so this is a graphic from our october 15th open house which we had to talk about expansion. and i'll say that although i certainly would have liked to roll out thousands of bicycles we were disappointed to roll out 300, 350, that has afforded us an opportunity to do things a little more thoughtfully. if we had rolled out with the initial number they would have been in that service area and the initial thinking was when we got the missing 150 bicycles we would indeed fill in the gaps in that service area but we've been thinking about it hearing from people watching how the system is being used and our thinking now is today ahead and move into areas where we don't have stations now that are basically contiguo u.s. and go around the corner down mission and valencia into the mission and this doesn't mean filling in isn't a good idea but right now if we have to prioritize, sure would be nice if it went to where i live a little more or where i play and i think mission and upper market definitely fall into that category. i have an couple of slides that explain our thinking more on

our immediate expansion is not that big 15 stations and we also have additional funding so we'll try to get as many additional stations we can. five more stations. >> that orange area is for the 500 bicycles? >> so this would be for 5 hundred bikes yeah and my last slide full expansion based upon this suitability map. >> uh-huh. >> we think that if i had 20 to 23 million dollars right now, i would just blanket the north east quad ran of the city with bicycles. that's 9 and a half square miles 32 percent of the residents of san francisco. realistically we'll be looking at something more like this. there will be un doubt ed ly satellite areas that are also scoring in the very high suitability. >> how many bikes? >> this is really just the same polygon as this. we don't know exactly how many more bikes would be represented by that, but i think by the time we got there you know, we'll be close to there. i think treasure island is going to be a while and hunter's shipyard these are big projects just getting online but city college and sf state with transit out there and bart those could w

those are the expansion team the cities expansion team and they're separate and a apart 3r9 expressed a willingness to work with us and the community to address those concerns. since that time those letters have appeared picture i think a more cooperated process is necessary. i have a pledge from the city actors they're going to put forth a plan not only to work with us but with the stakeholders who are impacted. it's on your calendar for december a proposal the expansion team we've asked the expansion team bring back their proposals to the commission we expect progress t-bone now and then we take those concerns seriously >> thank you. i guess that's a question on the yerba buena proposal. i know we don't have a conclusion by the city as to who is the custodian. i guess we can recommend participate, influence n this decision we're not going to leave it to the city >> the public works m m report put forth a number of models and packets that are triumphed to the commission this model where the fee title is owned by the city but a third party essence is ground leased the fundamental prin

the benefits of traditional medi-cal and expansion medi-cal. but i will keep with the terms traditional medi-cal and expanded medi-cal. the benefits package between traditional and expanded medi-cal will be the same. there is one note that i think is of importance to this group is that there is some state and federal policy pending regarding long-term support and services for the new expanded popping. it's definitely, i don't want to say a gray area but there is some waivers that are pending and we are still waiting for some policy clarification around there. so to kind of bring that full around, i think most people are familiar with the medi-cal program. i did want to put that into the context of health care reform. health care reform does more that expand the medi-cal program. traditionallly medi-cal will continue for persons with disabilities. expansion medi-cal will now expand it to children with income below 250 percent federal poverty level. i do have some examples on what that means because i know not everyone knows what fcl is. and adul

to present essentially we've had a number of go-arounds with this resolution, concerned about the expansion of parking meters and concern from residents, in particular, parts of san francisco and considered about the outreach effort of the mta as well, and so what we have is an amendment that would lower the number of parking meters that would be authorized for new meters na are part of this resolution from 10 thousand to 5 thousand and the meters will be disbursed as follows, it's on the second page of the amendment starting on line 4 describes the new meters go in, whereas the board of suze sores understands it is the intention of the sfmta that the additional 5 thousand single meters be allocated as follows, 1200 for port meter replacement, 2800 to replace damaged meters and 1 thousand to be used as a maintenance float, so there will be no expansion of new meters and if that's going to happen, it will be another go-around from the mta to describe how they will implement and with a lot of outreach to the public, so i know we have mr. risken here who may be able toed answer questions we mi

and so, they need that medicaid expansion.et, these are governors who are refusing to do what's right by the citizens in their state who are getting up every day and going to work. >> you know, louisiana has its own distinct political culture, tracy, and this goes back to the fact, you know, it's legal regime is based on civil law as opposed to common law. you've got a non-partisan election situation in which a bunch of people, around the top two vote-getters, have a runoff, and so, one of the other interesting dynamics here, you've got two republicans running. and so, rather than competing to out-flank each other to the right, which is what you would anticipate in a special election, there were actually a lot of democratic votes on the table for one of those candidates to go after. >> it was a very interesting dynamic because you had, for a change, republicans eating their young and democrats being able to watch. i mean, with all seriousness, i think what you had with vance was he had to appeal to that segment of his constitu

. >> so in terms of the expansion whether the 3000 bikes or beyond other areas of the city, how are we going to get there and i know this is a little bit of a loaded question it's a lot of fun -- it's going to be a process but you know i think we all agree and i know you agree that we need to do it as quickly as possible but realistically how do you see that going? what does a timetable look like? i'm saying it's all a little bit speculative. >> right now a regional pilot led by the air district and from the beginning built into that pilot was the idea that during the pilot period the partners and region would really have to figure out exactly what is the model for regional expansion and expansion within the department of communities and we haven't done that work yet and we don't know what that's going to look like it took us 9 months or more just to work out the agreement just between the partners themselves so we're going to need a transitional moment and we're going to have to get 23 million dollars other cities have done this through a combination of sponsors and federal grants whi

currently they might be able to apply for the medical expansion program. some of this population maybe on a share cost for the medi-cal program. they may actually qualify for the medi-cal expansion which means they may qualify for the no cost medi-cal. there are some additional options for this group. that is one consideration. on the last one is persons turn 65 with the medi-cal expansion, they will transition from 64 to 65. at age 64 you are under these new rules and once 65, you are under the different rules. there are a little bit eligibility requirements. when you go from 64-65 there is a transition there and some things that you may need help walking through to make sure that you are having equivalent benefits or getting the benefits that you are eligible going from 64 medi-cal expansion program to the 65 traditional medi-cal program. i do want to call out, there was a wonderful forum last week that the seniors with disability action for health, their website is. sd action.org. they listed all the materials for their website and heightened the awaren

my main issue was the expansion of parking meters, i've talked a lot about that in the neighborhoods and i think what we see today is that these are truly replacement meters and meters to maintain the maintenance. i think replacing the new meters with the old ones is a great thing, i love paying with a credit card -- i don't like paying at all, if i have to, i would rather pay with a credit card than through the old meters, so i think it's a step in the right direction and you know, if we do encounter time when we talk about expanding parking meters, that would be a separate conversation but as for today in this parking contract, i'm happy to support it as is. >> supervisor cohen? >> thank you very much, mr. president. so, when this contract first came to us, i had two key concerns. the first was simple, the number of meters that the sfmta was proposing. and based on the breakdown that was shown to us, i dnl believe the mta had sufficient justification for an option for 10 thousand meters and i think that we all agree based on supporting the amendment that we want to upgrade our curr

and not having the ability to participate in those expansions so i'm happy to see this has been amended and has made it clear that we're not talking about an extension, we're talking specifically about replacement repairs and it's outlined clearly in the resolution, so i really appreciate that. i'd like to mention that on a side note that money that these meters generate, whether it's a ticket, whether it's a payment or what have you help to pay for issues around transportation and we definitely need to make sure that strategically, we're continuously placing meters in the best locations possible, but also the community outreach process is open and such that the folks that are mostly impacted by a change from non-meters to meters are a part of the process, and we don't necessarily go into the neighborhood with the plan to already place meters there, obtain the community and place the meter there anyway, so i want to make sure in moving forward that we are just being open-minded and understanding especially because i think we're kind of venturing out past the territory of commercial area

. >> medicaid expansion meets a red state, blue state divide. we are have a lot on our meendz at the start of this saturday morning, thinking about what it could possibly take to convince red state governors and politicians to back off and deal with a crucial component of president obama's health care law, the expansion of educate. we find ourselves with who will win the big outstanding state wide election yet to be determined from tuesday night a. key state wide office in virginia. the same office that gave rise to ken cuccinelli. the race is close. it seems there are thousands of ballots that went uncounted on election night. we will film you in on the latest on that. we are wondering if history will, indeed, repeat itself with chris christie playing that role. i have thoughts about that. it involves explaining to you what something called a he cume is. you might want to stick around for that. our friend mellissa harris-perry is taking her dedication will pay off. that is ahead. >>> but first, president obama is waking up in miami, florida tod

project goals the reason i'm doing this expansion have numerous. address need for familiar editions and work requirements. there are two of us living in the home and i use one for office and equipment etc. address family and friends for disabled access. my parents are elderly with a likely possibility they'll be moving in with me. i have a friends in wheelchairs and my friend is in one. i can't host family events holidays because people can't get into my home. address for more than amenities one goal is to restore the facade it's currently stucco. naturally i adhere to the planning code and contagious advantage for other opportunities during this process. so project development. the project was developed over several months working with my architecture firm and also the planning department. so there right quite a bit of feedback that we received from the planning department that was morpd into this project. so you know there's been things about out of control development but because we're adhering to the guidelines i don't think that's the case. we

the expansion program is to increase your fleet and expand it. rapid enhancement and market street and the effectiveness project and improvements on the gary proposal. bicycle and pedestrian safety improvements, more accessibility, every time we do construction, we have to bring that to ada compliance and they exceed that level of compliance. the complete street pilots that have been completed are beautiful and makes a difference to the community cohesion. our partners require matching funds from the city and council. some feed money toward bart expansion within the downtown corridor. so there's a number of potential programs that have been identified. oh, and i should note that the identification of which projects to fund was brought to the task force by the mta staff, by the transportation staff, and by bart and cal tran. the transportation members aren't identified what to fix, but more on a policy what the priority should be and then taking in the information that we've received by the experts in the field. so again, streets and signal improv

but trying to keep that expansion close to the building. this area here >> sir, i'm sorry but you need to speak into the microphone. >> this area we're going to cope it close to the outline of the house. this area is set back a minimum of 5 feet on each side. north side it does because of the stairway this is an area of set back photo. we ask and thank you for your time and ask i considering approval of the project. thank you very much >> thank you. the public hearing is closed commissioner moore. i'd like to suggest to the commission this project is notable for us to be heard today solely based on the faculties not providing the information we need to see the application or the file on behalf of the application. the reasons are at the minimum the property needs to be shown on the map to it puts the property into the district it's shown. it needs to be on all drawings the only dimensions we see on and on is on the existing site plan. the drawings are all not to scale and none of them shows the proposed expansion e.r. expansion with the cont

but the other things that we care about thinking about expansion are geographic equity and social equity we care about jobs this system has the great potential to create a lot of great jobs for san francisco ans and we care about universal design to continue to improve the design of the system so that it really is accessible to everyone and blends into the public right of way and in a way that doesn't create obstructions for people. they all approach them in a slightly different way so for us these things are critical when we think about expansion. we want it to create local jobs and we want to achieve equity and we want the design to be the best that it can possibly be and it all hinges on getting the right fund er as quickly as possible and how that all plays out is a little bit uncertain at this time but we're continuing to talk about it and we have a high degree of urge see in terms of expansion because we're trying to do something a little different here than a lot of other folks in the region. they are really about a last mile solution for folks but we're trying to open up bicyclin

it turned the medicaid expansion into a state option. about half the states has said yes and the other half of said no. the only choice they have had. yes or no. we have had an interesting scenario where a democratic governor in a conservative legislature went to secretary sebelius and said, i need to do the expansion. i cannot get it through. let's figure out a third way. planher they worked out a to essentially expand medicaid, but did take the vast majority of those individuals and enroll them via the exchanges. by the marketplace. -- a thingmiums called premium support. arkansas has been the only state to do that. --t we are going to see is you are going to see the figure, the frail or individuals will be in medicaid. pool wentr, healthier up in the exchange. intention, according to their calculations in the proposal, that is going to sustain and save the exchange market. by having that influx of younger, healthier lives. you will see a lot of focus on that. i guess this is part of the same question. i want to address it to you. know

, it turned to medicaid expansion into a state option. as your slides appointed a, but have the state said yes, about half said no. in large part because largely guilty choice they had was yes or no. then we had arkansas come along, very, very interesting singer we have a democratic governor and the very conservative republican legislature and governor bp went to secretary sebelius and said, i need to do the expansion. i can't get it through if it's just medicaid. let's figure out a third way. and together they worked out a plan to essentially expand medicaid but to take the vast majority of those individuals essentially and roll them by the exchanges, via the marketplace. through premiums of technique called premium support. at this point arkansas is really the only state that's been approved to do that. and i think what they are going to see is, you know, you're going to see by definition the figure, frailer, the more disabled individuals as part of the expansion will be in medicaid. the younger, healthier, and better health risks for t

, it turned to medicaid expansion into a state option. as your slides appointed a, but have the state said yes, about half said no. in large part because largely guilty choice they had was yes or no. then we had arkansas come along, very, very interesting singer we have a democratic governor and the very conservative republican legislature and governor bp went to secretary sebelius and said, i need to do the expansion. i can't get it through if it's just medicaid. let's figure out a third way. and together they worked out a plan to essentially expand medicaid but to take the vast majority of those individuals essentially and roll them by the exchanges, via the marketplace. through premiums of technique called premium support. at this point arkansas is really the only state that's been approved to do that. and i think what they are going to see is, you know, you're going to see by definition the figure, frailer, the more disabled individuals as part of the expansion will be in medicaid. the younger, healthier, and better health risks for t

spending i don't blame any of these republican governors for being afraid of taking on a massive expansion in medicaid which is already on sustaining expand which is already has been a loaded wasteful fraud fraught why damage you're not answering my question walt you're not to ask me my question john k. six. i'm going to allow the taxpayers of all to get back the money that they paid in taxes to the federal government and g.m. who are in arizona said i'm going to allow i'm going to let the taxpayers of arizona get back from the federal government the tax money that they pay to the federal government why is that nikki haley and all these you know not all of these but so many of these other republicans are saying you know we're going to continue to send federal tax money to washington d.c. but when it comes to washington d.c. giving us tax money back sorry we don't want it we don't want our taxpayers to have their own money back i don't get it will topple tom that's because nobody believes that the government can do this efficiently and whatever the government is telling us there's no trust

thirty three percent of the poverty level side of for medicaid benefits in states that allow the expansion the federal government going to cover one hundred percent of the cost of that for the first three years and ninety percent forever after that but south carolinians other get out the pay for it themselves this is totally bizarre south carolinians paid all the whole bit o. all of my work pretty much paid federal taxes they paid federal taxes which goes to the federal payroll into the federal budget and then the and then obama obamacare says oh and by the way we'll take one hundred percent of the cost of medicaid for the first three years ninety percent forever and we will give you the tax payers of south carolina will give you your own money back why is nikki haley prevent teen to the taxpayers from south carolina from getting their own money back from the federal government doing it. well so basically what the obama administration is telling these governors is if you like your level of medicaid spending you can keep your level of medicaid spending i don't blame any of these republican

as with all things aca expansion does not come without hitches.allowed state to opt out even though it would help thousands with no cost. 25 gop states have refused the expansion. the choice, getting even worse. to pay for the medicaid expansion, the law cuts subsidies to hospitals who take on a large share of uninsured patients. if hospitals were getting more patients through expanded medicaid and private insurance, they wouldn't need as much assistance from the federal government. now many states will get neither the new patients nor the federal subsidies. in georgia three rural hospitals have already closed this year. "the new york times" tells the story of donna atkins, a waitress in savannah, georgia, who was recently diagnosed with throat cancer. donna was advised to get a special image of her neck but it would have have cost $2300, more than she makes in a month. i didn't have the money to walk in the door of that office said atkins. atkins had surgery friday two years after her first symptoms. it is unclear whether miss atkins, whose in co