NOVEMBER 2024 VOTER GUIDE

YES ON PROP B

Healthy, Safe and Vibrant San Francisco Bond

ENDORSE-O-METER SAYS: YES

Mayor London Breed’s infrastructure bond aims to improve and retrofit San Francisco’s aging healthcare facilities, while also putting money toward road repairs and safety improvements, and improving shelters for unhoused people. Ongoing maintenance is crucial to keep cities functional, but infrastructure maintenance and repairs often get the short end of the stick from elected officials—it’s more exciting to announce new projects than repair existing ones. We’re voting yes on Prop B because it’s more cost-effective to maintain our infrastructure, rather than repair it after it breaks.

The Context

The “Bond to Support a Healthy, Vibrant San Francisco” is a broad, $390 million infrastructure bond introduced by Mayor London Breed, primarily focused on funding maintenance for the city’s public health facilities. Roughly half of the bond money goes to fund seismic retrofits and maintenance at public health centers like Zuckerberg San Francisco General Hospital, Laguna Honda Hospital, City Clinic, and Chinatown Health Clinic. In a seismically active area like San Francisco, making sure buildings are ready for the next big earthquake should be a major priority, and we’re glad it’s being addressed with this bond measure.

The Money

Seismic retrofits for the Chinatown Public Health Center and Zuckerberg San Francisco General Hospital take up a big chunk of bond money, with about $177 million devoted to those renovations. But this measure also directs $50 million for shelters for unhoused people (particularly families), approximately $64 million for citywide street safety projects, and $25 million to improve public spaces like Harvey Milk Plaza in the Castro. While $390 million sounds like a lot of money, this measure is relatively normal as far as San Francisco municipal bonds go, and the analysis from the City Controller’s office found that this measure won’t raise taxes.

If this bond is approved, here’s what we’d spend the money on:

  • Up to $99.1 million for the expansion and improvement of community health centers, including the Chinatown Public Health Center and the City Clinic

  • Up to $66 million to make critical repairs and renovations to both Zuckerberg San Francisco General Hospital and Laguna Honda Hospital

  • Up to $63.9 million to be used for infrastructure projects along the High Injury Network which includes signal upgrades, better sidewalks and repaired streets

  • Up to $50 million to purchase, construct, finance or improve shelter or interim housing sites to reduce homelessness, particularly for families

  • Up to $40 million for seismic improvements at Zuckerberg San Francisco General Hospital, Building 3

  • Up to $41 million to improve and modernize public spaces like Harvey Milk Plaza and Powell and Market streets

Additional Details

This bond was initially set at $360 million, but increased to its current $390 million amount after Harvey Milk LGBTQ Democratic Club and other groups protested the lack of funding for the Department of Public Health’s City Clinic.


There’s quite the grab-bag of projects in this bond, but it’s a mayoral election year. Mayor Breed added a variety of projects to curry favor with political groups to support her reelection bid. If it weren’t for the election, this bond would have likely solely focused on hospital infrastructure.

Support & Opposition

This bond has the backing of most of San Francisco’s high-level elected officials, including Mayor Breed, District 2 Supervisor Catherine Stefani, District 3 Supervisor Aaron Peskin, District 4 Supervisor Joel Engardio, District 6 Supervisor Matt Dorsey, District 7 Supervisor Myrna Melgar, District 8 Supervisor Rafael Mandelman, and District 9 Supervisor Hillary Ronen. There is no significant opposition for this measure.

Other Organizations That Share Our Endorsement: The Alice B. Toklas Democratic Club, the San Francisco Democratic County Central Committee, and the United Democratic Club.

Paid for by TogetherSF Action. Not authorized by any candidate or a committee controlled by a candidate. Financial disclosures are available at sfethics.org.

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