those have access through city college of san francisco to benefit, others access healthy san francisco now because they don't make enough and there are some of those who would fall through the cracks if we didn't have healthy san francisco. one of the unintended consequences of the aca is the fact that employers are going to appear to be driving down hours for many workers so that they don't need to provide insurance and that's something that is happening all over the country to part time adjunct contingent faculty members all over the country. there are teachers, professors who are not getting the same number of classes or the same number of hours. we're already seeing health care access diminished as city college of san francisco for our part time faculty and we ask that you defend healthy san francisco so that there will be some place for them to go and so that there will be some place for the thousands of others who need to have access through healthy san francisco and won't get it otherwise. thank you. >> i have a few more names. (speaker names being called). >> next speaker, plea

we think that showing that san francisco has a choice right now to step up and say healthy san francisco is the way to go, we're not going to give into the growing pressures of taking investment out of the community and say this is an antipoverty program, we want health care to resound and a right of all san franciscans and all californians, so we're asking for your leadership. >> thank you, sir, next speaker. >> good afternoon, supervisors, thank you so much for being here at this

that includes tens of thousands of san francisco resident, 10 thousand more that work in san francisco but do not live in san francisco, san francisco has been a huge success, all it takes to perceive for the future is to get the obama administration to recognize that it's a unique program and make some regulatory allowances unique for its design, this should not be controversial, healthy san francisco has a [inaudible] for healthy care reform and our national representative ares at the forefront of making the aca as strong as they could, but during this, we will ensure the health of san francisco remain a model for others to follow and doesn't allow us to enroll backwards. some people currently receive coverage through healthy san francisco will require for medi cal care and many will not, we estimate 3 to 4 million californians will remain uninsured even after the aca is fully implemented at the same time public hospitals will face cuts and dsh payment and the alignment fund, employers payment under health care sans fra*ns will be crucial. thank you, sir. >> thank you, sir, i'm going

in san francisco is not that easy. but one of my -- one of my proudest moments in life when a former sheriff mike hennessy swore me as a peace officer in san francisco, that day i decided that this is my place, san francisco is my place. this is where i want to live. this is where i want to buy a house, in san francisco. and again, my department has been great support to me ever since i started the department. it's been almost 10 years. i can mention a lot of names who have been support to me including our chief of staff, former sheriff, captain, different numerous people have been helped me. i don't even know why they helped me. they didn't know me. so, to me i feel like this is the city i owe and i'm so -- [fire engine] >> sorry. again, i used to live in san francisco. but as you all know, the housing prices here are very high. so, i had to move out of san francisco due to the cost of living. now i am renting in san mateo. but again as i said before, this is where i belong. this is where i want to serve here because

we need to conserve healthy san francisco. >> thank you, gracias. next speaker. >> good evening, thanks for having us, supervisor, my name is jane sanderval, as i currently work in an emergency department, i know first hand how a reduction in community resources leads to an increased dependence in emergency departments, often the emergency department is used as a primary means of health care, i see this on a daily basis. the potential search in ed clientele due to a loss of nuances from the health care ordinance will tax an overloaded and overutilized and sometimes underfunded and understaffed department. i'm concerned ed wait times will increase, as they provide access to preventive services sufns immunizations and health screening, i'm concerned without these sss, clientele may not seek care until they have a crisis in their life. it is unclear to me how mandating an uninsured person to purchase health care [inaudible] those less fortunate are not limit today the marginalized and people who have become a casualty, these people will not be able to

the san francisco energy watch program is a partnership between the city and county of san francisco and pg&e, the small business owners qualified for high incentives and turn-key service and energy assessment at no cost and followed by a full project management by the staff. and this turn-key services are beneficial to small business owners who have limited time to examine today's technology on the market today. >> we need of the financial help to the retrofit, and the program staff presents the optional pg&e financing. we have a 0 percent interest loan, they are also looking at this possibility through the power and staff or the water bill to offer great flexibility for the larger projects. >> the opportunity for improvement including lighting, and heating and ventilation and air-conditioning and the computer management network. here are a few case studies of small and medium sized businesses, you may be able to see that the incentive is better for each one of them and that is because it is based on the energy savings identifying the business and so the higher the energy savings, a

that includes tens of thousands of san francisco resident, 10 thousand more that work in san francisco but do not live in san francisco, san francisco has been a huge success, all it takes to perceive for the future is to get the obama administration to recognize that it's a unique program and make some regulatory allowances unique for its design, this should not be controversial, healthy san francisco has a [inaudible] for healthy care reform and our national representative ares at the forefront of making the aca as strong as they could, but during this, we will ns

the benefits of free wi-fi in san francisco are many. not only will it further open up our parks and our city to innovation, to education, and includetionthv i. for all san francisco residents, but it's also as i mentioned before a significant step towards bridging our digital divide in our city. it provides local groups and community residents access to the internet they might not have had before, as well for our rec and park department as phil knows all too well many rec centers still use dial up service. when we think about registering our children for camps and play grounds, what we need to do in our daily lives, but also our government on a daily basis to use technology, this will be an incredible boone to our rec and park department and something we should all be very excited about. in terms of the details of the gift, google is providing a $600,000 financial gift to our city with no strings attached. i think a lot of the prior debate around free wi-fi in san francisco that never moved forward was because of different questions abo

this is a beautiful day in san francisco and it's a really special day in san francisco.t i would like to do is offer on behalf of the entire board of directors of the san francisco parks alliance confirmation that on tuesday evening, by unanimous vote, we agreed to accept the easement from the emerald fund for this beautiful half acre park in the center of a neighborhood on the rise here. really central to the mission of the san francisco parks alliance is the promotion of the expansion of parks throughout san francisco for all san franciscans to enjoy. and what we are really especially humbled by and appreciative of and wish to say that emerald fund for this incredibly unique, generous, and creative way to provide a brand-new public open space in the middle of this rapidly developing neighborhood. we especially want to thank mr. mctaggert, and mr. erickson, and all from the emerald fund for really understanding the importance of parks, for understanding how important open space and green space is for everyone in san francisco, but most especially for families and famili

we think that showing that san francisco has a choice right now to step up and say healthy san francisco is the way to go, we're not going to give into the growing pressures of taking investment out of the community and say this is an antipoverty program, we want health care to resound and a right of all san franciscans and all californians, so we're asking for your leadership. >> thank you, sir, next speaker. >> good afternoon, supervisors, thank you so much for being here at this important hearing, my name is ali and i've been a registered nurse here for 36 years now, to consider weakening any part of healthy san francisco now when there is so much that's unknown about the affordable care act is concerning. the employer spending requirement needs to remain in place and that's really important. i have a story i would like to tell you, i'm sure we all have stories but this is a friend of my daughter, a 28 year-old full time restaurant worker would was born and raised in san francisco, he was in a serious accident last year, on his way to work, he was on a scooter and a bicyclist ran a re

now that san francisco is part of this americans campaign. melissa rogers from the immigrant illegal resource center who heads up that campaign is here today. i want to quickly introduce. and irlc is providing [speaker not understood] to our collaborative. besides self-help for the elderly, there are six other community based organizations and their representatives whom i'd like to introduce to you now. if i call your name, would you step up and stand beside me? because we're not doing this alone, we're doing everything together. so, from the advancing justice asian caucus executive director hen june ro. from the asian pacific islander legal outreach, executive director dean ito taylor. program director from the catholic charities cyo christopher martinez. amy wang [speaker not understood]. cheryl madrid, jewish services. and [speaker not understood], executive director from la rasa community resource center. together all the partners have invited over 30 of our clients to join us to celebrate today and they're standing in the mayor's office

now, speaking of the uninsured, the san francisco insurance will allegation be affected. the healthy san francisco has definitely helped some of the families in hunter's point bayview. we do have agencies like the southeast center, the bayview medical center and we have health fairs throughout our community but we need more outreach, we need our families to know how to obtain these services in insurance, so i want to see more outreach out in hunter's point bayview, and i'm sure you are aware in my community that we have a high rate of asthma, diabetes and cancer and also trauma, a lot of trauma related issues are in hunter's point bayview and this causes a problem with our children. i am an employee with the unified school district, and i would just like to see that the parents have more access of insurance and know the health benefits available to them because you must realize that good health is a conduit for closing this educational gap for children of color, so please keep this program going, it's very important for our community in hunter's point bayview, thank you.

these two programs, healthy san francisco and sf path have put san francisco well ahead of the health reform implementation curve compared to other states in the nation, healthy san francisco was created in 2007 and because of this long history we have of coordinating scare for the uninsured, we have largely add deed pent up demand, it is a spike in utilization that occurs when an uninsured person first gets access to health insurance. we've promoted the medical home model, our uninsured are already used to the medical home, our managed care and which will be most prevalent under health reform. we have more providers in our community who are committed to serving our low-income population and more importantly, we know who and when are uninsured are for the most part, for 71% of our uninsured, we can send them a let e call them on the phone and text message them, we can tell them of the changes that are coming with health reform and help them enroll into health insurance, sf path has given us some experience to create a managed care environment because it is subject to all the rules as

for it, healthy san francisco will be here to help you. so, the timing of these transitions, in june of 2013, cover california identified the five plans that will be offered in san francisco which i named earlier, in october of 2013 as the supervisor indicated earlier, open enrollment begins for medi cal and covered california. in january of 2014, the sf paths program ends, the individual mandate begins and we transition 10 thousand people on that one day into medi cal. and then between january of 2014 and december of 2014 and really ongoing after that, about 25 to 40 thousand healthy san francisco participants will transition to the insurance for which they qualify. at this point, i will turn it over to noel sim mos to talk about implementation at sha. >> good afternoon, supervisor, noel simmons, deputy director at the human services agency, just to round out the picture of what city act sis are doing to prepare for health care reform, i have three slides to share with you about the efforts at sha, in many other jurs dictionary, the healt

francisco school district. were not going to let them be isolated anyone. this is the future markets and public education is at the heart of it. we will help them succeed. were also making sure that this very expensive city is more affordable to more people. i know there's a lot of concern about that and we need to work on it. >> [applause] >> that's why i push hard on the housing trust fund that was passed last year creating one and half billion dollars, not million, one and half billion dollars to build more affordable housing in the next 30 years in san francisco. not stopping with that. to give mr. kelly and i are working very hard to re-envision a public housing, to note that sold housing. you know that's isolated poverty. you can't let that happen any longer. we've got to build mixed income housing and keep our promise to the residence. they're going to save housing housing networks, maintained for generations to come. not only is a promise we were doing that. we are doing that as we speak. >> [applause]

we think that showing that san francisco has a choice right now to step

and i have clients throughout all the neighborhoods of san francisco. i drive a lot in this city back from kristi field to ocean park, and i walk almost all the neighbors with my clients and their dogs and i can tell you from first hand experience that once those dogs are adopted, they often need special care and training, and that i have had the most success in rehabilitating those dogs and adjusting them to an urban environment when they have a close relationship with their small neighborhood pet store. they don't always have everything that those owners and dogs need in that store but they bend over backwards to get it to meet the needs of those dogs and their clients and i've had the most tremendous time working with all of the small animal stores in san francisco and i have also worked and shopped at pet food express. i don't think that they need a fourth store in the city. i think that the most unique and heart felt thing about san francisco is that it's walking neighborhoods and beautiful neighborhoods that are unique and i would like to keep it

san francisco for health care. one of the recommendation ins the health care services master plan is about preserving healthy san francisco, we're here today to talk about why healthy san francisco and the health care security ordinance is still really important even with obama care, so locally under the health care security ordinance, the minimum workers is 20 but if the ordinance was replaced by the affordable care act, the minimum would be raised to 50. this is important because lez people would be covered or get health care and businesses and instead businesses should also share the profits by helping the workers get health care. the health care security ordinance would secure that more workers would get health care and health care is the human right and everyone should have the right to access health care regardless of their income. thank you. >> thank you. i'm going to call a few more names. (calling speaker names). next speaker. >> hi, supervisors, my name is judy and i'm a resident of the easier neighborhoo