we're all a city family, ours being hsa, meaning we're funding it. we're we're overseeing the contracts, we're funding the contract. it's at the level of funding that they need to provide the service with the expectation that they meet their contract objectives, not that they think they might meet them, but that they will meet them and that we will have direct access to those beds. so yeah, hsa is embarking on something we haven't done before, but you know, like the gentleman behind me said, this is really different and for and i think our system citywide needs to adapt. i think it needs to adapt quicker than it has. i think you're seeing on the law enforcement side that we've adapted very quickly and we're having some really positive outcomes and getting some dealers off the street. it's just a start. it it's incumbent upon us to adapt our service delivery system and i think hsa needs to be a part of it. thank you, director. you're welcome. i don't see any other questions from colleagues. so madam chair, i think this would be a moment to go to publi

we're all a city family, ours being hsa, meaning we're funding it.e're we're overseeing the contracts, we're funding the contract. it's at the level of funding that they need to provide the service with the expectation that they meet their contract objectives, not that they think they might meet them, but that they will meet them and that we will have direct access to those beds. so yeah, hsa is embarking on something we haven't done before, but you know, like the gentleman behind me said, this is really different and for and i think our system citywide needs to adapt. i think it needs to adapt quicker than it has. i think you're seeing on the law enforcement side that we've adapted very quickly and we're having some really positive outcomes and getting some dealers off the street. it's just a start. it it's incumbent upon us to adapt our service delivery system and i think hsa needs to be a part of it. thank you, director. you're welcome. i don't see any other questions from colleagues. so madam chair, i think this would be a moment to go to public

and but i'm i would defer to hsa on that. okay. that's something i'm going to want to look into is just nine months when the person has been so hard to engage and then engages and says, my top priority is housing and then it takes nine months to get housing. it's just, i think, a really good illustration of how hard this job is. right. how do you build trust if it takes nine months to meet the top priority of the person and, you know, i just think i mean, when you have such a scarce resource for so many people that need it, it's always very challenging. but given you know, the extra difficulty of people suffering from severe mental illness and drug addiction, it just it just has always felt to me like we're not prioritizing those folks for housing enough. and i just wonder if you have an opinion about that. i mean, no, you know, i think we have we don't as we know, we don't have enough permanent supportive housing. and we and they are. and my colleagues and the city is working hard to make more of it. i think also our just another

but but the initial reasonable suspicion is the hsa worker that right? yes. just just like we have a reasonable suspicion that someone might be disabled, someone might say, hey, i'm not disabled, i can work. we say, well, now we're going to refer you over here. you might have issues with with mental illness and we're going to have you professionally assessed. let me ask another question then. is there a plan within the hsa to have an internal training for your staff? yeah. so what we need to figure out supervisor is we what we currently have physicians on, on staff. we have psychiatrists, we have nurse practitioners, etcetera. so whether they could be trained internally, whether we hire a new classification of worker, someone who is a professional in the field, or whether we contract with nonprofit treatment providers to provide that clinical assessment or whether we want to or whether. step one yeah. or whether we work with the department of public health as well to provide that clinical. yes we will certainly have to train staff on how reasonable suspicion

indeed, the funding offered by uk hsa was the funding offered by uk hsa was the same as what it was fundedandom pre-pandemic. indeed. ifi can take you back to the centre - random pre-pandemic. indeed. if i| can take you back to the centre for pandemic— can take you back to the centre for pandemic preparedness, in terms of that. _ pandemic preparedness, in terms of that. did _ pandemic preparedness, in terms of that, did the prime minister continue _ that, did the prime minister continue with that plan or abandon it? :, :, , , , :, :, it? no, he dropped the plan, and he decided we — it? no, he dropped the plan, and he decided we are _ it? no, he dropped the plan, and he decided we are not _ it? no, he dropped the plan, and he decided we are not going _ it? no, he dropped the plan, and he decided we are not going to - it? no, he dropped the plan, and he decided we are not going to have . it? no, he dropped the plan, and he decided we are not going to have it, | decided we are not going to have it, let's drop it. but he asked me not to say anything about it publicly, and let's just wait and s

the uk hsa boss, this claims. the uk hsa boss, this professor, dame jenny harris.he heads up the uk health security agency. now i believe she was deputy before. and essentially this just this stuff just winds me up when i just think of the masks. i used to get the sweat and it was just nastiness of it. you knew it was useless . useless. >> it was all coming out. >> it was all coming out. >> it was all coming out. >> it didn't make any sense. they proved early on that it was it was an aerosol type thing. it wasn't about droplets. so wasn't about droplets. yeah. so it would up room. it would fill up a room. you could through it's could vape through it. it's ridiculous. stupid . ridiculous. it was so stupid. now they're saying they're now they're saying so they're saying people people now they're saying so they're sayinbeing people people now they're saying so they're sayinbeing instructed e people now they're saying so they're sayinbeing instructed e fhavez were being instructed to have like and that would like two levels and that would make. but even three levels. s

the san francisco hsa dos commission we acknowledge that we are on the unceded ancestral homeland of the ramaytush ohlone who are the original inhabitants of the san francisco peninsula. as the indigenous stewards of this land and in accordance with their traditions, the ramaytush ohlone have never ceded, lost nor forgotten their responsibilities as the caretakers of this place, as well as for all peoples who reside in their traditional territory. as guests, we recognize that we benefit from living and working on their traditional homeland. we wish to pay our respects by acknowledging the ancestors and relatives of the ramaytush community and by affirming their sovereign rights as first peoples. secretary, please take the roll. >> good morning. thank you president spears. please respond with present when i call your name. [roll call] we have quorum. >> thank you. >> commissioners, the next iletm is communications. we like to provide instructions for public comment. public comment will be available each time on the agenda and are during general public comment. channel 78 and sf govern

the third of think i mentioned, and there is a policy proposal that we have at paragon called the hsa option. instead of the government sending all of the subsidies to the health insurance companies, for the health insurance to really be in control of, give lower income enrollees the subsidy directly, so that they have to use it on health care, but then they are able to decide how to use that financing in a way that best meets their health care needs. host: let's go back to our phone lines and talk to tim, calling from redding, california. tim has private insurance. good morning. caller: good morning. let me turn my tv down. good morning, gentlemen. first, marjorie taylor greene. second, it is interesting that we need to bring up the concept of under insurance. i do have private insurance, like most people in the country, but we all kind of have this uncertainty or confidence, and our insurance if it would in fact cover our needs, including emergency needs, like i think we heard a caller worried about that. it seems like our health care system is a can that we are kicking down the roa

the uk hsa boss, this claims. the uk hsa boss, this professor, dame jenny harris.he heads up the uk health security agency. now i believe she was deputy before. and essentially this just this stuff just winds me up when i just think of the masks. i used to get the sweat and it was just nastiness of it. you knew it was useless . useless. >> it was all coming out. >> it was all coming out. >> it was all coming out. >> it didn't make any sense. they proved early on that it was it was an aerosol type thing. it wasn't about droplets. so wasn't about droplets. yeah. so it would up room. it would fill up a room. you could through it's could vape through it. it's ridiculous. stupid . ridiculous. it was so stupid. now they're saying they're now they're saying so they're saying people people now they're saying so they're sayinbeing people people now they're saying so they're sayinbeing instructed e people now they're saying so they're sayinbeing instructed e fhavez were being instructed to have like and that would like two levels and that would make. but even three levels. s

and finally, there are no refunds if you return to our car hsa and that's it you're all set the license plate will only be saved for the duration of our parking time check for the area and show you're parked legally and they're an easy way to pay for parking. >> we hope this video has been helpful thanks for chinatown. >> (music). >> welcome to san francisco japantown. >> san francisco japantown is the oddity downtown in the united states. >> it was founded in the late 1800s by japanese immigrants for construction over the jars japantown has become a home to a japanese community with restaurants and shops and a popular tourism decision in the heart of san francisco. and san francisco and japantown is quite unique it is one of the three remaining chung's by the states and how i explain japantown we're a city within a city to taste and experience the japanese culture but really be a community what is all about and one of the best things about japantown is the food. there are dozens of shops in the neighborhood serving from modern deserts and go with friends. >> (speaking foreign language.

before being nominated by president biden to serve as director of f hsa, she served as the director of the division of housing mission and goals. prior to that, she worked at the fdic for more than 20 years in various positions, including director of the division of risk management supervision. fhs is responsible for research -- assuring the soundness and liquidity of the housing system. small job, just a nation's housing finance system, overseeing and supervising it. but today we will focus on the federal home loan bank system. today, that system comprises 11 regional banks that together manage more than $1.2 trillion worth of debt obligations of some 6500 member institutions. these numbers include commercial banks, credit unions, and insurance companies. the system plays an important role in housing finance as it is designed to provide liquidity to its members to facilitate mortgage lending as well as promote affordable housing and community development. as part of it oversight role, the fhfa recently conducted a comprehensive review of the home loan bank system that was extensive. i

before being nominated by president biden to serve as director of f hsa, she served as the director of the division of housing mission and goals. prior to that, she worked at the fdic for more than 20 years in various positions, including director of the division of risk management supervision. fhs is responsible for research -- assuring the soundness and liquidity of the housing system. small job, just a nation's housing finance system, overseeing and supervising it. but today we will focus on the federal home loan bank system. today, that system comprises 11 regional banks that together manage more than $1.2 trillion worth of debt obligations of some 6500 member institutions. these numbers include commercial banks, credit unions, and insurance companies. the system plays an important role in housing finance as it is designed to provide liquidity to its members to facilitate mortgage lending as well as promote affordable housing and community development. as part of it oversight role, the fhfa recently conducted a comprehensive review of the home loan bank system that was extensive. i

and finally, there are no refunds if you return to our car hsa and that's it you're all set the license plate will only be saved for the duration of our parking time check for the area and show you're parked legally and they're an easy way to pay for parking. >> we hope this video has been helpful thanks for >> hello. you're watching the show that explores san francisco's love affair with food. there are at least 18 farmers markets in san francisco alone, providing fresh and affordable to year-round. this is a great resource that does not break the bank. to show just how easy it can be to do just that, we have come up with something called the farmers' market challenge. we find someone who loves to cook, give them $20, and challenge them to create a delicious meal from ingredients found right here in the farmer's market. who did we find for today's challenge? >> today with regard to made a pot greater thanchapino. >> you only have $20 to spend. >> i know peter it is going to be tough, but i think i can do it. it is a san francisco classic. we are celebrating bay area food. we have nice

and finally, there are no refunds if you return to our car hsa and that's it you're all set the licensee saved for the duration of our parking time check for the area and show you're parked legally and they're an easy way to pay for parking. >> we hope this video has been helpful thanks for know san francisco invest nothing resource sos care for people with substance use crisis on the streets. includes new program and successful pilots. >> what is the location of the emergency. a san francisco 911 dispatcher. jot train that this dispatchers receive for street crisis team and our new program is to triage calls for mental health as a medical call. we don't tree it as a police matter more a medical matter enthusiasm clint iings, paramedics emt's and councilors are dispatched through 911. we dispatch teams trined identify the crisis. they sends an emt and medic. if you are upon experiencing an emergencior worry body machine's safety on the street call 911 >> nonemergencies use 311. you can learn more about the is a very exciting day welcome to the city gardens brand opening very, very excit

if you leave your job, you can take an hsa with you.ture. >> i love those two words. no tax. jill, who should consider accessing coverage through that affordable care act? >> reporter: look, there are more than 15 million people who are using the aca, and those include maybe the younger people who are rolling off their parents' insurance. self-employed folks. maybe your experiencing a gap of coverage between jobs and maybe you are waiting to qualify for medicare. the open enromment period runs through january 16th but if i want the coverage to start on january 1st you have to enroll by december 15th generally. remember the costs vary depending on the plan you choose and your state of residence obviously. but you also may be -- able to qualify for help. and this can come in the form of a tax credit and/or the ability to minimize out of pocket expensions so if you go to healthcare.gov and you enter in your income, you might get help defraying the cost of insurance. >> as you mentioned, open enrollment for medicare, it's open until decembe

system from the rest of it, i actually _ health system from the rest of it, i actually think the uk hsacreated as a very good one but this wasn't a — been created as a very good one but this wasn't a situation where i was sitting _ this wasn't a situation where i was sitting down in meetings and saying, shall we _ sitting down in meetings and saying, shall we lead to this change? that was not _ shall we lead to this change? that was not part of what i was doing and, _ was not part of what i was doing and. to— was not part of what i was doing and. to be — was not part of what i was doing and, to be fair, i don't think it was _ and, to be fair, i don't think it was necessarily a good reason why would _ was necessarily a good reason why would have — was necessarily a good reason why would have been because that was a structural— would have been because that was a structural question, not with the clinicai— structural question, not with the clinical or— structural question, not with the clinical or a _ structural question, not with the clinical or a public—health one in the ordinary sense.

provide tenant improvements, namely floor coverings rkss paints and security upgrades requested by hsathe landlords commence. that concludes my presentation and available to answer any questions you may have. >> thank you. i don't have questions on this one and also again, appreciate the work that you are doing. you and your team are doing. with that, let's just wanted to summarize 7, 8 and 9. item 7, we are in agreement to amend item 7 for retroactive date to be july 1, 2023. we do not have anymore questions on item 8 and 9 and actually appreciate real estate team work on both items and helping us definitely for the jennings-2205 jennings street relocation for department of technology, which we appreciate. with that, it is our hope or it is our goal after public comment that we will amend item 7 as recommended by budget legislative analyst and then move all three items to full board with recommendation. on the motion let's go to public comment. >> thank you madam chair. opening public comment for 7-9. invite members of the public to step up if they want to provide comments. madam chai

and finally, there are no refunds if you return to our car hsa and that's it you're all set the licensea and show you're parked legally and they're an easy way to pay for parking. >> we hope this video has been >> van ness avenue runs from market street to bay street in san francisco. south vanness runs from south of market to cesar chavez street. originally residential after the 1906 earthquake it was used as a fire break. many car dealerships and businesses exist on vanness today with expansion of bus lanes. originally marlet street was named after james vanness, seventh mayor of san francisco from 1855 to 1856. vanness heavy are streets in santa cruz, los angeles and fresno in his honor. in 1915 streetcars started the opening of the expo. in 1950s it was removed and replaced by a tree-lined median. it was part of the central freeway from bayshore to hayes valley. it is part of uses 101. it was damaged during the 1989 earthquake. in 1992 the elevator part of the roadway was removed. it was developed into a surface boulevard. today the vanness bus rapid transit project is to have desig

best buy, their sale going strong, especially for small appliances and gad in some cases you can apply hsase of this muscle massager. >> when you said ageing jock, i thought you meant me because it's my birthday, but that's fine. i do use it as well. you're our tech guru, but you did not mention any big ticket tech items. should we wait on those? >> yeah, there are some good deals, but if you want to be guaranteed you're getting a rock bottle price on computers and high end tvs i think you should buy thursday, friday, or cyber monday. now a tech category where you can finally save, gaming consoles that have been in short supply and finally we have discounted on the ps5 spiderman 2 bundle. it is now $499 at a lot of outlets and target as the xbox for 449 plus you get a $75 target gift card with your purchase that is basically free money. >> top tips? >> yeah, get your buying list locked in. download a price comparison and a price history tool. the one i like is honey. it helps you make smart choices. if you know the items you want are just from one retailer put them in your cart now and che

provide tenant improvements, namely floor coverings rkss paints and security upgrades requested by hsas commence. that concludes my presentation and available to answer any questions you may have. >> thank you. i don't have questions on this one and also again, appreciate the work that you are doing. you and your team are doing. with that, let's just wanted to summarize 7, 8 and 9. item 7, we are in agreement to amend item 7 for retroactive date to be july 1, 2023. we do not have anymore questions on item 8 and 9 and actually appreciate real estate team work on both items and helping us definitely for the jennings-2205 jennings street relocation for department of technology, which we appreciate. with that, it is our hope or it is our goal after public comment that we will amend item 7 as recommended by budget legislative analyst and then move all three items to full board with recommendation. on the motion let's go to public comment. >> thank you madam chair. opening public comment for 7-9. invite members of the public to step up if they want to provide comments. madam chair, no speake

hsa initiates human trafficking investigations when agency of first contact encounters unaccompaniednoncitizen children identifies them as trafficking victims sit quietlyy refers the case hsi. when the u.s. customs border section of health and human services identifies and unaccompanied child has the potential trafficking mecca, th, they contact the nurse. if hsi will investigate. committed to every authority and resources available to make the arrest human editors. and to identify in the system. anyone report suspicions of human trafficking hsi always available for better other federal, state, local, tribal territorial law enforcement reports referral tips of human trafficking child sexual exploitation unlawful employer hiring thank you questions. we'll have around five minutes centers and i will start. the first person who introduced him to the world of politics taught me something. he said humility is a first casualty in politics. i have followed that standard when it comes to breaking as often as possible about the fact my mother was an immigrant to this country and i am proud of

easy to give right now, say $40 on the hsa, 45 battery. hedge trimmer. find something for everyone on your list. >> find yours at steel dealers. aecom, pure allegiance, flag supply. we grew sick and tired of flying flags that were made overseas. flags that would rip and tear easily. so we really made a commitment to quality. >> all of our flags are finished with bar tacking and all the stress points, and they are sewn using double needle lock stitching. all of our flags materials are sourced in america and they are made by american seamstresses. so we are american made from beginning to end. shop now at show allegiance .com. >> food has definitely been a very dominant voice in my head. that's not the main focus anymore. dieting, exercising and adding glp one through row is a game changer. i have such a sense of mental freedom since i started with row. food no longer controls my thoughts. family time used to revolve around food and now it revolves around what we're going to go do together. meet the weekly shop that helps you lose weight. >> connect with a

what they did, which is restores hsa role in the program did not go far enough and really back to theure what was successful in the program since originally run the program and did it successfully. the legislation is about providing exit from the street and also exit from the permanent supportive housing system. something the city does not focus on enough. i want to charge homeward bound to stand alone program, make clear quhoo is in charge and expand access to more people, including those residents in the permanent supportive housing so they can reunit with their family and loved ones. we can continue to work on it not just being what as it has in the past, a one way ticket back to loved ones that of course individuals would be checked on on day 30, day 60, day 90 to insure that they are still supported, but this program has expanded to be about transportation and other services they might need to relocate back to the communities from which they came. with that colleagues, the rest i submit. >> thank you supervisor safai. supervisor stefani, submit. supervisor walton. circle back. su

what they did, which is restores hsa role in the program did not go far enough and really back to theure what was successful in the program since originally run the program and did it successfully. the legislation is about providing exit from the street and also exit from the permanent supportive housing system. something the city does not focus on enough. i want to charge homeward bound to stand alone program, make clear quhoo is in charge and expand access to more people, including those residents in the permanent supportive housing so they can reunit with their family and loved ones. we can continue to work on it not just being what as it has in the past, a one way ticket back to loved ones that of course individuals would be checked on on day 30, day 60, day 90 to insure that they are still supported, but this program has expanded to be about transportation and other services they might need to relocate back to the communities from which they came. with that colleagues, the rest i submit. >> thank you supervisor safai. supervisor stefani, submit. supervisor walton. circle back. su

the third of think i mentioned, and there is a policy proposal that we have at paragon called the hsa instead of the government sending all of the subsidies to the health insurance companies, for the health insurance to really be in control of, give lower income enrollees the subsidy directly, so that they have to use it on health care, but then they are able to decide how to use that financing in a way that best meets their health care needs. host: let's go back to our phone lines and talk to tim, calling from redding, california. tim has private insurance. good morning. caller: good morning. let me turn my tv down. good morning, gentlemen. first, marjorie taylor greene. second, it is interesting that we need to bring up the concept of under insurance. i do have private insurance, like most people in the country, but we all kind of have this uncertainty or confidence, and our insurance if it would in fact cover our needs, including emergency needs, like i think we heard a caller worried about that. it seems like our health care system is a can that we are kicking down the road. if yo

dollars when you're talking about public health, when you're talking about fire, police, mental health, hsa, every rec and park, every single department in the city. it was reiterated in the paper again today that that is an unprecedented move by the mayor and that talks about the fiscal crisis that our city faces. we have a half $1 billion budget deficit that we're facing. so in that context, we are being asked to make this decision. it's an important one. chair and i have stood with you and said, we do need to change the conversation around police staffing. we need to do that, but we need to do it in a responsible way. and we need to think about either existing revenue that is out there that we have that can be restructured. some of the different revenue that's come in over the last two years has generated additional revenue for our city, is not necessarily allocated. and the mayor, again, has the ability to make decisions, plans and priorities in the upcoming budget. and it's very well that she could do that. so my amendment simply says either existing revenue or future revenue should be

the third of think i mentioned, and there is a policy proposal that we have at paragon called the hsa instead of the government sending all of the subsidies to the health insurance companies, for the health insurance to really be in control of, give lower income enrollees the subsidy directly, so that they have to use it on health care, but then they are able to decide how to use that financing in a way that best meets their health care needs. host: let's go back to our phone lines and talk to tim, calling from redding, california. tim has private insurance. good morning. caller: good morning. let me turn my tv down. good morning, gentlemen. first, marjorie taylor greene. second, it is interesting that we need to bring up the concept of under insurance. i do have private insurance, like most people in the country, but we all kind of have this uncertainty or confidence, and our insurance if it would in fact cover our needs, including emergency needs, like i think we heard a caller worried about that. it seems like our health care system is a can that we are kicking down the road. if yo

is this the only out reach that team that hsa has. >> we have youth alliance to focus on out reach. >> okay, thank you. >> thank you, i want to open up to public comment, two minutes per commenter. >> just two. >> i'm not saying to get in the way of any contracts. i just urge you to call 311 yourself or try to call hot team which will obviously, transfer you to 311. and see how the operators try to navigate you. they will i imply or push you towards the police department. i have several times tried to get to street out reach or hot teams specifically, i will not engage with 5-0 ethickly. and it is it is a hard sell. they are trying to get you through filter through the police department before they get to any other out reach. so, check it out yourselves, just call 311 and see what happens and that might be a little bit of the answer in terms of response time, why you know, the 21 percent of the folks are not there once you get there is because there is a lag in time. >> thank you. thank you. any other members of the public who wish to make comment at this time? are there anyone who is