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Chapter 19A — PUBLIC HEALTH

Article III — TREATMENT ON DEMAND ACT

San Francisco Administrative Code · 2025 edition · updated 2026-07-25 · San Francisco

Sec. 19A.23. [Treatment on Demand Act].

Sec. 19A.30. Treatment on Demand Act

Editor's Note:

The Treatment on Demand Act was enacted through the adoption of the initiative ordinance "Proposition T" at the election of November 4, 2008, the provisions of which are presented verbatim below.

Be it ordained by the People of the City and County of San Francisco:

S ection 1. The San Francisco Administrative Code is hereby amended by adding Section 19A.23, to read as follows:

SECTION 19A.30. TREATMENT ON DEMAND ACT

Notwithstanding any other provision of law, the Department of Public Health shall maintain an adequate level of free and low cost medical substance abuse services and residential treatment slots commensurate with the demand for these services.

Demand shall be measured by the total number of filled medical substance abuse slots plus the total number of individuals seeking such slots as well as the total number of filled residential treatment slots plus the number of individuals seeking such slots.

The City and County shall be flexible in providing various treatment modalities for both residential substance abuse treatment services and medical substance abuse treatment services.

The Department of Public Health shall report to the Board of Supervisors by February 1st of each year with an assessment of the demand for substance abuse treatment and present a plan to meet this demand. This plan should also be reflected in the City budget.

The City and County shall not reduce funding, staffing or the number of substance abuse treatment slots available for as long as slots are filled or there is any number of individuals seeking such slots.

Nothing in this section shall diminish, interfere with or otherwise alter the Mayor's authority under Article III, section 3.100(13) [2] of the Charter.

SECTION 4. Effective Date.

The provisions of this ordinance shall take effect upon certification of the election.

SECTION 5. Severability.

If any provision of this ordinance or the application thereof to any person or circumstances is held invalid or unconstitutional, such invalidity or unconstitutionality shall not affect other provisions or applications of this charter amendment [3] that can be given effect without the invalid or unconstitutional provision of application, and to this end the provisions of this ordinance are severable.

SECTION 6. Amendments.

The provisions of this initiative, once enacted, may not be amended except by a subsequent initiative ordinance.

CODIFICATION NOTES

1. So in Proposition T.

  1. Charter Sec. 3.100(13) was redesignated as 3.100(14) by Proposition C, adopted at the November 2, 2010 election.

3. So inProposition T.

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▸ Contents — San Francisco Administrative Code
San Francisco Administrative Code
  1. Chapter 1 — GENERAL PROVISIONS
  2. Chapter 2 — BOARD OF SUPERVISORS
  3. Chapter 2A — EXECUTIVE BRANCH
  4. Chapter 2B
  5. Chapter 3 — BUDGET PROCEDURES
  6. Chapter 4 — CITY BUILDINGS E UIPMENT AND VEHICLES , Q,
  7. Chapter 5 — COMMITTEES
  8. Chapter 6 — PUBLIC WORKS CONTRACTING POLICIES AND PROCEDURES
  9. Chapter 7 — DISASTER COUNCIL
  10. Chapter 8 — DOCUMENTS RECORDS AND PUBLICATIONS ,
  11. Chapter 9A — FARMERS' MARKET
  12. Chapter 9B — FLEA MARKET
  13. Chapter 10 — FINANCE TAXATION AND OTHER FISCAL MATTERS ,,
  14. Chapter 10A — [REQUEST FOR SHERIFF’S SERVICES]
  15. Chapter 10B — SPECIAL LAW ENFORCEMENT AND PUBLIC WORKS SERVICES
  16. Chapter 10C — REIMBURSEMENT FOR TOWING AND STORAGE OF VEHICLES
  17. Chapter 10D — [RESERVED] CHAPTER 10E: PLANNING MONITORING
  18. Chapter 10F
  19. Chapter 10G
  20. Chapter 10H — RECOVERY OF COSTS OF EMERGENCY RESPONSE
  21. Chapter 11 — FRANCHISES
  22. Chapter 12 — HOUSING AUTHORITY
  23. Chapter 12A
  24. Chapter 12B — [REDESIGNATED]
  25. Chapter 12C — [REDESIGNATED]
  26. Chapter 12D — MINORITY/WOMEN/LOCAL BUSINESS UTILIZATION
  27. Chapter 12E — BAN ON CITY USE OF GAS-POWERED LANDSCAPING EQUIP…
  28. Chapter 12F — IMPLEMENTING THE MACBRIDE PRINCIPLES – NORTHERN …
  29. Chapter 12G — PROHIBITION ON USE OF PUBLIC FUNDS FOR POLITICAL…
  30. Chapter 12H — IMMIGRATION STATUS
  31. Chapter 12I — CIVIL IMMIGRATION DETAINERS
  32. Chapter 12J — CITY BUSINESS WITH BURMA PROHIBITED
  33. Chapter 12K — [REDESIGNATED]
  34. Chapter 12L
  35. Chapter 12M
  36. Chapter 12N — LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER, AND …
  37. Chapter 12O — [REDESIGNATED]
  38. Chapter 12P — [REDESIGNATED]
  39. Chapter 12Q — [REDESIGNATED]
  40. Chapter 12R — [REDESIGNATED]
  41. Chapter 12S — WORKING FAMILIES CREDIT PROGRAM
  42. Chapter 12T — [REDESIGNATED]
  43. Chapter 12U
  44. Chapter 12V — [REDESIGNATED]
  45. Chapter 12W — [REDESIGNATED] 1
  46. Chapter 12X — [REPEALED]
  47. Chapter 12Y
  48. Chapter 12Z — [REDESIGNATED]
  49. Chapter 13 — JAILS AND PRISONERS
  50. Chapter 14 — [REDESIGNATED]
  51. Chapter 14A — DISADVANTAGED BUSINESS ENTERPRISE PROGRAM
  52. Chapter 14B — LOCAL BUSINESS ENTERPRISE UTILIZATION AND NON-DI…
  53. Chapter 14C — [EXPIRED]
  54. Chapter 15 — MENTAL HEALTH SERVICE
  55. Chapter 16 — OFFICERS AND EMPLOYEES GENERALLY
  56. Chapter 17 — PUBLIC OFF-STREET PARKING FACILITIES
  57. Chapter 18 — PAYROLL PROCEDURE
  58. Chapter 19 — PUBLIC SAFETY CAMERA ORDINANCE
  59. ▸ Chapter 19A — PUBLIC HEALTH
    Overview
    1. Article I — CONTRACTS
    2. Article II — [RESERVED]
    3. ▸ Article III — TREATMENT ON DEMAND ACT
      Overview
      1. SEC. 19.23 (A). [1] [TREATMENT ON DEMAND ACT].
  60. Chapter 19B — ACQUISITION OF SURVEILLANCE TECHNOLOGY
  61. Chapter 20 — SOCIAL SERVICES
  62. Chapter 21 — ACQUISITION OF COMMODITIES AND SERVICES
  63. Chapter 21A — HEALTH-RELATED COMMODITIES AND SERVICES
  64. Chapter 21B — CORE INITIATIVES ADDRESSING HOMELESSNESS, DRUG O…
  65. Chapter 21C — [REDESIGNATED]
  66. Chapter 21D — FOOD PURCHASES AT HOSPITALS OPERATED BY THE DEPA…
  67. Chapter 21E — GOODS OR SERVICES CONTRACTS FOR INCARCERATED PER…
  68. Chapter 21F — SAN FRANCISCO PUBLIC UTILITIES COMMISSION SOCIAL…
  69. Chapter 21G
  70. Chapter 21H — PROCUREMENT OF FIREARMS AND AMMUNITION
  71. Chapter 22 — RADIO COMMUNICATION FACILITIES
  72. Chapter 22A — INFORMATION AND COMMUNICATION TECHNOLOGY
  73. Chapter 22B — TELECOMMUNICATIONS FACILITIES
  74. Chapter 22C — PUBLIC INTERNET ACCESS
  75. Chapter 22D — OPEN DATA POLICY
  76. Chapter 22E — CITY-OWNED FIBER-OPTIC FACILITIES
  77. Chapter 22G — OFFICE OF EMERGING TECHNOLOGY
  78. Chapter 22H — DESIGNATION UNDER HEALTH INSURANCE PORTABILITY A…
  79. Chapter 22I — OFFICE OF CYBER SECURITY AND DUTIES OF THE CHIEF…
  80. Chapter 22J — ARTIFICIAL INTELLIGENCE TOOLS
  81. Chapter 23 — REAL PROPERTY TRANSACTIONS
  82. Chapter 23A — SURPLUS PUBLIC LANDS ORDINANCE
  83. Chapter 24 — REDEVELOPMENT AGENCY
  84. Chapter 24A — ADMINISTRATIVE STRUCTURE LOCAL RENT SUPPLEMENT P…
  85. Chapter 24B — RELOCATION APPEALS BOARD
  86. Chapter 25 — STREET LIGHTING
  87. Chapter 26 — [RESERVED]
  88. Chapter 27 — HEALTHY NAIL SALON RECOGNITION PROGRAM
  89. Chapter 28 — ADMINISTRATIVE DEBARMENT PROCEDURE
  90. Chapter 29 — FINDINGS OF FISCAL RESPONSIBILITY AND FEASIBILITY
  91. Chapter 29A — APPROVAL OF POWER PLANT PLANNING CODE SEC. 303 C…
  92. Chapter 29B — CHILD CARE FEASIBILITY STUDY FOR CITY AND CITY-F…
  93. Chapter 30 — CENTRALIZATION OF WORKFORCE DEVELOPMENT
  94. Chapter 31 — CALIFORNIA ENVIRONMENTAL QUALITY ACT PROCEDURES A…
  95. Chapter 32 — RESIDENTIAL REHABILITATION LOAN PROGRAM
  96. Chapter 33 — COMMISSION ON THE STATUS OF WOMEN
  97. Chapter 33A — LOCAL IMPLEMENTATION OF THE UNITED NATIONS CONVE…
  98. Chapter 34 — NOTIFICATION TO ASSESSOR CONCERNING ZONING RECLAS…
  99. Chapter 35 — RESIDENTIAL HOTEL AND PDR COMPATIBILITY AND PROTE…
  100. Chapter 36 — COMMUNITY IMPROVEMENTS AREA PLANS AND PROGRAMS
  101. Chapter 37 — RESIDENTIAL RENT STABILIZATION AND ARBITRATION OR…
  102. Chapter 37A — RENT STABILIZATION AND ARBITRATION FEE
  103. Chapter 37B — MIDTOWN PARK APARTMENTS
  104. Chapter 37C — [EXPIRED]
  105. Chapter 38 — COMMERCIAL LANDLORDS; ACCESS IMPROVEMENT OBLIGATI…
  106. Chapter 39 — [RIGHT TO RETURN TO REVITALIZED PUBLIC HOUSING]
  107. Chapter 40 — HOUSING CODE ENFORCEMENT LOAN PROGRAM
  108. Chapter 41 — RESIDENTIAL HOTEL UNIT CONVERSION AND DEMOLITION
  109. Chapter 41A — RESIDENTIAL UNIT CONVERSION AND DEMOLITION
  110. Chapter 41B — COMMUNITY OPPORTUNITY TO PURCHASE ACT
  111. Chapter 41C — TIME-SHARE CONVERSION ORDINANCE
  112. Chapter 41D — RESIDENTIAL HOTEL VISITOR POLICIES
  113. Chapter 41E — RESIDENTIAL HOTEL MAIL RECEPTACLE ORDINANCE
  114. Chapter 41F
  115. Chapter 41G — RESIDENTIAL HOTEL COVID-19 PROTECTIONS
  116. Chapter 41H — [EXPIRED]
  117. Chapter 42 — INDUSTRIAL DEVELOPMENT AUTHORITY
  118. Chapter 43 — MUNICIPAL FINANCE LAW
  119. Title 1 — GENERAL PROVISIONS AND DEFINITIONS SEC. 43.1.1. TITLE.
  120. Title 2 — FINANCING RESIDENCES SEC. 43.1.7. LOANS FOR RESIDENC…
  121. Title 3 — BONDS
  122. Title 4 — SUPPLEMENTAL PROVISIONS
  123. Title 1 — GENERAL PROVISIONS AND DEFINITIONS SEC. 43.2.1. TITLE.
  124. Title 2 — FINANCING FACILITIES
  125. Title 3 — BONDS SEC. 43.2.17. ISSUANCE OF BONDS.
  126. Title 4 — SUPPLEMENTAL PROVISIONS SEC. 43.2.27. LIBERAL CONSTR…
  127. Title 1 — GENERAL PROVISIONS SEC. 43.10.1. TITLE.
  128. Title 2 — PROVISIONS RELATING TO FORMATION OF DISTRICTS SEC. 4…
  129. Title 3 — PROVISIONS RELATING TO BONDS SEC. 43.10.18. ALTERNAT…
  130. Title 4 — SUPPLEMENTAL PROVISIONS SEC. 43.10.22. LIBERAL CONST…
  131. Title 5 — CHANGE PROCEEDINGS SEC. 43.10.26. ALTERNATE PROCEDUR…
  132. Title 1 — GENERAL PROVISIONS AND DEFINITIONS SEC. 43.15.1. TIT…
  133. Title 2 — RESIDENCES SEC. 43.15.6. LOANS TO QUALIFIED 501(c)(3…
  134. Title 3 — BONDS SEC. 43.15.15. ISSUANCE OF BONDS; LOANS TO QUA…
  135. Title 4 — SUPPLEMENTAL PROVISIONS SEC. 43.15.25. LIBERAL CONST…

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