turner from san francisco's hard hit chine seconds hospital where nurses ei today.last the emics been hao the health care system. now, a nurse's strike is one more thing that this system has to deal with. as nurses at san francisco's chinese hospital treated cared for it's patients through the coronavirus crisis they have been at the bargaining table negotiating a new contract with the hospital or trying to. >> the pan democrat inge brought out many of the safety issues and made it even more important to have a contract that guarantees our ability to work for our patients. >> after more than a year of negotiating the group went on strike instead of showing up to work. property sessions hasn't been easy. >> we still have open items to work through. if they would have met with us instead of having us waste our time getting ready for a strike to protect our patients maybe we could have closed by now. >> the hospital idopened up it creain pay but higher salaries, a better working environment and skilled break relief nurses rather than supervisors covering shifts all top asks, not just to meet

. >> commissioner hao: welcome to the board commissioner chan, this is mary hao. >> commissionerbreslin: i am chairman breslin, welcome to the board . >> president follansbee: thank you. >> commissionerscott: welcome to the board, apologies for cutting you off . >> i wanted to take a moment, it looks likesupervisor chan is on the line . i want to make sure that you can unmute yourself if you'd like to. >> supervisor chan: i hope everyone can hear me and thank you. commissioners and commission president, i so appreciate the warm welcome and the introduction. i can't thank all ofyou enough . i wanted to let you all know this is definitely ... i want to say while i care very much about our health care system, this is a learning curve for me and i look forward to learning from all of you. i've seen all of your bios as well and know that you are quite experienced around our san francisco health services system soi look forward to working with you . thank you so much .>> president follansbee: if there are other comments? >> thank you president follansbee. following our short instruction . pub

. >>> the fda in r thatage grou evy cont cocote anthffering sefope hao wa-ins are okay, no appointment is needed, but if you feel the need , you can book one on the county website . contra costa county has 65,000 kids 12 to 15 years old. >>> in santa clara county, anyone 12 and up can schedule appointments for their pfizer vaccine. elk county run sites will be able to accommodate the newly approved age group. >>> tonight marks the last night of the year vaccine clinic at levi's stadium that run from 5:30 to 7:30. appointments are not necessary, but you do need a parent's permission. >>> california is rolling out our coronavirus vaccination program in reasons, and its results may be a good sign for other states . a study of stanford university shows two- thirds of california visitors have agreed to at least one dose of the vaccine. nearly half of those who iarned th vaccine got the shot when it was offered again. >>> governor gavin newsom announced his plan to help small businesses struggling during the pandemic. it includes $4 billion in small business grants , a payroll tax credit of

. >> commissioner hao, did you have a question or comment? >> i did. based on what i'm hearing now, it seems that the previous increases have been driven by utilization. this year's increase seems to be driven by a decrease in revenue and an increase in expenses for kaiser permanente, so that actually leaves me a little bit disturbed, for lack of a better description. >> vice-president of strategic accounts for kaiser permanente, and mike, you can, of course, add to this, but this is in -- it's utilization in comparison to the rest of our health plan, and so utilization did go down for the health plan, and we compare that to the utilization and what happens with the utilization for hss. what's important to understand, and mike was referencing some of this, is within the integrated delivery system, not everything is captured. so not all of the costs are going to always be captured in that exact utilization, and that was compounded in a year of pandemic, and many expenses not being connected directly back to a specific group. so you know, you see on your

. >> commissioner hao: welcome to the board commissioner chan, this is mary hao. >> commissionerbreslin chairman breslin, welcome to the board . >> president follansbee: thank you. >> commissionerscott: welcome to the board, apologies for cutting you off . >> i wanted to take a moment, it looks likesupervisor chan is on the line . i want to make sure that you can unmute yourself if you'd like to. >> supervisor chan: i hope everyone can hear me and thank you. commissioners and commission president, i so appreciate the warm welcome and the introduction. i can't thank all ofyou enough . i wanted to let you all know this is definitely ... i want to say while i care very much about our health care system, this is a learning curve for me and i look forward to learning from all of you. i've seen all of your bios as well and know that you are quite experienced around our san francisco health services system soi look forward to working with you . thank you so much .>> president follansbee: if there are other comments? >> thank you president follansbee. following our short instruction . public co

. >> this is commissioner hao. i move that we accept the recommendation to increase the blue shield plans as noted on the slide that is up before us. >> second. >> okay, so move and seconded that we accept the staff recommendations for these two plans. any additional discussion? then i would like to go ahead and open -- now open this up for public discussion. i'm sorry about the timing of this. >> thank you, president. i'll pull up our slide. so public comment will be available for each item on this agenda. [reading from slide]. when i welcome you on the call, you encourage you to state your name clearly although you can remain anonymous. remote viewing is available on sf gov tv.org and channel 2. opportunities to speak are in the public comment period are available by dialing the number on the screen. the dial-in number is 415-665-0001. when prompted use access code 187-087-3967. then press pound and pound again. you will then enter the meeting as an attendee on the public comment calling and dial *3 to be added t

those of you who are interested, we're going to launch as best as we can as quickly as as a camp over hao make sure we do it right if are going to promulgate rules quickly. we've got to make sure we do this right so we can service the people who need the family planning services. >> great. thank you so much for that, and i guess one quick follow-up. i would love to work with you on this and would love to know if you could chose a more now about how you intend to restore the program to ensure that more people are served? >> again, when we get closer to promulgating those rules will be able to work together but it don't want to get too far ahead of our self because as i said we have to make sure we do this the right way. >> thank you for that. i appreciate your effort. title x is a critical aspect of healthcare safety net and millions of patients rely on access to care through this program each year so i encourage you to address it quickly and look forward to working with you on that and to restoring this program. with the time have that i do want to just touch an issue my colleague from te