just from the department of hea health, that's almost $3 million. our budget is about $380 million. so i want to ask you, chief, when the department gave us station 49 and all of the paramedics, did -- was -- did our budget reflect that, and it reflected that over the years? there are now neighborhoods that exit that didn't exist when i was growing up in the city. so has our growth been reflected in our budget on an annual basis? and when we received station 49, did we receive also a massive increase in our budget. did we justify a big increase in our budget, and if we didn't, we should be saying that. the department of health is important, but there are also, as we see with ems 6, there are new programs here in san francisco that are being developed that in my opinion -- and i love ems 6. i think it needs to grow, but it's a program that we also inherited because another department -- i'm not picking out any particular department, but other departments in this city weren't doing the job they should have been doing, so now, we're doing these jobs, and i think we should be doing this

to enter into a performance contract between the california department of health care services and community behavioral health services, incorporating the mental health services act, projects for assistance in transition from homelessness, the mental health plan, and community mental health services grant. >>supervisor cohen: thank you very much. excuse me. the floor is yours. >> so we are asking for approval for resolution in support of behavioral health services performance contract with the state department of health care services, and there's no money attached to it. what it is, the state wraps all of our data reporting, compliance standards into one contract to clarify our requirements connected to these different funding streams, and we have to do this on an annual basis. >>supervisor cohen: is that it? okay. colleagues, is there any other questions? all right. we'll go to public comment. thank you, miss simmons. any member of the public wishing to speak on item 5, please come up. seeing none, comment is closed. mr. clerk -- sorry. colleagues, is there a motion on this it

fee of $115 perhour with a minimum of two hours, and it sets a new fee schedule for the department of public health, their costs of initial and ongoing inspections, which the department is here to speak to today. all other departments will assess their fees separately, depending on the inspections and permits required for the specific circumstances of those businesses, and these fees will be subject to each department's is

health services grant for the period of july 1, 2017 through june 30, 2018. >> supervisor breed: without objection the resolution is adopted unanimously. next item. >> the clerk: item 33 authorizing the department of public health to enter an agreement with the california department of health care

so if it was still in the department of health, that would be in the department of health budget, and i want to make sure that we have received that growth as well because we have taken on this -- and i believe that obviously, we -- it's natural. it makes sense that we would have that. but i want to make sure we get the budget that reflects that growth. >> and then, just in general, we do look at, and part of the budget committee, part of their work is to service different areas of the department. we try to get as diverse a group a possible so we have all ranks, all divisions, and we do a needs assessment and we look at some of the data providing on those specific items as far as additional funding requests to the mayor's office as part of our overall budget. did i hit on -- >> yes. >> okay. >> thank you. commissioner covington? >> thank you, mr. president. i will yield the floor to the chief of the department. chief, did you still want to speak? >> at 11:15, i do have to part, but i'll seek to continue because i know there's another item i'm meeting with the police chief, the sheriff

for the office -- for department of public health, so their plan check fee, what the department has said is that it's up to 300 -- $3,700. if for some reason doing the plan check review does not take that amount of time, then, they'll prorate that plan check fee or reimburse them for the amount that's not used. they just may not anticipate, especially when you're talking -- when you're dealing with -- let's use restaurants as an example, where you might have to have multiple meetings to be able to dale with build-out design, consultation, so some businesses may require more involvement and some businesses less, but it may not necessarily be known, so they set an established fee, and then, that amount of fee is not utilized in -- in doing the plan check, then, they're reimbursed for the difference. >> so these are just estimates of the fees. >> i would say the department of public health probably has a pretty good sense of what their fees are. in this example, so their annual inspection fee for a small manufacturer, cannabis or not is the same as a noncannabis business, so that fee mirror

>> in san francisco, most of it is through the department of public health or the human services agency. we have contracts to do minute -- management programs which is funded through the department of public health. we take very good care of tax dollars, which is one way to always think about it -- if the money comes from city resources. we are careful on how we spend it. and of course there is never quite enough. the city is careful. we are careful with what we do. there is always a need. particularly for supplemental programs to do extra things for the residents. we do a lot of activities, dinners, community dinners and art programs. whatever meets the needs of the people of that particular residence. so those of the extra things that don't always get into city budgets. >> as a development director, stephanie, you are living this seven days a week. the particular challenges for funding these wonderful programs? >> because we do get contracts to provide the housing and basic coverage, it doesn't provide for furniture -- heats, towels, pots and pans. these people come to us with nothing

i'm happy to answer questions, and i would invite the department of public health to come up and share more about their component. >>supervisor cohen: all right. we've got a representative from the department of public health. come on up. share with us your comments and ideas around this fee structure proposal. >> good morning, supervisors. drew morell, finance manager, public health. the fee schedule in front of you is largely mirrored on our existing fees. the new one is the plan check for cannabis cultivation facilities and manufacturing facilities and microbusinesses, and it's based on estimated number of hours for environmental review programs to review the plans of a manufacturing or new business. there's provisions in the fee, reevaluate after the first year, to reset the fees if the law provides. excess revenue or under collects revenue. that -- that's all. >>supervisor cohen: okay. all right. thank you. supervisor tang, and then, supervisor yee. >>supervisor tang: thank you very much. i wanted to ask some questions about what happens with the fee situation or the fee waiver if

now the government's allocated £300 million from the departments of health and education. include the piloting of a new four—week waiting time for young people to get treatment. for all primary and secondary schools to get mental health awareness training and joined up mental health support teams between schools and the nhs. the promise we want to make to parents up and down the country is that if your child has a mental health issue, we want to make sure that you get the help much, much earlier than happens at the moment and, if possible, we want to work within the schools system to prevent that condition deteriorating. labour, though, says it questions whether the plans will enable every school in england to provide support, while the charity young minds says there's still a long way to go with chronic underfunding for so long. edward curwen, bbc news. joining me now is sarah brennan who is the chief executive of the mental health charity young minds. do you welcome this news from the government? young minds definitely welcomes this news and it is a step in the right dire

and just for the department of public health, i am still trying to process this. it just happened that we got from the controller, performance report and i was struck from laguna honda that one of the metrics that they're failing is they're not getting people out of there in 60 days or less. that was not my understanding of what it was supposed to be. that's a weird metric. can we get people in and out in 60 days or less. so i'm baffled by that, too. the idea of trying to process patients like cattle seems bazaar. especially when it's seniors. as a community and city we need to work at how we're going to help our seniors. i admire supervisor yee's leadership and foresite and bringing it to our attention. thank you. >> thank you very much. >> i just want to say one thing, this is a problem that is not going to go away. this is a problem as a public speaker said that is going to get worse. this is a problem that is going to just compound other issues that we have, too. this is not going to go away. this is -- this is going to get bigger and bigger and bigger. supervi

of the department. also, to provide environmental health and safety support within the framework of the department's fire-year strategic plan and act as a health and safety resource to the fire department, again, in any phase that i can support to make the job a little bit safer. and then, finally, kind of a cat catchall to provide whatever the department needs from me in the realm of fire safety, so that's what i hope to do going forward. and with the chief's cooperation and all the deputy chiefs and assistant chiefs, assistant deputy chiefs, i believe we can make this job inherently safer than it has been, even though it's not bad in the sense that it's not safe, it's just that it's an inherently dangerous job, and i'd like to do my part to make it even safer. so that is what i do, and that is what i bring to the table, and i'll entertain any questions. >> thank you. is there any public comment on this presentation? seeing none, commissioners? commissioner veronese? >> thank you, commissioner. i would just like to say anthony has been a welcome addition to our staff in the field of fire safety and preventio

he supported the san francisco department of public-health developments of an integrated electronic health record system through funding of the project and approved innovative funding mechanisms which the san francisco department of public-health could fund the initiative through safe revenue. he ushered in the rebuild of the sucker burg san francisco general hospital and spent time with patients at the general hospital and laguna honda hospital in addition to visiting the sfdph heath centers where mayor lee created the department of homelessness in support of housing to focus efforts to prevent homelessness and assist those who are homeless. where as, mayor lee advocated for affordable housing and many ways including pledgeing to build and rehabilitate buildings intended for low-working and middle-class joining the board president david chew to reeight the housing preference program to assist tenants evicted through the ellis act sponsoring funding initiatives where mayor lee died december 12th, 2017 at san francisco general hospital and be it resolved the san francisco health commission

of the h.i.v./aids health services section of the department of public health. this is for the annual application for their 16,610. >> 150 for our grant application and in fiscal year 2017-2018, the total award was $15,811,000 and the amount of this year's application request represents the maximum amount for which we could apply which is the current year's award plus the potential maximum increase of 5%. the trend of ryan white grant award amounts has been decreasing by a small amount. the current year's award is decreased by about $26,000 from the previous year or less than one-quarter of 1%. the year plier to that the amount was a decrease of nearly $68,000 or a little less than one half of 1%. and it represents about 40% of the h.i.v. health services program attic funding and it's a payer to provide services such as primary care and case management and dental, hospice, outreach, psycho socioreport and other support services for h.i.v.-positive san francisco residents living with low income. last year they funded programs and provided services to nearly 7,000

. >> reporter: he says the department of health will not allow me inside of the dispensary. since it is difficult to do a medical marijuana story without video of marijuana. >> record now. >> i sent him inside with my go pro. >> a potential patient finding doctors is the hard part. there is no list of doctors. doctors have to be preapproved. you may have tried marijuana before and know that it helps with the side effects of your cancer or helps with the chronic pain in your back. but how do you get it. >> reporter: here hoping to make that connection at sunday's wellness workshop that doubles as a cooking class. >> we're on that path. if you're using cannabis as a medicine, it is no longer something to hide in the corner. and it is no longer something that you have to smoke a joint and it will upset everyone on the street around you. but you can have a gourmet cupcake. >> reporter: an important footnote here, decriminalized in d.c. but still illegal to smoke in public or in your car. edibles on the other hand, no rules on that just yet. and it is becoming a more popular pres

just from the department of hea health, that's almost $3 million. our budget is about $380 million. so i want to ask you, chief, when the department gave us station 49 and all of the paramedics, did -- was -- did our budget reflect that, and it reflected that over the years? there are now neighborhoods that exit that didn't exist when i was growing up in the city. so has our gro

education has joined with the department of health, it's reallyp children and a good place to start is in schools. one of the issues that concerns us, over the years we've seen increasing demand. in casualty we see more people turning up casualty we see more people turning up in crisis, more young people feeling desperate and suicidal and a lot of those problems could have been helped if people were treated earlier. it's important this help is offered to schools so teachers can help young people and they can access help young people and they can a ccess services help young people and they can access services quickly. that is the other point, one of the other big problems, the waiting times, not only identifying mental health problems in young people at school but the amount of time they're having to wake to get treatment. the current average is 33 days for first assessment, 33 days for treatment, but they are going to pilot a four—week waiting—list —— having to wait —— 36 days for treatment. how practical is it, throw money at this and hope the wa

he sued the department of public health for refusing to release information about the dangers of cell phone radiation back in 2009. he won. >> people are being injured and harmed by the delay in having this information accessible to them. >> reporter: the question remains does this release mean the state now believes cell phones are dangerous? >> not at all. our position is that the science is evolving. >> reporter: the state said that one of the biggest reasons why it close to release these numbers now is because -- release these warnings now, excuse me, is because new numbers show cell phone use higher than ever. 95% of americans use cell phones regularly and most kids are getting cell phones by age 10. in berkeley, susie steimle, kpix5. >>> the season is a complete bust, but there is a buzz regarding the san francisco 49ers this weekend because their new quarterback, jimmy garoppolo, will make his first home start. the team has won two straight games since garoppolo was named starting quarterback and he may be helping with ticket sales. it turns out 9ers tickets were selling for as

>> good afternoon supervisors, with the department of public health. as supervisor yee mentioned, i'll share this presentation with department of aging and hospital counsel of northern and southern california. so, residential care facilities for the elderly provide an important level of care in between adults who can live safely at home and adults who need 24/7 medical care. we know that the -- as people age, the majority of people want to remain in homes, in their homes which is referred to as aging in place. as adults age, they may require a range of services and supports called long-term care. so residential care facilities provide long-term care for people who can no longer live safely at home and for patients or persons who need 24/7 supervision but don't require 24/7 medical care. i want to take a second to define terms we commonly use when talking about long-term care. so long-term care is defined as a variety of services that help meet medical and non medical needs of people with chronic illness or disability who can't care for themselves. these

to collect permit application fees of $2,000 and annual fees of $5,000 to authorize the department of public healtho impose fees relating to the inspection and establish annual permits and require the office of the director of cannabis and the department of public health to waive certain fees for certain applicants. should i continue or do one at a time. >> supervisor breed: we'll start with item number 30. >> the clerk: okay. roll call vote, madam president? >> supervisor breed: yes. >> the clerk: supervisor cohen, item 30. >> supervisor cohen: thank you. >> the clerk: supervisor farrell, aye. supervisor fewer, aye. supervisor kim, aye. supervisor peskin, aye. supervisor ronen, aye. supervisor safai, aye. supervisor sheehy, aye. supervisor tang, aye. supervisor yee, aye. supervisor breed, aye. there are 11 ayes. >> supervisor breed: the ordinance passes on the first reading. >> the clerk: the motion is for the delivery of software services and hosting for an electronic record for a ten-year term >> supervisor breed: without objection the resolution is adopted unanimously. next item. >> the clerk:

the department of health is defending the decision to put one of england's top nhs trusts into "speciall in south london is predicting a deficit of £92 million at the end of the financial year, with its chairman — lord kerslake — resigning, blaming government cuts. labour was granted an urgent question in the house of commons. will he face up to the fact that problems caused by lack of money will not be solved by changing leadership? kings is an amazing hospital, a specialist world centre of research. it is there for local people, they're after the grenfell tower fire and after the terror incidents. is it too much to ask the government to recognise the reality of the situation, pull back from imposing these further cuts that will make patients suffer? no amount of changing the faces at the top will make that difference. it's his responsibility. this isn'tjust about numbers but the way the trust is managed and the honourable gentleman asked if i have been there, i have been there and met the chairman and the finance director and they were not addressing the problems in the way they shoul