amount of activity -- the bridge continues and we've had a significant amount of community input through outreach conducted by the authority's staff in april and we have found support for a future caltrans station and some corresponding concerns and we are working with the department and communities on that. there are some funding issues with keeping the street open because building a bridge there is more expensive but it's the appropriate thing to do. we will have more details for you in september. the other thing that's happening in district 11 is the hunters point mobility study where we

have a significant amount of activity. on august 21, the team will present at a meeting from 1:00 until 3:00 that i want to alert the community. this is at 1800's oakdale avenue and people are encouraged to attend. this would really leverage the resources that community already has in place. shared resources to really improve mobility in that area. we have a fairly extensive i am about the program allocations of proposition k. i want to point out that the board appropriated debt total of $118 million in sales tax for transportation and there is also

a comparison of the% allocated versus program and in terms of programmatic categories which are not huge projects, for things like traffic signals and so on, we have a 71% ratio and 29% has not come in for allocation. operations and maintenance has claimed everything allocated to it. there are some details in the report about which programs have had the most problems allocating funds. i want to focus on a couple of things that are important to your understanding of how the program works. we have had many originally allocated by action of the board

and was not used and wasn't needed anymore. of that money, 1.8 $6 million is the direct result of improvements that have been made -- $1.86 million is the direct results of the improvements that have been made. this is a significant milestone because back in 2003 when the program was approved, there was a sense that double the amount of money would be needed that here we are receiving money back. this is a $20 million program. this is good news and there is another thing worth mentioning -- about $3.3 million from the completed presidio-19th avenue

project. a very significant thing that came from taking advantage of the climate that allowed us to get the job done cheaper. we always talk about cost overruns so when we can talk about how things can happen cheaper, i don't want to miss the chance to highlight it. our commercial paper program, we have been dealing with replacing the facility, the german bank underwriting our commercial paper. we have had some changes in the amount of subsidy the german government is providing all of which resulted in a much more extensive facility. we negotiated and got wells fargo to take that. as a result, we're saving almost

$1 million a year. we have more than 10 institutions ready to buy our paper and this has been a good turn for the commercial paper program and i want to thank our deputy director for leading this effort. this is a very good outcome for us. that concludes my report. i'm happy to answer questions about anything in it. supervisor campos: commissioners, any questions for our executive director? seeing none, why don't we open up to public comment? anyone who like to speak on the executive director's report, please come forward. >> i have a number of issues. first and foremost, as i have requested before, the san francisco county transportation authority, we the people of san

francisco would like to know how the present legislation in washington d.c. favors us or does not favor s. this is often times about a number of projects and we want to see how many of these projects to the republicans are democrats favor a sore adversely impact us? to come here and generally speak about something and say to save time or whatever -- we want to know because we pay a certain people to do their jobs and we want to know whether our representatives, highest level representatives really do us a favor or disfavor when it comes to transportation projects.

this on van ness, we have been discussing the california pacific medical center. right now, it is rife with politics, corrupt politics. we had a counsel from the center come here to this podium and tell our legislative members, are so-called representatives that they were not privy to certain financial documents and reports, and helping them. we want to know what's going on with that hospital and what's going to happen nothing much is happening.

nothing much is happening because of funding. you have a developer -- don't waste your money -- spend it on traffic lights on san bruno. don't waste your money on an eir that's not going to go anywhere and don't make statements if you don't know who's going to be the developer. as to that community meetings that you want more information about hunters point, time is running out so i will stop here. supervisor campos: next speaker, please. >> good morning, commissioners. i'm a member of the citizens advisory committee for the transportation authority. regarding one item the executive

director brought up, the item about 19th avenue, this item was brought before our committee a couple of months ago. i voiced concerns there and i will share those concerns with you. first of all, as far as relocating into the middle of 19th avenue, i -- it seems ludicrous because as it is, when you have to take the 28 bus line going northbound, you have to cross 19th avenue and there is a light there. if they want to realign it into

the street, and of doing that, build a bus bridge over the 19th avenue so that people with walkers and canes and wheelchair's can go over 19th avenue safely. realigning to the center will just cause more traffic and problems. thank you very much. supervisor campos: thank you. next speaker please. >> i would like to address the report we just heard. i noticed the report basically talks about fact we are getting all of this revenue from all of these different areas and supposedly we are seeing an increase in the quality of our

public transportation system. all of these organizations have been grouped into one organization and it sucks all the finances of -- out of all of these previously separate organizations and it disappears into a black hole and then we have nothing to show for it. my response to the report is you can basically jump up here and say what you want because you have taken the public for such a ride over the past few years that we don't know what you are doing with our money. that has become so blatantly apparent that it has come to my attention and many people in this city, where is the money

going? who is responsible? who is reporting it? i see a huge black hole in finances and all of these different projects and you have certain areas that are completely allowed to fall into disrepair and other projects that are allowed to streamline. it's a classic example of legislative abuse. thank you. supervisor campos: is there any other member of the public would like to speak? seeing none, public comment is closed. i would like to bank our executive director for his presentation in posting his report online. could you please call item no. 5 quest for >> authorize the executive director to execute a memorandum of agreement with the treasure island development authority to implement the

treasure island transportation program and authorize the terms and conditions. supervisor campos: this is an item that came before the finance committee. any comments or questions or presentations from staff? why don't we open it up to public comment? is there any member of the public would like to speak on item number five? seeing none, public comment is closed. we can take a roll call on item five. >> [roll-call] the item passes. >> the item is approved. could we please call item no. 6? >> approve the fiscal year

2012-2013 transportation fund for the clean air program of projects and authorize the executive director to execute a contract to the bay area quality management district. supervisor campos: this is an item that came before the committee which is chaired by commissioner avalos. why don't we open it up to public comment? seeing none, public comment is closed. can we take this same house, same call. the item passes item number seven. >> allocate $1.3 million in proposition k funds and amend the relevance by-your prioritization programs. supervisor campos: is there any

member of the public to it like to speak on item number seven? seeing none, public comment is closed. can we take this same house, same call. the item passes. item #8. >> allocate $19 billion in funds to the san francisco means of transportation agency for the central subway tunnel construction. supervisor campos: is there any member of the public to it like to speak on item number eight? i think we have one member of the public. >> a good morning, again, commissioners. i'm on the citizens' advisory committee. on the third street light rail, i'm on the citizens' advisory group representing the transportation authority and

when this item was brought before our committee, i voted to have this move forward. i did the same thing last week at the plans and programs committee. i have been working on this since the very beginning. i vote -- i would like to have to approve this item. supervisor campos: thank you for your good work. is there any member of the public to it like to speak on this? seeing none, public comment is closed. can we take this same house, same call. the item passes. item #9. >> allocate $210,000 with conditions to the san francisco and sensible transportation agency. supervisor campos: is there any

member of the public to like to speak on this item? supervisor campos: can we take this same house, same call. the item passes. item number 10. >> approve the prop delay strategic plan policy and priority criteria. this is an action item. supervisor campos: any member of the public to like to speak on this item, please come for. >> good morning, again commissioners. i was on the committee that helped put this proposition on the ballot and get past. i worked for weeks on this and i urge the committee to pass it and i urge the rest of the to do the same thing today. thank you. supervisor campos: thank you for your comments and your work. is there any member of the public would like to speak?

seeing none, public comment is closed. colleagues, can we take this same house, same call. the item passes. can you call item no. 11? >> the introduction of new items. supervisor campos: colleagues, any new items to be introduced? is there any member of the public who wishes to speak on this item? if so, please come forward. >> last week at the plans and programs committee and the introduction of new items, in a few coming months, you will be hearing about the geary rapid transit project. what i want you to remember is proposition b had to packages on it.

since you will be recessing -- you will be off until september, i suggest what all of you do, like i told you last month, read a three documents. read the final report of the geary transit task force which was published back in 1999. also the final report published back in 1995 of the work that has been done on the geary light rail project. with the central subway going forward, there's a stop at union square and there is a spur at union square for geary light rail. this is what the people voted for back in 1989. also, if you have a chance coming to the short range

transit plan. the only way to alleviate traffic congestion is a light rail system, not a bus rapid transit. if you get the bus rapid transit going of ford, you're never going to get the money for a light rail. what the people have been wanting for over 50 years. thank you very much. supervisor campos: thank you very much. any other member of the public like to speak on this item? seeing none, public comment is closed. can we call item no. 12? >> item 12, public comment. this is -- supervisor campos: this is for any member of the public wishes to comment. seeing none, public comment is closed. seeing none, public comment is closed. -- we will be going into legislative recess until september 25 and we will have a

finance committee meeting on september 11 and a plans and programs meeting on september 18. madame clerk, can you please call item no. 13? supervisor campos>> item number supervisor campos: we are adjourned.

when a resident of san francisco is looking for health care, you look in your neighborhood first. what is closest to you? if you come to a neighborhood health center or a clinic, you then have access it a system of care in the community health network. we are a system of care that was probably based on the family practice model, but it was really clear that there are special populations with special needs. the cole street clinic is a youth clinic in the heart of the haight ashbury and they target youth. tom woodell takes care of many of the central city residents and they have great expertise in providing services for many

of the homeless. potrero hill and southeast health centers are health centers in those particular communities that are family health centers, so they provide health care to patients across the age span. . >> many of our clients are working poor. they pay their taxes. they may run into a rough patch now and then and what we're able to provide is a bridge towards getting them back on their feet. the center averages about 14,000 visits a year in the health clinic alone. one of the areas that we specialize in is family medicine, but the additional focus of that is is to provide care to women and children. women find out they're pregnant, we talk to them about the importance of getting good prenatal care which takes many visits. we initially will see them for their full physical to determine their base line health, and then enroll them in

prenatal care which occurs over the next 9 months. group prenatal care is designed to give women the opportunity to bond during their pregnancy with other women that have similar due dates. our doctors here are family doctors. they are able to help these women deliver their babies at the hospital, at general hospital. we also have the wic program, which is a program that provides food vouchers for our families after they have their children, up to age 5 they are able to receive food vouchers to get milk and cereal for their children. >> it's for the city, not only our clinic, but the city. we have all our children in san francisco should have insurance now because if they are low income enough, they get medical. if they actually have a little more assets, a little more income, they can get happy family. we do have family who come

outside of our neighborhood to come on our clinic. one thing i learn from our clients, no matter how old they are, no matter how little english they know, they know how to get to chinatown, meaning they know how to get to our clinic. 85 percent of our staff is bilingual because we are serving many monolingual chinese patients. they can be child care providers so our clients can go out and work. >> we found more and more women of child bearing age come down with cancer and they have kids and the kids were having a horrible time and parents were having a horrible time. how do parents tell their kids they may not be here? what we do is provide a place and the material and support and then they figure out their

own truth, what it means to them. i see the behavior change in front of my eyes. maybe they have never been able to go out of boundaries, their lives have been so rigid to sort of expressing that makes tremendous changes. because we did what we did, it is now sort of a nationwide model. >> i think you would be surprised if you come to these clinics. many of them i think would be your neighbors if you knew that. often times we just don't discuss that. we treat husband and wife and they bring in their kids or we treat the grandparents and then the next generation. there are people who come in who need treatment for their heart disease or for their diabetes or their high blood pressure or their cholesterol or their hepatitis b. we actually provide group medical visits and group education classes and meeting people who have similar chronic

illnesses as you do really helps you understand that you are not alone in dealing with this. and it validates the experiences that you have and so you learn from each other. >> i think it's very important to try to be in tune with the needs of the community and a lot of our patients have -- a lot of our patients are actually immigrants who have a lot of competing priorities, family issues, child care issues, maybe not being able to find work or finding work and not being insured and health care sometimes isn't the top priority for them. we need to understand that so that we can help them take care of themselves physically and emotionally to deal with all these other things. they also have to be working through with people living longer and living with more chronic conditions i think we're going to see more patients coming through. >> starting next year, every

day 10,000 people will hit the age of 60 until 2020. . >> the needs of the patients that we see at kerr senior center often have to do with the consequences of long standing substance abuse and mental illness, linked to their chronic diseases. heart failure, hypertension, diabetes, cancer, stroke, those kinds of chronic illnesses. when you get them in your 30's and 40's and you have them into your aging process, you are not going to have a comfortable old age. you are also seeing in terms of epidemics, an increase in alzheimer's and it is going to increase as the population increases. there are quite a few seniors who have mental health problems but they are also, the majority

of seniors, who are hard-working, who had minimum wage jobs their whole lives, who paid social security. think about living on $889 a month in the city of san francisco needing to buy medication, one meal a day, hopefully, and health care. if we could provide health care early on we might prevent (inaudible) and people would be less likely to end up in the emergency room with a drastic outcome. we could actually provide prevention and health care to people who had no other way of getting health care, those without insurance, it might be more cost effecti >> first order business will be roll-call and called to order. commissioner lee: