Mayor Lurie Announces Appropriation Of 2024 Bond To Strengthen Health Care Infrastructure, Deliver Street Safety And Public Space Upgrades

SAN FRANCISCO – Mayor Daniel Lurie today announced new legislation to spend up to $195 million in bond funding for upgrades to city health care infrastructure and street safety and public space improvements. The legislation introduced by the mayor to the Board of Supervisors follows voters’ approval of the Healthy, Safe, and Vibrant San Francisco general obligation bond in November 2024 to invest in capital improvements to city facilities and infrastructure including community health centers, public hospitals, and public spaces.

The funding to improve San Francisco’s health care infrastructure and make street safety and public space improvements continues Mayor Lurie’s efforts to strengthen core government services for San Francisco’s residents. Since the start of his administration, Mayor Lurie has stood up more than 600 treatment and recovery beds and announced funding for more beds at San Francisco General Hospital to support highly acute patients. The mayor has also taken steps to invest in San Francisco’s public safety infrastructure—launching a Street Safety executive directive to bring city departments together to make streets safer for all residents and visitors and celebrating projects to improve roadway safety in neighborhoods across the city.

“As federal and state cuts jeopardize health care for tens of thousands of San Franciscans, we are taking steps to support our neighbors and strengthen our health care infrastructure,” said Mayor Lurie. “We’re putting this voter-approved funding to use to improve our health systems, make our streets safer for San Francisco’s families, and deliver vibrant public spaces. And we will keep delivering the core government services San Franciscans rely on every day.”

This legislation authorizes the expenditure of funds from the Healthy, Safe, and Vibrant San Francisco Bond—introduced by Mayor London Breed in 2024—allowing the city to issue up to $195 million for a variety of critical projects. This legislation is co-sponsored by Board of Supervisors President Rafael Mandelman, District 3 Supervisor Danny Sauter, and District 2 Supervisor Stephen Sherrill, and follows the city’s first issuance of $83.6 million, which was approved by the Board of Supervisors in June 2025 and executed in October 2025. The full $390 million bond amount was authorized for issuance last year.

The projects expected to receive bond funding authorized by this legislation include:

• Expanding and improving community health centers to deliver preventive primary care services, behavioral health services, sexual health services, and other health care services:
  • Chinatown Health Care Center: $45.6 million
  • City Clinic: $4.1 million
• Critical repairs and renovations at Zuckerberg San Francisco General Hospital and Trauma Center (ZSFGH) and Laguna Honda Hospital:
  • ZSFGH improvements: $16.6 million
  • Laguna Honda Hospital improvements: $10.5 million
• Seismic upgrades at ZSFGH to ensure safety:
  • Building Three ZSFGH: $20 million
• Street safety and roadway improvements:
  • Mission Street pavement renovation: $19.8 million
  • Fifth Street Safety improvements: $2 million
  • 11th Street Safety improvements: $1.7 million
• Modern and accessible public realm projects:
  • Harvey Milk Plaza: $23.9 million
  • Powell Street: $21.8 million
  • Embarcadero Plaza: $13.9 million
  • Hallidie Plaza: $8.9 million
  • McLaren Park: $990,000  

“The investments we make today with this bond funding strategically address critical infrastructure needs that will benefit San Franciscans for years to come,” said Carla Short, San Francisco Public Works Director. “Public Works is proud to partner with Mayor Lurie and our sister departments to deliver these voter-backed projects to create a safer, more resilient and welcoming city.”

“We are grateful to San Francisco voters for passing the 2024 Healthy, Safe, and Vibrant San Francisco Bond and investing in our public health infrastructure,” said Daniel Tsai, San Francisco Department of Public Health Director. “With bond funds now issued, we are advancing projects to strengthen our health care safety net, modernize facilities, and expand access to essential services. These investments will support the seismic upgrade of the Chinatown Public Health Center, critical improvements at Zuckerberg San Francisco General and Laguna Honda Hospital, expanded capacity in Psychiatric Emergency Services, and a new modern home for the city’s nationally recognized sexual health center. Building on our strong track record delivering capital projects, we look forward to bringing these improvements to communities across San Francisco.”

“Our highest priority is keeping people safe, and these funds help us to deliver meaningful progress on our streets,” said Julie Kirschbaum, San Francisco Municipal Transportation Agency Director of Transportation. “These projects are essential renovations and upgrades to help build a safer, more connected San Francisco for everyone.”