everybody. welcome to southeast family health center. my name is doctor grant colfact. i'm grant colfax and director of the san francisco department of public health. i'm absolutely thrilled to be here with speaker nancy pelosi and community leaders to celebrate the passage of the inflation reduction act. i'm especially excited to be mark thanksgiving occasion here at this brand-new state of the art health center. part of the department's network of community health centers

and -- this center, which is an essential resource for accessible, affordable health care in bay view hunter's point. the passage of the inflation reduction act is tremendous low important. for people in this community. and for all of those who rely on community clinics as it gives more people access to resources and health care. because of this act. seniors and those who get health insurance through the affordable care act save hundreds if not thousands of dollars per year on prescriptions and health insurance premiums. incredible and keep seniors on medicare healingy giving them access to additional, free vaccines, we know can be life saving. 91 of this would be possible

without our representatives lead by speaker nancy pelosi. [applause] who has been an incredible champion, advancing truly transformtive and historical health care. including with regard to hiv aids, the afford care act and now with gratitude the inflation reduction act. ladies and gentlemen, speaker nancy pelosi. [applause], thank you, doctor colfact for your wonder opening remarks and tremendous leadership in our community taking us through covid and now monkeypox a valued resource that we have in our community. i know that you have a meeting have you to be at and so i thank you for honoring us with your presence and if you have to slip

away, we understand. if you were not so busy we would not want you to be with us. because great to be here with doctor colfax with angels calgary the executive director of covered california we're proud of them. thank you, jessica. [inaudible] the director of aarp california thank you, thank you, to aarp for making, we can only do so much with inside maneuvering the outside mobilization. weighing in oft people on the issue and arp has been masterful in this, thank you so much when we talk about reducing the cost of prescription drugs. i have to pull this down. start all over? >> [laughter]. i said we have 2 v. i. p.'s with us. beatrice american cancer society

action network ambassador and she is my boss. and oscar james a legendary figure here. board member of the southeast health center. oscar. thank you for making this wonderful occasion possible with community family center. >> and keith is not speaking but acknowledge wrchl is keith. thank you, keith for your leadership here and the hospitality you extend us this morning but important low the hospitality you extend to people in the community at this center it is pretty exciting the southeast south center now the southeast family health center. here we are -- [applause] families are grateful for their your capable leadership doctor colfax. thank you for that and again i know we consider it a privilege to be at the new renovated

southeast family health center. quality, affordable health care. we took the tour and when you take the tour, it is about health care. but it recognizes health is about your mental state and sense of community and value that is placed on you and people here feel very respected because of the nature of this accomplice. it is just remarkable. we gather here to share the good news under president biden and democrats and congress health care costs will come down. powered by our rescue plan to begin with, health care is more accessible and affordable than ever. we tried affordable care act to bring down the cost health care and did except when it came to the cost of prescription drugs. we are about the kitchen table of america's working families. how can we lower costs and increase paychecks and make

community safer. and that is what we have dmn this piece of legislation. with the inflation. we had in a rescue plan now extended it with the inflation reduction plan biden sign in the law, add to when we did in the rescue plan driving down the cost of prescription drugs and extending the premium reduction this is is about the kitchen table. here is what the ira. we call it they don't want to call at this time ira. sometimes they talk about that. the inflation reduction acts means for medicare beneficiaries in our city. cap the drug cost to 2 thousand dollars. this is a rable achievement. we have been trying to do this for arc while. we kept the copay so what people don't have to -- insulin. 35 dollars a month. that is like 110th or 120th of

where it is. and i have to say, we did that without one republican vote. sad to say. without one republican vote. we have been drug members from pred tori price hikes they have been engaged in and finally empowered medicare to negotiate for lower prescription drug prices. that is the big triumph. this is historic we have been trying to do this for dekdzs big pharma weigh in the and weighed in and strangle hold on our ability to loose it free congress from that. we want to do more. but this opens the door on and we are proud. it is historic without one republican vote. and big pharma says the democrats will pay for this. can you imagine mag they say a thing to threaten us for lowering costs for prescription

drugs for america's family. san francisco the provisions save millions aier in our own community. and now we will hear more from arp california on what this cost means for families. before we do, it is thousands of people in our community are in covered california this is what ira does for them. rescue plan slashed premiums now locked in the lower processes at least for 3 more years and then that is what many of the other provisions come due. our lever acknowledges increase in the that town. we will keep affordable insurance, the average enrollee in san francisco could save over -- 1400 dollars. the ming mum in premium costs. family of 4 could save up to 2800 dollars. 2 seniors could save 21 thousand

dollars. we are fortunate to joined by jessica of covered california. will share how we save more for 90% of enrollees in our state. >> we are blessed be joined by 2 v. i. p.'s very important people. >> a leukemia patientness the burden of drug costs and oscar james will tell us about his pain. and a board member southeast family health center. medicare beneficiary. a powerful voice for many years and his reputation he honors us. law passed possible because the outside mobilization.

you cannot do your best job just inside maneuvering. there has to be the engagement of the public. so that members of congress know and hear from their own constituents what they node. and how they need it. in the terminology that means something to them. because we believe that health care is a right not a privilege. too many families face the impossible choice. keep a roof over your head and food on the table or access to life saving care. campaign trail, i have seen grown men cry because they can't pay the prescription drug bills. they have family members and say, i just can't afford it. and it keeps getting more and the it was the one element of the affordable care act we reducing the costs that kept going up and now we have broken

that strangle hold. lowering health care cost system about justice these benefits flow to the most in need. vulnerable seniors, working fells and communities of color. we honor doctor king, doctor king said, of all forms of inequality injustice in health care is the most shock anding inhuman, he said, because it is often result in physical death. now it is my privilege to introduce jessica k with covered california in delivering quality affordable care to all. jessica. >> thank you, so much. madam speaker not only for the opportunity to be here today. but for your leadership and commitment in make thanksgiving day happen. the inflation reduction act provide critical savings for

millions of americans including the 1.7 million in california who get their health insurance through the affordable care act marketplaces including covered california i'm here to represent. the savings have empowered cover california to reach record levels of enrollment. reduce what consumers pay by 20% and a critical piece in bringing california to the lowest uninsured rate on record at the height of the pandemic. by extending for another 3 years we bring health insurance within reach of more people than ever before. this law will help californians and people across the country get coverd and stay covered. as you know, the act extends the increased and expanded financial help initial low included in the american rescue plan. the capped 8 and a half % of

household income low are costs for more people. the law provides free, silver plan the average level of coverage for low income californians those who earn less than 19, 230 for an individual or 40,000 for a family of 4. and extends financial help to middle income consumers those who earn more than 51 thonned for individual and 10 sick thousand dollars for a family of 4 who were ineligible for financial assistance. right now 2 thirds of the consumers we serve get comprehensive coverage for 10 dollars or less per month and many get it at no monthly cost. [applause]. we saw gains among communities of color. and low indm families got the piece of moindz that come with

quality, affordable coverage making our health care system equal at the same time we make it more affordable. we seen middle income families paying 20 or 25 or 30% of their income on health care premiums save thousands a year. and the savings for 3 years means californians and people across the country will continue to have the access to health coverage they need and deserve. those are a lot of big national members i will show what you it means for the people in the greater bay area. right now there are about 325,000 cover california enrollees. including 40,000 people in san francisco, county. in speaker pelosi's district tell help cover california enrollees save over 100 per month on average on top of the financial assistance they were receiving through the affordable

care act. one couple that is benefitting is erin and jacob met with speaker pelosi when the american rescue plan was passed. they are professionals photographer and business stray up when the pandemic hit. the law helped them keep coverage at a time when it mattered more than ever observe and now they are paying less than 50 dlrs a month for a high quality health plan for the both of them. speaker pelosi, thank you. the work you have done along with congress and president biden will make a world of difference in the lives of millions of americans and hundreds of thousands of californians. it will allow people like erin and jibbing on keep their coverage and the costs within reach for people throughout the state who don't have health insurance today but could have it tomorrow. open enrollment on november

first and i encourage anyone californian going without coverage to individual coverage california. it is more in reach than ever before. with that, thank you again to the speaker for her leadership and for this incredible accomplishment and my pleasure to introduce rossy advocacy director for aarp. california. >> good morning. thank you madam speaker and guests a pleasure to be here with you this morning to talk about inflation reduction act. years of discussion and negotiation and thank you to speaker pelosi, congress delivered role prescription drug price relief for millions of older americans by passing the inflation reduction act of 2022.

this historic new law includes many key aarp priorities that will save taxpayers and medicare billions of dollars including foible low allowing medicare to negotiate the price of prescription drugs. >> [applause], >> getting people with medicare plans the piece of mind knowing they will not have to pay more than 2 thousand dollars a year for medications. penalizing drug companies raising their prices higher than inflation. limiting the cost of insulin to 35 dollars an among for those on medicare. [applause] >> and making many vaccines shingles available at no cost in medicare. these prescription drug provisions in inflation reduction act of 2022 broad bipartisan support in voters and are long over due.

speaker pelosi we know you have been a strong voice of support for lowering drug processes and grateful to you and your colleagues for getting this bill across the finish line. one cannot state what a monumental improve am this will be february older americans and all struggling to afford medications. for decades, medicare has been prohibited from using the buying power to negotiate lower drug prices. up until now, the pharmaceutical industry successful at keeping that in place. this new law will finally change that equation and put money back in people's pockets instead of more profits for pharma. this law will also keep insurance affordable for millions of americans when qualify for expanded financial

assistance and will prevent a massive previous premium increase affect 3 million people. this is so important for aarp especially for members 50 to 64 who already pay up to 3 times more for their coverage than younger people this is an e normous victory the fight is in the over. big drug companies spends millions trying to over turn the luto keep charging americans the highest processes in the world. aarp will keep fighting big drug companies out of control process and we will not back down. once again i thank you madam speaker on behalf of 3.3 california numbers and all older californians for strong leadership in achieving the passage of this historic legislation. and now it it is my upon honor to introduce beatrice duncan,

health and wellness advocate and constituent. >> thank you. >> good morning, my name is beatrice duncan >> going through cancer presentses a series of changes the many trials we face in cancer journey covering the high cost of out of pocket for medication is the most troubling issues and contributed to health desparity patients force to delay or forgo life saving. for those taking new or special drug therapies or medications, include members of our communities, the cost prescription drugs can be in tens of thousands per year. if i have conversations with

other cancer parents the tommic on how are out of pocket cost force us for paying for cancer medications or shelter and other essentials necessary to our daily life. for example, having to purchase to medication [inaudible] the cuomo therapy infusion i'm one of those. being able to have a care provider if affordable. consistent chronic aid health problems and most important low being able to address emotional and social problems the need professional attention. with the passage of the inflation reduction act for lower health care costs we have taken an important step in creating long-term affordability and will help spread the costs predictable for patients and

survivors. to speaker pelosi, thank you for your support, leadership and our continue efforts to ensure this very important legislation was successful. thank you for bringing affordable medical coverage and access to cancer medication to the forefront. you have demonstrate third degree is a human right's issue. one that will impact the constituency you representative in the house of representatives. earlier i mentioned the challenges this we face as cancer parents with this law there will be reassurances the cost of cancer medication will be not one of them there is a bright future for me. and i look forward to share thanksgiving time with my daughter, my son and my 4 grandsons and 6 great grandchildren. and to focus on one of the things that truly matter in life

that people give this life a true meaning. thank you. >> see how excited i get. it is with a great, great pleasure to introduce mr. oscar james. southeast health center advisory member board member and a person this we exchange a lot of history in this neighborhood. mr. james. like to honor the heros of market who help bring a lot of this to fruition. i would like to definitely -- give all the respect and love and all of the things you have done for the community mrs. nancy pelosi we should vote for

the next time and make sure biden becomes the next president again. like they said before, it was a democrats who done this for our community and city and state. so therefore, i'm saying because of -- what has been done, this building would not have been here if not for persons like nancy pelosi and people in the community as a whole. >> both done was done through model cities and this building here was done from the work of ofy bever ~ess our president. this building would not have been here it is a historical building represents all the residents. of bay view hunter's point if you have the opportunity to go through and have history.

has done art work show the heros on the quilts that in this building upon people not to the quilt in this community. i want to be brief. we need to vote for more democrats this project could have been better than what it it is. the nay sayers and ones who don't watch for the american peoples, did not vote for this package. therefore, mrs. nancy pelosi, you know, she brought a lot of money this community. she brought money to help with the ship yard and all brothers and sister in the kuntsful mental problems and things like that, she has done a lot to bring that money here. we owe her a debt. the city owes her a debt and make thanksgiving community and

this city safe for all peoples. with that i will quit i will go on and on. but i just love you and keep doing what you are doing and vote the next year election her back in office and biden back in office and trump and his people when is they rescind when we should not do and should do we are watching for the peoples. united states and this community. >> thank you very much. >> [applause]. >> thank you for your community your appreciation with so many of us wing fort worth we are able to accomplish. you mentioned asthma earlier i saw a precious child across the street. and it is important to note in this legislation inflation reduction act, we have the biggest commitment to protecting our environment and savingor planet with environmental

justice. ever, ever instituted by any government. any place at any time this it is again environmental justice is important part of what president biden is b. health and environmental justice. infrastructure justice. equity and he puts resource there is to make it happen. because again, the subject of asthma and it is occurring in communities of color especially is one that is immorality in our society. this legislation guess a long way for clean air and water as we again protect the planet for the children so thank you for mentioning that oscar and for your kinds words. this is again this bill was about health care. and we consider the health of our planet a health issue as well. i did deposit want to just focus on the health aspects without settle way to what else is in

the legislation. 2005 and 6 when we were run to take back the house from the democrats we had 6 row 6 a new direction. 6 pieces of legislation we would pass in the first 100 hours of the new congress. we passed all 6 in the house. 5 became law. one did not. and that one did not prevail in the senates was to enable the secretary of hhs to a negotiate for lower prescription drug prices. we were fighting for arc while. put it on our agenda passed in the house could not get it through to be passed because of the strangle hold. with the outside mobilization, aarp and all of you and the courage of might have members in the congress that just take that

vote. and the leadership of president biden we had made history and have made progress. for our seniors and people. i'm sure we will be honored take questions you may have. questions? no. >> we anticipated all of your questions you may have. >> yes , sir. [inaudible]. yes. >> [inaudible]. >> it is disarc pointing because our the reason i have all the security i have is because i'm second in line to the presidency that never will help but none the less it is a continuation of government issue. so you would think that the

secret service would have everybody else in the line all the secretaries of cabinets who follow the speaker of the house in succession have secret service protection the president and violent have the most. but they had justice decided that they would not do that. it is irresponsible. we have questions about irand not of the secret service at the time of january 6 some performed manage 95 cently. some did not. i have many [inaudible] probably more then and there anybody export air presidential candidate. i'm more concerned about the safety of my members. safety of our staff the safety of those who cover us. in the capitol and you see the frivolousness which the secret service treatd that. i have the protection of the capitol police i'm indented than i saved our democracy on january

6. [applause] >> strong democratic showing [inaudible]. >> this was a big victory left night. since oscar talked politics i will, too. the question would not brought up a political subject we had a victory last night. people were stunned the fact in a district that was not supposed to go democratic it did. i give credit to our candidate pat rion. excellent veteran and public servient. a small business person bringing so much to his candidacy and so much to the congress. very soon. he has won the special election. i get one more vote. when we -- when we have accomplished all these under

biden the rescue package [inaudible]. were the infrastructure bill with with some republican row. the issue of chips and science and some republican vote. and now inflation reduction act with no republican vote we have 220 dem credits in the house. franklin roosevelt had 319 democrats in the house. we have do this carefully and i'm proud of the courage of our members. this was the residence should be very, very scared this morning about their prospects. i had never believed we would not hold the house. that's my mission and hope to accomplish and i have a floon do it under sean patrick had a victory last night.

our chair. but this one -- they expected to win and they out spent us but we out organized them. and that's when. we don't agonize we organize. [inaudible] we had it in this bill reduce the cost insulin we had the bill on the floor on its own without anything else. and we only got 20 republican votes that means 190 residence voted against it. this bill had more because it had [inaudible] reduction of this or that. since they think the climate crisis is a hoax you see well

they had that excuse not to vote but when it was insulin alone, only able to get. we thought -- how could they resist this. insulin is costing 6 or 300 an among. this take its down to a 35 a month copay. you would think that respect for constituents and the brood need you mentioned they would represent their constituents. no they represent big pharma and that's really what the success was in this bill. that we were able to -- losen the strangle hold of big pharma on our families. thank you for your question. >> thank you. >> thank you all so much and let us thank again the family health center. thank you doctor for your leadership. and wonderful being in the

commuter. oscar given me the figures he is about the [inaudible] hidden -- black excellence [inaudible] >> in every way taking great pride in the african-american community as we do. you have to know about this area was the leading area in san francisco of homeownership. of homeownership. this is about community. and the word, communities, as we are remindeds had the word. unity. that's what this center is about you see the welcoming presentation called woven comb. just like -- that respected it has for the people coming in to calm them and provide a community center when they come

together. share thoughts organize, not agonize and make the future better. so. thank you all so much >> sdwroo good morning

and welcome to the victoria's house or beautiful community in san francisco. we will like to welcome our am mayor london bride. supervisors and department of public health. thank you for joining us all. y victoria's house an arc dull residential community is supportive environment for clients that need assistance dealing with mental health and coping scythes. offer a process that delivers

services, life skills and social programming supporting daily living, medication management, moles and housing. >> our all inclusive on site services provide a step down solution from arc cute setting for clients to be self sufficient in this beautiful city of san francisco. when they reenter the outer community or community can be a solution or client's forever home. i'm asked why we name today victoria's house. i met a client victoria transitioning at that time. she identified as a woman most of her life and was unfortunately mistreated by the system. her decision maker did not understand and did not approve of her transsxigz not allow her care to continue. out dated community care licensing regulations housed her with a male roommate. when i lynched her story i learned how the system failed

her, i said there will never be again a tragic situation and we will provide a community where everybody will be welcome and treated with dignity and respect. [applause] >> our team is proud to be providing residential care and supportive services in san francisco residents. we would like to thank mayor london breed for her leadership, thank you. [applause] as well as all the support she provide not only to our project but all of the new mental health services provided for resident in san francisco. also big thank you to governor newsome for recognizing they need to help with mental illness and funding needed now jc my partner in this project. >> i'm sorry i would like it introduce john. then jc.

good morning, thank you for being here. i like to i had a chance to reflect on our journey from the day we saw this property and tour to today with the beautiful facility. we would not be here today if the board did not pass the controls and legislation which protected board and care facilities. the protections made it difficult or impossible for developer to purchase board and care and change the use to something else. this legislation was introduced by supervisor mandelman who is here today and supervisor ronnin. mental health and homeless issues the top of their priorities. without the protections, we would be standing next to 2 single family homes or market rate condos instead of 46 rehab beds for the vulnerable. we would not be here without mayor breed willing to tackle the big issues. the city's funding of mental

health and homeless issues. you got a tough job. and the mir's office was helpful in getting this over the finish line. i spoke to the governor about 10 days ago talked about the 225 bed facility in san pablo in 2021 the 46 facility here and 150 bed facility in southern california. i thanked him for the care courts and the state pundz funding directored to the issues. however, for most of the efforts to be successful, we need more rehab beds like the ones we are opening today in the continuum of care. these beds familiar general beds likely allow sf general and other acute settings to open beds to get more people off the streets and into care. and the [inaudible] we strife to provide would be an excellent stop for a person headed to but

not yet ready for permanent spicht housing. this is where private/public partner ships with make a change we look forward to the continued work with the mayor's office and the state of california to make lives better. thank you. [applause]. >> thank you, john and beny. thank you mayor and supervisor mandelman. a bit of background we are excited provide the frisk beds. the 46 bed facility with service john and betty referred to. we acquire third degree property over 2 years ago in january of 2020 before the pandemic. it was a neglected former boarding care vacant before we bought it. the likely aisle was condos or high end housing. we saw the potential to rehab in a high quality facility for san francisco's most vulnerable.

the challenge was preserved the buildings historical vicktoryian quality and delivering a new facility inside. i want to thank our inhouse team and open scope and mark, danny who are here. our construction partners it u. and [inaudible] financial support as our lendser. they stepped up to support construction loan in the earth months in the pandemic when many banks had with drawn from the market. we have a license in hand and yesterday our final other certificate of occupancy. thank you, everybody. [applause]. thank you we would like to welcome mayor london breed. [applause] >> there are a lot of folk who is know that i was born and raise in the san francisco and my grand mother raised me.

i grew up in the house with my grand mother's daughter who are had a disability and constantly struggle when my grand mother developed dement why and someone needed to care for my aunt it was challenging dealing with the system. fortunately, for my aunt she had family. people this supported her because, trust me, had she not had us looking out for her she would be on the streets. not able to take care of herself. and in fact, what i appreciate most about the w this we are doing now is that provides an opportunity for to yous support a community that may not have relatives or support to help a system with being able to live a productive life. i appreciate so many of the great organizations in san francisco i worked with over the years. but also we know it takes a

village. when i became a member of the board of supervisors, we had a number of the individuals in our community. there was a gentlemen who i was very familiar with his family and than i watched their father decline significant low to the point where they struggled. and i tried assist them in getting a bit of conservership for their family member, it was a long process. a struggle. sadly t did in the help and unfortunately, their father passed away and died on the streets alone. them should in the happen in a place like san francisco. i other than that there are a lot of people who believe in you know just people having the rights to decide what they want to do with their lives but this is complicated. there are people who can't necessarily, i will tell you from experience about my aunt, can't even decide how to pay her

rent. and to figure out the basic things when she needs to buy. i would sends her to the store to pick up things, yes, then she would spends the money on things she was not supposed to. it was a constant struggle trying to take care of her. it is so much more complicated. when i became mayor, it was important to me that we look at mental health and start to talk about it like we do any other challenge. and we look at our portfolio and behavioral health beds. what will happen is someone in the past before the street crisis response team someone get a 911 call. there was someone going in and out of traffic. taking the general and released walking around weapon no help or support and people wonder. what are we doing wrong.

why are we not transitioning them to a place so they can live a product of lifelike everyone else. we added more besd. we reached 2, 200 beds in 2019 and made a commitment to add 400 more in our portfolio a 20% increase we identified the challenges and needs are and how we can provide these opportunity for people who are struggling. we appreciate so much partners like a & arc health service because we can't do this work alone. we need partner and need people who will make this place a home. so that when someone who is may be provide service through our street crisis sponse team they ends up at general, they may end up at hummingbird but what is next. this is next. this gives stability.

gives support to people who need support. and it helps to map out hat next stage s. is it programs like golden gate regional. like the art. is it programs that help them to sustain their lives with dignity sne i appreciate being here and in fact, this is one of the most beautiful behavioral health homes i have seen in san francisco. so, i know that the people here are going to appreciate that. and they will appreciate also not only where they live and how beautiful it is but that they are treated with respectful you know this they are able to maintain their dignity so we can help get them to the next level this long with the other great things we are trying to do in san francisco, are going to be a game changer. again, we thank you for being here and thank a & a health services and the department of public health and behavioral health team for all the w they

have done and will continue to do to make sure that we are not leaving people out on the street in crisis and giving them the care and support they need. thank you so much. [applause]. next we would like to welcome doctor colfax from department of public health, please. >> good morning and thank you, everybody i say when i was driving here and parkoth street i thought, well, not sure where the bodiesing is it looks like the realtors have an open house. this is just a beautiful spot in an incredible environment. we know from the science that the requirement the physical environment in which people live during their journey of heeling really makes a difference. realliment to thank our partner

who is helped spearhead this project. mayor breed thank you for your leadership and supervisor mandelman thank you for being here with us today. i wanted to thank a & arc health services. this was something differents for the health department to do this partnership really is promising for more working together with you and others on a private partnerships in the future. i thank the dth behavioral health team in the back. lewis, thank you for your leadership and work in this and our behavioral healing director comings is here today. these new beds will increase our capacity to provide on going medical treatment for people throughout the city. and as the mayor mentioned, we are making progress in the commitment to adding 400 new beds. and with this newarkdition, we

are 2 thirds of the way there. and in fact, we obviously, got delayed a bit bite pandemic but in 2021, we added 89 new beds alone. and we anticipate adding additionaling 90 new bedos line soon with 70 new bed this is month alone in august of 2022. great progress there this issan a model of care not only a way of figuring out how to get this done on the ground but [inaudible] and it it is this type of state of the art facility allows us to meet people where they are and new way and addressing the challenges that so many people have on their journey to recovery. this is a part of the system that we are building the system of behavioral health care. from the acute needs of people to stabilizing them to the

journey of independent living and having the resources available for people thshg is a chronic relapsing cannot resources available to meet people where they are treatment on demand and ensuring people get when they need when they need it and the appropriate level but it is also the appropriate environment. and this environment here today is so exciting for us to see 46 more beds. i'm thrilled. thank you again for having us here today. thank you for the partnership and with that i will turn it over to supervisor mandelman. thank you. [applause] >> thank you, doctor colfax. and to all the folkos your team the department of public healing thank you for your work every day. thank you mir for your commitment getting folks indoors with behavioral health needs and

addictions. she struggled with mental illness and electric therapy and every treatment known and never really stabilized she needed to be in place like this for this time. i fear that if she had been in san francisco in 2022, she might not have been in a place and have been out on the sidewalk. it is person for a lot of us. i know like once you have the conversations with people this is in the an unusual experience. and i then and there some folks involved with a & a have personal experience this drives them. and you know i think that it is a critical need in san francisco's critical need today. you know the backgrounds we lost 500 board and care beds the last dvenlgdz 50 facilities the market has not been helping us. and the same time, we have tremendous human needs and really fundsamentally we need

better responses on the street and appropriate for accomplices for people to land you know when we engage with them on the street. we want more of those to lead to coming off of the sidewalk and insdpoors can't do that without facilities like this. i'm optimist thick is a great morning i'm optimistic about san francisco and want to thank jc and john and betty for having the vision and for you know i love our nonprofit partners they are critical to us. we need all hand's on deck. having a player that is interested and figuring out whether they can move from the elevator care space to this space and take care of the nonelderly adult who is need help is exciting and it was a joy to which tour the facility and a joy to help in the little legislative ways we can. i hope this works limp i hope you are down for doing more.

thanks, everybody. [applause] sdwroo okay. 5, 4, 3, 2, 1! okay. 5, 4, 3, 2, 1! [♪♪♪] >> at san francisco animal care and control, we care for all

animals, any species. we get about 10,000 a year. they can be injured, lost, victims of abuse or violence, and we take them all in and we care for them. >> i felt really passionate about getting the spca a new building. i had personally seen first hand when my family was searching for our first rescue dog what conditions a lot of the animals and the staff from a.c.c. where working in. >> we were really excited to be moving into this new shelter. our current physical plant is in terrible shape. i like to describe it as the building is working against us rather than for us. this shelter was put together in six months, 30 years ago, in a building that is now 80 years old. our staff and our volunteers are amazing and wonderful, and they are warm, but the space makes it difficult for people to connect with the pets because we have families coming into adopt, we have families surrendering their

animals, people looking for their lost dogs, and they are all crammed together in a very small, emotionally fraught space our heating and ventilation system is very poor. right now, our shelter is not capable of good ventilation to prevent the spread of disease. we have no security features. our veterinary suite is cramped into one room. we can only perform one procedure at a time. >> one of the main lessons learned from hurricane katrina is people were reluctant to evacuate. if they were fearing that their pets were going to be left behind and not cared for. >> in the event of an earthquake , we need to be off the grid for 72 hours. it is unlikely that we would be able to fulfil our mission to take in domestic pets that need to be temporary looked at while parents are out of their home. in a new building, we will be able to meet those earthquake standards.

[♪♪♪] >> we are standing at the site of the future animal care and control facility. that is the beautiful brick building you see in the background behind me. this building is part of the showplace square historic district which is a collection of brick warehouses and factories that was built in the late 19th century. this was built in 1893 as the original coal-fired power plant for the first street car in san francisco and has been owned and operated by munimobile ever since. >> we chose this building for the project for a number of reasons. one is we are not far from the existing animal care and control facility, san francisco spca is nearby, and it is a nice nexus to have in the center of the city. [♪♪♪] >> what we are doing is we are going seismic upgrading the building. it is un- -- and unreinforced masonry building. we are going to be installing

floor prate -- floor plates across the space to put in all of the animal housing. >> we will be able to get our -- give our animals adequate space. we will also be separating our small animals into different rooms. right now we have reptiles and bunnies and birds, everyone all crammed in together. >> the tricky part of it is to find open space in this existing urban environment. we did that by inserting an open air courtyard, and also using the roof deck for another dog in small animal run. [♪♪♪] >> three, two, one! [cheering] [cheers and applause] >> when the new a.c.c. opens and two years, it will be incredible and we will finally have the world-class facility that our animal shelter needs in the city

>> meeting of the upon san francisco public works commission today is friday, september second, 2022. the time is 10:02 a.m. >> secretary. call the roll. >> good morning. please respond with here or present. newhouse-seeingal. >> post. >> here. >> paul woolford. >> here. fady zoubi. >> here. >> vice