okey-dokey we have the rec and park department don't see them call 8 and 9 together and the contract management support services for the san francisco international airport terminal one not to exceed $29 million with a appropriation of 6 years for board approval and the airport contract management support serviced for trernl one project not to exceed $23 million to commence board approval. >> okay thanks we have ms. wiener here. >> good morning supervisor farrell and supervisor tang kathy wagner with the san francisco international airport for the airport to enter into two contract with the airport terminal one

renovation project as you recall from previous items before the board the airport is under taking a $2.4 billion project to build terminal one as part of our capital plan term one was built in the early 1960s and needs to be updated to accommodate our passengers what fully completed in 20/20 our terminal one will provide passenger circulations to 24 gates and new passenger loading bridges and new commemoration as well as a new terminal central area that approves the escape it on the security tech point and the handling system and baggage claim area with a new lane that connects to train and the central park and garage

scope of work for both the contract to provide contract management support services in support of the terminal one and the boarding area project that includes the design management services and project control services and costs and scheduling management and construction management services the airport issued a single proposal for the selection of those contracts 5 proposals were received and reviewed by the airport and a panel based on the scores of the proposals it was determined that a e coming and cooper was the highest ranked proposal and that the t one cube team was the second highest ranked proposer and the t one cube was offend

the new boarding area airport staff negotiated the scope and terms and conditions of the contract they anticipated not to exceed in duration for each contract is $23 million for the organization e come with the venture with a duration of 5 years for the renovation contract and $29 million for the t one cube jointly venture with the durable of 6 years for the b project budget analyst recommendations an amendment to the contract for the fund to more specifically toy to project areas the airport it in agreement and if approved i will get amended copies for the board. >> you've been here from the budget committee why not go to your report mr. rose and

questions if needed. >> yes. mr. chairman and supervisor tang regarding item 8 as show that in table 3 open page 31 of our report the contract budget with t could you be in the first year is $249 million plus over the 6 years is $29 million plus on page 35 of our report we note as indicated that all the airport around the budget for the continuance to have the cost contract between t one cubed and the airport didn't specify those funds so our recommendations on the bottom of page 35 amend the specifications the 10 year cap with the 35 percent of other 4r0ush8 costs regarding item 9

on page excuse me. on page 40 of our report as shown in table 3 the contract budget a $340 million plus over the 5 year contract is $22 million plus again, the same issue where the owners contingency and the recommendations on the bottom of page 40 we recommend you amend the proposed resolution and the cap of 5 percent on the other direct costs we recommend you adapt the recommendation. >> no questions we'll communication anyone wish to comment on items 8 or 9 seeing

none, public comment is closed. >> so we have both items we'll take them separately but why not run them separately slide will 9 our budget analysts made a recommendation. >> so item 8 i'm sorry we'll take item 8 first do i have a recommendation. >> okay we'll take that without objection. and similar motion for item 9. >> item 9 to amend as harvey rose recommendations and approve the flying sent to the full board with with a positive recommendation. >> we'll take that without objection. >> thanks very much and see those amendments contract madam clerk go to item 12. >> the resolution recognizing the thorgs of the public comment is closed. to accept a grant in the amount

for substance abuse for the peer support project for the 2014-2015 we have waving directly costs. >> good morning supervisor farrell and supervisor tang we're requesting the board authorize the public health to accept the pier program through the mental health services administration this program will provide much needed peer support to participants in 3 of the collaborative courts program the veterans and the drug and behavorial health court the folks will be dual diagnosed with substance abuse and bringing in peers to work with the inmates and we're excited about this program.

>> thanks very much if no questions we'll open up for public comment we don't have a budget analyst report anyone wish to comment seeing none, public comment is closed. >> can i have a motion to send this item forward we'll take that without objection. >> madam clerk call item 13. >> resolution authorizing the probation department for the guaranteeing the program by the state and community corrections. >> hi, i'm karen shane from the adults probation department this essentially what is happened in january the adult probation department submitted a proposal to the newly corrections a portion the proposal of the board was requirement that we come to our board of supervisors authorizing the grant proposal

at this point the grant proposal has been conditionally approved we're here from the school board in april so the grant itself is to support transitional aged youth parents both young would women with are housed here in san francisco and the giving up of a new program for young men. >> great thanks for being here so supervisor tang. >> just a quick questions are there any matching fund. >> no. >> we have no budget analyst report so we'll open up for public comment seen none, public comment is closed. on item 13. >> through the chair i'd like to make a motion to forward this to the full board open up for public comment and madam clerk

any other business before this committee? >> mr. chair there's another amendment. >> we have an amendment for the open spaces in rec and park department for a fiscal year 2014-2015. >> okay. so we don't have our department supervisor tang. >> i mean, i look at the item i'm sure we can go to harvey rose report i don't have questions i know that rec and park tend to bring this report out of an abundance of caution and need for transparent especially by the board when there are changes to the funding i know it is more of a cash flow issue there are no projects are shortchanged i'm okay with running this through without a rec and park department presentation. >> mr. rose i've heard from a colleague yesterday they had

questions about this and not heard a resolution before a back. >> why not to your report. >> mr. chair and supervisor tang on page 19 the proposed anticipation of $11 million 070 thousand plus for the rec and park department projects none of those budget our those projects have been eliminated indicate a detailed status of each project that are appropriated as listed in the attachment that binges open page 21 we recommend you approve the proposed ordinance. >> thank you, mr. rose why not open up for public comment anyone wish to comment on item 7 seen none, public comment is closed. so again, if you feel strongly

i'll be happy to push it forward about it would be great to have rec and park department to have here and the commissioners have questions so your call. >> through the chair i'm fine with continuing it for a week. >> we'll have a motion to continue it for wore week we'll take that without objection. madam clerk now any other business before us. >> no, mr. chair

>> hello. welcome to "culturewire." we are here today with bay area artist jody chanel, and we are here to see the plaza where your piece has just been installed. >> i have been doing large-scale paintings in the galleries and museums, and the idea that in the future, i could do something that would hang out a little bit longer than the duration of the installation the kind of appeal to me. i quickly found out about the san francisco arts commission school and realized there was a pre-qualified school you had to apply to, so i applied to the. >> how long did it take you to develop this work for the plaza? >> this was a fast track projects.

design development was about a month. >> let's look at the beautiful mural. i have never seen a mural created on asphalt. >> the heat of the asphalt, a new layer of asphalt. then, these wire rope templates that were fabricated for the line work get laid down and literally stamped into the asphalt and then everything was hand-painted. >> maybe you could talk about some of the symbolism, maybe starting in the middle and working out. >> [inaudible] the flower of industry. >> it is like a compass. there's an arrow pointing north. >> within the great bear consolation, there are two pointed stars here. they typically lead one to the

northstar, otherwise known as polaris. so i thought it has a layer of theme. >> let's talk about some of the other elements in the peace. we are walking along, and there is a weather vane. there's a sweet little bird hanging on the side. what kind of bird is that? >> [inaudible] the smallest of the gulf species, and it lives around the bay area. >> you want to talk about the types of flour patterns that you send? >> [inaudible] around 1926 or so by the dahlia society. >> what is this bird here? >> that is the california quail. >> coming up here, we had a little blustery theme. what is this area here?

>> this is supposed to be the side view, the expense of the golden gate bridge. >> there it is. >> there are really beautiful elements of architecture still around i would say that it gives that feeling over to the work. >> what are your hopes for it? >> that in a way it just becomes part of the area. i think it is starting to have that feeling. people utilize it. they sit and, and have their lunch and play on -- they sit and, and have their lunch and play on that -- they sit and come and have their lunch and play on it. just for it to be part of the neighborhood. that is my hope. >> is such a beautiful addition to our public art in san

francisco. thank you for joining us. it was nice to meet you. and thank you for telling us about your beautiful mural. thanks for watching "culturewire." good afternoon, everyone. welcome to the san francisco budget & finance committee for wednesday march 25, 2015, my name is mark farrell i'll be chairing this committee i'm joined by commissioner chan and supervisor scott wiener i believe we'll be joined that i supervisor mar and supervisor norman yee i want to thank the

clerk clerk linda wong and members of the sfgovtv mark and scott >> madam clerk, any announcements? completed speaker cards and documents to be included should be submitted to the clerk. items acted upon today will appear on the march 31st board of supervisors agenda unless otherwise stated okay. thank you madam clerk call item one. >> item one hearing to review the health insurance trend of reclassifying certain life saving drugs including aids drugs thereby increasing the cost of access for those drugs for patients. >> thank you madam clerk this item was sponsored by supervisor wiener. >> thank you very much mr. chairman and scheduling this colleagues today will be discussing did growing health

care assess issue we must address locally and federally and state naming the implosion of life saving drugs including - medication and treatment for hepatitis c and cancer and others onions do you to insurance companies reclarifying a drawing as a quote/unquote specialist drugs instead of a a patient paying a typical co-pay of 1b or 25 or 50 conflict of interests a month the patient in addition must pay a significant percentage of the drug when means a co-pay insurance of $6,000 or more the explosion important drug costs our hiv and

cancer and rheumatoid arthritis denies the folks the insurance benefits and remain on those medications that is clear here for many most people that havetions and need access to life saving drugs that requiring them to pay six or eight hundred or $6,000 a month is the same as saying they can't have the drug a denial of assess for hiv patient for example for many people that means going off our medications that results in serious ionize and death reducing the access to hiv medication in addition to harming the hiv positive people leads to increased infections

because people on medication are less likely to pass on their ill in essence they'll be less healthy and get for sick and today and increased risk of ineffecting other people san francisco strategy to reduce and end hiv infection is in par an hiv people have immediate and consistent access to medication reclassification as so-called specialist drugs directly undermines our city health strategy around hiv and is to the acceptable last month we heard with the kaiser permanente members that are fatiguing 6 hundred monthly co-pay i reached

out to kaiser as a number of advocates in the community and met with them within a week kaiser readers itself moves people off the specialist list and grirsz people for the money the issue is not over it is far boarder than kaiser and hiv medication allocate insures have moved drugs into the specialist list this goes beyond hiv tennis irresistance this issue became public i've been contacted we people that have diseases that experienced massive co-pay increases due to the drug reclassification and other drugs at issue as well is it so noted

just about cover collet we focus on cover california the 5 health ininsures that today, we got a hiv poppe positive person and health net is not classifications ever clarified the ulcers plan it is specified you'll have to pay $800 a month to have this life saving medication this owner is complicated aid one type of insurance or one category it is broad and trend we need to stop in pits tracks trend possesses serious issue when president obama signed the 5ek9 e affordable health care act did whole point to make sure that all americans had access to

good health care the description was against people any move by insurance companies to deny the access to treatment for example by having high co-pays is no different than coverage for a popcorns medical condition is violates the laws and is illegal needs to stop colleagues weigh hear from our department of public health which is involved in 2, 3, 4 issue in terms of our own contract and the broader issue and we'll discuss our departments approach and we'll hear into two organizations to inform the san francisco aids foundation and we'll hear from blue shield which is the only covered california insurance

provider that agreed to speak publicly so mr. berkebile mr. chairman if no other remarks i ask we move to the department of public health. >> exchange supervisors colleen with the department of public health if i could get even though overhead please. so it's good timing we reached did 5 year anniversary of the affordable health care act and ass himself to the affordable health care act many americans have access to health insurance this means they have better access to health care services and the medications they need the majority of americans 70 percent of them take at least one prescription drug more than

50 percent take two and advancements in medications treat life threatening conditions walk cancer and help it's and more the cost are often high as an example of the 12 cancer medications approved in 2012 the annual cost from 70 to $100,000 a year common drugs for ruchl toyed arthur reiterates costs more $68,000 a year more of the safety drugs relatively - pardon me. >> experts expect extending e spending on healthy medications will grow and 2019 they'll equal half off all drugs last year

half of the drugs approved by itself fda what's the definition it is generally agreed on they need special handling products like bio logics from living cell phones and cultural in the labor laboratory and they require temperature storage or have fda mandatory programs that restrict their distribution and generally medications that have maybe indigestables perhaps their administered in a driver's side office but the third category is high cost drugs not necessarily requiring special handling or complex modification but seen as

those that cost more than $600 a month so supervisor wiener referred to the tiering the medication pricing on health insurance this was a chart from health care california and it shows you the 4 tiers that health plans put medications into the higher the tier the higher the cost char the tier one are the high cost and the low brands this as a co-pay maybe 5 or 10 or $15 tier two are peripherally drugs that maybe a little bit brand names or number one jeb genetic they could have a higher co-pay tier

3 is the non-preferred drugs drugs in this category have a higher co-pay but still a co-pay of a 6 prices per medication filled so the fourth tier the specialist drugs we're talking about here the ones on that co-insurance 234089 the fixed amount but a percentage of cost of the drug to the plan so what is the concern with specialist tiering supervisor wiener laid it out. >> before you get to that the name is an odd name specialist it seems like maybe a special drug you're getting you know help you something like plastic surgery or something frivolous and fancy but you know some of

the drugs we're hearing for example, hiv drugs they're not i don't give them a specialist their drugs the direct said you needed need to be on this is those and i believe the deprived from the specialist pharmacies those first two categories i talked about the special handling or the complex administration the drugs that require special handling they went through speciality pharmacies with the shipping to control the temperatures or did some the patient education oneself education that's where it was derived the third category that is