in this, and there are providers within a designated network provider group in the plan. while patients must limit their plan to providers within the network they choose, they manage patient care to promote quality and better outcomes. in an attempt to increase quality and reduce costs, the state is moving away from fee- for-service medi-cal and team managed medi-cal. those and san francisco are currently uninsured but who will become eligible for medi-cal in 2014 will be required to enroll in managed care. in san francisco, there are two plants, the san francisco health plan managing care for approximately three-quarters of approximately all medi-cal, and another covers the remaining. once the beneficiary chooses a plan, they then choose a provider network. both health plans offer several provider networks to choose from. each provider network is composed of a primary care provider, which could be a community clinic or a physician group, and its affiliated hospital partner. these are one-to-one partnerships established between the parties and with the health plan. this t

in which language services are being provided. in our model, based on the department of justice, our model states that the best way to communicate is in the language of the individual. there is a premium on getting a bilingual officer to the scene or an interpreter. if that is not possible, then you move down the continue on and the last, but better, route is to use a language line. part of the departments all -- part of the department's obligation, to what extent are bilingual officers and civilian employees providing services? the quality of interviewing a suspect, interviewing a witness, with an officer is of a different quality than if you are relying on a language line. we would suggest that the department -- originally, the problems were not attracted. four years later, we suggest the department began tracking the way services are provided so that we know if it is all language line or bilingual officers and civilians. that information will become critical when the department is providing its budget, being able to allocate sl

and yet we were still providing services for over -- ended up basically continuing to provide medical services. and then as people -- food banks came back up, we were able to stop our food service. as the salvation army began doing some more of the services, we were able to drop some of the services we were doing but that was after coordinated efforts wall of the community-based organizations. and any of the time i have been talking in san francisco about disaster preparedness and what we saw in watsonville was that the first night of the -- after the earthquake we found over 3,000 people in parks and open space and we ended up with thousands of people continuing to be in parks and open space for months ahead -- after the earthquake. and so in a concentrated place like san francisco with the housing shortage i'm always pressed to tell people to learn how to shelter people for a long period of time, how to deal with the fact that -- especially in san francisco, at least in watsonville people were living in their back yards and front yards for months at a time. here in san francisco we

supervisor campos: you haven't provided that? >> that has not been provided. the maps have been sufficient to date. supervisor campos: that's what i have an issue with. assuming that at the end of the day there is a third party that looks at this issue and says you know what, everything at&t says is correct and the data, the engineering data and everything that's relevant to this actually verifies and proves what they have said all along, the problem that i have is that essentially you're asking us to take what you're saying at face value. you're basically saying, trust us, that these maps are correct because they're based on accurate data that's underlying the conclusions of the maps, but we're not going to give you the data that actually shows that. >> with all due respect, i disagree, supervisor. we would give that data if it were so requested. at the end of the day, you have the same issue. you're using our raw data and you have to trust that thatidate at that we're providing you is accurate. whether we provide it in the form of raw data, which we're happy

, you provided in the same way you provide web pages or some version of that. it sounds dramatic to say tv is an app. it is a compelling service that people like heard it will more often the way consumers interact with it. it will more often a way they will be able to later things onto it. it will be a compelling offering. i think it will still be in the business for a long time. >> how does spectrum after the question? that is what the sec has been in their efforts to make sure that option and expansion happen in a timely manner. how does the cable industry see them playing into their own business model going forward? especially with a new deal with it for rise in. >> let's not call it spectrum, but the real isue is you have capabiities youw ant to provide for part of the consumer experience. we are quick to say -- you are saying you need to have mobility to the services youare providing today. you want to make sure you are no thethered to a timeplace and location. wireless has become the home networking standard. my house is littered with things that talk to

so not only was the provider retain all taxpayers of the provider was also not providing the obligated surfaces to mr. west to read it is impossible to believe that mr. west's story is isolated. medicaid is designated a high risk program and is therefore highly susceptible to waste, fraud and abuse. many experts believe the rates for medicaid and medicare due to fraud equals about 20% of the total program funding. so perhaps as much as one-fifth of the money spent is wasted, that ignoring legitimate calls for investigations in the fraud would witness firsthand has a chilling effect on other like-minded people who might be willing to alert authorities to abuse. most of the fraud occurs when the providers bill for services never deliver the medicaid patients. according to malcolm spero, a harvard university expert on health care fraud, the rule for the criminals is simple. if you want to steal from medicare or medicaid or any other health care insurance program, learn to build your why is complete. and for the most part your claims will be paid in full and on time without a pickup by a c

they will provide so many benefits for our community. we will provide revenue and create jobs for many san francisco residents. >> i have been tasked to deliver the coalition for san francisco neighborhood's subject. the mayor's approach is unacceptable. there was an eir publish. staff analyze the environmental impact on the corridor of building that gigantic hospital there. a development agreement that offers nice benefits for people who are worthy and organized outside projects. beautiful light standards for the tenderloin or a walking paths does not address any of these impacts. we are talking about a huge project. and highway 101. they plan to have 2000 net 200 parking -- 12,000 parking spots there. more than 2.5 times as many as the office building and hotel had would be there for this. unlike an office building where commuters or a hotel go in, these would be people constantly going for medical care or prescriptions or drop office. you could not find a better place to create a massive transit or traffic problem there. they wanted t

they provided 50 jobs for individuals over the past six months. this is not program that is going to create thousands of jobs to the exclusion of others who do not have a history. i would also point out that the legislation from lawyers hiring a person with a criminal history that would exclude a person or result of the termination of a person that does not have a criminal history, it is included in this legislation. i do think that this program who deserves an opportunity to see if over the next two years and can be used as an effective tool. it is not going to solve the problem, but it can be used if we work with agencies, nonprofits, religious to based organizations, to help them implement the overall goal of helping individuals find work. i would offer a couple of suggestions. i have reviewed the legislation from other states as well as the federal had a legislation. they have focused eligibility of individuals, and i will read the language here, someone who has been convicted of a felony and is tired of more than one year after the conviction

some of those are provided by private third parties. some of those are provided by other city departments. it may be something that is an easier question to address in terms of specifics, but we are happy to take a look at it. supervisor campos: the question, for instance, that i asked the mayor was -- is it appropriate, does it make sense that the mta out of its budget is funding the motorcycle unit of the police department? right? let me be clear -- i believe the motorcycle unit is a very important one and plays an important function and should be funded appropriately. the question is whether or not it should come out of muni's budget. we did not really get a response. from your estimation, would something like that be inappropriate expenditure? is there enough of a nexus between that and what the mta budget should pay for? >> honestly, i do not begin to know the facts well enough to make a judgment about that. supervisor campos: ok, thank you. president chiu, other questions? ok, why don't we open up to public comment again? i want t

so we would like to provide you with that. and willie, recology -- and willie recology provides the right books for the rec and park the permanent separate rate books for all other departments, reflecting the rate discounts described. this table utilizes a sampling of prices from the city's great books. any rate increases, as you can see, are applied equally across the rate categories. . this table, again, illustrates the history of price increases over the term of the mou and reflects recology's agreement to waive its right to a cola increase in fiscal year 2011- 2012. our calculations indicate a cumulative increase of 16% for the term of the mou. as of the time this resolution was submitted, all funds remaining on this contract were incumbered. their proposed increase of $5.8 million was estimated by taking the actual amount voucher in fiscal year 2010-2011, which was $5.7 million, plus an additional 2% contingency of $100,000. we think the small amount is reasonable based on fluctuations in usage. further, the not to exceed

louis was not the only health care provider in the system. and also incorporated too important community clinics within that period. we also want to have another one in the tenderloin area. that is a new service, a new way of providing care and they will have benefits. it was a very important constructs that we created to insure that patients would be able to take advantage of the program. the other was the fact that working internally in terms of its discharge, many times the discharges from the hospital's heart difficult and you kind of lose their community connection. it is a warm handoff, and we have asked them to work with community programs to assist them in the patient's navigation program. those are the major three areas, and trying to keep to the charity care physician and continuing that in the future. supervisor campos: if i may ask you more specifics about that, the issue of charity care is an important issue. i don't know if you are aware of this independent study that just came out -- it just came out at the hastings college of

if we can do that, we can provide water, provide a good environment, as well as provide good water for the people of this city. [applause] >> as the other speakers have indicated, this could not have happened without the leadership and direction from the residence on this block. speaking on behalf of the residence, sandy. [applause] >> i am also bringing the core that is important to this project. members of the newcomb avenue block have done a great job and we want to clear up some misconceptions about what happens here. i have been a resident in the bayview for 25 years. i have been here a very long time. very few have preceded me. this project originated with redevelopment. redevelopment a star and our eyes, and we were wondering if they could ever came out. they came out with this project, and it was their idea to help redevelop our street. with the neighbors on the spot, we were able to win the award. with all the neighbors, and redevelopment, -- and i also want to thank one whirled designed -- this project came to light. we were able to get it on paper, and from there, it went to

provision will encourage developers like us to provide units on site. the last few years the developer runs the calculation, and it costs less to the project to pay the fees. we will simply start providing more units on site, so you will have tmixed income units. also getting rid of the density cap is an artificial cap, but you still limit the scope of the development by the height and the dwelling unit exposure and open space and all of the other components. the commission in the practice of giving cu's anyway. we think it is great, and i will be back in february to talk again. thank you. >> good afternoon, commissioners. jeff hamilton, director of government relations. the exploratory of new project was approved unanimously by the port commission in 2009 and this commission. we're happy to report we just passed a 50% completion milestone, so we're very excited about that. as part of the approvals, the court granted a 16-year license, beginning once the museum is open for up to 200 spaces at nearby 321. i want to take a moment to emphasize that we are

and it is particularly important for the providers to take that role. john, i want to come back because we mentioned during break the whole intersect between the publicly funded programs, the privately funded behavioral health programs and how those will interact with the mainframe healthcare system. how is that going to happen, are they going to survive that transition, how is that going to work? well, i think that the integration of primary care and behavioral health is critical. we know that there are a significant number of individuals in our healthcare system that have a mental health or substance abuse disorder. and, as deb said, in some cases it is 25 percent, one out of four. a lot of people that have a mental health and substance abuse condition have another condition, another health condition or a chronic health condition that they need, not only just primary care, but also specialty health care. over the last several years, samhsa has embarked on a primary care behavioral health integration project prior to the affordable care act being in pl

the police to permit is not providing any funds. redevelopment agency is paying the entire amount. i think that the rate is very low compared to other similar spaces in the project area. she mentioned that some spaces are little bit lower, maybe down to $1.25, but most of these bases we have worked on our dollar sign2 a square foot and over. supervisor chu: ok, to market of the next question is geared toward the police department. >> good morning. i am richard from the police department. supervisor chu: in terms of staffing and the intention of the police department with the new substation, i know that with the previous work that was done with our consulting, we talked about, even though we did not implement it, was a reduction of the number of stations that we had to get more people out on the street, as opposed to treating more fixed staffing inside building. does this go in the opposite direction of that? what is the plan for staffing? >> actually, to the contrary, this storefront office the opportunity to keep the officers out o

i just wanted to provide some background and the timeline. in august 2001, the conditional use authorization request for the property was filed for the demolition of the existing industrial building and the new construction of residential building containing 54 units, and it needed to conditional use authorization on multiple grounds, but two which are important is that it needed conditional use for the construction of residential uses in the existing zoning district, and also with the time because of policies that were in place requiring 25% bmr, below-market rate units. they set to lower that. in 2002, this was the time of the reasoning after its. there were multiple hearings on the item before the planning commission ultimately approved in march 2003. it was subsequently appealed to the board of supervisors, on by five members of the board of supervisors. the board of supervisors overturned the commission decision approving the project but re-approved it with additional conditions. those conditions were then in full of fat. there was no ch

they can be child care providers so our clients can go out and work. >> we found more and more women of child bearing age come down with cancer and they have kids and the kids were having a horrible time and parents were having a horrible time. how do parents tell their kids they may not be here? what we do is provide a place and the material and support and then they figure out their own truth, what it means to them. i see the behavior change in front of my eyes. maybe they have never been able to go out of boundaries, their lives have been so rigid to sort of expressing that makes tremendous changes. because we did what we did, it is now sort of a nationwide model. >> i think you would be surprised if you come to these clinics. many of them i think would be your neighbors if you knew that. often times we just don't discuss that. we treat husband and wife and they bring in their kids or we treat the grandparents and then the next generation. there are people who come in who need treatment for their heart disease or for their diabetes or their high blood pressure or their cholesterol

i think that this will provide that. it is interesting to me, sir and kids can live on laguna street yet they still go to page street for the services. this brings some of that closure with the kids coming from different areas. i think the most important thing is the dynamics of that community of the blocks, from one block to one block. some people are living as gangs. i think this is a neutral area. i think would be very beneficial to the city, to the community in providing excellent services. thanks to the city and i hope this passes. >> good afternoon, supervisors. thank you for having me. i'm a former member of the boys and girls club. i want to speak to the transportation. i guess in part with this location, it would be very neutral. not only that, we would have transportation close by. we have the board, the underground muni, the buses that run along the xanax. -- that run along van ness. that allow children from all of the city to take it an edge of the boys and girls club. we have different events that go on in t

you either provide that information or you do not. >> provide that to our customers? supervisor campos: yes. >> i can find out how that information is communicated. each time that we do go through and of great, how that is communicated as well. supervisor campos: if i may follow up to your expert. thank you. in reviewing the documentation related to this case, have you ever been given any information about -- that shows that at&t provides the type of coverage related information that has been discussed here to their customers? >> i would have no way of knowing how that is developed. we are called in to do one assessment. >> has any such information been given to you by at&t? >> no information like that has been given. supervisor campos: thank you. president chiu: any other questions? i know there is time on the clock. if you want to continue with your presentation. supervisor wiener. supervisor wiener: thank you. i want to ask similar questions that i asked to the appellant and the planning staff. that is having an independent evaluation, an evaluator selected by the

we're talking about those that's in providing settings. and so, we've got to find ways, like you said, positive ways to help self-soothe. so, what i'm saying is we can't automatically assume, because i'm a rape victim and she's a rape victim, that nighttime is a bad time for me. so, what you're saying is individualized treatment plans for each individual. and, in addition to that, i think what's so important is the environments of care, particularly residential that can be so traumatizing, the experience of seclusion and restrain. it's horrifically traumatizing for the individual being tied down and restrained. it's traumatizing for the other folks who are watching it. it's traumatizing for the staff that are doing it, the experience of whether it is bed time. i've heard people say, standing in lines or all sorts of things within our institutions that we could do to create environments again that are safe and that are calm and that are healing. and the issue that is something that dr. gillece mentioned earlier-is the staff trained? absolut

we have department services, where the department is a mandated provider by charter. for example, the charter makes the city attorney the mandatory legal services provider for the city, so we must pay legal services. the next one is the group of department services, which are discretionary services. we could do these internally, but we decided to work order these in the past. the last is a discussion about the policy nexus, and this surrounds traffic enforcement. the presentation -- could we get it on screen, please? supervisor campos: here we go. >> ok, great. this is a summary of our work orders from 2006 and 2007. the increase has been about $19 million, and these line items are what the changes have been. the biggest change has been in our facilities/power line item. the next is a city function allocation of 9.2. we have seen some increases in department of services where the department has been a mentor provider and its discretionary services. there has been an increase in the policy nexus' group. here is a description of the line items. the biggest has been rent

this provides long-term benefit. we think so.is on what would be the state of art, a rise in export -- expert care for the surrounding economy. community. the updated facilities will provide much-needed services to come. all san franciscans will recommend this updated facility. there have been some objections. this can be overcome by careful planning. detail planning can mitigate traffic gridlock. we fully support this project and hope that you can support it. president chiu: thank you. next speaker. >> we have experienced unemployment rates as high as 35% and a decline in hours of approximately 50% with obvious devastating effects. i am speaking today in support of the projects that would generate 1500 union construction jobs once it is approved and breaks ground. although there has been a recent uptick, in san francisco this is effectively in a construction depression, and it should be proof enough. each and every project with a solid commitment with wages and benefits is critical to survival. severe long-term employment has ta