the city can't keep up with the need out there on the streets. so we're trying to do our part but we definitely would love the city to devote more resources in this area. >> chair cohen: thank you very much, other public speakers? >> hi, we work for united players and the soma youth collaborative and we want to say in one voice that clean streets are so important for our youth and our children and we are in support of this measure because it has reached the level of an emergency and it has to be acted on now. >> yeah, it's definitely a priority and it's not okay that our kids walk in the streets and are used to seeing needles and landmines of feces that are not from dogs every day and so we thank you, supervisor kim for prioritizing this. >> if you need more information can you connect with the fix it team and she's seen the level of crises and how it is across multiple neighborhoods so she can address this issue now and in the future.

thank you so much. >> thank you, next speaker, please. >> good morning, supervisors, and my name is mary claire and this is -- >> jay k. >> and paul berrerra. >> i'm here to represent the program and they couldn't be here because they're in school and we're in support of supervisor kim's allocation for $2.5 million towards street and sidewalk cleaning. we have had numerous community workshops around the pedestrian safety and night safety and in these workshops we have seen two recurring concerns from community members. participants who range from small children to seniors have told us that the streets need to be cleaner and the lights need to be brighter. in order to have better pedestrian experiences the streets need to be designed and maintained for pedestrians. speaking on a personal note as someone who grew up in the tenderloin and in the south of market i'm always starring at the ground and trying to dodge

garbage and feces and needles and vomit and i have become literally become an expert of dodging things on street while still getting to work on time. so, you know, i have held on to my garbage for blocks to throw into pay bin when there should be trash cans on every block so we ask that the board of supervisors support the supervisor kim's legislation to arlicate this money towards street and sidewalk cleaning because we want our streets to be cleane cleaned and designed r pedestrians but to do it in a way that doesn't criminalize homeless people. >> i want to highlight a few things that are from the adults in addition somebody mentioned that there was waste on the ground for three days without being picked up and they recommend that cleaning should be done before lunch and after lunch and after work. and a question came up is it other neighborhoods like haze valley which is also -- >> thank you very much, next speaker, please. next speaker, please.

>> hi, we're here from curry senior center and we just wanted to support this initiative and also to mention that it's so important for the safety of our seniors to have streets that are clean and safe. a lot of our seniors use assistive devices, like canes and walkers, and when streets are dirty with things like trash and needles or empty bags of things it causes more fall risks for our population. and so we really appreciate the attention to this frail and vulnerable population. we are on turk street, right at the corner of live an worth so e avenworth and so we're at one of the dirtiest street corners that you will see in san francisco and we have brought two seniors here to support this initiative. thank you very much. >> hi, everybody, i'm from

(indiscernible) and we every day in our daily life we are out and inside. in the morning i open up my window but i have to close it right away because the smell is bad. i work outside and i am jumping from dirty things to dirty things and i'm saying this is an exercise for me. i cannot breathe, i'm doing breathing exercises. but it's not -- it's just a shame on me. especially when tourists are taking a picture, shame on us, on san francisco. and san francisco is a beautiful historic city but it's not just beautiful, it's a sacred place. we have to keep it clean. and i'm thinking if we avoid --

we can avoid, if we clean it, still you are doing a good job of cleaning but still not good enough. i am thinking what about if epidemic disease happened, how much money would we have to spend? and, please, spend money before that. >> thank you very much. larry pragger. >> i live in the panhandle area. and like everybody i'm appalled at the garbage but i offer here a practical -- what i think is a practical solution and not a large picture but small steps, like it has to do with the broken window theory and i hope that everyone is familiar with that. well, what i see on our corridor which can be absolutely filthy -- today maybe not so much because it rained -- is

that the garbage cans are being ravaged. so the other day i took a walk into fisherman's wharf which has its own set of problems, but i was amazed at how in fisherman's wharf it's absolutely clean on jefferson street. now why? does anybody know why that is? i'll tell you what i saw. on every corner i saw these trash cans and they're called big belly -- is anybody familiar with those? okay. so the big belly are kind of like bear proof garbage cans. and then at the aquatic park west of this area there are national park garbage cans that are the same garbage cans that you see in yosemite, okay? so these garbage cans cannot be ravaged. i think that's what we need, however, diresearch and in philadelphia they have the big belly and if they're not maintained they can be vandalized because people overstuff them. so what we need according to

mr. mallory -- okay, i'll finish up -- mr. mallory who works for the port of san francisco -- these garbage cans have cut drastically the amount of rats and scavenging in the garbage cans, that's what we need, thank you. >> hello, my name is steven te in everyone nis and i second what -- tennis what this gentleman just said. for some reason someone came up with the bright idea of taking away the trash receptacles on our local streets and it just made things worse. i would love to sit down for five minutes with the person who came up with that idea. i think what would really help is as this gentleman said that we get the trash back off the streets. thank you very much. >> hi, just it seems that we're spending about a quarter of a billion dollars each year on

15,000 homeless, and another quarter of a billion per year -- actually half a billion dollars per year on 55,000 students. it seems that we're spending 50% more per head for the homeless and i'm just wondering why neither population is really like doing very well for that kind of money. >> any public speakers? seeing none, comment is now closed. supervisor kim, no? take your name off the list there. and any comments from my colleagues? yes, supervisor stefani. >> supervisor stefani: thank you. i agree that the streets are dirty and it's a high priority for me and it's one that i have communicated to the mayor and to the mayor's budget office and to the chair of the budget and

finance committee. i would like to associate my comments with supervisor cohen in terms of the budgeting process. as an aide to supervisor ferrell when he chaired this committee for three years i'm very committed to a thorough and a vetted budget process with our department heads and i understand that the department just submitted the -- the department of public works just submitted their budget to the mayor's budget office. at this point i would like to honor supervisor cohen's request to continue this item to the call of the chair while we continue to hear from the department of public works. >> chair cohen: thank you. so are you making a motion? >> yes. >> chair cohen: okay so i think we need a roll call vote on that, please. >> i will make one comment. >> chair cohen: supervisor kim. >> there's only two members of the committee right now so i'm

not sure what is going to happen but if we're going to continue the item i'd like to continue it in one week. >> chair cohen: i'd be supportive of that. >> if i had known that we wanted public works to be here we could have asked them to present. they are, of course, they have to be neutral on the subject and so we didn't want to make them come out here because, of course, they wanted the dollars but they don't to advocate one way or another and i am happy to have them talk about what they could do with $2.1 million. i agree that there has to be a process and i'm a fan of making sure that everything is in the big budget and in the may and june discussion. but i feel that if there's ever any additional dollars that are not spent, that we should dedicate to street cleaning and we had $2.5 million in the budget cycle that we did not spend down and i'd like to give that to manual street cleaners. having done the process every year, i know that when you allocate additional funding -- well, we don't vote on the

budget until the end of july -- we don't get an opportunity to hire these street cleaners until september or october at the earliest and that's when the city moves rapidly, it takes that long to hire up. so if we were to approve this money next tuesday, we can ensure that we would hire these additional street cleaners by may and i just really think that, you know, four months where we have additional street cleaning does make a difference for our children and our seniors and our families immediately. and representing a district where a third of our street cleaning requests are coming in from residents i think that it's an urgent crisis. and it's not just my districts but districts nine and 10 as well and i know that supervisor cohen sees this but i know that our residents can't wait until september or october to see additional street cleaners. if there's to be a continuance i ask for one week. >> chair cohen: i concur with supervisor kim and i think we

near a crisis mode and i think that also we don't want to wait. i think that school is released -- children are out of school may 30th and they'll be in our streets and i'd like to have those streets cleaned for them, quite frankly. however, seeing how there's a motion on the table to continue this item for one week is that correct? >> that is correct. and i'm told that the street cleaners would be out there before then but we won't get into that now but i think that one week is sufficient to be able to have further conversations about it. and at the same time to recognize that it is a need. >> chair cohen: so the motion has been made and i will second that. so -- >> for clarification, supervisor stefani, you would like to amend your original motion? >> yes, to move it to the next budget and finance meeting next week. >> chair cohen: thank you very much, madam clerk, there are any more items before us? >> clerk: that item is passed

and, yes, madam chair, the deputy city attorney general would like to provide clarification for item number 3. >> chair cohen: okay, please. >> deputy city attorney john gibner. on item 3, you made a motion to adapt an amendment proposed by d.p.w. to remove nighttime permit fees. what we're going to prepare to reflect that motion is just changing the proposed nighttime permit fee that was $123 that was before the committee back down to the current fee level which is $115.45. if d.p.w. wants to make additional changes the board can consider that in 11 days. >> chair cohen: thank you very much. madam clerk, anymore items before us. >> clerk: no further business. >> chair cohen: this meeting is adjourned. thank you.

. >> good afternoon, everyone. this meeting will come to order.

welcome to the february 28, 2018 meeting of the rules committee. i'm supervisor safai, to my left catherine stephanie. i'd like to thank jesse larson and samuel williams for staffing the meeting. items acted upon today will appear on the march 6, board of supervisors agenda. >> please call item number one. ordinance amending the police code to prohibit employers and housing providers from inquiring go and decisions on conviction.

>> supervisor cohen: thank you, good afternoon, ladies and gentlemen. welcome. colleagues, thank you for taking this item up. what i'm doing today is requesting a continuation for item one, which is amendment to our fair chance ordinance. the fair chance ordinance, the piece of legislation that prohibits employers and housing providers from inquiring about the disclosure of basing any housing decisions on an applicant's conviction history. now, as you can imagine at the time this legislation passed, it was quite a proud moment for our city. and we had many stakeholders that were at the table that were with us that supported the legislation. i want to recognize supervisor kim who was my co-conspirator on this landmark legislation.

what i'd like to do is ask for a continuance, i want to get a little more time and engage with members and consider a bit more information before we discuss the proposed changes. the legislation that we passed in san francisco was very -- was a landmark piece of legislation, but we have a member in the assembly that has passed a similar piece of legislation that goes a little bit further. so we're in discussions on trying to get in sync with the state legislation and before we can do that, we need to make sure we do due diligence with our partners. i'm here to ask for a continuance on this item until the next rules meeting which is scheduled for march 14. >> supervisor safai: we can continue the item with the call of the chair with the goal of that date.

>> if we're not able to get it on the 14th, the next appropriate meeting is fine with me. >> supervisor safai: that agenda is pretty full and i wouldn't want to keep everyone waiting that day on this important item, but we absolutely will consider it. motion to continue this item? we have to take public comment. sorry about that. public comment, anyone on this item that wish to comment on the item, please come forward, you have two minutes. please clearly state your name, if you have any document to leave fort record, please hand them to the clerk. >> hi, i'm staff attorney at legal services for persons with children, i won't be here on the 14th, so i wanted to give public comment in support. we're thrilled this ordinance is proposed in hopes that the committee will vote for it. it's not just a single ordinance or state law, but it's an international movement for the full restoration of the rights

of formerly incarcerated people and their family. every time we strengthen, we're ending mass incarceration. when all of us worked with supervisor cohen and kim's office to pass the fair chance act several years ago, we had to make sacrifices to pass it. however, today we have the opportunity to fully enact the laws that reflect our values. i want to talk about one aspect of the ordinance. so often people are struggling for their next meal or trying to figure out where they'll sleep that night, they don't have the luxury of reporting violations of their rights unless they believe it will help them immediately because they have immediate needs they have to attend to first. by awarding the enforcement fines to the harmed parties, we're empowering people to enforce their rights and holding powerful business interests accountable to follow the law

and stop discriminatory hiring and housing practices. thank you, supervisor cohen, for introducing the legislation and the entire rules committee. i hope you pass this into law. >> supervisor safai: thank you. any other members of the public wish to comment? >> hi, my name is sandra johnson. i'm very happy this issue is finally being addressed. i was a victim of a company that fired me because of my past criminal conviction after working six years for them. they had no concerns about my well-being, but how i was going to pay rent, how i was going to feed myself or take care of my family. so, these employers should have some kind of repercussions for this discriminating against

people with a past conviction. i thank you for bringing this to the light, this ordinance, and i hope that everybody votes yes on it. >> supervisor safai: thank you. any other members of the public wish to speak on the item? >> hi. my name is daryl. i'm a policy fellow at prisoniers with children. 1 in 3 californians have an arrest or record. i'm one of those. making a poor decision when i was 18 years old made it terribly difficult to find and retain employment to support myself. although qualified for many jobs, one the employer learns of the conviction, i rarely ever would receive a callback for additional interviews. the fair chance hiring policy ensures that employers will

remove the have you ever been convicted from the application form. this new policy allows me the opportunity to present my qualifications and individual abilities for the position sought. once the job offer has been extended to me, based on my qualifications, i can then explain my criminal history to the employer more in depth. it allows me the possibility to be judged by skill and not indiscretions of the past that do no define me today. thank you very much. >> supervisor safai: any other members of the public? >> hi, i'm organizer of all of us are done. as a formerly incarcerated youth, i've come in contact with a friends and a lot of us have been impacted by this.

it was great that in 2014 this was passed originally. it's also been great that california as a state passed this in 2016, but what is important is shore up the loopholes where companies and businesses can exploit people further. i thank supervisor cohen and everyone to not ram this through at this meeting and open it up for another meeting, bus one, we need to hear from the stakeholders, the community members, that have real interest in the communities and choose to live, that do not need to fight for their livelihood as they're denied jobs and housing based on their past. we should not be able to hold these people for actions they've been rehabilitated for. i look forward to seeing you guys next month on the topic. and that's it. >> supervisor safai: thank you. any other members of the public?

seeing none, public comment is closed. coh>> supervisor cohen: i would like to thank the folks that came out for public comment and we'll keep working together. >> supervisor safai: we look forward to it and we will have a lively conversation. i know you'll have another opportunity if you want to come forward again, if you want to bring people to comment, you can bring folks from the community who have been impacted by this. this is such an important piece of legislation that impacts thousands and thousands of people's lives. we're happy to have further conversation about this and accommodate supervisors and members of the public to have an opportunity to weigh in on this. so unless, would you like to say anything? ok, motion to continue this item? ok, without objection, so moved. >> thank you.

>> supervisor safai: call the nexttime. >> nooim number 2, hearing to consider appointing one member term ending january 15, 2020 and six members terms ending january 15, 2021 to the san francisco health authority. there are seven seats and seven applicants. >> supervisor safai: so let's see here. unless there is initial comments from committee members, let's hear from the first applicant. ms. -- >> we did get a call that individual is circling trying to find parking right now. >> the next person then, ms. emily webb. please come forward. >> good afternoon, supervisors, thank you for having me here today. i've had the privilege of serving on the health authority board for the last couple of years and i look forward to hopefully serving for another term.

i actually was an employee at the health plan when i started my career and had the great privilege of working on setting up the healthy san francisco program where i was able to learn about underserved access to health care in the city and the provider network that provides care. so i have brought that expertise to the board. additionally, i have a masters in public health policy and management from cal. i'm a san francisco resident of district 2. and i also serve on the family connections board of excelsior and the center for youth wellness board. so i'm actively engaged through my role as a resident of the city. at cpmc, i direct our medi-cal strategy. we serve 1 in 3 through the san francisco health plan. we have active participation in the plan and this role on the board is critical to maintaining that we are up to date and making sure that the plan is

vibrant and we're responding to the needs of patients and beneficiaries. i also oversee the development agreement health care commitments and work with nonprofit leaders across the city in forging community partnerships. so i look forward to continuing in this role. i've also had the privilege of serving on the finance committee so i have a particular area of focus ensuring the financial viability and the strength of the plan, so that it is available now and in perpetuity to serve this very important and vulnerable population in our city. thank you for having me here today and considering my reappointment. >> supervisor safai: thank you. any members of the committee have any questions for ms. webb? i'll ask one question that supervisor yee always asks and i want to recognize the vice chair, what is your attendance

record been on this body? >> i think i've been to every meeting. including every finance committee meeting. i may have missed one or two, but i think i have a pretty good record. >> supervisor safai: great. any other questions for ms. webb? ok. seeing none, if we have more we'll call you back up. >> thank you. >> supervisor safai: next applicant for seat number 5, saab ra matovsky. >> good afternoon, i want to thank you for the invitation to appear before the committee and the opportunity to serve on the health authority board. i am new to san francisco. i moved in october to the bay area. my experience prior to that move was really in the san diego

low-income arena. i have spent over the course of my career, 12 years working with qualified health centre and 10 years orchestworking with low-i medi-cal plans. so my experience is a mix on improving the efficiency and accountability and working with health plans in terms of improving the quality and coordination we serve. so, in terms of answering the question about my attendance, i am new to the area. i have attended the board meeting as a guest. and that has been my exposure to date in terms of working with the san francisco health plan. i have been working to meet with area supervisors and i think i'm through four of them and have several more scheduled. and my current role and the

position then brings me in front of this board, i'm the new c.e.o. of the san francisco community clinic consortium. so i represent the health centers in san francisco. >> supervisor safai: great. >> supervisor yee: just a quick question. since you're new to the area, and sounds like you have had experience in san diego, you see how some of the experience you bring from san diego could help you had san francisco? i do, i think so. there is a governing body that is similar to healthy san francisco called health san diego and i've been on that advisory board for a decade. so i bring that experience as well in terms of developing

partnerships. so i've had a number of meetings with the county in terms of ways we can better collaborate between the county system of care and the health centres, the non-profits within the city. i think i can bring a lot of that expertise. >> supervisor safai: one of the things i appreciate about your background, i know we met before about the -- excuse me. can you keep it down, please? one of the things i appreciate about your background is the work that you do with the community consortium of clinics, that's a perspective that is greatly needed on this body. even though you are new to the area, you have taken the helm of a consortium that is very important to providing health care in san francisco. i know my neighborhood and district has two neighborhood clinics and they're very, very important to the service delivery. so that's an important aspect. >> thank you. >> supervisor safai: if we have

more questions we'll bring you forward. next applicant would be dr. lawrence cheung. seat 7. >> hi, good afternoon. thank you, supervisors. my name is dr. lawrence cluheuc. i want to thank you for the honor and privilege to serve on the board of the health authority for the past three years. during this time under the strong leadership of c.e.o. and chairman of the board, the health plan has been ranked one of the best in class despite having grown exponentially in size. it is extraordinarily feat, in light of the fact that the expansion has brought real and accessible health care coverage to the count's most vulnerable population. as a practicing physician, i can

help one patient at time in my clinic. as part of the health authority, i can help my entire community. there is challenging times ahead with health care under attack by the current administration. i hope that my experience with health care advocacy at the county, state and federal level will continue to be an asset to the health authority. i ask for your support of my re-appointment, thank you. >> supervisor safai: thank you. any questions? seeing none, we'll call you back up if we have additional questions. next applicant is dr. steven fugaro. seat number 8. >> good afternoon, supervisors, thank you again for the opportunity to peek here and for the opportunity to be

reappointed to this most quasi governmental entity, the san francisco health authority and health plan. i have practiced medicine or been trained in medicine for 37 years in san francisco. part of that in private practice, part of that as faculty in ucsf. a former president of the medical society and on the board for the last ten years. as part of that, we have ongoing and important commitment to serving the underserved, to taking care of those who may not be as fortunate. one the aspects of that is being able to administer medi-cal or medicaid here in san francisco. i have been on the board for nine years, chairman of the board since 2016. it has been a true honor to work with the other stakeholders, the individuals from the clinics,

from the other hospitals such as california pacific and chinese hospital as well as pharmacists and other physicians. and as dr. chung mentioned, the actual administration of this entity is extraordinary with john and his extremely capable senior staff. our goals are to continue to administer this billion dollar to generate as much care as we can for the citizens of san francisco, to maximize the reimbursement to the extent we can to the various providers, whether it be hospitals, pharmacies, clinics or physicians. i look forward to working with my fellow board members to do that. thank you for your time and consideration. i appreciate it. >> supervisor safai: any questions? you've currently been on the body? >> i have for nine years.

and chairman of the board for two years. >> supervisor safai: what has your attendance record? >> as chairman of the board, it's pretty good, almost perfect. >> almost? >> i missed one. >> supervisor safai: ok. any other questions? no. i have one, since you're the chairman of the board, what do you think is the most vital purpose of the body that you sit on? >> so effectively streamline the distribution of state and federal medicaid, medi-cal funds to the various providers, whether it's hospitals or physicians in order to optimize the care that is given to 1 out of 3 citizens in california, who are under the umbrella of medi-cal. that requires efficient administration and requires ongoing attempts at quality improvement. we talk about that all the time. we have a specific physician as a member of the staff that works

on quality improvement. that is our main goal. we have to be somewhat nimble because in the last year this has been a challenging environment. any week or month there is the possibility of the acc diminishing. we've doubled business in. that means more people have been covered. we want do do that efficiently, but we have to be nimble enough to reduce the size of our organization and not lose money. >> supervisor safai: thank you. seeing no other questions, we'll call the next applicant. next applicant would be mr. steve fields. mr. fields? is mr. fields here? steve fields? we'll go to the next. madame clerk, did we get information from mr. fields

today? >> yes, i believe he had reached out to you previously and indicated he had a prior engagement he had to be at. >> supervisor safai: hmm. >> that was what i understood. i'm not sure if one of the staff from the health authority could elaborate. >> supervisor safai: ok. >> yes, steve fields is unable to attend. >> can you identify yourself? >> i'm from the san francisco health authority and steve fields is the only member who was not able to attend. >> supervisor safai: did he say why? >> he had a prior commitment out of town. we received information about wednesday on friday. >> you got notification about this, but we've been talking about this for some time. >> sure, absolutely. >> supervisor safai: how many years has he served? >> he's been on since the inception of the plan. he has a very good attendance record. >> supervisor safai: when was

the plan? >> 1997. >> supervisor safai: ok. usually when people don't show up, we continue them until they're able to make it. so we'll consider that, but thank you. ok, then i think the last person is mr. joseph david woods. thank you. >> good afternoon, supervisors. my name is dave woods. i have worked with san francisco department of public health for 28 years now and i am hoping to continue my time on san francisco health authority board if approved. we have strong alignment with -- between department of public health and the san francisco health authority, being the health authority's largest provider within their group. we also have a lot of alignment

in our issues and concerns, we're both very strongly support the high quality of health care to low-income members of san francisco. we have a strong interest in providing exceptional coverage, high quality, and extended access of care. we also, through our work, as one of the largest providers of health care, we have a lot of alignment in the day-to-day work we do. specifically, my interest is around pharmaceutical care. there is a lot of interest now with the skyrocketing price of drugs and how to better manage the pharmaceutical costs. the health authority has done a fantastic job of managing this very complex problem. >> supervisor safai: great. any other questions? no. seeing none. thank you, we'll call you back up. oh, hi.

we'll call the first applicant ms. zhang. >> thank you, supervisors, good afternoon. my name is jian zhang. i have 25 years of experience in health care with business experience in business development, operation, marketing growth, clinical practice, teaching and research. i have strong expertise in organizations that plan, leadership development, team building and health care delivery system, design, implementation and evaluation. practice in design quality improvement in patient safety and health care regulations. so i am also a certified family nurse practitioner, so as a

nurse practitioner i've seen a lot of medi-cal patients. also as a clinic administrator, so i really have been working with the san francisco health plan for a long time. and participate in the quality and cultural series. so we very -- and then also become the c.e.o. of the chinese hospital so we've been working closely for the hospital site, too. the services of san francisco health plan members. so i have doctorate degree in health care system, executive leadership, and also helping the medi-cal patients for a long, long time. i served in multiple nonprofit organizations including chinese committee, american cancer society, american heart association, i also served as

board member for the nonprofit organizations. so i have been -- i think becoming a director will continue the effort to improve health and care for the medi-cal population and reduce costs. and so my experience of inpatient and outpatient as a clinician and administrator, i think that will bring value to the san francisco health plan. thank you. >> supervisor safai: thank you. if we have questions, we'll let you know. do you have any questions? >> can i bring the staff back up? >> yeah, i was going to ask staff to come back up as well. we were going to have the staff from the health authority. thank you. >> hi, i'm from the san

francisco health plan. answer any questions. >> sure, more for my knowledge. in terms of the san francisco health plan, does it cover aspects like residential care, skilled nursing, reimbursements and things like that? >> no, medi-cal as a benefit covers long-term care. san francisco health plan, those benefits are carved out. so san francisco health plan is the public health plan that essentially provides medi-cal benefit for a medi-cal managed benefit and long-term care is outside of medi-cal. we serve 140,000 san franciscans but there are probably another 30-40,000 san franciscans outside of the plan that are in skilled nursing facilities or long-term care outside of managed care. >> supervisor yee: do you know what body actually -- do we have

a body in san francisco that looks at -- or tries to coordinate that piece? >> that's a tricky question. so the benefit -- so that is a fee-for-service benefit and that is administered by the state of california. but you absolutely have a number of departments here that are concerned and help with the administration of long-term care. you have the department of public health runs a very large skilled nursing facility, that is a medi-cal fee-for-service provider, but it's different. you don't have a local entity because long-term care is a fee-for-service benefit. >> supervisor yee: thank you. >> supervisor safai: actually, i have a question, too. so you said this body was created in 1997? >> yeah, it was created by the board in the state of california and san francisco decided to

have -- to create what was called, we're a two-plan county so we compete with blue cross for membership, but essentially the board of supervisors and san francisco decided to create a public not-for-profit entity that would work with your department of public health and all the safety net providers when medi-cal managed care was set up in the state of california. the theory behind that was not only that you wanted local control, but you wanted entity that was completely focused on working with your safety net providers as opposed to large national plans that may have a different interest. >> supervisor safai: can you give me a little bit of background on how the seats were chosen, each seat is represented by, you don't have to go over each one. i see one hospital, st. luke's hospital. >> it was established in statute and then the board actually, it

was set out in local ordinance in terms of which local entities actually made those appointments. so for example the san francisco medical society, the hospital council, that was set out in statute and local ordinance. >> supervisor safai: but particularly why was that hospital called out? >> um, i think you'll have to look back. i think at the time, it was probably just a fixture in time. i don't recall why st. luke specifically. i think there was a concern at the time they wanted to -- there was issues with regards to some worries about st. luke's closing, so i think there was an -- emily, you may remember this, or someone else, but i think the issue was had there was concern about it closing and they wanted to make sure there was sufficient representation with regards to medi-cal.

>> cpmc and st. luke's were not one entity. >> sure i understand that. you were asking about when the statute was done in the late 90s. >> supervisor safai: that has evolved over times, so st. luke's doesn't exist by itself, so i'm trying to understand how that evolution. since you all work with that, as an authority. >> emily, you're certainly welcome to come up. i would have to say i don't know other than that was essentially how the supervisors created the ordinance then in the late 90s. >> supervisor safai: emily, did you want to say a few words? >> yeah, i just wanted to add, supervisors, that i think in 1997, st. luke's was an independent facility, not part of sutter. then it was not part of cpmc yet. so i think it's a legacy reason. in the charter for the health authority, several hospitals have seats, the st. luke seat

happens to be up this term, but there are representatives from other hospitals. the reason is simply the statute has not been updated to reflect that st. luke's is a campus of the four campuses. >> supervisor safai: so there are other hospitals represented on the body, just those seats are not in front of us today? >> correct. >> how many total seats are there then? 19? >> it's a 19-member board. >> supervisor safai: wow, that's really big. >> it is. >> supervisor safai: how often does it meet? >> six times a year. >> supervisor safai: any other questions? >> if you would just a quick thing, we wanted to let you know that on behalf of the san francisco health plan we're lucky to have the board members we have. they've not only been incredible value to the plan and its direction, but the mission and the drive essentially to take

care of the most vulnerable in san francisco. so we are very, very happy to see all these folks here. thank you. >> supervisor safai: i like that as well, myself, i have an aversion to -- i've said this as chair of this body -- i don't really like to ren appoint people on a body more than ten years. i know they bring experience to the table. sometimes we have situations where other folks cannot come forward, or an organization might defer to that person based on seniority in that organization. but it's also important for us to have new perspective on this body. so that's why i always ask. i know supervisor yee, since we've been on the committee together for a year, asks about the attendance record and what the longevity is on the body. that's not something that everyone agrees with, but myself, i want to know why certain institutions are called down and if evolved over time, that's something we need to

update. i imagine st. luke's was chosen because it's a hospital with a high rate and at the time had a high rate of reduced care along with a number of medi-cal patient, so it would make sense. now this hospital is part of a larger nonprofit corporation that is not necessarily still serving the same mission. so it's something for us to consider moving forward. >> supervisor stefani: i just -- wanted to thank everybody for coming out, your service. a shoutout to st. luke's hospital. i was born there. my mother received her nursing degree there and we did a lot of work with the blue room panel to make sure st. luke's was saved. it's a very important hospital serving a side of town that doesn't have a lot of health care. it's getting better, but we took a lot of pain to make sure st. luke's was not closed by sutter. i'm happy to see it represented

by emily. i want to let this body know that steve fields reach out to me and let me know he could not be here. i've done a lot of work with steve fields, we worked on behavioral health and nonprofit service issues and i feel confident he should continue to serve on the board. >> supervisor yee: this is actually a follow-up to supervisor safai. because this body was created in 1997, what we've seen over the last few decades, is quite a changing, evolving sort of medical field. the services are serving the city at this point. do you feel that maybe it's worth taking a look at the current composition, not

necessarily the individuals, but -- and seeing if there is holes in the composition so that maybe what we need to do is change it through legislation? >> yeah, i would say the one thing that has been nice about the statutory construct and the statute can be changed. it requires a state statute change as well as a local. but the board is broadly representative of the providers and the members who are participating in the medi-cal program and i think that was by design. so absolutely you know, it certainly is within your purview to take a look and see if that membership is still representative of the medi-cal population, but i think when you look at the current composition of that board, that it is broadly representative, there are two member representatives that sit on the governing board and virtually all of the providers who are medi-cal

providers and that is incredibly important in terms of access, because that's what we struggle with. they sit on that board as well they're broadly represented. that's why you see the composition that way. >> supervisor yee: so, also appreciate all of you for coming here. and willing to serve as long as you have. this is a really important issue. i guess because of the issue, it's really important authority. i'm going to make a motion. >> supervisor safai: we haven't done public comment yet. sorry. we were waiting for you. >> supervisor yee: all right. >> supervisor safai: any members of the public wish to comment on the item. please speak on this item. >> this is the rules committee and i want to show you how rule that is not being enforced and followed causes a combination of both mental and physical

disabilities to be exacerbated to people in low-income and very low-income brackets. sf.com, can you show me the viewers, please? this ordinance here is part of a package that provides -- >> sir, i'm going to interrupt. so, the way it works in this committee, just so we're clear, when we have an item in front of us and the item in front of us is the reappointment of the individuals you heard speak to this health authority, you have to speak on that item. you can't -- >> that's what i'm doing. >> ok. >> let me explain to you before you start my time. i'm going to show you how this affects people in low-income brackets and causes mental adjustment and post-traumatic stress disorder anxieties to be exacerbated because of missing

out on the housing opportunity. i would like you to recall the professionals and have them explain it to you by them not being included in the housing opportunity that is being advertised, it makes them more frustrated and more angry. and disturbs our communities. that's in the income bracket who i'm speaking up for, sir. that's why i'm relating it to, to show how it's related. now i would like to restart my time to demonstrate and show you how it works. >> can you add one more minute? >> i would like to go back to the screen. this ordinance here pertains to community development law. ok? it explains how 15% of the overall apartment building complex is supposed to be for very low-income bracket peoples. affordable housing calls for very low and low-income bracket people. ok? this arises out of the overall

income skill, but yet when the housing opportunity is presented to the public, you start the income requirement at 45% of the medium. this means that the people that is in the low-income bracket, one, two, three, four five categories are not included in the housing opportunity. ok? that delivers adverse effect because you incorporate the people who is making $121,000 in affordable low-income bracket. it's not fair. by the same response, the people included in the 40% housing are making 72,000, 92,000, those people shouldn't be in affordable low-income housing. >> thank you, sir. thank you. any other members of the public wish to comment on this item? please come forward. >> the san francisco health authority, i'll be brief and let

you know we're supportive of the reappointment and new appointment of two new folks in the health authority. thank you. >> supervisor safai: just one before we entertain the motion, one point of clarification. are any of the seats, do they need residency waiver? >> no, the health authority in particular do not require residency waiver. there are a number of them that don't live the city -- >> supervisor safai: ok. i wanted to double check. >> supervisor yee: sure, i'll make a motion to recommend that we assign zhang to seat 2, webb to seat 4, matovsky to eat 5, lawrence cheung to seat 7, fugaro to seat 8 and fields, to 12 and woods to 14.

positive recommendation to the full board. >> to the san francisco health authority, right? ok. so motion is moved and seconded, so that item is ordered without objection. thank you, congratulations. and thank you all for your service. please call the nexttime. >> hearing to appoint one member to the park, recreation, open space advisory committee. one seat, one applicant. >> supervisor safai: unless there is initial comments from the committee member, let's hear from the applicant, jordan akeno, please proceed. >> good afternoon, supervisors. my name is jordan aquino and i'm honored to stand before you today to discuss and present my

qualifications for reappointment to the san francisco parks, recreation and open space advisory committee. i'm a resident of the outer sunset neighborhood and have lived in district 4 since pursuing my undergraduate degree at san francisco state university. i currently work at san francisco public works as a business analyst for the department's information technology committee or division. two years ago i came before this body for my first appointment hearing and ever since that day, i have forever been reassured that advocating for parks and for the city that i love is something that i always wanted to do. while working full-time and serving my first term on prozac, i enrolled in the master public administration program to develop my knowledge and skills of becoming a better public servant and will soon graduate this upcoming may. through my professional experience, and academic studies, my passion for public policy, s