. >> good afternoon, greg wagner. c fo for dph. >> mr. wagner. sorry. madam clerk can you call item 17-20. thank you. city clerk: item 17. a resolution retruax actively authorizing the department of public health to accept and expend a grant in the amount of $166, 446 from public hementdz foundation enterprises. >> item no. 17. accept and expend grant probability based is survey of hiv risk among transmenusing a novel sampling method. item no. 19. resolution accept and ex-spent grant ryan white part c outpatient ei circumstances program. $322, 645. item no. 20. #15e79 and ex-spent grant medical monitoring $20. #15e79 and ex-spent grant medical monitoring project. $556, 874. >> thank you. >> very briefly as mr. rose touched on a number of these, we have a couple of pieces of legislation in front of you. item no. 4 is our patient rates. this is our annual update to our patient rates for medical services. these are our official rates, although the vast majority of our payers including medi-cal clients do not pay these rates, but they are the bases of funds

. >> good afternoon commissioners, greg wagner, chief financial officer. that's like everything else in this discussion, a complicated question, of course. in many ways, that is a line that we're comfortable with. we have people who are uninsured and using our services, there's a general fund share of the cost for the those services. to the extent that we can continue to serve those people, but add revenue into the pot, that is revenue that wasn't there before this offsetting general fund. on the flip side, there are other circumstances, if somebody is insured and then goes outside of our network, so that they're insured, that's a good thing for that person, but that's not a general benefit to the general fund necessarily. overtime if we did lose enrollment, our network would have to shrink but on the margin you wouldn't experience a big savings because you only have a reduction in your marginal cost, not in the base fixed cost. it's a mixed bag depending on what happens to that person. overall our goal is to get everybody we can into insurance. >> and my