method who jumps in the public works headed by mr. peavy we know is - >> thank you, sir thank you very much. >> thank you. next speaker, please. >> madam president, supervisors, department people i'm thomas robert simpson thank you for the warm welcome to the special visits from the western edition i'm here to say i think it is really important that a number of you are here who live within 5 or 6 blocks maybe 8 blocks of this chamber my hope and my wish is that they will get an inspiration or something one-on-one within them that says oh, this is an

african-american that used to live in my neighborhood the president of the chamber oh, it's the african-american woman from the other part of town that's from this chamber also or there's a gay white man part of the chamber they'll say off a oh a possibility i my one day be a part of this chamber so i welcome you're welcome for us i hope i didn't put you on the spot too much. one person you did mention was angela part of bringing the youth here thank you for bringing us here and hopefully one day one the youth behind me will take our position thank you very much >> thank you very much>> thank you. next speaker, please. >> approximately i'm dana

i work here and talked about the high rates of breast cancer in marin county it was believed to have the highest rates of breast cancer in the world oh thank you this book come out maybe four or five years ago that says it was beautifully landscaped - breast cancer in the world oar i've talked about how synthetices gunmen in the form of hormone played a major rule in half the cases of breast cancer in marin i go to marin and talk about one their high racists breast cancer

and thees gunmen roles that it plays and other cancers are some of the research showing that thees begin was strongly suspected to be cardiogenic for decades here is from the i don't have the study but it is from journal of national cancer institute in 1940 (inaudible) a carcinogen (inaudible). >> sir please speak into the microphone. >> sorry it was established in historic experiments here's one in review of the evidence by sole gus berg estrogen.

>> sir, your time is up thank you. >> madam clerk can you call our 3:00 p.m. oh. >> mr. gilbert. >> supervisors thank you tom gilbert i didn't 7 years ago there was ending our women - my first public speaking planning commission eastern neighborhood noise continuance 24 hour noise that was being built new model and new construction remodeled for 55 decimals 45 decimals continuance noise in our apartment and attending packed meeting at the planning commission properties livelihood and rezoning and

christen was the want her last day here as a supervisor she was - it was mentioned the perfect storm of what i consider the mayors foolish bra ha, ha over the ross some of the femininity restraining and it was folded here i think correctly political sport he was not a member of the league democratic association with the ca bottle christen lost at the last session a statement they were surprised christine was able to step into the spot of being a supervisor she was a president

of the dynamic situation in the eastern neighborhood and preceded and i want to give a shout out to her as the end of women's shout out out month thank you. >> thank you very much. is there any additional public comment seeing none, public comment is closed madam clerk can we please go to the 3:00 p.m. special order. >> items 18 through 21 compiles the items for the person's interested in the planning department ordinances the planning exception for the prompted project for environmental review items 9 through 24 are restoring the departments determination and the appropriation of finding. >> it's my understanding that the appellants have asked for a

continuance for one week to our meeting of april 7th and i know that since we have provided this item we'll need to take public comment i'll opening it up for public comment if there are any members of the public that want to comment at this point seeing none, public comment is closed and i'll entertain a motion for continuance of this item so moved by supervisor kim and 1eshg9d by commissioner avalos we'll take that without objection. this item is continued to the april 7th meeting next week madam clerk can you please call the next item. >> item 24 through 27 are considered for immediate adaptation and roll call vote may impact those if the public objects they can be removed separately. >> supervisor cohen.

>> thank you very much actually i'd like i'm to colleagues those are recommended to the priority conservatism areas like supervisor eric mar's items 25 and 26 to sever them the reason supervisor mar's is asking we request that requested we send those items back to committee i'd like to make the motion we refer the items 24 and 25 excuse me. >> okay. so we'll do that shortly. >> okay supervisor cohen so you want to remove items 25 and 26 we'll take those up after we adopt the rest of the items so on the remaining items items 24 and 27 can we have a roll call vote madam clerk and on 24 and 27 supervisor wiener councilmember alvarez

sxhefrd. >> supervisor campos arrest supervisor christensen supervisor cohen supervisor farrell supervisor kim supervisor tang there are 9 i's. >> okay items 24 and 27 passed unanimously madam clerk can you please call item 25. >> item 25 a resolution to support of the determination of the water trail as a conservatism trail by the government and item 26 as well madam president. >> yes. >> item 26 the resolution to authorize the 4 conservatism areas national the bayview hill and the green mclaren park. >> supervisor cohen. >> want to entertainer or make a motion excuse me. to move those to the land use and

transportation committee. >> okay supervisor cohen has moved to have 25 eye 26 to the land use committee is there a second supervisor christensen without objection those are moved to the land use commission. >> madam clerk will you please call the next item. >> madam president in memoriams will be next, however, in memoriams centered. >> this brings us to the end of the agenda madam clerk, any other business before this committee? >> that concludes our business for today madam president. >> thank you very much we are

. >> good morning, everyone, welcome to the it san francisco board of supervisors budged and finance subcommittee meeting for wednesday , april 1, 2015. my name is mark farrell, i will be chairing this meeting, joined by supervisor katytang, joined by supervisor mar and supervisor scott weiner. madam clerk. >> yes, mr. chair, please silence all cell phones and electronic devices, completed speaker cards and copies of all documents to be included as part of the file actions today will be appear on the april 7 board of supervisors agenda

unless otherwise stated. >> colleagues, we were going to go in order today. we have a hearing as item no. 1, all though there was, apparently i just realized there was one item held over from last week because that was completely cleared up, so we're going to take one quick one out of order, item no. 4. >> item no. 4, ordinance appropriating approximately 11.5 million for the renovation, repair or construction of parks and open spaces and recreation and parks department for fiscal year 2014-2015. >> donna is here to speak on this item. >> supervisors, good morning, a very brief presentation on a fairly routine item, supplemental appropriation of the 2012 parks bond. of the roughly 160 million given to us by voters we have now, we did a first sale of about 53.2 million after the election.

today we have spent approximately 14 1/2 million dollars and due to various policy changes about how other city-wide projects should proceed we find us in the space where some projects have cash that won't need it and other projects need that cash. so here we are to request a reappropriation of 52 million of projects that don't need the fublds to projects that will need the fupbtds to go into construction this summer. in general the biggest sources of appropriation of the balboa park pool which is going forward. this in any way does not impact voter approved funding, it's really just a cash flow measure and reallocating that to (inaudible) which is ready to go into construction and needs 9.9 million for us to reencumber the the contract.

so this reappropriation allow us to stay on the schedule. just in terms of program milestones, we have concept plan approvals for most of the phase i projects, gilman, glen canyon why, west mountain sunset and we started planning well in advance for willy wu a failing play grounds task force to make recommendations about which projects we should prioritize with the 15 1/2 million dollars from the failing playgrounds fund. this chart shows basically the summer and fall ahead and the major projects that we expect to go into construction. we're actually in construction right now on joe dmrapblg owe and expect to be going into construction on gilman park and soulgt like as well as west sunset and then glen park recreation center. with these

projects dwoiing into construction we expect to have fully expended our first sale and be ready to approach the board with a second sale this fall, which will allow us to begin and complete design on the second phase of projects. with that, i'm happy to take any questions. >> colleagues, any questions on item 4? seeing none, we will open this up to public comment. anybody wish to comment on item 4? seeing none, public comment is closed. we don't have a budget analyst's report? do we? sorry about that. >> mr. chairman, supervisor tang, supervisor weiner, i did testify on this item last week and recommend you vote this forward. >> supervisor tang >> no, i had no questions from the last time around, just restating this does not change any of the project budgets for the project so i am happy to recommend this ordinance with a

positive recommendation for the full board. >> we have a recommendation from supervisor tang and can take that without objection. >> hearing to discuss the expect edify napx needs recrated by the increase of people living with hiv/aids who will lose their private disability insurance as they become eligible for social security benefits and requesting the budget and legislative analyst to report. >> thank you, madam clerk. colleagues, this item was sponsored by supervisor wiener so i will turn it over to him to run the hear ?oog ?oo thank you very much mr. chairman and colleagues, thank you for hearing this item today. today this hearing will focus on the increasing challenge that many people in our city is facing with regards to long-term survivors of hiv/aids who have been on private disability insurance policies and whose private disability insurance will terminate when they turn

usually 65 and then transition on to social security, resulting frequently in a significant drop in income and resulting housing instability and housing instability. this issue was identified by the lgbt aging task force which, colleagues, as you know issued a report last year after we formed the task force in order to explore the challenges and opportunities around our growing lgbt senior population. the task force identified this as a looming problem for our community and the purpose of this hearing is to learn more about it and to really begin a process to determine how best to address it. in the 1980's and early 1990's, in particular, before

there was any effective treatment for hiv, many people particularly gay men with hiv who were employed and who became sick during the height of the crisis became disabled and left the work force, frequently accessing their private disability benefits. for many of these people they did not necessarily think that they were going to make it, given the lack of effective treatment and they remained on private disability policies. , out of the work force for many years. starting the mid-1990's we began to see more and more effective treatments, not to cure hiv but to allow people to stabilize their health and to live long and healthy lives. and so we are now seeing a growing population of long-term hiv survivors who are

approaching or in their senior years. this is a good thing that we're seeing a growing population of hiv positive people living into their senior years, we want that to happen, we want people to live long, healthy, happy lives, but it does create this issue and it is a discrete issue of a discrete population of largely gay men who went on on to private disability in the 1980's and 1990's that did not re-enter the work force and are now approaching age 65, an age they didn't necessarily think they were ever going to reach, but here they are and about to experience a significant drop in income. we know that in san francisco housing is incredibly challenging right now and for people who are experiencing or who are going to experience this drop in income, even if they are in stable housing, it may cause them 20 lose their

housing because they can no longer afford to pay their rent and right now the last thing we want is for people to lose their housing and potentially become homeless. we want to make sure that people are stable in their housing. this issue having been raised and flagged, i decided that we needed to try to analyze it and quantify it so we know the scope of the problem that we're facing. so i requested that our budget and legislative analyst study the issue and produce a quantification of where we are and what the problem is and what time frame, when it's going to emerge and how long it will last. so working with various experts in the community, the bla did

perform an analysis and produced a very thorough and well-done report. this analysis provides us with information on which we can make policy decisions about how best to proceed. so, colleagues, today we're going to hear from the budget and legislative analyst to present the report and i think they distributed copies as well. we'll then hear from a few folks in the community who are doing work in this area and then hear public comment. with that, colleagues, mr. chairman if i may i'd like to call up the budget and legislative analyst to present and i want to note we have representatives from the department of public health and human services here if any questions arise with respect to those departments. >> good morning, chair farrell, supervisor tang, supervisor weiner, supervisor, we were requested to estimate the number of people in san

francisco living with hiv and aids who have private disability insurance and will be transitioning to social security. hampton smith from our office will be giving the presentation of our report. >> good morning, supervisors, hampton smith from the budget and legislative analyst's ofrs and i will be, we approached the 15 largest companies by market share and asked for information dektly from them. since we didn't hear back and in a few instances company representatives simply declined to supply that estimation. we also approached state and federal agencies including the california department of

insurance, the california department of state disability insurance and the centers for disease control, the social security administration, the regional office here in san francisco and washington, dc we asked for the information from disability advocates, academic researchers, especially cornell employment disability and kaiser, ucsf and several ryan white service providers. this kind of information is generally not a part of hiv surveillance so none of the people that we spoke with had the specific information that we were looking for. the number of people with hiv living into middle age apblgd approaching retirement and social security eligibility has increased as hiv has become a

chronic managable illness since the mid-90's when antiretro viral therapy was introduced. this is a nationwide phenomenon and in san francisco the number of people living with hiv 50 and older has increased to 55 percent of the total. in 200fuer, 4300 people, or about a third of the total number of people living with hiv, were 50 or older. by 20148,800 out of a total of nearly 16,000 people living with hiv were 50 or older. >> that is a really important point, not just for this issue but in general in terms of our approach to hiv, that the percentage of people 50 and older living with hiv has basically doubled in the last decade and the face of this epidemic is shifting over time. we see it in terms of general

demographics but also in terms of age, so i think it's real important as we think about how we approach the epidemic to understand that it is shifting. >> i'm going to get to some of those shifts in just a moment. another way to look at the aging of pop of people with hiv is to compare hiv surveillance age groups below 50 and above 50. the proportion of people in each group below 50 decreased between 2004 and 2013, while the proportion in each of the age groups 50 years old and older has grown in the same period with the largest growth in the 65 or older age group, which has grown by 282 percent since 2004. and there are differences in the demographic profile of older and younger people with hiv. african american and native american proportion of people living with hiv are about the same above and below

50, but there's been a substantial increase in the latino and asian pacific islander proportions below 50, latinos are 12 percent of people with hiv who are older than 50, but 21 percent of people younger than 50. asian pacific islanders are 3 percent of people older than 50 and 7 percent of people younger than 50, while whites are nearly 70 percent of people over 50, but only 56 percent of people younger than 50. this change in the racial and ethnic profile has happened as people of color have begun to make up a majority of more recently diagnosed cases. differences in the ethnic and gender composition of the population, 50 and older and below 50, may have implications for the design of outreach and service delivery as the population continues to age and people with private insurance, private disability insurance, who have not used public services in the past turn to

ryan white and other city services for the first time when their disability insurance expires. this is another way of looking at the changing racial and ethnic profile of people with hiv, showing the concentration of whites, mostly men, mostly gay men, among older people living with hiv in blue, and the large proportion of people of color among younger people with hiv. again, white men have been the largest proportion in san francisco since the onset of the epidemic. they reflect an even larger number of people reflecting the large proportion of white men in the early stages of diagnosis. there are also differences in the demographic profile of the general population of people with hiv and people who receive ryan white services. ryan

white funded services are generally available to people at or below 400 percent of poverty. it's our understanding that most people who receive ryan white services in san francisco are well under 400 percent of poverty guidelines. white men make up a small percentage of clients in the ryan white program, which serves a greater number of people of color and women than are in the general population of people with hiv. again, these demographic differences might have implications for how programs are designed and how outreach is conducted for people who have not used public services in the past. as i mentioned, the insurance companies decline to provide information on the number of disability insurance policy holders and health care and other service providers generally don't collect this kind of information. so we've estimated the number of people with insurance, with disability insurance. we began by assuming that people who were diagnosed

before antiretro viral therapy became available were more likely to be disabled and unable to work than people diagnosed after effective therapy became available in the mid-90's. they end of 2014 there were 6,668 people in san francisco who had gone diagnosed from the beginning of the epidemic through 95, and we start by assuming that these people are more likely to have been disabled by hiv and stopped working and we base our estimates on the number of people with private disability insurance on this number. we used two local surveys of people 50 and older in san mateo, marin and san francisco to estimate the number of people in san francisco with private insurance. in 2010 the joint work group on hiv and aging, a project of the ryan

white planning council and the mayor of long-term care coordinating council, conducted an online survey of people 50 and older in the three counties. this survey found 18.8 percent of respondents had both social security disability insurance and private insurance and in 2013 researchers at san francisco state conducted an in person survey of people living with hiv at service agencies in the same three counties and found 6 percent of 160 people surveyed had private insurance. we applied these percentages to the number of people diagnosed through 1995, which gives a range of between 400 and 1254 people. we think the 1200 estimate is probably more accurate because the demographics of the people in the 2010 survey as far as