BOARD OF SUPERVISORS

STATEMENT OF PROCEEDINGS COUNTY OF SAN DIEGO BOARD OF SUPERVISORS REGULAR MEETING TUESDAY, SEPTEMBER 24, 2024, 9:00 AM COUNTY ADMINISTRATION CENTER, ROOM 310 1600 PACIFIC HIGHWAY, SAN DIEGO, CALIFORNIA Order Of Business A. REGULAR SESSION: Meeting was called to order at 9:01 a.m. PRESENT: Supervisors Terra Lawson-Remer, Vice-Chair; Joel Anderson; Monica Montgomery Steppe, Jim Desmond; also, Andrew Potter, Clerk of the Board of Supervisors ABSENT: Supervisor Nora Vargas, Chair B. Statement (just cause) and/or Consideration of a Request to Participate Remotely (emergency circumstances) by a Supervisor, if applicable. C. Invocation was led by Clerk of the Board of Supervisors Andrew Potter. D. Pledge of Allegiance was led by Kaitlin So. E. Presentations or Announcement of Proclamations and Awards: Vice-Chair Terra Lawson-Remer presented a proclamation declaring September 24, 2024, to be Wellness Together Day throughout the County of San Diego. Vice-Chair Terra Lawson-Remer and Supervisor Monica Montgomery Steppe presented a proclamation declaring September 21, 2024 through September 29, 2024, to be Blue Star Welcome Week throughout the County of San Diego. Supervisor Monica Montgomery Steppe presented a proclamation declaring September 24, 2024, to be Friends of the Rancho San Diego Library Day throughout the County of San Diego. Supervisor Joel Anderson presented a proclamation declaring September 24, 2024, to be Meals on Wheels of San Diego County Day throughout the County of San Diego. Supervisor Jim Desmond presented a proclamation declaring September 24, 2024, to be Palomar Family Counseling Services Day throughout the County of San Diego. F. Non-Agenda Public Communication: Opportunity for members of the public to speak to the Board on any subject matter within the Board’s jurisdiction but not an item on today’s agenda. G. Approval of the Statement of Proceedings/Minutes for the meeting of September 10, 2024. ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Anderson, the Board of Supervisors approved the Statement of Proceedings/Minutes for the Regular meeting of September 10, 2024. 1TUESDAY, SEPTEMBER 24, 2024

Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: VargasABSENT: H. Consent Calendar I. Discussion Items J. Board Member Committee Updates. This is an opportunity for Members of the Board to provide informational updates on their committee assignments. No action may be taken. NOTICE: THE BOARD OF SUPERVISORS MAY TAKE ANY ACTION WITH RESPECT TO THE ITEMS INCLUDED ON THIS AGENDA. RECOMMENDATIONS MADE BY COUNTY STAFF DO NOT LIMIT ACTIONS THAT THE BOARD OF SUPERVISORS MAY TAKE. MEMBERS OF THE PUBLIC SHOULD NOT RELY UPON THE RECOMMENDATIONS IN THE BOARD LETTER AS DETERMINATIVE OF THE ACTION THE BOARD OF SUPERVISORS MAY TAKE ON A PARTICULAR MATTER. Board of Supervisors' Agenda Items Category # Subject Public Safety 1. SHERIFF - RATIFY ACCEPTANCE OF DONATIONS FROM KATHRYN ROBINSON 2. DISTRICT ATTORNEY - REQUEST APPROVAL FOR A SINGLE SOURCE PROCUREMENT OF A SOFTWARE LICENSE TO DETECT FRAUDULENT INSURANCE ACTIVITY Health and Human Services 3. AUTHORIZE ACCEPTANCE OF PERINATAL EQUITY INITIATIVE FUNDING FROM THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH AND AUTHORIZE APPLICATIONS FOR FUTURE FUNDING OPPORTUNITIES 4. AUTHORIZE A CONTRACT AMENDMENT TO EXTEND EXISTING SERVICES FOR THE NO-COST TRANSPORTATION FOR OLDER ADULTS PROGRAM 5. APPROVE COMPENSATION AGREEMENT REGARDING BALBOA THEATRE PROPERTY RETAINED BY THE CITY OF SAN DIEGO FOR FUTURE DEVELOPMENT 6. APPROVE COMPENSATION AGREEMENT REGARDING 6901-6921 LINDA VISTA ROAD (LINDA VISTA PROPERTY) RETAINED BY THE CITY OF SAN DIEGO FOR FUTURE DEVELOPMENT 7. RECEIVE AN UPDATE ON HOMEKEY PROGRAMS Financial and General Government 8. BIENNIAL REVIEW OF CONFLICT OF INTEREST CODES- APPROVAL OF FIRST BATCH OF CONFLICT OF INTEREST CODE AMENDMENTS RECEIVED THROUGH AUGUST 29, 2024: VARIOUS DEPARTMENTS AND AGENCIES 2TUESDAY, SEPTEMBER 24, 2024

Appointments 9. APPOINTMENTS: VARIOUS Communications Received 10. COMMUNICATIONS RECEIVED Health and Human Services 11. REQUESTING RESOURCES NEEDED TO IMPLEMENT SENATE BILL 43 12. CREATING A CHILDREN, YOUTH, AND TRANSITION AGE YOUTH BEHAVIORAL HEALTH CONTINUUM FRAMEWORK FOR SAN DIEGO COUNTY 13. UPDATE ON AND AUTHORIZATION TO EXECUTE AGREEMENTS FOR THE PARTNERSHIP WITH THE UNIVERSITY OF CALIFORNIA, SAN DIEGO HEALTH FOR BEHAVIORAL HEALTH SERVICES WITHIN THE EAST CAMPUS MEDICAL CENTER (4 VOTES) 14. RECEIVE UPDATE ON THE AGING ROADMAP Financial and General Government 15. UPDATE ON THE COUNTYWIDE FOOD PROCUREMENT 16. ASSESSOR/RECORDER/COUNTY CLERK – APPOINTMENT OF JEFFREY OLSON TO RETIREE REHIRE POSITION Closed Session 17. CLOSED SESSION Public Communication 18. NON-AGENDA PUBLIC COMMUNICATION 3TUESDAY, SEPTEMBER 24, 2024

1. SHERIFF - RATIFY ACCEPTANCE OF DONATIONS FROM KATHRYN ROBINSON (DISTRICTS: ALL) SUBJECT: OVERVIEW County of San Diego Administrative Code Article III, Section 66 Acceptance of Gifts and Board of Supervisors Policy A-112, Acceptance and Use of Gifts and Donations, provide a process for accepting gifts by the administrative heads of each department in the County, subject to approval by the Board of Supervisors. This is a request to ratify the acceptance of donations from Kathryn Robinson for Padres tickets with VIP parking valued at $14,200. RECOMMENDATIONS SHERIFF 1. In accordance with County of San Diego Administrative Code Article III, Section 66 Acceptance of Gifts and Board of Supervisors Policy A-112, Acceptance and Use of Gifts and Donations, ratify the acceptance of Padres tickets with VIP parking valued at $14,200 from Kathryn Robinson for the Sheriff’s Office. 2. Authorize the Chairwoman of the Board of Supervisors to sign a letter of appreciation on behalf of the Board of Supervisors and the County of San Diego to Kathryn Robinson. EQUITY IMPACT STATEMENT The acceptance of donations from Kathryn Robinson serve to enhance service delivery of our workforce. These donations help support our employees from diverse backgrounds and identities by giving them access to resources and opportunities to attend morale boosting services and events. The acceptance and use of these donations demonstrates our commitment to enhance employee wellness, both inside and outside the workplace. Good employee health and well-being ensures that continuity of operations remains at its best. SUSTAINABILITY IMPACT STATEMENT The donations by Kathryn Robinson support the County of San Diego’s sustainability goals to engage the community in meaningful ways and to provide just and equitable access by developing a culture of learning that looks at the impacts of employees’ work on individual lives and health. The department’s recipient relationship with donors such as Kathryn Robinson increases stakeholder engagement and community participation. FISCAL IMPACT There is no fiscal impact associated with today’s request to ratify the acceptance of donations valued at $14,200 from Kathryn Robinson. There will be no change in net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 1TUESDAY, SEPTEMBER 24, 2024

VargasABSENT: 2. DISTRICT ATTORNEY - REQUEST APPROVAL FOR A SINGLE SOURCE PROCUREMENT OF A SOFTWARE LICENSE TO DETECT FRAUDULENT INSURANCE ACTIVITY (DISTRICTS: ALL) SUBJECT: OVERVIEW The San Diego County District Attorney’s Insurance Fraud and Workplace Justice Division (Division) proactively investigates and prosecutes complex insurance fraud prosecutions and brings awareness and education throughout San Diego County. In California, insurance fraud costs consumers approximately $15 billion a year, and is the second-largest economic crime in the United States, exceeded only by tax evasion. The Division’s multiple, reinforcing strategies seek to reduce insurance premiums for consumers, lower workers’ compensation premium rates for employers, ensure injured workers receive the benefits they are entitled to collect, and ultimately protect all San Diego communities by deterring this form of criminal behavior. The District Attorney’s Office (DAO) is seeking to procure Verisk Analytics Inc.’s Anti-Fraud One - Government (AF1- Gov) software license, with access to the ISO ClaimSearch proprietary database containing claims information from 97% of all property and casualty carriers and third-party administrators throughout the United States. The software aggregates, in real-time, key information from questionable claims, including: the loss history for each party involved in a claim, investigation details and outcomes for the parties’ prior claims, patterns of previous losses, network analytics, and evaluation of suspected fraud. Insurance fraud activity has far-reaching implications, and leveraging comprehensive industry data and analytics would enhance the DAO’s ability to assess and mitigate emerging fraud risks, as well as increase effectiveness and efficiency in the identification, prioritization, and investigation of fraud. An AF1- Gov software license will grant the DAO automated access to the largest claims database and insights to triage investigations - a unique combination not available from other sources where competition is also precluded because of the existence of proprietary information, pursuant to Board Policy A-87, Competitive Procurement: A-87 (D.3) and (D.1). This is a request to authorize the Director of Purchasing and Contracting to enter into a single source procurement and contract with Verisk Analytics Inc. (Verisk) for an AF1- Gov software license and user training for investigations of insurance fraud and related criminal activities. RECOMMENDATION(S) DISTRICT ATTORNEY 1. In accordance with Board Policy A-87, Competitive Procurement, approve and authorize the Director of the Department of Purchasing and Contracting to enter into negotiations with Verisk, and subject to successful negotiations and a determination of a fair and reasonable price, award a contract for an AF1- Gov software license and user training for up to three years, and an additional six months if needed, and to amend the contract as needed to reflect changes to service needs or funding requirements subject to the approval of the District Attorney. EQUITY IMPACT STATEMENT The District Attorney’s Office is constitutionally responsible for the investigation and prosecution of all criminal violations of state law and county ordinances. The District Attorney’s 2TUESDAY, SEPTEMBER 24, 2024

Insurance Fraud and Workplace Justice Programs specialize in prosecuting fraudulent activity - activity that affects all San Diego communities regardless of zip code. As part of the District Attorney’s ongoing dedication to public safety, the DAO anticipates that the implementation of the Verisk AF1- Gov software license will enhance local law enforcement operations, resulting in strategic allocation of resources, and ultimately equitable outcomes throughout San Diego communities. SUSTAINABILITY IMPACT STATEMENT Reducing the instances of insurance fraud will reduce the cost for consumers and employers, directly contributing to the County of San Diego’s Sustainability Goals by creating sustainable enhancements for the economy. In addition, investments in robust investigative techniques and the overall prosecutorial process not only increases organizational capacity but leads to social and economic enhancements - contributing to overall regional sustainability. FISCAL IMPACT Funds for this request are included in the Fiscal Year 2024-26 Operational Plan for the District Attorney’s Office. If approved, this request will result in costs and revenue of approximately $405,000. The funding source is the California Department of Insurance. Subsequent year costs and revenues will be included in future Operational Plans. There will be no change in net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: VargasABSENT: 3. AUTHORIZE ACCEPTANCE OF PERINATAL EQUITY INITIATIVE FUNDING FROM THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH AND AUTHORIZE APPLICATIONS FOR FUTURE FUNDING OPPORTUNITIES (DISTRICTS: ALL) SUBJECT: OVERVIEW The San Diego County Board of Supervisors (Board) has authorized the acceptance of California Department of Public Health Maternal, Child, and Adolescent Health Division Title V Maternal and Child Health (MCH) Block Grant funding since Fiscal Year 1997-98. MCH Block Grant funding addresses health disparities in African-American birth outcomes by implementing the Black Infant Health (BIH) Program in San Diego County. The 2018-19 California State Budget Act established the California Perinatal Equity Initiative (PEI) to expand the BIH Program and improve birth outcomes and reduce mortality in Black infants through evidence-based interventions. Counties that implement BIH Programs were eligible to receive PEI funding. On June 27, 2023 (3), the Board approved acceptance of the PEI allocation in the amount of $484,310 for the period of July 1, 2023, through June 30, 2024. 3TUESDAY, SEPTEMBER 24, 2024

Today’s item requests the Board to authorize acceptance of the PEI grant allocation of $484,310 for the period of July 1, 2024, through June 30, 2025. Additionally, today’s item requests the Board authorize the Agency Director, Health and Human Services Agency, or designee, to apply for additional funds to help improve health equity for San Diego County residents. Today’s actions support the County of San Diego vision of a just, sustainable, and resilient future for all, specifically those communities and populations in San Diego County that have been historically left behind, as well as our ongoing commitment to the regional Live Well San Diego vision of healthy, safe, and thriving communities. This will be accomplished by improving access to quality healthcare for mothers, infants, children, adolescents, and families. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. Waive Board Policy B-29, Fees, Grants, and Revenue Contracts-Department Responsibility for Cost Recovery, which requires prior approval of grant applications and full-cost recovery of grants. 2. Authorize the acceptance of $484,310 in grant funds from the California Department of Public Health, Maternal, Child, and Adolescent Health Division for the period of July 1, 2024 through June 30, 2025, for the Perinatal Equity Initiative grant, and authorize the Agency Director, Health and Human Services Agency, to execute all required grant documents, including any annual extensions, amendments, and/or revisions thereto that do not materially impact or alter the services or funding level. 3. Authorize the Agency Director, Health and Human Services Agency, or designee, to apply for additional funding opportunities that address improving health equity for San Diego County residents. EQUITY IMPACT STATEMENT Infant mortality is an important indicator of overall population health. It is a product of social well-being, disease rates, access to healthcare, economic development, and general living conditions. Prematurity and low birthweight are among the leading causes of infant death and are also associated with illness and disability in survivors. National average data from 2019 to 2021 from the Centers for Disease Control and Prevention indicates that the African-American infant mortality rates are much higher than all other race/ethnic groups. Additionally, data from the California Department of Public Health, from 2000 through 2021, suggests that the African-American infant mortality rates in San Diego County were two to five times higher than the White infant mortality rates. Many factors are responsible for this gap, including institutional racism, class oppression, and gender discrimination, which have trickled down to negatively influence social determinants of health such as job security, availability of healthy food, transportation, and quality education in this population. The County of San Diego (County) Health and Human Services agency, Public Health Services administers the Black Infant Health (BIH) Program and the Perinatal Equity Initiative (PEI) to reduce perinatal morbidity and mortality among disadvantaged populations. These programs work to address inequities in maternal and infant health outcomes and ensure access to quality prenatal and postpartum health care and community resources through individual, family, and group-based support. Both programs also host Community Advisory Board meetings that are attended by stakeholders, health care professionals and providers, as well as community residents, with lived experience. Attendees offer guidance and insight into the needs of families 4TUESDAY, SEPTEMBER 24, 2024

served by the programs. The BIH Program provides culturally appropriate support services and resources to African-American women and their families throughout the county to address health disparities and improve the birth outcomes noted above. The PEI, therefore, complements programs and services and supports eligible local health jurisdictions in the implementation of evidence-based interventions that reduce racial health disparities in birth outcomes among African-American women. For example, through the BIH Program, 313 African-American women were able to participate in client centered and empowering group sessions and/or received case management where they increased their knowledge on developing life skills, reducing stress, and strengthening social support. SUSTAINABILITY IMPACT STATEMENT Today’s proposed actions support the County of San Diego (County) Sustainability Goal #1 to engage the community; Sustainability Goal #2 to provide just and equitable access; and Sustainability Goal #4 to protect the health and well-being of everyone in the region. This will be done by ensuring vulnerable populations in all communities are given access to resources provided by the Black Infant Health (BIH) Program and the Perinatal Equity Initiative (PEI), which promote the overall health and well-being of those disproportionately impacted. The County Health and Human Services Agency, Public Health Services continues to engage with and seek community input through the BIH Advisory Board, PEI Community Advisory Board, and the Family Support Connection collaborative. FISCAL IMPACT Funds for this request are included in the Fiscal Year (FY) 2024-26 Operational Plan in the Health and Human Services Agency. If approved, this request will result in estimated costs of $560,282 and revenue of $484,310 in FY 2024-25. The funding source is the Perinatal Equity Initiative grant from the California Department of Public Health. A waiver of Board Policy B-29 is requested because the funding does not offset all costs. These unrecovered costs are estimated to be $75,972 for FY 2024-25. The funding source for these costs will be existing Realignment. The public benefit for providing these services far outweighs the B-29 unrecoverable costs. There will be no change in net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: VargasABSENT: 4. AUTHORIZE A CONTRACT AMENDMENT TO EXTEND EXISTING SERVICES FOR THE NO-COST TRANSPORTATION FOR OLDER ADULTS PROGRAM (DISTRICTS: ALL) SUBJECT: OVERVIEW 5TUESDAY, SEPTEMBER 24, 2024

On June 8, 2021 (3), the San Diego County Board of Supervisors (Board) took critical action to advance support to San Diego County residents by approving the framework for the use of American Rescue Plan Act (ARPA) funding. Several projects were approved under the Senior and Youth Services component of this framework including the No-Cost Transportation for Older Adults program. The No-Cost Transportation for Older Adults program created by the County of San Diego (County) Health and Human Services Agency, Aging & Independence Services (AIS) provides an equity-centered approach to transportation services for vulnerable low-income older adults residing in priority communities. These older adults are provided with up to 100 miles of transportation to and from much needed medical appointments, social engagements, and necessary errands like grocery shopping. Many of the older adults enrolled in this program would otherwise not have a mechanism to engage in their daily activities due to the cost and limited accessibility of transportation services. Importantly, these critical transportation services help reduce social isolation for program participants, allowing them to retain their independence and access community resources. On June 25, 2024 (9), the Board adopted the Fiscal Year 2024-25 County budget including a Change Letter addendum that allocated an additional $250,000 to the No-Cost Transportation for Older Adults program. This funding will be leveraged to increase the contract amount and extend the contract term to support current program participants who may benefit from the No-Cost Transportation for Older Adults program services, including curb-to-curb, door-to-door, and wheelchair accessible transportation. Today’s action requests the Board authorize the Director, Department of Purchasing and Contracting to amend contract #567644 with Jewish Family Service of San Diego to extend the contract term for one year and an additional six months as needed, and amend the contract as required to reflect changes to services and funding allocations. This item supports the County vision of a just, sustainable, and resilient future for all, specifically those communities and populations in San Diego County that have been historically left behind, as well as our ongoing commitment to the regional Live Well San Diego vision of healthy, safe, and thriving communities. This will be accomplished by supporting older adults through providing safe and reliable transportation. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. In accordance with Board Policy A-87, Competitive Procurement, and Administrative Code Section 401, authorize the Director, Department of Purchasing and Contracting to amend contract #567644 with Jewish Family Service of San Diego to extend the contract term for one year and an additional six months as needed, subject to the availability of funds; and amend the contract as required to reflect changes to services and funding allocations, subject to the approval of the Agency Director, Health and Human Services Agency. EQUITY IMPACT STATEMENT As adults age, they face unprecedented challenges in maintaining their quality of life. These challenges are only heightened for lower income older adults. They become more dependent on social safety net programs like Social Security and less dependent on career growth for increases in income. This may lead to challenges in affording basic necessities like housing, transportation, 6TUESDAY, SEPTEMBER 24, 2024

food, and healthcare. Lacking the ability to maintain a quality of life that supports the ability to have access to food and healthcare, or stable access to transportation and housing, greatly increases health disparities and reduces quality of life. The No-Cost Transportation for Older Adults program was created with equity at the forefront, to ensure low-income older San Diegans living on fixed incomes and residing in health equity zip codes and the California Healthy Places Index least healthy quartiles for San Diego county, continue to have access to basic services when they require it most. Accessible and reliable transportation ensures older adults are able to go grocery shopping, get to medical appointments, or attend social gatherings which reduces social isolation. This program supports the County of San Diego’s commitment to equitable practices for all San Diegans by restoring independence for older adults who do not have access to basic public transportation and who might otherwise fall into isolation. The No-Cost Transportation for Older Adults program is evaluated monthly. Participants complete the survey outlining the strengths and challenges encountered by riders. Since the inception of the program in October 2022, more than 95% of survey participants indicated the program increased their ability to complete routine or social activities independently. SUSTAINABILITY IMPACT STATEMENT Working with partners to provide programs and services that contribute to the safety and welfare of older adults will advance the County of San Diego (County) Sustainability Goal #1 to engage the community in meaningful ways; Sustainability Goal #2 to provide just and equitable access to County services; and Sustainability Goal #4 to protect the health and well-being of everyone in the region. Specifically, the No-Cost Transportation for Older Adults program provides older adults living on a low-income with access to safe and reliable transportation. FISCAL IMPACT Funds for this request are included in the Fiscal Year (FY) 2024-26 Operational Plan in the Health and Human Services Agency. If approved, this request will result in costs of $250,000 in FY 2024-25. The funding source is supported by resources budgeted in Countywide Finance Other. There will be no change in net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: VargasABSENT: 5. APPROVE COMPENSATION AGREEMENT REGARDING BALBOA THEATRE PROPERTY RETAINED BY THE CITY OF SAN DIEGO FOR FUTURE DEVELOPMENT (DISTRICTS: ALL) SUBJECT: OVERVIEW On February 1, 2012, California redevelopment agencies were dissolved, and successor agencies were appointed to wind down redevelopment affairs, including the disposition of real 7TUESDAY, SEPTEMBER 24, 2024

estate owned. ABX1 and AB 1484 (collectively known as the “Dissolution Act”) provide the methods of disposition available to successor agencies after a Long Range Property Management Plan (LRPMP) is prepared and approved. The California Department of Finance approved a final, amended version of the City of San Diego (City) Successor Agency’s LRPMP on October 15, 2015. One of the properties included in the approved LRPMP is the Balboa Theatre property. The Balboa Theatre is an approximately 44,000 square-feet, five-story building, located on an approximately 15,000 square feet parcel at 868 Fourth Avenue in Downtown San Diego. This property has been retained by the City for future development in accordance with its LRPMP. According to California Health and Safety Code Section 34180, a compensation agreement must be established between the city retaining ownership of a future development site and the other affected taxing entities associated with the former redevelopment area, wherein the affected taxing entities receive payments from the city in proportion to their shares of the base property tax for the value of the property retained by the city for future development. The County of San Diego (County) is one such affected taxing entity associated with the Balboa Theatre property. Today’s action is to approve the compensation agreement between the City and the County, and direct the Clerk of the Board to execute the agreement. Today’s action supports the County vision of a just, sustainable, and resilient future for all, specifically those communities and populations in San Diego County that have been historically left behind, as well as the ongoing commitment to the regional Live Well San Diego vision of healthy, safe, and thriving communities. This will be accomplished by negotiating a fair compensation agreement and providing one-time funding for County programs. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. Approve the Compensation Agreement regarding the Balboa Theatre property retained by the City of San Diego for future development and direct the Clerk of the Board to execute the Agreement. EQUITY IMPACT STATEMENT The dissolution of redevelopment agencies throughout the State has assisted local jurisdictions to better preserve funding for core public services by allowing them to have more decision-making input of the development of communities, as well as resulting revenues. A compensation agreement for the Balboa Theatre property, retained by the City of San Diego for future development, will provide the County of San Diego with revenue that can be used toward investments back into the community which includes, but are not limited to, programs and services to help improve the health and public safety of residents. SUSTAINABILITY IMPACT STATEMENT Today’s proposed action supports the County of San Diego (County) Sustainability Goal #1 to engage the community. The Balboa Theatre redevelopment has the potential to become a focal point for the local community by enhancing commercial activity in the area. The project aligns with the County goal of engaging the community by creating spaces that encourage social interaction, local commerce, and community events. By revitalizing this area, the development can help build a stronger sense of community identity and foster active participation from 8TUESDAY, SEPTEMBER 24, 2024

residents in shaping the future of their neighborhood. FISCAL IMPACT As part of the terms of the compensation agreement, the allocation of proportional share of revenue would only be disbursed to the affected taxing entities 30 days after the close of escrow. Funds for this request are not typically included in the annual Operational Plan in the Health and Human Services Agency. If approved, this request may result in one-time revenue of approximately $625,247 in the affected fiscal year, upon successfully meeting terms of the compensation agreement. The estimate is based on the compensation amount allowed by Health and Safety Code, which is calculated using the 2011 appraised value of $4,070,000, less $85,000 in appraisal, escrow and closing costs, multiplied by the County of San Diego’s proportional share of the base property tax for the property (approximately 15.69%). The funding source is a payment from the City of San Diego. There will be no change in net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT N/A ADVISORY BOARD STATEMENT N/A BACKGROUND California redevelopment agencies were dissolved on February 1, 2012, and successor agencies were appointed by sponsoring agencies to wind down redevelopment affairs, including the disposition of real estate owned. ABX1 26 and AB 1484 (together known as the “Dissolution Act”) provide the methods of disposition available to successor after a Long Range Property Management Plan (LRPMP) is prepared and approved. Properties of a former redevelopment agency may either be: 1) transferred to the sponsoring agency for governmental purposes, 2) sold on the open market in an expeditious manner, aimed at maximizing value, 3) retained in conjunction with an enforceable obligation, approved by the California Department of Finance, or 4) retained for future redevelopment activities by the sponsoring agency (i.e., the city that originally created or sponsored the dissolved redevelopment agency), in conjunction with a compensation agreement, wherein the affected taxing entities receive payments from the sponsoring agency in proportion to their shares of the base property tax for the value of the property retained (California Health and Safety Code section 34180). The amended and restated LRPMP of the City of San Diego (City) Successor Agency, approved by the Department of Finance on October 15, 2015, includes a property known as the Balboa Theatre, which is an approximately 44,000 square feet, five-story building, with a total seating capacity of 1,339, located on an approximately 15,000 square feet parcel at 868 Fourth Avenue in Downtown San Diego. Its current and future use include a live performance, cultural and performing arts venue. The property is currently leased to San Diego Theatres. Inc., which manages and operates the Balboa Theatre on behalf of the City. This property has been retained by the City in accordance with the LRPMP within the “future development” category. The City is evaluating its options for disposition of the Balboa Theatre to a buyer or a long-term lessee, while ensuring that the disposition is compliant with the LRPMP, redevelopment dissolution law, and California’s Surplus Land Act. The Dissolution Act requires the City to enter into a compensation agreement with the other 9TUESDAY, SEPTEMBER 24, 2024

affected taxing entities for each future development site, specifying the City’s payment of compensation to the other affected taxing entities based on the fair market value of the future development site as of the 2011 lien date, which corresponds to when the California Legislature enacted the Dissolution Act. California Health and Safety Code section 34180(f) states that if no agreement is reached on valuation of the future development site, the value will be the fair market value as of the 2011 property tax lien date, as determined by an independent appraiser, approved by the Oversight Board. The Oversight Board oversees and approves certain actions of all San Diego County area successor agencies, and manages the assets of the former redevelopment agencies, the repayment of debts, and the fulfillment of other redevelopment agency obligations. Accordingly, the City retained the Oversight Board-approved appraisal firm of Jones, Roach & Caringella, Inc., who established that $4,070,000 is the value of Balboa Theatre as of the 2011 property tax lien date. Under the proposed compensation agreement for Balboa Theatre, the City will pay the compensation amount to the County and the other affected taxing entities within 30 days after the close of escrow on the City's disposition of Balboa Theatre to a buyer or long-term lessee. As envisioned by the LRPMP, the buyer or long-term lessee of Balboa Theatre will continue to operate Balboa Theatre as a performing and cultural arts facility, consistent with its designation as a historic resource. As described in Section 1 of the proposed compensation agreement, the total compensation amount will be a net figure that equals the appraised fair market value of Balboa Theatre as of the 2011 lien date, or $4,070,000, less the City’s reimbursable expenses related to the valuation and disposition of Balboa Theatre, or an estimated $85,000 (including estimated appraisal costs of $35,000, plus estimated escrow and closing costs, not to exceed $50,000). Therefore, the total compensation amount payable by the City to the County and the other affected taxing entities in proportion to their respective property tax shares is presently estimated to be $3,985,000. The compensation agreement requires the City to provide written evidence (e.g., paid invoices) substantiating the actual reimbursable expenses to be netted out in the calculation of the compensation amount. LINKAGE TO THE COUNTY OF SAN DIEGO STRATEGIC PLAN Today’s proposed action supports the Sustainability (Economy and Resiliency) initiative of the County 2024-2029 Strategic Plan as well as our commitment to the regional Live Well San Diego vision of healthy, safe, and thriving communities. This is accomplished by negotiating a fair compensation agreement and providing one-time funding for County programs. Respectfully submitted, ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: VargasABSENT: 10TUESDAY, SEPTEMBER 24, 2024

6. APPROVE COMPENSATION AGREEMENT REGARDING 6901-6921 LINDA VISTA ROAD (LINDA VISTA PROPERTY) RETAINED BY THE CITY OF SAN DIEGO FOR FUTURE DEVELOPMENT (DISTRICTS: ALL) SUBJECT: OVERVIEW On February 1, 2012, California redevelopment agencies were dissolved, and successor agencies were appointed to wind down redevelopment affairs, including the disposition of real estate owned. ABX1 and AB 1484 (collectively known as the “Dissolution Act”) provide the methods of disposition available to successor agencies after a Long Range Property Management Plan (LRPMP) is prepared and approved. The California Department of Finance approved a final, amended version of the City of San Diego (City) Successor Agency’s LRPMP on October 15, 2015. One of the properties included in the approved LRPMP is the property commonly referred to as 6901-6921 Linda Vista Road (APNs 431-320-19, and 15). The Linda Vista property is comprised of a vacant lot of approximately 17,115 square feet, and an approximately 52,708 square feet lot improved with a 29,000 square feet multi-tenant retail center including a roller-skating facility, and other uses. This property has been retained by the City for future development in accordance with its LRPMP. According to California Health and Safety Code Section 34180, a compensation agreement must be established between the city retaining ownership of a future development site and the other affected taxing entities associated with the former redevelopment area, wherein the affected taxing entities receive payments from the city in proportion to their shares of the base property tax for the value of the property retained by the city for future development. The County of San Diego (County) is one such affected taxing entity associated with the Linda Vista property. Today’s action requests to approve the compensation agreement between the City and the County, and direct the Clerk of the Board to execute the agreement. Today’s action supports the County vision of a just, sustainable, and resilient future for all, specifically those communities and populations in San Diego County that have been historically left behind, as well as the ongoing commitment to the regional Live Well San Diego vision of healthy, safe, and thriving communities. This will be accomplished by negotiating a fair compensation agreement and providing one-time funding for County programs. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. Approve the Compensation Agreement regarding the Linda Vista property retained by the City of San Diego for future development and direct the Clerk of the Board to execute the Agreement. EQUITY IMPACT STATEMENT The dissolution of redevelopment agencies throughout the State has assisted local jurisdictions to better preserve funding for core public services by allowing them to have more decision-making input of the development of communities, as well as resulting revenues. A compensation agreement for the Linda Vista property, retained by the City of San Diego for future development, will provide the County of San Diego with revenue that can be used toward investments back into the community which includes, but are not limited to, programs and 11TUESDAY, SEPTEMBER 24, 2024

services to help improve the health and public safety of residents. SUSTAINABILITY IMPACT STATEMENT Today’s proposed action supports the County of San Diego (County) Sustainability Goal #1 to engage the community. The Linda Vista Property redevelopment has the potential to become a focal point for the local community by enhancing commercial activity in the area. The project aligns with the County goal of engaging the community by creating spaces that encourage social interaction, local commerce, and community events. By revitalizing this area, the development can help build a stronger sense of community identity and foster active participation from residents in shaping the future of their neighborhood. FISCAL IMPACT As part of the terms of the compensation agreement, the allocation of proportional share of revenue would only be disbursed to the affected taxing entities 30 days after the close of escrow. Funds for this request are not typically included in the annual Operational Plan in the Health and Human Services Agency. If approved, this request may result in one-time revenue of approximately $333,726 in the affected fiscal year, upon successfully meeting terms of the compensation agreement. The estimate is based on the compensation amount allowed by Health and Safety Code, which is calculated using the 2011 appraised value of $2,149,000, less $22,000 in appraisal, escrow and closing costs, multiplied by the County of San Diego’s proportional share of the base property tax for the property (approximately 15.69%). The funding source is a payment from the City of San Diego. There will be no change in net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: VargasABSENT: 7. RECEIVE AN UPDATE ON HOMEKEY PROGRAMS (DISTRICTS: ALL) SUBJECT: OVERVIEW In March 2023, the California Department of Housing and Community Development announced the availability of the third round of Homekey program funds to rapidly expand the inventory of housing for people experiencing homelessness or at risk of homelessness. Upon this announcement, the County of San Diego (County) Health and Human Services Agency, San Diego Housing Commission (SDHC), and City of San Diego expanded on prior efforts and partnered to ensure this funding opportunity was secured and leveraged to provide additional housing resources to the most vulnerable members in the San Diego region. Subsequently on May 23, 2023 (25), the San Diego County Board of Supervisors (Board) approved recommendations to authorize up to $32 million in capital loans to SDHC and issue 12TUESDAY, SEPTEMBER 24, 2024

competitive solicitations for behavioral health supportive services at up to four Homekey developments; all actions contingent upon successful award of Homekey funds. Additionally, at this meeting, the Board directed the Chief Administrative Officer return to the Board within one year with benchmarks to measure the effectiveness of the programs. In late 2023 and early 2024, SDHC received awards for three of the four developments securing over $55 million in Homekey Round 3 funding. Although the Homekey program aims to expedite the process of producing affordable housing, the time from application to having the units fully operational may still be over two years. Construction and rehabilitation are currently underway at the three Homekey Round 3 developments. Today’s item provides an update on the Homekey Round 3 developments, inclusive of procurement status of behavioral health supportive services contracts, an overview of the general outcomes and benchmarks anticipated through the Homekey Round 3 programs, and an update on the progress of other developments supported by previous rounds of Homekey funding. This item supports the County vision of a just, sustainable, and resilient future for all, specifically those communities and populations in San Diego County that have been historically left behind, as well as our ongoing commitment to the regional Live Well San Diego vision of healthy, safe, and thriving communities by supporting housing stability for people with behavioral health conditions, including those who are experiencing or at risk of homelessness. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER Receive an update on Homekey programs including status of behavioral health supportive services contracts. EQUITY IMPACT STATEMENT In the 2024 Point-in-Time Count, 10,605 people were identified as unsheltered or in shelters throughout the county. Of those who were unsheltered, 44% were identified as chronically homeless. The County of San Diego (County) is committed to finding equitable solutions to prevent and end homelessness by providing preventative and supportive services and permanent supportive housing. The Homekey program allows the County to expeditiously utilize a key funding resource that was established to meet the needs of historically underserved populations, specifically persons experiencing homelessness or at risk of homelessness. The Homekey program is funded through the California Department of Housing and Community Development and continues a statewide effort to sustain and rapidly expand housing for people experiencing homelessness or at risk of homelessness, and who are, thereby, inherently impacted by COVID-19 and other communicable diseases. Once operational, Homekey Round 3 funding will provide needed housing and supports to residents who are disproportionality represented in the homeless system, including justice-involved individuals and individuals with a range of health and social needs, as well as Black, Indigenous and People of Color. Homekey is an opportunity for the County to increase permanent supportive housing options for of the most vulnerable populations, providing not just housing, but ensuring that resources for supportive service are made available to the residents. SUSTAINABILITY IMPACT STATEMENT Today’s proposed action supports the County of San Diego Sustainability Goal #2 to provide just 13TUESDAY, SEPTEMBER 24, 2024

and equitable access by ensuring affordable housing developments are restricted to individuals and families experiencing homelessness and chronic homelessness. This is supported by cultivating strong relationships with other local governmental entities and community partners, thereby allowing a symbolic relationship that has, at its core, a mutual, mission-driven goal to serve the communities that have been disproportionately impacted by poverty. FISCAL IMPACT There is no fiscal impact associated with this item. There is no change in net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: VargasABSENT: 8. BIENNIAL REVIEW OF CONFLICT OF INTEREST CODES- APPROVAL OF FIRST BATCH OF CONFLICT OF INTEREST CODE AMENDMENTS RECEIVED THROUGH AUGUST 29, 2024: VARIOUS DEPARTMENTS AND AGENCIES (DISTRICTS: ALL) SUBJECT: OVERVIEW The Board of Supervisors serves as the Code Reviewing Body for any local agency, other than cities, with jurisdiction wholly within the County, pursuant to Government Code Section 82011. Pursuant to Government Code Section 87306.5, the Clerk of the Board of Supervisors coordinated, on behalf of the Board, the Biennial Review of Conflict of Interest Codes for all County Departments and local agencies. The recommended action would approve the proposed amendments to the Conflict of Interest codes as received through August 29, 2024 from respective agencies as part of the Biennial Review of Conflict of Interest Codes. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER Approve the amended Conflict of Interest Codes adopted by the following agencies (Attachment A): § Del Mar Union School District § Diego Plus Education Corporation § Encina Wastewater Authority § Grossmont-Cuyamaca Community College District § Leucadia Wastewater District § Rainbow Municipal Water District § San Diego Community Power § San Diego County Law Library § San Ysidro School District § Santee School District 14TUESDAY, SEPTEMBER 24, 2024

§ South Bay Irrigation District § South Bay Union School District § Vista Fire Protection District § Vista Irrigation District § Water Conservation Garden Authority EQUITY IMPACT STATEMENT County government includes standing and special boards, commissions, committees and task forces formed to advise the Board of Supervisors and County staff on issues and policies and to serve as links to the community. Boards, commissions and committees provide an inter-relationship between the residents and the government of the County and as such must provide transparent, bias-free decision-making. The Board of Supervisors serves as the Code Reviewing Body for any local agency, other than cities, with jurisdiction wholly within the County, pursuant to Government Code Section 82011. Under the California Political Reform Act, a public official has a disqualifying conflict of interest in a governmental decision if it is foreseeable that the decision will have a financial impact on their personal finances or other financial interests. In such cases, there is a risk of biased decision-making that could sacrifice the public’s interest in favor of the official’s private financial interests. To avoid actual bias or the appearance of possible improprieties, the public official is prohibited from participating in the decision. The recommended action would approve the amended Conflict of Interest codes. The Conflict of Interest codes in this Board Letter enables the County of San Diego to provide transparency and accountability to individual residents, ensuring equitable operations of the government that are free from undue influence. SUSTAINABILITY IMPACT STATEMENT Under the Political Reform Act, all public agencies are required to adopt a Conflict of Interest code that designates positions that are required to file the Statement of Economic Interests (Form 700). Conflict of Interest codes must be maintained as updated and accurate to ensure that necessary public officials report their personal financial interests. These required filings provide public transparency about possible conflicts of interest and to ensure governmental decisions are made in the best interest of the public. This Board Letter supports the County of San Diego’s sustainability goal of, “Engaging the community to partner and participate in decisions that impact their lives and communities and transparently share results of outcomes.” FISCAL IMPACT The funding source for administration of this task is included in the Fiscal Year 2024-2025 Adopted Budget for the Clerk of the Board of Supervisors. BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 15TUESDAY, SEPTEMBER 24, 2024

VargasABSENT: 9. APPOINTMENTS: VARIOUS (DISTRICTS: ALL)SUBJECT: OVERVIEW These appointments are in accordance with applicable Board Policy A-74, “Citizen Participation in County Boards, Commissions and Committees,” Board Policy A-77, “Appointments to Fill Vacancies and Cancellation of Election where Insufficient Nominations Filed Prior to Uniform District Election and Citizen Planning Group Election,” and Board Policy I-1, “Planning and Sponsor Group Policies and Procedures.” RECOMMENDATION(S) CHAIRWOMAN NORA VARGAS Appoint Manisha Sharma to the EMERGENCY MEDICAL CARE COMMITTEE, Seat No. 24, for a term to expire September 24, 2028. Appoint Malcolm Gettmann to the SPRING VALLEY COMMUNITY PLANNING GROUP, Seat No. 12, for a term to expire January 4, 2027. VICE-CHAIR TERRA LAWSON-REMER Re-appoint Robin Sales to the BEHAVIORAL HEALTH ADVISORY BOARD, COUNTY OF SAN DIEGO, Seat No. 10, for a term to start October 20, 2024, and to expire October 20, 2027. Re-appoint Stuart Gaiber to the BEHAVIORAL HEALTH ADVISORY BOARD, COUNTY OF SAN DIEGO, Seat No. 12, for a term to start October 20, 2024, and to expire October 20, 2027. SUPERVISOR JOEL ANDERSON Appoint Julie Hayden to the BEHAVIORAL HEALTH ADVISORY BOARD, COUNTY OF SAN DIEGO, Seat No.7, for a term to expire September 24, 2027. Appoint Lisanna Lopez to the POTRERO COMMUNITY PLANNING GROUP, Seat No. 2, for a term to expire January 4, 2027. SUPERVISOR MONICA MONTGOMERY STEPPE Appoint John Davis to the CSA NO. 026 - RANCHO SAN DIEGO LOCAL PARK DISTRICT ADVISORY BOARD, Seat No. 3, for a term to expire January 4, 2027. Appoint Matthew Craig to the FISH AND WILDLIFE ADVISORY COMMISSION, SAN DIEGO COUNTY, Seat No. 7, for a term to expire January 4, 2027. Appoint Samantha Guzzardo to the FISH AND WILDLIFE ADVISORY COMMISSION, SAN DIEGO COUNTY, Seat No. 8, for a term to expire January 4, 2027. Appoint Jonathan Kimble to the PARKS ADVISORY COMMITTEE, SAN DIEGO COUNTY, Seat No. 7, for a term to expire January 4, 2027. 16TUESDAY, SEPTEMBER 24, 2024

CHIEF ADMINISTRATIVE OFFICER Appoint Adele Fasano to the CITIZENS LAW ENFORCEMENT REVIEW BOARD (CLERB), Seat No. 7, for a term to expire June 30, 2027. Appoint Kimberly Trammel to the TREASURY OVERSIGHT COMMITTEE, Seat No. 6, for an indefinite term. EQUITY IMPACT STATEMENT County government includes standing and special citizen boards, commissions, committees, and task forces formed to advise the Board of Supervisors and County staff on issues and policy and to serve as links to the community. Boards, commissions, and committees provide an inter- relationship between the residents and the government of the County. The nominations in this Board Letter enable the County of San Diego to provide individual residents the opportunity to impart valuable insight and input into the operation of the government. SUSTAINABILITY IMPACT STATEMENT The County of San Diego has over one hundred boards, commissions, committees, and task forces that serve as voice in the County government. Advisory bodies are an essential role in resident engagement that allow citizens to participate on issues relating to the welfare and quality of life in the County. They are fundamental to the County of San Diego’s ability to navigate complex and dynamic policy challenges, are a conduit to the County Bureaucracy, and a broker to community voice. This board letter supports the County of San Diego Sustainability Goal No.1 by “encourage[ing] people and diverse stakeholders to partner and participate in decisions that impact their lives and communities.” FISCAL IMPACT N/A BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: VargasABSENT: 10. COMMUNICATIONS RECEIVED (DISTRICTS: ALL)SUBJECT: OVERVIEW Board Policy A-72, Board of Supervisors Agenda and Related Process, authorizes the Clerk of the Board to prepare a Communications Received for Board of Supervisors' Official Records. Routine informational reports, which need to be brought to the attention of the Board of Supervisors yet not requiring action, are listed on this document. Communications Received documents are on file in the Office of the Clerk of the Board. RECOMMENDATION(S) 17TUESDAY, SEPTEMBER 24, 2024

CHIEF ADMINISTRATIVE OFFICER Note and file. EQUITY IMPACT STATEMENT N/A SUSTAINABILITY STATEMENT This board letter is a list of documents received by the Clerk of the Board of Supervisors and/or Board of Supervisors from other entities, other county departments, the public, and internal documents presented to the Clerk of the Board of Supervisors or the Board of Supervisors. This contributes to the overall sustainability of the county by engaging the community in meaningful ways and promote an environment that provides equitable access opportunities for public engagement. FISCAL IMPACT N/A BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: VargasABSENT: 11. SUBJECT: OVERVIEW We have seen a sharp increase in homelessness in the State of California over the past 7 years. There is a clear need for additional resources for those who need it most. Recently, the County of San Diego received a letter from Governor Newsom admonishing the delayed implementation of State Senate Bill 43 (SB 43), which expands the criteria for conservatorship to include those who are gravely disabled due to Substance Use Disorder. Governor Newsom signed this Bill into law in October of 2023, and the Board voted to implement SB 43 on January 1st, 2025. The expanded criteria offer a promising avenue for getting more people into treatment and off the streets. However, this expansion requires additional resources. It is not enough to simply have more people placed into a conservatorship if we don’t have the treatment, programs, and facilities needed. Governor Newsom issued an Executive Order on July 25th, 2024, urging local jurisdictions to clear homeless encampments. After decades of ineffective state policies-many of which, including the continuation of the failed Housing First policy, increased housing regulations, and the transfer of prison populations to local jails, occurred under his own leadership-the State is 18TUESDAY, SEPTEMBER 24, 2024

now placing the burden of these failures on local governments. Nonetheless, we share a common goal: getting people off the streets and into the help they need. Achieving this requires more than just policy changes; we need additional resources. With the collaboration of the County of San Diego’s department of Behavioral Health Services, today’s action directs the Chief Administrative Officer to send a letter to Governor Newsom requesting the funding necessary to implement SB 43. SB 43 implementation is only a part of the solution for clearing homeless encampments, as not all individuals living in encampments will qualify for conservatorship. However, we must use every tool at our disposal to address this challenge. The funding for resources needed includes: · The region-wide implementation of SD-Relay, a 24/7 behavioral health peer support program for those in emergency rooms who are placed in an involuntary hold or who have suffered a non-fatal overdose. This program alleviates the overcrowding of emergency rooms. · Funding for secure Behavioral Health residential facilities. · Funding for withdrawal management beds. · Funding for involuntary Substance Use Disorder treatment in hospitals. RECOMMENDATION(S) SUPERVISOR JIM DESMOND 1. Direct the Chief Administrative Officer to send a letter to the Governor of California, in response to his letter dated July 28, 2024, requesting: a. $10 million, ongoing annually, for the regionwide implementation of SD-Relay. b. $12 million, ongoing annually, for secure Behavioral Health residential facilities. c. $26 million, ongoing annually, for Medically Managed Substance Use Disorder Residential treatment beds. d. $3 million, ongoing annually, for Chemical Dependency and Recovery Hospital services. EQUITY IMPACT STATEMENT The implementation of Senate Bill 43 and the effort to address homelessness in San Diego County will disproportionately impact vulnerable populations, particularly those suffering from substance use disorders and mental illness. Expanding conservatorship criteria provides an opportunity to help individuals who are otherwise unable to access necessary treatment and support. However, without adequate resources such as treatment programs and housing facilities, marginalized groups may continue to be underserved. It is essential to ensure that equitable access to these resources is prioritized, with special attention to communities disproportionately affected by homelessness and poverty. This action aims to create a more inclusive and supportive system but must be backed by comprehensive services to achieve meaningful outcomes. Equity will be measured by how well services are distributed and accessed across all affected groups. SUSTAINABILITY IMPACT STATEMENT The proposed