they were using an elected officials in premature to add legitimatecy in the appeal to the public. >> you mean if they used it for example in printed material? >> yeah. >> or the media campaign. >> yeah. let's say that we are doing a mailer to say right to the board of supervisor and tell them not to cut them for the fire cuts keep them all open. >> maybe the firefighters union will do something like that. and they would say, you know, supervisors you are actually spear heading a movement to help us in gaining the funding that we need. please write or call the board right away. and that reporting would be captured whether or not the supervisor's names were attached to it or not. and you know, it is kind of that would not be it is not associated with like a ballot measure or something like that, so there is actually no political reporting attached to

this. >> i see. >> does that answer your question? >> i think that it does. basically, the same thing is endorsed. and i was thinking more fire house number 9 and they and there is a particular initiative or some ballot measure that is endorsed by these candidates already. and then you list that or those candidates who have endorsed this particular initiative to the fire house number nine and that will fall within this as well. >> yes. >> it gets tricky in the range before an election, anything that contains the candidate's names kind of becomes election material and therefore will be regulated differently. and i think that a good example and i hope that i, construct

this correctly there was a prop f about fire houses. before it came into existence, there was a campaign to get the board not to put it on the ballot and not to create a ballot measure and so the spin on this was to put up i think billboards and send out mailings to tell the public and the board of supervisors that we don't want, the funding cuts and then it looks like it was coming any way and a ballot measure came to rescind those cuts. but before that point it would have been expenditure lobbying and it was not associated with the candidate or a ballot measure. >> if is there an initiative on the ballot, and some individual wants to finance global calls, just does he or she have to

report the fact that global calls that going to say vote for this initiative n >> they will have to report it as independent expenditures. >> right. >> in which case it is campaign finance reporting and that is already captured >> so at this time what is necessary, is to actually write the language that could be incorporated into the legislation at the board of supervisors. >> if you like this direction, you know, we just need to indicate to ask and go ahead and go forward and draw up the proper legislation and we will give it back to you for the approval when it is drafted and send it over to the board. we don't need a formal approval. >> i wanted to hear from the

other commissions that the preponderance after mr. bush brought this to our attention and believed that it was the tip of the iceberg and we find off an investigation and some research that it is eight over three years, and i wanted to hear from the other commissioners does it have bearing on what we are getting ready to move forward with? one way or another? >> the subject and that there was no public comment. and that therefore, absent it does not appear to be a need

under the present reporting requirements. and some someone wants to bring it back, i would... >> and i don't know why we want the staff to fuel the problem that the public apparently is not concerned about. >> and then we will have an additional opportunity to discuss this issue when the language comes back to us at the next meeting. >> so that is... and do i want us to go forward. >> i think that we do. >> absolutely. i think that we all agree with that. >> we are going to do that and we don't need any formal action. >> very good. >> let's look at the minutes, are there any additions or

corrections? >> that was your first meeting with commissioner andrews? >> indeed it was. >> and my name is spelled right. so that is great. >> that is the... >> thank you. >> and that is what is essential. >> the first and the last. >> and i make a motion. second. >> approve the minutes. >> any public comment? >> for the minutes? >> hearing none, and all in favor of approving the minutes? >> aye. >> the minutes stand approved. and we want to consider the executive director's report.

>> okay. >> so, the mayor has not signed it yet. so we are still not through the woods if you will, but the indications are good. so this bodes very well for us, and the delay in hiring and education out reach coordinator continues, and because the city won't let us hire someone until they have an approved list. the list i am told now exists. and it will be distributed to us in the very near future and so we have been recruiting for that. >> so we can only recruit from the list? >> right. and we had an auditer retire and until that person has exhausted their vacation we can't begin to look for a replacement and so that is coming up and so this funding will allow us to hire another

investigator. and which will be good. so we will be able to do the current investigators that are doing exceptionally good work and this will allow them to concentrate on fewer cases at a time and bring in the resolution and a satisfaction. and that is actually very, very good news and that is my own real highlight and the other thing that i would just point out is, 15 non-filers were referred to the fppc of the standing of economic interest. and this is out of six or 700 filers. and normally, we have 60 or 70 non-filers a year and so we have done a good job this year in spite of the responsibilities of transferred from one year from one staff to the other and so i am actually well pleased and so i wanted to point that out to you, if you have any questions i will be happy to answer those. >> commissioners? any questions? >> i just wanted to if you can

hear from mr. st. croix, a caseload, do you have an optimum kind of caseload that you would be going for i suspect for this moment that it is higher that you prefer it to be. >> i don't have an actual number because we don't have any control over that. the number of cases divided by the number of staff, tempered with the with the case. and three is well and probably five or six, you move forward and you have to wait to move forward and several of our investigations are pending

audits and they move at a different pace and at any given time we have 30 to 50 cases and the number of cases come in at a rate and a lot of them are dismissals and you are going to see many of those. for various reasons, mostly of non-jurisdiction and so i could not ideally what it is because it we do not fit if an ideal mold. >> okay. >> and am i glad to hear that. >> and any items for future meetings? >> public comment on the ada report? >> public comment on the executive director's report? >> hearing none, we will move on to any propose td items for the future meetings? >> okay. >> and add to at again agenda. >> is there any public comment on matters appearing or not appearing on the agenda tonight? >> we appreciate those of you

who were here, to provide the public comment, thank you. and that concludes... >> the meeting is adjourned. >> second. >> all in favor? >> aye. >> aye. >> aye. >> that adjourns the meeting of >> that adjourns the meeting of the ethic's commission.

welcome home, man.

>> health service board is now in order. please stand for the pledge. i pledge allegiance to the flag of the united states of america, and to the republic for which it stands; one nation under god, indivisible, with liberty and justice for all. >> madam secretary, roll call, please. >> roll call. president breslin? >> here. >> vice president lim? >> present. >> supervisor farrell excused. commissioner fraser? >> here. >> commissioner fraser excused. commissioner scott sf >> here. >> commissioner shlain? >> here. >> we have a quorum. >> thank you. ~

item number 1, please. >> item 1, action item, approval (with possible modifications) of the minutes of the meeting set forth below. regular meeting of june 13th, 2013 combined with rates and benefits committee. >> are there any corrections? no corrections. >> i move adoption of the minutes as distributed. >> i second. >> any public comment on this item? having none, all those in favor? >> aye. >> opposed? it's unanimous. >> item number 2. >> item 2, discussion item, president's report, president breslin. >> we are now on sfgov-tv, channel 26 and 78, i believe. and we want to thank sean tai who prior to this has done the

videos for the board meeting. and would you please come up to the podium? thank you. the health service board would like to thank sean tai the founder of zty media for his excellent service documenting health service board meeting since october 2010. we commend shane for his professional dedication and technical expertise. this creation of the hss youtube channel has provided meeting access to hss members, elected officials, news media, and others who could not attend in person. these recordings were also used to document requests and questions posed by the board and public comment. in addition to his work for hss, we would like to acknowledge sean's commitment to the oakland digital arts and literary center, a nonprofit that empowers students and small businesses in undeserved communities to succeed in the digital economy.

we encourage sean tai and zty media to be among the vendors that bid on other digital video services proposals issued by health service system. the members of the health service board wish sean tai the best of luck in his future and professional endeavors. thank you. >> thank you very much. >> thank you. (applause) >> also, as you know -- probably know by now, the board of supervisors recently passed a resolution requesting that kaiser improve transparency on

rates and rate setting. they also requested that our board and staff build upon their process of consulting with public employee unions and hss retirees. we do want transparency from all insurance providers. the resolution specifically requests kaiser to do so. the city charter gives the health service board exclusive negotiating rights and also states that we must supply benefits without special favor or privilege. the resolution [speaker not understood] retirees public employee unions. however, we are responsible to all members of the system. we are planning at our september meeting and then maybe october also to dedicate an agenda item for information and input from our members so that they can introduce and formulate objectives well in advance of the rates and benefits deadline. so, encourage everyone to attend and to spread the word.

and lisa will be talking more about this in her director's report. thank you. and that's all i have on this report. is there any public comment? seeing no public comment, item number 3. >> item 3, discussion item, director's report, lisa ghotbi. >> good afternoon. lisa ghotbi, acting director of the health service system. july was a busy month for us. i think i have just a few things to review. we are interviewing for the cfo position and we expect to fill this position by september. that's really good news for us. once again, we want to thank our interim cfo gregg sass who has not only helped us with the interview process, but has helped us get ready for the audit that's upcoming and will help the new cfo who comes in with her -- his or her transition. we are also working on -- we

just posted the wellness [speaker not understood] yesterday and we are working on posting other clients -- contracting compliance manager position within the next few days and we have a few other positions that we're in the process ofing. we have several new positions. it will be a busy fourth quarter hiring and bringing new folks up to speed. ~ posting in the operations department we've been quite busy with several activities, some of them in terms of focusing on 2014 open enrollment. the emerge, working with emerge consultants to rebuild the flux credit product for mea and executives and we are i think a good probably 70% of the way down the road for that. so, we should be fine for open enrollment. we also responded really within three hours of the supreme court ruling on doma to communicate on interpretation to our members. we were getting questions immediately on that, and there is some report on that end.

the operation powerpoint presentation will review same sex domestic partners to ensure any married couples in the system will now have the same benefit for pretext coverage for all other family members. we reviewed member files to determine if any same sex partnerships had previously submitted the marriage certificates to hss and if so we changed the family status from domestic partner to married effective the next available coverage period. so the staff was very proactive and we immediately began receiving marriage certificates from those who had not already submitted them to hss. we will also be moving to the third floor. there is a move and we've delayed that until december 1st until after open enrollment so we're looking forward to that and to also have a wellness center opening on the first floor of 1145 market. and also wanted to point out that it was a very busy month for retirement in the health service system. we processed over 7 45

retirement applications between may and july 1st. so, significantly more than our average of about 40 a month. so, very busy for retirement and congratulations to all the city employees who retired. in the communications department, we've been very busy working on the benefit guides which will be going to print shortly. the theme for this year is partnership help and also we've completed a communication strategic plan which will be presented to the board at the next meeting and we'll be starting this rfp to help us fulfill that plan in the fourth quarter. our finance team has been working on building the rates and also preparing for the audit which will be starting next week. and in rates and negotiations we wanted to let you know that many of the unions have accepted the city offer for the flat contribution model and

that model is going to be 93, 93 83 which means that the employer contribution for an e only is 93% for the e plus 1 is 93%, and for the family is 83%. that was done by the deadline of july 31st, 2013. please note the typo, not 2012. that was done as of july 2013. so, those numbers and those unions will receive a subsidy for 2014 and hss had a lot of meetings with unions and to help explain exactly what that would mean for them and there is an attached memo that we prepared for the unions laying out the numbers for them to see that's attached in your binder. under wellness, also very busy time for wellness. we've been doing biometric screenings and had a very successful one coordinated about a week and a half ago. 267 employees in the hall of justice participated in biometric screening. in addition, there was also a

biometric screening at department of human resources, department of economic and work force development in may. that screened an additional 58. so, this is a very popular offering and we're looking to extend it and continue those in fourth quarter of this year and into next year. also, margaret has a very aggressive campaign for flu shot vaccinations. we have i think over 12 sites already set up for flu shots for the october and early november time frame. we have a new department in hss called the analytics and a new data analytics manager who has been on the job for about a little over a month, is very busy and working on -- she did most of the modeling on the contribution model work for the unions and has done some work on our wellness initiative as well. meetings have very busy month for meetings with both kaiser on multiple occasions with director dodd participating and

also with the board of supervisors meeting with them individually on multiple occasions. also attached is some news articles that have occurred in july around the kaiser rate renewal and the links to the committee meetings from the board of supervisors. so, if there are any questions. that concludes my report. >> any public comment on this item? come forward. thank you, president breslin. [speaker not understood], former member of your board and now representing the seiu retirees. my concern actually is one with regard to actives. i think more than retire tire aloes, but the actives and early retirees, not so much the medicare retirees. ~

and that's the issue with the 93, 383. what i notice is that in that memo and the delineation of the rates that the plan 1 rates seem to be significant, especially by year 2015 where we go from $320 a month for employee only in 2014 to 925. if it was 9 to 10, but it goes from $4 in 2014 to 7.79 in 2015 which is a massive rate increase. and what we've noticed over the years when i sat on the board was that there was significant migration from plan 1 as those rates were no longer subsidized. there was a time when this board subsidized those rates because it is, in fact, the plan that you own. and money in the trust fund was used because the trader gives the health service board money

to go out and purchase plans. and if you get the money -- if you get the plan for less than the city's contribution in those days, that was money that you could spend for other plans. and we used to do it for plan 1. and my concern in seeing those rates is that i would like -- i would like this board to consider perhaps subsidizing at maybe 50% to be able to stabilize those rates across the board. there aren't all that many members that are active in early retirees in plan 1 remaining any more, and i think these rates will absolutely scuttle the plan. and it is your own self-insured and self-funded plan. it's what you own. it's what you need to keep competitive. and the last group of people are clearly going to migrate out. and all of the other sf including the vast subsidizing of the risk factor for blue

shield where again the trust fund is taking that risk is all aimed at preventing migration. and i think that it is something that you might consider because i think it is a great concern to see those rates go, especially from $4 to 7.79 from a thousand 78 to 1500 and from 2000 to over 2300. ~ so, thank you very much and i hope that you consider subsidizing. >> thank you. >> president breslin? >> yes. >> i wanted to acknowledge the importance of that question and to also state that plan 1 has been a plan for hss since hss has existed in the '40s and we are dedicated to bringing an alternative model to the board that will save that plan and actually help turn it into a healthy plan again. so, that will be coming forward during the rates and benefits. actually in december so the board can give us direction on whether that is something to pursue for the rates and benefits.

hello, my name is gail bloom and i'd like to talk about plan 1. i don't know if this is the right time. i have a problem with plan 1 and i'd be happy to hold the question till later in the agenda when it looks like you have open discussion about the different plans. >> up to you. well -- >> yeah, you can say something now about it. it's about plan 1. if you want to hear it now, i'd be happy to bring it up. >> maybe you could talk to the staff. i have talked to your staff. >> okay. and they told me to come to the commission meeting, to the board meeting. i'd be happy to hold the thought. okay, i'm here because i'm an early retiree in plan 1 and i'm actually not getting any of the service that