, providing health insurance.hat i think serves as our first key value that underpins what we did and underpins much of the discussion on health insurance. second of all, one of the reasons that people think government has a role to play is that many believe that society has an obligation to protect the sick and poor when it comes to health insurance and health care. we think that's also at the heart of the issue, and we share that value as well. in fact, when lyndon johnson presided over the signing of the medicare and medicaid bill almost 40 years ago, he noted that americans have an obligation never to ignore or to spurn those who suffer. it's been a long time since lyndon johnson spoke those words, but i would suspect that many americans would continue to agree with the basic sentiment that he expressed. of course, a lot has changed in the 40 years since medicare was established. one of the things that change is health care has become a lot more propagated. if you're unlucky enough to suffer a heart attack in

we need to provide for them. mission neighborhood health center provides care to about 4,000 to 5,000 immigrants who will continue to be uninsured. the city of san francisco is estimating that about 20,000 uninsured will remain. about 25% of the families will continue to come to the health center so we need the city's support in helping us do this work and keeping our communities healthy. thank you very much. >> thank you very much. next speaker please. >> good afternoon supervisors. my name is mark alton and the father of an 11 year old, a teacher at betty carmichael school and a soma resident. i appreciate the opportunity to provide public comment. i have been a student of san francisco for most of my life, something about this area has always fascinated me. as you craft a budget now please remember what makes the city so great. in addition to the scenery and tourist teakzs it's us, the individuals and families that form its human landscape. as we celebrate our economy and marvel at renewed investment and growt

-- to hire people to provide the care. so, we think it's important for you to look at both issue, sufficient staffing and making sure that the employer requirement to pay continues. thank you for your time. >> thank you, thank you very much, next speaker. >> >> good afternoon, supervisors, thank you very much for having this important hearing, my name is pete, i'm with the california partnership and we're with the antipoverty organize sashes, i want to talk a little bit about context. i think i want to appeal to san francisco as a leader county in the state and i say we think that health and health care and healthy san francisco are antipoverty programs and that is in a context of 8.7 million californians being in poverty, we've got the infamous distinction of the highest people in poverty of any state in the country that we'd like to shake and we think san francisco can be a leader in shaking that. i want to talk about how the affordable care abing and all of its office and is the idea that everybody deserves health care

so for the take aways, it provided us an opportunity for real exchange and interaction. the military has a lot of capability and sometimes we don't always know how best to modify that in an appropriate response and being able to get together and practice the situation allowed us to understand each other better. the lessons learned: throughout the exercise a lot of lessons learned were gains and we're taking those lessons and applying them to real processes where we have interchange and response. 18 months of planning allowed us certain benefits as well. we were able to look at the capabilities that each other brought to the table in these type of environments and we were able to really take those and learn more about each other for future responses. we were able to take and provide a taylored response package to better serve the customer. again, we don't want to go in with a full package that the state or civil environments aren't really asking for, we want to be sure it's taylored appropriately and it's responsive and timely. we also had the humanitarian assistance coor

the employer's spending requirement was meant to encourage employers to provide and to continue to provide health insurance to their employees or in the absence of health insurance, to provide economic assistance so that they have as much access as possible to quality health care. many of us believe that the employer spending requirement is needed now more than ever because under the aca, individuals are required to meet an individual mandate and purchase health insurance, while cal foreign's health exchange, the cover california that i referred to before will make health insurance more affordable to many individuals in high cost cities like ours, like san francisco where according to recent reports during the most recent quarter, a one bedroom apartment in san francisco will cost you an average of 779, in these high cost, lower wage employers will find health insurance unaffordable, because of the health care security ordinance and the spending requirement in that ordinance, we hope the workers we're talking about will be able to use this money to meet their individual mandate and if work

you provided us direction 09ctionv proposed term of the agreement, asked us to continue to negotiate and come back to you with some changes ~. specifically, you wanted to see the percentage of the budget supporting youth participants to go up. ~ on the you wanted us to developer formance metrics we would use to evaluate the contract. report back geographic representation of the youth served. you had concerns about the contract term. we were proposing a four-year term on march 26. regarding geographic representation first, san francisco conservation corps did provide a breakdown of their participants for 2012 and it's in the report and you'll see that more than half, 57% of participants in that calendar year were from bayview hunters point and visitacion valley neighborhoods and about 82% of of representatives are coming from the southeast neighborhood to san francisco. and there is a wide variety of neighborhoods served. larkin does not have [speaker not understood] because they're homeless, but they provide statistics. we spoke to the conservation corps about how they reach at-risk

tom woodell takes care of many of the central city residents and they have great expertise in providing services for many of the homeless. potrero hill and southeast health centers are health centers in those particular communities that are family health centers, so they provide health care to patients across the age span. . >> many of our clients are working poor. they pay their taxes. they may run into a rough patch now and then and what we're able to provide is a bridge towards getting them back on their feet. the center averages about 14,000 visits a year in the health clinic alone. one of the areas that we specialize in is family medicine, but the additional focus of that is is to provide care to women and children. women find out they're pregnant, we talk to them about the importance of getting good prenatal care which takes many visits. we initially will see them for their full physical to determine their base line health, and then enroll them in prenatal care which occurs over the next 9 months. group prenatal care is designed to give women the opportunity to bond during their p

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 and increasing our efficiency in customer service and these are exactly the items that barbara is at the health department working on today. our second role is more citywide in nature and related to our mission to protect and promote the health of all san franciscans, we're maximizing enrollment into the health insurance options under the nca and i'll focus on this a little bit more. the health department has identified several key factors to the successful implementation of the aca in san francisco. the f

we provide access completely free to lexus and west law. we provide no charges to any kind of access to any of our electronic materials. and this particular sheet gives you an idea of some of those kinds of electronic resources that we have and what they're for. we provide them as comprehensive and extensive amount of legal internet database research to the public to our constituents than any of the other county law libraries in the state of california. in particular, people such as [speaker not understood] law firm practitioners, small business owners, they are not in a position that they can afford some of these very expensive databases and they are able to manage because they utilize our databases for free in the law library. another key service that we provide is particularly service for nonlawyers. i started working with the law library as a clerk when i was in law school. and at that time the demographics were such it was a very tiny percent of people that would walk in that were not inhe lel profession. that has radically changed ove

brown updated and provided her with avoidance. paulette brown has met with the city leaders and chief of police and leaders as well myself and other members of the police department to keep the case moving forward. ms. brown understands that this may be difficult. she has maintained the case in the public eye. several broadcasts have been remembering the public of the reward and no tips. ms. brown came forward and presented a list even if names. she requested updates on the case and we provided those updates. we met with her and inspector jones has continued to meet with her and i have met with her in the past. we tried to do the best we can to follow-up and she understandss we're trying to do the best we can. investigator john miller has the case she met with him today. we did another announcement to put the case in the medias eye in an effort to get witnesses to come forward. we continue to follow up on this case. the homicide cases have no statute of limitations. we also follow-up on those cases and try to develop leads whereve

we can provide parking and we hope that it will anchor and attract businesses to lombard street, it provides a great space for pet adoptions inside and out. and if approved, we also plan to open up a permanent cat adoption center in the store in partnership with the pets unlimited who we have worked with for many years. we have 6 adoptions centers in all of the stores. this year alone we will adopt 2,000 animals. the self-service animal clean service is the only one in the area. it will provide, 14 new jobs and grow from there. and i also have a poe pea petition signed by san franciscans in support of it at this location. over there. and i want to address the issue of big verses small. in our 33-year history we have never put a small independent pet retailer out of business, in fact, the pet food express is still independent as well. i run it with my business parter mark and we have no outside investors and never have had them and no investment banks making our decisions we are no longer small, but that does not mean that we are bad for the community. there is evidence in the economic study

we've been able to provide reduced memberships and train more volunteers. and we know that san francisco village is working thanks to a study by uc berkley. 83 percent say their membership has increased. and 80 percent are more libel to get assistance >> madam thank you very much that was appreciated. >> good morning. i'm a staff member at san francisco village. my role is volunteer and i take member requests that come in. because of confidentiality i won't mention the members names. about two years ago i got a call from a man who needed someone to take him grocery shopping as well as take out his garbage. his partner moved out and we were able to match him up with a volunteer to meet those needs but at the same time fulfilling that need of companionship. in addition we also have a member named rose who is a disabled person. she's losing her sight. we have someone going to her >> i live in martin tower. i'll tell you a few things i've done through the village. yesterday, i went although to a presentation on facebook i learned about it and what it's for and

the home provides a place to live for elderly waria. currently, the refuge has 7 residents aged between 60 and 75. yotti is 69 and previously worked as a street vendor and had other part-time jobs around the country that provided somewhere to stay. exhausted by moving from place to place, yotti moved into the home for waria three years ago. yulie, known fondly by all as mami yulie, runs a beauty parlor at the house. it was also turned into an open house for waria in 2010. the home is a refuge for waria with nowhere to go who are cut off by their families and unable to work as they get older. mami yulie has witnessed fellow waria dying alone on many occasions. mami yulie was born in 1961 in eastern indonesia. mami yulie's family, however, refused to accept that their child was a waria, and at the age of 18, mami yulie ran away from home. mami yulie ended up working the streets as a prostitute and met other waria forced into the same situation, people who were unable to find regular work due to discrimination. concerned about the future,

it must be providing a rear yard and this will be for 24 dwelling units and to provide a portion of the ground floor lower then 10 feet. there are conditions based on the fact that the building is dilapidated and it is for the sole purpose of providing no housing. it's going a create an actual commercial space and will provide housing near the downtown. additionally nearly 50 percent of the units will be two or three bedrooms. it proposes a high quality of design that was vested by the development committee and the project is consistent with the planning code and the general plan overall. >> project sponsor? >> commissioners i'm with mercy you housing. i think this project you probably know about this as much as any project

i have a hard time visualizing that the shell oil company is the one to provide that. this is a company that probably for centuries have been profiting from pushing fossil fuel products, okay. i think we need to be really careful about multinational companies coming over here maintaining that they're here for the greater good of the community. perhaps it's unfair, but when i think about the shell oil company, i think of monsonto, at least with pg&e, it's a local company. >> alita dupree, welcome. >> thank you for the chance to speak to you today. i come here as a consumer of electricity, both indirectly and directly. i come here for the summer. i anticipate spending 120 days or so in san francisco and i'm spending a lot of time and some money here, and i believe it's time to take action. it's just like people who live here year-round, i'm using this product, some of it's municipal and i ride the muni or go into the libraries, charge my phone or enjoy the lighting to do my reading or watch a film, and then some is indirect when i patronize various businesses in the city

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 had the second job at asf to provide my father with better health care. it's really important, people should not have to struggle for health care, it's a human right. >> thank you very much, next speaker, please. >> hello supervisors, my name is tammy and i'm with the training program director at the women's community clinic where we serve 4 thousand uninsured women, we at the clinic celebrate the opportunity for 2 million california residents so have access to health care and insurance through the affordable care act legislation and we work tirelessly to enroll those who are qualified but we also see the health care security ordinance as an important complement, it provides a cohesive and multi-faceted health care institution that institutions the importance of quality preventive care, let me highlight prevention, the significant financial cost and abuser on all residences, in a recent 2012 needs assessment that focused on the western addition fill mer, they use the er as care, i also want to reiterate to the supervisors, the lack of access to care impac

job squad and providing a job squad that brings city hall to our neighborhood businesses. and because san francisco's truly a global city, we're going to build on the success of china s.f. and expand our outreach to latin america and asian market street, not just to attract businesses to come here, but i'd like for us to really begin to introduce "made in san francisco" products to these growing market street. (applause) ~ markets >> while the worst of the economic crisis may be behind us, we cannot deviate from our commitment to fiscal responsibility and reform. we will continue to invest in our neighborhoods, in our infrastructure, and most importantly, in our people. i want to recognize budget chair supervisor mark farrell again for leading the budget effort and making this a very collaborative process. i want to thank my staff led by steve kava, and to my budget office led by kate howard. and also a great thanks to ben rosenfield, our city controller and his staff, and then an anticipated thanks in advance to budget analyst harvey rose for his anticipated cooperation.