franciscans for generationses to come. they are especially delight today see that st. luke's will remain open and with more beds. however, we do not have labor peace yet. cpmc has reached agreement with a couple other unions, but not with the nurses. we are willing to do what it takes. in fact, we even brought our toothbrushes to bargaining last night, but cpmc didn't. so, we're going to continue to bring them and we hope that cpmc will bring their toothbrushes, too, so we can hash this out. thank you. >> thank you. next speaker. hi, good afternoon. my name is dina hilliard and i just want to thank you all, thank the supervisors and the coalition and community groups and cpmc for helping us arrive at this point. i am a 13-year resident of the tenderloin and i will be giving birth at cpmc next month and,

so, it is extremely important to me that the hospital provide direct benefits to the residents in the tenderloin like me. i also just want to really thank again the supervisors and cpmc for listening to the residents of the tenderloin particularly around traffic and pedestrian related issues. as you know, safe passage is a movement in the tenderloin that's included as part of the development agreement and, so, we're really excited to partner with cpmc and the city to create a visually designated safety route for kid in the tenderloin. i also want to just ask the supervisors to continue to work with cpmc to provide a mechanism for community groups and coalition groups to monitor and enforce the agreement that we've come to and also just want to urge cpmc to finalize the contract with the nurses of cna. thanks. >> thank you. let me call up a couple more

names to hopefully line up. james tracy, lawrence chung, manny flores already spoke i think. dr. eugene [speaker not understood]. jim lazarus, david canego, john grism, [speaker not understood], angie brown, richard [speaker not understood], and pastor jeffery garner. good evening, president chiu, members of the board. thank you so much for this opportunity to speak in support of the much needed cpmc rebuild. my name is michael smith wick. i am aes are department of the western addition district 5. i've been a resident there for 33 years. ~ my, how time flies when you're having fun. i'm also the executive director of my tree compassionate care. my tree is located at the corner of noe and duboce in scott wiener's district and we are a 24-hour residential care facility for san franciscans with advanced aids, all low-income. we've been doing this for 26 years. we've served 1000 san

franciscans. most of them lost their life under our care, 24-hour nursing care compassion, no judgments. i want to share that with you that we are seeing a change in san francisco. we are not filling our beds with people who are there to die optimistically and encouragingly. we are starting to see quite a waiting list of san franciscans who have had hiv quite a while, but are developing cancers, organ disfunctions, bone density challenges, all things that require medical care and in our case 24-hour eventual care. this is a growing -- this is the next earthquake. we talked about the need for increased hospital facilities for earthquakes and i was here in '89 on fillmore street. i remember. but also we have this growing coming hep dim i can change in hiv where you have people who survive because of the effectiveness of antivirals who are in need and will be in increasing need of hospital facilities to deal with these ancillary problems.

so, i really support this from that per spec if i have and also point out these rooms are going to be needed and these care facilities will be needed in dramatically increasing numbers. i also wanted to share my personal perspective quickly that i was involved in the rebuild community outreach for the daily's campus. i was very impress with the outreach that was done. accommodations made specifically for pedestrian safety. ~ davies >> thank you. next speaker. good afternoon, supervisors. i would like to first start off by saying thank you, supervisor breed, for asking the questions because i don't believe anything that gentleman said because, incidentally, i'm an american disabled veteran and i was overseas during the war for 38 months and as a result of that, i get the best of care at the veterans hospital. very few black people would get

anything out of this hospital, including employment. and any type of benefit from it. and thank you very much for asking the question that you can't ask and express it the way i did. but that's not the reason i'm here today. i'm here today because friday before last, the police invaded hunters point bayview by giving 300 tickets to people who own homes because we were parked in our driveway. what we would like to know, where do our property begin and where does it end? the police come out there and with gun drawn, and gave everybody on our block a ticket even though they were parked in their own driveway. i have a driveway. i'm talking about the space between the street and the walk -- and the sidewalk.

and i wish that the board of supervisors will ask the chief to let us know where our property begins and where it ends. they got no right giving 300 tickets in one day just because we all black people out there. that's all it amounted to. it's a racists with the crazy police. >> next speaker. good afternoon, supervisors. my name is james tracy. i'm representing community housing partnership. i am overjoyed with so many parts of this deal and the hard work that supervisor farrell, supervisor campos, supervisor chiu and cpmc as well as the mediator have done, especially around the recruit for local hire as well as speakers, supervisor breed had mentioned, of course there is work to be done. there are details to be bolted down.

we know people operating in the tenderloin that cathedral hill has a front door and a back door and we are committed to working with you to make sure that this is a truly just deal. i have about four or five bottles of really, really nice locally sourced whiskey that i was going to bring with me today for this occasion, two of which to go to judy lee and mark if ferrar who have been our advocates, but [speaker not understood]. i am holding back on that until there is labor peace with the nurses. because that is when we can celebrate. i believe as calvin we will shall said, health care -- the questions around health care workers in this city are as important as that of 1934 on the waterfront of san francisco. and as agents of history, we have to rise to the occasion. only a few days after

international women's day, cna largely women of color workers do not have a contract yet, that ain't right and we want to make it so. thank you. >> i think we all look forward to drinking to that. next speaker. i'm here to speak on behalf of retired eugene ginslin he's with the organizing committee. i'm an organizer brian sen. we've gone from no st. luke's to an 80 bed, 120-bed st. luke's. obviously glad to be here because we wish to see more infrastructure for the city. the primary focus remains on st. luke's given it's the overflow facility for sf general and only acute care hospital south of market. other than the very pertinent questions from supervisor jane kim, we have not heard anything about inpatient psych beds as a necessity. this is a major problem. our member physicians at st. luke's who practice primary care there have expressed the

need for psych services and they felt the void of the 32-bed in-patient psych unit when sutter close that had in 2007 -- '5 in violation of an attorney general agreement. meanwhile, sfgph has de-staffed another psych, 7 psych beds from sf general after going from 80 down to 40 about two years ago for the acute psych beds. we're very thankful to have the endorsement of the sf central labor council and various other community coalitions in regards to our mental health demands. and we've got those demands have been vetted by over 30 physicians, nurses, and other psychiatric practitioners. we question any assertion that sutter can't afford psych bed at st. luke's. our city can't afford the most profitable hospital operator to be providing inpatient psych care building two new hospitals. we also hope that you'll pay

close attention to the new order which the hospitals are to be built. st. luke's is to be built first and now according to the chronicle, the new cathedral hill hospital is being built first. and that does not need to happen. according to officials at oshpod who oversee the coastal region the approval process could be structured in such a way that both hospitals are built simultaneously. we have some handouts here and [inaudible]. >> thank you. next speaker. good evening, supervisors and supervisor president david chiu, all of you, good evening. my name is anika brooks at cpmc and i've been involved with the cpmc many years. to ensure elderly service would continue in san francisco and ultimately help in building this project to be a health care facility for all san franciscans. i am very much in awe with what we have accomplished here today and it could not have been done

without the community, the coalitions, nurses and dedicated city leaders, including those in the planning department. i want to thank you all. thank you in particular those city leaders who have not shied away from real concerns brought forward by the community, affordable housing, traffic, charity care, local hire. thank you, supervisors, for your continued honesty and tenacity to see through to victories and work together with the community and with cpmc to rebuild a real world class hospital. and let me say that that work needs to continue into the future. we can't let this one go. one question you need to keep in mind as a skilled nursing issue and where will the 66 beds that be to be built into the community going? on a final note as a nurse on the bargaining team, cpmc, let us carry this good work forward. let us meet in earnest and sign a contract with the nurses and california st. luke's campus.

thank you. >> thank you. next speaker. good evening to everyone. my name is [speaker not understood] monroe, a senior community leader and part-time employee of cpmc as well. before i begin, i would like to thank supervisor chiu and the team for my sincerest congratulations and thank you for working so hard in this project. my main concern as standing here is for the seniors like me. although i'm not yet a certified senior citizen, hopefully [speaker not understood], next year i will be. i've been in the tenderloin for 20 years. i knew very well that there are lots of seniors like me who really want to be employed and get jobs instead of going to welfare.

but their problems are, first of all, because of their age, and second, they lack the technicality and knowledge and experiences. but i'm pretty sure they will be given the chance to do training, especially with this project. maybe they will be [speaker not understood]. so, with this i would like to bring to your attention, supervisors, that i appreciate if they will be given the chance to be included in this project. and thank you. >> thanks. next speaker. good afternoon, supervisors. my name is rose chung and i am the president of the board of apa family support services. cpmc partners with apa family support services to improve the health of san francisco residents and providing grants

for social services for under served clients. i support cpmc and strongly believe that san francisco's infrastructure, patients and hard working men and women need this project. each week in delaying this project puts us at a greater risk for disaster that can be prevented. i do want to congratulate you and thank you for your hard work for coming to an agreement and look forward to your approval. thank you. >> thank you. before the next speaker i want to call up the final cards that i have. charlie livery, danny prince, david elliott lewis, and eddie [speaker not understood]. and if there is anyone else that wishes to speak, please line up. good afternoon, supervisors. i'm dr. [speaker not understood] santiago, executive director of apa family support services. i'm also on the faculty of san jose state in health policy organization and administration. you've just heard our board president speak about the impact to our clients and cpmc

has been a wonderful partner. and i want to say that we're looking forward to kind of the impact on community health overall. we're involved with prevention, of child abuse and neglect, and they have been [speaker not understood] source so we can address those particular need in our low-income and immigrant family. in the past i've mentioned the multiplier effect of hospitals and new hospitals and i think you all under what this means to our economy, to our work force, and it will continue to build. and now instead -- and this is because of the hard work of deliberation of all the community and stakeholders and your leadership as our elected official, now instead of just one large gem, i think we all have two gems that promises to raise and revitalize yet another neighborhood. and i think that recognition of the changing demographics is going to be so valuable to our

whole city. again, congratulations on working on this agreement. it's really time to reap the benefits of state-of-the-art accessible and safe health care. i urge you to support this agreement. thank you. >> thanks. next speaker. good afternoon, supervisors. david elliott lewis here representing the mental health board at which i serve as secretary. i want to thank supervisor kim for bringing up the issue of mental health and the psychiatric beds that used to be at st. luke's. tomorrow night our board meets and will be voting on a resolution i wrote that does two things. it congratulations the city and the supervisors for coming to this agreement and really sincerely congratulations. but secondly, it asks for something more from cpmc sutter health. it asks for a give back regarding mental health. now, i saw mental -- community mental health services listed on a term sheet, but it was

kind of ambiguous as to what that really means. you know, untreated mental health, as you know, can lead to so many tragedies. look at the recent tragedies our society has suffered. tragedies of suicide and gun violence, tragedies of homelessness and substance abuse, emergency room visits and trauma that causes to friends and family for each mental health tragedy. sometimes we do need inpatient psychiatric beds for acute care. and the fact is there has been a constant reduction. now, barbara garcia, dph mentioned it is expensive to provide these beds. yes, it is expensive yes. the federal government doesn't fully reimburse the city for these beds. that doesn't mean as jane kim pointed out, that doesn't mean these beds shouldn't be filled. in addition to the beds this resolution is asking for community mental health services and support. you know, cpmc gets almost $90 million of annual tax benefits because of the nonprofit status.

and because of the parity requirements of the affordable care act, there is a requirement that mental health as well as physical health be covered in the hospital system. how that is to be worked out is a little bit unclear. but we'd like to see it covered in this agreement to some degree. we're not asking for a specific dollar amount of community mental health, just something. anyway, we'll send you the resolution if you pass it. thank you very much for your time. >> thank you. and let me just ask again, if there are any other members of the public that wish to speak, please step up now, otherwise, this is the last speaker. hi, my name is [speaker not understood] california nurses association. i just want to thank the supervisors. noe there's been a chorus of thank yous tonight coming from the california nurses association who has been negotiating with cpmc sutter and representing nurses there for over 60 years. we understand the struggle at the negotiating table. and we continue to struggle as you all know, and appreciate

the support, supportive words today from supervisors and members of the public, you know, about coming to a resolution with our contract. and we really are very close to a resolution and as eileen, one of the nurses mentioned earlier, she brought her toothbrush and we were very much ready to go into the night last night and find a resolution and unfortunately cpmc did not come with that same commitment. and, you know, they clearly can overcome serious challenges, this deal and around the new improved size and protections around st. luke's is something we have struggled for for years and the nurses really have, you know, been leading a fight around this issue to ensure that those services are protected in the southeast sector of the city. you know, this is something that sutter, cpmc said would

never ever happen and it did. and clearly they can overcome big hurdles in negotiations and find a resolution for the betterment of the city. you know, i was here eight months ago talking about this. i have since had a baby, she is crawling, she has teeth, and we still don't have a contract. and i think if a baby can do all of that in eight months, certainly there can be some kind of resolution around this contract. so, i hope that that will happen a supervisor avalos was talking about in the coming days because we are close enough for that to happen and we would like to see cpmc similar commitment to making that a reality. thank you. >> thank you. any other members of the public wish to speak in public comment? seeing none, public comment is closed. colleagues, as i think you know, we need to first vote on the e-i-r item that we have in front of us before we can consider the term sheet. so, at this time hearing is closed.

madam clerk can you please call the e-i-r items? >> item 5 through 7 comprise the motions affirming or reversing the certification of the final environmental impact report for the long range development plan for the california pacific medical center. item 5 affirms the certification. item 6 reverses the certification, and item 7 directs the preparation of finding. >> thank you, madam clerk. colleagues, to refresh your memory, you will recall that we already did take public comments on this e-i-r and we have it for our consideration here. there have been some questions raised recently given that the project has been revised how the e-i-r we considered is impacted and i'd like to ask the planning staff if you could address that question. >> good afternoon, president chiu, members of the board. [speaker not understood],

planning department staff and manager for the california pacific medical center long range development plan or cpmc lrdpmr. and i'm here with the planning department staff and will be available to answer your questions regarding this project's e-i-r. to quickly summarize the e-i-r process so far, the board received an e-i-r appeal letter on may 16th, 2012 from [speaker not understood] on behalf of california nurses association and other groups. the principal issue through the appeal related to the scope of project objectives, alternatives and analysis of [speaker not understood] population and employment, transportation, air quality and greenhouse gas emissionses in the e-i-r. these issues have been previously addressed in the department's e-i-r comments and responses document published january 9, 2012. therefore the planning department recommended rejection of the e-i-r appeal for reasons stated in its july

9, 2012 responses to appeal memorandum to the board ~ and supplemental staff testimony provided at the previous july 17th, 2012 appeal hearing. during the pendency of the appeal, the project sponsor cpmc has a revised project to include a smaller cathedral hill and larger st. luke's campus. relative to the previous project. planning department staff has reviewed the revised project and notes that it's similar but not identical to alternative create the alternative that was found to be environmentally superior in the e-i-r. during only two buildings have been changed under the revised project. the new hospital at cathedral hill campus which has been reduced in size by 251 beds and the replacement hospital at st. luke's campus that has been increased by 40 beds. specifically, the new hospital at cathedral hill campus would be reduced from 555 beds to 304 beds.

that is the hospital's initial build out would result in 2 74 available beds, with shelf space providing capacity for up to 50 additional bed in the future. the hospital building would be reduced by three floors, decreasing from 15 floors to 12 floors, or 39 feet reducing hospital height from 265 feet to 2 26 feet. the hospital growth floor area will be reduced by approximately 174, 560 gross square feet. the number of proposed parking spaces at ka thea dylan ratigan hill campus will be reduced by 237 spaceses, from originally planned 5 13 spaces to 276 spaces. ~ there will be no changes to the building footprint, circulation, access, landscape or streetscape improvements previously proposed at the cathedral hill campus. [speaker not understood]. the replacement project at st. luke's campus will be increased from 80 beds to 120 beds. the hospital building would

have an additional two floors, increasing from five floors to seven floors or 43 feet, increasing hospital height from 99 feet to 142 feet. the hospital's gross square area will be increased by approximately [speaker not understood] gross square feet. however, there will be no changes to the building footprint, parking, circulation, access, landscape or streetscape improvements previously proposed at the st. luke's campus. the planning department's analysis of the revised project was provided to you in march 5th, 2013 memorandum titled planning department c-e-q-a review of revised cpmclrdp project. the memorandum explained that although a somewhat different proposal than the previous project and alternative [speaker not understood], the environmental impacts of the revised project fall within the scope of the e-i-r analysis of the previous project and alternative [speaker not understood]. the significant and unavoidable impacts identified for previous project and alternative [speaker not understood] would

continue to be significant and unavoidable under the revised project. however, subtly impacts would be somewhat reduced and there would be no new significant impacts. thus, the e-i-r contains an adequate analysis of the environmental impacts of supervised project, the requirements of c-e-q-a, c-e-q-a guidelines and city's administrative code. the planning commission action to certify the final e-i-r on april 26, 2012 was appropriate. the appellants have not raised any new issues or concerns that indicate the certification should be overturned. the planning department therefore respectfully recommends that the board uphold the planning commission's certification of the e-i-r. this concludes my presentation on this matter. i and other staff are available to answer any questions you may have and i just wanted to point out that i have planning department staff and transportation specialist sue mike l son who can address questions supervisor breed had regarding the transit impacts.

thank you. >> thank you. colleagues, any comments or questions to planning? supervisor campos. >> just to make a motion. >> okay. any other comments? supervisor tang. >> good afternoon, planning staff. i just wanted to make a note that even though i am new to the board, i have followed this issue very closely as a legislative aid in the past few years and also have taken a look at the e-i-r documents. >> supervisor breed. >> thank you. as a former redevelopment agency commissioner, i know how controversial many of these e-i-rs tend to be so, i just wanted to make a few quick comments. ~ since this is the first sequel [speaker not understood] here as a member of the board and

since this particular environmental impact report started well before i was elected, i just want to offer some brief comments. when evaluating e-i-rs, i believe i have a specific legal obligation. i am asked to determine if the document is adequate, accurate, and objective and reflective of the independent judgment of the city and that's all. this is not a proxy vote on the merits of the project or my feelings about a particular developer. it is an assessment of the adequacy, accuracy, and objective -- objectivity of the environmental impact report. in this particular case, the e-i-r process has been lengthy and public, spanning four drafts in several years. i have reviewed the report and the supporting materials and familiar with the proceedings that transpired before i became supervisor. and the report carefully details a number of potential environmental impacts. it ha been thoroughly vetted and reflects the concerns of the stakeholders involved, which is why i'm confident that

the final report is accurate, adequate and objective and i will be voting to affirm its certification. thank you. >> thank you. let me skip over supervisor campos and go to supervisor yee. supervisor yee? >> thank you. i'm one that was not here also during the review and i had a chance to look at the report itself and feel very satisfied with the content and the outcome. >> thank you. supervisor yee, before we take a motion, i first want to officially at this time declare that the committee of the whole has been concluded as we now reconvene as the board of supervisors. supervisor campos. >> thank you, mr. president. again, i want to thank everyone who has worked on this. it's been a long time coming. besides my colleagues and the staff