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supervisor campos: good morning, and welcome to the city operations in neighborhood services committee. my name is john avalos. -- supervisor avalos: good morning, and welcome to the city operations and neighborhood services committee. and we are joined by the of sfg personnel who are working on the broadcast. i want to thank you for your work. the clerk of the committee is is

linda wong. i should know that, but sometimes i go blank. thank you, wind up here ylinda. we can only accommodate people sitting in the room. we have an overflow room, which is downstairs. if you do not have a seat, i need to ask you to go to the overflow room. i do apologize for the inconvenience. you will be called when we of public comment, and we do want to hear from you, but it is the fire code laws that we have to follow.

ok, madam clerk, if we could hear night of #one. -- item number one. >> item number one resolution authorizing the tin francisco department of public shelter but attractively except in extend a grant from the centers for disease control and prevention. >> good morning. thank you. i am the director of and the der of the hiv prevention in san francisco. it is comparison of the new test called for a generation test, which has a smaller window period than previous test, and we are comparing it to our and a testing -- comparing it to rna testing.

we have been funded from the cdc to study this for four years. it includes funding, parcels that comment and ask that at 4- community-based locations to run the test with participants, and at the end of the term, of value with the effectiveness. a-- evaluatte the effectiveness. city clinic. supervisor avalos: thank you. if there are no other questions, we can go on to public comment. in any of the public ought to comments, please come forward -- any of the public would like to comment, please come forward. >> good morning, supervisors.

my name is doug liklas yep. i would like to speak in favor of the road was resolution. i think public health needs every dollar they can come and i would like to say the usual comments. the department of public health, honda hospital needs to cut the large amount of waste and inefficiencies so as much of the stop money can go down to the primary beneficiaries. it is kind of interesting we are dealing with a stop study, because i would like to mention two things with the word stop. first, i would like to mention whether we can stop the silence regarding my fellow employee who

died mysteriously in 1999 at san francisco general hospital. he was a proud gay man, so i am wondering in the city like this town no one has heard of him. secondly, i would like to urge stop the silence what is happening at laguna honda hospital. and in my opinion it is a real shame that people stand up a hospital have had their money mysteriously being used by the employees working. supervisor avalos: that is not quite the subject we have before us. you can use the same word, but it is not quite the same. you can continue, but keep it to the subject before us. and >> the only thing i have to say in the last 10 seconds, is where are the words of my district supervisor? supervisor avalos: think you very much. and any other member of the

public that would like to comment, please come forward. cnn, we will close public comment. -- seeing none. we will take that without objection. thank you. madam clerk, if you could read item number two. >> ordinance amending the administrative code of the limited services pregnancy centers from making false or misleading statements to the public about pregnancy-related services the centers offer or perform. supervisor avalos: think you, madam clerk. offer of the supervisors -- of the legislation is here, supervisor cohen. supervisor cohen: thank you. i first want to start by sending chiu to every member of the committee that i had a chance to meet with in favor of the legislation and opposed. in early august i introduced with the support and co-

sponsorship of president chu and kim and wiener. this legislation has been supported by numerous public health, reproductive and women's health organizations and groups throughout the city and state. and the concept behind the legislation is simple. it is to prevent pregnancy centers from purposefully and knowingly making false or misleading statements about the pregnancy-related services they provide to the public. when women face unplanned pregnancies, time is a crucial factor. if women are intentionally misled into believing that a pregnancy center provides emergency contraception -- coive, that loss of sign maybe she needs a more and is a producer -- a procedure or the option is no longer available to her. i want to make it clear that the

intent of the legislation, contrary to what some may say, is not to regulate or dictate the types of services, political or religious views that a pregnancy center may provide or pass judgment on whether they should be providing abortion services. rather, this legislation has been carefully crafted to ensure a balance between protecting the most hon. members of our communities and protecting the constitutional rights of everyone. insuring honesty in the way pregnancy centers advertise is essential to protecting the consumers rights and the health of women. as a city we have a duty to protect the most vulgar but residents of our communities, which this legislation seeks to do. colleagues, i urge you to support this legislation. thank you very much. i look forward to a robust public comment session. thank you. supervisor avalos: the queue.

do you want to move right on to public comment? -- thank you. supervisor cohen: no, i dontn't. i think we have a presentation by is dr. dreydr. drier. >> my name is dr. dry. i am a medical director of the san francisco general hospital women's options center. thank you for inviting me to speak about the health consequences of abortion delight. i became a position to reduce suffering. most of my clinical and research career has been devoted to women who need patient -- later abortions because these women are so vulnerable and the circumstances they face are so heart wrenching that i am motivated by them every day. as an ob/gyn the cares for

women and also does abortions, i always encourage women to either get prenatal or abortion care to maximize their health and minimize risk. if a woman makes the choice to enter pregnancy, she should receive save and respectful care without facing additional barriers or delays. decisions about ending a pregnancy can be complex and difficult enough without the additional struggles women face. to find a provider come get money together to pay for the abortion and bus ticket, could potentially face criticism from friends and families, and all this just to do what is necessary and right given their circumstances. why does it matter so much if abortion is delayed? on the most fundamental level, allowing abortion increases women's risks, along with adding to the distress and desperation. in general we know abortion is many times safer than delivering a baby in terms of mortality.

however, despite the impressive safety of abortion, it is a fist at the time when most women have them, which is nine weeks or less after the day of when the last minstreenstrauminstrelenstd started. even one week of the lidelay cod mean a two-day procedure instead. in one week later and maybe more expensive for one intend to raise funds for procedure. women may have to travel far distances. in some cases it could lead to a women never having an abortion at all because she may be too far along to have a provider. more commonly, in the additional

unnecessary and appointments. it is also hard to arrange for additional days of child care and transportation to the clinic. of women go to unnecessary appointments, each one may delay a woman four weeks in order to make the arrangements all over again and raise additional funds. to give you a sense of the impact on women we recently -- we frequently care for patients at san francisco general who did not a bus token or gas money to return home after their of the oceabortion or a place to stay overnight or food to pay for a two-day procedure. abortions are delayed by a

number of factors, including delayed recognition of pregnancy and by difficulty making the decision to end a pregnancy. logistical issues loom as who -- huge challenges for patience, with any additional points make it much harder to obtain an abortion and make all the necessary arrangements. in short, what are patients describe every day at the general is anything that delays the abortion increases the stress. we know increasing difficulties slow women down and therefore increase their medical risks. so i also am submitting some background research and data about the risks of abortion delay and risk factors associated with the delay. thank you for your time. supervisor avalos: ok. thank you very much. thank you for your presentation. we can go directly into public comment i have a few cards folks

that would like to come out first. would you like to lead public comment? public comment will be two minutes per person. >> thank you. supervisor avalos: we do have an overflow room. we cannot allow you to stand on the sides. that is downstairs in the north light court. i do apologize, but we need to ask you to move to find a seat in the room or go down to no. like court. >> i am going to call of six names. dr. lynette, family george, a meat everetamy everett. dr. lynette.

>> my name is lynette [inaudible] . as a family physician i provide comprehensive health care for all my patients, this includes abortion for women who decide to end a pregnancy. i have dealt with many women who came to me when they found that they were pregnant. the last thing my patients need is anti-abortion clinics masquerading as health clinics. i was recently practicing in new york city in treated michelle, a 16-year-old who came to my clinic for an abortion. she came into the room and entered quietly. this is not unusual for women going through a difficult time. as i began to counsel her about what to expect she started to sob. we sat down together and discuss the pros and cons of her decision. she was not ready to be a

mother. she was not ready to be pregnant. she wanted to go to college. she felt suicidal. her mother was opposed to abortion. she still concluded this was the right choice for her. on the way to the clinic, however, she saw a nearby building with a large sign with of qestiquestion -- unintended pregnancy? instead of asking her history, they asked her about her relationship with god. they told her ending the pregnancy was murder. and she followed through with the procedure, the baby would feel pay. they showed her pictures of fetuses that were much later in pregnancy. she said to me, i cannot get these pictures out of my head. i expected her to say she changed her mind and wanted to leave. instead she think before being

there in determined that she wanted to go ahead. she considered all her options and chose abortion. she did not want to be a mother right then, she wanted to continue her education. despite the propaganda, she chose to end her pregnancy. >> libby benedict , so let's get everyone in mind. >> good morning. i am present on behalf of fishes and for reproductive health and choice. we are a doctor-led national advocacy organization with approximately 30,000 members. we use evident-based research. we proudly -- believe it reproductive choice for everyone. crisis pregnancy centers are not only misleading, but they also dispense false and medically inaccurate information to women. it is imperative the medical

community speak out on this up -- the deceptive practices and continue to keep women say. on behalf of those who serve the sexual health of women, teams, and families, we urge you to vote yes on the pregnancy information disclosure and protection ordinance. >> thank you. sarah ladue. >> thank you, supervisors. i am are residents of san francisco and the public affairs manager at your toward california. before considering the various abortion procedures, we recommend woman obtained an ultrasound to determine if the pregnancy is viable. and our ultrasound can pick up a non-viable pregnancy, you might not need an abortion. studies reveal 15% to 20% will end in miscarriage. that is right, first resort once

as to promote that you do not need an abortion because your discretion to miscarry anyway. and when a woman is making an informed medical decision, she should be able to get her information from a doctor, not someone who has a secret agenda. of all bnot all are tehe same. all this bill will do is ensure crisis pregnancy centers are held accountable for misleading advertising they used to draw women to their offices. when a woman is pregnant she is a short window of time in which she makes very important decisions. if she chooses to continue the pregnancy, she needs to start receiving prenatal care from a doctor. if she chooses to terminate the pregnancy, her options may vary. in either case, she should not

be forced to delay -- to make her decision simply because she goes to an office that does not offer a medical choices. i want to read one more article. they come and they think we're one of the many abortion clinics in miami. when they leave, they leave with jesus in the heart and a baby in the womb. >> pamela george. >> my name is pamela george, and i support the ordinance. i would like to read to you a few reviews of the "san francisco cedc, call a first re of first resort." "the wear of people who have won

one yelp review and give this place five stars. after going with a friend i can tell you they absolutely do not perform pregnancy terminations here. in fact, they tried to talk my friend into having a baby. when we call to make an appointment they made it sound as though they provided plan b here, when in fact they do night. once we arrived and talk with a counselor it was clear this place has a religious undertones message in later found out it was funded by a religious organization. we ended up at the ucfs and from there, planned parenthood. please do not come here if you are seeking a choice. good luck to all those women out there when faced with this situation." my second quote is "number one,

this is not a medical facility. they cannot give you medical care here. there are no licensed physicians here, no matter what they say. they called themselves nurses. what do they do? the one that trains you to wipe old people's passes. they are religiously funded. if you come here, they will try to manipulate you. i repeat, they offer no medical care here. do not believe you're in the care of a position. do not be misled." >> amy everett. >> good morning, thank you. i am the state director of choice for california, and we represent thousands of women. i am here to express strong

support of the members an organization for the pregnancy information and protection ordinance. this morning we deliver more than 300 letters from san francisco residents to each supervisor. in addition to the more than 1500 that were delivered last thursday. for several years now my office has conducted research on the crisis pregnancy centers and the harm they do to women who are facing unplanned pregnancies. our report found that many intentionally mislead and coerced women who go to them seeking comprehensive pregnancy- related services. some of them have been reported to you shame or convince from mobile women that carrying the pregnancies to term will help them to atone for living a loose or a responsible life style. this ordinance only applies to a pregnancy center that engages in