. >> item 3 is an ordinance for the city to provide the electrical power for the new development. >> i'm the author of item 3 and any co-sponsor supervisor breed and thank to the sierra club and the conservation voters this legislation provides the san francisco public utilities commission the power enterprise with the first right of refuse for the hydro hetch hetchy power to the san francisco this provides the puc to be the power provider to projects when it makes asterisk sense for nearly a century the commission has provided clean power and other electric services to the departments including the muni and the san francisco international airport and the san francisco general hospital our fire stations and employing police stations and city hall and other municipal function the power produced by hetch hetchy is one hundred green house gases free in an era where the fire change is impacting our environment we have to move towards a free energy power we have to walk the walk many benefits awe cross crew from local control and lower rates and commitment to local communities and promoti

jewish home provides transportation services. they employ a van driver directly and that van and driver provided 900 trips annually for their residents and they contracted out for another 150. in addition, they understand that there will be increased transportation needs with the addition of the square and the new services offered by the square and they plan to hire a transportation coordinator to work with the residents to transport to necessary care and services. another guideline that was identified for incentives is the expansion of behavioral health services. as i mentioned earlier, just like primary care and dental behavior health services proposes significant expansion. currently model assigned to residents and a could you tell -- acute psychiatric care is needed. they will provide individual counseling sessions and in addition to support groups totaling about 670 new support groups each year and a case manager will be assigned in addition to the residents in the residential care facilities. this guideline highlights the n

they can use and we have another provider that has to go through the same rated process that provides the rate power and the transbay center and the tjpa recently decided to go with the puc has it's power provider we've heard concerns about reliability and the puc is a reliable power provider to our airport or the general hospital for years the power has gone out there so colleagues, i ask for your support of this important legislation which will move us in a positive direction in terms of climate change and as well as addressing those are power needs in our system. >> thank you, supervisor wiener. >> supervisor tang thank you, supervisor wiener? an interesting proposal as you mentioned on many entities don't have a choice to some of the questions come up from the private entities that may fall under this i guess this set up here i think that folks have raised concerns about not having the choice so i wonder in the the city attorney or you, you can respond. >> sure first i want to thank andreas for doing terrific work in move forward this forward under the charter the puc has signific

do so for nearly a century or century the public utilities commission has provided clean power such as the muni and san francisco international airport ate the hospital and police and fire stations our jails and city hall etc. the power that the puc provides is clean and one hundred percent green house gases free in a place where global warming is looming so we need to move towards a clean energy future it's not enough to talk about it we have to do it we can do it here with this legislation there are many benefits to electrical service including local control and lower rates and promotion of renewable and clean energy and greater transparency and accountability expanding the point of interest enterprises retail customer base instead of selling it we'll provide much needed revenue for the puc's system and our street light system that's a huge deferred infrastructure needs and the retail power is sold at three to four times as wholesale puc estimates 10 meg wauts was the it residence the net revenue so if the puc were able to increase the retail sales of electricity by one hundred me

that in context the transbay terminal that has the terminal provider will purchase between 4 and 8 megawatts a year san francisco puc power faftsdz have capital needs totally hundreds of millions of dollars like hetch hetchy and other parts of the system and locally a and most visibly in our san francisco puc ownerships owns more than 20 thousand street lights and those street lights are in a state of disrepair they have significant deferred maintenance and until recently the puc wasv. $250,000 to main 2 hundred plus strltsz the agency thas has increased that autumn it is quite inadequate and the lack of investment in our street light has table everyday impacts but the point of interest enterprise lacks the resources bogging because it is starved of arouses not a retail provider and this legislation will help it be to a reilly provider in you want to keep this amazing power seat the puc ms. have no more customers it will provide the puc with the first time right of yours for the public and private services it will not compel the puc to be the provide but give them the first right of the refu

resources not provided by the act. as mentioned previously, one of the things the act does is streamlines the process to remove or demote senior executives based on poor performance or misconduct. as sect mcdonald wrote to the chairman last week, va is committed to building a culture of sustainable accountability throughout va. employees at all levels must understand what va expects of them in terms of their performance and their conduct, and must be held accountable if they fail or refuse to meet those expectations. i think it's important to understand what the new law does and what the new law does not do. the new law does shorten the time to resolve an appeal. the law does not give va leaders the authority to remove executives at will. any removal must still meet stringent evidence dear shear snoreds and provide due process and does do away with the appeals process. the law does not give va the authority to deprive a senior executive of their property, including earned retirement benefits. only a criminal conviction

those only from a municipal sour orource we understand it gives the city the right to provide the legislation but we disagree the city may compel citizens on private and public property to buy city power we believe that utility customers whether a tenant on public or private property can president obama in and out and to dictate when no price and serve guarantee is wrong we urge the puc to work collaboratively on a mature agreement to allow the plan that serves the puc and private sector to move forward thank you. >> thank you, ms. workman sir. >> good afternoon, supervisors and supervisor kim i'm president of the san francisco lying league of conservatism voters thank you and sxheedz office for moving that forward we are excited about this with with all receptionist for the speakers while this seems like a choice of where private ownership could choice the power source none of that in true in the age of global warming not true when we discuss the public good and the environment this is a simple issue of expanding the roll of clean air but whether this is commercial or eventually residential

have their programs here we're very happy to be partnering are mayor ed lee and supervisor cohen to provide the programs the seniors need and thank you very much it up for listening anticipate protecting our seniors making sure they get a place they call their second home so thank you very much (clapping). >> in closing, i want to say this is the physical manifestation when everyone has a team effort again, thank you to the community partners and other community partners behind me thank you as the giants pulled together they can pull out a victory when everyone plays his position that's mayor lee's suggestion i didn't deliver it as well, so i'll end with this go visitacion valley center and go giants >> good morning. welcome to the board of supervisors land use commission percentage i'm scott wiener the chairman of the committee to my right is supervisor kim and supervisor cowen will not be joining us today and supervisor kim can i have a motion to excuse without objection supervisor cohen is included our clerk is andrea ashbury and i want to thank sfgovtv for broadcasting today is hearing

where can i get information for providers or private sector providers that want to be providers whether it's a hospital system because i've had the question come to me in my district were hospital system unlike to help with the backlog, even as it is a short-term at-bat and also willing to do it at a lower rate than the standard rates for the teachers and he the wood interior. >> so again, the 800 number that we have come at there a line bear for both veterans, but also providers who want information. we've been talking with the american hospital association but the ama with the american hospital association specifically to try and help use those two entities to get information out to providers. and a provider that wants to i am sure can contact tri-care or health that correctly. i'm happy to have them contact me and i will serve as a functionary to make sure something happens. >> it is something you could provide details i will share those that come to me and not brown. the other question if we are trying to do the independent assessment, how much information is being gathered or how m

the parking at 0.25 versus providing up to 1 to 1 for the project. that would be the impact on the developer subsidized affordable units. >> so what does that mean in regular laymen terms? >> it just means that the cost to the developer to provide these additional parking spaces instead of 0.25 spaces and provide one to one is about $4 million. >> 4 million. >> [inaudible] there are 36 developer subsidized units, of which, in what we were asking for, we would provide nine, but 27 might not get parking spaces, but there would be $4 million that would be available to buy transit passes or otherwise provide solutions for the people in affordable housing. as i said before, we will build the full 46 if that's what you the commission and the ocii staff, but we see that opportunity of that $4 million as a fair amount of money to buy bus passes and do other things, but again, if it's your preference that on the tower side they be a parody we're prepared to do that. >> that would be my preference, because $4 million with the cost of muni goes quit. quick. >>

provide train the trainer for providers in the community that are interested in bringing this program back to their agency and then having it at their center to, as another model that they can offer for the seniors who attend the center. so in addition to the health and motion programs we already have, which is the always active program that are at 10 different senior centers throughout the city, the tai chi would be an additional one and would be able to serve our diverse population. so that's sort of a very brief snapshot of what the projects that we will present, that we have planned, and the document has a lot more details as to what our estimated number of participants will be served through direct nutrition education as well as indirect nutrition education through community health fairs that we will jointly do with cal fresh, with gph, and with the california extension. these are part of the plan that we have proposed and of course there is performance measures we will be measuring with nutrition as well as the tai chi program as part of the evaluation plan. those are detailed i

the provider needs to manage the patient and provide access and services and if they do it efficiently they get rewarded. they get to keep more of that dollar >>how does the patient benefit? >>the patient benefits cause they're gonna be at the center you know i think right now it's... you know a patient is really left in many cases other than going on the internet and researching what they might have is you know my knee hurts i'm going to the orthopedist i got a chest pain i'm going to the cardiologist you know there's really... there's no continuity unless you have a very active... >>it's fragmented? >>it's very fragmented. and it's wasteful. you know every one of those providers might want their own mri or their own lab results or you know they're not talking to each other >>that's what you meant by integrated? coordination? >>integration. we gotta get it coordinated. it's a journey by the way this isn't happening next year... this is a five ten year journey into ancillary treatment... >>so hold on one second joe when people say oh we gotta fix the healthcare system do you laugh when

that unit provides infrastructure and data support and intelligence to provide consistency across the network. second is we have a new ambulatory care across the network that included the appointment of a primary care director whom you will hear from shortly and that role is to solidify the role as a primary point of entry for care coordination and finally we have a new managed care office which included the appointment of a managed care director whose sole job is to singular focus medicare management to relationships and concept strategies and we also initiated tracking of patient rolement capacity and access. as i mentioned i was going through genesis of the network, but a brief overview. the network was formed as a result of the assessment of 2012 and 2013. as you know, those two initiatives led to the birth of our network. and when i came to you in march we thought we were in our infancy. we are now in our two hands and niece and -- knees and beginning to crawl. i mentioned the top priority areas that mentioned the health plus delivery system and task ready. we decided we would fo

to the private residents it's one of the few neighbors i think it's great for the city for us to provide this not only does that gives us more leverage in terms of financing our infrastructure but it's important for our residents and employers to have that type of available to them speaking on clean choice agency vacation this is a program we strongly support and we would like to see move forward it is something that voters said going they wanted this as an option east of they have to pay for it, it's the right thing to do i want to thank the authors and happy to support more of those partnerships and add my name as a co-sponsor. >> so the amendments i've described we we'll take that without objection. we'll take that without objection. the amendments are adapted so i want to first of all, thank everyone on all sides and supervisor breed and supervisor kim so far co-authoring the legislation i think people think this legislation is going to change everything overnight what this will do give the puc the stool that it needs for many, many years to increase the number of retail customers to

troout it provided the opportunity as a social media to outreach with our student peers our goals to promote a healthy student environment our peers are open to discuss the idea with the representatives and or such updates from the teachers in a respectfully way in addition to the october it is anti-bullying awareness month the fcc will incorporate this internet safety and associate media next meeting is november 10, 2014, at 5:00 p.m. the s a; c is a private council monday afternoon is welcome to attend diagram will be provided for the representatives and guests at 5:00 p.m. if you want to attend or make a presentation or would like o a copy of the working group agenda contract a contact alvarez. >> thank you student delegate i am echo this is the advisory committee report there's none tonight but if if it pleases my colleagues we'll have a community agreement committee for special education seeing no objection. >> i want to ask the cac to come up and join me mrs. webb is the chair and linda and joan are joining her as well as lee fisher and katie russel and our teacher meg can who

secondly, it will discourage erratic schedule changes and cancellations by providing employees to provide predictbility pay for last minute scheduling changes, specifically, one hour pay of changes are made in the last 7 days before a day that a worker is supposed to work or two to four hours of predictbility pay if the changes are made in the last 24 hours which is similar to the reporting pay time that is already required by the state of california. and third, our order thans will discourage the use of on call shifts to require them to provide predictbility pay for the on call shifts that are canceled in the last minute and lastly our ordinance will provide part time workers with equal access to promotions, hourly wage and time off. and i look forward to the conversation today and i do want to thank the amazing coalition that has come together on this, and this was an example of supervisor mar was working with one group of working family advocates and i was working with a different one and we decided that we should join forces in particular, i want to thank, advocates from the

in oregon but has not selected that provider. if a local provider should become available then that option will be considered. budgets are not money that is spent already, it is money to be spent on a preliminary basis and they are subject to revision. i personally think that to micromanage $600 in travel expense and to belabor the point for this amount of time is not suitable for us as a commission or for member s of the public or to subject staff to that kind of detailed analysis when it's a preliminary basis and that has been articulated very clearly from the beginning. >> did i hear somebody say? it's on the record, we can turn back the, you know, the recording, that linda means linda low? has determined somebody in oregon is qualified to be this tai chi instructor, right? you have determined -- we can roll back the --. >> let me clarify. based on the tai chi program that's been approved by the state and by the federal government it's the tai chi moving for better balance currently there are two master trainers, the original

so to help some providers get over that hump, we provided what's called advance payment which was -- the name was chosen carefully because what it meant was this is an advance on future shared savings you're going to generate. we gave it to 40-some acos and we said here is some money to help you through the beginning to hire care coordinating nurses, beef up your i.t. system, but when you generate shared savings you will pay this money back to the federal government. it's been very popular. some of them did very well in the early rounds of the share savings program but we also heard that we left some groups on the outside when we designed the original one. we also heard that some shared savings acos were able to get into the program but weren't sure they could remain in the program without some help. so we tried to design the new round of advanced payment to capture some who were in who wanted to stay in but needed some help but also rural hospitals. i think we really didn't define it right to get rural hospitals in, particularly critical access hospitals. on the waivers you were ref

it actually meant that companies doing business with san francisco provide -- started providing equal benefits to lgbt couples and because they had to do it in san francisco and saw the benefits of that, that actually led to other jurisdictions doing the same. so, i think that's the hope and that's the goal here. so, i briefly spoke to supervisor tang and i appreciate her comments. and one suggestion that i would have -- and by the way, you know, we believe that we want to be -- have this be as effective and as successful as possible. we do believe that we have given an opportunity to allow these players provide their feedback. we approached the status of women 30 days ago and they actually met before we voted on this in committee, but did not discuss this at their meeting. in any event, i want to give them an opportunity to provide their feedback. so, one suggestion that i had, and i think it achieves the same objective, is that instead of sending it back to committee we actually continue this to a meeting in november to give the different folks involved an opportunity to comment on

i just thought i would provide a little further context to add to laura's introduction. for those of you not familiar with san francisco heritage, we are a 43 year old historic preservation organization founded in 1971 with a mission to preserve and enhance san francisco's architectural and cultural identity.

they provide advocacy during the process. .hey provide referrals denied, benefits are they provide this with the board of appeals, or they may look to other resources for assistance, like ssd i and ssi. there are two programs in the nation that i would like to talk about today. tucson region and another in west virginia. so the southern arizona, it is also better known as operation desert home. and it received two grants from the department of veterans affairs, and one for veterans at risk of being homeless and another to rehouse those at risk for being homeless. served 237they veterans, 130 and the rapid rehousing. use a model, where volunteers and spouses assist , with temporary financial assistance with deposits, assistance with landlord-tenant issues, and benefit applications. they provide education, job search.nd financial literacy and budgeting and physical and mental health care referrals. our west virginia benefit assistance program began as a pilot, serving 25 veterans, assisted by two red cross volunteers. they provide outreach to veterans in the community using a hearer model

there are things that we can provide to the public and there are things that we can't provide to thepublic based on the process that occurred, the process set by the city and county of san francisco. >> i want to be clear. i'm not asking for the actual bids. i was with a public candidate for a substantial part of my career, i know that we had vendors provide a public response and one for proprietary. i'm not down to that detail, i'm just suggesting that upon conclusion of a project of this nature it would be helpful to know who the panel was and what the criteria were used to make this selection. it's very simple. i went on the website trying to find this document and spent couple of hours trying to do so and i couldn't find anything say all claims data base. >> i think we get kicked out of here at 4:00. >> i'm sure we can do this in the future. i think it's a great idea. i think we need to think about before we bring contracts to you because there are many, that we provide all the information to make it so that you are informed, and i totally agree with that. i don't mean to be argu

in this new agreement, not these medical services will provide primary care services. ucsf and primary practice group will be responsible for the care and the san francisco health network is responsible for the hospital and ambulatory services. in office of managed care we also prepare implementing the policy changes for the healthy san francisco programs which becoming effective this month and january, 2015. in the next few months we'll continue to explore the possibility of planning a couple of health plans in covered california and hopefully we'll have good news to share with the commissioners in the next >> , i.e., move to manage the membership page 2 of the management care update it the enrollment trend because of various system and transaction issues our overall enrollment is over 7 thousand in japan from 83 thousand in december good news is that of august our business has been normal listed we have been able to have a membership with a slight gain of seven hundred members as of august the network it responsible for providing hospital services to about 83 seven h

they work with veterans in obtaining their records and provide advocacy during the process. they offer assistance and other resources and provide referals accordingly to the community. - referals to the community. they might look to other resources for assist -- assistance like s.s.d.i. and s.s.i. there are two programs in the nation i'd like to highlight today. one in southern arizona that serves the tucson region and another in west virginia serving the charleston region. so the southern arizona, it's also better known as operation desert home. it's a homeless initiative. it's a pilot project. it received two grants by the department of veterans affairs. one to prevent veterans at risk for being homeless, and another to rehouse veterans currently homeless. it's also known as rapid rehousing. i'm not sure if any of you have heard of that before. last year they served 237 veterans. 107 in the homeless prevention and 130 in the rapid rehousing. they use a peer model, volunteers veterans, and spouses assist other veterans with outreach services to veterans providing tempar

i just thought i would provide a little further context to add to laura's introduction. for those of you not familiar with san francisco heritage, we are a 43 year old historic preservation organization founded in 1971 with a mission to preserve and enhance san francisco's architectural and cultural identity. we're a membership based nonprofit organization, and we're so proud to be collaborating with supervisor campos on this legislation. it' really we feel a validation of our earlier efforts in this realm ~. we feel that the proposed legislation is modest, but highly significant step towards recognizing these businesses he which are so important to defining the identity of san francisco ~ a. too often these places are taken for granted until we learn of their impending closure, which unfortunately in san francisco is almost a weekly occurrence. many of thea businesses are successful, long-standing business he that, but for the current economic climate, would survive and thrive today. as documented in our report sustaining san francisco's living history that was just rel

. >> you have to go with a trends if we can provide car parking spaces, maybe bike spaces. >> i'm just saying 110 is a hot. >> i second the motion with the parking space issue addressed or come up. >> at a later time be brought back to -- >> yeah, basically sending the parking issue to the negotiating table, but anyway -- >> with that amendment to his motion. >> i think that's fine. i think commissioner made a motion and i think -- >> and amended it. >> if we adopt the resolution it's with the commentary of the commission on parking issue i think that's fine. >> not commentary, but more of a direction to come back with -- >> if you want to give the flexibility to staff my suggestion is you pass the original resolution. i don't think there needs to be an amendment. >> thank you for the clarification. motion and seconded to approve the resolution as written. please call the role. >> commission members, please announce your vote when i call your name. the vote is 3 is and one absent. >> thank you. please call the next item. >> the next order of business is item 5e, status report on constr

all service tlaes we provide. the difference of other major vsos is one eligibility for membership, put the uniform on, raise the hand, take the oath. from the original clarter amended over the years several times. so again, eligibility is to have served your country, any branchfully time, including guard and reserve. with that, however, you do not have to be a a member of amvets to receive the services that are free to families and veterans. in the material that's on the table, i think hopefully every one of you have got a brochure as they were passing out things that before i focus on a couple of highlights national programs the information that is available in the back is our 2014 legislativive priorities. second to our national service officers, we have legislative office that is monitoring any laws and introducing working with represent tifs to introduce laws that affect the active military as well as our veterans. the committee on veterans affairs and gives testimony as an opportunity provides. so on that ca

, silicon valley providers. so you talk about the consumer bill, the consumer bill could go down over time if you allowed a two-sided market to develop. and so -- and also remember, users do pay for higher speeds. we all know you pay more as a user. and they're now saying that we can have no fast lanes. so the big silicon valley providers, they want one price and that is a price of zero permanently. that's, you know, an industrial policy, it's corporate welfare. >> what about that, craig? as you were talking just a moment ago, i thought exactly what scott said. right now i the consumer pay 100% of the costs and if i want a higher data speed, i pay a higher price for it. what if, on the other hand -- if companies were allowed to charge different prices to the content provider, might not that mean that the consumer would pay less because there would be a second revenue stream? >> consupers benefit from competition and choice and they benefit fr control of their experience. so they want to pay for what they want to

the other project is to provide, one of the reasons for the gardening project is it helps provide what we call policy systems and environment change and by having these gardens, the seniors would have increased access to more healthy food and by growing some of the fruits and vegetables that they may have there. then another second project is to provide nutrition education and there we have identified ones that would be appropriate that are also approved by the usda and this is the eat smart living strong can urriculum. the third project is more health promotion and that is implementing the tai chi moving for better balance. the idea with that is to contract out with a master trainer who could then provide train the trainer for providers in the community that are interested in bringing this program back to their agency and then having it at their center to, as another model that they can offer for the seniors who attend the center. so in addition to the health and motion programs we already have, which is the always active program that are at 10 different senior centers throughout the

providers have to engage in this as well. we have situations where some providers simply stop taking patients but they don't inform the plan. we can't update the directory unless we get accurate information from the providers. that is critical too. i think there's a role here for providers to engage to make sure that they are up to date as well so health plans can label them correctly in terms of who is in the network and who is not. >> i also wanted to add to that, so part of what people will be deciding this fall is whether to switch out of their current silver plan if it's not the second lowest cost plan anymore and a critical piece of that decision is going to be whether the providers are in their network. and so having that information correct is going to be -- is actually really important part of the competition aspect of the marketplac marketplaces. so we don't know yet how that's all going to play out. how many people are really going to switch, but people really need that kind of information to make informed decision

the role of the iaea is to provide assistance upon request. therefore, if we have a request from iran to address and review and give advice, we are prepared to do so. what do you think you redo if tomorrow iran declares -- thank you. >> it is too difficult a question for me to answer. [no audio] >> yesterday, you had a meeting with secretary of state john kerry. feeling is it will not be reached by november. think both are very happy to exchange views on the matters of common interest. [laughter] >> i would like to ask you about -- hasuments pertaining the agency verified the documents? what exactly is the reason behind not making this documents fully available to the iranians? sharing documents was discussed in the negotiation between iran and the iaea. when we have discussed the structured approach. the name of the negotiation that we engaged after the vote of governors -- the board of governors in 2011. we have discussed the modality of sharing information. that negotiation did not come to an agreement. progress inome -- many areas. unless

that provide those procedures. we have mobile applications that provide important user-friendly health care information to consumers. these efforts and many more dry value by providing consumers with the tools and resources they need to make informed decisions. and, we are delivering value and choice to consumers through health plans competes on the exchange. the results? high consumer satisfaction. just look at today's gallup pole. clear choice in high value networks, designs that meet the needs of consumers. according to mckenzie, 90% of individuals have access to broad networks and 92% have access to more tailored networks that deliver quality care with significantly lower premiums. do we want to take that choice away from consumers? well they just did in south dakota where a physician-owned specialty hospital succeeded in passing a ballot initiative on any willing provider. this destroys the value proposition and the ftc has been very clear. awp laws harm consumers. health plans are focused on five areas to bri