the department of public health has had the same relationship with d.o.r. for the past 27 years. in this relationship, the department of public health has entered into an agreement with d.o.r. to provide matching funds to support the extension expansion of vocational services through this grant. d.o.c. contracts directly with community based organizations for the deliverly of row -- delivery of vocational services. it's paid for by two main sources. the first is federal funds that the d.o.r. draws from, which is about 78.7% of the total program cost. the second source is the 21.3% cash match from the department of public health. the state needs a county match in order to drawdown a match from the federal government. d. ph supports this agreement because it allows for the expansion of row indicational services in san francisco with only a 21.3% county investment. d. ph supports d.o.r.s infrastructure as it supports san francisco residents and mental health clients. in short, the department pays only 21.3% of the total program budget, however, 100% of the clients are within behavior

that, let their children attend school without vaccinations could have to ask the california department of health before they do that. [ bell rings ] >> taking a look at the stock exchange, opening bell right there. stocks fell today tracking bond yields and possible worries over economic slowdown is continuing to linger. dow is down 12 points. >>> on new at 11:00, bay area technology workforce is outpacing other metro areas across the nation. take a look at this map created

you heard this week that officials from the department of health and human services spoke about this and have said in many of these cases there wasn't enough evidence to prove sexual assault took place in the facilities and said that there were some cases that involved staffers that weren't actually hired by the department of health and human services, but actually by private contractors. and so i've talked to a lot of immigration experts and attorneys, and they've just said that the real problem, the real crisis that's happening in this country is not at the southern border, but in these facilities because this has been going on for so long, for more than four years. >> crucial story. thank you for bringing it to us. we'll be right back, stay with us. tay with us alright, i brought in ensure max protein... to give you the protein you need with less of the sugar you don't. (straining) i'll take that. (cheers) 30 grams of protein and 1 gram of sugar. ensure max protein. in two great flavors. when heartburn hits, fight back fast with tums smoothies. it neutralizes stomach acid at the s

hello. >> madam chairwoman, my name is david borganoni, with the department of public health, and i just wanted to clarify that the department of public health is expecting to achieve that savings and has been an assumed part of our six-month report. we're agreeing with the report and not refuting the savings. >> chairwoman: thank you very much. colleagues, any questions, comments? let's open this up for public comment. any members of the public like to comment on item number 9. seeing none, the public comment is now closed. so i'd like to make an official request to the controller to redesignate the funds of $115,185 to be returned to the general fund. i think we're in agreement. thank you. and then i'd like to move this with a positive recommendation to the board. you can take that without objection. thank you very much. madam clerk, can you please call item number 10. >> a resolution approving the contract and agreement between the city and the dominion voting system for the lease of a voting system for a contract term from january 1, 2019, through march 31, 2023, in an amount not to

our capitol bureau reporter ashley zavala caught up with the director state department of public health to see what's being done statewide to address the problem. >>with 16 measles cases confirmed in california, the state department of public health sent out a health alert friday to doctors across the state.((karen smith, ca dept. of public health)) "we want to be sure to remind providers that people can transmit measles before they're sick, so in a situation like the one we're having, asking people who come in with symptoms that might be measles, it's just important to have measles in front of mind and to ask about travel and contact with travelers."california department of public health director karen smith says california typically sees about 25 measles cases a year. so far most of the state's cases are in northern california.((karen smith, ca dept. of public health)) "they are generally always associated with returning travelers who were unvaccinated or undervaccinated. the same thing is true this year although we do have slightly more cases than we had in the past few years."smith

we've been able to also look at other data we have in the department of public health, data from our ccms database and from all of our clinical databases to have a much broader understanding of what is this person's health care history, as well as what is their history related to homelessness. there's no indication that we've had increases in the past few years related to deaths of people experiencing homelessness. how does it work? we get reports from the medical examiner, as i said, once a week or more often. medical examiner has quite a strict definition of what a medical examiner death is. they are what you would be expecting, accidents and injuries, possible homicides and suicides, people who die alone, number of other kinds of deaths, and deaths of people who there is no one to pay for funeral expenses, what they call indigent cases. and not surprisingly, many of those are people experiencing homelessness, so we're able to look at all of those kinds. and then we're able to look in each of those cases at information from our coordinated care management system and information from

crisis. >> by the look at the slide and you look at the behavioral health spectrum of care and i listened to the mission of the department of public health and i see the difference between h.s.h.s budget and the department of public health's budget. i know that there are a variety of services that you provide and a plethora of uses for the resources of the budget. why does d.p.h. not provide any housing as a department under this spectrum of care? >> d.p.h. -- so d.p.h. previously provided housing? >> correct. >> and we transferred all of those services to h.h.s. when it was formed. >> when you transferred all of the services did you also transfer all of the resources? >> i believe so, yes. >> all of them? >> yes. >> okay. so what you're saying is that as we focus on addressing the housing crisis and the homeless crisis, that the department of public health doesn't have any resources to provide for actual housing? >> i believe that's correct. >> yeah and i will -- i will just add, i mean, this was an intentional decision that was made. there were approximately 800 units that were in what was then called the direct housin

i want to thank the department of public health who have a couple of suggested changes that are before you, namely, the addition of two whereas to allow the department of public health to allow legislation that we all support; the first at the top of page two. and then, at line 15, to insert a second whereas clause, the board of supervisors acknowledges continued deliberations and study to fairly define "reasonable charges" in section 13172-a in such a way that does not play undue burden on taxpayers. so i would like to make that motion and pass it as amended. >> president yee: okay. there's been a motion made. and a second? supervisor haney. supervisor haney, do you want to speak? >> supervisor haney: yeah, just, i would love to be added as a cosponsor and thank you, supervisor peskin, for your leadership. >> president yee: okay. there's a motion by supervisor peskin and second by supervisor haney. without objection? >> clerk: mr. president, supervisor mandelman is on the roster. >> supervisor mandelman: just to be added as a cosponsor. >> president yee: so without objections, then, t

is an honor to have spent the years since i last appeared before this committee leading the department of health and human services. the men and women of hhs have delivered remarkable results since then. including record new and a drug approvals. new affordable insurance options. the sign that the trend in a drug overdose deaths is beginning to flatten and decline. the budget proposes 87 point $1 billion in fiscal year 2020 discretionary hearing. while moving towards a health care system that puts american patients first. it is important to note that hhs has the largest discretionary budget of any non-defense department in 2018. this means that staying within the cap set by congress has required difficult choices that i'm sure many will find quite hard. i want to highlight how the president's budget highlights a number of important goals for hhs. first, he proposes reforms to help deliver americans truly patient centered affordable health care. the budget would empower states to create personalized health care options that put you, the american patient and control and ensure you're treated like

the chief of the environmental health section of the north dakota department of health. becky, director arkansas department of environmental quality, greg, assistant chief counsel california air resources board. very pleased to have our witnesses today have representatives from states here in our own subcommittee. i will start with senator cramer to introduce the witness from north dakota and after that, senator boozman while introduced a guest from arkansas. >> thank you mr. chairman and thank you to all of the witnesses for being here and thanks for inviting me to testify today. i think there is an exceptional story regarding the subject of today's hearing and i look forward to your testimony. i can't think of anybody better prepared than dave to testify on this topic. he's a native from north dakota and received his bachelor's degree in biology and masters in environmental engineering from north dakota state university famous for lots of things not the least of which out of the eight national championships and we celebrated yesterday with the president o at the white h

the sonoma county's department of health services.... issued a household hazardous waste warning ... urging property owners to protect their neighbors ... and the river. kron4's michelle kingston has the story. (mk)áánats of water rushing into drainááthe rain continues to fall in guerneville ... while people here begin to clear out the mess the storm left behind in their homes. river road once completely flooded ... now covered in debris -- piles of trash sit outside houses throughout the town.birkin newell, russian river keeper education director "it's overwhelming the amount of debris out in the streets and the amount of work still to be done."michelle kingston, mkingstonnews"the sign behind me calls monte rio a vacation wonderland but today they are still picking up the pieces from a disastrous flood and it's a mess"iris gradunov, guerneville"right now it is a toxic emergency at this point." due to the amount of waste scattered along the river ... the main roads and on private properties -- the sonoma county department of health servic

(ken) our capitol bureau reporter ashley zavala caught up with the director of state department of public health to see what's being done state wide to address the problem. with sixteen measles cases confirmed in california..the state department of public health sent out a health alert friday to doctors across the state. ((karen smith, ca dept. of public health)) "we want to be sure to remind providers that people can transmit measles before they're sick, so in a situation like the one we're having, asking people who come in with symptoms that might be measles, it's just important to have measles in front of mind and to ask about travel and contact with travelers." california department of public health director karen smith says california typically sees about 25 measles cases a year. so far most of the state's cases are in northern california.((karen smith, ca dept. of public health)) "they are generally always associated with returning travelers who were unvaccinated or undervaccinated. the same thing is true this year although we do have slightly more cases than we had in the past few years."

for the first time since 20- 13, a small outbreak of the measles in san francisco.the city's health departmentreporting three cases of measles in february.all adult cases.it first showed up at s-f-o when a passenger was exposed to the disease during an international flight.city health officials say one person, a santa cruz county resident at the time already had measles, si passengers on the same flight got sick with measles as a result from that exposure.one was a san francisco resident, the other was a santa clara county resident.symptoms include high fever, runny sered eyes and a rash all over the body lasting for five to six days.measles can spread easily through the air..the centers for disease control and preventio

dave spent 35 years to this point, i think, at least, at the north dakota department of health. he has been chief of environmental health section for the department for the last 16 years. he has over the course of 35 years obviously has worked with lots of administrations, different political stripes, different relationships, different philosophies and all the while dave, i can assure you, has had north dakota's air, water, land resources at the heart of every part of his job. we've seen that. when i was a regulator in north dakota, public service commission, we always had great confidence that dave was going to -- was looking out for the air we all breathe because he was looking out for the air he breathes. dave, thank you for being here and we look forward to your testimony. >> thank you, mr. chairman. >> senator boozman. >> thank you, i want to give a special thanks to becky keiaho of little rock for being here to testify. becky has an impressive job history which made her uniquely qualified at this hearing to testify. she served as director of the arkansas department of envir

of our health care system. so as we're kind of thinking about this and focused on it, you know, our approach in the health department is to acknowledge where we're not doing something at our best and is aligned with our values and embrace that and look for ways we can change and do better, so we're really coming to you kind of in that spirit to talk about areas that we think there is improvement and some of the activities that we're focused on to try to improve the experience for our patients at the hospital. again, the kind of area that we're focused on is this topic of balanced billing, and that's where a patient's insurance covers a portion of their hospital bill but leaves them in a situation where they are receiving a bill for the balance of the costs, thus the term balanced billing. so in a lot of situations, let's see, in a lot of situations throughout the state of california, patients are not affected by this due to regulations around how insurance is governed and regulated, but there is a portion of individuals who, because of the plan that they have, they are exposed to this practice and the financial impa

one, a collaboration between the department of labor and the hhs mental health agency. they use the usability program to address substance abuse. it is supported by the department of labor and provides youth with the ability to develop construction skills. there were dropouts to the substance use. they developed a pilot program to tackle substance abuse in the program. the pilot helped increase graduation rates and reduce expulsions for substance abuse and is now funded by a foundation. this working group has also been busy this year on establishing common outcome measures across all 21 partner agencies. the goal is to build a unified set of measures used to assess the outcomes of all the various programs we run for youth. are they improving education outcomes? this is important and will be helpful to have a common standard. our mission is to improve the health and well-being of every american and improving outcomes for use is a crucial step toward health and well-being in the rest of life. we are proud to run this working group and we are grateful to the first lady for

michael horowitz, a representative from the department of commerce, we have a representative from the department of defense, an i.g. from the department of health and human services. thank you all for your services. they are here to discuss their mandate for fighting fraud and waste and abuse on behalf of taxpayers to talk about how they achieve results. you may be asking yourselves why this event and why now. because now, more than ever, because these offices are dealing with matters that are increasingly complex, from transnational crime to corruption, to health care and insurance fraud, and each of them faces unique and similar challenges that are creatingly part of public discussion and reflection by the media. today the might against corruption an illicit activity is a team effort requiring resources from the government and the private sector, and that's where thomson reuters comes in. we partner with law enforcement and private sector companies to increase transparency, expose corruption, and fight fraud to bring bad actors to justice. to protect the public. throughout all government institutions, there are increasing requirements for inf

behalf of the health commission, we'd like to present you with a certificate honor, and it reads, as a public health hero, it reads, for your outstanding leadership serving the san francisco department of public health, acting director from august 2018 to february 2019, while still fulfilling your vast duties as cfo, you led the department with grace, dedication, provided stability and vision during a time of upheaval. we're grateful for your invaluable experience at the san francisco d.p.h. at this time. [ applause ] and the commission recognized that you missed many meals during the course of your tenure. pastry grill for you, as well. >> thank you so much, commissioners. i was not expecting this, but i really appreciate it. it's been an honor to do what i can to help serve. i really appreciate the leadership and the support from the commission and everybody at the department who's doing so much incredible work. so i really appreciate the honor, and i'll in turn honor all the people at the department that have been going through this with me. so thank you so much. >> thank you. don't leave yet. would my colleagues like to say anything to mr. wagner? commissioner sanchez? >> commis

letter from the national association of county and city health officials be submitted for the record. it speaks to the important role of our local health departments across the country in responding to vaccine preventable disease outbreaks and other emergency health crises. >> so ordered, thank you, senator murray. i will now introduce our witnesses. each one of you will have up to five minutes for questions and answers. i will ask the senators to keep the questions and answers within the five minutes so everyone can have a chance to participate. senator murray will introduce the first witness. >> from my home state of washington, i am pleased to introduce dr. john huisman. he was appointed the secretary of health in 2013. he has a 22 year career working to keep our families and communities healthy. throughout his career, he has worked at four different health departments, including clark county public health in vancouver, which is the current frontline of our measles outbreak in the state. i know some of my colleagues on the committee will appreciate learning that before you came to my state to work in our public health system, you got your educa

we have been doing that with the department of building inspection and the department of public healththe fire department. >> it is really important for the industry to know that we are treating them like industry. like manufacturing. like coworkers pick so that is the way we are approaching this from a health and safety and a consumer protection network. this is just the way practice happens with restaurants or manufacturing facilities. >> because there are so many pieces of industry that people haven't even thought about. there are different permits for each piece. you have to set up a permitting system for growing, for manufacturing, for testing. for delivery. for retail. you have to make sure that there is an appropriate health code. certainly the regulation of alcohol in terms of restaurants and retail it's probably a model for how this industry will be regulated as well, both on sale and consumption. >> it is completely uncharted territory. there is a blessing and a curse with that. it is exciting because we are on a new frontier, but it is very nerve-racking because there's a lo

one is a collaboration between the department of labor and hhs as mental health services agency. to use the youth build program to address substance abuse. youth build is an organization supported by the department of labor that provides youth with the opportunity to learn construction skills. youth build participants must commit to being drug free. the program was seeing high rates of youth dropping out as a result of substance abuse. samhsa and dol developed a pilot program using samhsa rapid assessment tools for substance abuse risk to tackle substance abuse in the program. the pilot helped increase graduation rates and reduce expulsions for substance abuse and is now funded by the hilton foundation. this working group has also been busy this year on establishing common outcome measures across all 21 partner agencies. the goal is to build a unified set of measures used to assess the outcomes of all of the various programs we run for youth. are the increasing playability and economic opportunity? are they improving education outcomes? this is tremendously important and will be h

red cross we have a full court press now sounds in occupations are going on as well as the department of health and another government oh is it any different right. you know in the shape there of actually who actually they should well you know when we leave won't power through the national government the older man. is slow on the uptake show we have to write for that ok well richard gordon thank you very much welcome we have an update on our story from yesterday pakistan has freed the indian pilot captured when his plane was shot down over kashmir these are images of the convoy carrying wing commander i've been on done towards the indian border and moved to release him and to bring down the temperature between the two countries things have been tense ever since a deadly bomb attack on indian troops in kashmir which new delhi blamed on pakistan . now hong kong is one of the few places in the chinese speaking world with certain freedoms freedom of the press freedom of expression values beijing does not share mainland china which controls the territory had once to pledged a hands off approach but

gonna be safer and healthier and won't become ill from a vaccine preventable disease the state department of health says 95% of california kindergartners have gotten their required shots since the law went into effect....that's the highest reported level on record. because measles is so contagious......the infectious diesease expert i talked to compared it to a wildfire...we want to you know protect people from the vaccine similar to the way we want to eliminate drybrush because if there's a spark we can prevent it from spreading further and putting our community in danger and that's sort of what happens with measles when we have one case and we have enough people around that case who are vaccinated no ( james ) the number of measles cases in washington state... has also caught the attention of u-s surgeon ca of measles in clark county alone... and three new suspected cases. 61 of the confirmed cases involve people who were not immunized. adams traveled to the region... meeting with health officials, local doctors ... and the general public. <"we need to create an environment where folks can ask qu

for the first time since 20- 13, a small outbreak of the measles in san francisco.the city's health department reporting three cases of measles in february.all adult cases.it first showed up at s-f-o when a passenger was exposed to the disease during an international flight.city health officials say one person, a santa cruz county resident at the time already had measles,since then two additional passengers on the same flight got sick with measles as a result from that exposure.one was a san francisco resident, the other was a santa clara county resident.symptoms include high fever, runny nose, cough, red eyes and a rash all over the body lasting for five to six days.measles can spread easily through the air..

the sonoma county department of health services is asking for volunteers to help. newell, russian river keeper education director"i'm seeing huge piles of everything mixed up all together and it's understandable that the people are maybe in shock and in despair and don't have the time to separate the hazardous waste.">( darya ) crews hope they can get more volunteers so that the waste doesn't end up in the river. ( darya ) happening today... former trump campaign chair paul manafort will be sentenced in a federal court. manafort was found guilty of defrauding banks and the government-- and failing to pay taxes on millions of dollars he earned as a political consultant. prosecutors have asked for up to 25 years in prison. manafort is 69 years old. the case against manafort was the the áfirstá brought to trial-- by special counsel robert mueller as part of his russia investigation. manafort will receive a second sentence next week from a different federal judge. that's in connection to the witness tampering and conspiracy charges he pleaded guilty to last year. ( dary

for the first time since 20- 13, a small outbreak of the measles in san francisco.the city's health department reporting three cases of measles in february.all adult cases.it first showed up at s-f-o when a passenger was exposed to the disease during an international flight.city health officials say one person, a santa cruz county resident at the time already had measles,since then two additional passengers on the same flight got sick with measles as a result from that exposure.one was a san francisco resident, the other was a santa clara county resident.symptoms include high fever, runny nose, cough, red eyes and a rash all over the body lasting for five to six days.measles can spread easily through the air..

our capitol bureau reporter ashley zavala caught up with the director of the state department of public healthdressing the with sixteen measles cases confirmed in california..the state department of public health sent out a health alert friday to doctors across the state.((karen smith, ca dept. of public health)) "we want to be sure to remind providers that people can transmit measles before they're sick, so in a situation like the one we're having, asking people who come in with symptoms that might be measles, it's just important to have measles in front of mind and to ask about travel and contact with travelers."california department of public health director karen smith says california typically sees about 25 measles cases a year. so far most of the state's cases are in northern california.((karen smith, ca dept. of public health)) "they are generally always associated with returning travelers who were unvaccinated or undervaccinated. the same thing is true this year although we do have slightly more cases than we had in the past few years."smith says the majority of the recently confirmed

. >> the department of health and human services is seeking public comment, but that request has been largely overlooked because it's been buried in a 700-page draft resolution released last month. this move is is likely to meet fierce opposition ask possible legal challenges from hospitals, doctors, and insurers. >>> former governor john hickenlooper launching his presidential campaign in denver. he cast himself as a pragmatic leader, but also appealed to the party base with progressive positions like universal health care and closing tax loopholes cloused by corporations. he says beating president trump is is sshl, but that's not enough. >> our country stopped making progress when we hunkered down on the continental divides, red versus blue, rich and poor, urban and rural it's time to end this american crisis of division. >> in the meantime, you can scratch one name off the list for 2020. ohio is senator sherrod brown said his listening tours in the early primary states helped him see he wasn't fully commit edteo a campaign and this programming note for you. three cnn town halls sun