of our homeless drop-in centers. we have had many programs close. we have lost mental health treatment programs, substance abuse treatment programs, which i could go on and on. at the same time, it because it is an economic recession, we have more people turning to the public health system for help as they lose their jobs, health insurance, as more people become homeless. we have over 50% increase in the number of people seeking shelters. 300% increase in families seeking shelters. the acuity level of people has gone way up. the level of crises that people -- all this into costing the city so much more. what are you looking at? you are looking at cuts that are

disproportionately targeting the most vulnerable people in san francisco. the reason for that to is this emphasis on unmatched general fund. you have an elimination of affordable housing by raising the rents on people with aids. you have losses in the drop-in centers. you have hundreds and hundreds of homeless people that are relying on that for basic needs. you have cuts to case management in the shelters. we would like you to restore all of the cuts to the health department and try to increase funding. thank you. supervisor chu: thank you. >> good afternoon, budget and finance. there is something, but there is

nothing. i have not seen a psychiatrist in years, and what does it do? there is no medical help. the cataract operation was great. they have done nothing else. i had all of these places to go. i do not know where they are. by the time you got that aids disease, you would go crazy. it is a silly thing. you have to be super gay -- that is what they want. i cannot go see anybody. i saw barry manilow. who else is going to talk to you? do you know what i mean? you must have some very expensive boyfriends and girlfriends. they will charge you to get it anyway. i have not seen one bit of help.

i go by a general hospital, i want a reason to go there. but then i end up going to the channel 20 or else i'd go to the flea markets. there is no excuse. people need to help each other a little more. the doctor said he did not want to see me no more. and then you would not all be ♪ cryin' over ryan's fund ♪ ♪ now you're gone and you gotta carry on ♪ ♪ you've been cryin' ♪ thank you. supervisor chu: thank you.

>> good afternoon. i am from the san francisco human services network. thank you for this early hearing. it is good to get this stuff out on the table. i was going to speak about the impact on the health department. jennifer did a great job of letting that out. there are three areas of decisions that the mayor and this committee are going to have to take on. first of all, to what extent are we going tolay our values on the line? secondly, the general fund cuts, a $4.8 million across the board cuts that range anywhere from

4% to 25% depending on how different services are impacted by the formula. it does not take into account questions like, who are the clients that will be impacted? how much will this cut destabilize the program? out of those programs over other costs we're facing? there are a couple of million dollars in other cuts. the hiv housing subsidies, residential support of housing. it is about $6.5 million. we have this expense $7 million for usf. the mayor's office is taking

responsibility for whether or not nonprofits. they should not be cutting these services. we're cutting the services to the most vulnerable. i hope he will work with the mayor to take care of both. thank you. supervisor chu: thank you. >> good afternoon. i want to echo what the last couple of speakers have said. at this point, flat funding is a cut. we have seen a significant increase in the health care costs. if you look at the flat funding and you look at the increases, we're seeing that on the ground. we are seeing higher acuity.

we are seeing higher caseloads. at this point, we need to refund the cuts and increased funding. thank you. supervisor chu: next speaker. are there any other members of the public that wish to speak? >> i am a volunteer with the coalition on homelessness. i would like to speak in favor of hospitality house. these people are the best. when i first came here, you cannot tell by as much weight as i have gained, but i had a crack problem. oh, my god. they have done so much for me. they got me into housing.

i went through their internship program. one of the best things it did for me is held with my self- esteem. and feel better as a person. when mike kansas manager -- when my case manager left, i was upset. i had some things going on. he said, don't worry about it. i will take over. i will do this for you. as program manager, that is not in his description. you know, excuse me. supervisor chu: thank you very much. [applause]

>> [inaudible] i will be brief. they are doing a good job for homeless people. a lot of the homeless people can be artists and they are creative. do not close hospitality house down. supervisor chu: are there other members of the public that wish to speak on items one and two? public comment is closed. supervisor wiener: thank you. i want to thank everybody who came out today. for the ryan white funding cuts hearing. this is going to be a very

challenging year. the projections for the deficits are lower than what we had anticipated and lower than last year. it becomes harder and harder, and with this additional $7 million in hits from the federal government, we have our work cut out for us. i am clabber able to have this hearing early and began a very -- i am glad we were able to have this hearing early and began a very public dialogue. thank you. supervisor chu: supervisor kim. supervisor kim: it is always important to hear directly from the community. thank you to everyone. i do not know if -- one of the

issues that has repeatedly come up over the years, it gets exacerbated every year, we make the same cuts. although it looks like a small cut every year, when you think about what we have had to cut every year for the last five years, it is hard to get an overview of the services. i thought it was really helpful to get the graphic of the ryan white funding. what that has meant overall. i was hoping that you could talk about the context of the cuts that have been made over the last several years. >> absolutely. your staff is doing a good job. i have the summary of the history of our caucus. spending -- of our cuts.

spending reductions over the last five years. i will distribute copies. there are a few different things going on. if you go back and look at all the initiatives that went in front of the health commission and ended up making their way into the budget, it and that being a large number. there have been some significant reductions in the department during the worst years of the recession. the other thing to keep in mind as we look at this is that some of these reductions were not necessarily service cuts. some of them were of efficiencies that we probably should have and would have done regardless in order to free up funding for other priorities. other pieces of this are reductions, but they ended up coming back to the department in

other ways. for example, we have some position reductions over here, but we do not show the cases in which, for example, last year, we added positions to meet our federal requirements. those positions are not reflected on this sheet. it is something that provides information, but it has to be taken with the caveats in mind. this is the last five years of -- it is the last four years of initiatives that were approved by the commission that ended up making their way into the budget, broken down by division within the department. what you see here is the cumulative total of those proposals adds up to $98.6

million over the past five years. if you step back and take a look at the big picture, the budget has grown over that time. we have not reduced our budget and there have been other funding increases that have come and simultaneously. this is what happens if you add up the list. as you would expect, the largest reductions are several years ago as we were starting to come into the years where we had significant budget deficits. that has come down over the last few years. that is the picture. i am happy to try to answer any questions. there is a lot of detail behind this, so i would be happy -- and we are working on updating this

and adjusting and correcting these numbers. i would bei would be happy to th the details about what is behind these numbers. supervisor chu: what did you say those numbers were specifically? >> what that would be is any initiative that was proposed in order to meet the department's budget target that ended at making it into the budget. supervisor chu: that was passed by the board. >> that was passed by the word. this would include if we had found an operational efficiency that saved money that would be included here if we had a reduction that was actually a policy decision to reduce services, that would be included here. the cuts from harvey rose would be included here. it is the combination. it would not be included here.

other changes, cost increases, and other expenditure growth is included. supervisor chu: it would include the budget proposals that you folks proposed, mayor introduced khan and we supported, budget analyst cuts and efficiencies that do not mean service reductions? >> correct. supervisor chu: there are increases in the department budget and others? >> that is correct. supervisor chu: it was hard for me to see the screen. i am sure you will share with us later. i appreciate the simplistic snapshot for today's meeting. it is helpful and we started the hearings early to get a sense of what they look like. supervisor chu: thank you,

supervisor kim. in addition to the size, the growth side is important. especially if we look at what the investment from the federal government has been for the health care reform. for example, we're going to see the $42 million in increases to boost of our availability in terms of the evening hours and what not. those things are not captured in this. i think a fuller picture might be beneficial. >> absolutely. it is hard to encapsulate all that and two -- into a single spreadsheet. we will take it for what it is. colleagues, we have opened and heard public comment. the two items are before us. you have -- do you have a preference? >> for the ryan white hearing, i would like to continue at the call of the chair. carderock i would like to continue the second items to the

call of the chair. do we have a motion to continue to the call of the chair? we have a motion by supervisor avalos. seconded by supervisors kim and cohen. we can did that without objection. do we have any other items before us? >> we do not. supervisor chu: we are adjourned. >> good afternoon petraeus i am

hearing to present -- i was told over the weekend, no, i would go present and entered as the person who will be receiving the award this year. i said, when is that coming at the lunch? the end, the grand finale? she said, no, it is the first award. i said, isn't this the international women's day and we're giving a man the first award? she said, oh, they have to go back to work. i said, we have heard that before. so the man of the year. when we think about who the right person should be and is deserving of such an honor, believe me, we're not looking for a man who is in high political office or the ceo of the major companies. instead, we're looking for someone who has demonstrated over time that he is committed to advancing equal rights and opportunities for women and minorities, someone who has

talked the talk and walked the walk. i know we have a number of guests from other countries at this year's women's summit. and at many levels. and it is universal. we're talking about advice for education. jobs and economic opportunities. and in the political arena. when i first became active in this community, thanks again to many of my friends who are in this room who are my inspiration and give me all the encouragement that i have had, i have come to learn that we must have a place at the table. that is what was referenced issue today. this should be the theme this year, to be at the table. we're talking about in the corporate world, the board room, the state legislature, the halls of congress, or at city hall. well, i am very proud of the recipient of this year is a man

of the year award, our mayor, mayor at least pujols -- mayor ed lee. [applause] the mayor is the chosen one. not because you have the title of being the mayor. the mayor was the chosen one because over the last 30 years, he has a history of promoting justice and advancing equal rights and opportunities for women and minorities in the city and beyond. when he graduated from law school across the bay, and instead of adding to a corporate law office, he decided to work for the asian law caucus, fighting against discrimination, against women and minorities. when he became the first asian- american to be in that position

in this great city, again -- that was less than three months ago that when the mayor was sworn billion, he took every opportunity he had to advance women. when there is an opportunity to appoint a member to the board of supervisors, and for those of you who do not live in san francisco, that is our city council. among the list of qualified candidates, he elected christina olague . i believe supervisor olague is with us today. [applause] and in a short three months when he has had an opportunity to nominate and appoint somebody to the very important position which he firmly held as the chief administration officer of the city and county of san francisco, and again he immediately nominated noami kelly to be our cao. [applause]

we're living in a city that we're very lucky, and we know that women around the world and in many other cities are not as lucky. when i look around their room, i see that we have many city departments headed by women. of course there can always be more. but i see melanie, miriam, emily. i mean, there are quite a few and we're very proud. i am looking at the next four to eight years, and i can see there will be more and more women leaders in our city government. so we're very fortunate to have somebody at the top of the city that really believes in making room for women at the table. now i would like to invite the one and only surely bell to join me in presenting this award, and please join me in representing the man of the year, mayor ed lee. [applause]

>> wow, thank you, claudine and shelly. thank you for this distinguished meant. very much appreciated. i am is sitting here listening to the introductory remarks, and i have flashbacks of decisions that made in the past. but if it begins with i think having different attitude because i had a strong mom who had to raise kids by herself and understanding how single

mothers have to survive and raise a whole family gives you life lessons. i also need toothache -- to thank anita because she appointed me her husband. so i have to return the favor. [applause] but you know, i can go on about a lot of things we have done, but i am more excited to signal to all of you to really work hard with us. there is just a lot more to do. because there will be efforts that tried to hold us back as a society, but then we have to continue moving forward. we cannot let the the kind of radio talk-show hosts and things like that hold us back. i, too, have to express my personal shock and just in this day and age how such a vicious language can be used that when

someone is invited to present their expertise as a law student about the needs of women, and it has been such almost spoiled, i guess, to be in san francisco, because this is often our culture, to listen and to follow-up with the articulation from advocates, from people who have served in all kinds of government and business, educational institutions, the private sector, the public sector, to listen carefully to the needs that our children, our young girls and our women in need to not only survive but to go well beyond that and succeed in society. i am often reminded who holds half of the sky up in the city. so i am going to continue inviting all of you, particularly speaking to the women here who do have

experience and knowledge and foresight to advise me and advise my administration of how we can do better in all aspects. nationally, locally, and internationally to keep advocating strongly how we can protect and nurture and how we can make sure that our society is of equalness. that is why i said at the beginning that the flashbacks of being at the dpw and human rights commission, recalling the advocates the came to meet with me and said how important it it is for a city to sign on to united nations convention to eliminate all forms of discrimination -- [cheers and applause] that is still important. and then a decade later, to realize we're still one of the only cities to have done that. how can we still be alone in this effort? realizing we have got a lot more

work to do. and to say to you that if you do not continue advocating, if we do not have opportunities for you to speak out enough for us to listen and to absorb and to integrate into our policies, then you are god have voices of their that suggest -- then you're going to have voices out there that suggest that the issues you bring out are private matters. that cannot be accepted in a city like san fran. -- like san francisco. [applause] i join recognizing international women's day. i personally thank you for this award and recognition. but i also want to make sure you're challenged and you are invited and you are encouraged to advocate with them and to this administration, because we will listen and we will act on it those things to make sure

that we're more of an equal society and that we can provide perhaps leadership to other areas of the country that have yet to catch up. thank you very much. [applause] >> we are going to make a presentation that all the honorees are going to get today. it is from an incredible artists, wanda whitacre, who was over in the corner. she has done a series of portraits murals of each of our honorees, and it is are a gift to you for all that you have done. >> wow. >> so we present to you the ed lee mural. [applause] >>