actually has specialty certification associated with it and certain competencies associated with it and should be available to people across their life continuum if they have a serious illness. however philosophy of palliative care and inter-professional care is not supported through many of the mechanisms of medicare. >> thank you very much. >> commissioner simms. >> thank you. i wanted to add my support and appreciate the hard work on the topic i am curious how to do this with the work and because san francisco is a diverse community there are cultural differences in the way people think about the conditions and the scenarios that they bring about. how does the task force contemplate delivery and operationalizing some of these kinds of priorities in the community? >> this is one of the most

exciting things to me in doing the work in san francisco is really learn from all of the communities as many different types both cultures and ethnicities to actually guide us so one of the things we're working on through the long-term coordinating council is really thinking what it means to do a needs assessment in the community and the particular concerns in the community that are culturally relevant so we're thoughtful and sensitive communicator on what palliative care can offer and [inaudible] is put forward as one of the poster children for having the conversation out there for people becoming comfortable talking about their wishes for the future if they become seriously ill. laacross is a very homogeneous community and

we want to look at what it looks like and reduction of the illness burden and suffering in our community which is more diverse. we're taking this on with a lot of fervor i should say in the work group because it's so important to be attentive to the issues here in san francisco. >> bravo. >> any other questions? >> yes. i'm a senior. it won't be long because i need medical care, so walk me through -- well, if i have an accident, fall, you know, i cannot walk, and i'm -- i sign up with the kaiser now and i heard that eventually kaiser will -- am i

going to end up with kaiser take care of me forever. >> well, our hope is kaiser and all the health systems throughout our community will be increasingly attentive to the fact that people when they're going through some kind of serious illness or crisis in the case of a fall or an accident have access to a supportive group of individuals who are well trained in reducing suffering and improving quality of life number one, and number two making sure your wishes about how your future unfolds is listened to, heard and actually -- and then followed through on, so that's not just -- it should be something available to people regardless whether they're in kaiser or through anthem or any other payer that we have in our community, and right now i will say that palliative care services for the most part are

most available in hospitals. they're not as available in the community. again getting back to the issue of reimbursement and that's something we really want to explore for two angles and one how can we support payers to provide the services in the community number one, and number two, how do we actually train all of our providers who are on the front line to have enough information to make sure people are getting access to palliative care. anne, do you want to add to that? >> i wanted to add something about one of the last sessions but you answered the commissioner's question. >> okay. i have a follow up question. when kaiser going to -- we have done everything what we can do for you and [inaudible] transfer into the general hospital in san

francisco. >> yeah, and again -- >> [inaudible] >> i always want to be careful about speaking for a particular payer. that being said i am aware that kaiser actually has many close relationships with hospices throughout our community if that is a choice and if hospice was not somebody's choice there are other opportunities to engage in palliative care through kaiser and i am sure kaiser -- many of the health care systems has that available to their patients. >> having heard from you i will sleep better. >> okay. >> commissioner. >> just one final comment. could we have a copy of your presentation? >> happily. >> thank you. >> i will make sure you get it. >> i am happy to send it to bridget. >> i wanted to say -- we both mentioned that we use the successions as an opportunity not only to set goals and get

hard work done but as a teaching and learning opportunity as well. in the last session the teaching and learning experience was i think very powerful. we had three people speak to us -- actually three women who had love ones that had access to palliative care services or had them themselves. one woman was from the chinese community and very much spoke to the cultural aspects of caring for her mother, and how hard and how many falls her being mother took before she just realized she couldn't do it anymore and went into a palliative care program at laguna honda and what kind of team support her mom got as well as her from the folks there. the second woman that presented was from the african-american community here in the city and

she too had her siblings were taking care of her mom and she spoke just eloquently about her experience of care giving, both at home and then with the palliative care team that she worked with, and i have to say she had knowledge of palliative care because she worked in that world, so she had a little leg up on some of the rest of us and the third person that spoke was a caucasian woman like myself who had experienced palliative care team support herself because she had had a tremendous illness that affected her, and i have to say that those three relatively short presentations spoke so eloquently to the folks in the room and it was wonderful i think for everyone to see how much their experiences actually ended up in this document

because so much of the richness of the recommendations really was around this idea of team, team support and good quality of care that we would all love to have no matter when in our lives so i learned a lot, and i just thank the folks that participated. >> thank you. >> commissioner. >> how many are on your community and it's not a ad hoc committee. it's a continuation committee. isn't that right? >> do you want to answer that question? >> currently there are 15 to 18 people that came off of the original committee that expressed interest and have participated in the meetings. these meetings are open as all of the long-term coordinating council work groups and we are still seeking groups to participate who represent key categories of service that aren't at the table, so with

this meeting monthly at this point christine and i volunteered to co-chair for the first six months to get it off of the ground but if anyone is interested let me know we will plug you in or if you have someone that you know is interested we can plug you into what is going on. >> when is your next meeting? >> april 10. >> [inaudible] >> which is a friday i believe at 2:00 p.m. >> that's right. >> at 2:00 p.m. >> at the department, yeah up on the fifth floor. >> okay. thank you. >> thank you. >> thank you very much. i just want to add one point to anne's report and i guess it includes your report too is there are four partnerships very much, african-american partnership, very much active -- want to be active again, the gay

lesbian trans partnership and the latino and the asian and they all want to be active and this is where the partnerships can come and speak to and especially on the other items you talked about, so we have been asking for a secretary help. thank you. okay. moving right along. the advisory council report, mr. schmidt. >> good morning president james, commissioners, executive director hinton. the advisory council met on wednesday march 18 and at that meeting we shared some information we received from the white house conference on aging. again i'm going to ask the executive director henton to give a little more detail on that. >> sure. so the white house conference on aging is going to take place -- we believe there will be an event in washington

and happens more and more it will be at white house and not a hotel or convention center so that's very i think wonderful and meaningful. it does mean as they have been saying all along though that there will be very few invitees that are able to attend. for those that have been to the white house these rooms are small so it's not a big event. there will not be delegates and talking to someone to chicago how that event will look, but today is the event in phoenix. there's been one in florida already and i think next week there will be an event -- these are the five regional events -- in oregon. >> yes. >> and then the other two baltimore and ohio so they're going to be strategic and other

parts of the country. we were invited to the one in phoenix and unable to go but people in california and southern california did go so that is great. there are speakers on the four categories that the white house lined up as things they're focusing on and in the afternoon they're be breaking into groups. there has been -- i don't know if jessica is here but i know that senior action network and long-term coordinating council are looking to have an event here in april again to mirror what is happening in the five communities so we have a community conversation about the four key topics again so that's what we know. the white house -- i heard nora say it and their agenda is really around the four topics in trying to get as much input so people having sessions

in their community and submitting communities to the white house is what they're looking for. >> >> they don't have a preconceived outcome but looking for policy initiatives that could be put into place through presidential executive order and put into place by the six key departments that are participating in the work, so is that what you wanted. >> yes thank you. also we -- the council sent letters to support to assembly person tony thermom and senator holly mitchell regarding funding for aps services throughout the state and also to support the [inaudible] program throughout the state and ms. lawrence who works with commissioner sims will give a detailed report from

that point when she follows me. also we continue to seek more members to join us on the council, and i believe there's a new councilmember has been -- not yet. >> still working on it. >> i'm sorry. i spoke out of turn so we're working on that, and an update on the training. our next training from the education committee will be on also april 10 and this time instead of the bethany center it will be at the institute of aging and 130 to 4:00 o'clock. our site visits we continue to do that. the staff was -- rich gave us a new listing update, the sites that we will continue to visit and we have our sites visit form in place, so hopefully at the next commission

meeting i will be able to report on the site visits we're under taking. >> thank you. >> that's my report. thank you. any questions? >> yes. i heard the points for the white house conference. i want the name of the four points -- you mentioned quite a few times. >> so the four points are economic and retirement support and security -- economic and retirement security. there's elder justice is a key -- one of the four points. long-term care, integration and services and supports is the third and the other one i am blanking on. do you remember what it is? >> oh that's enough. you mentioned more than four points. >> okay. thank you. >> thank you. >> next we have the joint

legislative committee report. diane lawrence. >> good morning. i wanted to start off with an action item from our march meeting. commissioner seriina asked if there was a new status felony created under the identity theft for seniors proposed legislation, and the current legislation has -- identity theft has one year penalty attached to it. the proposed legislation and the number is escaping me and extends that for anyone over 65 to two years so takes the current felony legislation on iernt theft and expands it for anyone over 65. >> thank you very much. >> you're welcome. some of the old business i promised to report on the california

welfare's directors meeting at the last commission meeting and they were to meet the day after our council meeting, i don't have a report at this time. we will have one in the may report. under new business we talked about there are a number of budget initiatives moving forward or in the -- starting in the budgeting process on behalf of older californians and disabled adults and caregivers and there was a hearing on march 26 and it focused on those variety of areas, adult protective services, ihss, and very definitely the expansion of the ssi and ssp work. they were all addressed. individual pieces of legislation are being developed along those lines to address those topics as we move through the budget process. calworks was also one of though

topics. last year senators carol lui and wolk and beale worked on a report shattered system in california and the senior legislature group was informed of legislation that goes along with a number of those recommendations, so right now there are 19 bills. i have information on them that would address those recommendations in the report. 15 of those have been sent to the legislative committee for review. none of them are overlaps of the csl legislation that i mentioned at the last two commission hearings so they have asked for letters of report and resources for testimony. we don't have any specifics on that and as soon as we do we will let you know. so that's 23 bills in total that are being monitored right now by the csl. we were told that

many of those will be two year bills so it's not like we will try to get them all done this year so the two year legislative session some will be addressed this year and some next year. how that breaks out? i don't know yet and once we do we will report on it. as mentioned by mr. schmidt there is a current ask in the budget for more money for adult protective services and we were asked to support that budget ask. that was the first time as co-chair of the legislative group had to come up how we handle that so i am still working through that process so please bear with me. the governor and c4a are supporting more funding for adult protective services. what we did ask for as a result of starting to get letters of support that are asked for is create a master list of all of

the areas that we're being asked to support and keeping track of what we're doing with them and we will make that available to you as well. we had a guest speaker, benson nidel of the long-term care ombudsman association and they represent 34 ombudsman program. current state law requires that investigation and reports of neglect and abuse in long-term care facilities, and over the last number of years that budget has been severely cut while the legislation still requires they go out and investigate. in 2008 the budget was at $3.8 million and the appropriation was based on the number of beds in the county. san francisco during that time over the last 10 years has lost a thousand nursing home beds so you can see that our funding was reduced. current

staffing at two full time equivalents and plus a part time consultant so meeting those requirements that are set forth in the law are difficult to meet so there is funding is needed to in hopes of visiting sites quarterly just on a routine basis and handing -- handling abuse cases over the course of the year. they have asked -- assemblymember cheryl brown asked executive directors to mold or craft a ask for bill to increase funding for the ombudsman. now that we have some money to start restoring levels of services so that we can fulfill the legislative requirements. at the meeting commissioner sims asked about scott warner's long-term care bill of rights that would

prohibit discrimination faced by lgbt seniors and there was a press conference that was scheduled the day after that meeting which was held, and there was a vote on that proposed ordinance yesterday at the board of supervisors meeting. i did a little work in case there were questions and it passed according to the supervisor's website. director hinton reported she met with the governor's staff on poverty levels regarding older americans and disabled adults and there was a hearing the day before at the governor's request on the topic of poverty in that population, and that is continuing to move forward as time moves on. they're going to be a serious of budget asks as i mentioned earlier including the extension of medicare under the affordable care act. the way the affordable care act is structured we know there was an

expansion of medi-cal and similar programs nationwide in the states but funding was not put in place both to help with applications and covering of costs so there will be some money there, and then assembly person caldron has a plan requiring the department of social services to have unannounced inspections of care facilities with a target date of july 2018 so the goal would be over the next 3-4 years to move inspections from every five years then to every three and eventually by 2019 be able to inspect every year so again this is going to be a funding issue moving forward and then a reminder that may 6 is senior rally day in sacramento. >> thank you.

>> you're welcome. >> any questions? thank you. >> thank you. >> now we have the long-term care coordinating council report. >> good morning commissioners and director hinton. i am sandy morrie and a member of the council and i want to give an update on the last meeting. we are at budget time as you know so we're making our rounds to all of the supervisors, all 11 supervisors from members of the council and we try to have a member who is a resident of that district, people who are familiar with that supervisor, and have good relations with that supervisor to go, so usually we end up with two, three, four people with each supervisor to visit them, so we're basically trying to say the same thing to every supervisor. one is increase the budgeting for the community

living fund. no cuts for seniors and adults with disabilities and a 5% increase in the cost of doing business for nonprofits. as anne mentioned earlier through the scan grant there will be a constituency event probably in april, the one she was referring to. the long-term care coordinating council just put forth three names to the mayor for appointments to the council and therefore now we have three other openings on the council so any of you know anybody that is interested in being on the council please let us know and we're happy to send the application. we have a nominating committee that goes through the process of interviewing people. we did have a presentation on current legislation and we're sending support letters for several pieces of that legislation, so i have a relatively short report

today. thank you. any questions? >> thank you. >> thank you. >> next we have the tacc report. is cathy here? no report. okay. case report. >> good morning commissioners, director hinton. i am linda and from the richmond district and i will give the report today. in march dave came and spoke about contracts to case. it was a very interesting meeting. shirr rein will be visiting them in april and the big work that case is doing right now is on the advocacy campaign. we started this in many ways last spring so about a year ago now. we

started it with convening the community services contractors and getting them together to build consensus as to what -- god i am sorry. i am nervous -- to what we need to support senior cities and contractors in the city. we hosted a postcard campaign with 5,000 cards out in the community right now and i brought some copies that i can give to bride get if anyone would like to see them. >> >> the goal is reminiscent of the scene of miracle on 34th street" and dumped the letters on the desk and the goal is for the mayor and he should be personally involved in this and the supervisors too and we appreciate your support and any >> thank you. >> next is the nominating

committee report and commissioner itani -- >> [inaudible] >> no. just the one item. we have the reappointment of the advisory committee, those two items. so it's done by commissioner katie loo. >> good morning. the committee met on march 23 at 9:00 o'clock on mission, fifth floor [inaudible] office. without her permission. and we talk about in the meeting the three of us, president james, itani and myself. we met and

we talk about the new offices for the coming year, and president james graciously said she would accept the nomination as the president, and commissioner seriina as the vice president so put this together today for your vote, commission vote on that. >> why don't you go back to the first item, reappointment of the advisory council. >> certainly. i am not used to this kind of thing. >> that's okay. >> yeah, reappointment on advisory council members which are listed in the agenda. okay. >> [inaudible] >> yeah, i want to approve the motion -- the motion is appoint

edna james -- no, the advisory council first. >> oh okay. sorry. we want to approve the appoint councilmembers. >> so moved. >> before we vote i have a question. can i ask a question before we vote? >> yes. >> my question is i understand each of these supervisor can appoint an advisory member to the advisory council; right? are these -- we have seven members. are these appointed by the supervisors or are they not? i just wonder if the supervisor appoint -- pointing authority -- no, supervisors recommend to the council and -- okay. tell me the procedure. >> so every supervisor has someone they