forbidding. >> i mean local businesses participation in city projects is a winning factor it helms help the business their local businesses they're paying savings and a property tax and payroll tax and normally adhere san franciscans so their bowing goods and services in san francisco it really helps the economy of san francisco grow so its not only a benefit to the project but to the city. the contractors center is 5 thomas melon circle in the bayview area open 8:30 to 5 welcom

>> all right. good morning, everybody. welcome to the to the board of supervisors budget & finance subcommittee of wednesday, july 6, 2016, i'm katie tang the vice chair and sitting if for our chair male and female a supervisor wiener and also commissioner loo pr our clerk is linda one thing and thank you nona melkonian and staff and 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 july 12th board of supervisors agenda unless otherwise stated. >> thank you can you call our only item ordinance for the tax regulations code to impose a used tax at twaerdz of one

percent for 25 years for administrative code by the board of states equalization. >> supervisor wiener is here. >> thank you very much madam chair the the item before you the sales tax we held at about hearing and presentation and made amendments and continued to say it before you us there is a champion charter amendment that is pending in the rules committee and that will be heard at the rules committee tomorrow this sales tax the funds for it would be used transportation, and transportation improvement and home services i do have an amendment that two alternative amendments revised section 6 and particularly the authority to

make sure this measure and the charter amendment pending the rules committee appear next to each other the sales tax immediately following the charter amendment so both proposed alternative amendments accomplish that to require the in succession one the alternative amendments designates those will will be the local measures in other words of san francisco measures followed then belittles nexus study will be the proposed bond as supervisor peskin a authorizing my preference will be to have those inform measures be the first two focal measures that will allow us to throw the charter amendment will allow us to make very sizeable investments in the transportation needs as well as

funds effectively our new department of homelessness in support of services and to jeff and on the boost to transition folks off the streets through permanent housing my preference will be the alternative version of this amendment that makes those two san francisco ballot measures after a discuss with and public comment and based on how the committee feels i'll make a motion for one version felt amendment and will then move to continue is one week as amended to next wednesday thank you, supervisor wiener. do we have any questions or comments on this no maybe we'll go to public comment first on item one is there any public comment please come forward >> okay eileen district

retained in opposition to co-mingling the items two a single tax a capricious a more focus on transportation is the one half cent sales tax a more focused approach for homelessness is the tax on technology companies which is file number 16060 with this approach actually a relationship between cause-and-effect on the november ballot there will be 17 state ballots with 20 local ballots initiatives to keep them as precise as possible particularly since there are $400 million in new taxed being permitted on the new ballot initiatives alone i'd like to urge the board to anticipate the voter fatigue and not move forward i've seeing that

supervisor wiener has anticipated that i'll oppose the wiener amendment the first two amendments on the san francisco ballot thank you. >> thank you very much. >> next speaker, please. >> good morning. my name is a richard rothman i'm here to oppose this we live in one of the most progressive city's in the country why the progressive sales measures the sales tax mr. ed reiskin was on a web bar last week he bet 40 or a majority of questions were why is sales tax and even he had a hard time dpnd why can't we have a congestion tax this accomplishes two goals collect revenues and then reduce the number of cars in the downtown area and help vision zero i'm sure we have the

technology with fast track or take cameras you know we need to think outside the box and not having those requests of sales tax the other reason i'm against this we need to send a message to mta that has my one of my neighbors say their arrogant don't listen to the people that is hard to talk to them you don't know who to talk to call 311 the last 7, 8, 9 i called they don't acknowledge or answer my calls and some a message needs to be sent to mta they need to improve their customer service now the sustainable street needs to be reorganized by functions by neighborhoods now i know that adopt needs nor resources than the outer richmond and the sunset but no

reasons they want manager the planning and the planning i mean, the engineers and the planners together and have teams i propose one team for district one and 4 and 7 or one for 2. >> this is the only way i know how to send is a message to mta that they need to change the way they do business and sometimes they forgot there is a western half of the city thank you. >> thank you very much any public comment on item one please step forward. >> seeing none, public comment is closed. and so we have before us the amendment that supervisor wiener has proposed supervisor yee. >> thank you, supervisor wiener for through the chair are we discussing one of the alternatives or both.

>> through the vice chair i've forwarded both alternatives in the committee we can make a choice my preference is the most important to have the two together my strongest preference is to have them the first two san francisco measures this is an incredibly important revenue measure into to the department of homelessness in terms of charter amendment creates funding for the homelessness and support services as well as so for muni for vision zero, for bart and caltrain so to me it make sense as the first two alternative items i'll see what my fellow commissioners have to say. >> sure. >> i think one of your amendments to ask the director of elections to put items two

item next to each other make sense to me and i a support that in terms of a amendment i think the other alternatives does the same thing but to list them as the first two items i'll have objections there is a protocol we've been following for years and the - it is hard for me to sit here and say that is more important than another item you you don't i don't want to end up every election what is more important so we'll be the first so that's - unless you have a better reasoning for this i'm not sure i can support the alternative of having the first two items. >> supervisor wiener. >> i ma'am, vice chair i see

your view. >> i completely agree bundling the items together so hopefully voters can better understand why this sales tax is proposed and for what purpose i actually don't have a strong preference where we should designate through the ordinance you know letter ab i think i can go either way but supervisor yee has expressing expressed concerns about you know porsche being an issue in the future i'll lean towards saying if once the director of elections assigns a letter to the sales tax whatever the next letter follows is the charter amendment. >> okay. so the - >> the second amendment will be my preference. >> not putting them - putting them together but the majority

is go with the version that simply payers the two together so i'll make a motion to amend this item to include the amendment with doesn't i'll provide to the clerk that designates the two charter and the sales tax will appear together in order with the sales tax following the charter amendment immediately but no where on the list of local ballot measures it will appear that's my motion. >> i'll second. >> seconded by supervisor yee. >> i move we continue the item as amended to next wednesday. >> all right. this is july 13th. >> yeah. >> second supervisor yee. >> bless you. >> all right. seconded by supervisor yee without objection

this is continued to the july 13th budget & finance committee committee madam clerk, is there any other business before this body? >> there's no further business. >> all right. this meeting is adjourned

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>> good afternoon, the commission will please come to order and the secretary will call the roll, commissioner pating, present. commissioner show rks present. commissioner chung, present. commissioner sanchez, present. commissioner carsh nu, approval of the mchbts of june 21, 2016. i nut revised minutes to the right of you as i e-mailed you, i had left out section 6 and the minutes in front of you have that so apologize.

>> commissioners, the minutes are before you with the new section 6 filled in. is there a motion for acceptance? >> so moved. >> and a second. >> second. >> let people have a moment to read section 6, if you had not and are there any further corrections to the minutes? if not, we are prepared for the vote. any questions on 6? all in favor, please say aye. opposed? the minutes adopted >> item 3, directors report. >> good afternoon commissioners. welcome to fiscal year 16-17 and just wanted to-i bow many of you just had to open the newspaper or turn on

the tv and saw lots of homeless coverage and in august we'll come back to you as we go through all the homeless coverage to bring updates on what we learned from the coverage and identifies areas of our speedometer that of course includes mental health and substance abuse and supportive services to projeththe mayor announced and one is is the navigation center and encampment response team. in the report it talks about the navigation center and there will be several others opening this coming year and this has a interesting process where we move individuals there and it will become later a permanent location. this [inaudible] center building is own bide the ua local 3 a

plumbers union so will be rebuilt in [inaudible] with 110 permanent homes. also, governor brown signed a no place like home initiative july 1 which provides 2 billion ovthe next 4 years for construction and rehabilitation for permanent housing for individuals with mental illness. this is [inaudible] secure the [inaudible] bonds to fund the competitive grant program to counties that meet minimum eligibility critear ai rchlt san francisco currently receives approximately $22 million in prop 63 revenue and expected that these revenues could decline between 7 and 10 percent to secure the bond funding so i'll meet with

staff in the next coming week tooz figure how to manage that reduction in that process and what we usually do is a rfp process, reorganize the programs and potentially have more amounts of money available for some of the programs as a way to support new housing. i was able to participate with nancy pelosi and congress people on june 29 including the ceo of [inaudible] bringing the family [inaudible] to disarm hate and this was to of course to confront gun violence by [inaudible] no fly, no bye. there was several hundred people at the event and heard a lot from individual jz community members working on violence prevention. today

you will hear about the ehr update so just want you to know we are already working very hard on insureing that we are organizing the way we are looking at how to work with ucsf on the potential bringing in apex into our network and will hear more from that from our it directed today. the asian pacific islander clinic and bayview hunters point health plan will [inaudible] part of a medical group [inaudible] provide primary care and specially care service for hospital and specially services. that provides us more expansion within our network. i'llened my directors report there and ask for any other questions from the report? >> commissioners, questions to

the director-i was pleased to hear the director will bring more information concerning the initiatives and the manner in which the department will be coordinating with the department of homelessness over the next several months. that includes moving of course many of our own housing programs over to the department along with the new navigation centers so think it will be very important for us to receive regular updates are happening and how we continue to serve those that need or services. could you let me know a little more or let us know a little more about what the governor is actually doing with those funds and exactly-i thought when you were introducing the topic we would

get more money, but it sounds like we are getting less money. >> i'll let the policy director give a update on that. it is repurnsing the dollars. >> [inaudible] it is taking some of the revenues that come in already for prop 63 and that is tax on people that earn $63 and that is tax on people that earn over a million a year and rerouting so it can secure larger bond funding, 2 billion dollar bond fund that will be available for counties over 4 psycholts for the next 4 years as they apply for supportive housing projects for folks that have mental illness, homeless or formally homeless. it is a application counties can apply for. overall can can be the same or more funding for san

francisco in total but earmarked for supportive housing purposes. >> initially it removals from the prop 63 monies to create this fund for which there are grants for homeless funding? >> correct, counties get allocations based on a formula under prop 63 so it takes off the top an amount sufficient to secure the 2 billion in bonds and [inaudible] on a competitive basis. >> thank you. other questions to the director? commissioner pating. >> we took a good advantage of the county of the first round of 400 million that came out of prop 63 so i would hope-my question is, other projects in the pipeline you can see taking advantage of this? my other commissioners-the funds from prop 63

are generally commingled with hud fun and private funds and other funds so the projects are very complex to bring together which usually the prop 63 aurfs 1 component mostly the service component. are there projects in the pipeline you can see are early applications for the- >> i probably am not the best person to talk about the projects in the pipeline. director garcia and [inaudible] is better to speak to that but one criteria specified in the legislation is project readiness and that is among which the projects will be evaluated. i think they listed 5 criteria projects are evaluated on and project readiness is one of the 5. we know the homeless department is given the direction of 8 thousand new housing opportunities for individuals and so there is a pipeline for our regular

housing area including most recently one of the propositions , thrfs a housing bond prop in the local election so when we sxh back in august we will get that information to share with you. our role because all our housing and i call it the bricks and mortar in the department ov2 thousand units of housing will be transferred with staff to the new department and our role is maintained as clinical support service for wrap around serves for those individuals. we will be very involved and connected to that department to insure the individuals in the housing and navigation centers and shelters have the kind of supportive services they need for success. >> the other thing i might add is department of public health and the staff from the new department of supportive homelessness and housing were involved in discuzs with the state legislature during the development of the legislation and so some of

the other criteria are those that san francisco would also do well on h experience priding supportive housing to reduce the homeless population and behavioral services to the population so they are aurlds areas we do quite well on. >> commissioners, any other questions? if not we'll proceed >> student the next item. >> itedm 4, general public comment and have two requests. >> yes, first speaker will be ma tt asbone and the speakers note i have a timer of 3 minutes and when the buzzer goes off it means your time is up. i'm sorry commissioners there is a photo the public speaker asked me to pass around so it will come your way. mr. osborn. >> thank you for letting me speak. i

had a prepared statement and too nervous to read it so will just speak from the heart. i'm a member of the lower haight community and run a business there and in the process becoming a medical marijuana dispensary. our neighborhood is plagued with crime related to drugs for decades now. as a community don't feel we were given a fair chance to know this happened. the outreach done by the company in question in our pin didn't happen-many people didn't know until recently and have been addressing it since. sorry, i'm nervous mptd . there is a elementary school about 500 feet away from this, 600 feet away from this but due to something in the planning department that is unclear to me they are not hearing about

the legitimacy of the business. we are [inaudible] as a matter of community health as we have a community on the mends from years and decades of pain. we have a community that is not trusting the system currently because of things like the picture i'm passic around where 3 members from the planning department will decide the fate of this made public comment about a business they are still deciding on which doesn't make us feel confident. i just want to reiterate this is not a argument against medical marijuana, this is not about property values, this is not about, not in my backyard, this is about health and well being of a community that has felt they are under served, some discriminated against. it is about human lives because there are murders related to that i seen

and hoping to come up with a way for it community to speak about their health and safety especially students at the scoom and community parks. the community wasn't able to be heard and i'm hoping for your help. i don't know exactly what i'm asking for specificically about your help. if you like to speak to me i left my contact information and open to communicating in any way. thank you. >> thank you for alerting us and imagine staff will look further fl to this with you. next question? next speaker. brian brooks. >> grood afternoon and thank you for the opportunity to talk to the commissioners. we represent

the lower haight merchants and residents on-twnt year residents and a lower haight resident and the medical disspencely we are trying to get more insight how the process occurred. back in 2006, [inaudible] 473 haight street was issued a medical dispensary license because we had multiple dispensarys on the 400 block and it years of violence and murders and assaultsment they closed over the years. we had the vapor room closed which was a dispensary closeed by the federal government because they were 5 feet too close to the parkment we became aware of this- the community became aware of this issue may 19 when there was a flier posted about a hearing. we came down with [inaudible] and had

two weeks and put together 60 signatures. in that time we have gotten 13 of the 17 businesses on the 400 block to go into opposition. ma tt shared a picture, this is the latest pr stunt by the organization, spark to reverse that situation. there is a lot of [inaudible] lot of positioning and a lot of procedure that is being done in this certificate transfer process planning. the community had no idea this is happening. we walk the streets and canvas and everyone is like, really, we don't know this is happening. the company spark claimed they did outreach in a 5 block radius then on the website they said they did 300 feet door to door, which is different than 500 blocks. we

have john mure struggling over the years. we want a dialogue because the neighborhood feels they have not been heard. we-this is definitely a health issue. we talk about crime, violence and homelessness, the 400 block lower haight is not the right place for this so we would love to work with you the commissioners and spark to open a dialogue so people can be heard. thank you. >> thank you. again, we'll have staff work with you. there is one more. there is one more speaker, former commissioner [inaudible] it says health services update. >> so, public comment is now, right? >> yes. >> i don't know how to do this.

thank you health commissioners. nice to see you. so, and represent today taxpayers for public safety, which will be related to the jail health update. i wanted to say before i begin i was asked by supervisor breed and your director to be cochair in the work replacement project so i don't want to say i don't represent that either. so, at any rate i want to say i appreciate the report you will receive because through the leadership of supervisor breed and the board of supervisors, the mayor, the department of public health led by the director of public health, [inaudible] we have a new opportunity and a new framework to work with around

jails that includes jail health because the agenda of inmates is really a very big social issue. as you know, health is a very important part of this. what you will see in the report is there is more detail, the framework is more clear and we have something to work with and really want to thank the leadership for this. there are many more questions and we will come to you hopefully september, october with real recommendations, but right now at least we have some important data to work with, which a year and a half ago we did not. the other thing is the convergency nationally state wide and locally around homelessness and incarceration and relationship to poverty is more clear and punishment is taking at least a little bit of a second place. there has been a

cultural shift and that is a good thing and brings about structural change. the 47 beds all that you heard about and will hear more about through had leadership of department of public helt is significant so please i want you to appreciate it and it will cost money and so i just want to say we support that. i think the most compelling statistics you know, is that 65 percent spends less than 7 days in the jail. this is really important if you do a policy change. also, 86 percent are pretrials, meaning they are there awaiting justice. 86 percent. this is very significant. 2/3 people of color. it doesn't make sense. we have to do something and we can. the

leadership is in place and we want to see that it gets done. >> time. >> the new idea i want you to think about is relief center. we need to think it about it the way you think about hospitals. the day you come in, we don't stay in the hospitals anymore and the jails are less than a week for 63 percent. we need to know when you come in there is discharge planning. that is a new concept. please, listen for it. thank you. >> thank you commissioner. commission >> item 5 is the report back from the finance and planning meeting. >> commissioner chung. >> good afternoon. the finance and planning committee met today before the commission meeting and we had some really interesting discussions. one of

the monthly contract report which is included in the consent calendar for approval, within there there are a couple items we discussed and so one of them is the san francisco community health authority. we were having conversations to see why there is a 15 percent increase in the cost of like running the programs, when there is a reduction of number of services. of course we do think the infrastructure-the cost goes away. other items that we had a conversation is like [inaudible] there is a significant increase in the

contract with data way so that any difference is 58 percent and that is part of-that is the ongoing discussion about it infrastructure improvement including -like the fire walls you can have. i guess like the state department [inaudible] and so these are the costs that will help reduce the in the long run with like reducing the cost of running the department, but right now it is a huge increase as it stands. let's see, anything else here? and then we also have another new contract that has been added to the consent calendar for approval. it is

the survey for patients and workforce experience and they are contracted to do a total of 5 surveys for the patient experience for sfgph so one per year and then 3 employee surveys and 3 physician surveys that will be conducted every or year and it is a contract of 5 years. and we also have a presentation by the business office of contract compliance to look at-that is a ongoing presentation we have done aroun how to assess health

impacts and how to measure outcomes [inaudible] and it is a really wonderful conversation to hear how far we have come and looking at ourselves as the technical assistance and also provider to help build infrastructure with some the smaller organizations which might have great cultural competency, but lack the business infrastructure to run the organization and help them improve. we also have a presentation on the third quarter of revenue and finance report and it is great to hear that we are on track on our surplus. that

concludes my report. >> questions to commissioner chung? was there public-commissioner sanchez >> it isn't a question. i guess it is in a sense. in reference to the item pertaining to [inaudible] associates, as you read through it they have been involved in the new protocol since 85. they list the regional offices or offices where i guess they have centers or involved in the cohorts. i notice that none are on the west coast are in the mid-wist mid-west and know a multitude of surveys over the years we

had a number especially a number of midwestern institutions in wisconsin and michigan and california and texas, this will be the first opportunity for this group to have a physical presence in the network here or are they the only group that met the requirements per taining to the solicitation of the request? >> [inaudible] can respond to that but do know they are in san mateo as well. >> good afternoon commissioners. roland pickens director of health network. this contract is awarded after a rfp was put out. you should rest assureed to know [inaudible] gainee is one of the leading companies that performs this work for acute care hospitals arounds the country. they have several hospitals in

california, they just happened to be based back east, but they are the predominant player in the area of patient and workforce satisfaction. >> so, in essence in the review we noted there are i assume some similar hospitals or solutions in california? >> absolutely and as director garcia opponented out, san mateo uses them in the eeoceo [inaudible] zuckerburg is familiar with it. >> i didn't attend the meeting and sure it was answered there. when i read this i wondered here and didn't see a number of things, that is quhie why i thought i would raise it. >> we are looking forward working with them. one thing they provide is a much more detailed reporting capacity down to the individual units and cost center

level which we didn't have before. >> i concur, this is a critical parameters in databases we will be undertaking as we take a look how we deliver the services and models. thank you. >> thank you. commissioner shan sanchez, i know this company but it is noted here that they do 50 percent of all the u.s. hospitals. i did ask as commissioner chung how they would slice and dice and it sounded like they can compare against all sorts of different demo graphics. the safety net hospitals and coupty hospitals and universities and so forth. i think more to the question was whether or not-they were used to being able to survey for customer satisfaction within

the melthal health field or children or jail health and it was inicated during testimony in the rfp process that actually-nobody had great experience, these people were the people who came up with how they would do it and this was one of the reasons they were awarded the contract. >> this was just-it was clarifyed because we have been through clinical trials where we had foreign companies come in and promise this and this and something didn't pan out and something did and don't want to go through that trial again. i'm glad this is here and you informed me- >> i want to highlight piece that we will have a survey for jail health which means all