PROCEDURE CODE
ARTICLE 7: MAINTENANCE DISTRICTS
ARTICLE 9: UNACCEPTED STREETS
ARTICLE 11: SPUR TRACKS
ARTICLE 13: ENGINEERING INSPECTION
ARTICLE 14: UNDERGROUND PIPES, WIRES AND CONDUITS
ARTICLE 15: MISCELLANEOUS
ARTICLE 16: URBAN FORESTRY ORDINANCE
ARTICLE 16.1: TREE DISPUTE RESOLUTION
ARTICLE 17: CONTROL OF DUMPS DISPOSING OF MATERIALS FROM CONSTRUCTION OR DEMOLITION
ARTICLE 18: UTILITY FACILITIES
ARTICLE 19: PUBLIC TELEPHONE BOOTHS ON PUBLIC SIDEWALKS
ARTICLE 20: PROHIBITED BICYCLE ACTIONS AND TRANSACTIONS
ARTICLE 21: RESTRICTION OF USE OF POTABLE WATER FOR SOIL COMPACTION AND DUST CONTROL ACTIVITIES
ARTICLE 22: RECLAIMED WATER USE
ARTICLE 23: GRAFFITI REMOVAL AND ABATEMENT
ARTICLE 24: SHOPPING CARTS
ARTICLE 25: PERSONAL WIRELESS SERVICE FACILITIES
ARTICLE 26*: ILLEGAL DUMPING
ARTICLE 27: SURFACE-MOUNTED FACILITIES
References to Ordinances
San Francisco Subdivision Code
San Francisco Transportation Code
San Francisco Building Inspection Commission (BIC) Codes
Comprehensive Ordinance List
ARTICLE 3:
HOSPITALS
New Ordinance Notice
Publisher's Note: This Article includes sections affected by new legislation. Click here for a list of all new legislation affecting sections of this Code.
 
Institutions.
Emergency Medical Services.
Functions.
Mental Health Service.
Admission to Hospitals, Allied Institutional Facilities or Services of City and County.
Priority of Admission to Institutions of the Department of Public Health.
Unit Cost.
Controller to Prescribe Forms, Etc.
Investigation of Patients.
Billing.
Fees for Emergency Medical Services Waived.
Billing to County of Residence.
Billing to Retirement System.
Penalty.
Reimbursement for Aid Granted.
Value of Aid Rendered.
Agreement to Reimburse.
Evaluation of Institutional Care – Laguna Honda Hospital.
Liens.
Liens on Actions Against Third Party.
Chief Administrative Officer Authorized to Contract with Other Hospitals.
Professional Fee of Physicians and Dentists.
Disposal of Unclaimed Personal Property at Laguna Honda Hospital.
Patient Rates.
Patient Rates/Fire Department EMS Services.
Charity Care Policy Reporting and Notice Requirement.
Definitions.
Reporting to the Department of Public Health.
Notification.
Authority to Adopt Rules and Regulations.
Enforcement.
City Undertaking Limited to Promotion of General Welfare.
Severability.
Preemption.
Annual Report to the Health Commission.
Written Informed Consent and Pre-Test Counseling Prior to HIV Testing.
 
SEC. 111.  INSTITUTIONS.
   The Department of Public Health is hereby authorized and directed to maintain the institutions to be known as Hassler Hospital, formerly known as Hassler Health Home, Laguna Honda Hospital (for Rehabilitation and Chronic Care), formerly known as Laguna Honda Home, and San Francisco General Hospital, formerly known as San Francisco Hospital.
(Added by Ord. 75-66, App. 4/11/66)
SEC. 112.  EMERGENCY MEDICAL SERVICES.
   The Fire Department is hereby authorized to provide emergency medical services with the approval of the Health Commission and subject to such conditions and requirements as the Health Commission may establish pursuant to Charter Section 4.110. The Department of Public Health shall determine which Fire Department personnel may provide emergency medical services and shall determine the standards, policies and medical protocols that shall govern the Fire Department in its operations with respect to these services. Nothing herein is intended to affect the authority granted to the San Francisco Emergency Medical Services Agency, which serves as the local emergency medical services agency under State law.
(Added by Ord. 171-97, App. 5/2/97)
SEC. 113.  FUNCTIONS.
   The functions of the institutions may include, but are not limited to, the following: (1) care of the sick and injured as in-patients, or out-patients, (2) prevention of disease and disability, (3) care of certain persons for public health necessity, (4) promotion of health, (5) education of medical personnel, nurses, and paramedical personnel, (6) advancement of research and scientific medicine.
(Added by Ord. 75-66, App. 4/11/66)
SEC. 114.  MENTAL HEALTH SERVICE.
   A Community Mental Health Service in the City and County shall be administered by the Director of Public Health for the City and County, pursuant to the provisions of Division 8 of the Welfare and Institutions Code of the State (the Short-Doyle Act) and Chapter 15 of the San Francisco Administrative Code. The Department of Public Health is hereby authorized and directed to establish and maintain psychiatric services wherever necessary and feasible, in accordance with this Section. Such services may be established and maintained whether they are reimbursable under the Short-Doyle Act or not.
   Patients shall be charged in whole or in part for services and treatment given them as provided in this Section and in accordance with their ability to pay as determined by the Director of Public Health after investigation. Maximum charges shall be as proposed by the Chief Administrative Officer, concurred in by the controller, and adopted in a resolution by the Board of Supervisors.
(Added by Ord. 75-66, App. 4/11/66)
SEC. 115.  ADMISSION TO HOSPITALS, ALLIED INSTITUTIONAL FACILITIES OR SERVICES OF CITY AND COUNTY.
   There shall be admitted to the institutions defined in Section 111 the following:
      (1)   An indigent sick person or a dependent poor person of the City and County of San Francisco who possesses the required residence qualifications, upon application and after investigation and approval by the Director of Public Health.
      (2)   A narcotic addict or habitual inebriate temporarily in custody.
      (3)   A physically defective and physically handicapped person under the age of 21 years when the parents or guardian of such person are not financially able to secure proper care or treatment and when such person's admission and treatment has been duly authorized in the manner provided by law.
      (4)   A prisoner confined to the City and County Jail who requires medical or surgical treatment necessitating hospitalization where such treatment cannot be furnished or supplied at such jail when any court of the City and County shall have ordered the removal of such prisoner to the San Francisco General Hospital.
      (5)   A person in need of immediate hospitalization on account of accident or sudden sickness or injury or mental disorder or by reason of sickness or injury caused by or arising in a public emergency or calamity or disaster.
      (6)   A person who has or who is suspected of having any communicable disease, or a person who is or who is suspected of being a carrier or other potential source of infectious disease.
      (7)   A person to be isolated in the San Francisco General Hospital by order of the Health Officer because he has or is suspected of having a communicable or infectious disease or because he is or is suspected of being a carrier of such a disease.
      (8)   An expectant mother who is unable to pay for her necessary care.
      (9)   An indigent sick person or dependent poor person from another county whose care is reimbursable by the county of residence, as provided in Section 1475 of the Health and Safety Code of the State.
      (10)   A City and County employee who is judged by the Retirement Board to have suffered an injury arising out of and in the course of his employment by the City and County, when hospitalization is reasonably required to cure and relieve the effects of such injury.
      (11)   Members of the San Francisco Disaster Corps who are determined under the provisions of the State Labor Code to have suffered an injury arising out of and in the course of performance of duties as members of the San Francisco Disaster Corps, when hospitalization is reasonably required to cure and relieve the effects of such injury.
      (12)   Any authorized volunteer or trainee assigned by the Director of Public Health, or Administrator of an institution and (a) assisting in the care and treatment of patients in any of the said institutions, or (b) assisting under supervision in any Bureau, Division, or Service of the Department of Public Health, who is judged by the Retirement Board to have suffered injury while actually serving as such volunteer in any of such services, when hospitalization is reasonably required to cure or relieve the effects of such injury.
      (13)   Any juvenile committed to Log Cabin Ranch School or in custody in the Youth Guidance Center who requires medical or surgical treatment which cannot be furnished in such facility and who is adjudged by the Retirement Board to have suffered injury while actually performing duties assigned by the Chief Probation Officer of the Juvenile Court when hospitalization is reasonably required to cure or relieve the effects of such injury.
      (14)   Any authorized volunteer including student interns assigned by the Chief Probation Officer of the Juvenile Court and rendering volunteer service at the Youth Guidance Center or Log Cabin Ranch School who is adjudged by the Retirement Board to have suffered injury while actually performing volunteer service, when hospitalization is reasonably required to cure or relieve the effect of such injury.
      (15)   Any juvenile committed to Log Cabin Ranch School or in custody of Youth Guidance Center who requires medical or surgical treatment which cannot be furnished in such facility when the Juvenile Court shall have ordered removal of such juvenile person.
      (16)   A person sent by an Agency of the United States Government under conditions as may be contracted for between the Director of Public Health and the United States Government.
      (17)   A person recommended for admission to special investigative units operated solely with funds of State and/or Federal Government, pursuant to agreement therewith, and such persons shall not be subjected to a financial investigation and shall not be required to have residential qualifications.
      (18)   A person in need of services not readily available elsewhere in the City and County of San Francisco.
      (19)   Any patient who becomes mentally ill while in the San Francisco General Hospital may be transferred to the Psychiatric In-patient Service, with the approval of the Chief of that Service or his duly authorized representative.
      (20)   Any person suspected of being mentally ill who is in the City Prison or County Jail. Such person may be examined in those places or in any appropriate facility of the Department upon an order of any judge of the Superior and Municipal Courts for observation, examination or treatment and for return to the Prison or Jail as medically indicated.
      (21)   Any resident of the City and County of San Francisco suffering from mental illness may be admitted as a voluntary patient to the Psychiatric Service. Financial investigation shall be made under the rules and regulations of the Department of Public Health. Such a patient must be, at the time of making application for admission, in such a state of mind as to render him competent to make such application. Any person so received and detained shall be deemed a voluntary patient. Such patient shall not be detained in said Psychiatric Service for more than seven days after having given notice in writing of his desire to leave to the person in charge, and in no case shall a patient remain for a period longer than 90 days.
      (22)   Any mentally disturbed person brought into the Psychiatric Service by the police, City ambulance, relatives or friends, transferred from any of the institutions of the City and County may be accepted for temporary hospitalization on the certification by the Chief of Psychiatric Service, or his duly authorized representative, that emergency detention is necessary. The person may be cared for and treated for a period not to exceed 72 hours, excluding Sundays and nonjudicial days at which time such person shall be discharged unless a petition of mental illness is presented to a judge of the Superior Court and the Court issues an order for detention of such person, or unless he requests treatment pursuant to Subsection (21) above.
   Provided, nothing in Subsections (1) to (22) inclusive hereof shall be construed as restraining the Director of Public Health from obeying or carrying out or giving effect to any law that may exist or be hereafter passed, relating to the hospitalization of patients in County institutions.
(Added by Ord. 75-66, App. 4/11/66)
SEC. 115.1.  PRIORITY OF ADMISSION TO INSTITUTIONS OF THE DEPARTMENT OF PUBLIC HEALTH.
   Notwithstanding any other provision of this Code, any sick, disabled, or injured person may be admitted to the institutions of the Director of Public Health of the City and County of San Francisco as an in-patient or out-patient. The Director of Public Health shall give preference in the admission of patients in the following order of priority.
   1.   Sick or injured persons in need of emergency care.
   2.   Sick, medically indigent residents of the City and County of San Francisco.
   3.   Sick persons certified by the San Francisco Department of Social Services as eligible for benefits under Chapter 7 (commencing with Section 14000) and Chapter 8 (commencing with Section 14500) of Part 3 of Division 9 of the Welfare and Institutions Code.
   4.   Sick residents of the City and County of San Francisco.
   5.   The determination of residence under this Article shall be made in accordance with the provisions of Sections 17100 through 17105 of the Welfare and Institutions Code.
(Added by Ord. 75-66, App. 4/11/66)
SEC. 116.  UNIT COST.
   The Director of Public Health each year shall compute the unit cost of maintaining, treating, and caring for each type of patient at the institutions and their out-patient services, the definition or classification of types of patients to be determined by the Director of Public Health. The method of said computation of unit cost with respect to each type of patient cared for in each institution shall be as approved by the Controller of the City and County of San Francisco. The unit cost so determined shall be approved by the Chief Administrative Officer and the Board of Supervisors.
Sec. 117.
(Added by Ord. 75-66, App. 4/11/66; repealed by Ord. 106-03, File No. 030624, App. 5/23/2003)
SEC. 118.  CONTROLLER TO PRESCRIBE FORMS, ETC.
   Pursuant to Section 64 of the Charter, the Controller shall prescribe the forms, methods, and procedure to be followed in billing said persons or their relatives under Sections 115 to 122 inclusive of this Article.
(Added by Ord. 75-66, App. 4/11/66)
SEC. 119.  INVESTIGATION OF PATIENTS.
   All persons admitted or committed to the Hassler Hospital, Laguna Honda Hospital, or San Francisco General Hospital of the City and County of San Francisco, or who receive prehospital emergency medical services from the San Francisco Fire Department, except under provisions of Subsections (10) to (14) inclusive and (17) of Section 115 hereof, or persons who are recipients of public assistance, shall be investigated by the Director of Public Health or the San Francisco Fire Department for those who receive prehospital emergency medical services, who shall determine the financial ability of such persons to pay, in whole or in part, either directly or through relatives legally obligated to pay in whole or in part for the institutional or prehospital emergency medical service rendered.
   The spouse and every relative who may be legally obligated to support an applicant or recipient of indigent aid shall furnish, within 10 days of request by the Director of Public Health and/or the San Francisco Fire Department on forms provided by the Department, information necessary to the determination of the liability of said spouse and relative, or either of them to support said applicant or recipient of aid.
   Provided, however, that whenever any person admitted to the Hassler Hospital or Laguna Honda Hospital receives a total monthly income in an amount less than the actual cost of his care and from which income no personal allowance is made as a condition or term thereof, the Director of Public Health shall permit such person to retain from his said total income each month a reasonable amount to be used for his personal and incidental needs. If the source of monthly income is aid to needy disabled or old age aid or blind aid, as provided in the Welfare and Institutions Code, the amount to be retained for personal and incidental needs shall be the same as allowed by the regulations of the State of California Social Welfare Department for such personal and incidental needs.
   Any person admitted to any institution who shall own a life insurance policy or policies having an actual cash surrender value of $500 or more may be required by said Director of Public Health to assign by proper written instruments said policy or policies to the City and County of San Francisco.
   No provisions of this code shall constitute a waiver of the right of the City and County of San Francisco to recover the full cost of care from any person or persons able to pay therefor or from the estates of such person, where such ability is subsequently shown.
(Added by Ord. 75-66, App. 4/11/66; amended by Ord. 106-03, File No. 030624, App. 5/23/2003)
SEC. 120.  BILLING.
   The Director of Public Health shall bill every person legally obligated to pay for institutional service rendered, and the San Francisco Fire Department shall bill every person legally obligated to pay for prehospital emergency medical services provided by Fire Department personnel, on the basis of the rates to be established as provided in Section 128 and 128.1 hereof, and to the extent of his ability to pay, in whole or in part, either directly or through relatives legally obligated to pay in whole or in part, as determined under Sections 116 to 122, inclusive, hereof.
   Billing to patients at the Institutions may consist of a direct charge against the patient's Home Trust Fund Account or Patient's Account in the amount established by his ability to pay as provided in Section 119.
   Suchbilling shall include costs and fees application under the provisions of Section 5201 of the Welfare and Institutions Code of the State of California relative to proceedings and medical examiners' fees for the mentally ill.
(Added by Ord. 75-66, App. 4/11/66; amended by Ord. 106-03, File No. 030624, App. 5/23/2003)
SEC. 120.1.  FEES FOR EMERGENCY MEDICAL SERVICES WAIVED.
   (a)   The San Francisco Fire Department shall waive its fee for Emergency Medical Services if the patient and/or any other person legally obligated to pay provides the Department with reliable information that:
      1.   The patient and/or any other persons who are legally obligated to pay have insufficient annual income to pay the bill without undue hardship. The Fire Department shall define "insufficient income" but may not define it at a rate less than 300% of the Federal Poverty Level as set forth in the Federal Register; and
      2.   The patient is not covered by an insurance that would pay for the services and cannot obtain MediCal or MediCare.
   (b)   The Fire Department has the sole authority to determine whether the information provided supports a waiver of the fee.
(Added by Ord. 185-05, File No. 050993, App. 7/29/2005)
SEC. 121.  BILLING TO COUNTY OF RESIDENCE.
   The care of all persons admitted to the several institutions enumerated herein under the provisions of Section 115(9) hereof, shall be billed under provisions of the Health and Safety Code of the State of California, Section 1475, unless a reciprocal agreement between the County of Residence and City and County of San Francisco is in existence pursuant to Section 1475 of the State Health and Safety Code.
(Added by Ord. 75-66, App. 4/11/66)
SEC. 122.  BILLING TO RETIREMENT SYSTEM.
   The care of all persons admitted to the several institutions enumerated herein under the provisions of Subsections (10) to (14), inclusive of Section 115, hereof, shall be billed to the City and County of San Francisco Employees' Retirement System.
(Added by Ord. 75-66, App. 4/11/66)
SEC. 123.  PENALTY.
   Every person who knowingly, fraudulently and designedly conceals or withholds any information concerning his financial condition or means or ability to pay or concerning other conditions, or who knowingly makes or causes to be made, either directly or indirectly or through any agency whatsoever, any false statement in writing, with intent that it shall be relied upon, respecting the financial condition or means or ability to pay of himself or any other person in whom he is interested, or for whom he is acting, for the purpose of gaining admission to and receiving care and treatment in the institutions, shall be guilty of a misdemeanor, punishable by a fine of not more than $500, or by imprisonment in the County Jail for not more than six months, or by both such fine and imprisonment.
   Said person, in addition the penalties hereinabove set forth, shall be billed by the institution rendering said services for the full amount of the cost of such institutional care and treatment, thus fraudulently obtained, in accordance with the basic rates, legally established and determined therefor.
(Added by Ord. 75-66, App. 4/11/66)
SEC. 124.  REIMBURSEMENT FOR AID GRANTED.
   Every person; except persons enumerated in Subsections (10) to (14) inclusive, and Section (17) of Section 115 hereof, and persons found to be exempt from liability for benefits under the provisions of Chapter 7 or Chapter 8, Part 3, Division 9 of the Welfare and Institutions Code of the State of California, who is given or shall receive aid directly or indirectly from public monies drawn through the Treasury of the City and County of San Francisco, shall be liable to the extent of his ability to pay as determined by Section 119 hereof, for the value of said aid so allowed, granted, or given, and if any of said aid granted to said person is for injury sustained by reason of an accident or wrongful act, the value of aid shall, if said person or other persons entitled to bring such action asserts or maintains a claim against another for damages on account of his or her injury or because of his or her death, constitute a lien upon the damages recovered, or to be recovered, either by judgment, settlement or compromise by said person, or by his or her heirs or personal representative in case of his or her death, or other persons lawfully entitled to a cause of action because of his or her death.
(Amended by Ord. 304-80, App. 6/27/80; Ord. 355-90, App. 10/17/90)
SEC. 124.1.  VALUE OF AID RENDERED.
   The actual cost of the aid shall constitute its value. The rates established by the Board of Super-visors pursuant to Section 128 and 128.1 hereof for aid granted or given to persons at the institutions or by the San Francisco Fire Department shall constitute prima facie evidence of the reasonableness of said charge and the resulting amount which shall be due to the City and County of San Francisco.
(Added by Ord. 75-66, App. 4/11/66; amended by Ord. 106-03, File No. 030624, App. 5/23/2003)
SEC. 124.2.  AGREEMENT TO REIMBURSE.
   As a consideration for the allowing, granting or giving of aid, the officer, board, or commission shall take from every person receiving aid except for persons enumerated in Subsections (10) to (14), inclusive, and (17) of Section 115, hereof the following agreement:
   "AGREEMENT TO REIMBURSE
   "In consideration of the granting of aid to me by the City and County of San Francisco, I hereby pledge, promise and agree to reimburse and repay said City and County all sums of money actually expended in my behalf or aid granted or given by the City and County of San Francisco for my care and maintenance, provided I am able to pay for the same in whole or in part, and I further agree that if any of said aid consists of care and treatment for injury sustained by me by reason of accident or wrongful act, the value of such aid shall be, if I assert or maintain a claim against another for damages on account of said injury, a lien upon any damages recovered, or to be recovered, either by judgment, settlement or compromise by myself, or by my heirs or personal representative in case of my death.
   "I further agree that if and when I enter Laguna Honda Hospital or Hassler Hospital as a patient therein, I shall deposit in the Home Trust Fund an amount not less than the sum fixed for payment by toward cost of such institutional care as determined by my ability so to pay, and which sum I hereby expressly agree to pay; and I further agree that a direct charge against my Home Trust Fund account in that amount may be made by the said hospital at the completion of each month or portion of a month during the time I remain therein to discharge this obligation to pay, as aforesaid.
   "For valuable consideration, I hereby assign to the San Francisco General Hospital the amount equal to the total cost of care rendered to me (or the total amount due to me if the amount thus due be less than the total amount of the cost of care rendered to me) from any monies due or to become due to me under my insurance policies, including any hospital benefits payable from the California State Disability Program or any private carrier in lieu thereof, and hereby authorize you to make such payment directly to said San Francisco General Hospital.
   "This agreement is binding upon myself, my heirs, executors, administrators and assigns.
   "The foregoing agreement is executed on the express condition, and with the understanding that it shall be binding on the applicant only in the event that he (or she) is found to be exempt from liability for such benefits under the provisions of Chapter 7 or Chapter 8, Part 3, Division 9, Welfare and Institutions Code of the State of California and that it shall be null and void if the applicant is found to be exempt from liability for such benefits.
   Dated this ____________ day of 197____________
  Witness ____________
  Witness ____________
  Signature of Applicant in full
____________"
SEC. 124.3.  EVALUATION OF INSTITUTIONAL CARE – LAGUNA HONDA HOSPITAL.
   The Controller of the City and County of San Francisco shall prescribe the procedure governing the evaluation of institutional care at the Laguna Honda Hospital, the auditing, accounting, reporting and collecting of all obligations arising under Sections 124 to 124.4, inclusive, hereof in accordance with the provisions of Section 64 and 75 of the Charter.
(Added by Ord. 75-66, App. 4/11/66)
SEC. 124.4.  LIENS.
   Any lien created by the provisions of Section 124 of this Article upon damages recovered, or to be recovered by a recipient of aid, shall be referred to the Bureau of Delinquent Revenue for collection pursuant to the provisions of Chapter 10, Article V, of the San Francisco Code.
(Amended by Ord. 155- 68; App. 6/13/68; Ord. 386-89, App. 10/25/89)
SEC. 124.5.  LIENS ON ACTIONS AGAINST THIRD PARTY.
   (a)   As used in this section:
      (1)   "Recipient" means any person who has received medical care or hospitalization or will be provided medical care or hospitalization rendered by the San Francisco Department of Public Health or the San Francisco Fire Department because of an injury for which another person may be liable. This term includes the recipient's guardian, conservator, other personal representative, estate, or survivors, including any heir, as defined in California Code of Civil Procedure Section 377, who is a party in a cause of action arising out of the death of the person who received the medical care or hospitalization.
      (2)   "Action" means any cause of action demanding payment of damages filed in any court, or with any public agency, including but not limited to any application for compensation under the Workers Compensation Act of the California Labor Code, or with a private adjudicator, including but not limited to a private arbitrator or mediator, arising out of the injuries that resulted in the medical care or hospitalization of the recipient. This term also includes any cause of action arising out of the death of the recipient from such injuries.
      (3)   "Claim" means any demand by the recipient for damages against another, including but not limited to any written demand by the recipient for payment under the provisions of any insurance contract providing for payment to injured persons, including payment from the recipient's insurance carrier or the third party's insurance carrier or both carriers.
   (b)   When any recipient, as defined in Subsection (a)(1) of this section, asserts an action or claim for damages against a third party or insurance carrier based upon an injury requiring medical care, the cost of the medical care shall constitute a lien in favor of the City and County of San Francisco upon any such recovery received by the recipient.
   (c)   When any recipient who has been billed for the cost of medical care rendered by the San Francisco Department of Public Health or the San Francisco Fire Department fails to pay in full for such care and asserts an action or claim for damages against a third party or insurance carrier, the recipient's attorney retained to assert the action or claim shall provide written notice of such action or claim by personal delivery or first-class mail to the Bureau of Delinquent Revenue Collection in the Office of the Treasurer-Tax Collector within 10 days of asserting such action or claim. Such notice by the retained attorney to the Bureau of Delinquent Revenue Collection shall adequately identify the recipient, and his or her action or claim, including the name of the insurance carrier against which claim has been made, or the court or state or local agency in which the action or claim is asserted, in order to allow the Bureau of Delinquent Revenue Collection to prepare and file the lien as authorized by Subsection B of this section. In addition, if the recipient as defined in Subsection (a)(1) of this section does not retain an attorney to assert the action or claim, he or she shall give the same notice as described in this subsection. A mailed billing statement sent by the San Francisco Department of Public Health, the San Francisco Fire Department or the Bureau of Delinquent Revenue Collection to the address of the recipient as given on the medical records shall constitute prima facie evidence of knowledge by the recipient of such billing for medical care.
   (d)   When the Bureau of Delinquent Revenue Collection has perfected a lien upon a judgment, award, or settlement in favor of a recipient against any third party or third-party insurance carrier for an injury for which the recipient has received medical care from the San Francisco Department of Public Health or the San Francisco Fire Department, the Bureau of Delinquent Revenue Collection as lien claimant shall be entitled to foreclose its lien against any proceeds from such judgment, award, or settlement to enforce payment of the lien against the third party or third-party insurance carrier, with interest at the legal rate. If the amount of such judgment, award, or settlement so recovered has been paid to the recipient, as defined in Subsection (a)(1) of this section, or to his or her attorney retained to assert the action or claim, the Bureau of Delinquent Revenue Collection shall be entitled to foreclose its lien against the proceeds received by such recipient, recipient's agent, recipient's transferee, or against the retained attorney if he or she has received such payment, to the extent of the San Francisco Department of Public Health's or the San Francisco Fire Department's or the Bureau of Delinquent Revenue Collection's lien, with interest at the legal rate.
   (e)   The failure by the attorney retained by the recipient, as defined in Subsection (a)(1) of this section, to give notice to the Bureau of Delinquent Revenue Collection in the Office of the Treasurer-Tax Collector regarding the recipient's action or claim for damages against a third party or insurance carrier after the recipient has received a billing for medical care from the San Francisco Department of Public Health, the San Francisco Fire Department or the Bureau of Delinquent Revenue Collection shall constitute fraud and deceit by the retained attorney. Likewise, the failure by any recipient, as defined in Subsection (a)(1) of this section, to give such notice as described in this subsection after receiving a billing for medical care from the San Francisco Department of Public Health or by the recipient. In addition, either the recipient or the recipient's attorney retained to assert such action or claim who receives any payment from the third party or insurance carrier resulting from the assertion of such action or claim and who fails to apply such payment toward the satisfaction of the outstanding bill for medical care shall be liable as a constructive trustee for all damages that may be awarded by any court to the City and County of San Francisco for breach of constructive trustee duties and responsibilities.
   (f)   Commencing 30 days after the enactment of this ordinance, the affected medical facilities of the San Francisco Department of Public Health and the San Francisco Fire Department shall make every reasonable effort where feasible to include a statement in English, Spanish, and Chinese with every billing setting out the notice requirement, as described in Subsection (c) of this section, imposed on the recipient's retained attorney, or if there is no retained attorney, imposed on the recipient, regarding any action or claim for recovery asserted against a third party or insurance carrier. The statement shall read:
   "IMPORTANT: If your attorney or you alone demand money from another person or insurance company because of your injuries and you have not paid this bill in full, your attorney or you must notify: The Bureau of Delinquent Revenue Collection, City Hall, Room 107, San Francisco, California 94102. Failure to notify the Bureau within 10 days of making your demand may result in civil liability for your attorney or you. S.F. Health Code Section 124.5."
(Added by Ord. 355-90, App. 10/17/90; amended by Ord. 106-03, File No. 030624, App. 5/23/2003)
SEC. 125.  CHIEF ADMINISTRATIVE OFFICER AUTHORIZED TO CONTRACT WITH OTHER HOSPITALS.
   When adequate facilities are not available in any of the institutions enumerated in Section 111 of this Article, the Chief Administrative Officer may contract with other hospitals for the admission and care of persons enumerated in Section 115 of this Article, for in-patient or out-patient care. The Chief Administrative Officer shall not enter into any such agreement until after the Board of Supervisors has made an appropriation to provide funds for the payment to such hospitals, and the rates agreed to be paid such hospitals in any such agreement for in-patient care shall not exceed the cost of maintaining and caring for like classes of person at the San Francisco General Hospital. In any such agreement for out-patient care other than psychiatric care the rates agreed to be paid each hospital shall not exceed said hospital's actual costs or $12, whichever is the lesser as determined and approved by the Controller of the City and County of San Francisco. In any such agreement for out-patient psychiatric care the rates agreed to be paid each hospital shall not exceed said hospital's actual costs or $16, whichever is the lesser as determined and approved by the Controller of the City and County of San Francisco.
(Amended by Ord. 149-66, App. 6/22/66)
SEC. 126.  PROFESSIONAL FEE OF PHYSICIANS AND DENTISTS.
   Any licensed physician or dentist who is a member of the medical or dental staff of any of the institutions maintained by the Department of Public Health, except an intern or resident, may charge and collect professional fees for direct medical or dental care furnished by him to any patient in an institution of the Department of Public Health, provided said patient is able to pay or carries sickness or accident insurance or medical expense indemnity insurance or is eligible for health care and related remedial or preventive service care under Public Law 89-97 of the United States (the 1965 Amendment to the Social Security Act) or Chapters 7 and 8 of Part 3 of Division 9 of the Welfare and Institutions Code, except as provided in Section 150 of the Charter.
(Added by Ord. 247-66, App. 9/19/66)
SEC. 127.  DISPOSAL OF UNCLAIMED PERSONAL PROPERTY AT LAGUNA HONDA HOSPITAL.
   (a)   Definition Unclaimed Property. Personal property left at Laguna Honda Hospital for a period of more than 90 days after the patient has left the Hospital shall be considered unclaimed personal property.
   (b)   Disposition of Unclaimed Personal Property. Such unclaimed personal property shall be disposed of according to the following procedure:
      (1)   Notice shall be sent by certified mail to the former patient at his last known address advising that such unclaimed personal property must be claimed within 30 days.
      (2)   Such unclaimed personal property as remains after 30 days' notice to reclaim it shall be disposed of as follows:
         A.   Any sums of money which remain over and above Laguna Honda's charges shall be transmitted to the Controller of the City and County of San Francisco for deposit in the General Fund.
         B.   Other unclaimed personal property shall be delivered to the Purchaser of Supplies for disposition as provided for in Section 7.100 of the Charter of the City and County of San Francisco.
         C.   Proceeds derived from the sale of unclaimed property are to be deposited with the City Treasurer and used exclusively for such items that may be of general benefit for the patients of Laguna Honda Hospital and which are not provided for them by any other appropriation.
(Added by Ord. 277-73, App. 7/13/73)
SEC. 128.  PATIENT RATES.
   The Board of Supervisors of the City and County of San Francisco does hereby determine and fix the proper reasonable amounts to be charged to persons for services furnished by the Department of Public Health as follows, which rates shall be effective for services delivered as of July 1, 2017, through June 30, 2020.
 
TYPE OF SERVICE
UNIT
AMOUNT
2017-18
2018-19
2019-20
SAN FRANCISCO HEALTH NETWORK
Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG)
Supplies & Drugs
 
Special Price List located at 1001 Potrero Avenue, ZSFG, incorporated into this provision by reference as if specifically set forth herein, and not subject to change except by amendment to this provision. Such rates shall be increased 7% effective July 1, 2019, rounded to the nearest dollar. These Special Price Lists are posted on the Office of Statewide Health Planning and Development website (www.oshpd.ca.gov).
In-Patient Care
 
 
 
 
Medical Surgical
Day
9,216
9,769
10,453
Intensive Care
Day
18,424
19,530
20,897
Intensive Care - Trauma
Day
18,424
19,530
20,897
Coronary Care
Day
18,424
19,530
20,897
Stepdown Units
Day
13,305
14,103
15,090
Pediatrics
Day
8,814
9,343
9,997
Obstetrics
Day
7,212
7,645
8,180
Nursery
   New Born
Day
3,683
3,904
4,177
   Observation/Well Baby
Day
6,408
6,793
7,268
   Semi-Intensive Care
Day
12,278
13,015
13,926
   Intensive Care
Day
18,424
19,530
20,897
Labor/Delivery - 6G
Day
6,408
6,793
7,268
Labor/Delivery Hours of Stay
Hour
320
340
364
Psychiatric Inpatient
Day
7,212
7,645
8,180
Psychiatric Forensic Inpatient - 7L
Day
7,212
7,645
8,180
AIDS Unit - 5A
Day
7,212
7,645
8,180
Security Unit - 7D
Day
7,212
7,645
8,180
Skilled Nursing Facility
Day
2,886
3,059
3,273
Mental Rehab Unit
Day
2,385
2,528
2,705
Adult Residential Facility
Day
482
510
546
Respiratory Therapy
   O2 Therapy
per 24 hours
942
998
1,068
 
 
TYPE OF SERVICE
UNIT
AMOUNT
2017-18
2018-19
2019-20
Surgical Services
Minor Surgery I (Come & Go)
1st Hour
4,824
5,113
5,471
Minor Surgery I (Come & Go)
Add’l ½ Hour
2,458
2,605
2,787
Minor Surgery II
1st Hour
5,266
5,582
5,972
Minor Surgery II
Add’l ½ Hour
2,627
2,785
2,980
Major Surgery I
1st Hour
7,929
8,405
8,993
Major Surgery I
Add’l ½ Hour
3,170
3,360
3,595
Major Surgery II
1st Hour
8,929
9,465
10,127
Major Surgery II
Add’l ½ Hour
3,575
3,790
4,055
Major Surgery III
1st Hour
9,937
10,533
11,270
Major Surgery III
Add’l ½ Hour
3,975
4,214
4,509
Extraordinary Surgery
1st Hour
10,905
11,559
12,369
Extraordinary Surgery
Add’l ½ Hour
4,362
4,624
4,948
Surgery (2 Teams)
1st Hour
14,736
15,620
16,714
Surgery (2 Teams)
Add’l ½ Hour
5,893
6,247
6,684
Surgery (3 Teams)
1st Hour
16,383
17,366
18,582
Surgery (3 Teams)
Add’l ½ Hour
6,554
6,948
7,434
Major Trauma III
1st Hour
12,913
13,687
14,646
Major Trauma III
Add’l ½ Hour
5,166
5,476
5,859
Major Trauma II
1st Hour
12,278
13,015
13,926
Major Trauma II
Add’l ½ Hour
4,914
5,208
5,573
Major Trauma I
1st Hour
9,341
9,901
10,594
Major Trauma I
Add’l ½ Hour
3,738
3,962
4,240
Recovery Room
1st Hour
3,072
3,256
3,484
Recovery Room
2nd Add’l Hour
2,458
2,605
2,787
Recovery Room
Each Add’l Hour
1,843
1,954
2,091
Anesthesia
1st Hour
6,900
7,314
7,826
Anesthesia
Add’l ½ Hour
3,444
3,651
3,906
Trauma Care
Trauma Activation - 900
Visit
28,230
29,924
32,018
Trauma Activation - 911
Visit
16,606
17,602
18,834
Trauma Critical Care
1st 1-74 minutes
8,841
9,371
10,027
Trauma Critical Care
Each add’l 30 min.
2,210
2,342
2,506
ED Level 5 Team Trauma
Visit
16,606
17,602
18,834
Emergency Clinic
Level I
Room
525
556
595
Level II
Room
1,571
1,665
1,782
Level III
Room
3,361
3,563
3,812
Level IV
Room
5,536
5,869
6,279
 
 
TYPE OF SERVICE
UNIT
AMOUNT
2017-18
2018-19
2019-20
Level V
Room
11,176
11,846
12,675
Resuscitation
7,743
8,208
8,782
Psychiatric Emergency Services
  Psych Crisis – Level 1 ER Room
Room
1,071
1,135
1,214
  Psych Crisis – Level 2 ER Room
Room
2,488
2,637
2,822
  Psych Crisis – Level 3 ER Room
Room
3,908
4,143
4,433
  Psych Crisis – Level 4 ER Room
Room
5,328
5,648
6,043
  Psych Crisis – Level 5 ER Room
Room
6,751
7,156
7,657
  Psych Crisis – Level 6 ER Room
Room
8,172
8,662
9,268
Medication Svs/Min.
per minute
26
27
29
General Clinic
Initial
   E/M Focused Exam
Visit
352
373
399
   E/M Expanded Exam
Visit
586
621
665
   E/M Detailed Exam
Visit
669
709
759
   E/M Comprehensive Exam
Visit
895
949
1,015
   E/M Complex Exam
Visit
1,118
1,185
1,268
Established Patient
   E/M Brief Exam
Visit
272
289
309
     E/M Focused Exam
Visit
324
343
367
   E/M Expanded Exam
Visit
427
452
484
   E/M Detailed Exam
Visit
604
641
686
   E/M Comprehensive Exam
Visit
943
1,000
1,070
Consultation
   E/M Focused Consult
Visit
309
327
350
   E/M Detailed Consult
Visit
637
675
723
Primary Care
Initial
   E/M Focused Exam
Visit
385
408
437
   E/M Expanded Exam
Visit
478
507
542
   E/M Detailed Exam
Visit
694
736
788
   E/M Comprehensive Exam
Visit
860
912
976
   E/M Complex Exam
Visit
1,352
1,433
1,533
Established Patient
   E/M Brief Exam
Visit
196
208
223
   E/M Focused Exam
Visit
292
310
332
   E/M Expanded Exam
Visit
511
541
579
   E/M Detailed Exam
Visit
664
704
753
   E/M Comprehensive Exam
Visit
1,038
1,100
1,177
 
 
TYPE OF SERVICE
UNIT
AMOUNT
2017-18
2018-19
2019-20
Dental Services
   Initial Complete Exam
Visit
163
173
185
   Periodic Exam
Visit
163
173
185
   Prophylaxis - Adult
Visit
226
239
256
   Prophylaxis - Child
Visit
214
227
243
   Extract Single Tooth
Visit
325
344
368
   One Surface, Permanent Tooth
Visit
261
277
296
Home Health Services
   Skilled Nursing
Visit
568
602
644
   Home Health Aide Services
Visit
301
319
341
   Medical Social Services
Visit
783
830
888
   Physical Therapy
Visit
622
660
706
   Occupational Therapy
Visit
622
660
706
   Speech Therapy
Visit
622
660
706
 
 
TYPE OF SERVICE
UNIT
AMOUNT
2017-18
2018-19
2019-20
Laguna Honda Hospital
In-Patient Care
 
 
 
 
   Regular Hospital Rates
 
 
 
      Acute
Day
6,213
6,586
7,047
      Rehabilitation
Day
6,213
6,586
7,047
      Skilled Nursing Facility
Day
1,329
1,409
1,508
   All-Inclusive Rates
      Acute
Per Diem Per Diem1
8,154
8,643
9,248
      Rehabilitation
Per Diem
7,103
7,530
8,057
      Skilled Nursing Facility
Day
1,549
1,642
1,757
 
 
TYPE OF SERVICE
UNIT
AMOUNT
2017-18
2018-19
2019-20
POPULATION HEALTH & PREVENTION
Community Mental Health Services
24-Hour Service
 
 
 
 
   Hospital Inpatient
Day
7,212
7,645
8,180
   Skilled Nursing
Day
2,385
2,528
2,705
   Adult Crisis Residential
Day
518
555
593
   Adult Residential
Day
283
325
374
   Therapeutic Foster Care (TFC) Service Model
Day
175
201
 
 
TYPE OF SERVICE
UNIT
AMOUNT
2017-18
2018-19
2019-20
Day Services
   Day Rehabilitation
Full Day
273
342
427
   Day Rehabilitation
Half Day
175
219
273
     Day Treatment Intensive
Full Day
453
566
708
     Day Treatment Intensive
Half Day
300
375
469
   Day Treatment Intensive (Children)
Full Day
609
762
952
   Day Treatment Intensive (Children)
Half Day
438
547
684
   Crisis Stabilization
Hour
434
543
679
   Socialization
Hour
103
129
161
Outpatient Services
   Case Management Brokerage
Minute
10.09
14.63
18.29
   Mental Health Services
Minute
13.35
19.36
24.20
   Therapeutic Behavioral Services
Minute
13.35
19.36
24.20
   Medication Support
Minute
26.49
38.41
48.02
     Crisis Intervention
Minute
19.13
27.74
34.67
 
 
TYPE OF SERVICE
UNIT
AMOUNT
2017-18
2018-19
2019-20
Community Substance Abuse
Organized Delivery System (ODS) Services
   Case Management
Per 15 minutes
49.14
61.42
64.49
   Physician Consultation
Per 15 minutes
42.89
53.61
56.29
   Recovery Services
Per 15 minutes
49.14
61.42
64.49
   Medication Assisted Treatment / Medication Support
Per 15 minutes
172.50
215.65
226.43
Outpatient SUD Services
   MAT - Buprenorphine
Day
104
120
126
   MAT - Disulfiram
Day
67.50
70.88
   MAT - Naloxone
Kit
281.25
295.31
   Ambulatory Level 1 Withdrawal Management
Day
206.25
257.81
270.70
   Individual Counseling - Outpatient
Per 15 minutes
40.20
50.25
52.76
   Group Counseling - Outpatient
Per 15 minutes
35
43.75
45.94
Opioid Replacement Therapy (OTP)
   Methadone Dosing
Day
58
67
70.35
   Individual Counseling - ORT
Per 10 minutes
58
67
70.35
   Group Counseling - ORT
Per 10 minutes
33
38
39.90
SUD Intensive Outpatient Treatment
   Intensive Outpatient Treatment
Per 15 minutes
40.20
50.25
52.76
SUD Residential Treatment
   Level 3.2 Residential Withdrawal Management
Day
553.60
692.00
726.60
   Level 3.1 Residential
Day
154.35
192.94
202.59
   Level 3.3 Residential
Day
192.94
241.17
253.23
   Level 3.5 Residential
Day
253.13
316.41
332.23
 
 
TYPE OF SERVICE
UNIT
AMOUNT
2017-18
2018-19
2019-20
POPULATION HEALTH & PREVENTION
Vital Records
Birth Certificate
Per Certificate
Rates Per California Health and Safety Code Section 103650
Death Certificate
Per Certificate
Rates Per California Health and Safety Code Section 103650
Permit-Disposition of Human Remains
Per Permit
Rates Per California Health and Safety Code Section 103650
Out-of-County Cross File Fee
Per Certificate
Rates Per California Health and Safety Code Section 103650
Letter of Non-Contagious Disease
Per Letter
15
15
15
Expedited Registration of Vital Event
Per Event
Rates Per California Health and Safety Code Section 103650
Expedited Documents
Per Delivery
30
30
30
After Hours Registration of Vital Event
Per Event
42
42
42
Reproduction of Documents
Per Page
2
2
2
Medical Marijuana
   Medical Marijuana ID
Card
100
100
100
   Medical Marijuana ID (Medi-Cal Beneficiaries)
Card
50
50
50
 
 
TYPE OF SERVICE
UNIT
AMOUNT
2017-18
2018-19
2019-20
ADULT IMMUNIZATION CLINIC
Vaccines
 
 
 
 
  Clinic Visits
 
   Travel Health Visit (THV1)
Per Visit
55
55
55
   Travel Health Visit (THV2) – Under Age 18 with Parent THV1
Per Visit
55
55
55
   Registered Nurse Visit – Off-Site Location
Per Visit
200
200
200
   Other Vaccines
Per Injection
Special Price List located at 101 Grove Street, Adult Immunization and Travel Clinic, incorporated into this provision by reference as if specifically set forth herein, and not subject to change except by amendment to this provision. This Special Price List is posted on the San Francisco Department of Public Health Communicable Disease and Control Prevention website (www.sfdcp.org/aitcprices.html).
 
 
TYPE OF SERVICE
UNIT
AMOUNT
2017-18
2018-19
2019-20
PUBLIC HEALTH LABORATORY
Lab Testing
Per Specimen
Rates Per the Medicare Outpatient Fee-For-Service Reimbursement Rate
 
 
TYPE OF SERVICE
UNIT
AMOUNT
2017-18
2018-19
2019-20
SAN FRANCISCO CITY CLINIC
Clinic Visit
Per Visit
25
25
25
 
(Added by Ord. 313-96, App. 8/8/96; amended by Ord. 332-97, App. 8/19/97; Ord. 278-98, App. 8/28/98; Ord. 236-99, File No. 991389, App. 8/27/99; Ord. 20-00, File No. 000043, App. 2/11/2000; Ord. 218-00, File No. 001337, App. 9/8/2000; Ord. 13-01, File No. 002148, App. 1/26/2001; Ord. 173-01, File No. 011220, App. 8/10/2001; Ord. 151-02, File No. 021073, App. 7/12/2002; Ord. 34-03, File No. 030167, App. 3/13/2003; Ord. 189-03, File No. 030986, App. 7/25/2003; Ord. 185-04, File No. 040748, App. 7/22/2004; Ord. 178-05, File No. 050985, App. 7/29/2005; Ord. 197-06, File No. 060782, App. 7/21/2006; Ord. 195-07, File No. 070810, App. 8/3/2007; Ord. 164-08, File No. 080761, App. 7/30/2008; Ord. 153-09, File No. 090701, App. 7/15/2009; Ord. 177-10, File No. 100719, App. 7/23/2010; Ord. 157-11 , File No. 110708, App. 8/1/2011, Eff. 8/31/11; Ord. 167-12 , File No. 120604, App. 7/27/2012, Eff. 8/26/2012; Ord. 93-13 , File No. 130261, App. 5/31/13, Eff. 6/30/13 [retroactive]; Ord. 172-13 , File No. 130547, App. 8/2/2013, Eff. 9/1/2013; Ord. 170-14 , File No. 140628, App. 7/31/2014, Eff. 8/30/2014; Ord. 86-15 , File No. 150184, App. 6/18/2015, Eff. 7/18/2015 [retroactive]; Ord. 145-15 , File No. 150570, App. 8/6/2015, Eff. 9/5/2015; Ord. 152-16 , File No. 160635, App. 8/1/2016, Eff. 8/31/2016; Ord. 173-17, File No. 170681, App. 7/27/2017, Eff. 8/26/2017, Retro. 7/1/2017; Ord. 186-18, File No. 180586, App. 8/1/2018, Eff. 9/1/2018, Retro. 7/1/2017 and 7/1/2018*)
CODIFICATION NOTE
1.   So in Ord. 186-18.
*Editor’s note:
   Section 3(b) of Ord. 186-18 states: “new rates established in this ordinance for Fiscal Year 2017-2018 shall be retroactive to July 1, 2017, and new rates established in this ordinance for Fiscal Year 2018-2019 shall be retroactive to July 1, 2018.”
SEC. 128.1.  PATIENT RATES/FIRE DEPARTMENT EMS SERVICES.
   (a)   The Board of Supervisors approves the following fee schedule for Fire Department emergency medical services:
      (1)   Treatment without Transportation, a base rate fee of $365.00 per call.
      (2)   Basic Life Service, including transportation, a base rate fee of $1,642 per call.
      (3)   Advanced Life Service, including transportation, a base rate fee of $1,642 per call.
      (4)   Mileage if transported, an additional fee above the base rate of $31.00 per mile.
   (b)   Beginning with Fiscal Year 2011-2012, the fees set in this section may be amended without further action by the Board of Supervisors, to reflect changes in the Medical Consumer Price Index as determined by the Controller. No later than April 15th of each year, the Fire Department shall submit its current fee schedule to the Controller, who shall apply the price index adjustment to produce a new fee schedule for the following year.
   (c)   No later than May 15th of each year, the Controller shall file a report with the Board of Supervisors reporting the new fee schedule and certifying that: (a) the fees produce sufficient revenue to support the costs of providing the services for which each fee is assessed, and (b) the fees do not produce revenue which is significantly more than the costs of providing the services for which each fee is assessed.
(Added by Ord. 106-03, File No. 030624, App. 5/23/2003; amended by Ord. 185-05, File No. 050993, App. 7/29/2005; Ord. 165-08, File No. 080759, 7/30/2008; Ord. 170-09, File No. 090706, 7/21/2009; Ord. 174-10, File No. 100714, App. 7/23/2010)
SEC. 129.  CHARITY CARE POLICY REPORTING AND NOTICE REQUIREMENT.
   Declaration of policy. It is the policy of the City and County of San Francisco that charity care-medical care provided to those who cannot afford to pay and without expectation of reimbursement-is a vital portion of community health care services. While San Francisco General Hospital is the primary provider of charity care services in San Francisco, private hospitals also have a responsibility to serve uninsured and poor patients. Nonprofit hospitals in particular have an obligation to provide community benefits in the public interest in exchange for favorable tax treatment by the government. It is essential that, on an ongoing basis, the City and County of San Francisco evaluate the need for charity care in the community given the City's responsibility to provide care to indigents. To plan for the continuing fulfillment of this responsibility, the City needs information from the hospitals in San Francisco on each hospital's policies on the availability of and criteria for charity care. For planning purposes, the City also needs information on the amount of charity care provided by each hospital. Upon receipt of such information, the City can better fulfill its mandate to provide care to indigents and fashion an appropriate response to unmet needs for charity care including the recommendation of budgetary, regulatory or other action at the State and Federal levels.
   To maximize the access to charity care within the community and to enhance the health of the public by informing individuals of the availability of charity care, it is further the policy of the City and County of San Francisco that each hospital notify patients of that hospital's policies on charity care. Such notice shall include visually prominent multilingual postings explaining the hospital's policy on charity care. It shall also be the policy of the City and County of San Francisco to require hospitals, when practicable, to verbally notify patients at the time of admission as to the availability of charity care and the process for applying or qualifying for such care.
(Added by Ord. 163-01, File No. 010142, App. 7/20/2001)
SEC. 130.  DEFINITIONS.
   For purposes of Sections 129-137 of Article 3, certain words and phrases shall be construed as hereafter defined. Words in the singular include the plural, and words in the plural shall include the singular. Words in the present tense shall include the future. Masculine pronouns include feminine meaning and are not gender-specific.
   (a)   Bad Debt. The term "Bad Debt" means the unpaid accounts of any person who has received medical care or is financially responsible for the cost of care provided to another, where such person has the ability to pay but is unwilling to pay.
   (b)   Charity Care. The term "Charity Care" means emergency, inpatient or outpatient medical care, including ancillary services, provided to those who cannot afford to pay and without expectation of reimbursement and that qualifies for inclusion in the line item "Charity-Other" in the reports referred to in Section 128740(a) of the California Health and Safety Code, after reduction by the Ratio of Costs-to-Charges.
   (c)   Cost. The term "Cost" means the actual amount of money a hospital spends to provide each service, but not the full list price charged by the hospital for that service.
   (d)   Department. The term "Department" means the Department of Public Health of the City and County of San Francisco.
   (e)   Director of Health. The term "Director of Health" includes the Director of Health or a designee.
   (f)   Hospital. The term "Hospital" includes every entity in San Francisco licensed as a general acute care hospital, as defined by Section 1250(a) of the California Health and Safety Code, other than hospitals exempt from taxation under Section 6.8-1 of the San Francisco Business and Tax Regulations Code. For purposes of Section 131, the term "Hospital" shall also not include hospitals owned and operated by a nonprofit system that does not provide a significant level of service on a fee-for-service basis and whose annual financial statement is consolidated with a nonprofit health maintenance organization, filed with the California Department of Managed Health Care.