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3 min read San Francisco Public Safety and Neighborhood Services Committee

SF advances behavioral health plan ahead of state overhaul

San Francisco Public Safety and Neighborhood Services Committee: 3-0 vote sent the FY 2025-2026 Behavioral Health Services Act Annual Update to the full Board ahead of the state's Prop 1 shift.
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San Francisco
Public Safety and Neighborhood Services Committee Meeting
March 26, 2026

TL;DR

  • The Public Safety and Neighborhood Services Committee voted 3-0 to send the city's Behavioral Health Services Act Annual Update for FY 2025-2026 to the full Board of Supervisors.
  • The update covers about 95 programs and a recent spending plan of about $72 million, up from roughly $30 million per year historically.
  • Under Proposition 1, San Francisco's behavioral health funding shifts from five categories to three: 35% to Full Service Partnerships, 30% to housing, and 35% to behavioral health services and supports.
  • The new state framework expands services to cover substance use disorder for the first time and requires 50% of funding to go to early intervention for people under 25.
  • The Department of Public Health returns in May with the full integrated plan, which must be submitted to the state by June 30 and takes effect July 1, 2027.

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