i appreciate the passion that hsa has to get into emergency housing units. we need to dedicate more resources to get more units, more rental subsidies to get our families housed. that's the answer to this problem and it's not this new policy. thank you. >> thank you. >> thank you. i'd like to begin by thanking director ro r and his staff and i do appreciate the impetus behind these changes and we see an agency that's trying to maximize the use of its limited resources. i appreciate the the fact -- may be missing out on. i appreciate all of that. i do have concerns and one of the concerns i have is about the process. i want to thank all of the community members, advocates that have come to share their thoughts and stories. it's not an easy thing to come into this intimidating building to talk about those things. i do worry about the process because i do think that these kind of changes are significant enough that you want to get feedback from the people that are going to be impacted directly before you move to make those changes. i am concerned that there was

shelters are accessed through a waiting list through the connecting point program that's also funded by hsa with some federal dollars as well, so families accessing those shelters would access it from the waiting list. it's this part of it that would be affected. we have about 220 families on the waiting list. there's been an all time high at 270 so we're down a little lower than that. the average wait time for a family on that list right now is about seven to eight months. if you're a prioritized family meaning you have a physical health need, mental illness, something that would priorityize you, the wait is about two to three months, so clearly we're talking about a limbed limited resource, with heavy demand i think it's important to prioritize families most in need. what we're trying to do is -- when we think about families in need one of the most important things i think about is income so we're trying to target the lowest income families. i think it's important to prioritize families who intend to reside in san francisco and i'll talk about that residency requirement in a bit. the thir

ost: explain what an hsa countess. guest: at stands for r health savings account.y are grown in popularity and they are high deductible health plans and also known as consumer-driven health plans. they haveale is that very high deductibles. however, you have an hsa with your high deductible health plan and to contribute as well as your employer will contribute money to its of that covers both the cost of your health care as well as the cost -- i mean premiums as well as medical expenses that you may ring up - i believe that high-deductible health plans will become more popular under the aca because they will be among the most affordable plans with the lowest premiums. i do not foresee a major impact on hsa's high deductible health plans breed of anything, the aca may boost these kind of plants. host: here are more questions from twitter -- guest: he does not go to jail. if you are under a certain income level, you do not have to pay it. host: that's a very good point. it is not lowering costs. that is an excellent point that i never really thought about before. the

had he not passed that hsa, he could not go to college. i said forest you get one more shot to pass the test. what if you don't pass? >> he said i'm not going to be worried, i'm going to be successful whatever i do. >> what a great attitude. >> yet very inspiring. he passed the test. he made us all very happy, went to college, got a dog guide for the blind and he went back to school. >> he is such a good role model for students now. he can do this, i can do anything. >> absolutely. >> that is terrific. you law some work being done on the building. it is not exactly a young building, 1853. what are you having done? >> we have 100-acre campus and we moved to the location where we were 100 years ago. the city has grown around us, but some of the buildings are still in good shape. some buildings built in 1975 are not fully accessible and not good for the current population. now we have more students with multiple challenges the >> thanks to funding as well. >> we're so proud and happy. the governor of the general assembly has rallied around th

then we'll continue working with hsa and compass on cal works and how that would work -- whether it be full-time, part-time, make it more easy for families to navigate our system. cal works is not a barrier, but a positive and benefit for families. with that i'll conclude. >> how long does it take approximately for a family or individual if they're on cal works in another county to get their cal works transferred to san francisco? >> it's usually 30 days. >> during that time can they not get on the wait list? >> no. they can. >> okay. >> you just have to apply too, and that would initiate an intercounty transfer. >> i want to ask you a couple of points that are very important policy issues. i'm appreciative of the deaf cult position you're in. you have limited resources, you don't have the resources you need to address the needs of everyone. i understand what you're trying to do. one of the things that i do wonder is that if the intent when it comes to residency -- if the intent to reside in san francisco is sufficient, to establish residency, if you will, you can say actions speak lou

suturer visors, i'm so honored to be the executive director of the dv [inaudible] and the good folks at hsa are very well meaning. i think they're trying to do their best with a problem that will take a lot more work than this. the unintended consequences of this policy i think are huge. dv is the second leading cause among women and children. family violence is [inaudible] both of those populations come to san francisco because they can feel safe here. we did not wan them to get the message that they have to stay in violent situations and not escape so we're concerned about this. i was happy to hear trent mention dv as a possible exception, but i think it speaks to the process that none of us knew that so more needs to be done. the immigration issue -- people are just scared to put their names on any kind of database. again, san francisco is very well meaning. i don't think we think we are turning names over to ice and people are being deported, but the reality is ice does find people that live in san francisco that are undocumented, they do consider being in this country without documenta

my question is regarding h's a accounts i currently an hsa. i'm 27 and just turned 27. i'm off that range, but my wife, which i'll get it to scare in a -- will there be any impact for hsa account for younger folks be able to contribute as we are now. it's greatly beneficial very young or old. and my comment generally is i think it's important you made this point as well that most younger folks are not going pay for health insurance. and, you know, we have things that happen. i personally shattered my elbow at age 2. it was over $40,000. i wouldn't have been insured i had not been working full-time. .. you contribute and your employer will contribute money to it so that covers both the cost of your health care as well as the cost of -- when i say health care, i mean premiums, as well as any medical expenses you may ring up. i believe that hsas, will be even more popular under the aca because they will be some of the most affordable plans out there will have the lowest premiums and as far as the aca impact i do not foresee a major impact on the high deductible health expl

hsa there be any impact for accounts for younger folks? will we still be able to contribute as we are now? it is extremely beneficial and if you are very young or very old. and my comment generally is, i think it is very important -- i think you guys made the point as well -- most younger folks are not going to pay for insurance. we have things that happened. i personally broke my elbow, shattered my elbow at age of -- one a4 and that surgery was over $30,000. i would not have been insured if i had not been working full- time. my question is how it will impact hsa accounts. i will hang up. thanks for c-span. guest: that stands for health savings account. there are these new plans -- not quite knew anymore. they have been around for quite some time. but they are growing in popularity. high deductible health plans, also known as consumer driven or consumer focused health plans. >> we are going to leave this conversation now. you can watch the rest of it online on the c-span video library. we will take you live to the council on foreign relat

you heard troy mention hsas. that is one approach. the other is learning more about what they can do to manage their own health care. i think that is what these programs are all about. i viewed it as being much more incentive-based as he posed to pune i have it. they don't want a backlash from the workforce. they want it to be a community they're working with. >> if i could add, they, i totally agree with mary's remarks. i go back to that the these programs i think for most employers are thought of changing the overall culture of the workforce. and that it doesn't begin with the incentive and it doesn't even begin with the reward for participating in a nutrition counseling program. it begins with starting to focus on the culture and getting the leadership engaged in factors that mary mentioned too, that are associated with success. every employer that's done that with changing the overall culture has reported to us that employees overwhelmingly support these programs because it is not just the stand alone program. it is part of changi