previous speakers mentioned awhile having the lowest monthly pro tem as the highest co-churns or insurance or point of care services i did my best to usual into the silver plan and venting to reduce the debelieving did you believe i'll be talk about how this increases the models monthly premium there are impacts within the service people making more than 5 hundred percent that comes out to $58,000 announcing and across the nation it considerable but in san francisco it puts individuals workplace that price range and the individuals were not able to assess price

reductions with the network which helped individuals to reduce the costs this hearing is timely in that this last week i'm helping a client for 14 months his individual co-pay was $35 a month until recently changed under the speciality tier which brought him up to $500 a month pharmacy bill this was factoring in the fact you have to pay for individual to the doctor as well as the lab during the pricing and gain access to medication through programs you such medication assistance program and a co-pay card and assess network we reduced those costs for the individual is looking at

$20,250 a month this is well outside of his financial bracket he came to us seeking proving lax assess because of the speciality tearing of the medication we provided him a pass and are actively helping him to continue for his access to life saving services. >> i want to acknowledge katherine dodge do you want to say something about this issue with our familiarity. >> thank you katherine dodi want to highlight because we spread your costs across one hundred and 27 lives our members are not effected by those costs

i was briefed yesterday by blue shield we spent in the 2014 calendar year $3.1 million on help it's c but right behind that we spent $2.8 million our overall speciality spending is 2 point plus for our blue shield members the issue of pharmacies a one as hard as we try to keep down our health costs we can't do anything about the pharmacies i appreciate you shining a lien light. >> thank you right now is the the city absorbing those increased costs for speciality drugs or the plans absorbing it. >> not city pays for it.

>> and do you see at some point are we likely to see increased co-pay for city employees related to speciality drugs. >> i hope not. >> i hope not too but i don't want to put you on the spot we don't knows what the future holds. >> the issue come up with a plan design it keeps costs down of keeping costs down is by charging co-pays and the federal government is got a cadillac tax in 2018 as the cost of pharmaceuticals go up we need to stay below the excise tax

so we can increase co-pays if we needed to do that it wouldn't it would be co-pays on doctor visits or lab work but that's the only out let that the federal government allows on the costs pga them on those to the actual beneficiary so there's a train at the end of the tunnel. >> remind me when does our contract come up with blue shield and kaiser. >> we're norwalk the renewables right now are blue shield and kaiser we're not anticipating a plan change for 2016. >> thank you. >> thank you for asking. >> yeah. >> okay with that, mr. chairman i think we're ready for public comment. >> ms. supervisor are there

speakers. >> i don't 0 not. >> why in the public comment anyone that want to speak please come up and if there's more than 1 speaker line up on the far wall anyone wish to comment on item one. >> i think we have one. >> thank you for having this hearing i'm michael smith an out liar about 10 years ago i severely broke my back with a taxicab that was a minor fall actually about t but it caused any veer to be crushed and spinal colonel aluminum to be pitched chronic pain and over the years i've got

10 other bones realized this was a problem two years ago i broke the strongest bone in my body the femur it had to be with a high-speed car crash but i wasn't in one it took a week of hospitalization and $150,000 for that week after that it was far more expense or competitive 14 weeks of construction i broke the other femur the other strongest bone in the body another $150,000 for hospitalization and the costs were phenomenal i know there's an automatic disease after many months i spoke to kaiser about 8

or 9 months ago at the put me on the bone strengthening drug kaiser said this would be $50 a month when i went in january, i was surprised by found out that it was 6 hundred and 50 delores dollars for that month it is a bait-and-switch they told me specifically saving me money yet i had to pay this amount of money per month and the problems continue. >> this is the photo i referenced earlier thank you for sending that to me. >> is there anyone from the public who wishes to speak okay seeing none, public comment is closed supervisor wiener. >> again, thank you mr. chairman for allowing me to hold

this hearing thank you, everyone who presented i really want to thank blue shield for coming today, i know it's not easy to come to this kind of hearing and you were the only insurance companies that agreed to come to and i appreciate the candor that the condition exists whatever our views to address it but regardless how we address it that has to be addressed and you know when your that talking about very serious medical continues conditions like hiv or hepatitis or cancer and so on and so forth when you start telling anyone whether or not necessary have insurance but particularly paying monthly promotes for insurance effectively you canned have this drug because when you tell

someone they have to pay $600 a month that can be the difference between sickness and health or life and death it is not an acceptable situation trending in a bad direction trending worse and worse we can have victories had a carries clarified a drug as a non-speciality there's not a lot of we can do voeshl i want to thank the department of public health for the work with the chinese health plans and ultimately at the state level it has to be addressed i'm glad assemblyman chow and ultimately the federal government needs to actually enforce the evicting and the department of public health and public services needs to provide the appropriate combined for this to happen so

mr. chairman i ask we continue this to those to the call of the chair. >> we have a second item on this we'll take that without objection. >> thank you, supervisor wiener for those present so colleagues, we have two more items real quick controllers hearing on the six months status report we'll continue this to the budget & finance committee with the financial plan updated and adaptation to madam clerk call that real quick and go to item 2. >> hearing other than the six months hearing and requesting the controller's office and mayor's office to report. >> so real quick we'll continue open up for public comment seeing none, public comment is closed. >> colleagues, can i have a motion to continue to the april 15th full meeting okay. a a motion by supervisor mar and

supervisor tang we'll take that without objection. >> all right. madam clerk call item 2. >> item 2 for the city's economic strategies and requesting the office of economic workforce development to report. >> thank you madam clerk colleagues, i called for to hearing to have a dignities as we talk about the budget this report serves as one of the 12r07b8g9 reports to derivative our economic policies and thank you oewd for this update for 2014 strategy after thirty years of stagnation our city is seeing it's share of a regional and national growth we're having an opportunity for the full spectrum of san franciscans but there's a ton to do to make sure our economic boom continues for san franciscans of all strips

and background there is a ton of work supporting the industry and our small business community as commercial rents is revising and office space scare reserve this will continue to serve as a guidepost as departments cross our city as they work to implement policies to strengthen our local economy thank you oewd and welcome todd to present. >> thank you supervisor farrell for calling today's hearing in 2004 the voters approved proposition i did mandated the creation of apple economic development strategy in 2014 the city realized the cooperation with the office of economic analysis retailed that in 2007 proportion i talked about this

we're before you to present the 2014 update to the strategy that was done in collaboration with the office of economic workforce development and the office of economic analysis in coordination with mta and arts commission and many others across the city to give you a sense of the structure of today is presentation i'll give a belief overview and innovative you up our colleague who lead this in the office to implement the goals and recommendations of the report ted egging on is going to speak on the economic performances and talk about continuing barriers to job growth in the city i'll be go balk e back up to talk about the conclusion so briefly one the 2007 strategy.org the city's economy into 20 ports

driven by financial services like software and advertising and architecture design and tourism and the exploring of coming to san francisco equally important is the second budget is local services industries as health care and retail and construction, manufacturing and train and transportation those are industries critical to supporting and serving the city of san francisco and serve the local market one the key finding the economic strategy those two key areas did local and export industries are linked that having the export distresses and serving the market is critical but they don't think the math to fill the goods to the

businesses. >> the economic strategy included 3 key goals the first was obviously to create job opportunity that draws on the city's strength we need to insure the second goal we are increasing the levels of inclusion and equality in the job growth in driving down equality and make sure that the economic is driving the resources to invest in its priorities the economics strategy that includes is 9 total across 5 key areas from education and nomination and invite up you laura to talk about what the city's efforts are across the 40 policies and the work we've done for today. >> hello supervisors i'm going to cover some of the actions taken inch breakdown

down by the action areas the first is education and training oewd oewd we've been successful in construction and health care hospitality and implementation and technology we focused on a streamlined path to access our workforce programs workforce partners and clear educational program added them to the report this allows the school district and allows the city to have our academies with the school district curriculum with the pathways to the employment industry. >> finally every 20 percent of broadband the city focuses on the digital literacy and

establish and advanced 14th century tech labs in tech centers it serve our seniors and expand the obeyed over several miles of cable and extensions to our park the north waterfront and treasure island through the civically and through our other facilities action area addresses the governors and climate the most visible thing is the transition to the grocery tax much like our workforce alignment assuring our businesses have a single point of contract in city hall to address their nodes this not only helps to build the riderships but strengthen relationships with group see like the chamber of commerce and spur and sf made and others

lgbtq chamber of commerce in 2008, we launched the one stop center providing small businesses one-on-one assistance in the first 6 years we've served more 16 thousand businesses we launched the online portal school which will provide comprehensive information and allowing them to say in the comfort of their home throughout the business community and self-reliant feedback we've been able to refine our tools for businesses the number one complaint was access to capital we launched the $800,000 loan program that provides loans up to $150,000 for businesses for more capital we laundry a fund that loans up to 50 and $100,000 and focusing

on small businesses we launched the program with interests up to a certain amount the diverse neighborhood 9/11 in neighborhoods and dedicated the staff working with the community a specification action plan to suit their district needs strengthen and opportunities this road map allows to so are a better scrape and the improvement inform our corridor many create cvs and to provide ongoing funding for many of the businesses as well the 2 percent art program funded projects exceeded $4 million up from $245,000 creating new

infrastructure but employment opportunity for art professionals which are over 50 percent of the resident we have deeply roads organization amazed to half a million dollars in addition to the $5 million with the bay area opera house and capital maintenance funded by the art commission on the city cultural center when we tube the quality of life the rec and park department has increased revenue from the leasing of progressions and san francisco voters support it to fund the parks and the nonprofits stepped up for sports fields and community centers action four talks about the robust plans for affordable housing and the commercial has one hundred and 20 thousand additional jobs awhile insuring

the industrial phases and insuring we have room for the good middle-income jobs the planning department and the department of building inspection has worked with a you supervisors to address ceqa providing for applications and shortening the timelines insuring the responsible timeline is accommodate san francisco but was we hear from you often we have to pay attention to the transit it is a system wide moma efficiency for the mta leading to faster more greater access to san franciscans if so on top of the transit projects including the van ness brt and the transbay center and the list goes on and on we've attracted

incubators not only for technology but for manufacturing and biotechnology as well those phases allow a person with an idea to give it a try and provide them with a collaborative environment to test out their businesses business this helps to innovative san francisco in 2007 strategy emphasiss when it says we have expand academies in san francisco looking at mission bay we've succeeded a reach institution and startup that go to large companies and create the secretive environment we're working on this looking at hunters point we're focusing on continuing to drive development and driving the development of

our talent as a anchor for commercial development with that i'm going to turn it over to talk about the industry how it performed based on those are actions. >> good afternoon ted where the controller's office as todd told we were asked to assist with this strategy update by focusing on an analyzed of how the city's economic and supervisor farrell you said the recent years the performance is strong across the board we over took a different time period 2004 to 2010 the reason we picked those points they were economic low points in the business cycle one of the reasons our economic economy is strong we have about in the recovery so if you compare where we were 5 years ago some of the

growth because of the business cycle and maybe in a different economic cycle and difficult to separate those we want to see how the growth to the same period this is one of the long term economic development and this give us the long term prospective over quite a long period to look at data an economic performance in san francisco in the late 60s to 2009 san francisco's employment didn't change in fact the peak in terms of the employment was above the peak in 2008 nearly thirty years later it's been a different story but for many years the san francisco overall employment level was understated phone call focusing

on the 2004 to 2010 we estimated the economic performers of the 4 sectors of city's economy are the creativity industries and financial and professional services and local serving industries what this chart indicates the size of the bubble the relative number of jobs in the said industries where it is open the light axis from the bottom of one recession to the next, we nevertheless, say rapid growth this is, of course, before the tech growth we've seen this decade and seen rapid growth in the experience sector 9 financial and professional services sector was flat we lost the local serving industry todd

made an important point they depend on on the export industries and in the sentenced we have a recession to say often buzzed the export stridz industries take the rest of the economy when we come out of a recession it pulls us up but not all the economic will grow at the same rate from 2004 to 2010 a couple of industries it naturally grow and other industries don't what do i mean is they columnist with a set of industries that relies on highly skilled landmark those businesses succeed because of the critical mass because the talent the talent comes because

of the jobs and clustering in which for whatever reason the bay area economy in san francisco is the most successful and competitive cluster in the world so that's a set of activities as long as theirs growth b will want to grow in our region secondly, the extremely committees we're consistently ranged as one of the highest in the wormed we have a 20u6r9 attraction we're going to get growth into the economic and the critical mass factor around the arts and other things strengthens the tourism program so those two derivatives of our economy hass have a lot

of factors that make them want to grow in san francisco they're not tied to the technology it pays higher wages of anywhere in the country and is the faster it's a testament to the ability to grow here the financial and professional sector is a set of companies that have generally been here a long term over the long period we're looking they're basically holding employment constant and not really a source of growth or decline their set of activities that the city is strong if and basically, the companies that can at least hold constant given the high cost of doing business in san francisco now the local serving industries are a different story they run the game even though from health care to construction wholesale

and retail trade, beauty parlors and laundry mats they do don't necessarily have a competitive process but face the prurdz from nearby community and increasing resources off the internet we're seeking a growth they simply do the same as the creativity industries have this different performances has important implementation for lots of things that about san francisco particularly or starting with the types of people who are able to find jobs