>> back again. cynthia with the league of pissed off voters. thank you for your time and energy this evening. it has been a long night. i heard a lot of really exciting debate tonight and what i think that what we are talking about now is a ballot measure for a tax on the tech commuter shuttles. not speaking about the hearing just happening, what i'm talking about is going forward. i see a real opportunity for the mta to change this program for the community to have input and for all of you to use your expertise in finding a solutions that works for all of san francisco. excuse me because i actually ran down the hall to get here. i'm still painting a little bit. i think this is really

important. i know from a number of you that i spoke with when i did the rounds around city hall and this works for everyone and i will be certain to make sure that i visit all of your offices again and i hope to work with all of you. and the league is at the table to work on this process. thank you. >> next speaker? >> oh mall, speaking on behalf of the san francisco bridge. i'm here to speak on the san francisco politics in the first 20th century. when james entered city hall in 1912 he brought back to the mayor's office a characteristic of

the 1890s and appreciation of ethnic diversity for a brief time from 1912-1916 and came to the city government at appointed experts drawing plans to the center for the water system. expansion of street cars and water services. what this means is that the first broad view of san francisco as a potentially great city came with mayor suit truax in the 1890s. unfortunately suit truax became ill. and this water front teamster strike in 1901 and didn't know how to handle the labor issue properly.

mayor recall came on years later and was very sympathetic to the labor and sympathetic to racial minority such as blacks, chinese and japanese. latinos were not considered a minority in those days. they were more or less considered to be equal with the latin ins and the immigrants in general special the latin quarter in north beach, it was the latin quarter. >> next speaker? >> hello, i'm larry edmond. i have this. you can get it at safe way. i got it last night at safe way. this shows two

little girls going down the street. one patient has 61 of the people riding the bus. i was born on that day, 61, i'm going to get water on them for going to school. and then i'm going to tell you to get this book at safe way page 90. alexander talk about the color blindness of the age. i think that's what we are dealing with today. i want to read this letter. this is the day after jason collins. "hello, i received an incident report regarding the conversation between you and the other tenant. i will follow up with the building manager an social worker and union and including looking at the video from the date of the incident. i strongly encourage you to follow up with the mayor to

complete a form on that" that's may 10. after my birthday. check this out. juicy they confirm that you are a tenant that causes a lot of problems and there are many cases of bullying. i hope to see everyone out here with the trash can. in front of city hall with naacp on friday at 12:30. be here and wcp talks about housing and kids education fund. we will stand up like with the trash can man for housing and education in the city.

>> thank you very much. your time is up. any other members wish to speak on general public comment. is there any additional public comment? seeing none, public comment is closed. >> madam clerk. >> item 26. basic materials needed for the homeless children act. >> colleagues, [roll call vote taken] >> chiu, aye, cohn, aye, farrell, aye, supervisor kim, supervisor tang, aye, wiener, aye, supervisor yee, supervisor avalos aye, supervisor breed, supervisor campos? aye. there are 10 ayes. >> the resolution is adopted.

can you read our in memoriams. >> yes today's reading on behalf of mr. yee, mr. paul and ms. diane -- dina fisher. >> i want to thank sf gov. tv. san francisco television. >> anymore business before the board. >> that concludes our business for today. >> thank you. happy april fools day. this meeting is adjourned. your [ meeting is adjourned ] >> >> >> >> >> hey guys nona with a list o

businesses worthy he event we have a jam session and get a principal this is the weekly buzz. this wednesday is free occur can say class day looking at getting to have fun and pick up now skills under 7 to 9:00 p.m. and head to treasure island the attendance is free phenomenon the past, present treasure island association be there as 10:30. and on sunday checkout you tell rock fair the rock is a giant music lovers dream where people

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>> the commission will please come to order. yes. >> and commissioners please make sure that you speak into the microphone commissioner taylor-mcghee. >> present. >> xh*ix chow. >> present. >> and commissioner karshmer. >> present. >> and chung. >> present. >> first is the minutes. >> so moved. >> second. >> are there any comments on the minute. >> i have not received any public comment. >> we are prepared for the vote, all of those in favor of the minutes of march 18th, say aye. >> all of those opposed the minutes are passed. >> item three of the director's report. >> good afternoon, commissioners, i wanted to inform you that the urgent care clinic has responded its

capacity and this is under the progress foundation and pleased to announce that it has expanded from 12 individuals to 24 hours a day and 7 days a week, and as of march 24th. and urgent care provides clinical interventions with individuals who are experiencing escalating psychological crisis and require rapid engagement and assessment and intervention in order to prevent further deteration that may result in involuntariary detention and hospitalizations we have been working on this for quite a while and i do want to inform you that the funding for this came from the c, pmc association with the city and we are pleased that we are able to open 24 hours, previous to this, they could only keep the people until three in the afternoon and now they are able to keep the people to the 24 hours and this helps with the capacity and supports our emergency area. >> a part of our ongoing process to improve our hr

process and are the human resources director, ron, has started working on how to improve the hiring of our rns in our system. and so, he brought together, over 30 staff to discuss how to identify more meaningful minimum qualifications and criteria and so this is one way to be able to identify quickly how we could improve our hiring of rns. and so i want to thank him for his continual improvement process. and as many of you know icdten which was to acquired this year, and icd ten is classification system and currently being used, to provide inpatient classifications, diagnosis, as well as the issue of being able to bill, and has been delayed for a year, so that will help us greatly in the department and we were working hard on the icd ten and the implementation

and so with this delay they will give us an opportunity to be able to continue to work towards icd ten implementation. and as an agoing process of the reorganization and i wanted to announce that judith who was the director of primary care is now in the position of director of nursing for the entire san francisco health network primary care and so this again is reflection of the merging of both the campus clinics, and the community primary care clinics and so we are happy to have her on and she will be working closely with them and the other members of the san francisco primary care team to integrate the homes to reach the goals of providing excellent care for the patients and insuring prompt access to care and positive and a healing experience for all patients and a work environment that is safe and sustains an engaged staff and provide a workforce, also

to let you know that a dear friend and dph employee jane lev passed away march 24th at her home after battling cancer, i worked with her personally when i first came into the department and she was an amazing health educator and health organizers and friend to many, and so we will miss her greatly. >> that is the end of my report, unless the commissioners have questions? >> commissioners any questions on the report. >> no. >> the only question that i would have is on the icd10 delay, we did have a contract that i forget which company it was, it was going to also be providing, some of that training, does the contract get extended or we are going to move forward and train them for in october of 2 on 10 deadline when it was been extended. >> we have to relook at that

dr. chow when bill or it director gets back and we will be really looking at that contract. and whether we need to continue that service or not. >> okay. >> we will come back to you and let you know that. >> all right. >> thank you, is there any public comment on the director's report. >> no, there is not, i have not received any public comment on this item. >> okay. >> commissioners any other comments? >> if not, we will go on to the next item. >> the next item is general public comment. >> and we have received one. >> we have one, general public comment, from kelley watts. >> mr. watts will be showing a video, he came to my office ahead of time and it is three minutes and it fits in the public comment and he will not be speaking just putting the video on. >> okay.

>> it worked earlier today, it might be the connection.

>> can he checked this out of ahead time and it seems like this is not going to work, i apologize. >> thanks. >> too bad. >> and i have not received any other requests. for public comment? >> okay, there are no other requests and he is coming back and we are going to try to solve this for him? >> i am concerned about time and so i am not sure what, and i am not tech savvy and everything worked earlier today on the same computer. >> and so, he has one chance

here. okay, there you go. we are rolling. >> okay. >>[video] >> i am a mother and i am tired of debating about the rubber and the black pellets that get everywhere and everywhere and contain, lead and benzene and carbon and a whole host of carbon and now flame retardant, what is good for a fire is not good for a child. >> all right. >> repeat after me, there is no such thing as an acceptable level of lead for children. [ applause ] >> and i am so tired of reading scientific studies that say that a product is safe, only to find that the study was funded by the industry that is just

exonerated. we know that you have the talent pool to do better and yet, right in front of us, and things that we may exposed to every day synthetic playing field and the toxics have gone untested on human health and certainly one tested in aggregate and for me and many of us here today this is not acceptable and there is nothing more important than protecting the health of our children and generations to come. and no one's profit margins can justify that to our children and the future generations. thank you. >> reporters are pushing to make the legislation stricter and to put safety ahead of profit. >> jennifer, really meeting with members of congress. there is you know the rates of autism and asthma and adhd and

all kind of hazard illnesses have gone off and can't be explained. there was a synthetic field that was put in in chicago and 30,000 resurfaced tires which carry... in california, and somehow, you know, people think that it is safe for my kids to play on and i want to see, again, pregnant women and vulnerable communities protected. >> you mentioned system wide that law because the united states has never filed a precautionary principal. >> there are a lot of parents out there and a bipartisan group that deeply care about their children and the future generations and you know, no one's profit margin can justify. >> okay, thanks again for it, we appreciate it.

>> okay. >> so we can go on to the next item? >> i was just going to ask that perhaps our community of public health and the committee, and could just also get a report from the department on the specific issues. >> okay. >> yes. >> and the next item on the agenda is the finance and planning committee report back. >> good. >> good afternoon commissioners. >> and the finance and planning committee met at 2:00 p.m. this afternoon prior to this meeting and we have voted and approved to add the following items to the following consent calendar and the april contract reports. and the approval relocation of the lutheran south services and the mini, management program and it is currently on 8th street and it is going to move

back to its old home. on golden gate avenue. and we also heard and voted to approve a new contract with health right 360 in the amount of $154,086 to provide physical intermediatary and if he can cal assistance to support the department of psychiatric inpatient unit project and in addition to that, we have also agreed that the aca updates that was originally schedule to be heard in front of the finance and planning committee because of the nature of it and also we want to make sure that

all commissioners have a chance to participate in their discussions that we are suggesting that carline, and come and do the presentation. and during the commission meeting. and in addition to all of that, we have also heard from kim oka, and that the pd director of managed care and the director of herpes san francisco on the outline of the herpes san francisco and a new report for 2012 and 2013. and we are expecting to see a draft in our next meeting and the finance and planning committee. >> and lastly we have also explore some of the agenda setting mechanisms currently in place for the committees, and

want to make sure that we in the spirit of transparency look at how to redirect some of these agenda items back to the full commission. and so that all commissioners can participate. and you know, and without like having the staff like provide you know like every single presentation two times. and that is our report. >> so, we believe that at this time, we will get the ac a, enrollment update as part of the finance committee request that it be presented here. so kol lean? >> thank you. good afternoon, commissioners i am happy to be here and very timely that we are here with the enrollment report and as you know, march 31st was the end of open enrollment for coverage california and we will go over a little bit about that here today.

but, over all 7.1 million americans have enrolled in health insurance through the federal or the state exchanges in california we had 1.2 million who have enrolled thus far and you will hear a little bit about the extension of the enrollment time line to allow people to complete the applications that have been started in coverage california. and 1.5 million californians have accessed medical this far and so these have all exceeded projections for enrollment and we will continue to provide you information then with the information that you will hear today is enrollment information through the end of february which is the latest information that we have available for our specific county and we will can't to provide you updates as we know more and i would like to turn it over to anika and tala who work with me on implementation. >> good afternoon, commissioners. okay.

so, as claire mentioned the aca enrollment numbers that we have are for through the end of february and these are actually cumulative numbers that i am going to be showing you from october to february. and so first up would be medical and as of right now we have over 33,000 people enrolled in medical and in the city. and this is mostly people who were eligible under the aca expansion, and so those are the two maji populations that you see and expansion and sf path and there are traditional people who are also elible and by traditional, we mean the people who were eligible for medical before the aca, but may not have enrolled for whatever reason. >> so, as a point of reverence. we went over these a little bit last time, but our city wide estimate for people who would

be nearly eligible for medical, were 81 to 95,000 people. and this included people who were uninsured and who currently buy their own insurance and to have employers sponsored insurance and obviously not all of those people who are going to take up at the same rates and so we estimate that about half of those people would enroll in insurance. and so, it is not a bar, but it looks like we are doing pretty well. so, coverage california, we have a total of 27,809 people enrolled and most of these people well over 80 percent are in subsidized coverage. and which is again, what was expected. so, in our city wide projections we estimated that 44,000 to 71,000 san franciscans will be eligible just for subsidized only coverage. and so and of that, we estimate that 29 to 44,000 will enroll

and again it looks like we are on par for meeting those projections. and so, healthy san francisco has provided as a reference and this is enrollment at the end of february. and this at the end of january, we reported about 46,000 people, and so, this is another reduction, just a caviot that any of the enrollment that you see in medical does not mean that it came from healthy san francisco and we actually don't know if the aca coverage previously had insurance or not and our healthy san francisco people are obviously uninsured. so, these are a little bit of the trends that we have from people who are purchasing plans on coverage california. and so on the left you see that the subsidized group that is a large group of 22,000 people, most of them are purchasing silver level plans, and that is where the plan covers about 70

percent of your costs and this is probably also reflecting the fact that a lot of people up to 250 percent of poverty also get the assistance for purchasing the silver plan and within the subsidized group, the chinese community health plan is the most popular plan, and because their premiums are actually quite low. and in the unsubsidized group we will see a reflection of the state wide trend where the bronze plan that is the lowest and where it covers 60 percent of the costs and at the lowest premiums that is the most popular among the unsubsidized group. and so something of note in the unsubsidized group is that this black piece of the pie here, represents the minimum coverage. and which is available only to the people who are under 30, and people who qualify for some sort of a hardship exemption from the aca, so in san

francisco we see the second highest percentage of people enrolling in minimum coverage throughout the state. and the other two regions are in the central valley, where presumably more people might be eligible for exemptions and as more data becomes available from coverage california, we are hoping to see what might be going on here. and most of the other regions have right around 5:00 percent. and the unsubsidized group and the commercial insurancers take a bigger piece of the pie than the chinese health plan. so we previously presented an estimate of the residually uninsured and we needed people who will stay uninsured after the first year of the aca implementation and in order to to better align those estimates with our city enrollment projections and the fact that 100 percent of the pa