font has to be a certain any reasonable human being said they did a poor hours keep job even they kaunt couldn't read i want on the web for the health services board those pages i can't read in person i want to go into in and read them before the next meet >> that's our commitment has to item is being posted for discussion and action at the next meeting those are the things we're talking about. >> all of us can read it. >> they disappoint me. >> other public comment? >> thank you i don't what voice i have left there are many

questions if they could tells you the national disruption they haven't provided that we need another motion to do what you're doing thank you for making it formal there much, much, much more information before anyone could a figure out how to opt both it medication is significant one hundred and 5 people are going to be calling all of us and there's problem with the network providers will be available i don't understand why there can't be a response if that is who you have you stay with or those- we don't want to go into the other plan that needs to be clarified any questions thank you.

>> thank you very much for your comment. >> all right. any other public comment? hearing no other comment we're ready to proceed on the motion all opposed by the same sign>> i. >> opposed? no. >> the i's have it so we're now down to item 16. >> 15? yes >> we're skipping that. >> i'm skipping 16. >> no, i'm skipping 15 is that what you're telling me. >> that's what you said. >> yes. >> the discussion item on 15 go ahead. >> okay and item 15 discussion item approval of controllers nominee randy scott for a 5 year

term starting in 2015. >> sense i'm the subject of this i'm defer to the vice chair of the board vice president of the board to conduct the discussion on this topic. >> just defer it to the next meeting. >> well, i thought i had in my prior. >> i thought you did it was. >> it was on the draft this will be deferred until the next meeting i thought i said that. >> you did. >> okay. so item 16 are there madam secretary. >> item 16 report on network and health plan issues if any. >> i director dodd is the representative from blue shield yes all right. >> if you would please come and identify, sir. >> thank you for your patience this afternoon. >> thank you. i'm paul brown

the area vice president for america counts at blue shield california and director dodd has asked me to speak to a recent news article that enhance with the law times about our in time status in california and decision by the franchise tax board to revoke the exemption from the state next door i'd like to read a couple of bullet points on background and i'll entertain any questions you have or the public has so as is noted the franchise tax board revoked blue shield's exception from state next door that occurred in around august of last year that was broadly recorded on or announced by the franchise tax board and i should note we're appealing that decision

but our nonprofit status is not related to whether we pay state or federal taxes we'll remain a nonprofit consistent with our mission decision of the franchise tax board is not unique, in fact, many plucking and blue shield plans federal and state tax and also others pay state taxes i'd like to remind the board as part of the mission that as a result of our 2 percent pledge in 2012 we've returned to our members and consumers over half a billion dollars, in fact $550 million to our customers and members including work cc sf and as a reminder for all that

was a pledge to cap our operating income at 2 percent that means we project at the given of every year our trends and at the end of every year we look at claims and expenses and if there's money left over we remain 2 percent to reinvestment systems and such and anything above that we return to again, our members and customers and even when we began doing that in nevada we were the only health plan in the united states that made such a exempting commitment in addition the blue shield has donated over $225 million to strength the safety net in 2014 we made over 4 hundred and 80 grants to public services agencies to help support the safety net but after legislated i didn't

negotiations the franchise tax board took the action because of the level of the revenues that stand at $4.2 billion we or less made a acquisition to enter the medal department by care first a nonprofit with about 5 hundred thousand members we do accept the care acquisition to close that significantly reduce our reserves because we're a nonprofit and can't raise money from vefrdz we rely on the receivers such as the care first acquisition after the acquisition blue shield reserves will be at a level that independent actual riders is to maintain a a rating with the agencies and an a rating is required to make sure

we can continue to do business with other large employers including calpers and i'll finally lists my statement we believe p we have 3 foundational as a nonprofit one to be mission driven we're mission driven to make health care affordable for all californians you've heard about that with the ac co patrons that will spill over into our exerts within the health deliver systems number 2 to be a good corp citizen the work we do is far greater than our executors certainly in california and finally it be a good set the record straight of the resources i'm pause and

entertain questions about the excise tax board mission. >> any questions before the commissioners i would ask a broad question regarding the facts filings information on the running the company so you do file a 990 naenl; is that correct. >> i believe so i'm not that close to the tax filings. >> someone going to our website be able to identify the top 5 paid officers in the company. >> i don't believe so but i do believe we're required to file that that the irs. >> that is done through a 990 my understanding are there any descriptions of executive pay or perks or bonuses on our website or other public documents. >> i have not i don't believe it is on the public website

and i won place i haven't looked is our annual report which should include information i'm certain. >> i'm raising those questions you and i both know this is the in the public mind show you guys sweltered away the money and do what you do i want to try to get those issues there is some public documentation your rearview mirror required to speak to 0 factually rather than speculation. >> federal filings. >> yep and that's the point of clarification. >> other comments or questions from the board if you'll stand by we'll be having public comment and maybe questions you might want to respond to.

>> yes. director dodd. >> for the record do you have a federal nonprofit status. >> yes. we maintain we are at our corporate filing both state and federal. >> your 990 filings okay stand but there's no future questions any public comment on this item. >> yeah. the question of reserves came up for blue shield now i'm wondering how does that related to compensation for choses do the executive compensation go up or the letters while they went adopt this is something i want to know and a lot of other people want to know. >> thank you for your comment. >> other public comment?

>> thank you members sitting next to me had a letter noifs her many of her efficiency might not be eligible there's a contract negotiation there is a lot of treatment and with specialists and very concerned i want to know which health plan will they receive a letter and which health plan is the negotiations going on and is that for members offering them specialities or physicians will be available. >> thank you that was not directed at blue shield i'll ask director dodd. >> our members are required to summit what they have sending out i have no knowledge of that letter i can follow-up.

>> okay. so if you care to make any final comments. >> no, just thank you for allowing us the time to address there is a lot of misinformation in the public about the articles that have been written in the media i think the probability the one i think is most accurate is one written by the sacramento business times that lays out other health plans and other organizations that have not-for-profit status and he fine line that lays between the nonprofits like kaiser or sutter or other heartache plans not-for-profit and features identified in that article. >> thank you very much for your time i hope this edifies the

conversation getting into the weeds. >> item 17. >> discussion item opportunity to place items on future agendas. >> any items from the board or public comment on this item >> hearing none item 18. >> item 18 discussion item opportunity for the public comment to comment on any matters within the board's jurisdiction. >> any public comment? on this item? >> a question of clarification i hope it isn't awkward i don't attend these as i eyed to do in the past i noticed by the rates for my drug prirpgsdz went up for blue shield i go to walgreens drug store and suddenly much higher was this vote on by the board to increase the rates what exactly is going

on i want information on that. >> i was ask you to raise that question we've indeed improved the rates for this year there were increased. >> yes. >> maybe in our particular plan like i said, i don't want you to disclosure all our information. >> if you could consultant with the director after the meeting. >> i found out the hard way. >> thank you. any other public comments? on item 18? hearing none i'm ready to teenager a closed session on the appeal >> i make the motion on closed session for the member appeal. >> we have a motion all opposed

by the same sign test. >> good afternoon, everyone wow. first of all thank you, everybody friends, family appointees to our boards and commissions it is my pleasure to join all of you and issue the

oath of office but a celebration of more people that share responsibility thank you to our supervisors here supervisor breed formerly supervisor and new carmen chu jane kim thank you very much for being here our city administrator thank you for being here and commission thank you and tom hugh and mr. puc guy >> thank you all of you for being here today let me say at the outset we're giving the oath of office for 32 people 118 bodies and commissions that help me deal with the policy challenges but more and more most importantly and the most important thing the commission and advisory bodies do we reach

out to people and engage them and bring that diversity of opinion and culture into the way we around government and this is what the exciting to me and let me tell you i'm excited today because the 18 different commissioners and advisors bodies are very important to me let's look at who ear appointing people to when we look at our diverse city i have to say and it is not because it begins an organization but art it is important to our city on a local and international level so the arts commissions e commission deals with our diversity and culture and on the eave of the completion of novm the beginning of the maeks the reestablishment

of moob and the museums we traditionally have and now a really big opening of community arts that is revienlts has been the reason why we've been able to revitalize market street in the tenderloin lead by the arts and the asian arts my name is a big part of that not only because their across the street today but i i think so you have an indulging exhibition it is a sud dusk infection i don't want to talk about that too much but our building inspection commission will be appointed to you don't think them we have serious fires in the city in the past two months over one hundred units of affordable housing we've got to make sure that everybody lives safely in our

city and we don't lose housing, in fact, we need to net new build housing in the city to the building inspection commission will make sure that happens commission on the status of women and equal pay of advisors board are important nor many, many reasons many of you know you'll be co-sponsors with libby shaft on women's economic empowerment this october we'll bring together all of you and anyone that is have read or interested in making sure that women have no gooblz to economic opportunity and less barriers and those two commissioners will do that i'm excited about the individuals appointed there it is a lot of great talent and high commitment brought to the bodies with respect to equal pay that's a fairly new board

they're going to be 4r50k9sd the actual data so we understand what the economic gaps are between men and women in our city and what we need to do that about it and, of course the status of women take that data address revolve it through policy oriented discussions and ultimately legislation we need to consider our historic preservation commission and hiv council wow. what they've done to make improvements with the ac a, with 5 hospitals being built with health care being the number one impact driver in this city their incredibly important and wanted to say to you a big that's correct to the health commission they're there day to day to help us with issues of mental health and all kinds of health problems

in the community the hiv health services planning council i'm very proud of them we're joining as angle inspire industry to make sure we get to zero infections in the city we are about to launch the opening of the wednesday center in the castro this is successful such a great state of the art to help us going get to zero in a short amount of time this year is a one hundred year celebration of our world fair it, of course, allows us to think back a hundred years ago the innovators in our city i mentioned that in a context of this historic preservation commission as part of they're great work to understand and make sure that our city's history is connected to us

this building is part of that history but so many other buildings give us that link to the history so it shouldn't intries you one hundred years ago people were doing it and how we're doing it today is understood that by our kids that's what the historic preempt will do i told you earlier we're on the ground with making sure we end as much poverty and misery for people as possible we're challenging ourselves by oifsz the 5 hundred most impoverished families in the city and giving them the most intense support to end intergenerational poverty for them i can't do that without the wisdom and guidance of our human services commission and bay the appointee to this

commission today george is now going to begin pious o his 40th year on the commission thank you, george for a lifetime worth ever work (clapping.) you know my passion important local business when we appoint local business enterprise committee we're making more local businesses to be start and successful to engage in this strong economy we have because for me, the local businesses is really what it is all about and yes we want to grow local businesses to international businesses as well long term care for the couldn't a vital to our ability to delivery services to people that are challenged in the city we need a functioning body to give us the populated considerations whether it's more nutrition and

food or more sports for the staffing or the people of the industry that is helping us do long-term care retirement board r rent board wow. what a commission but the careful ability to balance between landlord and tenants very, very important to the city it is a sensitive position one we trust of those we appointed to make the right decisions sf that hopefully in most cases is a win-win we can't have strife within landlord and tenants more harmony in the city there is a housing crisis we are doing something about that we are making sure we were the good k345e78gsz going on our conservatism core they're being called up because we video a drought and a lot of open spaces to rehab and change to make sure

their drought tolerant work is being done on the open spaces and we also need a conservatism core to help us do that our mta advisory committee we invested greatly last year and will continue to do that because the voters said, yes it's important to pass a $500 million bond for a transportation system a great museum is for pedestrian safety the sizing had will help the priorities that vision zero and all the others have as part of our great transportation and walking and bicycle riding city southeast community facilities commission they transition going on in the southeast part of our city i want to make sure the people that little there for generations are directly involved in the future development of that area that's

what the southeast sector will do they themselves and their facilities are going on changes we need good leadership to make sure the community is directly involved in that that conversation wow. urban forestry council meeting we need to have admonish trees and we need to make sure that is clear who is responsible for them because those trees are commonplace and part of our investment we need to do better as a city we need a you have been talking about council to guide us in the potentially conflicting things we all care about we care when our common place trees your workforce investment in important nowadays people need to sustain for the

future we don't want people victimized by the economy and the workforce is required their looking at around the corner and understanding the emerging industries making sure we have a workforce that is ready for the industry and finally the most unknown body today is called an oversight board it is kind of like a whistle blower investigator it is a body where former redevelopment agencies are own e organizing to make sure we get it right we're not violating our tax obligations or financial obligations to the public i'm sure that is sun shining something that carmen is

interested in; right? carmen see i'm going to catch them all anyway, i went over bayshore's these because their incredibly important to the function of our city i again want to say too all he each of the appointees today thank you for your commitment and volunteering rhythm and the love of our city and with that i'd like to ask all off appointees to please stand up and raise your right hand as i say i, i would like each think one of you to say loudly this is the only time you can yell added me after you get sworn in people will yell at you and sigh loudly to the commission you're being appointed and we'll precede with the rest of the oath are you

ready? i >> (repeated.) very good thank you loudly thank you