have, and actually have occurred, within the mayor's office when mayor nusome, pulled supervisor amiano at the time, and other leaders together to talk about what this legislation, would look like. and it was determined, that there would be two tiers not three tiers. in fact, what has occurred, as a result of this loophole is that there has been the creation of a third trao*er, a third tier, which is exempt, and there are no exempts. and there were none at the time, and that third tier of employers who have been able to get away with taking back the money, under false pretences for many of the employers who have actually restaurant employers who actually put a amount on the check that should be deducted for healthcare that often goes back into the pocket of those employers. and so, that is fraud. and i remember at the time that there was a clear understanding that this was just a start. and nobody even imagined at the time that it would not cover everybody. in the meantime, hundreds of millions, hundreds of millions of dollars, that should have gone to healthcare of poor and working fam

one is that was introduced by assembly man tom amiano to give san francisco a choice in how it does itsnergy cca programs. unfortunately that bill died in the local government committee. they had some concerns about t the forces on the other side that didn't want to see it said it violated the city charter but we said it didn't but the bill did not move forward. the other bill we're monitoring is the brad ford bill 2145 which would change cca programs -- it and the bill would get through the committee. it's now sitting at appropriations committee where it will get a hearing next week. should it go from there to the assembly floor and pass that to the senate side so we're monitoring that. i believe ms. miller on behalf of chair avalos and sent that and i will keep you up-to-date as the legislature moves forward on the process and on the final one i will talk about here on the list is the -- as the three of you know since you're on budget committee and approved by the board unanimously this tuesday was they're looking at how do we potentially join marin as an option to our program. one of

loophole and insure that everyone can be covered and from what miss tran said on behalf of assembly man amiano we are removing barrier to many vulnerable people and children and to having access to affordable healthcare is the critical goal and i am very pleased that supervisor campos, hillary from his staff, and coalition of health equity and labor that is here today are moving this forward right now because we cannot wait, so i am really glad that we can move parts of this forward today. >> thank you. >> supervisor yee? >> yeah, i just also wanted to mention that i spent most of my life in non-profit organizations and it has been a long time and so i remember in the earlier parts of my career. with the non-profits and hardly any non-profits have health insurance. and then, when we started to discuss, and the need, many of the non-profits and this is going to kill a non-profit and well, most of the non-profits have health insurance today and it did not kill the non-profits. and so i want to, and i want to use it as analogy for some of the people from the small business, and that might be sayi

francisco, we have the health and security ordinance, which is a brilliant law that was authored by tom amianond with the help with so many people in this room that created an employer spending requirement that mandates that the businesses with 20 employees or more must spend the money toward employee healthcare, and the ordinance is helping thousands of san francisco workers gain meaningful access to health insurance, however in the reason that we are here is that there continues to be a loophole in this ordinance that has for the last number of years prevented more than 26,000 workers from using money that is required to be paid under the employers spending requirement, for the purpose of buying insurance. and these are the workers whose employers meet their spending requirement, through the use of what are called the health reimbursement accounts and while in the past, many of these workers, 26,000-plus have used money and health reimbursement accounts to purchase the insurance, the affordable care act has made it impossible to them to use money in these accounts for these purchases, this l

you know, this kind of fuzzy history about whether or not this is a loophole, i was involved, with amiano'sffice when i worked at the council in crafting this legislation and this was never, ever ever ever an intention of the legislation. patients who are working and doing what they are supposed to be doing and trying to make the ends meet and they can't afford the insurance or the medication they need and the hospital sends them home with life threatening issues and give them two weeks of medication and what do they do after those two weeks of medication is up? these are the kinds of realities that the nurses are seeing every day and it is very frustrating to hear the dph that should be leading forward, and leaning forward on this issue and leading this issue to make sure that san franciscans are getting healthcare, and that the dollars that are intended to go to healthcare and yet they are putting up a huge roadblock that is exactly what this means when you say let's study it more and wait and see that means that you are not going to do anything about it and we should be on the cutting ed

that the hel healthy san francisco and the ordinance that we fought so hard for with the supervisor amiano became the lay of the land and i was involved in all of the negotiations that were taking place with the mayor's office after this past eleven to nothing and i think that it was brought up today and i am thank you, supervisor campos for mentioning this that we were ready to rock and roll and there was resistance because of the political context and we have already had that political discussion six or seven years ago over this act and i think that to have it come up again is you know, sort of a little bit ridiculous. and we do have and i was a member of the mayor's healthcare committee and the one thing that did come out of that committee was very clear. and that is the affordable care act, and the san francisco healthcare security ordinance can exist side by side. and there is absolutely no way that anybody can or should be able to argue against the path of this legislation takes and we do have the health savings accounts right now where the people are clawing back the money and we th