and it can really provide us direction going forward. we heard all day about the importance to all of our stake holders about collaboration, communication, and then, of course, resources. which is what this panel really is about. i want to thank, of course, associate attorney general rachel brand, she provides fabulous leadership in this issue. her staff, rachel parker and everyone who worked so hard to bring this event together, of course, thank you, beth. i want to make another huge word of gratitude and that is to the survivors. and the survivors that did speak today and speak at these types of events all over the country. they provide our most valuable asset and that is hope. and i think that a special thank you to them. what is the office of violence against women? i do want to tell you just a little bit about the office. it was created by the violence against women's act, which was passed in 1994 as part of the crime bill. it addresses its mission as to provide federal leadership in development of our nation's capacity to reduce fo

wireless providers would participate in whole if they provide wea service on all the mobile devices they offer at point of sale and the entirety of their geographic service area. they would participate in part if they provide wea service in some but not all of their >>> owe graphic service area or on some but not all the mobile devices at point of sale this will help provide clarity to industry, emergency managers and the public about the availability of wea service. finally, the second order on reconsideration would allow the deadline for implementing spanish language for reporting along with longer, 360-character length messages. and we recognize alerts in spanish can require more characters than equivalent alerts in english and this will allow wireless providers to conduct software testing for these two features at the same time. the bureau recommends adoption of the items and asks for editorial privileges only to conforming edits. >> thank you. >> whether it's text to 911, wireless location accuracy or promoting thery liability of public safety communications approach when it comes t

she provides fabulous leadership in this issue. her staff, rachel parker and everybody who worked hard to bring this event together. of course, thank you beth. and to the survivors that did speak today and speak at these types of events all over the country, they provide our most valuable asset and that is hope. and i think that a special thank you to them. what is the office and violence against women? i do want to tell you a little bit about the office. it was created by the violence against women's act passed, in 1994 as part of the crime bill. it addresses its mission is to provide federal leadership in development of our nation's capacity to reduce four very specific crimes. sex assault, dough mess stick violence and dating violence and stalking. i may just talk about the four crimes, it is a prescriptive program that we follow the violence against women's act and we are basically instructed that we are to address these four crimes. our grant programs -- oh, since 1995 we have awarded $7.6 billion in grants and cooperative agr

we launched a program, players for publishers and has 50 european news providers where we provide them with technical support to have a video player embedded into the website and work with them to optimize the content they produce to youtube and their watch time doubled and they appreciate that fact their watch time increased in the investment to them. >> so you do accept there's a problem of bogus news and misleading news and you accept that you have the responsibility to and the means to address that? >> we recognize that there's a problem of misinformation and we are dedicated to making sure that we are promoting authoritative content when it comes to news -- >> and do you have a sense of mobile responsibility to take those actions? >> we have a sense of social responsibility and it's a business priority to for us. again, the trust that users in our services is relying on a high quality experience. if people are coming for news they expect factual reporting from a variety of sources. we provide sources from diverse news source and yes because we recognize it is an important policy m

of independent providers. in many cases, people already have somebody and this is an opportunity to formalize that care. we are one of the great advocates for the program with senior and disability action and along with hand in hand are providing resources to our clients to help them with that process as well. >> and specifically, what are the services that you can provide? is there a limit? i don't mean limit to the money or time, but actual, physical care? >> uh-huh. domestic services are covered. and that includes errands and laundry, cleaning and general housework, accompaniment to medical employments. the limitations of a home care agency. so it's not nursing care or that sort of thing. >> right. okay. thank you. >> all right. sally, you had one more question? >> yes. i have a question. young adult who lives with his or her parents but is over 18, would the fact that the -- would the parents' income play into the eligibility? >> that's a good question. we are finding in this pilot program that a lot of th

not known as the provider of service for family. ecs provides nearly 100 units of supportive housing for families. and our portfolio in that arena continues to grow as we're asked to step up and provide more supportive housing to families. what we know is families would benefit from affordable chi childcare. there's no doubt. i'm support of locations where one building in particular cannot afford a childcare center that's operating out of the building in which they live. >> that's hard to hear and difficult to see and ecs has 300 employees living with minimum with, many of them, and many would benefit from affordable childcare and struggle to live in the city. many don't live in the city. many would benefit. thank you. >> hello. happy valentine's day. sorry, i didn't bring v valentines. i'm rebecca browning. i would like to say in support of the measure because every parent living in san francisco it's hard to maintain normalcy in terms of having housing food and transportation and everything and affordable childcare is needed and t

now, as service providers, as a service provider, do you feel that the v.a. remains committed to ending veteran homelessness? >> i should hope so. i think the directors that we deal with at loma linda and in los angeles are committed to this effort. it frightens me when people talk about the functional end of homelessness. it feels like the problem has been solved. and we have actually experienced, talking to funders, who say isn't that problem solved? and it is not. >> well, yeah. so here's my thing. i realize at loma linda and l.a. directors you may feel the support of. but has the secretary's decision to remove the elimination of veteran homelessness from his top priorities impact the work you do on the ground? >> it absolutely will impact if those funds are redirected the homeless population will go up. >> last year -- while the v.a. proposed moving money from specific funds to a general purpose fund. how would that have impacted the services you provide to veterans and the number of veterans you serve? >> it would not only reduce the case management we a

there are big employers that provide critical services. it's bad for jobs, bad for our economy, bad for the people that depend upon those conservatives and i'd like an opportunity to work with you to figure out a better solution . >> thank you, you are recognized. >> thank you mister secretary for being here today. we recognize as well as appreciate this demonstration against unnecessary and burdensome regulations and the medicare space. i represent a large rural district in eastern kansas where care options can be limited in addressing any harmful government regulations are crucial. a small rural hospital in underserved populations. can you talk about plans you might have to reduce the burdens placed on providers, particularly the rural providers such as our small group physician practices in rural hospitals? >> thank you and we share the concern about care and underserved rural environments. last year, cms launched a program called patients at work initiative which was a collaborative process to evaluate ways in which our regulations or

we launched a program called "player for publishers" with 15,000 news providers in it we provide them with technical support to have a video player embedded in their website and reduces complexity and cost for them and work with them to optimize the content they produce for youtube and their watch time has doubled and they appreciate the fact their watch time has increased in the investment. it can be important. >> you do accept there is a problem bov gus news, leading news and misinformation and accept you have both the responsibility and the means to address that? >> we recognize there is a problem of misinformation and we are dedicated to making sure we are promoting authoritative content when it comes to news and demoting misinformation. >> do you have a sense of moral responsibility to take those actions? >> we have both a sense of social responsibility and a business priority for us. again, the trust users have in our services is reliant on us providing a high quality experience when they come to the site. presumably when people come looking for news other than entertainment the

so once we meet them where they are, we provide. the with the training, work very closely with wellsprings, the organization in atlanta, and i think that is really the partnership and collaboration is what makes it work. it would not work without the support of our human capital. a lot of people donate thousands of hours of volunteer. none of us are paid for working specifically on a higher hope program. is this all volunteer run. that's one thing that is amazing how it's been so successful. based on all the work the volunteers have provided. once we're able to get them the training they need, we work with the corporate partners like ups, who have actually hired some of our higher hope participants and i'm proud of that partnership and we're very thankful for ups, and as well as with anthem and coca-cola as well. so once they are hired on to jobs, we don't just let them go. with saginaw contact with them for another 12 moms to shake sure how they're doing, how they're surviving do they have the -- we recognize as a business, not all

as you heard from the providers and colleagues, the services we provide are impacting lgbtq families in the long haul. we would be depriving hundreds of families that currently experience isolation, our children continue to experience sort of bullying and harassment in public schools that we work with sfsud to provide initiatives to our families, and so we operate not just through partnership that are vital with partners that you'll hear from, but also with the city and so at this moment i would like to urge you to consider how this is going to impact, not just what ingrid mentioned because of the exodus of families from san francisco because of how the housing insecurity sometimes, as well as our inability to access affordable childcare as you're all working on the issue i'm sure. we really are here to support our first 5 partners and to support all the others that are working to serve hundreds of families in the city of san francisco. personally, i have a two-year-old and as you know, as parents, it's no joke, serving our families, serving our communities and being a solo parent, i

talk to the primary care providers. everything is still very siloed. part of our role is to decrease that siloed experience for folks. we have developed a protocol for under age 18 to begin accessing surgical intervention and developed a relationship with speech pathology at zuckerberg and ucsf which is thrilling because these are things very important to people. let me see if i can make this go up. challenges. so many of the challenges that we face are the same as the last time i was here. one of the big ones is at the bottom, misinformation in the patient and provider community. house is a nightmare in san francisco as we all know. after care, surgery, housing for people is very critical. coordination among providers i feel is improving and part of our patient navigator and care coordinator. it's hard to take care of people in other counties. people have trouble having follow-up care if they have to go across the bridge to san rafael. the network capacity is -- we don't have what we need and so it does mean people are

actually provides? i have been here now nine, going on 10 years, and basically, it provides quality health care for veterans.lion and whether it is inside the v.a. or outside the v.a., their commitment is to provide college -- quality care. it provides memorial benefits. veterans. andwe talked about that earliero your will. over 140,000 veterans a year who have now passed, with those benefits going to their families. pension benefits. hundreds of thousands of veterans get pension benefits. group life insurance. we don't think about that. home loans. veterans over 3 million get a home loan from the v.a., compensation benefits over 4 million or five millions of our -- thes get huge benefit educational benefit. the montgomery g.i. bill and now the forever g.i. bill. veterans are able now -- and half, i think, of the young and -- the young men and women use that g.i. bill. one is sitting in this chair. i used that g.i. bill benefit. i want to thank the president for his focus on the v.a. i remember sitting

does funding naspr help provide funding resources or interoperability between the pdmps so providers better identify patients at risk for addition especially the patients who do not live within a state's border. do you have other suggestions on how you think you can empower providers to identify risk patients? >> the budget does propose requiring the state prescription drug monitoring programs and i believe there may be something -- i want to get back to you on this around the interoperability across state lines because that is a vital issue and i think there's something in our budget about that. >> thanks. thank you so much, mr. chairman. i yield back. the gentle lady yields back. mr. cabello you are recognized. >> thank you for your time with us this morning. the opioid crisis which we've already heard discussed so much this morning on both sides of the aisle because i think everyone is deeply concerned about it certainly has hit south florida. the budget requests authority to work with the drug enforcement administration to revoke provider certificate to prescribe controlled subst

all providers were classified as home care provider one, and they'll receive a $2 increase across the july, all home bridge care providers will receive an additional $1 increase, from 16 to $17, and then, over the next 18 months, home bridge will identify and promote, kind of based on performance and seniority, and provide upscale training to approximately 70% of the workforce, providing the home care tier two and three tiers. so i just wanted to let you know that's happening. obviously, fair wages for these really important workers is an important issue. when you think about the long-term care workforce, and so it'll be really interesting to see how this works. so the home bridge will be conducting an evaluation of the program's impact, and they'll be reporting back to us on how that works, so we're excited that that's finally launching. want to -- i'm sure that hopefully, all of you saw the articles in the chronicle -- there was one on sunday in the chronicle on conservatorship, and i think you know the conservator's office sits within the office of ageing and adult services, and wh

i'm julie salem a childcare provider in the 9114. i search families and a third are low-income and moderate income families. family childcare and childcare in general, quality childcare provides a home away from home and a place where the previous speaker said they learn how to regulate their emotions and play fair and include everybody. when we think about housing and childcare and the kids doubled up and in sros in housing more than anything need childcare and childcare is much cheaper than housing though both are important, i think the childcare impact is very great for families. if childcare is affordable for low and middle-income families they can afford the rent increase. if it's money in their pockets they can afford to support their families. i hope we can go for universal childcare in san francisco. thank you. >> i'm the ceo of hamilton families and i want to come out today because i think it's really difficult for us to be debating these issues separately. families already have to make this impossible decision every single

wireless providers with purchase to pay if they provide service on all the mobile devices they offer at the point-of-sale and the entirety of their geographic service area. they would participate in part in some but not all of their geographic area or some but not all of the mobile devices that they offer at the point-of-sale. these definitions will provide additional clarity to industry emergency managers and the public about the availability of the service. finally the second order on reconsideration would align for implementing spanish-language alerting with the deadline for implementing printer 60 or length messages. doing so we went nice alerts and spammers can require more care there's than english and will allow wireless providers to conduct software testing testinr these two features. the bureau recommends adoption of the items and request editorial privileges extending only to technical and performing edits. >> thank you. we will now proceed to commissioner clyburn. >> wireless location accuracy promoting the reliability of public safety communications. when it comes to publ

finally, the bill will provide fund for continued coordination with local law enforcement. law enforcement alone cannot prevent school violence, just as no amount of prevention training, security, and infrastructure. i prompts-0 mental health resources could prevented tragedies lining that in parkland. but law enforcement and in particular those officers who already staff schools, have an important role to play in any comprehensive solution to prevent school violence. now, some of you pay point out something my bill does not address and that's guns. on this issue many reforms have been proposed over the last 12 days, some old and some new. believe we can find common ground here, too, such as that outlined in the partisan fix nics act, which ensures or background check system is operating as designed. a background check is only as good as the records and the database. the fbi's national instant criminal background check system is currently incomplete abuse many federal agencies and states have not provide all records that establish one as prohibited from owning the firearm u

it provides for the 1529. ration of h.r. this will extend government funding until march 23, 2018, while simultaneously funding the department of defense for a full year this ill en-- this will ensure our nation's defense, pay for our proud service men an women who will no longer be in jeopardy for ongoing decisions of funding for long-term spending caps. mr. speaker, we just have come off of rules committee where we had a hearing for several hours where we detailed not only the parts of this bill but also the agreement and disagreement about -- as between the two parties. i want you to know i'm pleased to report today, rules committee favorably reported out this bill and we will be talking about the substance of that today. i reserve my time. the speaker pro tempore: the gentleman reserves. the gentlelady from new york is ecognized. ms. slaughter: thank you, mr. speaker. i wasn't quite ready but i thank my friend for yielding me the customary 30 minutes and yield myself such time as i may consume. the speaker pro tempore: t

it's a necessity that we as a nation provide mechanism to provide efficiencies of the these can be putback into place to serve communities. your initiative is a step in were grateful. >> have one question before you back. there is discussion and concern about the football game between the patriots the eagles, just have a question, are you okay, div of problem with the huge straw * in the world chance for 91 days there? >> the gentlemen's time have expired on that one. >> thank you madame chairman. i'm not going to get into since i don't have a dog in that fight. good luck to all. thank you mr. olson for bringing up some of the issues related to disasters. another is a response. it's important to note that in the northern california and napa and sonoma counties the cell phones do not work. life is not tidy. fires don't just occur between the time people get out maybe 7:00 o'clock in the morning and retire at 10:00 o'clock at night. were it not for the public safety people going toe to door and banging on doors in the middle of the night to arouse people, to get them out of their homes.

he has provided none. we have met seven times with the employer, as well as many phone conversations in an attempt to resolve this matter. he was given ample opportunity in keeping with mr. fung's question to have a hearing process. minimum wage ordinance provides for a full and fair hearing. he did not request that hearing or participate in a hearing. and eventually the bill came due. we continued to work with him through the dph process. we continued to meet with him. he, at one point, had made an offer of paying $500 a month, which was gonna take something in the neighborhood of 30 years to pay off, which we thought was unreasonable for workers making less than minimum wage. workers that were working often 12 hours and more per day. we did not think that was reasonable. and we discussed him taking out a business loan to pay for this, and that was the basis of the settlement agreement. he talks about some -- he brought in some letters that were supposedly signed by workers, saying they weren't owed money

for modular provider. there is a couple of entities out there. there is a brand-new provider in vallejo. we'll be looking at what our options are. that the point, too, we'll have selected a provider so they will be able to weigh in. we engage them in architecture and engineering to make sure it fits well together. but we can show you specifically in schematic design about what each module will look like. >> would we be given a cost analysis, presumably it is a lot cheaper to go modular and not just more efficient in terms of construction. >> absolutely. we'll keep an eye on that. right now, we are estimating about 9% savings. so, for ocii's contribution, we're thinking about 23,000 in savings, a total savings of 38,000 per unit. so, the total development cost reduced by about $5.4 million. so, it is significant. >> excellent. and we'll save six months in construction. >> yep. yep. >> good. >> thank you, commissioner rosaless. i have a couple of questions. just to clarify what you meant about the selection. that you have this list. are you referin

you have to provide an education, health care. all these other services we associate with raising young people. most americans decent appreciate the fact that immigrants and undocumented immigrants pay taxes, and thirdly, is they will change us. they'll change our culture, and by mid-century we'll not have a majority in the united states. some people refer to it as majority/minority society. majority would be black, hispanic and asia. i like to refer to it is we no longer have a majority. the change is unsettling to many people, and it drives our current debate. the dream passed immediate -- the measurable impact is 800,000 young people were able to have not legal status but the threat of deportation removed and the right to work. they no longer had to worry about going to walmart or going to the dry cleaner or going to a restaurant, being stopped and held in a detention center and deported. so what i have picked up in the young people i work with is the incredible improvement of their psychological well-being, that fear factor wa

we will provide an audience. we don't provide the people's data. we will provide an audience with people that fit that targeting criteria. >> you are gathering a massive amount of data in the whole of society. isn't this a massive surveillance operation? >> no. this is a system where people can come and communicate with one another and advertisers can target people based on the interest they have expressed and the way they have engaged. >> there is an articles in the "times" today in the u.k., and the headlines is, how to win 2 billion friends and destroy civilization. this is by a very well-known journalist. he is suggesting that whether facebook likes it or not, the position you have got yourself in to is this position. you hold so much data about people, that you are now very, very powerful and you are completely unregulated. >> we are definitely regulated in many different ways. >> by yourselves? >> no, no, by laws and simon can speak to the u.k. >> in the respective data, we are fundamentally regulated by european data protection law. every si

that's -- actually two entities provide that for us. job squad is present and holding workshops, being present and letting owners of know of workshops available if the need is raised to us. for example in chinatown in the past, when there were issues related to the department of public health, we made sure that the city and its programs could be accessible to that community. as it relates to the small business center, one of the next steps that they want to take is what are the diversity of ways that they can provide workshops on-line and test out the ability for that to be absorbed by communities who may or may not be able to is being ses those programs. but we have seen when we talk about the potential for increasing resources or increasing attention relating to e-commerce needs for small businesses, one of the hesitations that some have brought up is would those communities be willing or wanting to or to benefit from that adaptation or those adaptive services, and those answers is absolutely yes, so i think it's something worth tryin

we also provide both pre-nd post exposure prophylactics for hiv prevention we also provide a range of women's reproductive health services including contraception, emergency contraception. sometimes known as plan b. pap smears and [inaudible]. we are was entirely [inaudible]people will come as soon as were open even a little before opening. weight buries a lip it could be the first person here at your in and out within a few minutes. there are some days we do have a pretty considerable weight. in general, people can just walk right in and register with her front desk seen that day. >> my name is yvonne piper on the nurse practitioner here at sf city clinic. he was the first time i came to city clinic was a little intimidated. the first time i got treated for [inaudible]. i walked up to the redline and was greeted with a warm welcome i'm chad redden and anna client of city clinic >> even has had an std clinic since all the way back to 1911. at that time, the clinic was founded to provide std diagnosis treatment for sex workers. there's been a big increase in std rates after the earthqu

we think that there is a capacity for such a measure to provide for -- provide services for the least among us. and that's paraphrasing, that is the lens with which we would view this measure. thank you. >> mr. wineberg, i have a question for you. are you on sciu staff or a volunteer member or what's your role within the organization? >> i'm a political organizer with the union. i'm employed by the union. >> ok. and does the union represent worker -- child care workers? >> that is a good question. we represent the sfusd child care workers. >> san francisco unified school district. >> yes. that would benefit from this measure. we do not represent the private providers. >> all right. i appreciate that. thank you very much for that clarification. thank you. >> thank you, you're welcome. >> next speaker. >> mr. bozeman. >> yes. hi. john bozeman again. thank you, chair. our organization hasn't taken any position on any gross receipt tax measure and i'm here to say that our organization, it's not what you're funding. the way we look at it is not what you're funding but it is how you're fund

and again, cbo provides alternate paths with its report. for example, one where inflation it continues with the most recent appropriation. turning out to those that probably apply and some may sound more familiar. cbo considers the effects to the entire federal budget. therefore cost estimates sometimes include programs ore than those specifically addressed in the legislation. second, the cost estimates generally do not include the interest costs that would result in increasing the deficit or the savings in decreasing the deficit. third, the cbo reports point estimate of the budgetary effects of legislation because they err necessary for the enforcement of the budgetary rules. they try to estimate which ones would be particularly uncertain. for appropriations and authorizations of appropriations, the benchmark is current law, but it's not the baseline. 257 requires that we assumed the spending increase over time. the benchmark for many programs is zero because there is no appropriation or authorization for future years under current law. ho

it provides memorial benefits. we talked about that earlier to over 140,000 veterans a year who have now passed and those benefits to their families. pension benefits. hundreds of thousands of veterans get pension benefits. group life insurance. we don't think about that. 6 million. home loans. veterans now over 3 million get a home loan from the v.a.. compensation benefits over, what, four to five million of our benefits get the educational benefits. huge benefits, both the montgomery g.i. bill, the post 9/11 and now the forever g.i. bill and half, i think, of the young men and women who separate from the military use that g.i. benefit. one is sitting in this chair. and i want to thank the president for his focus on the va. i remember sitting up at night and late in the evening when he gave his acceptance speech and one of the first things out of his mouth was his commitment to the nation's veterans, and i very much appreciate that, and i don't think it's stopped. every time he talks about -- gives a speech, he me

this legislation provides flexibility in how restaurants provide the nutritional information. it makes it easier for customers to actually see and understand the information because it's displayed where customers actually place orders, including by phone, online, or through mobile apps. by bringing this rule into the 21st century, customers can trust that they're getting reliable information in a way that is easy to access and it's customer user friendly. i want to take this unit to larify this bill does not -- time to clarify this bill ensures no state or political subdivision of a state may directly or indirectly establish or enforce any requirement for nutrition labeling of food that is not identical to the requirement laid out in the final regulation. while some states may disagree, i am committed now and moving forward to ensure -- ensuring we have one unified menu labeling requirement. before i close, i want to thank all my colleagues and the stakeholders for their hard work on this bipartisan legislation. thank you because this has been a teamwork over a number of years

program where we provide grants to states that they provide to individuals, it's a very large programreport $4 billion in a limited fiscal environment. the challenge we have is that if we were to restore funding, we have to take from somewhere else and it's the tough choices. we believe it's duplicate if of many state and local and utility protections. , i havee if i might only 25 seconds, i can say it in 25 seconds. essentially what you're saying is because the republican approach is so increasing the deficit, you have to reach elsewhere for money. the deficit has been increased trillions of dollars and now this program is a victim with ,undreds of thousands of people i urge you to reconsider. thank you. >> you are recognized. i would note that during president obama's term the democrats raise the national debt. secretary, congratulations on your new position. grandfather of two grandchildren who were born bute -- born drug addicted are thriving today, i appreciate you addressing the opioid epidemic. secretary, i was able to tell you personally that i'm on a mission. i want to help p

the two letters provides our leaderships introductions to the report and provide an introduction to our three feature stories that are introduced later on, which is the progress on the electronic health record, dph becoming accredited public health department, and the whole person care pilot. there's also language in these messages around how our programs help address the social determinants of health and dph's commitment for all san franciscans in the face of uncertainty with the aca. the next section, which is about dph, we introduced the two division: the san francisco health net work and the population health division, and their roles in our commission to protect and promote the health of san franciscans. we've also included our 2017 organizational chart in this section, and overall, the information provides an overview of the functions and services across dph. our last intro ductory section in the report is the overview of the health section. we also include bios for the commissioners that were serving in that fiscal year. following the health and finance committee feedback, we've

to provide working capital. it is recourse only to clean power s.f. revenues and the cost depends on particular -- a particular use that we require of the facility and that also the debt service coverage ratio of clean power at the time. so there is an undrawn fee for the total amount of the facility which is 50 basis points. there is a feeze for any letter of credit that is issue on behalf of power contracting, counterparties which ranges depending on debt service coverage of the enterprise and then there is a charge for revolving credit which is based on one month libor, plus a spread. this agreement is not unlike many of the other credit agreements that we have for the water and waste water enterprise. it contains a number of covenants and commitments that we make, that the commission makes to counterparty. and the covenants that we've made are consistent with the clean power business practice policies as well as the commission's reserve policies that it's established. i wanted to highlight three of the coven

although the city was providing services well below -- before that. so there are a lot of things in the horizon that are new. one of the things that is new is that deputy fund. she can talk a little bit about how it started. >> okay. >> a group of service providers with a history of providing services came together and asked about the underfunding of services, not the [ indiscernible ] the demand. we thought perhaps a legislative kind of direction would be the way to go to increase funding. so we -- we planned and got the proposition on it on the ballot, november of last year. that insured that there would be some funding increases for services for those who [ indiscernible ] and adults with disabilities. it's a huge sense of accompaniment. it worked its way toward getting to the 44 million current needs then of underfunding. people waiting for services. people needing services but no capacity to meet those. so it's an incremental increase . and the department is -- has the capacity to do that. >> said this is a legislative and economic decision by th

hope you'll take a close look at this and provide a response. at the end of the first paragraph i say, i urge you to reject medicaid waiver applications from states that would further, three things, limit, restrict or block americans guaranteed access to affordable coverage. i just hope you take a close look at that and provide a response. >> i will, thank you. >> thank you. >> as one of the authors of graham-cassidy i wasn't into but an open up with, to regarding that. as safer to my democratic colleagues speak to this, it becomes clear what i suspect it is true that the really to understand the legislation because what we've been speaking to graham-cassidy addressed. for example, one of my colleagues said that there's been a problem after natural disasters that there was not dollars made immediately available for medicaid for those over impoverished because of the disaster. and, of course, under graham-cassidy we have every either three or six months registration in which a state would say hey, these people are not eligible so, therefore, we g

never do which is we provide service until the grant runs out. i can't imagine if someone needs heart surgery that the doctor would say gosh, i would love to provide your surgery but the grant iran out. we do that every day for mental illness. we know this is part of multiple things that need to happen around violence and even thought yesterday. this is, i believe, and all hands on deck moment. i want to. per se that we appreciate that it is in the budget have begun eight states have been fully funded as demonstrations across the country, minnesota, new jersey, oklahoma, oregon, pennsylvania and we are working to expand that and i like very much to work with you as we move forward to expand comprehensive services in the community including 24 hour psychiatric services and facilities so people are going either to the emergency room or to jail which is exactly what is happening right now. i look forward to working with you on that. i am concerned though that we go on to talk about opioids and mental health that when we look at the change, the cuts

>> the intelligence community are aware and want to provide collect and provide as much information as we can to give those warnings and alerts so that we can share information back and forth with local and state and election processes with the federal government. department of homeland security, department of the f.b.i., obviously were involved given they're domestic issues but we do look to every piece of intelligence we can gather so that we can provide these warnings. it is an effort that i think the government needs to put together at the state and local level and work with those individuals who are engaged in the election process in terms of the security of their machines, cyber plays a major role here. so i think it is clearly an area where federal government, foreign collection on potential threats of interference, warnings and then processes in terms of how to put in place security and secure that to ensure the american people their vote is sanctioned and well and not manipulated in any way whatsoever >> i was referring to the first part of your question, not truly to the latt

and businesses and employers can just provide a space. don't have a room, they can provide a small space that is private and free from intrusion to help moms pump and that will attract moms to working in san francisco. >> if you want more information visit sfdph.org/breastfeedingatwork. ♪ ♪ ♪ - working for the city and county of san francisco will immerse you in a vibrant and dynamic city that's on the forefront of economic growth, the arts, and social change. our city has always been on the edge of progress and innovation. after all, we're at the meeting of land and sea. - our city is famous for its iconic scenery, historic designs, and world-class style. it's the birthplace of blue jeans, and where "the rock" holds court over the largest natural harbor on the west coast. - our 28,000 city and county employees play an important role in making san francisco what it is today. - we provide residents and visitors with a wide array of services, such as improving city streets and parks, keeping communities safe, and driving buses and cable car

they're also providing services, enrolling people in benefits and providing them with medical care. i want to thank the port. this is on porlt property and the port was gracious to work with us to make sure we were able to secure the property for the next three years to operate the navigation centre and the folks standing up here, the department of public works, helped identify the site, made sure it was going to work, designed it and this is a beautiful facility. really, really well thought out and then built the site and made sure it got built fast. probably in record time despite multiple challenges we had with utilities and other things. they did an amazing job and also their ongoing work lepping to keep the -- helping to keep the streets clean. supervisor ronen has been just a fierce champion for navigation centers in her district and city-wide and helped make this funding possible by working with assemblyman ting and to make sure it got used in the best way possible. in terms of the size of the sites. i don't know how to thank you, 250 new beds, going serve thousands of people

perhaps across the country and the technology really is providing an opportunity for them to provide this care and to support their loved ones as much as possible so professor we had a series of tweets from tommy and tommy jean b. and has out simas and he says he told us too many things developed and that it is expected that people living with disabilities will adapt to the technology not the other way round expecting a person living with dementia to adapt to their views that can affect how keen they elton's the technology how are you approaching his how you are getting people with disabilities with the aging issues how you can even write down at the beginning yeah then the net is a critical aspect of why many past technologies have failed to really provide that support so what we're doing in major well with our researchers and our students and our partners is really teaching them how do and gauge seniors and caregivers right at the get go we're not really looking at seniors and these individuals as you know kind of time that a token older person has are your project but really makin

must provide the business this. provision was designed to businesses have a olated clear picture of the alleged violation with the business. however, this requirement may go too far. accordingly the amendment removes the requirement making clear that written notice is provided by disabled individuals can be written in lain english without businesse. removing this requirement will also facilitate a dialogue between the individual and the business. additionally, it may avoid any need for disabled individual to hire a lawyer. i ask my colleagues to join me in supporting this amendment. i reserve the balance of my time. the chair: the gentleman's time is reserved. the gentleman from new york. mr. nadler: i ask for time in opposition. the chair: the gentleman virginia tech. mr. nadler: thank you, mr. speaker. -- the gentleman is recognized. mr. nadler: thank you, mr. speaker. i appreciate the intent behind this amendment to make this provision slightly less onerous. i acknowledge it eliminates the requirement that an agg

first is what kind of transportation service is really be provided. is the demand high and who's in the system and where are they going. fundamentally it's stationless bike share is it filling a gap in successful travel options and the second is whether there's secondary impact including blocked sidewalks, broken bikes, proliferation of graffiti and additional costs for city crews and if there's any other impacts compared to transportation benefits. i'll stop so we can get into details i wasn't able to cover but my summary is we're eager to promote bike sharing information and we're confident our approach is starting with a similar pilot with bike sharing and commuter shut als to ensure we're putting the public interest of people of san francisco first in the process. that concludes my presentation. thank you. >> thank you for the presentation, mr. parks. >> thank you. i have about three and a half questions and has to do with my original question. i'm under the impression and heard no one was advised of the terms of the settlement and the other compa