through healthy san francisco and won't get it otherwise. thank you. >> i have a few more names. (speaker names being called). >> next speaker, please. er >> good afternoon, supervisors, my name is olivia fang, i am the founder and executive director to have latino breast cancer act si, a small non-profit organization based here in san francisco. through our organization, we use this low-income uninsured weekend to access breast cancer screening services including follow up, diagnostic care without cost and without barrier, many of the women who have come to our program have lost tha*ir insurance as their employers have cutback their hours, these women rely on

programs like ours, i too rely on healthy san francisco for preventative care and prescriptions as i do not have health insurance because i cannot afford health insurance, i don't qualify for health insurance because i am considered to be at risk, i am a breast cancer survivor, when the affordable care act is fully implemented, that doesn't mean that folks of me like the [inaudible] it is very lieb likely that we won't be able to afford to buy insurance through the marketplace. my husband has not worked steadily since the 2009-2010 financial crash. for us, healthy san francisco has been a got sent and again, i am not quite sure that we'll be able to afford health insurance without feeling some sort of financial burden. my biggest concern however is for those folks who are not eligible at all for health

insurance because of their immigration statsz, this is inhumane, another reason why we must keep healthy san francisco in place. i wanted to make sure that you did know that i am here today not to just advocate on behalf of myself but for many that voices are seldom heard. thank you. >> thank you, next speaker. >> hello, my name is amber, i'm the political director for the san francisco labor council, it has been in the forefront for this access of health care and the health care security ordinance, this is an issue that we have foukt over and over to protect for all of san francisco citizens, the health care security act ordinance goes beyond the aca to cover more residence, there are some employers who would like to shirk their responsibilities to the city. my husband acts as care through the health care security order who was involved in a serious

bike accident, would not have been covered throughout the aca, it included serious rehabilitation, because he had care through health care security ordinance, we were able to keep our family afloat and stay here in san francisco, we would not have been able to do that without that fund and in our continual quest to keep young families here, we need to consider that as part of the problem, so here we are yet again fighting for an equitable and just economy that respects the contributions of the people that make this city work, and i really appreciate your hearing on this issue and your leadership on this issue, we need to keep this fiekt going and the san francisco labor council will be there every step of the way. thank you very much. >> next speak e please. >> good afternoon, my name is maureen dugan, i work in a

medical surgical department, i'm speaking here today because i want the mayor and board of supervisors to understand that keeping healthy san francisco in tact is critical to the san franciscans, i see the ill pact on patients when they have to choose between paying for a needed medical test or putting food on the table for their family, unless they are sick, they choose their family first x then they end up in the emergency room. healthy san francisco has significantly improver situations like this and on behalf of my patients, we need to make improvements to healthy san francisco, not go backwards. it will span medi cal ko*rj to thousands of san franciscans but the individual mandate to purchase private health insurance will be a substitute for healthy san francisco, the plans on the exchange are expensive and have high deductibles, people forego insurance and pay the penalty, patients will end up in the

overcrowded emergency rooms where they are extremely ill and expensive to care for. healthy san francisco provides coverage for all san franciscans, not the ability to pay, i urge urge the board of supervisors to seek the regulatory changes necessary. thank you. >> thank you, i have a few more names. (calling speaker names). next speaker, please. >> hello. my name is jake, i'm 29 years old, i work as a beverage server and i've been a healthy sf, i'm acquired by law to have blood drawn, i make about 13 thousand dollars a year, use 80% of that to pay my rent and the only way to access health

care is through healthy san francisco, [inaudible] without which i couldanted afford healthy san francisco. next year bh the affordable care act goes into effect, i might be eligible for medi cal, through some research, i did medi cal only covers preparationbacker prescription testosterone for delayed puberty and female memory cancer, there's no coverage for transrelated hrt. if medi cal uses the same gender classifications that private [inaudible] because they don't ko*frn gynecological care for men, many of the health care secured the ordinance because i need to pay for treatments not covered by medi cal out of pocket. the only way i can do that is through my employer funded

account, it's important to me and my community that the health care ordinance stay in tact. >> thank you very much, next speaker. >> good afternoon, supervisors, my name is chris wright, i'm the executive director in the association of the largest private sector employers, as we enter uncharted territory and how it interacts, it's important na city officials, employees and employers and tax payers have as much information as available, this hearing is a good step in this direction, the health coverage council is also a step in the right direction, however, i would like to bring your attention to an article earlier this week, it is referred to a letter to the editor from sibyl man, the assembly men say that they understand the two laws are

compatible and complimentary and told readers, don't take our word of the city attorney, we did, this suggests they reviewed the city attorney's legal analysis and what anyone had to do is ask for it. at least as of tuesday, they had not responded. the city attorney's written analysis has not been provided to the public. i'm surprised that this analysis who should be noted is no longer a client of the city attorney should be made available to the public. the key stakeholders has all the information to move forward as quickly as possible, the written analysis be provided to the public as part of this hearing. >> thank you, next speaker. >> good afternoon, my name is rob black, i'm here on behalf of the golden gate restaurant

association, we share mayor lee's goil that implementing the affordable care act is top priority for san sa*ns and we look at participating in the health care council to ensure all workers will be able to access all health care benefits. the law has also expanded the scope of financial assistance to individuals through an expansion of medi cal, a federal subsidy of individuals that make less than 400 % of the poverty line, in addition, the law has altered what kind of health insurance products are available on the market requiring all plans to [inaudible] it is these changes that have left local employers, especially those who employ part time workers in a quandary of how to comply with the

health care act. we are looking to the city for that guidance. contrary to what you've been told, our goal is not to dismantle healthy san francisco, we want it to provide health access to individuals who are not covered under the affordable care act, however we mrao*efr it's irresponsible to encourage employee that is have an individual mandate to have full insurance under the law to accept a health plan that doesn't require plans under federal law, to get subsidized coverage and their dependents through covered california, we look forward to working through these complex issues so we can successfully implement the sca, those that fall under the safety net continue to have healthy choices in san francisco. >> thank you. >> jim lazarus, khim beer of

commerce, because there was a lot of testimony earlier, one of the solutions is going to be passage of the comprehensive immigration reform bill. the chamber has supported that from day 1 and it's clear that many of the people testifying today would obviously benefit from a pathway to citizenship. we struggle with the same issues in 2006 that we're talking about today, 2006 when we sat down with business and labor and civic and the mayor's office to develop the health care security ordinance. local mandates, competitive disadvantages, programs of access to health that are not insurance and not portable, the issues of urisa and federal constraints on what can be mandated at the local level have all confronted us as recently as two years ago with your legislation as to the role of health reimbursement

accounts. we look forward to an opportunity to work with the board of supervisors, the mayor and the public health department on seeing how this legislation can properly duck tail with the new federal mandate that will be confronting individuals in 2014 and the businesses in 2015. we believe that there is a role to working together to come up with an economically viable solution because it comes back to time and time again, what is affordable for the employee and what is affordable for the employer, how do you create jobs, it's alright if you have a higher minimum wage and it's already if you have some health insurance come framing that employer, if those costs prevent somebody else from getting employed and staying on unemployment, that's not good beer the person that's still on unloiment, that's the balance we've all struggled with and we look forward to working with supervisor campos and the mayor.

>> i do want to take this opportunity to thank mr. lazarus, mr. black, mr. wright for being here. i think it's important we try to work together and i appreciate the fact that you've been sitting here and, you know, san francisco has figured this before and that's why it was important in reference to what mr. wright said to make sure we get the city attorney on record so people have this guidance and that clarity is important and i think we got it today. >> we appreciate that. >> thank you, next speaker. >> good evening, my name is donna smith and i am a native of san francisco and resident of hunter's point bayview, it is imperative that you keep the hdso because insurance under the healthy san francisco will be crucial for helping to meet the cost of caring for the uninsured. now, speaking of the uninsured,

the san francisco insurance will allegation be affected. the healthy san francisco has definitely helped some of the families in hunter's point bayview. we do have agencies like the southeast center, the bayview medical center and we have health fairs throughout our community but we need more outreach, we need our families to know how to obtain these services in insurance, so i want to see more outreach out in hunter's point bayview, and i'm sure you are aware in my community that we have a high rate of asthma, diabetes and cancer and also trauma, a lot of trauma related issues are in hunter's point bayview and this causes a problem with our children. i am an employee with the unified school district, and i would just like to see that the

parents have more access of insurance and know the health fiavailable to them because you must realize that good health is a conduit for closing this educational gap for children of color, so please keep this program going, it's very important for our community in hunter's point bayview, thank you. >> i'm going to call a few more names. (calling speaker names). >> good afternoon f, my name is johnny arengo and i've been a resident in the city for the last 15 years and i'm here in support of the healthy san francisco for the following two reasons, i work in a downtown restaurant for more than 11 years with no medical benefits

of any kind, the restaurant owner made sure i got less than 30 hours per week to be ineligible for my kind of medical benefit, my dental and vision care went from 2 thousand to 3 thousand dollars a year, my one year doctor visitors went from 1 thousand to 2 thousand dollars a year considering the fact that i haven't had major illnesses in the past year, my partner was admitted in the emergency room, the doctors said if he hadn't been taken to the emergency raoment, that his condition was worsening, he wouldn't have made it through and died in a matter of hours, he's a healthy man again and doesn't have to worry about medical bills, thanks to the benefits of healthy san francisco in emergency medical situations. these two examples illustrate in one hand the costly effects

that the elimination of healthy san francisco can have in the pockets of rest ranted workers. on the other hand, healthy san francisco is an affordable option for our workers who work less than 30 hours per week at the city post minimum wage. i want to remind you that restaurant workers are the face of san francisco in the sense that we take pride in the services we provide to rez densest and tourists by means of entertainment and pleasure. i assure you that restaurant workers are happy with the benefits of the healthy san francisco program, we will make our economy a healthy one. >> i'm going to read a couple more names. (reading speaker names). next d >> supervisors, my name is connie ford and i'm one of the

vice-president of the san francisco labor council, you can tell by the color of my hair that i've been around for a while, i know that san franciscans love good health care and health care for all of our citizens, back in the 90's, we passed six initiatives to better health care for our citizens, we know the single payer or many of us is the on the answer and in 94 or 96 that the state ballot that passed, that the single payer initiative, san franciscans passed it, californians didn't, san franciscans passed it, when we got to cfo's, we couldn't have it all by itself in san francisco, so we brought in all of the different force, we brought the federal government funding, the state funding and the employer's funding to help provide access for everything, acso is not just san francisco

healthy, healthy san francisco, it's both, the mandate from the employer so they should pay their share as well as everybody, and as your attorney said today, we think aca is coming in, we're excited about the possibilities, we wanted to work but we need both systems in this city to ensure that all of our san franciscans, undocumented people who work less than 30 hours a week, all san franciscans can have access to health care, please, it's not that complicated, people won't make it that comply skated, we need both systems implemented as soon as possible, thank you very much. >> next speak e please. er >> my name is dina long and i'm the polling si director at the clinic consortium, we serve about 10% of san francisco's overall population and we serve a lot of people in healthy san francisco program, the consortium is dedicated to enrolling outreach and

enrollment for medi cal and ko*frned california, democratic speaker pal loes s*i said we're awarded funds to do this. it addressing one of the problems that we need to do aggressive out rao*efrp, we plan to do that, hoer, there are going to be a lot of people left out and the issue is do they get an organized system of care which is healthy san francisco, under healthy san francisco, each patient is established in the community based patient centered health home, they have their own consistent primary care provider, that's one of the unique things about healthy san francisco, it provides patients an organized patient care.

it's -- they provide a variety of services that enhance work, through healthy san francisco, community clinic consortium support the city of high users of city, tep-we recommend we aggressively do outreach and keep healthy san francisco, thank you. >> next speak e please. >> hello, my name is [inaudible] taylor, i'm sure you're bombarded with call tos do the right thing, so i'm just going to say be clever today, i would ask you to pay close attention to who's going to be on the mayor's commission and the voices and the backgrounds and where they're coming from. you're going to have an

unrealistic view of obama care implementation, or that's what my worry is. if other ruminating of this advice may have a list of anecdotal evidence and howell they take care of their employees, if you must look to anecdotal evidence, look to the young kids in their 20's who are trying to get a start in their restaurants or any other business, we take kids who can get hurt easily and we have to give them an option for health care and it's hard to pay 2 thousand dollars for one bedroom apartment for this town, so i've been one of those kids and my family and my friends are all those kids, they come from service backgrounds, they work hard in kitchens and they need a place without having to share a bedroom because to share a bedroom could cost them an extra thousand dollars, it's ir

realistic and irresponsible to have them pay out each month. so, be clever, find a way to reinforce this legislation, it's a standard that's unparalleled and should be enhanced, should not be backed down on and you should not leave it alone and make it stronger and not weaken it, for those restaurant owners to see it wadeable, destroyed, that would be an opportunity for them, so please don't give into that pressure, thank you. >> thank you, next speaker. >> good afternoon, my name is dana, i'm a member of congregation [inaudible] and a leader with the san francisco organization, our members lacked health insurance, we found out about supervisor am

ya*n know's plan, one of our congregates signed up for sf healthy as soon as she could, they found a tumor and removed it saving her life, she got me to join with sfpe and has been working on health care issues ever since, i was part of the task force convened by public health to see how the affordable care act. the key finding of the task force will be that there will be a continued meet for health care safety net before the full implementation. we're here today because some players value profit over the health of their employees and seek to abolish the employer's pending requirement of the health care record nans, however, that would undermine the funding for health care in

san francisco. if it had to come out of the general fund, it would go unmet, also we'd use the requirement it had in encouraging employers to ensure their workers. in some, the way to preserve san francisco's landmark universal care safety net is to keep the health care security ordinance as it is. thank you. >> thank you, next speaker, please. >> good afternoon, my name is rosa, i'm here on behalf of health access california, our mission is for everyone here in california to have access of quality affordable ho*elt care, i would like the supervisor's commitment in providing health care services for everyone who lives and works here in san francisco. the affordable care act, i wanted to say a few things

related to the affordable health care act, the affordable health care act is a historic opportunity to expand meaningful health coverage, some key achievements include 640 thousand californians to got mep throughout the health program, there's been 4 thousand young adults who are between the age of 18 to 26 who have been able to stay under their parents coverage because of the affordable care act and there's 21 thousand californians who were denied health coverage because they have a preexisting condition who are able to get health insurance through california's aca funded preexisting condition insurance pool, so that's all the good news and medi cal expansion is going to happen which will provide health care to children and

low-income adults as well as the exchange here in california, but what i wanted to know is that still despite these forting, there's going to be 3 to 4 million people that won't have health coverage next year here in san francisco, that's going to include undocumented immigrants which you heard some of those voices here, but in addition to that, it's going to be people who miss the enrollment period, it's going to be low-income residents that are low-income but not quite like to the 15 thousand dollars, so i wanted to encourage the supervisors to do whatever that needs to be done as far as maintaining healthy families. >> thank you very much. next speaker. >> good afternoon, supervisors, and thank you for holding this hearing.

i don't think it's been a two member board on the same day. the 6 thousand teachers and professionals who keep our school working and serving the kids of our city. there's no question the educators, the pillars of our great city is health care and edge kaix, so this morning, we were talking about the crisis facing city college, but this afternoon, it seems that we have more of an opportunity, so as aca comes online, comes to san francisco, because of our model, san francisco health program, we can fill in the holes, the loopholes, the human loopholes in the federal program, so supervisors, you have the opportunity to make sure that our students from undocumented families, from the families that fall between the lines, that their families get care.

now, i know that supervisor campos and many in the city family are thinking about how to bring more community support to our schools and a foundation of that and one that educators, community organizers and people business are talking about, how do we best make sure that our kids as they're doing their best in school have a healthy, successful family to go home with, so we educates of san francisco urge you to make sure that san francisco promotes and makes better the federal health fund, thanks. >> thank you, mr. tray, it's always good to see teachers in city hall, so keep doing it. >> good afternoon, supervisors, my name is adraoe yan and i'm with planned parenthood based here in san francisco, good to see you, supervisor campos, we strongly encourage you to

retain healthy san francisco, [inaudible] we know first hand the importance of the healthy san francisco plays and health being in our community, while planned parenthood supports the affordable health act and its access that health insurance provides, two key problems continue to exist, health insurance will not be affordable to many people and many people will not be eligible for any sort of health coverage under the nca, affordability, more low-income people will be eligible for expanded medi cal, health insurance covered will still not be affordable for many, especially in a high cost city like san francisco, people will not be able