>> the board has been very supportive of hss and aon developing a strategic plan since i've been here and we have made significant progress and i would like to thank commissioners breslin and follansbee for spending two and a half hours with us in great detail and providing subsequent feedback on the plan in its current state. we are bringing before you a pretty high level overview of the plan to be certain you have an understanding of where we are going and can give us any questions or suggestions on the strategic direction we are taking with the plan. there is a lot of detail behind this that we did not include in the presentation today. although one of the spreadsheets we had delivered to your home, i knew you wouldn't be able to read it on a screen, we hope you had a chance to look at and certainly, we will take comments, subsequent to today as well. we will be flushing out the plan in that greater detail. particularly in the form of a work plan our staff is anxious to have flushed out so we can be certain we are getting the work done because some of the plan does call for immedia

. >>> and san franciscels hss epidemic. a local c supports a measure aimed at reducing homelessness. >>> we begin with an emboldened gop and a surge in women candidates. at agathering in iowa this week president trump made it clear he will use the recent supreme court confirmation fight as a raying cry the president cited opposition to justice brett kavanaugh saying tomocrats have become t dangerous and extreme. most polls show democrats will kely pick upeats in the house. an unprecedented number of women are running for office nationwide and that trend trlds for california, as well. here now to discuss all of this ar political senior writer, gop political consultant tim miller and government reporter katie orr. nice to have you back. tim, how much of it did the confirmation of brett kavanaugh give republicans? >> i think it wasreal. the intensity level on the left going into the hearings was already an 11 on a scale of 1 to 10 on the right, it was mid. i think thathe intensity of the dispute, the perceived i think grievanc

one of the important partings of i hss work is that it reduces acute care and higher level care in our hospitals and in our acute centers which reducing the harm for those having this experience, but also reduces the cost of what budgets come to you every year. i don't know if you have calculated that. it would be nice to do it. secondly, i think ihss workers provide essential consume -- companionship. >> good afternoon, supervisors, i am truly moved by all of your mobilizing. i am here on behalf of the women 's collective. they are here standing behind me we look after people, we clean houses, we look for children, and we are here to support all of these amendments. we are here following the light at the end of the tunnel, fighting for struggle to make sure that this industry is paved with honor as it -- honor as it should be. so we are here to support you in your mission and these amendment s that are very favorable to all of us workers in this industry. thank you very much. >> good afternoon, president and supervisors. i want to urge that the entire board be unanimous on this. i wan

initiation blackout period for all hss vendors as well as expert opinion navigation concierge and muscle skeletal reque request. >> thank you, commissioners, president breslin. as referenced earlier, this is in reference to the r.f.i.s that will be going out in response to the strategic plan that you approved a few moments ago. i know you are more than accustomed to receiving blackout notice. one of the things that we will do is make sure we don't have ambiguity that we plan on attacking for a 2020 plan year and also 2021. one of the areas, as referenced by dr. follansbee is concierge. it will also include msk and we're dove tailing into our rates and benefits, which begins in february. so giving you that notice now. we understand that the november meeting is an educational forum, so we will make sure that when that r.f.i. is issued, likely between now and then, that we'll notify all of you in writing of the r.f.i. and the specific scopes of services included therein. i will read briefly into the record the key part of this memo for all of you that is in the packet that all of you have r

>> they're absoluting aiding and abetting and helping people make an illegal entry, it's a felony, hss needs to work with the people in mexico, identify them and prosecute them. >> laura: gentlemen we could do a whole hour on this. congressman scalise we want to have you back. love having you on. after he called himself a nationalist president trump is getting slammed across the board. they're playing the race card all theisms and the i wsts. we'll tell you about it when we come back. metastatic breast cancer is relentless, but i'm relentless too. mbc doesn't take a day off, and neither will i. and i treat my mbc with new everyday verzenio- the only one of its kind that can be taken every day. in fact, verzenio is a cdk4 & 6 inhibitor for postmenopausal women with hr+, her2- metastatic breast cancer, approved, with hormonal therapy, as an everyday treatment for a relentless disease. verzenio + an ai is proven to help women have significantly more time without disease progression, and more than half of women saw their tumors shrink vs an ai. diarrhea is common, may be severe, and may ca

. >>> and san franciscels hss epidemic.ocal c supports a measure aimed at reducing homelessness. >>> we begin with an emboldened gop and a surge in women candidates. at agathering in iowa this week president trump made it clear he will use the recent supreme court confirmation fight as a

and former hss secretary for two terms in the bill clinton white house, and under fire after 20 years at the university of miami for not being better in touch with the community, the hispanic community and she does not speak sp spanish fluently, and under fire against a very telegenic former hispanic communiqcator the running for republicans. and we will go to hear from hillary clinton. >> thank you all, very, very much. before i begin, i want to the say a few words about the news this morning of suspicious packages being sent to the various public figures and news organization. many of you and others across our country have asked after me and my family, and i am grateful for that. we are fine thanks to the men and women of the secret service who intercepted the package addressed to us long before it made its way to our home. ev everyday we are grateful for their service and commitment and obviously, never more than today. but it is a troubling time, isn't it? and it is a time of deep divisions, and we have to do everything that we can to bring our country together. we also have to el

i know some people will say how -- what thehat hss legislature meant, they do not know how to write statues, all kinds of things, let's look in the laws. the purpose is to end the dependence on government by 's and work.b in snap, you have conditions of participation that include work requirements. it is in the statutes. what is that when look like in the medicaid statute -- it is not there. is when congress wants work requirements, and knows how to our right work requirements -- how to write and has nevernts, added work requirements including when it added requirements to the other programs. we had legislation to do work requirements in congress that failed. what does that tell you? most recently, congress said there should not be work requirements in medicaid and there are bunch of people in the legislature trying to pass the law saying let us do work requirements, what does that tell you about the current status of legality? doese have a policy that not comply with medicaid law, 1115 law, and unfortunately, that means the lawyers get involved. party is over, everybody out of the pool. le