California’s Proposition 10 passed in 1998. Proposition 10 created a tax of fifty cents on every tobacco product sold. It created the Children and Families Commission. The Commission is also known as First 5 San Francisco.

Nearly $500 million in annual revenue comes from the tobacco tax. Each county gets money for local programs. Counties are funded based on their birth rate. San Francisco gets about $6 million each year.

In 2022, First 5 San Francisco merged with the Office of Early Care and Education. They formed the Department of Early Childhood. The Children and Families Commission still oversees the City’s Proposition 10 funds.

Four seats on the Commission are for City agencies:

• 公共衛生主任或指定人員
• Human Services Agency 總經理或指定人員
• 監事會成員
• 兒童、青年及其家庭部主任或指定人員

Five seats are appointed by San Francisco’s Board of Supervisors. They have four-year terms. They represent these community constituencies:

• County services for children, public health, behavioral health, or social work. Or, tobacco and substance abuse prevention and treatment
• 縣戰略計劃提供的服務接受者
• 專門從事兒童早期發展的教育工作者
• Local childcare resources or referral agencies. Or, the Childcare Planning and Advisory Council
• 當地預防組織或 早期干預 對於處於危險中的家庭
• 社區兒童早期發展組織
• 三藩市聯合學區
• 當地醫學、兒科或產科協會

There are two committees in the Children and Families commission. The Program Committee reviews the performance of our programs. It considers new initiatives. The Fiscal Committee oversees financial matters. It does financial planning and makes our annual budget. It also monitors expenses.