working with a lot of supervisors, that legislation would have passed. and we would be bemoaning where we are. so here we are today. we spent a tremendous amount of effort and a lot of work and a lot of long nights and the conference room of the mayor. and working with the mayor's office and working with significant leadership to get where the l.b.e.s were comfortable. by no means are we there or happy as they say in negotiation.

>> remember supervisor peskin saying, do no harm. the community is not happy. there are things that need to be done. >> thank you very much. >> mr. paulsen. >> supervisors, chair cohen and supervisors, i am tim paulsen, the secretary-treasurer of the san francisco buildings and trade council. and i would like this to be moved forward with recommendation unanimously and that is the official position that the labor council and the building trades council has, but first of ul a, i do want to say thank you to the board of supervisors and to the mayor's office for the work that has gone into this piece of legislation. this has been one of the longest pieces of legislation i have seen, even when i was the executive director of the san

francisco labor council and it was a priority of the labor council and we have been working on this far long time. and i know even before i took this job that the stakeholders that have been at the microphone have been engaged in this process. this is about one fundamental thing. that is about protecting workers rights. this is a success model throughout the country when this is applied. in a union town like san francisco, this is the correct thing to do and supervisor fewer and supervisor safai. and i will say, again, i would like this to be recommended to

the full board. to make sure all workers who work on instruction on city funded projects get the money they deserve. >> thank you. >> thank you for hearing this item today. it's been a long time coming over two years as has been said. you three supervisors today have an opportunity to help working people in pedestrian and i said this before and i will say it again, it is not helping union workers and and are being pitted against each other and the harsh reality is that the exact

opposite will happen and will give them opportunities to get into the unions and have better benefits and a better life and thatment cos from local union programs such as ours that have over $10 million into programs every year. and i also disagree with that statement. the nonunion contractors have the exact the ones that are says they don't are used to having it their way and underpaying workers and cheating. this gives it a level playing field and we have from the with

asian and minority contractors have work out there. p.l.a.s work and i urge you to and seeing none, public comment is closed. >> a thank you, madam chair. i want to appreciate everyone coming out today. this is someone something that everyone feels passionate about. many of the things that are discussed and talked about and many of the specificity that is being proposed must be negotiated in the final contract of the city wide p.l.a. to set the framework for discussions. there is significant involvement, input, and improvements made to the

ordinance over the last two years. specifically over the that i think set the frame work. on page seven at the top of the page, bullet number two, i am going to read this into the record. unions, contractors, and subcontractors are bound by the requirements of chapter 6, 12b, 14b, 82, and 83 as they may be amended from time to time. including but not limited to the provisions addressing local hire and local business enterprise. if that is not strong enough language, every single one of the sections and codes has been fought for, advanced process, moted, enhanced, and encouraged and reaffirmed in this process. the second thing to call out for the record is on page 8 and 9. section f.

line 22. >> beginning on the effective date of the ordinance and board file number once enacted, this section 6.27, the office of the controller shall collect utilization rates within one year after the city administrator executes the p.l.a. on behalf of the city and annual date thereafter, the controller shall conduct annual reviews to evaluate whether they have promoted the completion of covered projects adds defined in this ordinance. the cost of covered projects and the p.l.a.'s impacts on l.b.e.s and local work force. so i just want to re-emphasize the points and those are two important points. all sides made significant concessions and we reaffirmed

the advancements that have been made over the last 30 years. i want to underscore that and appreciate all of that work. i think that sets the frame work for negotiations to move forward. i don't think anyone will be left out and the building of construction trades have what they work with on a continuous basis and they have this board of supervisors that have crafted this along with the mayor's office that have made a firm commitment for this to be a fair and inclusive process moving forward. i courage the committee members if there could be ultimately a motion to accept the amendments as proposed today and send this out of committee. to the full board. >> all right. thank you very much. we appreciate those amendments and the motions, colleagues. is there any further discussion on the amendment? i will make a motion to accept the amendments that supervisor

safai has laid out. i want to recognize something that i heard in public comment. first, i want to recognize the african-american chamber, lawyers committee, chinese for affirmative action and the l.b.e., and we heard your complaints. we heard your issues and your concerns. i am hopeful supervisor safai, and please reassure me of this is that we are going to continue to move the conversation forward, that this is actually a very, quite frankly, kind of a small step as we move forward to a larger -- this is just a road map to a larger conversation to the p.l.a. and so i hope that everyone will still remain at the table and engaged and talking. i know labor certainly will be. and also, wanted to just get that on the record. madam clerk, we have heard the amendments. can we accept the amendments without objection? we will take the amendments without objection and that unanimously passes.

all right. as it relates to item 19, i will make a motion to approve and send to the full board with a positive recommendation as a committee report as amended, and we will take that without objection. thank you. all right. one step closer. madam clerk, please call ie sem 20. >> item 20, hearing to consider the review and approval of the budget guidelines for the annual budget for fiscal year 2019-2020 and 2020-2021. >> thank you. i want to recognize the clerk of the board. thank you for joining us today. >> please turn on the mic, madam clerk. >> thank you. >> members of the committee, chair cohen, thank you for hearing the organization of our budget today for the budget year and the out year. we're here to provide you a snapshot of the department's current budget in addition to requesting your guidance on the

preliminary direction we're heading in as we develop the proposed budget for fiscal years 2019-2020 and 20-21. the board's rules set up a process that has us returning in january with the draft budget based upon your direction today. additionally, i will have met with each member of the board to learn of any new suggested initiatives for the department's budget. we will return a final time in february for your approval before we submit the budget to the mayor and the controller. i'm here today with the department's administrative deputy who maintains this information for us and has organized it for our conversation today. i have other leadership of the clerk's office in the audience. we have been very busy this past year signing multiple contracts for significant projects that we will share a high level overview with you for the permission to obtain what we're going to call

the baseline. and slides two and three plan for an alternative space for the board of supervisors meeting in the event of a significant incident. and we are not able to have a board meeting in city hall. i will talk about that in a second. we have executed a five-year contract with granicus for legistar and insight. that is the administrative and public-facing legislative file retrieval system. the innovation in this new contract will allow us to modernize citywide drafting, submission, and eligibility of all legislation submitted into the legislative process. we will be able to utilize mobile technologies as well as something i am really jazzed about which is a whole new social media innovation allowing us to receive e-comment associated with each file. the first phase will be completed in early 2019, and phase two in the summer of 2019.

we've also been quietly working away to tie our existing 2,000 boxes of records into our new legislative management system and digitizing our archives. this project has three phases. phase one has already been complete. it is the priorization of the preservation of the historic and significant enacted ordinances that make up the municipal codes and the administrative codes. we've done the indexing and the digitizing of the archives thus far. going bab to 1906. and phase two addresses the digitizing of supporting documents contained in the actual files which will allow for access to portals from someone's living room.

>> to your offices in april of 2019. on a somber note, this body is not naive as it hey sens

preparation for an actual incident. the history and the extraordinary handling and response by the board of supervisors after two major earthquakes dating back to 1906 and again in 1989. the everythingal requirement -- organizal requirements after sags nation -- assassinations. threats over the telephone or chamber or offices and security breaches as well. the health emergencies we have all experienced. we will continue to strengthen the skills by educating staff in emergency protocols, providing situational awareness and personal safety classes, a few of which we accomplished this year, and our sin -- sincere

thank you to those who assisted us to bring those programs to our offices. pursuant to the charter, in the eventer city hall is inaccessible and it is necessary to host a board meeting off site in collaboration with the department of technology and public library we are creating an mou to host a board meeting in the auditorium. it will be coming to the board meeting soon for the arrangement. to the current budget. it is a $16 million budget. you can see on the piechart, the left shows it by division. these numbers are relatively unchanged year to year. the table on the right shows expenditures by category and detail. the largest cost is the salary and benefits at 75%.

the growth is attributed to wage increases and benefits with approved mous. the fte count is unchanged over the last 20 years. we have all taken in more responsibility. largest is nonpersonnel at $2.3 million. that makes up the budget service us in addition to other costs which are mostly unchanged. on to the next slide. we are recommending seven adjustments for 2019-2020 budget to help meet the needs of the department. some we don't know the actual amounts to. i will review them. one, request for one-time funding of $150,000 to help with the phase three of the digital work and requesting ongoing

gilltal for new legislative records created. item two is support and enhancement for the management. items three and four are increases for costs for inter departmental services for the department's share of the licensing costs associated from the request of the department of technology. item five is one-time cost associated with hosting emergency off-site board meeting at public library. we need to you grade the existing wiring to fiber to accommodate the increased number of it equipment we would need at the library in event of power outage. item six is reconditions current space in the clerk's office which would be utilized by confidential employees in the department who are currently not

in confidential spaces. we are working with building management and real estate department. next year we host the california clerk of the board association conference in san francisco. i may come to you to ask for minimal expenses to be able to be incurred by that. we will raise the majority of funds needed for that. on the final slide. i seem seeking your direction at this time for the following items. budget and legislative analyst joint venture a new request for 3.2% cola for the contractor july 1 of 2019. this is a $73,294 increase to the $2.29 million contract. as you recall they received general fund appropriation of approximately $300,000. currently same amount is in the base budget for the fiscal year

2019-2020 as a place holder. they will adopt the budget in may so we may know more about that and we will come back in january and february to finalize those conversations. two last points i want to make. i want to thank you for the budget that has allowed us not only to do the chartered work that we do every year but to about such dedicated people in our office who are very well aware of individual roles and goals of the organization and who stretch to help each other every day because they respect and like each other that is secret recipe to a well functioning team. we do have one in the clerk's office. if this committee approves the work please accept this as the new baseline. we will be back in february with the actual numbers. we are available for any

questions. >> thank you very much. supervisor fewer has a question. >> supervisor fewer: i want to take a moment for the supervisors to be reeducated on the current work and what it has done as we might recall we hired a consultant that 29 $7,000 is not in the purview of the board to question but actually wanted to let you know a little bit about what the work that they are doing with the money. i have asked brian to come up today to give a brief overview about what they are doing. thank you. brian. >> thank you for the opportunity to talk about lapco.

as you know it was established by the legislature to act as independent bodies and serve as watchdogs to local government services. it was this watchdog aspect that attracted me to the position as a former journalist. since i have come on pass executive officer in may. i created a work plan approved by the commission. because san francisco is consolidated it focuses on special studies and oversight of clean power. my work plan was approved by the commission, and we are hard at work with our small team of interns on two big projects. first the clean power sf. as it expands the lapco roll will expand to provide feedback on how the program can move

forward. with the city 100% 20 higher 30 re-- 20-30 goal. it will help get us there in a big way. the other thing that i am really excited to be working on the with transportation authority is a labor study on emerging mobility services. the economy is exploding. we have no real data on that. i completed an r.f.p. for the first of its kind survey. we want a handle on the size of the work force, request data and we think we will get data from company that is an issue and investigate the labor practices of emerging mobility services to make a determination about whether or not those labor policies alive with the city

labor principles to ensure they are making a fair wage. i completed an r.f.p. for legal services. it was important the firm selected had deep experiences in working with lapco. i brought in two very sharp interns. i have an intern working on mobility study. i have been attending various conferences this year for the first time ever sf had a presence at the conference and i have relationships and meet with ththe advocates and reach out to every member of the board of supervisors. we are here in special studies and we are here to serve you the board of supervisors. thank you. >> thank you, brian. questions? supervisor stephanie. >> supervisor stefani: you

mentioned legal services. does the city attorney not cover it? >> no, they have a special attorney. our city attorney does not cover lapco it is outside that jurisdiction. >> okay. thank you. >> i want to thank brian for rebuilding the office of lapco and taking on interns and a deep work plan. lapco had gone through a couple worksion was the california lapco with guidance to the role and issues it has taken on. i will say he is digging deep into clean power sf and also looking at how we can build out our own clean power in san francisco and then also around the mobility study, i just think

that we don't know the effects of labor, and this is what lap cos do to support the work of the board in an outside capacity. looking forward we will discuss a if budget that can accommodate that work. i want to thank you brian for coming on and thank you to clerks office for the r.f.p.s and for being our fiscal sponsor. thank you. >> thank you. i do have copies of my work plan to distribute. >> that would be great. thank you, brian. >> to public comment. any member of the public to comment on item 20? seeing no members of the public to comment.

we will close public comment. no budget report. this is just a hearing. i will make a motion to approve and file as heard. we will take that without objection. thank you very much. madam clerk. any other business before us. >> clerk: no further business. >> thank you ladies and gentlemen. we are adjourned. thank you.

[roll call] >> clerk: second item is the approval minutes from november 6. >> is there a second? >> so moved. >> any corrections to the minutes? seeing none, all those in favor, aye. opposed? approved. >> clerk: director's report. >> good afternoon. greg wagner, acting director. i will be brief because i know we're anxious to get to the heart of the agenda. as you know, beginning on november 8, there's the -- there were the wildfires in butte county, which had a significant impact on the city. the air quality was poor, as anybody who was here was aware, for quite some time. we had a significant response to

that. we distributed 19,502 masks. to city employees and homeless outreach team, for those that could not find indoor relief from the air. our call center activated through the holiday weekend and handled 864 calls, reached out to patients to ensure that they had adequate preparation. so that was part of our network response. and d.p.h. coordinated 20 healthcare professionals. so that was a significant response and we've learned from that, as we have in the past, and we'll continue to improve our protocols. on november 26, the department launched its truth or not campaign, which is youth cannabis campaign in response to the state changing cannabis

laws, making adult use cannabis legal. the campaign is really just to provide information to -- and facts to youth and dispel youths, so they can make well-informed decisions about cannabis and their health choices. we're entering a new phase in our electronic health records program, beginning yesterday actually, we're in the testing phase. we're still continuing on some of the build, but this is a big milestone as we're moving into actually testing out some of the functionality that we've been designing and building over the last several months, so the project continues to move along at full speed. the commission on accreditation surveyed the opioid treatment outpatient program and provided staff with an exit conference. there were no recommendations for improvement. we'll take recommendations, but

it's good not to have any. the feedback described what we do here as a best practice. so that's a positive result from that survey. on november 1, the health plan, the department of public health and delta dental, hosted a peri-natal roundtable protecting the health of san francisco pregnant women and their babies. 50 dental and medal providers attended and ensure early access to dental care and it included a number of leaders from the department of public health. and then lastly, the behavioral health during october 22-26, pharmacy and other key stake holders did a value stream mapping event, one of our tools to focus on performance improvement and that event was a week-long event focused on mapping the current state and

designing a future state map centered on improving services. so that's an important piece and a big step forward for behavioral health and their pharmacy program. with that, we can answer questions if you have them, or close the presentation and refer you to the documents available to the public. >> commissioners, i had one question concerning the fires and problem with the air. do we have any thoughts or focus on whether or not there were increases into the emergency rooms or how, you know -- you described us being able to help with some preventive measures. i wanted to know what were some in the emergency system and our hospitals. >> it's a great question. i will ask dr. naveena bobbitt

to come up and respond. >> yes, hi. so we did daily calls with the hospital system at that time and asked the e.d.s and asked at the capacity of in-patient beds. that means to that he were abiding by the advice and staying indoors and taking the appropriate precautions. >> yeah, commissioners, questions? commission sanchez? >> i would comment on the response that the department acted with the database and moved forward in a positive way. we were able to address many of these issues, especially when you looked at it every day and saw the memory go from 49 to 279 and you saw we're the worst city in the world at this point in time, you get the feeling that maybe there is a problem.

i would throw this out -- in apartments, homes, you really need to have the manager or whoever check your filters for the heaters, air, whatever you have. if you still drive a car in the city, which i happen to do, that's why i'm so late and i apologize, not only the roads and traffic, but if you drove during those periods, you better have your air filter checked and your in-filter checked in your car, even though they say it may not affect it, when they pulled it out, they're astounded to see how bad it is. some dealers are providing that as a free service. think of that, i'm sure muni is doing the same thing. so in a home, in an apartment, where the air circulates.

>> the mayor has asked us to update our response protocols for air quality issues. we'll go through that process and take that comment and any others that the commission has for us in that account as we go through that process. >> thank you. any other questions of the director? if not, we'll move on to our next item, please. >> clerk: item 4 is general public comment and there are several requests. >> right. i have several. dr. teresa palmer, marilyn morgan, and mark averni, i believe, could have mispronounced it. areni. okay. arenson? okay. anyway, mark. those are the three, please, for general public comment. each has 3 minutes. >> clerk: and to remind everyone, i have an egg timer.

when the timer goes off, please note it's your time and finish your sentence and move on. >> commissioners, going first alphabetically. >> i'm mark arenson, professor at hastings college of the law. i'm here for healthcare, housing, jobs and justice. specifically, i will be very brief. i want to request that the coalition be made part of the backup proceedings developing the healthcare services master plan, which is being done jointly with the planning department, which has been headed up. it's been in a hiatus and we would like to be part of that process, which establishes policies, goals, standards for healthcare delivery in san francisco. the enforcement mechanism is in

the review of land use requests for development by different hospitals and other healthcare institutions. so it very much is important in establishing some standards and opportunities for influencing healthcare decisions made by private and public parties in san francisco. so that is our formal request, to be made part of the workup of the healthcare for the healthcare services master plan revision that is currently being done. thank you so much. >> thank you. i apologize for not being able to read your writing better. >> i should apologize. >> hi. i'm marlaine morgan, coalition for healthcare. the -- in 2013, is when we settled the development agreement with cpm and there

were five major elements to that, which were housing, jobs, healthcare services, which we're talking about today, care and transportation. and my involvement here was around transportation, which as we know in the last five years since the construction of cpmc has started, transportation is worse, all over the city, all over the bay area. we have problems with public transit. we have problems with individual drivers, congestion, gridlock. we have problems with safety, issues on muni, bart, everyone's concerned. so we're struggling to see how we're delivering vehicles to these hospitals. van ness, which is what i'm focusing on today, has another issue, which is the b.r.t., which is supposed to open before the hospital opened to transport

our 3,000 daily employees to that hospital is delayed for two years. transportation is a problem and it does affect staffing. and we'll talk more about this with the city and the planning department, just to get some updates. wanted to let you know. thank you. >> thank you very much. >> i worked at laguna honda for years. and i work with this coalition and my area of expertise is long-term care and i am working on submitting keeping track of

out-of-county discharges and transfers from hospitals and from nursing homes and post-acute care settings. and i ask for your support in this and i ask that this be placed on your agenda if at all possible. i'm not quite sure how it works, but i've sent you an article i wrote. it will be published in "the west side observer" sometime in the next week and it's about the fact that -- even the san francisco healthcare master plan in 2013, although it didn't halves much about long-term care, it did say, san francisco likely lacks sufficient long-term care capacity to accommodate its growing, aging population. and we know about -- we testified here and we heard about the many closures of

hospital-based, skilled nursing facilities, which then impact the long-term care that freestanding nursing facilities can give because the beds are used for post-hospital care and we're sending lots of people out of county. we did attempt to get the numbers, but not the hospitals. a number of hospitals with not cooperate in giving them to her voluntarily. and we can't plan for long-term care if we don't know who has been denied it. aging in place, if you can't age in place at home, you should be able to age in place in your community, where your friends, your support system is. and the most egregious example is sub-acute care. if you choose to live on a ventilator with similar, complex care and you didn't be cared for at home, you now have to leave

the county. there is none in-county. it's a form of long-term care. the smallest percentage of people embrace it. it's the most egregious example. i would like the health commission to support legislation that requires skilled nursing facilities to report out-of-county transfers in a way that's hippa-complaint. i'm sure it can be done. and i have an article that you have a copy of. thanks. >> thank you. that concludes general public comment that i have before me. and we thank you for those

issues. >> clerk: item 5 is the report back from today's found answer and planning committee. >> finance and planning committee met immediately before this meeting. during the meeting, we took a deep dive into the december contracts report, which took longer than anticipated. and we did approve the contracts for port and deferred six additional items to the december 18 population health committee for consideration and then to full commission. >> questions to commission er bernal on the finance report. seeing none, we'll move on to our next item. consent calendar is -- contract report brought to us by the committee and so we'll ask

for any extractions, if not, we'll vote. all in favor, please say aye. those opposed? adopted. >> clerk: and theres with was no public comment request. item 7, proposition q hearing, cpmc license change of the alzheimer's day program from cpmc and institute on aging. >> good afternoon. i'm sneha patil. this is the third prop q hearing. as a reminder, proposition q requires hospitals in san francisco to provide public notice prior to closing an in-patient or out-patient

facility prior to the leasing or sale or change of management. first item, the licensing change of the day program from institute on aging. it was presented at the july 21 meeting. as a reminder, the day program operates at california's pacific medical center campus. there are 30 participants a day with mild or moderate dementia. currently, the institute on aging manages the program and cpmc provides space and support. with this change, the alzheimer's day program will be independently licensed by institute on aging. this has reported that this change is related to the closure

of the california campus in the spring of 2019. and we know that institute on aging has been searching for a new space to relocate the program. as of november, 2018, institute on aging has been reporting that there's been an agreement to hold property until january, 2019. they've been able to fundraise 50% of their gel and they're continuing to do so. so we know if a suitable location is ready prior to, there may not be a detrimental impact because i.o.a. has historically managed this program and there will be no gap of services for current participants. if i.o.a. is not able to secure a new location and the program were to close or reduce services, we do believe that that would have a detrimental impact for healthcare services

in the city. commissioners, i know you have a draft resolution before you. i would like to note that tom briodi is here and can provide any additional updates or answer any questions you might have. >> thank you. any further comments? >> yes. good afternoon. i'm tom briodi, institute on aging. we're making good progress relati relative. the engineering and architectural work is done. we're waiting on construction bids to come back to see if there are any savings there. i remain guardedly optimistic

that we'll proceed with the new site. >> guardedly optimistic or -- i mean, do you want to put a percent on it? >> no, i won't. [laughter] guardedly optimistic is positive in my regard. >> okay, thank you. appreciate that. commissioners, we have one public testimony, correct? before we take further questions, let me ask dr. palmer, who has asked for public testimony on this subject. >> the folks at the -- as you know, my mother attended that center before she ended up at the jewish home. it will be closed down even

though they tell me they've been told they will be closed in 2020. it's the same building, so i don't see the hurry, especially since i've never heard of new construction getting done in this time period in the presidio. it will get shut down and there will be a gap between the new place and cpmc kicking them out. it will be detrimental. these are patients with dem dementia. this is one of only two places in san francisco and it's very confusing for them to be moved multiple times. they're routine-bound and stimulus-bound and they need

continuity. my recommendation is to say it's detrimental because it's going to be and/or delay your judgment for another four months and see what i.o.a. and cpmc accomplishes. there is no reason to think that the building will be up, renovated and ready by the time cpmc is planning to kick out this program. >> thank you. there's no other public testimony at this point. i don't know if cpmc wishes to make any further comments. so we're prepared for further discussion. there is before you a revised resolution, 18-3, which i believe has been distributed.

and it's within the purview of the commission, but this is what is being placed before you at this point for review and potential acceptance. so did you want to describe the proposed resolution and its new version? >> yes. so the revised version you have before you, makes a few amendments to the language in the packet. so the statement that would be made is the resolution would be determining the impact of the change in licenseure from cpmc

to sole the institute on aging. and so additionally, language would be added to the bottom and the final further resolved statement, which says, the change in licenseure change to solely i.o.a. will have a detrimental impact open the healthcare services if i.o.a. is unable to secure a location and provider similar or expanded services to seniors. everything else within the resolution remains the same. >> commissioners, a proposed resolution is before you prepared by staff. we can open bisbee first placing that on the agenda and then making any modifications that you would like. >> move to place it on the agenda. >> is there a second? >> second. >> there's a second.

so the proposed resolution, which is our modified resolution is before you for discussion at this point. any comments? yes, commissioner sanchez, please? >> i was going to ask the -- because, again, the resolve, we state further resolve, i.o.a. is strongly encouraged to continue the program in similar or expanded capacity and update the health commission once the new location is confirmed. is that still on the radar? are we still moving on that? i know there were different comments made, but let me just -- i know that there have been some things that have been completed out there on time including v.a. program and meals, etc., for veterans out there. and that was because there was a lot of discussion and input.

so i would hope that, again, this is a real, you know, major effort to provide these critical services we need in the city and this could be a flagship program. everyone needs to work together to make sure that the quality of the programs are protected. as i said, there's a lot of concer concerns, but i remember the new director of the presidio out there is also served with us as an attorney to the health commission for many, many years and i know that she's always very much involved in the community input. would you like to comment on that? there was a moment of a date. i didn't see any date, that we provide these services. >> i would like to provide some clarification. there is no new construction

under way. it's an existing building. it is being renovated. timelines have been given to us by three construction firms. so based on the timeline we're looking at right now, renovations would be complete bid june or july. we're looking at this property coming to fruition, we can double the size of individuals we're able to serve there. so this is highly orchestrated. it's very much in sync with the presidio. presidio leadership is behind this. >> thank you. >> so if -- are you saying that there would not be a loss of continuity if this all went in accordance to your guarded optimism? >> yes. we're working very much in sync with cpmc, so there's a coordination of when that transfer would happen. if we're delayed a month, we're not going to exit the california campus for a month. it's well synchronized.

>> thank you. thank you for the input. commissioner bernal? >> i would like to offer a similar amendment to the last whereas clause to add, "without interruption." >> is there a second to that, please? >> second. >> okay. further discussion on the motion. i think it's quite clear why we're asking for that. if there's no further discussion, a vote on the amendment, we will take at this point. all those in favor of the amendment, please say aye. opposed? the amendment is added to the motion. we're back at discussing the motion. and i'm glad commissioner sanchez pointed out that we were commending the program in the first resolve.

being very important. second resolve says that if i.o.a. is unable to continue this program, then it will be detrimental. and clearly the commission would encourage that the i.o.a. continue this program, which is what we would -- all desire to find, therefore, very positive for the city, especially as they're talking about also expanding the service. thank you. okay. commissioners, any further comments, discussion? if not, we're prepared for the vote. all those in favor of this resolution, please say aye. opposed? resolution is now passed. thank you very much. >> thank you, commissioners. item 8 is a proposition q hearing cpmc change of management of patient departments to the sutter pacific medical foundation. >> ms. patil? >> the second item is for the transfer of management from five

outpatient services from cpmc to sutter pacific medical foundation. again, information about this change was reported to you during the july and august health commission meetings. there are five departments impacted by this change the first three services have transferred management in august of this year and that includes the breast health mammography center at st. luke's, diabetes center at st. luke's and noninvasive cardiology at st. luke's. two of the five services have not transferred. that includes outpatient psychiatry and diabetes center at the california campus. so during previous hearings, the health commission raised concerns regarding the need for the medical foundation to enter into plans similar to the contracts held by cpmc inrd