surged embarrassing. each year, the demand for home delivery meals far exceeds the allocated funding for the program. we have heard about in home supportive services and 77% of those recipients were not ble to perform this function. or they needed a lot of human help to prepare meals. meals on wheels partners with ihhs, another area where none of us are able to meet thaneed through hdm programs or ihhs. i want to quickly point out the estimate of missing meals and the department of about 18 services of 200 whi did a study out of which we were able to see that we were missing between 6,000,009 million meals annually. most are accessing one meal, five days a week.

you can see the meal or two meals that people are missing every day. if there is no access to cal fresh and there is a struggle to get sulementary free food, pantry sites, it is a critical issue for us. we do know that maltritn and health medical outcomes are huge. we know that people are entering and reentering hospitals, we know that malnutrition and isolation in older adults brings medical and surgical complications, with the late recovery from trauma and increased length of hospital rates. we are looking at and trying to address that transitioning in and out of hospitals and what a critical role nutrition can play in that.

given that the population is highly vulnerable to a hunger, those who put heavy demands on a strain service system, it is importt to not only meet the needs today, but how can we continue to raise the unds d political will to meet that? the following trends will impact the future of security and hunger amongst the aging populati. we have high crime, projected unemployment, large social security population, growing budget deficits at the local and state level, and urban populations with needs, and all around for food and transportation, health care and housing. we will put together a strain of publicly funded programs and community-based organizaons. that is why we are all here looking at it together. we need to prepare for the future by examining them and

needs. i think we really need to commit to that. most important, we need to leverage the resources to the fullest potential. i think that the cal fresh opportunity is there for us. i think it takes a lot of research and now out and we have to do that. creative solutions that will meet rising demand. we have not been able to do that. we are always playing catch-up, struggling to meet that need, struggling to keep people healthy in san francisco. it is something that is really today, i really appreciate hearing from you, to let people know what your struggles are, what iwoing and what is not working. thank you. supervisor olague: thank you. us we have one last speaker before

public comments, which is hy stensley o the elder economics >> good, am the of familserve agency. we have been serving thosen ound since the johnson war on poverty, which really helped to lift seniors outf di poverty n this countr the numberf seniorsalling fncisco. as you know, the federal povty line is arod $11,000 across the countr hat doesot even cover the basic needs in san francisco. the inside cenr inoad and los angeles has devel an more reaic poverty line,p a which we use inour cter here for older adults.

tohe mo on the specifics of the index, i would like to introduce nncung mahia, who works at the center in los angeles. >>thank you, cathy. thank you to the supervisors. i will make my comments brief. i pe thamy comments today can really complement and supplement the initial comments earlier today about the status f elder economic insecurity here in san francisco, taking a deeper dein, and also for all the work that has been done so far in integrating the elder index into policy programs. since talking to them, with the insight network community for network development, we are a national research developing nonprofit agency in oakland, just across the ay, and an attorney and program manager with our elder economic security projects. we have talked a bit through

various comments about the federal poverty pop -- federal poverty guidelines. in this slide, it really sort of captures the key conversations that we are having today. what we would like to put out is that our organization is to put up help to the economically vulnerable in that community. economic security, first you have to actively measure it. this particular slide shows a comparison between the federal poverty guidelines and what is just over $11,000. unfortunately, that measure does not act -- accurately capture how much it costs an elderly individual to meet all their needs. until several years ago, we partnered with the ucla department of health poverty research to calculate a more representative measure of what it takes to cover all of your basic needs.

not just the cost of food, but health care, housing, and transportation. what you see is that here in san francisco it is closer to $27,000 per year for an older adult to meet basic needs. i wanted to reiterate something that dan covered in his, which is that this produces an eligibility gap. when you compare the federal poverty guidelines against the elder index, you are missing an entire population that falls between the gaps of these bars as to who is not making these ends meet. based on the analysis from several years ago, 61% of older adults here in the city and county of san francisco are not able to meet their basic needs. closer to 65,000 older adults. given the rise in recent years, compared to the decreases in sources of income, we can

unfortunately only imagine that that number is bigger today that it was before. the federal poverty guidelines pines 9% falling below. there is a huge differential there. this backslide compares, again, the importance of programs for social security and ssi, and why those programs need to be preserved. if anything, and we would need additional resources to make up for that difference between what an older adult needs compared to what they have. as we know, many older adults are living on fixed income, whether it be social security or a combination of ssi and social security, and even that is not enough to make the gap. they are cutting medications in half, skipping meals, not going to the doctors. making critical and difficult choices. lastly, i just wanted to end and

highlight a couple of ways that the elder index has been used in san francisco and across the state, as well as the nation, because we know the federal poverty guidelines need to be used at the national level. it starts at the ground floor here, locally. from a policy standpoint, the index was approved by the board of supervisors as an eligibility criteria within the fund, back in 2009 as the eligibility determinant. whereas the program was within 300% of the guidelines, they were able to pass a resolution approving the use of the index in the criteria, and it is really important to change that framework as a way in which we look at elder economic insecurity. san francisco passed a resolution in the past, setting a more realistic measure for families.

i would also like to point out, as kathy will speak to more in a moment, the family services agency here has used the index as part of their management model, where a region where they are looking at providing a case management for older adults along with the funding for case adults. i wanted to complement san francisco for being a leader n tis iue of building ecomic security, and we wanted to offer the index as a tool that can continue to sed byhe various departments, working with the supervisors in the variou different department and nonprofit organizations within the cities and counties. so, thank you. >> hank y. getting hungry. we will hold off any more details aut that, but i would folks around how this impacts

them. supervisor olague: s iwill go ahead and start reading cards. sakerwill be limited towo i would that if there are individuals in the audiencewho veertain eeds nd ave to speak, now, if you could tart lining up for the microphone. i knoth everal ofou are in t udience and have certain physical challenges. ofd then i ll sta reading i do not know how we should go about this. n that cod lineup ite? ok.

>> [inaudible] thank you. let me know when to start. oh, where is the time? oh, it comes with you? all right, my name is robert iam7 yrs old, disabl. in may trans man. i liv i sro, i get about by foodbudget is $900 per

month, if you can imagine that. i aappier here than anyere else othanet. i do not think that could surviveanywhe el but here the first human being looked me in the night and called me sir, the first city where i was welcometo the human ra. le this city. i want to be an asseto i if i had ouood, ent, and city housing, i could become self-employed again. half of the other budget would be goingo my business. to derirbut i cannot supportant by business when 75% of business goes to the ren e sro.in stock, stayingretired, ai not want to do at. ian become a taxpar.

what i need is to get t of the beten elderly and i am on social security, but i cannot get sro said housing would be happy with the aso noti sarraute, but i need a place thati n fo to live -- thesrbut i need a place that i can afford t live. there are a lot of people like me out there. that is what i wanted to share. thank you for having me. supervisor olague: thank you. [applause] >> good morning, my name is [unintligible] along the six st. quarter -- and

i am a 62-year-old maniving want to know why the muni cannot make ramps all a maet street, so tha people on s st, there is aramp on one side, but if you go the other direction, there is no ra. iteelike soing that could be addressed also, sixth and mission, the are no kiosks. there ses to be a kiosk all along mission street in the downtown area,ep at 63. hat is noer iss that could beaddress. -- addressed. seems that when the light turns red, people seem to have the idea that two or threear are

oko thrgh the red ligh. eve that would put a cost on that particular issue -- cabosd -- kibosh on that iam a recipient othe iss it, and it would be a shame if they i believe i i--i know the. state is having problems, but that would be a bad thing to have to do that. thank you for your time. >> thank you. -- supervisor olague: thank you. next speaker? >> hello. my name is george demoore, 75 years old. i atn a missio in

i am here to urge you to increase funding. unintelligible] does a great job for the community and looks after us seniors medically as well. seniors, nurse's aides, in to check out -- our blo pressure and help us in tha factor. fundido not cut it. you would be doing a great disservice -- divice to the itis a great city. i have lived here a onetime. but believe me, you guys are slping in your ob -- i have lived here a long time. but believe me, you guys are slipping in your job. thank u. [alause] supeisor olague: if we could of the hearing, that would be helpful. it slows things.

>> my name is ncy cross. i will not tell the story of crystal, because want to add wh i said, relatively uniq, t about ocesses and partis atets to a solution. th theme of my twmis the flow for realutions. we have not gorealolutns. and more money. but that is not a solutio is nonprofit. we need bodies n whichpeople can brainstormlutions, anous co. we need those her ths mind oouinki going as far as we can, e the human rights commission ha never bee publicly determined.

t from dr. hall. "good aerno n i ro hall. i havetketo you in many is say former prt and association. w h h ubstal- the tenderloin housing clic, which receivedvirtually00% of thedingfrom theci and ty of safrcisco. hat is the worst osbl organizationu nimagine terms businesstice money. sources that they are one of the most ueorganitisi ec b othe rent board for relief and tell them they are not eligie. it ptects e oann from actionast the red bod. we haveried several losses

becau busins o d an represe it. lawfi t no wucthe organization -- [tone] survor gu thankyo supervisor olague: thank you. >> grievances that are now allowed publicly. i asked you -- supervisor ogue: hank you. before i stt caing e spear cards, is there anyone who has certai hycal challenges that would force them to avthe earing early? ? will start cag cards shortly. >> i will read what i have here first. i 82 yes hello, good morning, everybody.

our program participations i are the steady and continued niors publications, plus increased need for support and services. central statements --good morning, supervisors. my name is the morris [unintelligible] a senior,years old, onof 18,000 livin in san francisco. we are not getting any younger. our eeds, our needs for service will not decrease. please insure the findings or rvices for seniors, such as the programs provided by the neighborhood center. dns, the community center getting [unintelligible] neglected or discard.the high ps

with limited or no english langgekills. ple statements, preferable in their native language, translated by someone for them. good morning, servisors. my name, again, is nintelligible] and buy him one of many seniors who participates in the neighborhood center, bnc community service center program, because i know there is someone who can speak my language. i try to speak english but complicated forms that i need to fill out. i wish that there were more programs that provided progms in my ge so at i could get hel to support my needs. i remain, with all my love [ kissing noises] kisses. we will be waiting for your

response. thank you, have a good day. [tone] >> hlomy name estella moreno a member of the xcelsio cmu center. i am here just torge you to pleasecontinue to fund the services. this is a place ere seniors ho.nd they are not ol mypreference hereod is ju for continued funding and, if possible, increase the funng, but not to make any cuts on what we have. thank you. [applause] >> my name is [unintelligible] and our position is hard. i am taking care omy wife th alzheimer's. formerly she was being taken care of by the adopted care

e,but at tmoment s was struck in her face by meone, i think that these ston shod te care of their gnc. now, i am king care of e past few months, 77 years old. living now in house, rtunatel enough t center place live we are in a house on the city street that is dangerous to live that. -ve there. [unintelligib] we were almost stabbed. we reported it to e police. th man. told e had to rge we have forgiven him. n, i cam here with a place to li.

i am glad that they're going to putup a station at 6 street. at sixth street there are lots of thinggog on everyday. thank you very much. [tone] >> good morning, supervisor. old and i am going to read her statement. i could not remember why i stin hospitals six months ago. a ue memory. i wonder where i should go after being discharged fr hospital.

the plawas very helpful in the are home, which provided four hours, seven days a week. now i am living in that care home every day i see sley faces and do not have to worry about my day to day activities, all thetime i am otsure i take mecation or not. in the home, is that gives me medication ith dr.itruction. also in the care homthey going out to golden gate park.e in deeply appreciad. there are care services taking care people like me. wiout ose kinds of es, definitely i wld wind up wondering onhe stre. so, today, may i take this opportunity to let you know how important it is to provide care services and he totheeir's elrle

me. so, if ucan, please put this issue on top of the discussion list. hank you for listening to my story. ank you. captioned by the --www.ncicap.o--institute supervisgue supervisor olague: i o remind members of the public to prioritize those with needs to speak first. >> [speaking for languageoreign] >> i am a senior. my name is [unintelligible] ad i, myself, will transl for her. >> [i speaking foreign language]

[applause] >> my name is [unintelligible] and i am a graduate of the 87th home health aid training class. am a new immigrant and an oldeworker. i see that half of the job- seekers at chinatown one-stop are older workers. iis almost impossible for job seekers like mysel to get a job without learning english and new vocational skills. i urge the city to support and protect fundg for housekeeping and home health aide trainin programs. without these vital training programs, it would be impossible m to overcome barriers to like employment, to have hope and direction in my life to meaningful work. thank you.