Liquor distributors, wholesalers, brew pubs and winemakers would be required to pay an extra 35 cents per gallon of beer they sell.
The fee would be $1 for a gallon of wine and $3.20 per gallon of hard liquor.
Supports say it would raise $16 million a year to reimburse the city for medical care, drunk driving arrests, treatment programs and other alcohol related services.
Mayor Gavin Newsom has threatened a veto.