commissioner karshmer. >> it is lovely i look forward to coming and getting another tour it was wonderful we got to tour that before but on the tails of what director garcia which had about the 5 thousand people and the conversation we've had earlier about the hires that need to be many practices i wonder an update of where we are are we on target with hiring. >> we have our h.r. director ron. >> ron please. >> thank you, commissioner we're on track with our hire we have hired over 2 hundred nurses since january of 2014 just since january of 2015 we've hired hundred and 46 my personnel officer is in san diego and recruiting another one coming up here soon we have vacancies like the medical elevation and lists that is 44 position we're on track and the jc c is a trepd aurpd and faster we have unique positions like radiology we'll have to meet those target but i don't see a problem. >> thank you. any further questions. >> if not thank you very much for your presentation. >> thank you very much and i'll note we didn't have again, no public comment for that item and moving on to item 10 the o

. >> sdmirng commissioner chow commissioner chung commissioner sanchez commissioner karshmer the second item on the agenda is the approval of the minutes of july 15th commissioners the minutes are before you and a motion forceps is in order. >> so moved. >> second there is a motion and a second are there any corrections to the minutes if not. >> all in favor, say i. >> i. >> opposed? of the minutes have been passed thank you. >> item 3 director's report. >> i want to welcome commissioner taylor-mcghee commissioners we are existing to share with you our port for a proposal for your review and approval to strengthen sorry health care security ordinance to insure continued health care assess and coverage i'm sure you're aware of the department is a long time supporter healthy san francisco prior to the ac a shows our ability to provide and insure that people in the community get access to medical homes that p and to healthy san francisco we the that and another phase of how to insure that people are able to get a health benefit and today so you'll be hearing a proposal to modern motion to

roll commissioner pating commissioner singer commissioner chow commissioner sanchez commissioner karshmer second item on the agenda the

. >> sdmirng commissioner chow commissioner chung commissioner sanchez commissioner karshmer the second item on the agenda is the approval of the minutes of july 15th commissioners the minutes are before you and a motion forceps is in order. >> so moved. >> second there is a motion and a second are there any corrections to the minutes if not. >> all in favor, say i. >> i. >> opposed? of the minutes have been passed thank you. >> item 3 director's report. >> i want to welcome commissioner taylor-mcghee commissioners we are existing to share with you our port for a proposal for your review and approval to strengthen sorry health care security ordinance to insure continued health care assess and coverage i'm sure you're aware of the department is a long time supporter healthy san francisco prior to the ac a shows our ability to provide and insure that people in the community get access to medical homes that p and to healthy san francisco we the that and another phase of how to insure that people are able to get a health benefit and today so you'll be hearing a proposal to modern motion to

roll commissioner pating commissioner singer commissioner chow commissioner sanchez commissioner karshmer second item on the agenda the approval of the haefgs from june 2nd minutes are before you for approval we need a motion. >> so moved and and a second please. second. >> are there any corrections or other comments on the minutes. >> all in favor, say i. >> i. >> opposed? the minutes are therefore approval item 3 director's report. >> annex yes director garcia. >> good afternoon, commissioners on june 25th the supreme court agreed the federal induces are not authorized through the challengers and in 6 to 3 decision the court rould rolled 38 ruled with the affordable health care act with you the inventing sustainability of the health marketed and i'm sure you're aware of california has it's own exchanges so the millions of americans clearly are going to be able to keep their subsidies this was a great ruling for the nation governor jerry brown signed the f b into law making california vaccination amongst requirements among the strict it in the country all children in public and private c

. >> commissioner karshmer. >> question is this changes from what has been the policy. >> we've not had a policy in the past. >> this is the first time. >> yes. >> commissioner sanchez. >> i think this is an excellent summation what was in fact not policy has been in the city chapter that everyone extracts something and interpreted we were interprets it 24 the protocol from the process i guess the question i have once this is affirmed as our ongoing policy is there a time factor or are those as an example our various names are ready operational including our breast cancer center it was a major donation part ever library that has it's specific name, etc., etc. etc. is this - does this apply to those or are we tenaciously a time variable we have to - >> to be fair to the history i think it is going forward we'll be looking at this policy and so i'm very comfortable leading the status of everything in place and moving forward with the new policy. >> this also as i read applies to the laguna honda. >> it applies to the entire department of public health. >> so anything in the future for the

. >> commissioner karshmer. >> thank you it is an amazing progress chart two things that strike me one we've learned a lot this collective impact is exactly what goes go to make a difference we at consortium had a presentation an stds how we're getting to zero there and we started the issue of treatment and the outreach to the users and the ends user i'm hoping that given we're all in the same public sharing the best practices from what you've done successfully and the std unit is a critical part of getting to zero stephanie cohen and others are involved we're sharing best practices and there's a council town hall meeting for community members will the sexually tramentdz infections and i would mention that the increase in sexually infections began they were high they come down with the hiv epididymis and the late 90s when people were receiving adequate treatment for hiv the rates started to go up again we have a huge road ahead of us to try to address hiv we consider addressing stds diseases hiv is one of them the stigma is one of that. >> and the other thoughts the rapid response i me

any further questions to commissioner karshmer. >> our next item and item 12 agenda setting. >> i said what is needed. >> therefore we'll move on to i'll note no public comment for item 10 11 or 12 the next is the closed session vote. >> any public comment on the closed session. >> i've not received any a motion to go into closed session please. so >> >> all in favor, say i. >> i. >> opposed? we will go into closed session thank you very much the remainder of session we will have - >> should i leave and come back. >> why don't we have dr. gathering stay first and then mark with us to be to be finished. >> so we're back in open session a motion whether to disclose or not disclose our closed session. >> not to >> all in favor, say i. >> i. >> opposed? that motion for adjournment is in order a >> all in favor, say i. >> i. >> opposed? this meeting is adjournedúx >> i have 2 job titles. i'm manager of the tour program as well as i am the historyian of city hall. this building is multifaceted to say the very least it's a municipal building that operates the city and county of san francisco.

any further questions to commissioner karshmer. >> our next item and item 12 agenda setting. >> i said what is needed. >> therefore we'll move on to i'll note no public comment for item 10 11 or 12 the next is the closed session vote. >> any public comment on the closed session. >> i've not received any a motion to go into closed session please. so >> >> all in favor, say i. >> i. >> opposed? we will go into closed session thank you very much the remainder of session we will have - >> should i leave and come back. >> why don't we have dr. gathering stay first and then mark with us to be to be finished. >> so we're back in open session a motion whether to disclose or not disclose our closed session. >> not to >> all in favor, say i. >> i. >> opposed? that motion for adjournment is in order a >> all in favor, say i. >> i. >> opposed? this meeting is adjourned . >> we are running a womens' volleyball program here at richmond rec center. it's progressing really nice. the ladies here really enjoy the exercise and the play and it's a lot of fun want this program is not for the faint at heart

. >> sdmirng commissioner chow commissioner chung commissioner sanchez commissioner karshmer the secondenda is the approval of the minutes of july 15th commissioners the minutes are before you and a motion forceps is in order. >> so moved. >> second there is a motion and a second are there any corrections to the minutes if

. >> sdmirng commissioner chow commissioner chung commissioner sanchez commissioner karshmer the secondtes are before you and a motion forceps is in order. >> so moved. >> second there is a motion and a second are there any corrections to the minutes if not. >> all in favor, say i. >> i. >> opposed? of the minutes have been passed thank you. >> item 3 director's report. >> i want to

. >> commissioner karshmer. >> the joint commissions at laguna honda met and approved the open session minutes and heard public comments in closed session the committee reviewed the medical quality and medical incredibly and the staff report we identified issues related to the san francisco network around laguna honda patient transfers to san francisco general and when the general was on diversion and how to express that. >> and commissioner karshmer could you give us an update from the i h h s authority. >> as a member of the health commission i sits on the san francisco i h ss public authority that is home support services and the membership on this body is representative of the health department and the commission an aging that has consumer young and older consumers and worker representatives and the public authority the i h ss celebrate it's 20th year of service on may 28th this organization is designed to allow folks who need in home support services the ability to choose who they work with and it's been a wonderful experience to represent it is a consumer driven boarded thank you

. >> sdmirng commissioner chow commissioner chung commissioner sanchez commissioner karshmer the seconditem on the agenda is the approval of the minutes of july 15th commissioners the minutes are before you and a motion forceps is in order. >> so moved. >> second there is a motion and a second are there any corrections to the minutes if not. >> all in favor, say i. >> i. >> opposed? of the minutes have been passed thank you. >> item 3 director's report.