unable to pray his prayer. as a who was smitten by the ark ananias prayed for saul >> inc. you very much. that is your clock. next speaker >>, to garner support there is definitely human trafficking sex slavery and human experimentation going on in the city for probably about 100 years. as the program has been going on for over 100 years. i've contacted authorities. just to have in uniform, in marked car officers come tell me and display to me that they tell me they were not going to do anything. they do report dissuade me from continuing to let people know what is going on. this is heinous. i know too many people. i do know this young lady here but much the same thing is going on throughout 63 and tenderloin.

i've heard heinous things just like that just of 26 and south. at times i've got recordings of these heinous rapes. game rates are allowing. this is not okay. i've been trying to get you children to do something for almost 4 1/2 straight years. deal with me. i live at 3463. i have many recordings chew about to start putting on youtube. sodomy, tortures, injections, experimentation. this is not okay. their programming people.

they're destroying who they are in favor of a fractured personality and a sex slavery and torture and experimentation victim. one of them is expected to live much of birthday in four days. i just seen her on either of our birthdays in six years. >> think. next speaker >> thank you. next speaker >> i my name is larry edman alleged legal admin juicy estate 55 mason and what i have here i want to show the people. you invited this thursday to pursuit of excellence at another roland martin. it's been tried on, jesse collins, the man from glee. it's been a birthday celebration of men well from south africa. in the dawn of a

baby today and inadequate nurse. i'm here to tell you take a look at this picture, we all believe we can fight. somehow knew something about this what this picture symbolizes. i want to thank global funds for being in the the last 15 years of aids walk american marijuana i was met at the present because nancy pelosi [inaudible] they're not doing nothing medical marijuana but we have guns. the question is are we medical marijuana or guns? you know secure communities is just not provide. it all comes down to this. the president tell the president grow medical marijuana so people in mexico won't be getting killed for the drugs that americans need. so it's very important that tonight i want to be at the

library talking about the joined by the og bt advisory committee. we ask you leaders to be leaders for the people and not leaders for the money. it's very important that people be able to get their meds. when you just keep those people because sacramento washington, it's black on this. people say it's hotter in july. you know why that is? because we picked cotton in july that's why you have % >> thank you. are there any other members of the public that wish to speak in general public comments at the scene in general public, says goes. but what would you go to adoption counter >> item 6970, 72 and 73 are being considered for immediate adoption without committee reference. rollcall vote

one-act these items unless a member objects and matter can be removed and considered separately >> would anyone like to sever any of the items supervisor breed >>, item sever and 70 should have a right to sever item 73 >> we call the roll for the rest of the items >> >>[roll call] >> there are 11 eyes. >> this revolution are adopted. and 70 >> item 70 supporting 7.3 million funding from the octavia boulevard special fund for proposition i ancillary projects >> supervisor breed >> thank you. i had to make two

small amendments and the resolution. on item line 17, to strike the word, the. that should actually be 10, gen. also strike, to be. on my number 17 and 18 add additional exemplary project. >> supervisor breed has made the amendment that she described as their second event separate segment can retake the motion without objection? that objection and on the underlying resolution as amended can retake this in-house and call a stick without objection the resolution is adopted as amended. medical can you call and 73 >> item 73 a motion authorizing preparation of written proponents and opponents out arguments and rebuttal ballot arguments similar to the voters in november 5, 2013 consolidate general municipal election >> college because the full ballot is not yet finalized

like to suggest we continue this item until next week will make that decision. it would make a motion to continue this item for one week. bush my supervisor winner second without objection it will be continued until july 30. >> madam clerk can you please redeem >> today's meeting will be adjourned in memory of the following beloved individuals on behalf of supervisor: supervisor avalos the late is beverly jones hubbard adams. on behalf of supervisor chiu, nicholas abbey are so good >> madam clerk is there more business in front of the board? >> ladies and gentlemen we are adjourned.

>> good afternoon, everyone, and welcome to the july 25, 2013 special meeting of the board of supervisors neighborhood services and safety committee, my name is david campos and i'm the chair of the committee, we're here with eric mar, we will be

joined later by supervisor malia cohen bho is currently chairing the government of audits and oversight committee and sthe will be filling in for supervisor norman yee, the clerk of the committee is mr. derek evans, we want to thank sfgtv staff for covering the meeting today, mr. clerk, do we have any announcements? >> thank you, mr. chair. please make sure to silence all cell phones and electronic devices, completed speaker cards should be submitted to to the clerk, items acted upon will appear on the board of supervisor's agenda. >> before we move to our item, i would like to entertain a motion to excuse supervisor norman yee, so we have a motion by supervisor mar, if we can take that without objection. i know that there are a number of people here for item number 1, we have a very small item

that's coming up on item 2, so i would like to take that out of order, so if you can call item number 2 and i know we'll try to make it quick so we can move to the main item of this meeting. >> item number 2 is a hear toinger consider the premise to premise transfer of a type 21 off-sale general license from 810 mission street to 810 mission street, district 6, to sylvain montassier for tamer sf. >> and if i can call on the applicant. >> good afternoon, supervisor. >> if you can identify yourself, please. >> my name is sylvain montassier, i'm the cfo, it's a corporation that has the sf deli and wine in san francisco. >> i imagine you have already reached out o the district

supervisor, this is in district 6. >> we have reached out to our supervisor and to the public. >> why don't we now hear from the san francisco police department, either inspector fong or gordon. >> thank you. >> good afternoon, supervisors, i'm inspector fong, abc liaison region, he filed an application seeking a type 21 off-sale general license for 810 mission street. this permit is currently operating with an existing type 21 license and is seeking approval from the committee to extend the license to conduct the newly constructed entrance of the floor, police called for service from april, 2012 to april, 2013 is 0, there's no

residents within 500 feet of this premises and a notice of the public was posted on may 22, 2013. this premises is located on plot number 222, it has 210 police reports reported for 2012, so the applicant's premises is located in a high criminal area. this is 176.01, the off-sale license authorizes by this tract is 7 and the active off-sale license is 9, so the applicant premises is located in an undue concentration area. there are no protests is recorded with the california department of alcoholic beverage control and letter of support is located with the california beverage control. there's no opposition from police station and alu recommendation is approval. >> thank you very much,

inspector, colleagues, any questions for inspector fong? why don't we now open it up to public comment. is there any member of the public who would like to speak on this item? seeing none, public comment is closed. again, we heard from the applicant, we heard from the police department. there are no speakers. i know that the district supervisor in in support of this request, so if we can entertain a motion. >> i did want to say that though my office is working with supervisor kim and cohen on getting stores to display more healthy options in the front of their store, especially whole grains frush produce and non-fat milk, many types of items as opposed to junk food, alcohol and cigarettes, but i still see that this is supported by the district supervisor and i'll be supportive of this item. >> great, thank you, supervisor

mar, so if we can have a motion. >> i'll move that we approve this permit. >> great, thank you, and if we can include that to support it as the committee report so that it can be considered at the next board of supervisor's meeting, great, so if we can have that motion and we will take that without objection. thank you, the matter will be in regarded, congratulations. mr. clerk, if you can call item number 1. >> item number 1 is a hearing on how the department of public health is planning to implement the affordable care act with implications there are for healthy san francisco and the health care security ordinance and how the affordable care act's implementation will affect various communities in san francisco including undocumented san franciscans. >> the main objective here today is to hear from all the members of the pun lick and the community and the business community included who are here. let me say that i'm very grateful that because of the

amazing work of president obama and our incredible and amazing leader congresswoman nancy pa loes si, in march of 2010, president obama signed the comprehensive health reform that we probably have heard a lot in the last couple of years. it is the patient protection and affordable care act which many people referred to as the aca or obama care which is something that we have affectionately appropriated because the term was use ined a derogatory way, we think it's a positive way, this law does many things but perhaps most importantly, it makes preventive care more accessible and more affordable for so many americans and i'm excited to be here to begin a series of hearings that we will be holding on the affordable care act so that we have in san francisco a smooth as

transition and implementation as possible. today's hearing will focus on how the aca and our local health care security ordinance work in tandem to make health care and health insurance truly accessible to as many san franciscans as possible. you know, the thing about the health care security ordinance, it was really an example of how san franciscans can come together, you had labor, community activist and is the business community coming forward and passing an ordinance that set an example for how you can have universal health care for the rest of the country. in september of this year, i plan to hold a hearing on how to enroll for health insurance in california's exchange which is called the covered california. right now, i know that san franciscans are getting ready for enrolling in the aca which the enrollment begins on october 1 of this year for coverage that would then begin

january 1, 2014. later on this year, and we're thinking around october, we plan to have a hearing that will focus on women's health and how women's health will be impacted by the implementation of the affordable care act. in the coming months, i look forward to a lot of lively discussion about the exciting moment in history in the history of this country where quality health care will become more accessible to so many americans. i wanted to start off the series of hearings on the aca with a discussion about the importance of maintaining our landmark health care security order and as you remember, this law was authored by my predecessor, former district 9 supervised sore now assembly member tom am yan noe, this serveesed as a model for the country for how to do health care reform and we know that we have heard from many moses if washington dc before the aca

was passed that they were looking to san francisco as a model. my driving concern is that during this period of transition, here in san francisco, that we continue to be that model for the rest of the country, and that the health care dollars that san francisco workers have been receiving from their employers for the last 7 years, that those dollars are not taken away during this transition. the health care security ordinance contains two components, both of which will be crucial to maintaining -- to ensuring full access once the aca is implemented, the first component is the healthy san francisco program which is a program that provides health care access to uninsured san francisco residents and which will continue to be crucial for those residents who are left out of the affordable care act, namely undocumented residents here in san francisco and other parts of the country.

the second component of the health care security ordinance is the [inaudible] it was included by assembly member am ya*n know that worked on this landmark piece of legislation. on the belief that employers should contribute equitably to the health care needs of their employees and employee provided health care is not only reserved for the high paid workers here in san francisco, the employers spending requirement was never really meant to be a primary funding mechanism for healthy san francisco, for the healthy san francisco program, although we recognize a small portion of this money does help the program solvent. the employer's spending requirement was meant to encourage employers to provide and to continue to provide health insurance to their employees or in the absence of health insurance, to provide economic assistance so that they have as much access as

possible to quality health care. many of us believe that the employer spending requirement is needed now more than ever because under the aca, individuals are required to meet an individual mandate and purchase health insurance, while cal foreign's health exchange, the cover california that i referred to before will make health insurance more affordable to many individuals in high cost cities like ours, like san francisco where according to recent reports during the most recent quarter, a one bedroom apartment in san francisco will cost you an average of 779, in these high cost, lower wage employers will find health insurance unaffordable, because of the health care security ordinance and the spending requirement in that ordinance, we hope the workers we're talking about will be able to use this money

to meet their individual mandate and if workers can use the employer contribution to purchase health insurance, we believe the aca will be an enormous success in san francisco and we believe that san francisco will be the model for the rest of the country on how to maximize its success of the aca because of the health care security ordinance. there's a last point that i want to highlight here before asking the department of public health to come and present, in 2015, the aca will include a requirement that employers provide insurance or pay a penalty if they do not provide health insurance to employees that work over 30 hours a week. what's going to happen as a result of this unfortunately, in many parts of the country to the extend that the threshold is at 30 hours a week, there's an anticipation that many employers will be lowering the number of numbers that employees work to 29 or under

and because of the health care security ordinance, we know here in san francisco, an ordinance that goes beyond the coverage that the current law provides, we believe that, that trend will not happen in san francisco because the health care security ordinance ensures that employees that work more than 8 hours are covered. this is yet another example of how the health care security ordinance and especially the employer spending requirement aspect of the ordinance can work very well with the aca to provide meaningful access to health care to all san franciscans, so with that, i want to thank all of the members of the public, members of the community, the business community, labor who are here, and so it is now my pleasure to call on our fabulous deputy director of public health, colleen chala who is going to make a brief presentation.

is that okay? >> good afternoon, supervisors, i'm glad to be here on behalf of the health department. i am as you side colleen, deputy director of health at the health department, i'm here on behalf of director garcia, she regrets she's unable to participate in the hearing today, but she is as we speak engaged in negotiations related directly to dpl's delivery system for the affordable care act. i also was hoping for the overhead too. san francisco has a long history of supporting health and health care in san francisco long before there was health reform, san francisco recognized the importance of health insurance and health care access and adopted cutting edge policies x programs that extended health insurance to more san franciscans, these included the healthy kids program which provides health

insurance to low-income children, the health care accountability ordinance which requires contractors and less sees of city property to provide health insurance to their employees and the health care accountability ordinance which you will hear about more today and healthy san francisco, our flagship program as supervisor campos mentioned. as employee of the public health system, i'm pleased to work in a place that puts high priority on health and access to health care and it's because of the citywide commitment that all san franciscans have a good health care home, we are doing this by connecting people to the insurance they're eligible for and to those that have no other options. we cannot afford to keep individuals on locally funded programs that are subsidized by the state or federal government. it will not be simple, it will require coordination and education and support and individual responsibility, but it is possible.

what i'll talk about today will hopefully provide the foundation for today's discussion. today i will provide a general overview of health reform, kind of a health reform 101, talk a little bit about the impact of health reform on the uninsured in san francisco, also about the aca implementation activity that dph and noel simmons will talk about the aca implementation verses at the human services agency. so, as supervisor campos said, it was assigned into law by president obama to expand health care coverage, it is the biggest initiative since the creation of medicaid and medicare, as a result of health reform , the rate of

uninsurance will be reduced by half, and 92% of all u.s. residents will have health insurance. locally, approximately 56 thousand san franciscans who are uninsured today will have access to health insurance. how does health reform propose to expand access too insurance? it requires that people have insurance and it gives them more options to obtain it. the requirement for people to have insurance is called the individual mandate as the supervisor mentioned previously. most but not all u.s. residents will be subject to the mandate which becomes effective on january 1. those that are not subject to the mandate include undocumented individuals, that will be the largest proportion of individuals not subject to the mandate. those experiencing hardships such as homelessness, people with incomes below the

threshold for filing federal tax returns which is about 9750 dollars per year, the incarcerated, those are the religious exemptions. >> my apologies, do you have copies of the slides for the committee. >> i'm sorry, i do not, i apologize. >> continue, please. >> anyone who is subject to the individual mandate and fails to show klein which will be done through their tax return, financial penalties will apply, the penalty in the first year is $95 which is low in acknowledgment of this new requirement but it creases to 695 dollars in 2016, it expands public insurance for low-income citizens through the medicate program, it creates the amazon.com of health insurance, it incentive employers to offer

coverage, it makes health insurance more accessible and for all of these, i'll review the expanded options in brief. for the lowest income individuals, health reform expanded medicate which is called medi cal in california, prior to health reform, only certain low-income individuals were eligible for medical, primarily, children, seniors, and families with disabilities, they compromise a significant portion of the insured, health reform changes this beginning january 1, adults ages 18 to 64 with incomes between 0 and 138% of the federal po*rt level which is about 15 thousand 800 dollars for a single person will be eligible for medi cal, the current medi cal program that serves these people will be unchanged. those newly elig