that is what we provide. instead of saying necessary to protect physical safety of students, which could mean a lot of things. we offered examples. distribution of child pornography, violence causing serious body injury. we provided examples what that actually means. >> slide nine is revised proposed language. on the procedure for school staff to request police assistance. in the previous m.o.u. it was fine for sros to be called or text for immediate assistance. that is a problem because it takes and places the responsibility of documenting the call for service in our system on the sro who has to lead and it can lead at this point to underreporting of incidents. by calling for the police dispatch number this will ensure every call is properly records, monitored and prioritized. we found it is problem attic they might be called when they were off work on holidays or regular off days or taking a vacation day. this last two call and not being answered in a timely matter. >> some sros in some high incident school

providing support of services and providing form handoffs to the medicine. access is the most basic form of engagement and telemedicine helps increase our access points of services. when it's easier to access care, patients are more likely to receive the services they need to match our health. as of july 1st, 2019 it's the new kayla health bills with military aid and plants, which will help sustain the programs. the reimbursement of these services. kentucky is now a tell the health state, a critical encounter is reimbursing the traditional in person visit. that same encounter is reimbursable with detail the help technology. this includes all services provided and locations, they tell a health equivalent and the in person encounter and to having to negotiate employment rates. my personal opinion, tell a health is part of the answer to our shortage of the underdeveloped areas. i'm grateful for the opportunity to part with the usda deal, i am committed to the success of this program that will improve the outcomes of your constituents and our patients. >> mr. st

it clearly noticed service providers identified a need for increased capacity and consumers provided difficulties of the navigation. they will conduct an analysis of the city-wide case management system to identify unnet needs and gaps in services and assess streamlining. they will work closely with dos and community-based partners to provide the department with a comprehensive systems assessment report. this will be accomplished through a broad range of data collection and analysis activities. the outcome will be a systems map with key strengths and will outline targeted recommends. i request your approval to enter this contract. >> a motion to discuss? >> moved. >> second. >> any comments or questions? >> any comments or questions from the public. hearing none, call the question. all in favor. any opposed. it carries. >> item b. requesting authorization to modify the grant agreement with on lok day services for the provision of the health provision-physical fitness and fall prevention program for older adults and adults with disabilities during the period of july 1, 2019 through ju

we also provide both pre-nd post exposure prophylactics for hiv prevention we also provide a range of women's reproductive health services including contraception, emergency contraception. sometimes known as plan b. pap smears and [inaudible]. we are was entirely [inaudible]people will come as soon as were open even a little before opening. weight buries a lip it could be the first person here at your in and out within a few minutes. there are some days we do have a pretty considerable weight. in general, people can just walk right in and register with her front desk seen that day. >> my name is yvonne piper on the nurse practitioner here at sf city clinic. he was the first time i came to city clinic was a little intimidated. the first time i got treated for [inaudible]. i walked up to the redline and was greeted with a warm welcome i'm chad redden and anna client of city clinic >> even has had an std clinic since all the way back to 1911. at that time, the clinic was founded to provide std diagnosis treatment for sex workers. there's been a big increase in std rates after the earthqu

in the next meeting, we're partnering with oti to provide a training for all access point providers for soji 101. last year, our homeless outreach team began annual transfocussed training cover trans cultural responsiveness working with the lgbtq community and we're working with true colors united to get people across the city to sign up for free two-hour training on the a, b, cs of training in november. hsh received funding in the 2019-2020 budget with the support of supervisors for our first trainer position didn't i was grateful that director farly identified training as a key area for growth for us. once hired in 2020, this new training individual will continue our work to develop the homelessness response system training agenda in partnership with all of the nonprofits and those are already tagged to have significant focus on equity and inclusion. finally, hsh is addressing under representation in several ways. we committed to as a community a way home america's grand challenge to end lgbtq homelessness and homelessness for youth of colour in two years and we're proud to have atten

it says a network provider, and it sounds to me like if they're a network provider like any other physicianor provider, that when seniors show their card and they have their benefits there, that they should know who and what, and they should know what fees or co-pays are charged and shouldn't be adding these other fees, so i would just like a little more clarification as to what one medical is and what it means because i do write the newsletter for our organization, and this information is going to go out in about 1.5 weeks or two weeks to all our raccf members to know what they should expect or be aware of when they go to seek services through one medical. thank you very much. >> yeah. fred sanchez. i'm the chair of protect our benefits. two things about concierge service. yeah. that's unclear, and i don't want to comment on anything that i find unclear, and you're still figuring out what is on it. i'm waiting for you to inform me, and i can inform our members. currently, we've got three or four different even board members that say yeah, i pay an extra fee for the doctor. says it's overhe

>> we provide the services. >> because you don't provide a class i am suggesting. >> we provide comparable services. >> what i am suggesting -- (applause). >> she dressed the question earlier. we can move on from this question. i am going to make final comments then we are going to vote on the item. >> i just want to make the point you can serve without a self-contained classroom. i am not speaking to the program. i just don't want the impression that is the best way to serve students with disabilities. >> may i respond quickly? >> there are a lot of people here tonight. i want you all to get home. i want to go home. i may not say yes because i am deeply concerned about the tactics that kids use to push out students. it is long stated and not effectively addressed. what kipp has done effectively and i give them so much credit for. it ask that your child's future is based on test results and outcomes. that is powerful to families, especially when it comes to the achievement of lated continue american students. congratulations for the great marketing. i know you have a lot of incredible fami

i want to be clear for any provider that is not fully committed to provide the best quality care should be in a another line of business. speaking of gaps i want to spend most my time echoing words that congresswoman sanchez talked about and this is very personal for me i have two great aunts. one is great and ruby lives in richmond and one was great aunt grace. they are example of the failure of our healthcare system and great aunt grace was 95 and fell down her stairs and went in and out of the hospital and ended up dying on hospice care for a few days but she's an example of healthcare system that requires you to be broken in order to fix you. great aunt ruby is still at home and has copd and is dying but will not accept hospice care which is my failure as well as failure of this healthcare system. as a result when one is our default healthcare system and we can do better to get people into this centered care before they decline. what if we provided person centered interplay does americare before they cried out for help and what if we did it without people having to give up and we of

and the provider, giving the provider a more realistic chance of making a difference. that isn't always possible when these resources are not accessible. grace health has identified four needs to be addressed through the telemedicine. number one, access to health care providers and services. number two, transportation. number three, behavioral health treatment. including mental health and substance abuse treatment. and number four is patient engagement. to meet these needs, grace health has expanded telesed mete to 33 sites, six primary care, one women's clinic, 17 school-based centers, and nursing homes and one hospital. services include primary care, consultation, behavioral health, and patient engagement. with telemedicine, rather than traveling to different clinics for different services, patients are able to access most of the services that they require at a clinic in their own community. using telemedicine, grace health's mental health providers have increased the number of patients served. through telemedicine, our behavioral health providers have access to all

providing supportive services and providing warm handoffs through telemedicine. access is the most basic form of patient engagement. helps to increase access points for services. when it is easier to access care, patients are more likely to receive what they need to manage their health. as of july 1st, 2019, kentucky's new telehealth helped sustain telehealth programs through reimbursement of telehealth services. kentucky is now a telehealth parity at a time. if a clinical encounter is reimbursable in an in-person visit, that same encounter will be conducted via telehealth technology. this includes all services, providers, and locations and the value of a telehealth encounter is equivalent to an additional in-person encounter until they have negotiated a reduce payment rate. and my personal opinion, telehealth is part of the answer to our primary care physician shortage in the rural underdeveloped areas of our country. i'm grateful for the opportunity to partner with the usda program and i'm committed to the success of this program that will kbruf the health care

providing grant awards to businesses impacted. and you have to be a major impact construction project, with some type of significant delay, in order to qualify for this funding. and then we have $1 million set aside specifically for the revolving loan fund for construction mitigation. and that's loans with 0% interest and zero risk for any project, with an sfmta scope of work. and the idea is that merchants would be able to utilize this fund as soon as the project commences. and that is the end of my presentation. are there any questions? >> commissioner dooley. >> i have a couple questions. can you just run me through -- i assume this is in place on the van ness corridor. i drive down there a lot. it seems like no access at all for any of the businesses. i no longer shop on van ness. for van ness specifically, that project we did the open for business campaign. there's an ad campaign on our buses quarterly that speaks to coming to the corridor and highlighting if it's entertainment, the nightlife. we did have signage up to point

crated by cable in 1979 c-span is brought to you by your local cable or satellite provider. c-span your unfiltered view of government. >> and brendan carr is one of three republican commissioners on the federal communications commission. he is our guest this week on "the communicators". david mccabe of "the new york times" is our guest reporter. commissioner carr, this week there was an announcement by the chairman of the fcc about the c ban and 5g. could you walk us through in layman's terms what the commissioner proposed and what may happen? >> 5g and securing u.s. leadership and 5g has been our top priority at the fcc and certainly my top book is an agency and why is that? 5g will usher in a new era of economic opportunity of jobs, of educational opportunities for our kids and these counted cutting-edge innovations we hear about cognitive cars to cities and the internet won't work or won't work well without 5g. a lot of things we have to do right and government to secure u.s. leadership in 5g. one goes to your question which is spectrum. we have to put out a lot of new sp

employee, and the purpose of this office is to provide catalytic support to provide the tools, the roadmap, to ensure that we are putting the structures in place across the whole department to move health equity forward. i was also really pleased a couple of weeks ago to attend with the mayor the maxine hall health centre groundbreaking. this is one of our wonderful primary care clinics and i actually worked there almost 20 years ago as an intern in the primary care clinic and i will say that the mission and the commitment to the staff remains the same. unfortunately the building also remains the same with regard to needing a serious upgrade. we know the environment i am excited that the hall for the refresh for the centre. we will continue to afford that. the health centre is relocating during the reconstruction and we are ensuring that the communities informed there has been a lot of communication about that. i also want to announce some changes in the department with regards to human resources changes. our former director of human resources accepted his resignation and effective novembe

and this will help provide the security for the top communication providers.still more, needs to be done in the respect of policy for both unlicensed users and beyond that. we must explore opportunities and by 5g acts will provide balance with these 300 megahertz and is supported by broadway in public interest groups and the stakeholders. i work with chairman doyle on this issue and congressman introduced the spectrum now act which will make an additional spectrum available. the imbalanced approached of the wireless service as not only been necessary for expanding the span. i also continue to focus on the 20-year-old five dot nine vigor hurt span. the fcc will consider to address this ban soon. so that i yield back to the chairman. >> chairman yield back. gentleman yields back. i recognize the entrance of mr. walden. >> thank you mister chairman. it's the top of the budget right here. thank you for being here. your insight will be an important input to the process and what he's the telecommunications represents the lifelong preserving as we all know and disrup

the project itself in tet are being provided has changed.e provided home sf plus. we -- tht feedback from the community ands leading up to this hearing, toot were raised about the size of tt mix itself. and although home sa

no explanation was provided.all of the agencies responsible for ukraine policy supported security assistance and advocated for lifting of the hold. the only dissenting voice was the office of management and budget, which was following the orders of president trump. and still no good explanation of the hold was provided. while the eight suspension had not been made public, word was getting out, catherine croft, special advisor for ukraine negotiations work closely with ambassador volker received two separate calls in july or august from officials of the ukrainian embassy who "approached me quietly and in confidence to ask me about an security ld on ukraine assistance". croft was "very surprised at the effectiveness of my ukrainian counterparts diplomatic tradecraft as and to say they found out very early on, much earlier than i expected them to". ukrainians wanted answers but croft did not have a good response. then in late august cooper met with kurt volker Ãbvolker revealed he was engaged in an effort to have th

i've asked the board of supervisors to provide legislation to buy and provide portable hepa filters for all schools in san francisco and for all senior centers. they are easy to use, they will minimize the health impacts affecting children and seniors. additionally because we've learned that heat is of greater danger to children and seniors, we will learn the feasibility of installing air conditioning in senior centers. additionally, i'm requesting the budget and legislative analysts to provide the costs of air conditioning and particular ventilation in shelters and city centers so we can determine the best ways to keep our unhoused neighbors safe. we must continue to look for long range solutions, but this is a practical, feasible and quickly implementable step that we can take to be ready for the next emergency. unfortunately, as we know, our school district is struggling to even pay their teachers a living wage, so getting these filters in every single classroom is not something that the school district can afford. that's where i'm asking us as a city to step up and pay for these air

they are big and provide storage for carbon which is important to fight climate change and they provide shade and really i think many people think they are a beautiful asset. >> when we identify trees like this for removal and people protest our decision, we really understand where they are coming from. i got into this job because i love trees. it just breaks my heart to cut down trees, particularly if they are healthy and the issue is a structural flaw. i have also seen first hand what happens when we have failures. we have had a couple of injuries due to tree failures. that is something we can't live with either. it is a challenging situation. we hate to lose mature trees, but public safety has to always we are celebrating the glorious grand opening of the chinese rec center. ♪ 1951, 60 years ago, our first kids began to play in the chinese wrecks center -- rec center. >> i was 10 years old at the time. i spent just about my whole life here. >> i came here to learn dancing. by we came -- >>

crapo: it also provides insight into what the cfpb plans to undertake in the work period. since stepping into her role last december, director kraninger has demonstrated a commitment to making sure americans have access to a wide range of products and services to meet their needs, fostering innovation and vigorously protecting consumers. reflecting miss, the director conducted a cross country listening to her with stakeholders during her first months on the job, the directors conversations with consumers industry and federal regulators have improved engagement, and formed their supervision and regulatory processes and improved agency transparency and in the semi annual report, the director also highlighted that they have taken steps to strengthen the consumer marketplace by providing financial institutions clear rules of the road that allow them to offer consumers a ridge of high quality innovative in financial services and products, on september 10th they issued three new policies to promote innovations and reduce regulatory uncertainty, these trials included the disclosu

we can provide this care. thank you all. [ applause ]. >> give it up one more time for jennifer and all our workers who provide care every day. this is a good day for san francisco and a day we came together to address with a bold solution the issues facing our city. i want to say clearly we are not done yet. there is a lot of work that needs to be seen through to fund it and we will need assembly member ting to help us. we're going to have to keep this coalition together. what we did is provide a vision, framework, and a path forward. thank you for your vision. thank you, supervisors, and mayor breed. let's get it done. thank you. [♪] [♪] [♪] ♪ homelessness in san francisco is considered the number 1 issue by most people who live here, and it doesn't just affect neighbors without a home, it affects all of us. is real way to combat that is to work together. it will take city departments and nonprofit providers and volunteers and companies and community members all coming together. [♪] >> the product homeless c

were trying to provide more choices. we let the american people decide what benefit plan is going to work best for them, not a one size fits all government probe which is expensive. we take americans should make those decisions. >> we had a debate on the floor on these issues and a number of my friends on the other side of the idle said he was directing the navigators to a whole bunch of things which went out to rural areas. i think we followed up with a letter recently, that told me that the system is broken with the navigators. they would have amendments go to all of these different things. is that system important? >> i also think, if you look at open enrollment for the medicare program every year and what we do it's a system of volunteers. >> are there agencies for medicare? >> we use our ship volunteers. they do it incredible job of getting people through the enrollment process and there's better ways and more cost effective ways. >> my time is expired thank you chair. >> they now recognize lady from new york miss c

thank you to the committee for the provide to provide testimony and i look forward to working together on these important bills. >> thank you. >> good morning. i'm the acting assistant director for national conservation lands and community partners at the bureau of land management. thank you for inviting me to

kage in the mou before you and it provides for the city to collaborate on a severance package for the edges who willemployees who will be terminated as they are contracted out and the city takes oversight. we estimated that based on 194 employees in may, and about more than 40% of those who were look-term employed, the cost of the package could be up to $5 million and now in our discussions at that time with the housing authority, our understanding was there potentially were sufficient reserves to pay this but it was not absolutely clear. so that is definitely a risk area. the third risk area is a pension liability, which at the time of the audit was -- and the retiring health benefits -- estimated at $61 million. again the projection showed through 2023 that there would be sufficient payment in each year to pay down that liability to about $40 million. after 2023, it was uncertain how that liability would be paid down and our discussions at that time with the housing authority, there was an assumption there would be sufficient residual receipts to pay down that liability but it is an

they provided additional funding to provide the native american aging programs for the provision of supportive services and capacity building training. they removed title three e cap on families and older relative caregivers, increasedded research and demonstration at the u.s. administration on aging. they recognized the negative effects of loneliness and reinforced the aging network role in promoting engagement among older adults. that is good news. now it moves to the senate. the senate has been less friendly to this act so i am sure, hopefully, we will see th increases, although we may not see these specific increases. i will let you know, hopefully, next month we will know more and maybe it will have passed by then. good news it has bipartisan support. the questions are where will it land in terms of appropriation and spending authority? at the state level, the master plan for aging is chugging along. of course, it is not chugging, it is on fast track to be completed by october 2020 and back on the governor's desk for approval. there is no specific guidelines for budget proposals with this

we are all about providing second chances by providing jobs and training for those who have barriers to employment. whether it is formerly incarcerated, recovering addicts , people who struggle with english as a second language, veterans, and a whole bunch of other people that really need a second chance. i am really proud to be part of this organization to help that. of course, we have strong management, that is another thing we look for with william and his team. they are fabulous. i really feel like we are making a difference here. i feel like we are addressing housing and security, we are addressing food insecurity, we are addressing mental illness by providing job training and jobs. so i really appreciate all of you coming today and i hope we can do great things together. thank you. [applause] >> thank you, eric. almost everybody know something about goodwill, right? you either might know through the donation sites or you drop off still -- stuff that you no longer want or need, you may know it as a store, to find a treasure or get a good deal, and yet there -- we are so much mor

president trump's general skepticism of providing aid in the amount of foreign aid being provided to foreign countries, would you agree with that characterization, ambassador hale? >> we've often heard at the state department that the president of the united states wants to make sure that foreign assistance is reviewed scrupulousually to make sure it's in u.s. national interest and it meets criteria. >> has president trump looked to overhaul how foreign aid is distributed? >> yes. the nsc launched a foreign assistance review process some time, i think it was, late august, early september 2018. >> throughout both his campaign and administration, president trump has repeatedly sought to reframe american foreign policy policy and what he described america first policy well before there was a whistle-blower talking about aid to ukraine, the president talked about providing u.s. foreign assistance. to that point, is it fair to say that the president has wanted to ensure american taxpayer money was being effectively and efficiently spent outside of the united states? >> yes. that is the br

contractors will also provide a bulk of the behavioral health services. i do want to say we did receive your questions, by the way, and i tried to incorporate them into the presentation, so if you don't get them, ask me again. thank you. we do hope -- we do hold two concepts. many of our clients suffer from long-term chronic conditions such as schizophrenia or complex trauma that can span generations these are not unlike other chronic illnesses such as diabetes. like diabetes, there's often no cure, what treatment can help to manage the onus and prevent complications and negative outcomes. it is important to remember that change is hard. it takes an understanding that there's even a problem in the first place and then times to build enough of trust in a relationship with someone to accept that changes needed or even possible, wherever they are in our continuum of care, whether it be voluntary or involuntary, we work with each individual to support the change that will help them move forward with their lives. change does not happen in a straight line. you

it is brought to you by your local cable or satellite provider. wax brendan car -- is our guest this the communicators. was anioner carr, there announcement about the c band and 5g. can you walk us through what happened? >> 5g and securing u.s. leadership has been our top priority. usher in a new opportunity of opportunities. cutting edge innovations we hear about. from connected cars. without 5g? there a lot of things we need to do. one of them goes to your question. of new to put out a lot spectrum bands to enable all of these new inventions. c band is one of them. announcement is a good wind for the u.s.. pushing it out into the marketplace. >> is in it being used by satellite companies? commissioner carr: how do we make sure it is put to the highest and best use. we are putting forward a way to protect those uses well opening up with that band to more use cases. it is going to be a real win. american people that want more connectivity. back by has been pushed congress in this. commissioner carr: when you step back, i think there is broad and b

especially if we are providing payment for something. so i want to go through a few things with you because multiple witnesses have testified that the action to provide javelins to ukraine by the trump administration demonstrates strong u.s. support to ukraine. ambassador yovanovitch in her deposition said president trump's decision to provide lethal weapons to ukraine, that our policy got stronger over the last three years. she also said in terms of legal assistance, we felt it was significant that this administration made the decision to provide lethal weapons to ukraine. ambassador taylor said it was a substantial improvement in that this administration provided javelin antitank weapons. strong political message that said the americans are willing to provide more than blankets. ambassador volker testified that providing lethal defensive arms do ukraine has been extremely helpful. mr. volker stated mrds and blankets is fine but if you are being attacked with mortars and artillery's and tanks you need to be able to fight back. george ke

and this strategy is to provide assistance not provided by law enforcement operations. ooig is going to continue to work hand in hand to help ensure treatment and continuity of care for patients. oig continues to put forward a robust portfolio of work related to the crisis with more work that is identifying and strengthening activity across the prescribing and the treatment dimensions of the crisis. this is currently several opioid-treatment audits and examining the issues such as access to the medication-assisted treatment, and samsa's treatment grants. we look forward to sharing the results of this work with the committee when it is complete. oig's recent data in prescribing medicare shows significant decline of claims and at the same time it is showing the number of patients receiving butyl norphene and na lloxinome thank you for allowing me the opportunity to discuss this important issue, and i look forward to any questions that you may have. >> okay. i realize what little bit i said about you in my opening statement, i recognize your success in the private sector a