eligible will be able to apply to medi cal without no cost to thel, so that will be an easy decision, as the income gets higher, the cost sharing gets higher. >> what percentage will be lgbt? >> i do not have that percentage. >> thank you. >> within the department of public health, we really have a two-fold focus on health reform implementation. first is about dph's own health care delivery system. we are looking to ready our system to be the provider of choice for our patients, our uninsured parents have not had a wide choice of health care providers but health insurance provides them with that choice, we want them to choose us. a recent survey indicated that 60% of low-income individuals who are uninsured would change their provider if they were given the choice to do so so we are responding to that challenge and integrating the service we offer throughout our delivery system so we do a better job to coordinate the care our patients need, we're working to improve quality and capacity to increase access to care, we're enhancing our patient's experience by shortening waiting times an

thousand 500 will be eligible for some kind of health insurance. 28 thousand will be eligible for medi cal and 12 thousand 500 will be eligible for covered california, 19 thousand 500 will be ineligible for coverage, those will be the undocumented residents or people who have other reasons not being subject to the mandate. eligibility does not equal an enrollment and people will have to actively enroll into health insurance to get the coverage they are entitled to, so of the 40 thousand 500 we think are eligible, about 25 thousand will access insurance. this is based on a 62.5% rate of retention that we currently experience in the healthy san francisco program, so we have anticipate hated our retention rate which is quite good for our program will translate into health insurance enrollment. this leaves about 15 thousand 500 who represent those who may be eligible but do not enroll in health insurance. and they might not enroll for any number of reasons, enrollment is complex, they may choose to pay the penalty rather than enroll in insurance, they may choose to pay the penalty rather than

, the current medi cal program that serves these people will be unchanged. those newly eligible will enroll into managed medi cal, it's important to note that eligibility does not equal enrollment, enrollment is not automatic, even today, about 1.3 million californians are already eligible for medi cal but have not enrolled, individuals will have to apply for medi cal which they can do at any time during the year. our exchange is called cover california, cover california is an online marketplace where individuals can purchase health insurance. individuals who have incomes that are above the medi cal threshold and californians can buy health insurance on this stage. there are four standard tiers that will be offered, they're called bronze, silver, gold and platinum, the difference is their percentage of annual cost that is the health plan covers, bronze covers 60% of cost, silver, 70, gold, 80 and platinum, 90, there's a catastrophic plan that also will be available. there are sliding scale subsidies available to low-income individuals on covered california u

if they don't, then they qualify for medi-cal. for people new into san francisco, i know that counselors are still going to run that tropical storm whether you are eligible for california or qualify for this or medi-cal or if not, then, healthy center san francisco. i know they are sorting out that process. >> it's very frustrating for me because as an employer, what am i going to tell my employees as of october 1st, that based on the affordable act, that they are required to get individual insurance, but what is the outstanding answer or question to their healthy program related to that? >> they qualify for an annual program with healthy san francisco when they renew. whenever they first came on to health sf, their program counsel or would say you are not in a plan. here is the coverage. i should nengs covered california portal is going to be used for medi-cal screening too. you qualify for one 1 bucket or the other. that is my understanding of their logic. >> commissioner riley? >> thank you for coming to make the presentation.

next year bh the affordable care act goes into effect, i might be eligible for medi cal, through some research, i did medi cal only covers preparationbacker prescription testosterone for delayed puberty and female memory cancer, there's no coverage for transrelated hrt. if medi cal uses the same gender classifications that private [inaudible] because they don't ko*frn gynecological care for men, many of the health care secured the ordinance because i need to pay for treatments not covered by medi cal out of pocket. the only way i can do that is through my employer funded account, it's important to me and my community that the health care ordinance stay in tact. >> thank you very much, next speaker. >> good afternoon, supervisors, my name is chris wright, i'm the executive director in the association of the largest private sector employers, as we enter uncharted territory and how it interacts, it's important na city officials, employees and employers and tax payers have as much information as available, this hearing is a good step in this direction, the health coverage council is also

we also want to let people know that there is a medi-cal expansion. they are raising it up to 138 percent poverty level which is about $31,000 for a family of four. i mentioned that there is the one plan that really, one flavor of plans where people can benefit the most if they are in the individual exchange. these are the silver plans. these are all sill -- silver plans. these are at 100-150 and the next one is 150 to 200. on your left, your premium can be reduced to about $19 per month. if you are in that income bracket. your copayment for your primary care, remember on the silver plan was about $45. it's now reduced down the $3. the special visit gets reduced to $5. if you are at the higher income bracket is $45 for your primary care and $65 for your specialist. if you fall into a certain income and fall into a bracket, you get the tact credit and lower cost sharing. only on these plans. here is an example of how the tax credit might work. this is a san mateo resident, 40 years old. if they were at the 150 percent federal poverty level, which is th

healthy san francisco program, the consortium is dedicated to enrolling outreach and enrollment for medi cal and ko*frned california, democratic speaker pal loes s*i said we're awarded funds to do this. it addressing one of the problems that we need to do aggressive out rao*efrp, we plan to do that, hoer, there are going to be a lot of people left out and the issue is do they get an organized system of care which is healthy san francisco, under healthy san francisco, each patient is established in the community based patient centered health home, they have their own consistent primary care provider, that's one of the unique things about healthy san francisco, it provides patients an organized patient care. it's -- they provide a variety of services that enhance work, through healthy san francisco, community clinic consortium support the city of high users of city, tep-we recommend we aggressively do outreach and keep healthy san francisco, thank you. >> next speak e please. >> hello, my name is [inaudible] taylor, i'm sure you're bombarded with call tos do the right thing, so i'm just going

it is also important to note that for many -- for any new medi-cal patients, the federal government will reimburse the state for 100% of the cost of interpretation. i think it's important for us to be on the record to support ab 12 63. the next item is an ordinance that i'm proud to introduce that will allow an existing tourist hotel to rent rooms to homeless veterans for a period of time without abandoning the tourist hotel use classification under the law, under the code. the federal government has a supportive housing program for homeless veterans known as the hud veterans affairs supportive housing program. and this program combined rental assistance in the form of a voucher together with case management and clinical services provided by the department of veterans a farestion. ~ affairs. approximately 500 rental vouchers have been awarded here in the city and county of san francisco up to this point. and while it's a federal priority to find housing for veterans, and it's likely that san francisco would get more of these vouchers, it has been difficult to help veterans avail themselv

it's really hard to do that because once we go over the thing like medi cal limit, it becomes really hard and expensive to be able to buy health insurance. even though we might get credit to buy, have insurance in the health care exchange, but it's not enough to make it actually affordable to us. mruz there's a lot of things that is not covered in the exchange like vision or dental care. health care is a maou man right, everyone should be able to get health care regardle

>> we've been trying to reach you and talk to you about the widespread fraud that's in the medi-cal drugehab business. but we're told that neither you north program director or anybody in the state of california will talk to us about it. >> in an uncomfortable moment, the secretary at first refused to speak. >> secretary? do you know alex ferdman, a convicted felon, who apparently runs one of these clinics and has been billing the state of california for several years? despite the fact that there have been complaints registered with the department about him? he's convicted of a major insurance fraud in the state of texas but for somehow was able to get certified and has been billing. i'm just wondering if there's anybody in the state of california that's concerned about this fraud. >> then finally answer add question. >> the state of takes fraud very seriously. and there are many investigations that are under way. the allegations, all allegations are given full and fair consideration. and you've caught me running because i am late for a meeting that i'm chairing. >> there was certainly n

it's really hard to do that because once we go over the thing like medi cal limit, it becomes really hard and expensive to be able to buy health insurance. even though we might get credit to buy, have insurance in the health care exchange, but it's not enough to make it actually affordable to us. mruz there's a lot of things that is not covered in the exchange like vision or dental care. health care is a maou man right, everyone should be able to get health care regardless of who you are or how much you make. so, it's really important to protect these local laws so families can still work hard and be able to afford health care. thank you. >> thank you very much. next speaker. >> hi, good afternoon, supervisors, my name is stephanie chan and i'm with the chinese progressive association and youth movement of justice organizing, in 2011, we participated in collecting over 800 surveys of community members who told us what their health needs are and what were barriers to accessing the services they need. we presented these survey findings and our recommendations to the planning and health

we found that in the last two years half the nearly 186 million dollar spent on drug medi-c medi-cal,ut $94 million, went to clinics that have shown questionable billing practices or signs of fraud. >> personally as a physician who cares for children on medi-cal, i'm outraged to learn people are cheating taxpayers. >> reporter: dr. richard pan who heads the state's health care committee today says as a physician himself he's offended the fraud was allowed to go on and he says as of today it must stop. >> the same people that are apologizin apologizing, the same people seeing this systematic failure and fraught throughout the system are the same people now who are telling you they're going fix the problem. are you satisfied? >> there's going to be ongoing work. i am happy to see that they have made progress, but clearly under testimony, think there's still unfinished work. there's an immediate problem, but we need to make sure we have the fundamental problems in place. >> drew joins us. basically everything in our reporting, not trying to defend anything. why the change? >> reporter: w

california's medicaid program is called medi-cal. medi-cal has among the lowest reimbursement rate for any care in the state. this is for providers who participate in the program. the rates are sufficient and at least at medicare rates is important to encourage greater provider rates. so guideline 3.9 is amended to reflect this. we also received significant comment on mental health services. there is a discussion significant discussion in the master plan and several commenters so guideline 3.2.1 was expanded to support an integrated approach to include behavioral health into primary medical homes. the converse was included in that with primary care and mental health. guideline 3.4 was community base mental health services added to our population. several comments also commented and many health care commissioners commented on the value of the master plan beyond the development plan decision. this was an ultimate decision of the task force used to make broader policy decisions. it's called "the master" plan of the health policy resourc

at one point he was even suspended from the state's medi-cal system. it hasn't really stopped anything. we're told there's going to be a big change coming in january when these medical directors, like oliver, will have to enroll as medi-cal providers. that, anderson, supposedly will subject them to much more oversight. and speaking oversight, tomorrow in sacramento california lawmakers are going to be grilling the bureaucrats who have been running these program asking them the questions that we've tried to ask. how could you know or suspect so much fraud is and has been going on and done so very little to stop it. anderson? >> unbelievable. drew, thanks very much. >>> you can follow me on twitter @andersoncooper. >>> just ahead, senator ted cruz's all nighter on the innovate floor may have won points with his tea party supporters but will his crusade against obamacare cost him? i'll talk to a member of his own party who's calling cruz a fraud. >>> also chilling video showing the navy yard shooter in action, stalking the hallways. the fbi said he believ

he would be able to afford a high deductible plan if he can afford any plan at all, we don't have medi cal yet, the aca is more about access to insurance, healthy san francisco is about access to health care, so let's leave it in tact. thank you. >> thank you, next speaker? >> hi, my name is claudia, i've been a san francisco resident for 30 years and i'm a registered nurse at kaiser for 8 year, i work in adult medicine with the latino community and i also work with maternity child health or labor and delivery, so i'm here today for personal and professional reasons. if i can leave you with one message today, it would be prevention. i personally am from a migrant family, we came here when i was four, so i know extensively how important health care is, especially to families of migrant descent. from personal experience, i have two brothers who would have foregone care if it wasn't for healthy san francisco because their private insurance plans that are offered to them require expensive co-payments for themselves and for their families. my sister-in-law for example is a cardiac surgery survi

a resolution urging the california state legislature to pass assembly bill 1263, which creates "medi-cal: communical," a program that provide reliable access to language interpretation for medi-cal beneficiaries who are limited english proficient. >> supervisor campos. >> thank you. and i do believe that and i think president chiu was also a co-sponsor, just for the record. the reason why we're introducing this resolution supporting assembly bill 1263 by speaker perez is that we want to send a very clear message it's important for governor brown to sign this piece of legislation. it will ensure that non-english speakers are people that have limited english skills have access to an interpreter when they go and receive medical attention. i can tell you from my own experience growing up as an immigrant who, when we first came here did not speak the language. you get sick, it's really hard to convey the right information to people when you go see a doctor. oftentimes, by the way, it means that the children of immigrant families end up playing the role of interpreter and quite frankly i think

we're excited to look forward to the expansion of the medi-cal access. i want to increase score the funding for the ongoing operations of the site are in the budget so we're using this opportunity to grow our system within the footprint of the system since it's hard to find places to expand. this program offers us a unique opportunity. our shelter are open to everybody but the same challenges of people who don't accept people as themselves and therefore providing a unique space where we can explore specialized programs specialized to the lgbt community. we see this as not only an opportunity for the 24 beds but to expand how we operate to be more increasing more welcome to all who are homeless in san francisco. we urge your support >> thank you. >> opening it up for public comment. matthew green. (calling names) if you want to line up on your right side of the room would be good (calling names) >> good afternoon, commissioners i'm matthew. i'm here today speaking in support of this application. at 1050 in the mission. while working with the work group th

many of those students might qualify for extended medi-cal and that seems quite fitting since it's attendance awareness month for september and you were talking about the importance of health. just curious. i have been trying to search online and i haven't seen much information. >> mr. superintendant is there a member of the staff that you might direct us to contact? >> yes. our associate superintendant kevin troout. we'll get in touch. >> all right, we are moving on with our speakers list. i'm going to call your name and this will expedite the process considerably. if you will line on the wall. keith dennis. bill ford. chance duke. no smith. chan. i'm going to stop there. would you like to go to the staff table to speak? that might be more comfortable. >> i'm not trying to be rude but i'm going to speak with my head down because your lights are sobriety. i need to -- my name is keith dennis as you already know. i was a para professional for the school district, i was a teacher for the school district. that's what i want to focus this evening. thurgood marshall was designed to help black stud

accomplice from a grant foundation to make sure our low protect health participants are moved into medi-cal and this is supporting and trigs the data from our eligibility to the state system of record and then the second one is troiths our system to make sure that county workers can support of pieces. we're working with alameda county and working with the department of health and agencies. and i'm happy to answer any questions >> okay. thank you for being here. colleagues any questions? okay. thank you very much. we don't have a budget analysis report. anyone wish to commit. seeing none, public comment is closed. we're going to send this to the full board >> item 8 resolution reactive amendment to the amendment the membership of the 18 con tomorrow and directing the agency to expand the short to $53 million plus. >> i believe we have someone here to speak on this item. >> yes. good morning chairman farrell, david with the human serviced agency. the resolution in front of you say for our continued membership in the state membership and this is the 18 county that manages the county welfare in