. >> item 14 action item follow-up on the national ppo i'm neil an actuary at the last meeting to bring the rates the u a to nicole but in the presentation as part of my responsibility i need to share that, and, secondly, it is very exciting that was presented last time the value of the promise by the health care the gadsby number has been reduced that's the actions taken by the board that was presented last week and as a point of contact as you listen to the presentation what are the rates for the full replacement and the slice we talked about we'll add the plan okay. as a point of context how much do the other plans cost in 2015 blue shield costs $378 right now city plan with the stabilization is $315 and kaiser is 3 hundred and thirty there's and $0.52 etc. what we're asking once you hear the prediction to come back in june with a rate card i'll clear the decks with the slides it is too late in the game to do a full replacement but it's your decision to proceed with the slice or future determine whether we want to do the ppo at the future time >> i want to be clear on the terminology

in terms of clinic terms and as i said if you move everyone from the current plan into this national ppo plan it would be 9 hundred members plus if you offer this in open enrollment they don't have to move but we don't know who is impacted. >> on this point i say you say you haven't filled the cms your formula for 2006 when will- >> that will be foiled over the summer. >> that would be important this is a business prospective you've got to get an approved by certain dates i'd put a red star besides that one i don't know how long is take for powerful they motive fast tracking track you through the process but knowing again, we're kind of doing this without kind of the full detail is from a policy standpoint raises a question. >> of we'll get more information on that, too. >> can i ask the mechanic formula is the same as the other. >> it would be the same formula last year, it is the treatment of high-risk medication. >> but an approval process with the cms. >> surely we do that every year. >> okay. all right. >> do you want to mention that their expected to be rolled out to your part d pl

plans the carries are delta dental and u h c delta dental race a self-insured ppo plan ann and retiree plan on a basis for retirees we've had many meetings on the retirement plan to make it as fair and rich as we can we went to the vendors that participated in those plans offers and discussed what we want to be able to present i have steel good news to offer in terms of my history with the board and what the rates have begun and where we are going to be going to 2016 i think this is great i wanted to say that we don't generally do this the representative for delta dental has been a staunld individual and appropriate to say his name. >> raymond lee would you stand up raymond a strong advocate for the reduction that we will discuss briefing in the retiree rates for retirees in that program which i think is phenomenal he deserves that recognize okay so as we go through this whole thing i'll keep it brief we look at first on page the union rates let's go on page 4 yeah. that's correct page 4 are two d m h over dental our rate passes through 2016 so no change to rates okay that's good nothi

plans the carries are delta dental and u h c delta dental race a self-insured ppo

capacity i was unaware of significant increases that would be faced in the city ppo plan namely for the local 21 it went from one dollars 8 if to january $2,015,189 that increase from $4 to $400 is approximately 10 thousand percent increase i did the math semester over 10 thousand percentage inflicting increase i understand it is necessary for the sfoifks i did want to go ahead and put a face to that decision someone like myself that doesn't open an enrollment package i thought everything was fine and never a reason to word otherwise i was shocked when it hit hi paycheck it forced me to seek additional employment that has to occur outside of my working for the city i come to you today is it fair to say nothing to be done i understand i put many a po we read about working families drive out of city and county of san francisco one e-mail could have solved interest problem less than 10 percent on the ppo plan or the most recent numbers indicate one e-mail having could have stopped this in m in class 1244 clarification i ask you consider a notification outside of the some pact that is sent

. >> $45 million for the self-fund ppo which guess 27 thousand of those vast group of people we're talking about underneath this board and the trust okay. so what are we talking about - >> we're doing the same thing so this is a standard exercise we go through where this applies we review the data and turns out we generated $3 million on page $23 million $$23,800,000 plus we need to amortize this over 3 years if we do exactly as we're charged to do this amortization comes to one million dollars plus for 2016 for the self-funded program and to cut to the chase i'd like to make a recommendation that you approve the additional reduction in the rates because of the requirements of the health services of reducing the rates by one million dollars plus in 2016. >> all right. you've heard the recommendation are there questions. >> so this is the firefighter through the chair it will be having the affordability utilization. >> yes, sir. >> we don't want to put the $3 million as a reduction in one year. >> is ample. ly appointment we've done the pay as you go and now decided to get back to the basic

planning department will create and occur rat a map of existing permitted places of entertainment or ppos in the city there are about 3 hundred and 50 right now when a developer prototypes a project within 3 hundred feet poe it could submit a final applications to planning and the entertainment commission will have the opportunity to hold and hearing to discuss how they're going to coexist the developer what present any plans for sound situation and discuss how they're going to work with the residents to insure that we preempt conflict the commission will provide recommendation to the planning department and the department of building inspection we've added language to indirect the planning commission to consider the battle ability uses between the nearby businesses and review the input if the entertainment commission we want the venue to be considered from the out set and want to start the collaborations not to conflict on the back end the second important element of the legislation it is sticht that if a venue operates within the terms of the permit it can't be doomed a legal nuisance w

betsey carmichael's elementary and the corridor of the parent coordinators group is what people consider ppo we're more than a name like implementing tagalog we want to insure that the request for more funding for the multi lingual people is not a fly-by night concept it is a fly-by night we do not want to handle it that way the response to the subject matter we need to see what it takes to have tagalog according to the center for the alienate i was that promotes assess and culturally difference people 48 hundred schools including the district of columbia in the past thirty decades as a in addition, we have come if 3 immigrant programs now we're at we have to wait for research we just have to utility those tools efficiently so that a sustainable program can be maintained for tomorrow's generation awhile our comfort zone may lead us to other popular programs like spanish it has many programs and french has 41 programs yet no tagalog programs but having programs in a larger group of native-american we have 24 thousand strong groups of larger indigent folks in alaska so whether or not a program

in cclusn, goblour trps a m the prede b his acons norget september 11 and e global on terri speaker ppo for what purpe t gentan from new yorkregnn? without objection, the gentleman is recognized for one minute. mr. higgins: mr. speaker today on equal payday we pay attention to the fact that american women are paid 78% of what men earn. for women of color the discrepancy is worse. it will cost a 24-year-old $35,000. over her career she will lose $431,000 relative to men. women make up nearly half of the american work force. underpaying half of our workers hurts women, hurts families and hurts the economy. in new york we have the smallest pay gap among the states. but women in new york still earn only 86 cents for every dollar a man is paid. we can do much better. when president kennedy signed the equal pay act which requires equal pay for equal work, women's pay was at 59% of men. we've made progress but time has exposed loopholes in -- that hinder the law. i call on the house to pass congresswoman delauro's paycheck fairness act which would close these loopholes and bring us closer to p

lunch that she had an insurance man come to her house and he somehow switched her from an hmo to a ppoing what he was talking about. she is 83, she didn't understand. now she is dark for a year and a health care program -- stuck for a year in a health care program or she cap did any of her tests -- can't get any of her tests. we are expecting people of her eight to go out with vouchers and know what they are purchasing and know what they are doing. it is dangerous. she could essentially lose her life because she can't get the tests she needs now because she didn't have enough knowledge and 83 to take her health care. and i see this all the time. i work as a nurse. a lot of them don't know what you are talking about when you try to explain these programs to them. and i fear that if we may get a voucher system, it is going to be a whole lot worse. also, i want to say thank you for having this program. a lot of people down here in florida vote. they listen to one corporate new show that is based on fear, and they vote against their own best interests based on these repetitive fear stateme