a different county. we have only seen this trend in the last 10 years. it maybe a cycle that it goes through. it had to do with collective bargaining and a number of other issues in population. fresno is one county to watch more than riverside. they brought the 10 county matt down several times over the last few years. thank you. >> thank you. any other public comment? seeing none, all in favor say, "aye". >> aye. >> all opposed? it's unanimous. item no. 3. city clerk: item 3. action item approving of action plan continuing fee proposal. >> on hewitt you have before you a presentation last year as part of the rating cycle we went through a laborious settle calculations and now we are under a 2-year rate. the rates are posted on page 1. the e plus 2 is $11.30. and as a matter of being complete. we wanted to let you know that you do offer the vision care benefit for people who need computer assistive glasses and cost $0.85 per employee per month. we also wanted to raise on page two of this document that we

county. generally all agencies book into now the consolidated booking system which is l.a. county jail system. >> with close to a hundred buses inmates are picked up from the various courts and police stations in the county of los angeles. their first stop inside l.a. county jail is the inmate reception center. >> on the busy days on monday through tuesday we're talking about anywhere from 600 to 800 inmates that are being booked each of those days. wednesdays, thursdays, and fridays the number is somewhat less, but we average about 400 a day if you take out the whole seven-day work period. >> it's 7:00 p.m. on a monday night and the irc's garage is filling up like new york city's port authority. for two hours, buses fortified like prison cells drop off hundreds of inmates to be booked into the county jail. >> the first thing we do is back here behind us we have the search out rooms. the inmates are brought in from different courts and from different station holding tanks and they're sat ther

so for example, alameda county is scheduled to start in july of 2014 and sarah county is scheduled to start in january of 2015 there's a variety of start dates so in terms of menacing the enrollment process for the most part they'll be enrolled by their birthdays so people will get before it their birthday they'll get a 90 day novs notice and a 50 and thirty day notice. they need to a choose a plan option or they'll be possibly enrolled similarly with people with disabilities what their enrolled their defaulted if they don't make a choice so communication is important in this effort. so it's the states intent to expand beyond the county and their goal is to expand the program statewide are there's certainly a desire and belief that better integrated care will be better quality for beneficiaries. so additional legislation will be enacted and with that, the inclusive of san francisco county will be in 2006. there's interested in expanding to other counties as well. the managed care options available in san francisco include san francisco health plan is the public option and anthem blue

as it happens it will go to another county, a county that can demonstrate it has spent the money and it has the need for additional funds. many counties, including ours, overspend our allocation. we may get $10 million for a certain program, medical is a good example, we may spend 12 million and it's a public policy decision that we negotiate at the board and the board and the mayor say, yeah, well, it's worth an additional $2 million in county funds to support medical. what obviously is the legislature approves the budget, the entire appropriation goes to social services who then decides how to apportion it among 56 counties. they look at fte, that all goes into their calculation and they say, okay, san francisco, you get x for example the cal works program, the $278 million additional dollars, let's look at their historical program on cal works, wow, they have a robust program, they spend a lot of their money -- just as an aside we're not spending just to spend. we're not saying well we get it so let's figure out how to spend it. when we get the new mandates we roll it down to our

county, nevada. fox news channel, the conservative media broadly, i don't think there's any reason to believe that they have spent all this time hyping and glorifying and romanticizing this rancher in nevada because he is a posse comitatus guy, because he adheres to this long-standing bizarre conspiratorial fringe belief that the sheriff is the highest legal authority in the country and the federal government doesn't exist. i don't think fox news has been celebrating him for weeks now specifically because of that. but somebody should have noticed that the guy kept bringing this stuff up, right? >> i don't recognize the united states government as even existing. >> even in the really far right-wing reaches that have become normal republican and conservative politics in our country in the last few years, it is not a typical thing to hear somebody say not that they don't like the federal government or that they wish the federal government was smaller but that they don't believe the federal government ex

we're primary counties. the goal is to get their illicit goods, products, marijuana, methamphetamine, heroin, human smuggling all the way down to kids. people that aren't affected by it, can you imagine if what we see here the numbing effect that has happened over the last 30 years and coming through our private properties at 1:00 or 2:00 in the morning and then the citizens coming out and being assaulted by these groups that are in desperation for freedom. if that happened anywhere else in this country, we would have a national outcry, but what is happening here is going to effect all of this country if we don't take immediate national attention to what is going on. head. >> i agree that more militarization has not helped, and we need an immigration policy that is separate from our homeland security policy. >> politicians and the media seem to dominate the general narrative. when we come back, the details >> evey saturday, join us for exclusive, revealing, and suprizing talks with the most interesting peopl

nevada, nye county, a county commissioner in nye county decided to celebrate independence day by declaring that nye county, nevada, was independent of the united states of america. he got into a bulldozer and he drove that bulldozer over to some federally owned land in nye county, it was part of a national forest, and he used the bulldozer to bust through that closed road in that national forest. he claimed that all federal land was under his control, because the federal government had no authority in little nye county, nevada. >> nbc news in depth tonight. more on the fight over the role in the federal west, it's an all-out brawl called the sage brush rebellion. on one side, the federal government. on the other, some land owners and some local governments and the battle is threatening to turn very ugly. nbc's roger o'neil tonight has the first part of our in-depth report. >> reporter: in the land of wide open spaces, there's a new land war. the federal government owns almost half the property in the west, and the fight is over who should control it. the first shot was fired in nevada, cap

california chrome is based out of yuba city in sutter county. he arrived at churchill downs yesterday. he heads into the derby with four consecutive victories. he could be the first california-bred horse to win the derby since 1962. >>> pets in san francisco are among the most pampered in the country according to a ranking by amazon.com. in honor of national pet month, they introduced a list that puts san francisco in fourth place, the top three are miami, seattle and atlanta. among the top 20 are california's san diego, sacramento, and san jose. am amazon determined the ranking by the quantity of products purchased for pet is on a per capita basis. >>> it's years behind schedule. two months ago, 2 investigates uncovered massive delays in the b.a.r.t. crossover project in contra costa county despite the delays we were told part of it would open in march but it's still not up and running. tonight at 5:00, they investigate the latest delay and learn of more problems and more of your tax payer money wasted. thank you for making ktvu your choice for

we didn't have a county sheriff. we didn't have a state government and we the people marched and the blm backed down. now, they backed down, let me tell you how. they backed down, they run, they got on the freeway and went to mesquite and grabbed their stuff and ran out of the state, towards the state of utah. utah county sheriff finished this job. take the guns away from these federal burrocrats. >> is your stance this is state land and they have no authority to be there? >> they have no authority. >> all right. let me ask you what happened to the county commissioner. you had a county commissioner that literally called after a commissioner in utah said that ranchers were going to go out there in support of solidarity to you and called them inbreds and he hopes they made their funeral plans. whatever happened to him? >> well, you know, we had a mandate for the county commissioners. we said tear down those toll stations in these parts. we've already paid for these parts, don't be charging us again and we gave the coun

haven't grown proportionate with the case load yet the state when they do their funding models to county looks at that and funds us accordingly. so we are looking at that state money and know we can hire additional workers to do the in reach, to do the outreach, and manage the case load. i don't have to tell you the benefit to families but it's a huge need for families trying to manage high rents, high cost of living in san francisco and having a few extra dollars toward food is significant and one of the strategies for the food insecurity task force is to increase cal fresh food stamps enrollment and specifically approximately 36,000 households in san francisco we think are eligible for cal fresh but are not receiving cal fresh. so that's really the target population that we're hoping to hit. >> trent, you and i have talked about how changes in federal law might be impactinginging the federal food stamp program, snap, around the country but here in san francisco or california we're somewhat protected. can you describe how and what the difference is in other places? >> it's a complex cha

instead he's on his way to the psych ward in the county jail. sheriff judd wants other would-be johns to know the same fate could behall them. >> quite frankly for every john i embarrass i scare off 100 more, at least in this county. >> how did you get started doing this? who introduced you to doing it. >> ex-girlfriend. i used to strip. >> why do you continue to do it? >> i don't know. i'm j-a-n-e and i have copd. i'm d-a-v-e and i have copd. i'm k-a-t-e and i have copd, but i don't want my breathing problems to get in the way my volunteering. that's why i asked my doctor about b-r-e-o. once-daily breo ellipta helps increase airflow from the lungs for a full 24 hours. and breo helps reduce symptom flare-ups that last several days and require oral steroids, antibiotics, or hospital stay. breo is not for asthma. breo contains a type of medicine that increases risk of death in people with asthma. it is not known if this risk is increased in copd. breo won't replace rescue inhalers for sudden copd symptoms and should not be used more than once a da

instead he's on his way to the psych ward in the county jail. he wants other johns to know the same fate could befall them. >> quite frankly for every johnny embarrass i scare off 100 more at least in this county. >> how did you get started doing this? who introduced you to doing it. >> ex-girlfriend. >> why do you continue to do it? >> i don't know. the problem isn't likely to go away... ...on its own. so it's time we do something about it. and there's help. premarin vaginal cream. a prescription that does what no over-the-counter product was designed to do. it provides estrogens to help rebuild vaginal tissue and make intercourse more comfortable. premarin vaginal cream treats vaginal changes due to menopause and moderate-to-severe painful intercourse caused by these changes. don't use premarin vaginal cream if you've had unusual bleeding, breast or uterine cancer, blood clots, liver problems, stroke or heart attack, are allergic to any of its ingredients or think you're pregnant. side effects may include headache, pelvic pain, breast pain, va

the first is a state-wide standardized assessment that all counties should use for families and thiscally trying to assess hr employ bltd and their needs and strengths are in designing a welfare to work plan. the second area is what's called reengagement services. this is really targeted to families that have not been participating and provides funding for not only case workers to support families but also services to help folks reengage in their activities. and the third area, which is sort of what i think is the most important, is what's called stablization services. these are basically flexible state dollars that are allocated to our county to provide intensive case management if necessary, to address homelessness, we could use it for rental subsidies, for example, domestic violence counseling, behavioral health needs, it's really a flexible pot of money. it's targeted for families who aren't yet ready to move from welfare to work. the idea would be a 6-month services that would be at least 6 months in duration and that 24 month clock would not start ticking until after that 6 mon

we now have the county. the only thing we are missing is the second part of the plan is the algorithm and blue shield is not finalized. this is not done. we want to say a couple things and ask if there is any questions. first we want you to look at page 2. when we came before you last time the overall increase was a minus 19 percent. now it's a minus 21 percent. so these healthy small people in active early retiree population and these 7,000 people in the retiree population are busy and not going to the doctor a lot. so i applaud them for not spending a lot of money. with that being said i want to turn you to a couple items and answer questions and since we are not going to vote on this until we are final done, that would be the final recard. i would like to turn you to page 3 and look at the rates. we are now at an overall adjusted for what we shared before the clear stabilization at $271 and that's a very low number. we have crossed the 30 threshold. i just want to plant the seed that this is going to help

he is also, though, the county executive for the most populist county in ohio, cuyahoga county. and ed fitzgerald first announced he was going to sue the state over all these cutbacks that the republicans have instituted against voting rights in the state over the last year and a half. and then, beyond that, he went the civil disobedience route, sort of. he had the county council, in his county, in cuyahoga county, vote for a local measure that he wrote, which said the county wouldn't comply with this new law banning them from sending out absentee ballots. the county voted on this measure that he wrote, which said, regardless of this new law that john kasich signed, cuyahoga county was going to keep sending out those absentee ballots just like they always had. and that's where it got really interesting, because the republicans in the ohio legislature decided to retaliate against him. they introduced legislation a few days ago which would punish any county in ohio that sent out absentee ballot applications. it would withhold 10% of state money from that lix election if any county

ordinance amending the administrative code, to designate the sheriff as the entity to assist county jail inmates with submitting an application for a health insurance affordability program consistent with federal requirements. >> item 8. ordinance amending the administrative code, to designate the sheriff as the entity to assist county jail inmates with submitting an application for a health insurance affordability program consistent with federal requirements. >> role call vote. >> item 8, cohen. >> aye. >> farrell. >> aye. >> supervisor kim. >> aye. >> mar. >> aye. >> supervisor tang. >> aye. >> supervisor wiener. >> aye. >> supervisor yee. >> aye. >> supervisor avalos. >> aye. >> supervisor breed. >> aye. >> supervisor campos. >> aye. >> supervisor chiu. >> aye. >> there are 11 ayes. >> the ordinance passed. item 9. >> ordinance waiving the competitive solicitation requirement under administrative code, section 6.40, and authorizing the general manager of the recreation and park department to enter into a professional services agreement with aidlin darling design in the amount of $837,

for readmissions under the affordable care act will simply impact the county budgets, again because county hospitals see a disproportionate number of homeless people. research has always revealing how to identify reach and house individuals, experiencing these severe barriers to housing stability. and we know that research shows that public systems recoup on average, a return on investment of over 2 dollars, for every dollar invested as you have heard already. and research is showing that identifying county residents according to high health cost by risk of hospital readmission and jail recidivism and a combination of these issues and out reaching and engaging these individuals where they are and assessing housing and services needs and targeted those in need of support of housing, for supportive housing, and have all about now evidence based practices, my colleagues, steven stum will talk more about how they are telling those models further and i look forward to any questions that you may have. >> colleagues any questions? >> okay. >> thank you for your presentation, much appreciated. >>

what we have done, merely mirroring with a lot of counties in california have done, is move to a service center approach. you as a client can go to any office and get assistance from any case worker who may be available to help us. a case worker merely has to go on the computer and look it up to provide assistance. i talked about horizontal integration a bit ago, someone can come in thinking they are just applying for medical but once we're fully operational in service enter gracious, in that same transaction they can leave our building with medical, cal fresh and cash assistance. that's the idea, that's the goal. we're not fully there yet. in order to make this a good customer experience for our clients, we've developed a lot of technology, a lot of information technology tools to help our clients. we have lobby navigation software, we have work force management software, we have what's called task management assignment tools. it's very, very data intensive but what it attempts to do is sort of balance the workload across our offices based on the needs of the clients. so for example if

in san mateo county.erage home sale is now 875 thousand. and in san francisco it's 937 thousand. >> reporter:as high as they are, bay area home prices are not record=setting. the alltime high was in 2008, before the housing finance collapse. dataquick says we are only about three=quarters of the way back to recovery. >> jacqueline:as we make our way into the noon hour you see more 60's. 60 for san francisco ...63 in oakland, inland valleys low 70's and 72 in walnut creek... 68 in moutain view. north bay in the 70.s for the most part. calmer weather for sat and sun. gusty winds will approach. easter dunday mid to low 70's and even upper 80's in some areas . easter sunday >> reporter:coming up! people behaving badly tonight at 8 really... so our business can be on at&t's network for $175 dollars a month? yup. all five of you for $175. our clients need a lot of attention. there's unlimited talk and text. we're working deals all day. you get 10 gigabytes of data to share. what about expansion potential? add a

that is in extreme southwestern independence county that is getting closer to the jackson county line. to the store south of oil trough that area under the tornado warning. that is there for 12 minutes until then. western parts of akkon county. >> we are getting reports in numerous people in the shoerm shelter of velonia high school. not sure if they need to get out of the temperatushelter or not. they should go to the storm shelter to check the situation out. we got the folks into storm shelters extensive damage at one point spotters reported them three quarters of a mile wide. >> that's large. we have a warning in cleburne county. i am concerned from penguin to sieber springs we are looking at perhaps some location. all of these could be rotating some what to be severe they have to rotate some what. they keep tightening up and there may be a warning sometime soon. we loo keep our eyes on that. >> we are getting reports of possible fatalities in arkansas. we are getting a tornado warning this one in jackson county. let's get that zoomed in. who is ready? >> they are going to extend t

the lesser of the 10 county amount or the premium? >> it could be blue shield. >> right. whatever is the lower one for an employee. the fact that the premium is higher, the amount where there are dependents it doesn't matter? >> right. >> okay. i think in terms of again for the future, i would recommend that we do these to make them a little clear because otherwise you have questions like this from me. >> right. i think it's a confusing subject. >> yeah, i think we should just say maximum amount is x. >> even though there has been some language to this, we need to find the kind of english that makes some sense. i will charge you to do that and we've had that conversation before. >> in terms of this topic. i agree. i want to further clarify it when we do the final paperwork we'll have better edification of gap dollars. we researched it and this is where we are at. >> all right. thank you. and we thank our council for interjecting as well. thank you, eric for the clarification. >> with that, i want to make a recommendation. i have looke

happening today, sonoma county small ism hospital sh set to shut its door. we have more on why doctors think they might be able to save the facility. mark? >> reporter: well, frank, right now hundreds of patients in sonoma county will have to find a new hospital. palmdrive hospital is set to close. any minute they will lock the doors. any minute. and with it 130 jobs. administrators here say they have seen a drop in patients over the years, as well as the finances, which at the start of the year, they say took a turn for the worse. palmdrive district hospital barely has a pulse. according to a hospital spokesperson, a reduction in medicare-med-ical reimbursement, fewer patients and more competition from big name hospitals like kaiser have nearly spent this small rural hospital to its death. >> i think that is the bottom line, is that we did everything we could, to keep this open, and we just can't do it based on the current volumes. >> reporter: odds against him, dr. james good says he has the cure to cure this sick hospital. first, bankruptcy. and then let

so accepting the money from the city and county and immediately returning it to them for that. so that way we protect our rights to the money going into the future. >> yes. that is fine. >> i support that as well. >> great. we can open this item up for public comment. any member of the public wishing to comment, please come forward. >> good afternoon again, commissioners, eric brooks san francisco clean energy advocates and grassroots our city and first on the mou on cleanpowersf with the sfpuc it's vital that we keep that money in play after next fiscal year ends. as i recall you have to check on this, that mou was done as sort of a thing to clarify, what the relationship was? so whatever the board of supervisors needs to do or staff, or the departments need to do, we need to make sure that that money has been allocated to cleanpowersf and we need to make sure that we continue to be able to spend it after the end of next fiscal year. also on the budget not really to do with the reserve or general fund question, but actually making sure that you maintain in some flexibility, if

another note came to me, lee county touched down in lee county. a touchdown confirmed in philadelphia, mississippi. you're looking at four to five or perhaps half a dozen of touchdown tornadoes in mississippi so we better get back to work. >> good luck. we'll stay in close touch with you. thank you very much. >> thank you so much. >> mississippi's governor fill bryant. let's go to brandy davis. she's on the phone. she's taking cover in starkville, mississippi. tell us what is going on where you are. >> hi. right now we're just kind of anticipating the weather. we've been watching the radar. me and my roommate and dog are in the hall with covers and we're taking cover and waiting it out. >> where are you taking cover? are you in the middle of this house? is there a basement? explain where you are taking cover. >> well, it's kind of like it's -- kind of like -- it's a small hall so all of the exterior doors lead into that hallway and we've closed them all off and there's no windows or anything in there so it's the safest part of the house. >> and wh

strong arm robbery in neighboring creek county. she has pled not guilty to all three charges. >> i allowed myself to be accustomed to the darker side of life very young. i learned how to do drugs at a very young age, the moment i hit 18 i started stripping. it will eat you up, consume you, that lifestyle. i'm just a lost child trying to get back to my adulthood, really, because i can't get back to my childhood because i have two children i'm supposed to being a mother to. >> you really had a quick jump in your cuffs. you understand me. >> if lopez is struggling with the responsibilities of both adulthood and parenthood the same might be true of the father of her two children, matthew west. he is currently incarcerated about 60 yards down the hall in the men's segregation unit for arguing with a jail nurse. >> adriana lopez, my friend, my confidante. my baby's mama, my friend ever me. i love her to death. sometimes to the bitter end it could equal that. we have a very volatile relationship. >> i've been to jail more times than i can

u.n.,000 -- 400,000 illegals every year, when you take away this double county it's only 140,000. it's a big scam, lie. these illegals there's no consequence, why wouldn't they come in. >> you are saying we are counting these people are coming back and forth 15 times. who is being deported and it's not the dangerous folks or the folks you would think more urgently should be deported, right? >> absolutely. in fact, just last year, in my county, also in california, texas, and alabama, they had released 2,200 very serious criminals during this sequester and they have never given us their names or their location, and we know that there are people charged with -- convicted of child molestation, aggravated assault against police officers, two in my county who are charged

this is the kent county jail. temporary home to about 1,000 men and women. most of whom are accused of crimes and awaiting trial at the resolution of their cases. >> i can't do anything that i want to when i want to. i have to ask everybody. i hate asking for anything. >> ooh, sauce. ain't no sugar coating it. the food sucks. >> welcome to [ bleep ] this place sucks. don't ever come here. >> and h2-a, one of the housing units. >> we teasingly call this the hamptons, um here with no cells, freedom of movement, as long as they listen. that's kind of their punishment. the thought of having to live behind doors again. >> most inmates in there are pretty compliant, easy going. a lot of them are in there for minor crimes. so we really don't have to stay on them that much. but you do still have to supervise them. >> i call it h2-awesome. pretty nice. you have a lot more freedom. you have all-day day room, a microwave. two flat-screen tvs to watch. pull-up bar and stuff for working out. >> this is the best unit in jails. >> this is the penthouse of the jail. >> it's

you'll see my franklin county picture. it looks like a calvin klein model. really funny. >> it's been six months since abendroth was convicted of assaulting his girlfriend. he says he was high and drunk at the time and remembers little, if anything, about what happened. now his sentence is nearly complete. he has another chance to make it on the outside. >> ow! come on, man, that's my nuts. >> it was an awesome day because the countdown to 13 hours and i'm out of this hell hole. i will no longer be in kent county. i will be free like a bird. >> krak rok. you know what i'm saying. >> can't smack nobody. >> no more red necks. >> like this ozzy. >> the only thing i'm worried about is if my p.o. want today's drug test me or -- >> ♪ >> on the streets, abendroth is a rapper known as krak rok. even though he's blamed drugs for his numerous troubles with the law, he says they're part of his job. >> i'm a musician. you know how music and drugs go hand in hand. if i'm nervous i'm going to smoke pot. if i feel too jittery before i get onstage, i'm going to drink. it go