why am i here as hsa rather than jpd? after they received the grant, our initial oversight meeting, the oversight committee of the grant which i am a member, we discussed this initiative. these services are very similar to an existing set of services hsa funds. we fund a 24 hour crisis hot line with associated services targeted to kids in foster care and youth who are in community placements through juvenile probation. hsa actually pays for those placements for foster care youth and juvenile probation youth. rather than a new program we thought it was a good idea to expand the population that is being served by the existing program. the population -- the new population will target the following. diversion eligible youth who are eligible for diversion following arrest to the community assessment and resource center. highly at risk youth sited by sfpd but not filed by district attorney. additionally youth booked at juvenile hall but were not ultimately pursued or filed on by the district attorney. then youth with the case d

the hsa is something you can only get if you're enrolled in a high-deductible health plan.o you have to make sure that you're okay with having that money that you'll have to pay before health insurance kicks in you also have to understand that that money that you don't use for an hsa can be rolled over year to year and it also can be invested. this is why people use this account. they can use it for health care needs far beyond this next year, but well into retirement, even and it's portable. so if you change jobs, you can take that account with you the fsas are different the fsa is something your employer sets up it is money that you set up for that year and you have until the end of the year or the end of the grace period to use it or you will lose it and that's a key part that people don't realize sometimes also, if you change jobs or something, that doesn't go with you. >> what's the difference between an hmo and a ppo what are they? >> the alphabet soup of plans has people very confused the ppo, the preferred provider organization, that's the one that many people use i

. >> last up, we will be hearing from susie smith with hsa. >> last but not least. hi, everybody. i'm susie smith, the deputy director for policy and planning at humidity service's agency. >> again, if we could ask you to stick to five minutes, that would be great. >> ok. >> so quickly, i'm going to go over the scope of our data collecting efforts and i'll highlight pieces of our reports, talk about what we're doing specifically to promote lgbtq inclusion and talk about our training and then a new project that we have with the controller's office. so hsa, as you know, is compromised of three separate departments, department of aging and adult services which has been named department of disability and aging services, the department of human services didn't the office of early care and education. together, we administer over 80 programs or contracts and we collect our data in 11 different database systems. we serve over 200,000 people in san francisco and we have over 2,000 staff operating at nine main sites in addition to partnerships with community organizations. so we're a large

you like hsa, talk about it. >> the dumbest financial product conceivable for your health.ou can save a few bucks but you have to guess what your healthcare will look like. will i fall down the stairs next year? i don't know, you're supposed to put enough money but not go over, it becomes like "the price is right". >> if you don't spend it, you lose it. >> health savings account is a totally different idea. healthcare could you make you more if you are not careful. it could you make you well, which. i think this is just about as good of a deal for a working per-person as a 4o1k. it's free money, you're dodging taxes right away. it's great for people $7000 a year, over the long-term, you have to be someone who has a high deductible health plan which means you will spend on healthcare. let's say your deductible is $6000, you have to write a check up front for that money if you have that healthcare. if you are that person though, it's a really good deal to stash money and you don't have to spend it on healthcare right away if you don't need to. you get a growing tax-deferred t

hsa and age and disability friendly sf. you can find the report, meeting, the memos that led to this work is in there. that is all i have. do you have any questions? >> thank you, valerie. i have one observation or question and another comment. now that you are in the implementation stage, have you found many surprises from the original plan, things you did not anticipate for the better or worse? >> absolutely. thank you for bringing that up. i should add the action plan is listed at the back of the report 43. so much of this work we knew there was a gap and we knew we wanted to address a certain issue. folks with disabilities around employment. it is not until you start talking to the departments and people experiencing it that you can understand the nuances, and while our recommends say to identify and develop recommendations to address discrimination are what we work towards, the actions are changing. the more we learn about it or hear experts or consumers, it changes our direct action a bit. i would say more than half o

do we have point people at hsa that when we say we've got issues, we've got someone that has mental health issues and they are hoarding or throwing trash out their window and we are dealing with rats again we need someone to go in and help them instead of watching the management companies that are frustrated. and i totally get why. but they start to maneuver like eviction instead of bringing the resources in from the city to say let's help. so my question is are we connecting? do we have a coalition from these departments to say now that they are under our city family we need that coalition of what resources are available to these management companies to be able to go in? >> we do coordinate with sister agencies on this. and our staff does reach out to those agencies to ensure a coordinated response. we also have extremely low eviction rates at these properties. so we are committed to housing stabilization. there's always a balance of ensuring the health and safety of all the residents. so if residents pose any risk to that, there will be eviction proceedings for those residents. but there

the system which we rely on in partnership with hsa and i'm happy to speak to that specifically in questions. looking at our soji data broken down by sexual orientation for those that -- for where we have data, coordinated entry is the highest utilized hsh program by individuals self-identifying in our coordinated as lgbtq plus. followed by permanent supportive housing and temporary shelter. moving to our soji data, we see the coordinated entry is the highest utilized hsh by transgender and nonconforming gendegender followed by street outreach. based on data that does not capture all program areas web see a low representation of trans males across all of the hsh direct services in relation to other gender identities and i'm happy to speak more about that. and so from a continuing perspective of lgbtq, we have made great progress and have significant more work to do. we've been bringing data collection instruments into soji compliance, but as i've noted, the '18-'19 data does not allow us to conduct a comprehensive analysis to draw any meaningful conclusion about underrepresentation. that has

do we have point people at hsa , we've got someone that has mente hoarding or throwing trash out g with rats again, we need someond of watching the management comp. and i totally get why. but they start to maneuver likee resources in from the city to s. so my question is are we connec? do we have a coalition from thet they are under our city family t resources are available to these to go in? >> we do coordinate with sister. and our staffoe

do we have point people at hsa , we've got someone that has mente hoarding or throwing trash out g with rats again, we need someond of watching the management comp. and i totally get why. but they start to maneuver likee resources in from the city to s. so my question is are we connec? do we have a coalition from thet they are under our city family t resources are available to these to go in? >> we do coordinate with sister. and our staff does reach out toa coordinated response. we also have extremely low evic. so we are committed to housing . there's always a balance of ensl the residents. so if residents pose any risk tn proceedings for those residents. but there is a robust response g stabilization. i think we are mid-transition hy really becoming part of the cit. and that provides great opportuu are raising, again, i think is l cases? it almost certainly is not. and this is, i would say, per my really to make our support infre coordinated. so i take with great appreciati. >> and i just want to say when u brought in cultural confident pu brought people into compliance r anything else

many times, you would have this collusion of appraisers, mortgage bankers and hsa officials turning over the same house, 5-7 times because they're making money for each additional cell. in chicago, they describe this process. in the original program, had created the stipulation that for these organizations to participate, that they had to work with families to prevent foreclosure. they had to accept partial payment. in case after case, the banks are refusing to do this because the point is for people to go into foreclosure. st. louis at one point, a real estate company sends 8000 postcards to - - a notorious housing complex that was falling apart because of the government neglect in hopes of flooring people, black women in particular, into buying homes within this program. the idea people were unsophisticated and don't know what they're getting into, ignores the way they are targeted precisely because of the financial situation there and in the hopes that they will fail as homeowners. >> they are tied to this because of the perverse nature of what makes a profit under capitalism. it's a

in addition, hsas will go away, and that will raise another i think $250 billion.heir incomes will go up more than the taxes on this plan. >> julie, let me get your final thoughts on this. that is about the public perception, public attitudes and where the public generally is on this issue because according to a recent kaiser family foundation poll, the support for medicare for all has narrowed over time. you see it on your screen. it is the narrowest it has been for a while. but support for a public option has actually increased since july. what do you make of this? how do you reconcile that or explain that? >> i think the public is finally getting an idea of what these things mean. for a long time when pollsters would ask people if they liked medicare for all, they say that sounds like a great idea. do you know that means we would get rid of private insurance, they say, no, no, no, maybe i don't want to do that. as we're putting flesh on the bones, the public is getting an idea of what they mean and express their desires one way or another. one of the problems fo

plan requires individual responsibilities to utilize power accounts that function like traditional hsa and preventative care to drive down cost. we are very proud to see her at the innovation of one - - invitation the president to take under the health of americans here in washington dcak. we look forward to continuing working with you and improve health care for all americans. i yield back. >> the chair recognizes for purposes of an opening statement. >> this is that the ongoing work to bring oversight and accountability to the trumpet administration relentless whetherf healthcare attacks on the affordable care act or medicare or medicaid and it has in a concerted dmfort to eliminate health insurance coverage to millions of americans. i guess my friend doesn't think this administration is sabotaging anything but what i have here somebody on the right ideologically the government should not be involved in healthcare and people are on their, own. if you say that then i say understand you want to get rid of this is not the government's role. the problem is that i hear comments on the oth

that's why the role of ghes and hsa are so critical. so i think we're on the same page, but for the record, if you could answer a yes or no, the three of you, you also are promoting affordable housing, correct. >> yes. >> yes. >> and you believe that government plays a role in achieving housing affordability? >> yes. >> across the board. thank you. >> yes. >> in a recent report, the administration -- from the administration, the fha noted that its plan seeks to quote ensure the fha and taxpayers are properly compensated for riskier loans. this was raised earlier been part of that plan issues introducing tier-based pricing and fha loans. i'd like to ask secretary mnuchin if you'd share the information that i think you committed to the representative with me because we're interested in that also. but secretary carson, tier-based pricing would constitute a change from fha's current policy, which currently maintains that a flat fee without respect to the credit rating of the applicant, correct? >> yes. >> thank you. but that's disappointing

care for seniors act which would help seniors across access the care they need, to allow them to use hsa for home healthcare and the beneficiary enrollment notification eligibility supplication act which would simplify the medicare part b enrollment process and prevent lifetime late enrollment penalties in the improving helper alzheimer's act is below the hope for alzheimer's act by requiring the department of health and human services to inform healthcare providers about care plantings and benefits available through medicare. and hr 2693 bill that would help medicare beneficiaries by updating reimbursements for exams that are used in identifying and training osteoporosis and at-risk seniors. cms administrator, on finalizing the rule for the programs for all-inclusive fear care for the elderly or the pay program. which gives more flexibility for these organizations enter disciplinary teams and allows providers to offer services in place of primary care physicians and i do look forward to continuing to work with my colleagues on initiatives to lower costs and to improve access to care and