contracts unless projects must contract to provide services that are reviewed and funded by dph and hsa. they go to the access points, giving the city the ability to prioritize those individuals that have long histories of heavy use of city services. the first loss disbursement is made -- once approved, it is made when the building is placed in service. thereafter, disbursements are made at the beginning of each fiscal year after the city's budget is approved. the loss program budget is monitored by both the service agencies, as well as the mayor's budget office. local operating subsidy creates an operationally feasible project that is then able to leverage other state, federal, and private funding. and i think i mentioned that in order for other resources to consider our applications eligible, we have to show that it will cash flow for a time span of 20 years, and that is where the subsidy comes in. it is the city's intent that, to the greatest extent possible, other non-city resources replace lost assistance whenever such resources are available. recipients of losp must agree to work

this is not something that's part of the agenda on the president or hhs' agenda, the continuation of hsas. >> the way the rule, what comes up in the question as grace marie said is you've got part of it paid, first, out of the hsa. well, if that doesn't count as a payout against the premium, then you get into this problem where the insurance company's running up costs and not making a payout, and they're going to be in violation of the rule. now, so if that payout is counted as being paid out against the premium, it might qualify. but then you have the other problem, what about the contribution that the employer makes to the health savings account? is that counted as premium cost? in which case then you just made the premium more expensive, and the payout may not qualify as meeting the minimum loss ratio or not. that's why these rules are going to be very important for how they play out. >> yeah. they basically say that if a person pays for medical care out of their health savings account, that doesn't count. >> right. >> it only counts if the insurance company pays for it. >> but they're

i also notice that you have one new position dedicated for purchasing for hsa. a pretty high volume of purchase requests. i was wondering if this is new demand or something existing. what is generating this volume of requests? >> i will point that question to the city purchaser. >> the position for hsa is due to the fact that they have to respond sometimes very quickly to their clients' needs. whether it is providing shelter, in some cases, they may go to the assistance of a child and have to relocate them very quickly. and so they have asked for assistance in having someone on site with them. supervisor campos: thank you. -- supervisor kim: thank you. as much as possible, i am excited about potential new funding for support. i do find it challenging to work with multiple departments and i am glad that you're sitting down to coordinate this work but i didn't -- i do want to be thoughtful about where we place positions. i am sure that we're able to pick up that kind of work as we move forward. i am appreciative of the budget you put forward in the sense that ther

miss rosenfeld spoke to, it is difficult to find the subsidies, for child care a loan i think that hsa has worked with different providers to see what the impact would be. so, if the state budget came to be as it was when they did that analysis, we intend to recover that. that does not include in home potential service cuts, amongst other things. i think that we should think about that issue. child care is obviously part of it. i do not know that it is adequate, but i do not know that we have a better number, either. sueprvisor kim: can you go over what we were down this year from the state measured reserves? >> certainly. let me grab the report. so, of the $50 million allocated in the current year, just over $10 million has been allocated by the board for other services. including health programs, restored for the current year. it was a major source of funding for the department of public health appropriation issue with state cuts that were approved several weeks ago. those were last lead to draw from ryan white. all told, after those, there was a balance available that was soon close

the agency also contributed to serve supported housing projects that are part of the dph, hsa, and mayor's office of housing pipeline. they are no longer able to do that. on the neighborhood-based economic development side -- these are all included in the mayor's budget. on the neighborhood-based economic development side, we included approximately $1.6 million in the first year, $1.5 million in the second year relate to work in the mid market, $3.7 million in the second year related to bayview, one in the second year. that difference is due to early funding of the southeast community health facility. approximately $100,000 related to visitation valley. have also included funding for the jobs readiness program. you can see included in the mayor's budget, in the first year, $30 million of general fund support for these programs. second year, $10 million. that is a significant general fund cost. supervisor chu: just to recap, when you talk about the tax increment allocated to enforce obligations, the redevelopment agency could have asked for a higher version for the redevelopment agency but

operating subsidy program, and it should have added at the beginning that we have staff from dph and hsa here to answer any questions you might have, as well as the sponsor from mercy housing. and like to give you a few facts about the arlington. the request is for $9,354,007 for the local operating subsidy which is the operating contract that will carry the project through for 16 years. mercy housing is the sponsor and will own and manage it. construction completed -- will be completed in september of this year. after construction, there will be 153 units. each unit will have a bath and a micro refreshments center. starting with 80 units in 2012 and working up to 129 units over time, the additional unit24 will be subsidized by another dph funding source. tenants will be homeless individuals referred by the program who are high users of the public health system who may be mentally ill, a chronic substance abusers, and/or living with hiv or other disabling medical illnesses. this is just to tell you that this project was able to leverage $10 million in state funding, $12 million in federa

the housing authority, the department of public health, a jet say, the department of public works -- hsa, and the department of public works have all come together because they have heard the cry to have more jobs available, particularly for our disconnected young people. these departments increased their slots. and it is not just increasing the slots or availability of slots, or even funding, but having adult allies that are connected to these young people to really help them so that if they have a job placed through the parks and wrecked apartment -- rec and parks department, that is committed to really understand the ins and outs of that work. so that when they go through their academic career and decide they want to come back into that field, they have that experience they can' draw from. or they can decide that they want to go into another field. i want to talk about meeting the mayor's demand for increasing summer job opportunities. we do have lots of work ahead of us in terms of ensuring that all of these young people who have received jobs during the summer will be able to contin

li.dle-class standard er hsa lithe to make sure on housing, health care, interest rates, that it gets a fair shake. more people are falling out th re aodle-class. lati. list n place and i faint the middle-class will rlly raise itself up rougthe licy i nasdtat eye fal compromise of excepting the nempgnan, buemof

. >> i have an hsa, i know a lot of people have flex spending accounts. those are rather widespread. you used to be able to use the money on those for over the counter drugs as well as prescription drugs, now they're just limited to prescription drugs. additionally, flexible spending accounts are capped at a much lower amount, $2500 a year. as i mentioned earlier, one of the problems everyone sees is a lack of price signals, instead of encouraging people to ask those questions more through these restrictions, we're going to be encouraging them to ask them less. >> this is mary from pennsylvania on our republican line. good morning. >> caller: good morning, my question is, for the folks that were granted -- folks or grouches that were granted waivers from the health care law or some provisions of it, are these folks going to be subjected to any these taxes that are in the law? thank you. >> well, so the ones -- the taxes that are targeted at various businesses and then get passed through in their prices, there's in essence no way to avoid those. regardless

aughter] e re it, a hsa, , 'sur onto [lte and what i found over the years is that it's such -- i love, love talking tohildn beus th.areso c-md t so ila tle m,chlxp you because you may have the same question and not be as diplomatic as he was -- [laughter] but e eam fr a cd ng h tr, riamanldin her tutor how come you trying to teach me how to multiply, miss elle? muiplition-blple wie, ai that toe avery. and i asked avery, um, did he find be i hntegted scol abblchenth t dneauc and he sd even though he is at maatand, f his class ait o s their kids -- he named some names, and he said, well, tey act silly all the time and act up sopeinhey d antoimt,l,from what i've unearthed in all the classes i've been in, a lot of mes dselat, dt k sth ty t ron firese i hide out which is the kid in the classroom who pullshedi hiad tory a et-- psen ek pnde not there. d the other response is to act out. because then if you act sill hi oract -- silly or actutu n prenthar w g akoum bse di kitom anerouthat that was a good explanation. and so that reaffirmedfo orecty anosh ws sth the -- that's aajor part of the

i said good for o hsa roneein. [laughter] wo but we can overcome. but when the conservative website attacks me. they m disagree more with the column but that don't mean they are not pose i think it is a degree you really have to hate them. you can o people thayou dieewth that i spent 35 years arguing politics with my uncle. it is not appear cocoon. sue change that oueigh inedia will have the same effect. >> i am worried everybody knows it is obvious but sphere racket is profound question then. >> to the original argument could be used for humanitarianism wen you look at the phrasu in? that means everybody deserves to be in a position that they can pursue happiness. doesn't tgovernment have theoligi provide the assistance to allow citizens to pursue happiness? >>i am glad you made the comment. isn't argumenthat is the best way to allenge orinalonese? cowi arguments but another school half that says he cannot tease out the language everything you want to pendi shat cle. justice souter talks about conflictg values. the hardest choice is not good and ev

to give people more control over prices, things like hsa's and some of the reforms that dr. marron mentioned that may be tried on a state by state basis. another is rationing, whether input specific having to call some government official to get approval for a procedure, or implicit by waiting line, a lot of long waits to get certain procedures the way they have in some european countries. this bill kind of did a tiny amount of both of those things but didn't address cost containment in either way. i think dr. marron is being honest when he said he was disappointed. a lot of people are upset there's almost no cost containment in this bill at all. >> jamie on the independent line. >> i think that a lot of president obama's views, they kind of get scattered and nobody really is the justice of what he's trying to do. i do hear a lot of folks calling in, and asking about the illegal immigrants and how the health care thing will apply to them. i think that in the past, president obama has addressed that. and what he said was, he said, part of the thing is, the children of the ill

michael said, the president doesn't like them, and, you know, a few small companies that only offered hsas

hsas, were in existence and yet obamacare does everything possible to destroy them. it doesn't allow for association health plan. doesn't allow for reliability reform. it doesn't allow for purchase across state lines. there are many things. i also hear my colleagues talking out of both sides of their mouths on the prescription drug plan. many of them have lambasted that program on one day, they'll scream about how it's not paid for, on the other hand they say, we have to close the donut hole. what is it guys? you voted against it when it came up before. i probably would have voted against it too because i don't like more government programs. come on, you're being hypocritical when you say we got to close the donut hole. even my colleagues probably need to read the book 1984 and maybe they'll see a little bit of themselves in the things that are in there in terms of how you re-write history and how you make things sound great that aren't great. the loss of freedom in this country is really putting us at risk long term. that is my greatest concern about this bill and t

magazine and rode on the backof a convertible at the homecoming gameand anyone had stopped a my d t i c hsa w inndt can t d t bfe y ibay. >> guest: th about covers it. that's, that's sort of the zenith of female impersonation, iin gegerauoui il ro thatt aversion of that -- a version of that book was the commencement speech i gave at mount hyoke an i sg ein ledutat soofse n wemo smartest and most capable of them in the country, and a number of them were weeping. and they were weeping because they recognized not their true berdio aththlfty' ar afar nr t thsa ii sodd yor,ou know? women put a lot of pressure on themselves to do ask be -- to do anbe a certain way, and the ereor in y to cinntnd k, m. d chngmecete >> guest: i don't think so. i don't think they face it in the same way, although the pressure on men to look a certain way seemto have grow iandoemrime in t ahe a v mad a i mean, what we abs? but i do think that that drum beat of h onegh i founom titisi g wh s h w always backstopping ourselves, you know? not smart enough, not pretty enough, not dressed well enough, not accomplished enoug

when romney was up o aor ju oi hsa mcrhestlil pe natorsi in h otor tst 20 years is including in the wakeof 1968 lead the reform mmoni leemb oppoes r is t open for all sorts of people. it works pretty well for the mocrats. eyid sfr ha mahetechee. thpuancito he a eofth reics adopted his number one or two ago requiremts. it's a long proess. they wand people to be treated ir ry otte thlk. yaa gawioo me. so the evidence about hoses in campaigns have impact, george mcgovernas impactier th er. iat lou w a co o hse hn. hed delight? pacesetter reminds me of the man who went tothe irish week and got drk pa o whe u ii e,t in t cn? 'dawhheti ro i t wthea buthit says a lot about losing candidates. the solo bunches comments. i appreciate your time. ank o [aus s cy nest hehipon s or hmp ainll of the champions? >> from attack but the other gu w weresrrg. de wea tein character. he was a model for a bold bunch of hollywood films because he was put in the gys w h an. he was fearless putting organized crime away. so use leading presidenal candidate. he was the leading preidential caate t6 ritr hentuabe t go

and cheered at pep rallies and emoted for the literary magazine gaanonadopthe back of a a my d t i c hsaw in hindsight i can say that i did them to be perfect in every possible way. >> guest: that about covers it. at's, that's sort of the nith oalmpna in gegerauou ro t. you outgrow that need to be that girl. i will never forget that aversion of that -- a version of sp iavmot hkeeen an i sg ein i looked out at some of those women who were among the smartest and most capable of them in the country, and a number of them were weeng. thecze nth tweg us berdio ath ar afar nr t mothers said i wish somebody had said that to me when i was younger, you know women put a lot of pressure on themselves to do askto beer w a ereor in y to cinntnd think, no more. i'm done. >> host: do men face that same challenge? >> guest: i don't think so. i don't think they face it in the same way, althgh the pressure on men too aiyetoavow iandoemrime thinking twice about whether any guy i ever met had abs. mean, at werebs? but tk at o hnegh i founom than it is for young men. and what it means is that we're always bac

hsa were in existence and yet obamacare does everything poibl to destroy them. it doesn't allow for association health plans, doesn't aplay for real liability reform, it doesn't allow for purchase across state lines. so there are many things, i also hear my colleagues talking about both sides of their mouth on the prescription drug plan. many of them have lambasted that program on one day they'll scream about how it's not paid for. on the other hand they say, we have to close the doughnut hole. what is it, guys? you voted against it when it came up before, and i may -- i probably would have voted against it too because i don't like more government programs. but come on, you're being hip karat call when you say we have to fill the doughnut hole when you lam best it in many cays. i think that again, even my colleagues probably need to read the book 1984 and maybe they'll see a little bit of themselves in the things that are in there in terms of how you rewrite history and how you make things sound great that aren't great. a loss of freedom in this country is reall

ry >> here's a question back on your discussion with our first name friends i ahng eree ob f duit n hsa naaldean rve rit to engage our military forces in multiple assignments. yet they do not want to fully fund our active duocs. resea plenf e ae, rvd d students, -- guard units, and they are not really designed for continuous or repeated tours. >> i thin ihn u kni wogetote uciyd wagtbutik , wve, id not mobilize the forces suffient for the wars that we have been fighting over the last decade. and pat of that is because deca or o agbgnn20n afanisn,y ic ny ed thkuhoto lg es otake they didn't think about the cost of these wars. and we should have mobilize a larger military force. there surelyuldhebe emrnemra fa artroo bi rr asoe thpepl ohveoys forix tes, d i just, idon't thnk anyone can go through this, can go o combat zoness manytime as 'vkeesyounop todihtue siiccoe 56 e ry od r ie esoplereving families behind when they go back often for the thirdorder for the deployment, and i just think it's a remendous burden that they'veke ev usiohoe oeregf ra emloyees. and your opinion your thoughts on