>> (speaking foreign language.) >> shop and dine in the 49 promotes local biz and challenges the san franciscans to do their shop and dine in the 49 within the by supporting the services we help san francisco remain unique and successful and vibrant so where will you shop and dine in the 49 san francisco owes itch of the charm to the many neighborhoods people coma greet and meet it

has an personality these neighborhoods are economic engine seeing the changes is a big deal to me especially being a san francisco native and it is important to support the local businesses but also a lot to over here it is nice not to have to go downtown i think that is very important 0 for us to circulate our dollars the community before we bring them outside of the community for the time we have one dollars in the community is the better off we are it is about economic empowerment by apron ingress the businesses that are here. >> shopping local cuts down the

cyber foot you'll find cookies and being transported the world where everything is manufactured and put on the assembly line having something local is meaning more the more we support our local businesses the more i can walk down to where i need to be. >> bridges contingency bye like west portal it is about city and san francisco may have a big name but a small city and a lot of small communities shop and dine in the 49 highlighted that and reminded people come outburst and i love that about outburst and i love that about this city i'll always be a

- working for the city and county of san francisco will immerse you in a vibrant and dynamic city that's on the forefront of economic growth, the arts, and social change. our city has always been on the edge of progress and innovation. after all, we're at the meeting of land and sea. - our city is famous for its iconic scenery, historic designs, and world-class style. it's the birthplace of blue jeans, and where "the rock" holds court over the largest natural harbor

on the west coast. - our 28,000 city and county employees play an important role in making san francisco what it is today. - we provide residents and visitors with a wide array of services, such as improving city streets and parks, keeping communities safe, and driving buses and cable cars. - our employees enjoy competitive salaries, as well as generous benefits programs. but most importantly, working for the city and county of san francisco gives employees an opportunity to contribute their ideas, energy, and commitment to shape the city's future. - thank you for considering a career with the city and county of san francisco.

- shipyard promotes local businesses and challenges residents to do attire shopping and dining within the 49 square miles of it san francisco by supporting local services within our neighborhoods we help san francisco remain unique and successful and vibrant so where will you. >> (speaking foreign language.) chinatown has to be one the best. >> unique neighborhood shopping areas in san francisco it is colorful. >> and seafoods and find everything in chinatown the walk shop and san francisco chinatown. >> welcome to stir i'm the 5

generation of candy in any family public school actually this is 2000 history in the past it was the my family was the royal chief in the palace that's why we moved here to make that dragon candy i want the people to know that is art. >> we will explain a walk they can't just walk on and off it has techniques with this from stir frying and the pan that does so much at he beer a royalty but up to now not too many people know that tourists think i perpetrate they love this art. >> from the cantonese to swan

we have hot pot we have all of the can you defines of china in chinatown you don't have to go far small business is important to our neighborhood because if we make a lot of people's lives better. >> i think more people get to shop here is not just a big firm. >> you don't have to community-based anywhere before i we have pockets of great neighborhood with the uniqueness. >> san francisco has it >> good morning, and i'm sitting in on edna is no longer on the dos commission and sarina is on vacation and so i am going to

sit in as an interim. and i think that we need to formalize that in some way and i am going to take the guidance from the secretary. with he need to open a nomination. >> all right. >> correct. >> and i nominate commissioner sims to be the interim president for today's meeting. >> i second. >> all in favor? >> aye. >> thank you. so roll call? >> vice president is excused, itani. present. >> loo. >> ow. >> here. >> roy. >> here. >> interim president, sims snchlt >> present. >> please note that executive director is present and we are asked that all phones and electronic devices are turned off. >> thank you, next is approval of the agenda for today's meeting, i understand that there are a couple of changes if i am correct, we are deferring the

consent calendar, is that? >> right. >> correct. >> we should vote for the agenda to be approved first. >> with amendments? >> yes. >> all right, so i need a motion to approve with amendments. >> so moved. >> second. >> open to discussion. >> is that appropriate? >> you don't have to do that. >> don't have to? >> do we have to make the amendments. >> yes. you have to make the amendments. >> so we are going on to propose that we eliminate or defer the consent calendar and we are also going to defer the commission officers nomination for object sus reasons, because of absences today. >> so all in favor of the amended agenda. >> aye. >> second. second. >> opposed? >> approved? >> yes. >> and all right.

passed. >> and now it is time to look at the minutes for the february meeting. we have a motion to accept them. >> so moved. >> second. >> all in favor? >> aye. >> opposed? >> passed. >> all right, we are on and we are through all of the complicated stuff. >> reports? director? >> good morning. >> yes, it is on. >> good morning commissioners, so i just want to start by saying that i just got back from washington, d.c. last night i was at the national association of area agencies on aging board meeting as i think that you know, i am the alternate to california for the board and banks from la is the board member. and so we go together to these meetings and represent california.

it was an interesting time to be in washington. and i think you know a lot of what we at the board meeting and then at the policy briefing which i attended for the last two days, we talked a lot about you know kind of what is the aappropriate for advocacy at the national level, given all that is going on right now. and really, we focused on holding the line on things like the older americans act and really advocating for the importance of medicaid for older adults. and so i was fortunate to have tom nolan with me, he is fantastic and has a lot of great connection and it was really, really helpful to have him there with me and we visited a number of office and our local offices and some that were other california offices as well. but we focused on ours because of course, people like to hear from their own constituents and so we were able to go to visit with jackie spears office and we

visited her staff together, but yesterday, tom was able to get a meeting with her, herself after i left. and we visited with anna eshu and because i was there with my colleague, also we visited diane finestein and she popped in for a few minutes and we got to see herself and not just her aids. and then after i left, tom met with linda primus is who is the key person who works for nancy pelosi. and so we covered quite a bit while we were there about getting the words about importance and we know that they are supportive of the older americans act and of medicaid, i think that it always helps for them to hear from us and remind them that older adults are a huge part of their constituencies and so it was, you know, it was a little bit mixed because there is a lot of uncertainty right now about what the federal budget is ultimately going to look like as you all know.

and so, a little bitter sweet. but certainly, i think that it is important work. and i just brought a couple of copies of the policy priorities for 2017 that n4 a puts out every year and i don't have enough copies for everybody and i can get copies if you are interested and i have three right here and i can get some more for you. on the state level and i am fwo going to defer to dan if you have specific questions. there is a battle going on between the counties in the state about what is going to happen with the ihss, effort and we don't have a clear picture yet about what is going to look like, but dan is spending like it has become a second job for him to go to sacramento and fight for this, because it has huge impacts on the county, and you know, if the mle completely goes away without another solution and so dan, if you want him to talk about specifics, he can do that, but it is still in

play. locally, i guess most important thing that has happened is that we have been working on the fund of the 6 million, allocation and as you know we have 6 million of the new money in the budget to allocate and we have an over side and an advisory committee and the department together we have been working very hard to figure out the allocation process, and plan, and so, i submitted a plan to the oversight advisory committee i guess a month ago or so, and they have been kind of playing around with it and they asked us to come up with different ideas which we did, and they compared those ideas and ultimately voted on monday to go ahead and recommend to us, the plan that we originally gave to them. and i think that you know, what we were thinking about is dividing things into six buckets, and trying very hard not to come up with brand new ideas, because you know, we are going to have this whole

community needs assessment that is going to happen over the next two years and we are going to be finding out if we need to develop brand new programming or what. but at this point, we think that it is really important to get this 6 million dollars out the door and we know that there are seniors and people with disabilities that need that and need those services and we know that there are providers who are hoping to get money into their budget so that they can serve more people. so, we divided it into six buckets. care giver support, and kind of innovative community service centers and activities, and housing retention, and legal services and financial planning and nutrition and wellness, and support for veterans. and in addition, actually what they did is they voted to recommend to us that there are two plans, and so, one of them includes a cost of doing business line item, because we think that if we are adding new programs in, we are boeing to have to find a way to fund them in the future, i can go into

detail on any of these, and so the care giver support is for the respite and then also for a new data base, that is a resource directory for care givers and the service, and the community service centers and activities are funds to develop new and expansion models of our

existing community services and so for instance, if we have an issue where most of the people who are attending our senior centers are 70 or older. we are hoping that the senior centers could find a way to build a pipeline of younger seniors that can come in and maybe just by expanding their hours or doing something different. but utilizing the buildings that they already have. we are also needing to add transportation there. and probably there could be some food added. there as well. because when you bring the people together in a center you need to have some of those things to get them there and keep them there. housing retention is for the housing subdy and that will

increase the current budget that we have for subsidies by 580,000, in one model, and around, 500 in the other, and legal services and financial planning and one of the things that we have is that we have through the older america's act we have legal services for seniors and a lot of our legal services providers are serving people with disabilities who are under the age limit, and they don't have a way to fund that and we really want to make sure that there is parody there and so we are looking at adding in attorneys so that or attorney physicians so that they can serve younger adults with disability and we are also looking to respond to do more of the recommendations from the lgbt task force, and one is for planning for the population and legal and life planning, and for lgbt people as well. and then, moving on to nutrition, and wellness, we are looking at a pilot to develop

the linkage between positive nutrition status and out comes for chronic illness and we are looking at supporting technology at home, and which is there is actually several models out there technology at home and one of the things that we know from other places one of which is when i visited the netherlands is that there are a number of models where people learn to use technology particularly with tablets. and then there are able to interact in ways that they can't understands whether they are home bound or don't get out as much as they used to. and we know that the senior isolation is a huge issue and isolation is a big issue for the people with disabilities as well. and so the technology and there is really innovative technologies out there where the people can remain, engaged in the community and so when we start thinking about health and the people tracking their own health out comes and all of that and it is really hopeful for them to have all of the technologies and the knowledge around that so that they can do that as well.

and then we are looking at health promotion to continue a diabetes program for older adults and adults with disabilities as part of that as well. and then we are looking at a bucket for veterans and we have the county veterans service office. with he have focused on doing some of the work with the veterans through the office on the aging but we really wanted to make sure that we made a clear statement that we are expanding programs for our older veterans and veterans with disabilities in san francisco. and so there is a bucket for that. and i can have brig et send this out to you, so that you have copies, and if you have any questions, feel free to contact me. but i will be submitting this to the mayor's office, this week. >> yes, i do okay, the veterans office, how many people, how many workers are there now? today? >> well the veterans so this is -- this funding is not for

the veteran's office itself. this funding is actually for community based organizations, so there is a couple of different things, one of them is that we would add to the meals the meals that we currently have for veterans in the veterans housing sites and then in the other it is that we have worked with some of the veterans organizations who are very interested in having connecters at the veterans housing sites. so that they can help to the people get service and we are seeing a lot of times what happens in those sites is that the people don't know what to trust and so that they don't actually accept service and if there is someone on the site that who help to make sure that they get linked to the services that they need that they will be successful in staying in the home safely, that is what i am talking about right now. we have how many staff do we have in the veteran's office right now? >> positions? >> we have 7 positions in the veteran's office right now. they are not all filled,

unfortunately. >> you have six buckets and then you have one bucket pay some attention to the veterans. how many people do you expect to hire to in this office? how would that veteran's bucket >> we are not going to hire any more people, these dollars will all go out to the community based organizations. >> oh, so i see, there is no place in those ma'am, no. >> not with this money, no. >> not with this money, we have the people in dos for the service office but this is specifically money for the community based organizations and i also want to say that we are just also not serving the veteranwise these dollars, there are veterans in all of our programs and so we no he that we hope that they are getting services in many different ways, but these dollars are specifically to go to these organizations that serve veterans so basically you have this $6 million for the next budget, right? >> correct. >> and you are not going to hire

not one single new person. >> not in dos. >> not in dos. >> no. >> these are for the xhupt based organizations >> i see for the non-profit. >> right. once we do that and that is when we will figure that out, right? but we are just saying that we want to get these dollars out in the community and we know that the communities are effective at serving their populations and so we have to go through the whole process. i have one more last yes, and this year, 6 million next year will be three million and that will be nine million? >> that is right. questions from the commissioners. and the 6 million dollars, in six buckets are they.

>> we have gone through a lot of exercises to figure out what the best way to do this is. and we based it both on the democratic side but also using all of the research that our planning team put into, putting together well our planning team of one, put into the needs assessment, and you know, so we are using that data that we currently have to make good decisions about where we put our dollars, and we are thinking about with which bucket what would be meaningful and so we are not split out evenly at all, we are thinking where will it be the most impactful in each of these areas? >> it will be allocated according to the needs that you folks have done? >> that is right. >> that is right. >> thank you. >> and the other questions, and

for, for the nutrition, and the oneness and so are we introducing like the health medicine into this process? >> no, i think that we are just looking to one of the things that i think is important with all of our programs and we are going to be doing this with all of our programs. but it is looking at the impact of what we already know works. and but really being able to measure it. and so, we wanted to just introduce that element into our nutrition budget. our nutrition portfolio. i didn't hear the mention of memory care or any cognitive priority in the six buckets, does it fit somewhere. >> well, it fits in a few different places and certainly it could fit, if it certainly fits in the care giver support and that is where we see a lot

of the need for i guess more support and the care givens are struggling and working with the people with dementia and they need the resource and so that is one thing that we have put into the care giver support and also the respite and we know that all of the programs are adaptive of serving people with dementia and it is something that we will be looking at with the community needs assessment and we know that we are going to have a growing population. one more question, so the money will be given to the non-profit agency that we have been contracted with. >> no, there will be no rfps and we are trying to work out that

now, but our contract office assured me that we will have to have the rfp for some of these things. >> okay, maybe not all of them. >> okay. >> but yeah. >> thank you. >> i am pleased to be in this chair, but we will honor peterson of the human services agency. this is super bitter sweet for me and everybody in this room.

because martha is incredibly special to us and has provided support for dos for i don't know, how long. many, many years. and she has been, but she has been here for 14 years, right? and so before i talk about martha, i just really want to recognize the budget team from hsa. derrick, don't, yeah. derrick. everybody else from the budget team here, or you guys, stand up for a minute. >> i think that everybody knows that it is part of the human services agency and we are really, really fortunate to have a greadministrative team and th work under dan and without their support we would not be able to do the things that we do. and sometimes we don't see what

they do sometimes it is sort of invisible to the people in the public but without their support we will not be able to do anything right, let's put it that way. so martha, i want to read a little bit about what the people have said about you, but i want to just talk about our relationship, because we have worked very closely together. and i think that almost since we merged or maybe right when we merged and martha knows so much about our budget and she has not been hesitant to say to me that does not really work. and shi also has been really, innovative with trying to figure out ways to support us. and so if i say to her, gosh we have to find money for this thing, this $20,000 here or $20,000 there, how can we make that work? or is there some creative way that we can do this? she is always, always, been able to figure it out. she says that she does not know the budget to the penny, she is like no i don't, but she does.

and you know, it is such and it has been such a great pleasure to work with you martha, and it is really sad for me that you are leaving. and at the same time i am so happy for you. because i know that you have been looking forward to this for a long time. i want to read what your colleagues have said about you, and you have to bear with me and listen to it. >> for 14 years, martha has been a part of the san francisco human services agencies incredible budget team. as the lead budget analyst for the department of aging and adult services martha has worked closely with the staff across the programs that made the significant contributions to the department's work and on behalf of the senior and adults with disabilities. her support has made it possible for the initiative and sure we have adequate resources for the ongoing, programs and able to effectively meet the needs of our clients, on both the professional and personal efrl, her positive and authentic generous nature signs through, she has developed, the strong relationships with the staff and managers at dos as well as our

partners in planning, fiscal and the contracts in community and helped us to work together as a team. she always is willing to pitch in and help out even with the task and projects that go beyond the budget realm although her work is primarily focused on numbers and funding amounts her dedication is always, evident, and martha is thinking about the clients that we serve and helping us strat guys best. >> and so, maybe your other colleagues said that you were brilliant, and you have a fantastic way of remembering wherever dollar is used. why it has been moved. and you have this incredible institutional knowledge, which is true. like we have the joke about the fund. >> you always answer the phone and you always call back immediately and you respond with patients and kindness and try to help. and if you don't know the answer to something you figure it out.

really quickly and get back. and you are a variable library and program related knowledge. your amazing. you are super friendly. you always know how to make something work. and you are a true team player. somebody that we always want on our team. so, thank you martha. we are so fortunate to have had you and i don't know if some of the commissioners want to say anything, but i know that they are grateful, i know that they have been able to call you as well any time that they need anything, so any way. thanks so much and good luck to you. >> and i guess that i should give you this. thank you all so much for this

honor, i want to say that i am the one who is grateful to have been in this role for so long and to have met so many wonderful people and i can't say enough about i am going to miss all of you so much, so thank you. >> next on the agenda is the report from the advisory council.

>> good morning, commissioners. good mortganing commissioners i presenting this report for leon schmid our president who could not be here. the advisory council, proceeding the council, we had an executive committee meeting much of it devoted to internal matters for the advisory committee such as the number of times that the people can attend and possibly the new members but it was also decided that in the future, we would have, and the advisory council would have a retreat. dates are not specified and we just discussed further areas in which we would be like to informed, especially the housing for seniors the issues to people with disabilities. so all of us well, not all of us, were present and absence were mcdonald who was ill,

paric, russo and warren. and concerned with expressed about mr. mcdonald and discussions of ways to reach out. and or if he is ill, the need to row place him. >> guests included melissa and the das, legislative lee a response, rick apple by, and we approved the february 15th minutes, and correcting the names, and spelling. president schmid presented the council with a gavel and a block and a book of rules of order. and he introduced melissa, and i didn't think that they were that disorderly myself. >> and miss mcgee gave a summary

of the first meeting, on february 24th of the fund over the committee because this was a meeting in with march. and the discussion was at 6 million, will be available and on march 6, eas presented it'sal location, proposal for the moneys. spending the review which is now completed and the program evaluation of anything that happened will be built into any proposal. >> and in the future, the over seat advisory council will formulate the by laws and we have and you know the first of monday of every month, actually that has been changed to the third monday of every month, and at 3:00 in the 5th floor,

conference room at 1650 mission. and of course, the public is always welcome and it is important to be there. our news secretary is alegra, and she talked about the members getting in the application to review their participation in the advisory council. and everyone has done so now except for cathy. and some concern was expressed for cathy's health and it was decided to contact her. juliet, has turned into her application to fill the district three seat appointed by eric peskin. and miss fortunani is going to visit the offices of the remaining supervisors to urge them to make nominations in districts one, 6, 8, 9, and 10. and reported that the

commissioner of aging nominating committee has moved all of the appointments and applications. but they are still looking for replacements for who is i think, very ill. and just will not come back. and she will address this stipend situation which is a technical matter. director mcfadden, she is visiting and supervisor's office. and talking about dem graphics and services. within each district, and the aaa plan is due may first and it needs to be approved by the council. and the plan is to make a presentation in april. which will be a couple of weeks. and approve it in may. and it was noted that april third and fourth is the national association of areas council meeting which director mcfadden has reported on.

and there is a national conference in august, director remind td the members that if we make the comments as individuals we are not speaking for the entire group or the department and that is presents ourselves as such. rick the captain of the des training to be on may 12th, at mission hall on the lgbt demen shall care given project hosted by the alzheimer's association. and our advisory council member patty, gave us a summary on friday, december, 17th meeting on the elder abuse which she attended. and miss lauren who chairs the joint legislative committee or co-chairs it will make a report later. so i will leave that part to you. and the council moves seconded and unanimously passed to send a

letter urging retention of funding in a coordinated care and initiative. and the plan is to meet with senators warner and ting and to send it to the subcommittee in the hel and this human service to continue this funding. i move that we send a letter to pelosi and sphere, and the healthcare act, which needed to consider, the equity and funding in healthcare, and federal funding for medicaid and the council who seconded unanimo unanimously, regarding the healthcare act and rick app le be, drafted a letter on this

subject and we are pleased of course, with the merp healthcare act in it's present form did not pass. also allowing the bicyclists to roll through stops and we discussed the need to oppose this legislation because of accidents and near misses, with the seniors and adults or the people with disabilities. and it makes traffic unpredictable. if you don't know where someone is coming toward you on a bicycle is going to continue or not. and the council moved seconded and passed this proposal to send a letter in opposition to this legislation, bill, 1103. and this letter also was variably drafted by mr. app elby. if you wish i could submit copies of these letters.

on site visit and patty, and visited and reported on the heights, neighborhood center, and a month to month, sign up sheet was passed around from the member and the site visit reports. and for the lgbt task force, marcy, reported on the legislation, and establishing a california state lgbt bill of rights, that supported by the state senator weiner. mr. app leby also sent a level to the city attorney in the ethics commission after the request of james to clarify the authority of the aging advisory council and to endorse or oppose legislation independently. and there was an announcement on the presentation this coming thursday of the director of homelessness and supportive housing. i think that i perhaps i skipped

this part that the delegates from the advisory council to the oversight and advisory council for the dignity fund and include myself and marscy, and befery tailor. and then i will show after that we adjourned. so would you like to ask any questions? >> questions? >> thank you very much. >> you are welcome. >> now we will have a report from co-chairman diane law ens on the joint legislative commit. >> good morning i will be fairly brief, although in your minutes there will be a long list, thanks to mr. apple by of all of the legislation that we are tracking but i will summarize quickly what the big buckets are. so there was no action items from february meeting. and we did not meet in march. so there was no reports.

so i have combined the two together. and again, at the state level, california is looking at healthcare. given the program on our own, but there is no clarity around it, and i reported that if february. and there is still no updates but we will keep tracking that as we move forward. and obviously healthcare as she said and as you will see in the list of priorities state wide, and from director mcfaddin's report, it is going to be an ongoing issue that we will be tracking them and watching this current year and we are continuing to work on our meeting with the local representatives. a subcommittee was formed by myself and mr. apple beto put together the talking points, commissioner al recommended that we identify five key areas which we are still working on when we meet with our local representatives we want to have a cohesive plan and our top five priorities so that we can use their time and our time to the best.

so we will probably have a little bit more to report in the next month or so. we are continuing to work on the bylaws and bringing in an alignment the advisory council, and the commission, and the joint legislative committee. and so that they are clear. and where we are not clear, we are gain some clarity. so those are have been sent to the city attorney, and as mrs. lori mentioned, commissioner james who attended our meeting recommend that had we also send those to the ethics committee or commission so that we are make sure that we are in alignment and so that we will continue to report on that as we move forward. as of our meeting two weeks ago, we had heard nothing back from the city attorney. so a new business, there is still uncertainty at the federal level around the various programs and healthcare, while the american healthcare act was defeated there is ongoing work. there is no additional impact on the older americans act. but now we have some direction

moving forward from the director mcfaddin's meeting in washington and so we can look at that and in light. and again, also, the funding to the coordinated care initiative, and so as we mentioned, as mrs. lori mentioned, we did send a letter of support for retaining that money and funding moving forward and that has gone out. and the day that we met, there was the assembly budget, subcommittee on health and human services met and we got the minutes that were shared with us following the meeting. and all of the items that impact our areas of interest, adults with disabilities and older and seniors are all on hold. they are, and they have moved forward. and they have been put were held

open. and so moving for ward and so we will continue to track them and they didn't say no. but they didn't say yes, either. and there was on one issue the funding for the california senior legislature and they asked director with chl to develop a funding plan to insure it's survival and until the tax revenue can come up to make csl self-supporting again and on the city level, we got a report on a hearing that is supervisor yee held regarding the department of age and adult services audit and the services to seniors and adults with disabilities. and director mcfaddin had responded and discussed dos services athe that hearing. parks and rec also described their senior programs. hearing was well attended and there was a lot of community input. and we are tracking a number of bills and again, thanks to mr. apple, by the chart that you

will see in the minutes is thanks to him and most of the legislation resolves around alzheimer's and alzheimer's care supported by the alzheimer's association and other groups and housing, health issues, and as mentioned by mrs. lori, senate bill, 162, excuse me, senate bill, 219 is state senator weiner's bill on the lgbt long term care bill of rights. and we also were seeing requests again for increases in sfi benefits and burial benefits and care giver, tax credits and a number of things that we discussed last session as well. so we will continue to monitor those and if there are any in particular that you want us to look at, in more detail, please let me know. >> questions from the commission? >> we just like to say that i am

tremendously encouraged to hear that the csl funding is in discussion until the bridge until the tax funds are available. thank you. >> thank you. >> long term care koor nading council, good morning. >> good morning. >> mark burns and the executive member and i am here your april representative for your march updates, like everybody else in the city, we are spending a tremendous amount of time trying to process and divine the impact of all of the state and federal legislative and executive actions that are occurring. and understand how best to turn those back into policy recommendations. for the past several months we are engaged in revitalizing the process of bringing the ideas from the work groups off to the full council and then forward into the budget asks into the board of supervisors and mayor's office and we just finished our first round of this new policy process, and it worked wr well

for us and we are actually in front of the budget this time and i hope that next year to be further in front of the budget process and we identified three priority and they are in terms of inpriority number one, we are from our housing work group, we are seeking housing subdies for 200 seniors and people with disabilities and 100 of whom are currently housed but experiencing housing insecurity, and another 100 who are currently homeless and also from the housing work group, we are supporting the retention, pilot which is designed to revitalize the workforce among the workforce program where they are having a difficult time attracting and retaining workers. and then, the third budget priority from our hiv and aging work group is a grant to ucsf's golden compass program which is a medical clinic for aging and hiv population and it is

specifically developed the social service programming within that clinic. thank you. >> thank you. >> thank you. >> tech report. >> i don't see cathy russo. so we will pass that today. case report? >> our board has been busy prepare and continuing our advocacy campaign, we are in the midst of collecting upwards of

3,000 post cards which we will be delivering to the city supervisors as well as the mayor, which will take place over the next four to six weeks. along with the e-mail campaign. we also have the board has been actively ramping up strategy with the two new board members how we can improve and increase our advocacy, so that we can better support our member agency and our con ststituents and the seniors and the younger adults with disabilities in san francisco, so that our advocacy is really a year round effort. two of the steps that we have taken thus far is representation on budget justice coalition. which is across the board coalition of agencies doing advocacy work.

and then also we have a board member who is attending the dignity fund coalition meetings and the oversight meetings and will also have a representative on the service providers organization which will be, or which is in the process of being formed. and so, very busy, and good stuff coming up. what questions can i answer for you? >> questions from the commission? >> very clear, thank you very much. >> thank you. >> >> and we will have a report of someone of a brief report from the nominating committee commissioner? >> good morning, and as mentioned earlier, by commissioner sims we will table the nomination for president and vice president until a future date. can i have a motion to reappoint the advisory council members dr. marcy etelman, hammon,

heinz., and parini and smith? >> so moved. >> second. >> and motion has moved and seconded. and are there any questions? >> second. >> any questions from the or questions or concerns from the commission? >> any questions or concerns from the general public? no concerns? all in favor. >> aye. >> aye. >> aye. >> all opposed? >> the motion carries. >> thank you very much. >> general public comment? >> hearing none we will move to old business, none, new business? prepared for new business. >> item a. requesting authorization and modify the grant agreement with the institute on aging for provision of the community living fund during the period of

july 1, 2014, to june 30, 201 # 9, in the amount of $50,000 for a grand not-to-exceed, 23 million. and introducing carry wong. >> good morning, commissioners. director. and so i am here to please and i am here to present about the grant modification for the living contract, and in collaboration with the mayor's office on housing and community developme development. so a brief background, in july of 2015, collaborated with dos on the institute of aging for the health and medical consultation to survey the real time life care needs of residents in five res denial care facilities for chronically ill and here after i will call

them rcfci in san francisco. and i will use this expertise with the community living model and in the focus to focus on the level of care assessments and the community of care transitions to determine that the required level of care as well as the potential support systems when they transition in the community. and so the results of the report summarized the level of care assessments as well as the tenants that were moved to a lower level of care and fl by, freeing up the spaces continuing these assessments we will support the individual choice and optimize the resources in the rcfci in the units that we and that what we have there. and now in collaboration, with the dos and ioa will conduct level of care assessments, in rcfci residents. and we will be identified by the rcfci, facility managers for the potential candidates that could move to a lower level of care. this includes recommendations for the type of housing.

wrap around services and transitional care, management to reduce institutionalization post placement. >> in in addition, ioa will provide the base line assessments for individuals that are prioritized on the cd's new plus housing weight list. historically there was not a lot of movement on that weight list, for many reasons. and mohcd revamped their housing wait list based on the 2014, five year plan for the housing wait list and one of the changes of this was to include a base line assessment to help and inform and facilitate a placement and this is only, with no case management services for this for the wait list assessments. >> they will provide the funds for the work under the contract. and it is not utilizing any of the clf current summarize the

presentations if you have any questions? >> from the commission? >> yes. >> and the funding will be a completely by the city and county and you are going to serve the 26 patients and so there are there will be the funding is from mohcd, and it is to provide the level of care assessments, for two populations. one is the rcfci folks that the people that are living in the facility that can move out and this is for 12. and there is the plus housing weight list, and they are doing a base line assessment of 14 people. what they might need to match with the housing needs that they have. >> so the total number of patients will be 26?

>> yeah. >> and the city is spending approximately 3000 per person. no, 2100. >> yeah, the total amount is 55. the 12 clients that we are doing the transition for, the rate is 3750. and then for the 14 clients that are under the plus housing and under, 357. >> thank you. >> the total of 50,000 and then for the whole piece. >> other questions, motion to accept? >> so moved. >> motion to approve. >> second. >> all in favor. >> aye. >> aye. >> opposed? >> thanks, motion passes.

>> thank you. >> and item b, requesting authorization to renew the grant agreement with the family care giver alliance for the support program of during the period of july, 1, 2017, through june, 30th, in the amount of 415,000, and plus a ten percent for the total grant amount not-to-exceed, 456,000 introducing monte muno and i i think that i need a motion to accept. >> so moved. >> second. >> good morning, commissioners my name is chamino and i am a program analyst and we seek your approval for i one year contract extension for the family care giver association. and the family care giver association in collaboration with three subcontractors, and self-help for the elderly, provide assistance for the san francisco residents who are in formal care givers through the quality home care and support

groups and counciling and xhund education. >> respite care, a brief period of rest. they can help with inhome personal care and heavy house or yard work and super vice out of home care programs. or even over night care. and we request your approval for this grant extension and i am happy to answer any questions that you might have. >> questions from the commission? >> yeah. just wondered that is the different, activity that you fund three different agencies. >> correct. >> one of the activity is the care giver support group, how come self-help does not have this activity. >> i will call alia up to help to answer the question. >> good morning, commissioners,

and director mcfaddin. >> i am the director of operations for the care giver alliance and the question that you asked. commissioner lu, is that they self-help but because of the flat funding for nine years now and they use other funding outside of this contract to support that group. this is their contribution to the program. >> thank you. >> any other questions? >> i will be recusing myself.

>> all aye. >> opposed? >> carries. announcements? >> commissionersvy one, and that is that the next meeting of this commission, we will be presenting the area plan up date for your approval. it is that time of year and we will be reviewing the up date. >> before i go to general public comment i would like to invite dan to come and maybe just give us a quick up date on this state discussions around ihhs.

>> as you know, the ihhs program is referred tos athe mant nens of effort funding plan. and since 12, 13, fiscal year, 1213, and what that says in he sense in the county point of view is that there is a fixed county contribution which is increased every year by 3 and a half percent. and it is further increased if a local public authority negotiates a change in wages and benefits and over the years since the moe went into effect, there have been a number of actions between counties and states to further define what is covered and not covered. by the mle, and we have established that inflationary increases in medical costs, for provider benefits, is not

something that triggers a change in the moe. and that local and state minimum wage changes are not something that triggers a cost in the mle. and that change is in federal and regulations or the entertation of the federal regulations like those who have led to the over time payments for ihhs workers. do not trigger a change in the mle and that the state policy changes that cause increases in costs do not change. they are the most, the most significant of which is the restoration of a 7 percent cut in hours that was made during t swarts neglecter administration, and so this has been a funding mechanism that has been beneficial for counties and it is part of the cci or the

coordinated care initiative and engabling legislation, requires the director of the department of finance at the state level to make an annual determination of the cost effectiveness of cci and if it is determined to be not cost effective, to end the program. and that happened this january. in the governor's budget. and the biggest impact to counties in that, was that the ihhs mle was ended by that action. so what that amounts to is the 623 million cost shift from the state to the counties. because it returns the funding of the ihhs program to it's pre-cci rules. which in essence were that counties would cover, 35 percent of all wage and benefit costs that are non-federal.

and that they would have an administrative allocation and within the administration allocation would cover, 15 percent of the cost and over the allocation would cover, 50 percent of the cost. and so counties were as you would expect, shocked. and fell collectively that they would have a very, very, hard time absorbing those costs. and the speaker of the assembly, responded to that, and made a proposal that was meant to be a compromised proposal. and what it said in essence was that the ihhs, mle would be increased by $623 million dollars. but it would be kept in place. and so that would give the administration an increase in county contributions for in the budget year. but but, having it be an mle going forward would hold down

the increased for counties, and part of the speaker's proposal was a reaffirmation that the collective bargaining would be handled at the state level. and so counties responded to it and they felt there was an obligation. the important part that i left out is that the speaker said that if his proposal went into effect, a fund would be kree alted at the state level, which would in essence pay the $623 million dollars. and that would being reduced in the growth of in 1991,

realignment revenue and that is why it is impossible to describe it simply. so 1991, realignment revenue is a stream of the sales tax licensing fees that come to counties to pay for a number of different things but among them are the county sheriff and the caseload cost and they have grown state wide at 100 million dollars a year give or take. this would be funded with 523 million dollars of internal borrowing at the state level, and in the second year it would be funded by 423 million of the

internal bore ring at the state level and what it did is that it said, and the continued to be diverted to this fund, and until it was big enough to cover the full costs and on the annual basis and then after that, it would be used to pay back the borrowing that happened. and in the speaker analysis took about 15 years and so by the time that it was fully paid back would be 15 years. and so, the sales tax growth would be diverted for that purpose during that time period. which means that no sales tax revenue would be available for the public health growth or mental health growth but it would be available to cover so

the counties had a number of objections some are technical and some are directed to those points. and basically they said, we don't think that this mechanism works at this level. that would cover the full, and there is a negotiation going on between the counties represented by the association of counties and the administration represented by the state department of finance to see if they can't get to a place where on the rebasing of the mle but keep the structure primarily in

place. that is where we are today. and from a timing point of view, i think that everybody would like to get this agreement wrapped up in about two to three weeks. because that is when the governor needs to be revising. and it is a tight fiem frame and a lot of people are giving a lot of time and energy for this and so the conversations are happening every day. >> >> thank you, what is the and there are two different estimates on that and one is a county estimate and one is a state estimate and they are relatively close, and the county estimate is the impact in the year will be $40 million, and in the state estimate is that the impact in the budget year will be about 36 million. >> thank you.

and other questions from the commission? >> yes. >> we are talking about ihhs, that is the home care workers, right? >> it is the whole ihhs. >> okay, well that is so much money of the home care worker gets on the federal money so much of it, the state money. and soy much of it is the money that can you tell me roughly, percentage wise, how much is the federal government giving or dollar and cents of before i asked that question, maybe i can ask you, how much is the san francisco home care workers getting in that, for per hour. >> and so, at the present time, the san francisco ihhs workers are receiving the minimum wage, which in san francisco is 13 dollars an hour. and it will go to 14 dollars an hour on july first and then to

15 dollars an hour the subsequent july first. >> plus the healthcare right? >> also, for the vacation money, there is not vacation money, but there is no health and dental. >> how much are we subsidizing now for the city and the share of the home care workers? >> so the city under the moe has a contribution, 80 million and they will grow by 3 and a half percent so let's call it 82 and a half million or so. >> okay, at this time, before they increase, and they are getting $13 an hour and the homework workers and how much is of the city is putting in? a couple of dollars in >> roughly? >> so the city share and so the

federal share is now under the affordable care act. 54 percent, and i think that the county share comes out to about, 20 percent, so the state would be whatever the difference is. >> 260 or something. >> yeah. >> and 20 percent of the city. thank you, thank you. >> any other questions? >> thank you. for this spur of the moment up date. any other public comment? >> if not i will entertain a motion for, so moved. >> second. >> all in favor? >> aye. >> aye. >> okay.

♪ ? an incredible program because we take regular kids teach them the love of the game. we have no emphasis on winning we only have an emphasis on learning and trying as hard as they can that's it and the chips fall where they may. when students leave our program whether or not adults or kids they'll have a mechanical understanding of what they have. you don't have to be 7 feet tall or be super faster but you do

need skwil. once you teach kids how to have control over the tennis courts they'll master. please invest