that's coming out of your hsa. you need a physical exam? hsa. birth control pills? hsa. no hobby lobby. so what happens? you're not impinge upon your major medical. what happened to the cost of the? >> guest: well, it should come down. now let's live in the real world or we have insurance lobbyists and the insurance companies and hospitals and all these people who have gotten rich. health care is among the fastest growing sectors in our economy. is considered a money maker in the semi-private sector. i say semi-because we know without medicare and without some of these things, so how do you enact your plan in the world we live in? >> guest: well, keep in mind what i'm talking about insurance, insurance is interest. it all works basically the same. like your homeowners insurance. if you have a high deductible, guess what happens to the price of its? it plummets. if you want everything taken care of, guess what happens? same thing. exactly the same. >> host: chapter seven you use the phrase enslaving our children. it's a chapter on debt. some of our language -- your langua

and the recommendation asked hsa to take advantage of the data from its gps system to better monitor compliance with the vehicle usage policies on a regular basis, and hsa reports having developed a continual monitoring system with weekly and monthly monitoring procedures, that went into effect july first, and is in the process of fully implementing the procedures. and csa will consider these recommendations open until hsa, demonstrates its performing the monitoring procedures. >> and, the sfmta has five open recommendations from cfa's audit of this sustain able street division and two recommendations asked mta to develop, the standard job description and compensation divisions for management parking facilities, reports being in the process of finalizing the job description can the non-profits that manage the parking facility and the other three recommendations asked mta to develop the traffic sign inspections and procedures, and maintain the asset listing of the traffic signs and mta reports that it has implemented a new enterprise, asset management system which is customizing each

birth control pills can hsa come in no hobby lobby. so what happens? you're not infringing upon their major medica article that happeo cost? >> host: it should come down. >> guest: it comes down dramatically. >> host: in the world we have entered lobbies into the hospitals and all these people that have gotten rich, health care is among the fastest-growing in the economy. it's considered a money maker and i say semi-because without medicare into some of these things -- how do you and act your plan in the world we live? >> guest: keep in mind talking about insurance come it all works basically the same way. so like home owners insurance if you have a high deductible guess what happens to the price it plummets. if you want everything taken care of guess what happens? same thing. >> host: chapter seven you use the phrase ends leaving our children. some of your language that you have used has certainly -- you talk about this the politically correct police that words do matter and it did offend folks. so, why not curtail from the language? >> guest: what of

we also report, supervisors, on page 60 that in the first three years of the lease the sfusd and hsa will also spend up to $6 million on capital improvements. sfusd will contribute up to 3.5 million and hsa will contribute up to 2.5 million and that's described on page 60 of our report. we recommend that you approve this resolution. >> okay, thank you, mr. rose. no other question, we'll open this up to public comment. anybody wish to comment on item 15? seeing none, public comment is closed. [gavel] >> supervisor mar? >> yeah, i just wanted to thank mr. grasielli, the chief operating officer for the school district. i know the ten years i was on the school board, the cleaning up of the fiscal health of the school district really it's like night and day compared to 10, 15 years ago in the school district. but i think this is a great way be -- approving this is a great way to continue that amazing partnership between the city and the school district. >> thank you, supervisor mar. could i have a motion to send this item forward? >> so moved. >> we can take it without objection. [gavel]

birth control pills, hsa. so what happens, you are not infringing upon your major medical what happens to the cost? postcode should come down. >> guest: blitz be in the real world where we have insurance lobbyists and companies that do have the hospitals that have gotten rich. healthcare is among the fastest-growing sector in the economy that is considered a money maker and i say semi because if it without medicaid how do you enact your plan in the world we live? >> guest: keep in mind what i'm talking about insurance and insurance is insurance. it works basically the same way. so the home owners insurance if you have a high deductible, guess what happens to the price? it plummets. if you want everything taken care of that is what happens. same thing exactly the same. >> host: some of the language that you've used as certainly -- you talk about this i believe you call it that pc police a little bit areas but it did at thdefend the votes, so why not curtail some of your language? >> guest: what offends people t

the next meeting is on thursday september 11, 2014, at the born auditorium in the hsa building at 170 otis street. the second item in my report is to mention that a long time advocate for persons with disabilities and seniors and other groups was lost to us last week. viera passed away last july 9. th. she was an advocate, a historical reservoir. she was politically knowledgeable. she was the networking expert. she was the community representative. she sat on multiple committee's and councils and mentor to many. at the end of the meeting we will adjourn in her honor and observe a moment of silence and i encourage any who knew her to stay until the end of the meeting. that concludes my report. >> thank you, cochair. next up we are going to item no. 5. information item. report from the director of the mayor's office on disability. >> thank you. i'm carla johnson the director at the mayor's office on disability. i want to start by wishing everybody happy ada anniversary month. on sat july 26th, we'll be signing the 24th disability act. and there will be a lot more discussion about a hist

a very respectful discussion with the city attorney's office, from both the police department, and hsa, the community, and i want to thank, everybody who has been at the table, this policy has come a long way. a long way. and so i want to thank everybody that was worked on it and there is still a few issues that i think that we can hammer out before it comes before you for a vote and i think that some of those you will probably hear from occ, but i can tell you that some of the concerns that we still have in the community, are just what captain mcfaden mentioned more communication, with the victims and their families, and ongoing relationship with the police department. and that is also, very, very important, in case the case does not move forward. and you have survivor and their families out in the community, that are not sure. and so, there is always been a gray area, we think between the police department and the district attorney office but this is an opportunity to really codify how the police department can stay in touch with these families because as we all know there is rarely

high deductibles, seeing companies going to hsa's instead of the plans and a lot of small businesses even with 50 employees or more would rather pay the penalty, it's cheaper than paying the premium so they're sending them off to the exchanges and letting them get insurance on their own. it is not a good thing for the health care consumer. for small businesses it's tough. it's the number one concern for small businesses for the last 20 years. connell: making decisions, jared whether you would rather pay a penalty rather than going down the road it was intended for. nor is the fact that they have to pass along these costs, what they're going to have to do. not many other choices, there are? >> no, i'm more worried about the consumer. this infuriates me. both of my parents worked in the city of philadelphia in different capacities. they're moving into retirement and watching health care costs increase, and remember, they worked for much less being civil servants pause of the lasting health care and that's going away, the coverage is going down and costs are going up and that does affec