The San Francisco City Council meeting held on July 23, 2025, focused on significant updates regarding the city's emergency medical services and community paramedicine initiatives.

The meeting commenced with acknowledgments of support from the mayor and local supervisors, particularly in relation to the upcoming academies for new emergency personnel. The 136th academy is set to begin on July 28, welcoming 56 new probationary members. Additionally, the graduation of the 127th academy will take place on July 25, where 16 new members will join the ambulance services at Station 49.

A key topic of discussion was the restructuring of the community paramedicine division, which is responsible for handling over 20,000 calls annually. The aim is to divert individuals from emergency rooms to more suitable care options. The changes outlined in General Order 25A069 include the demobilization of the street overdose response team, with EMS 6 now taking over overdose follow-up duties. Furthermore, community paramedic captains have been reassigned to work alongside neighborhood street teams, with three captains allocated daily to enhance operations.

In August, a utilization guide will be published to assist suppression members in understanding their interactions with community paramedicine. The overarching goal is to ensure a coordinated effort in directing individuals to the appropriate level of treatment or hospital care as needed.

The meeting concluded with a commitment to improving community health responses and enhancing collaboration among emergency services.