any individual using an emergency shelter bed shall be based on that individual's a lack of or source of income, nor shall there be any party or set aside of emergency shelter based on income. -- prioritization or set aside a of emergency shelter based on income. >> care, not cash was adopted by the voters whereas this ordinance was adopted by the board of supervisors and when legislature -- legislation is adopted, it is a lot of greater dignity, entitled more weight because it is adopted by the voters then something that the board of supervisors adopt. in implementing both care, not cash, and the ordinance you are speaking of, if in implementing, there turned out to be a conflict, the city is required

to follow the mandate of care, not cash because that was something that was adopted by the voters. supervisor campos: i understand that. to the extent that care, not cash has a requirement that a specific number of bids be set aside, would this ordinance still apply then that prohibits set-asides? >> it depends on the implementation of the programs. it would depend on the demand for beds and the beds that are available. it turned out that in implementing the ordinance you are describing, there ended up being a shortage of beds for people who are eligible and who are required to provide them under care, not cash, the mandate is what the city would have to follow. if there was no conflict in applying it, they would -- could apply.

it depends on the demand and the numbers at that time. supervisor campos: it seems like the devil is in the details. in theory, you have an obligation to comply with care, not cash and to comply with this ordinance unless there is a conflict with care, not cash. >> that is fair, yes. supervisor campos: the question is, how do we move forward in the way that is consistent with the mandate of the voters but to the extent that that is within that confine, that it is also consistent with this directive from the board of supervisors, and that is where i hope we can get to. and so, one thing that i will say, i know that a lot of work has gone into this. i appreciate the commitment from staff. i do think we have to figure out a better way of doing this and without pointing fingers or talking about how we got here,

it seems to me that i and 2012, we should be able to do this better. and so -- the focus, i think of where i hope we go from here, and i am appreciative that supervisor dufty is here, he is involved, that is his approach, trying to figure out how you bring people together. i do not think that it makes sense to have a system that places on folks with disabilities, on elderly people who have illnesses, the kinds of physical requirements that are placed under the existing system. i also think that in the end, the kind of system that requires so much time and energy to get a bed is ultimately counterproductive to the underlying goal, the overarching

goal of making sure that people find employment and find a way out of whatever challenges they are having in their lives. i would rather have people spend their time getting training, looking for jobs than having to go and get shelter. that is where i hope we can get to. i will turn it over to the chair of the committee. i want to thank supervisor kim and her staff because they have made this a priority and it is important work. i hope we can get to a solution that makes all this better. supervisor kim: thank you. i want to acknowledge supervisor bevan dufty is here and i want to give him a chance to speak. there is advocates and individuals that we utilize.

i wanted to allow supervisor dufty to speak first. why don't we bring up nancy? thank you so much for being here. this is something i've heard over and over again. can we use existing systems to ease the reservation process and one of the proposals, the ability to use 311 so we can address the lines issue. the amount of hours people spent waiting in lines for beds and shelter. i was hoping you could speak to that. i know it is a new concept. if you could speak to that. >> director of the 311 customer service center. thank you, madam chair and supervisors. after hearing all i heard, it would be good to look at 311 as a resource. we have not explored this

particular issue in depth. we do have 24 by 7 accessibility. we have the language line assistance we can provide. i think that we are ready -- we already provide a lot of information. just this fiscal year through the end of march, we have answered over 2600 calls for information we provide to people who call on homeless and shelter matters. people are already accessing 311. i think that, i have met already with bevan and his staff and the mayor's office is committed to this. it would be worth deeper exploration on trying to see how we can further collaborate and how we can be of further research in helping in this issue. supervisor kim: thank you. supervisor campos has a question. supervisor campos: if i made this, just the point about 311. 311 is used in ways that have been outside the box before.

i see some folks from the sro collaborative that are here. with sro residents, before 311, they have to go to many different places to report problems at our hotels and we created a working group, working with 311, that had different city agencies. if you are and sro president that has problems with your hotel, you just called -- and sro resident who has problems with your hotel, you just call 311. that happened after months of the working group figuring out how to make that happen. you have demonstrated your ability to tackle these issues before. >> thank you. supervisor kim: thank you. supervisor dufty: thank you. the reason we called the office hope is we want to take things in a different direction and recognize this is a different

time for the city and the ability we had for everyone to work together. i am appreciative of the time i have been able to spend with my city colleagues who i think are very forward thinking and willing to embrace new ideas and what the city to do a great job. in many respects we are doing a great job. i think that is important. as we seek to improve the services we provide, we have to continually point out the successes we have because we want the people of san francisco to know that this is a challenge we can face. this is something we can have an impact on, whether it is family homelessness, veterans, women who are victims of domestic violence and their families, all of these issues can be addressed if we try and bring best practices and understand what is in front of us. hope is about housing opportunity. that means shelters, supportive housing, public, and affordable housing. it is important to emphasize that we know some of our

population who has been homeless have been house. people cannot thrive in public housing. i met with an attorney who was representing the family who was evicted. a boy was shot and killed and i thought that was not consider it, putting the family out on a straight because of the system -- a situation that was not going to continue. i want to commend the members of the board but especially supervisor kim who has put herself out there not just to spend a night at shelters but to have office hours and make herself accessible and to make people who live and reside in shelters feel that they are every bit as important as every other constituent she has and that is a powerful message. the hearing today is one part in a row where hopefully we can work together and i want to thank jennifer friedenbach and

the advocates. i have never had the chance to collate -- to collaborate with a collision. 31 indicated some years ago they had talked to human services agency about being more involved in the delivery of services. at that time, perhaps the service was not as robust as it is now. mr. rohr has committed that he will have an in depth and meaningful consideration of how we can utilize 311 so individuals can get into a lottery and be advised whether by phone or text message or e- mail or all of the above as to what the availability is. i think that would be, to me, an improvement. it would allow individuals who are seeking shelter to have the opportunity to pursue other services, meals, other rampart

-- respite they need to be healthier. in the discussions we have, when we look at our shelter population, we are recognizing they are balancing priorities and the advocates and others have spoken up and said it is important to have 90 days to 120 days days. that is important to allow people to stabilize and the more successful. and that we have care, not cash. no matter how we my view it, one of the provisions was baseline expenditures. we could not spend below that amount even though individuals left the program. there were a large number of individuals who had been identifying as homeless would qualify. many left the program. the base line remains and it did allow the city to move more toward a housing first model of having thousands of additional support of housing units but i want to be straight forward and say we have to look at the outcomes of those individuals.

we recognize some of those individuals are isolated, just as supervisor kim has shared with me. the hours people spent not engaged in positive activity being in shelter, very much the same sometimes for people in sro's and we have to look at how we have -- can activate people's lives. one of the things our office hopes to do is to bring a model of adult education with what the charter schools in the jails are doing. bring it to the tenderloin. could we bring it to the shelters? could we bring opportunity for people to pursue a high school diploma, or gain education and tools that could allow them to be more successful, or a ged? those things have to come into what we're doing to improve things. we have met with the mta on transportation access and supervisor kim has been involved. i have great admiration for what supervisor campos is championing with respect to use

on muni. we have to look at -- youth on muni. could we blend clipper and an ebt card? muni is asking us to get private sector investment to move beyond the 1200 tokens that are so limiting. we have to ask the mta to give us a break, to give us a discount on these purchases. i do want to say that one of the things that is very important is peer to peer work. there is a tremendous amount of that that goes on to the coalition but i think in every area that we provide these services, legitimate peer to peer engagement is one of the most important things. the authentic experiences and knowledge that people have gained working successfully through the system, whether it is in health, advocacy, housing, whenever those areas are. we need to embrace technology

that may help to share that peer to peer but it is something we need to emphasize throughout our services system. it is very important to people and it truly is culturally competent. if someone has been through an experience, the things you're going through, that is a very valid and of the -- authentic voice you're listening to. supervisor kim: thank you, supervisor. supervisor farrell. supervisor farrell: i wanted to thank everyone who came out today. it is tremendously courageous to come out and tell your stories. thank you for doing that. to jennifer and your team for coming by yesterday, thanks for taking the time. it is readily apparent there are problems and i do not think anyone could deny that. supervisor kim, whether it is a working group or what have you, taking your leadership on is a great thing. you have done a great job

bringing this issue of belote. to supervisor dufty, i cannot think of a better person after hearing you speak, i would have said that before. to be the person spearheading this from the city's point of view, we're lucky to have you back. supervisor kim: thank you, supervisor. i will wrap up this hearing. it has been quite lengthy. it speaks to the gravity of the issue and how passionate people are around this but how many people impacts. i am -- i got to speak to such an incredibly diverse group of individuals that are in our homeless shelter system. people who are working, the people who have been in our shelter system for eight plus years. i am excited about a working group that we might develop, particularly under hope. this is an issue i found with pedestrian safety which is another priority issue. we have multiple departments, mta, planning, dpw, the

transportation door -- authority. we have multiple departments dealing with a variety of issues. i appreciate the mayor taking up hope and i think we can develop a partnership with hssa and dph. we have so many resources, we need to get everyone in the same room. to improve services that many are dedicated to. in terms of my priorities, we have to deal with people waiting in line. that is not an appropriate way to deal with shelter. 31 is a great step where people can call in and get their name on one unified reservation system and find out through means, either fallen or text, whether they have a bed and where that is. -- through the phone or text

message, whether they have a bed and where that is. santa clara has an innovative policy where they provide quarterly passes on -- to homeless individuals so they can make it to job interviews, appointments, go through multiple sites where they get meals and shelter. that is an interesting program. it costs money and we need to find funding for it but i want to see what we can do. what does the plan looks like and how much does it cost and how much can mta give a discount? we cannot have people walking in their -- ior in wheelchairs. that is a system that we agree is not working. also, in conversations with the mayor's office on disability, we have to prioritize capital improvements in our shelter system. the vast majority are disabled. we have to figure out how physical infrastructure of the

shelter can surf this population. i know that one of the issues is we give out these three year to five-year grants so nonprofits might change every three or five years. the facility might change but we do not want to invest in elevator improvements, disability access. that cannot be their response to us not making improvements. we need to figure out a way to address that issue. it might be illegal for us to not be making this infrastructure improvements. the last thing i will say is, i want to say two more things. it is a economic and public health issue. the p.a.t. understands that. there needs to be a greater intertwining of partnership between hsa and dph. hsa is about shelter but the ph is about holistic treatment. people are in our system because

of their low-income status or inability to be within our resource network. we also see that people are staying homeless because of health issues they have challenges with and we are not addressing those needs. i would like to cpa to do at health assessment of all our shelters. in one night, we know who stays in our shelter. we do not know who was staying there. i am david driven. if we know who was staying in our shelters, what their needs are, maybe we can shift resources around. we do not have a lot but maybe we should be shifting resources to serve the actual need of our clients. this is my last point. when i stayed at next door, i was tremendously struck by the age of our shelter clients. i did not expect our clients to be so much older. i did not see a lot of young people in our shelters, i was one of the few young people there. it is the case that many of

we need to figure out how to address the specific age. many people that have served the country and the military and the homeless and shelter people, that is tragic and that is committed to what we can do with the limited resources. when people saw me and they knew that they did not recognize me, people really came up to me and started explaining the system to me. they were telling me which

nonprofit centers they did not like. there is a model that is already existing. there is a peer to peer mentor ship among the people. i want to thank the members of the public that are here today. this is a powerful issue that i am passionate about addressing and want to make sure that we are in conversation together to keep moving forward. >> i just wanted to clarify the statement that we made about the santa clara county transportation program in which you asked us to do some

research the thing we could not fight is the eligibility requirement. >> many of the people that came today are part of a coalition that came together to serve our city. there was a discussion about the inability to maintain facilities.

>> thank you for bringing the staffing issues.

they will get frustrated and angry. i know that that is a vicious circle. the training may only be good for nine months if they are not staying within the system. whatever we can it do to address that issue is incredibly important. if we can have a motion to continue this item at the call of the chair. >> can you please call item number 2? >> item number2, the appointment of taylor mcgee to the hall commission.

>> thank you. i know that she is here today and i would like to thank her and appreciate her patient as a move through our first item. i know she has been waiting for quite a bit of time. i apologize, we will take a recess. i know that my colleagues have not gotten out. >> that is the conclusion of our recess.

thank you for your patience, thank you for waiting. >> i have attended full commission meetings. in anticipating in these meetings, i am proud to say that i am honored to serve as such a group of distinguished individuals. people have been thanking me for green to serve on the health commission.

george wallace would not be open to someone like me. it was at the university of alabama where my journalism began. this promised me a multi disciplinary opportunity. after graduation, i was offered a full-time position as a reporter. my broadcast journalism career would take me from one of the smallest television markets.

there are issues ranging from murder is, sexual violence, political corruption, abortion clinics. there is one story that i will always remember. it was 1988 and randall terry was the head of the group operation rescue which was famous for blocking access to women's health groups. millions had arrived at the clinic. i was the only news representative that manage to get inside the clinic. i interviewed patients that were there for a range of health option o.

this incident reinforced my commitment to use my skills to help beat the voice for people's that are often cited. after years of reporting, i decided to chart a different course, one that would lead me to public health advocacy and policy. as the chief of staff for the washington state insurance commissioner, i was proud to help craft one of the first universal health-care laws in the nation. we developed a policy that existed exclusions and guarantee portability for people when they changed their jobs. later, i worked as a communications director in washington, d.c. where i had an opportunity to work with a journalist from broadcast, print, all kinds of media on abortion access issues. in california