reform on the uninsured in san francisco, also about the aca implementation activity that dph and noel simmons will talk about the aca implementation verses at the human services agency. so, as supervisor campos said, it was assigned into law by president obama to expand health care coverage, it is the biggest initiative since the creation of medicaid and medicare, as a result of health reform , the rate of uninsurance will be reduced by half, and 92% of all u.s. residents will have health insurance. locally, approximately 56 thousand san franciscans who are uninsured today will have access to health insurance. how does health reform propose to expand access too insurance? it requires that people have insurance and it gives them more options to obtain it. the requirement for people to have insurance is called the individual mandate as the supervisor mentioned previously. most but not all u.s. residents will be subject to the mandate which becomes effective on january 1. those that are not subject to the mandate include undocumented individuals, that will be the largest proportion of individual

. >> good afternoon, supervisor, noel simmons, deputy director at the human services agency, just to round out the picture of what city act sis are doing to prepare for health care reform, i have three slides to share with you about the efforts at sha, in many other jurs dictionary, the health and human services departments are separate, of course -- combined, of course here we're separate to most folks don't understand that they have a mandated roll in implementing health care reform, we have four primary charges, the first is to conduct eligibility for medi cal and exchange tax credits, for customers who will be applying in person online by phone e-mail or fax, that's a responsibility that we have today, we'll be expanding to the new expanded eligibility and is the exchange population on october 1. secondly, to accept warm hand offs, when a client calls looking for coverage, they'll be screened by the state call center and if appears that they are likely to be medi cal eligible, those calls will be transferred to us at the county level to process those eligibility requirements. thi