the - it's a commercial space where we've provided weekend hours and we couldn't afford the rent. that was our tennis to combine the law library and we had a highly discounted rent for many years because we served equipment for the landlord but when that happened he raised the rates >> okay, you know, brown what i don't have any more questions. >> can i make a comment please? >> i think it would be very

helpful. >> what i want to say is this proposal is proposing 15 thousand square foot when we found the building this was 8 thousand square feet available on the second floor but the real estate said they'd only support the first floor and now the landlord is going to keep some square feet on the first floor and now the first floor is smaller. so that gives us some prospective on what's the rationale >> colleagues any comments or questions at this point? >> well, i guess i'll start

off. i actually feel that after the discussion that we - a lot of optioned have been explored about how to set up a new library and the city has worked with the law library to find a location and i think we're making a financial commitment to serve the law library there's been some contention but i feel fairly satisfied with the site plan that's been discussed that i feel - i feel okay with the law libraries relocation at the 12 hundred van ness and would like to, you know, a motion to move forward to support that

plan. i think following the budget analysts recommendation i would like to move to support the recommendations and the proposals by the analysis with expectation that the director of properties would put into the file - i didn't catchall the exact words the final lease to come before us. i'd like to make that motion. i really appreciate despite the lengthy really appreciate the presence who came for public comment and the fact that people wait so long and was important for us to hear about how well, the law library it considered in san francisco and the legal

community so some of that has some great weight in our consideration today and despite what you feel is the outcome i still think it's important >> i'd like to second the motion. i did want to say that i appreciate the budget office recommendations and the various compute if the mayor's office as well. the testimony of many folks from the legal community from the concerned professionals to the attorneys and us low practitioners i used the law library and as an attorney in the counter location and i hope that the vision is outlined by 2004 boards own resolution to a center of a justice center we

can chief sometime in the future. i hope to work with all of you and help to raise private funds for potential improvements. i feel like the proposal that is before his will help improve the law library and others testified that the trend of libraries whether it's compact shelving or the use of online databases but we're increasing the size of the law library as the budget and analysis offices suggested significantly and i think that given the financial con tranquilities of the city i hope to work on making improvements so it's a library that's used by

indigent people and practical shuns but i'm going to be supportive of this today >> i liquor store want to appreciate and thank everyone who were here obviously there was a ton of support. and not only providing support byu for indigent folks but also for practical shuns. no one doubts the importance of the law library it's really about space. since 1995 being in the current space rank this as over a 50 percent in space and given our budget we've got a thirty thousand plus budget and the law

library never had 20 thousand square feet. with the memorial resolution it creates some strains on both sides and in fact, suing the city of san francisco. he think this puts us in a very, very difficult spot and you know, i think one in terms of, you know, the legal prurldz talked inadequate space but that would cost us thousands and thousands of dollars in says that a month and i question the judgment on what why that was being done.

i believe we all wish we could provided public funding here but we need to be careful. i'm not so sure it's important to fund everything that the library wants to say do and i think 20 thousand feet as discussions is adequate. i think heading into the budget i will be supporting that motion as amended by the supervisor and we can do that await opposition >> madam clerk any other items. >> that completes the budget of the finance committee. >> we'll be taking a thirty minute recess before your fill budget meeting so call the 215.

meeting adjourned. >> good afternoon everyone welcome to the budget and finance committee meeting for wednesday march 27th. we're going to be joined by several supervisors. i would like to thank the

members of the tv. >> please silence phones and electronic. item will be on the next agenda if otherwise dates my item one. on the state of hiv services and 2013 and 2014 and the committee organizations will report open the federal and state cuts to the hiv services and how the city can respond for making up the cuts on a local level >> this meeting was called by supervisor wiener.

i wish we didn't have to have this hearing another year of abandonment by the majority of the house of representatives will cause us to experience a significant cut to our hiv funding for services and - and our city will and can respond to it. by a preponderance of all the evidence in the earlier 1980s when the aids first hit san francisco and our country san francisco had to go it alone. the federal government was not a help and, in fact, as we recall

the president, president reagan didn't utter the words until late 1980s and we in san francisco built a system of care so that we could take care of our own or the many people who suffered and suffered for many years with the disease the federal government started to support our efforts and the state that was incredibly helpful and we've seen over the years when we had a partner in providing care to people and phil protection strategies and we continued to be a leader and the rest of the world looks to san francisco for the models we've developed but but

unfortunately, the craziness has gotten worse and worse and more short sighted over time we have seen significant reductions in support and particularly from the federal government in terms of ryan white and as well as cvc prevention care. new injections in san francisco continue to fall. we are winning the war on aids in san francisco but those cuts from the federal government continue to challenge us and specifically threaten to derail the progress we maid make. so today, we're going to hear

from our department of the public health and community organizations about the strategist the endesk about the cuts we're about to experience yet again from the federal government and about how we locally in san francisco, california renew and continue to move forward on our own commitment with those living with the disease and frisks the disease. so we'll start with the public health and dr. garcia >> to the chair and the boards members first i want to let the audience know we provide direct services in the county of los angeles with all our partners. as many of you know, we continue

to see reductions in our hiv and aids funding. there has been more - the fact that health care reform is being mrementdz many people who dooptdz on our program for the medical care they'll have the opportunity to be covered under medicaid but to note that the population at large is not covered but we'll continue to cover some of those services. san francisco has create an incredible system of care and some are here because they're afraid we're losing our health care in the community. as you will see in the portions

of hiv and aids area you'll hear from our department we're losing more costs to other programs. and we're in constant contact with our providers >> thank you. good afternoon supervisors and chief financial officer. i will go through the presentation in front of you relate quickly i know it's a long afternoon and a lot of people waiting to speak. in the packet i handed you go to the back we have at our front the general budget update but if

you turn to page 7 we start the information on this presentation. so as you know and as supervisor wiener state we have a couple of significant funding issues the first is we face the continued reductions both for hiv services and prevention that went into effect those are reductions in federal reductions and we have additional reductions in the coming year so we have both those challenges to deal with and we still have little

information about what the impact of the federal sequesterer b mr. mean in the streams. i won't dwell too much but just a current overview of where we are about 15 though 5 hundred people living with aids as of the end of not that i'm aware of. as barb said it had peeked and declined as we have had some impact on the total numbers in the city and we see some trends continue downward in new cases on a it's not significantly to be continued but we have some

progress with new therapies. on the rhine white as you know, the biggest part of our funding is ryan white aid that comes from a formula of additional allocations for the aids program. where we are right now we're still awaiting information on our final awards from the coming year but the most recently estimate is we're likely to faces a $1.2 million for focus year 2013 and 15 and we're still awaiting information and that

number didn't include the estimates of this sequester i'll get to later. as supervisor wiener referred we have quite a bit of history of up and down predominantly downstairs as we've got federally funding down and replaced from representatives like our supervisors and last year, we had a significant reduction that was not replaced that reduction continues into the current year and will continue flo into 13 and fourteen and in terms of the rescues we've seen in the ryan white fund can you give just a

general overview so people can see the dramatic you downturn >> i have on the next slide a history of our ryan white part a that's the bulk of our ryan white funding. you can see the pattern of 2001 to the focus year at the beginning of 2000 our award was closed to $35 million that's declined over the last 12, 13 years and you can see where we're at a little over $20 million and this is the san francisco award if you look at the regional awards it will be higher.

but you can see the up and down but a general downward trend over the last few years >> we have that one year 2007, 2008 which saw a big reduction in the grant ward. was that made up by the city? >> that was made up from a general fund from the city that year there was a single large reduction the city stepped up on a one-time basis and the subsequent years our grant was increased to offset that reduction. so if you looked at the history of the general fund this matter put into the hiv, aids program you would there is was a general

increase to partially offset that and do you have a graft to show what happens over the years? >> yes. i have the data - am i able to use the overhead? actually, i don't need it i have it on a separate file here. it's not the visual format that would be ideal. >> maybe i have something - if it's too difficult to share it

goes along with the presentation. >> but we'll provided that data to you, we certainly have it available. in addition to the ryan white reductions that we've seen over the past two years we've also got reductions from our hiv prevention. in 2010 there was a relifetime that shifted funding away from certain geographical regionals that had success in parts of the country that were increasing and decreasing the effects of the epidemic. the impact is based on the new funding schedule san francisco

will have used 40 percent of their grants for prevention between not that i'm aware of and 2016. at not that i'm aware of we're at $8 million but we're going to decline further >> i assume you'll agree with this but the cdc cuts are punishing san francisco for reimbursing infections. >> we're losing funding as a result of our skwek the flip side is there's a great need and that's the driver. >> the solution would be to increase the funding to those parts of the country not to

punish san francisco for reimbursing infections. has the cdc borlthd to do an analysis with the increase of infections they would - if they're going to do an analysis they should show the number of people who would not contract hiv who are now going to contract it by taking money away from san francisco >> i don't know what the cdcs global prospective is on that but we do have studies of what the impact is in terms of impacts in the community and what that means in terms of prevented cases and we can certainly provide that.

but there is slightly a trade-off in that shift >> of course, it's a trade-off of people's lives. and i would like that information. i'm sure it exists and you'll hear the frustration in my voice because so much o so many of us have been working hard to let people know to be safe and to use the techniques and to lose this kind of funding and potential see the frustration >> it captures a lot of our feelings in the city. so just to continue we're projected as part of that

prevention funding we're schedule to receive a reduction to continue in 2013 in addition to the $2.2 million reduction for the current year budget. and, of course, we're continuing to work with the community to discuss what the implementations of this are. how those kits can best be accommodated and minute missed the impact. so just to give you a couple of tables that have a high-level summary in terms of funding. this is the serum of the reductions in the entrants to each of the two programs over the two focus years for the upcoming budget. we're up around $5. million and

4.8 for hiv prevention. and to take another look at the global outlook for the next 2 years. as you know in the 2013 budget process when he faced the budgets to ryan white we worked closely with the mayor's office and the members of the board on the approach to that problem we're able to get general fund to restore those reductions for the years 2013 fully gu but in focus year 2014 there wasn't enough general fund dollars available and they were back filled at 50 with general fund. so you can se