who are necessary to provide this care. but we are here on a morning when all these programs are in severe and urgent jeopardy. the trump administration has announced illegally it will freeze federal aid for programs that are immensely important to veterans. this freeze will hurt veterans by causing funding for critical programs but millions of americans -- veterans and their families rely on. we are talking about homeless veterans, funding for veterans, nursing homes across the country, suicide prevention programs, many of the programs that we will be discussing today and the efforts to streamline, speed and safeguard access to communing programs, reimbursement for those providers who need it to make community care work. frozen. we are deterring and discouraging that kind of community care right now in real time. i urge all the members of the committee, my colleagues, to oppose this measure, to make their views known. i call on veterans and their organizations across the country to make their views known because these fund

providers. the earliest point and we could find was 30 days out. on march 1, 2023, my husband sat in his desk in the parking lot and attempt to overdose on his medication. i found him in his truck drenched in sweat, crying and incoherent. he was transported to a local hospital. when he was released he was referred to the v.a. community care system for counseling and was seen for 12 visits before he was released from care again. his medication was adjusted multiple times over the next six months. towards the end of this time, charlie went missing and was found by the police in the eer waiting room at audie murphy hospital. he was held on emergency detention order and admitted for 36 hours. for several reasons i asked if he could be sent to a residential program and was told that no option like that existed through the v.a.. at his follow-up appointment i explained the last few years of navigating fragmented community care counseling and at least 12 session appointments were not accurate support i

and i he provides today. and i think he provides the security for gaza will today. y for gaza will today. and i think he provides the of the mostiaza will today. and i think he provides the of the most contentious and that needs difficult gussti a, .. a difficult gussti g, .a. a difficult gussti .a.- .a. - addressing. thank you very much indeed. an update on the pope's condition. this is the scene outside the gemelli hospital, he was admitted to hospital last week and is being treated we are keeping across any updates we hear the updates we hear from the vatican. this is bbc news. no sign of narrowing any time soon. white house officials have accused the ukrainian president volodymyr zelensky of "insulting" donald trump, and a planned news conference to ukraine and russia was cancelled yesterday. the trump administration criticised president zelensky us national security adviser, mike waltz, on ukraine's mineral wealth. newsagency afp says talks on the issue are continuing. understanding about the need for a meeting between us president donald trump and russian pres

we also provide both pre-nd post exposure prophylactics for hiv prevention we also provide a range ofomen'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 earthquak

hits role is to provide services to the refugees as per its mandate.cess something that's been reaffirmed frequently by the secretary-general and relevant un resolutions.next we command historical role played by unra ÃÃunra is the only lifeline the gaza strip has therefore we go overseas fire including all of its own sided guarantee and to protect all unra personnel as well as other humanitarian workers. the arab group would like to condemn israel's attacks on unra. the aim of the attack is the following.first, target the core refugees to return and compensation as you nj resolution 194 as well as to amend other parameters of the process. this is a cause which unra defends. its second objective is to hope unra activities specifically education health and other relief services stop making those people poor and stripping them of their livelihoods. subsequently replacing them entirely. next, the Ãcalling for a closure of the headquarters in jerusalem we deem it to be at odds with the undertakings as per the un charter as well as the two you nj resolution.

we provide support to various departments that are key in that area such as building and providing shelter for the homelessness department effective mental health treatment and then finally something that we'll touch on later proposed opportunities to improve efficiency and service delivery and city services reporting at the last commission meeting and the public works side you saw our annual report. we're a little bit ahead of the curve in many departments. we do a good job of tracking our data. we're always looking to make improvements but at the last meeting talked about rolling out key performance indicators . that's really the next step of our overall step program and then the specific instructions again that came from mayor breed that were reiterated by the current administration. i mentioned the 15% general fund reduction creates about $13.8 million assessed community based organization grant allocations that for nonprofit contracts. we'll talk about that a little later examine all contractual services. >> we're going to have some talking points on that and then eliminate vacancies

lori provided some additional for affirms the existing budget instructions and provided some additional guidance and addendums. the first mayor lori does directed all departments to fully meet their budget reduction targets with reasonable proposals and reminded them that not all proposals will be accepted but that proposals for budget reductions were expected and and that all departments should work toward eliminating there at least effective programs or contracts and work toward operational efficiency. >> mayor lori additionally announced a citywide hiring freeze effective january 9th through the end of the fiscal year and department and below and have been working together to make sure that all written offers of employment prior to january 9th were honored. the the departments and mbio are working closely together to ensure that positions and roles which are historically challenging to staff and that are directly supporting public health, public safety and other key resident facing roles. >> we have established a process to work with departments to work on those urgent hiring needs s

lacey always provided elite service. and whereas michael lacey was a participant and leader within the wastewater combine space rescue team and collaborated with the staff to improve operations at all treatment plants and pump stations. and. whereas, michael lacey was instrumental in keeping the wastewater enterprise staff safe and healthy during covid supervising the staff that took employee temperatures and cleared them for work each day. so the treatment plans can keep operating. and. whereas, michael lacey has been an active supporter of local workforce development and apprentice training programs to create economic opportunities for young people and workers in san francisco. and. whereas, on october 11th, 2024, after 25 years of employment at the san francisco public utilities commission, michael lacey celebrated his retirement and a lifetime of service to san francisco. now therefore be it resolved that this commission hereby offers its highest commendations to michael lacey on the celebration of his retirement and

and secondly, insist on the predictable path forward designates a provider of education.the agencies essential for ensuring viable political conditions. and finally, ensure the financial crisis not abruptly and. in the agency cannot continue to operate the face of extraordinary challenges result adequate resources predict enclosing him i would like to share with you a message from young person in gaza last week. it's a stark reminder of the heavy responsibility we bear. i'm writing to you from the river of the whole i once was a place of warmth in life and outcome of my days i spent searching for the most basic necessities like flour to feed my family. we truly breaks me as my helplessness in a place attorney pretty and innocent eyes seek safety and it cannot provide an answer and i do not have braided and the elderly seeking silence in the house way down in boston suffering. and here i am, dying thousand times everyday and it is i think of all of that it cannot do for them. unlike the order of this message, we are in a position to do something. it only requires you decis

now or providing them through the commission secretary. thank you. >> any public comment on this item? >> hello commissioner i'm lisa on behalf of the i'm with sro united and i'm here to express our concerns about the community organization fund a quick revenue from 2023 got one hundred percent from cut we are shocked as community we advocated to be added back hover only get added to the general fund that's where we are at and constantly on the chopping block 10 percent cuts last year were only able to recovery 2023/24 but not for fiscal year 2024/25 now we're facing a total of cuts a quarter of our budget because of compounding effect $4.8 million and to kind of put it in perspective for chinatown we have about 15 staff for the code enforcement and collaborate with it will cost us 4 to 5 staff we'll cut with the 25 percent budget you cut that that shows it is detrimental and we prepared look what our program and a lot that we work with the department community and also with property owners i'll not two into that you ask for you to restore

provide free services to people who are both. seeking abortions and providing them can you tell us about the organization? sure so, um, before the dobbs decision came down, but after we learned about the leak from the supreme court about the draft that suggested the decision would be as bad as it has turned out to be, um, i reached out to leadership from the bar association of san francisco because we knew that if that decision came down there would be tens of thousands of patients around the country as well as providers whose legal situation would be in jeopardy. women doctors, nurses who could be subjected to lawsuits who could be arrested who could be prosecuted, particularly in red states? 26 states where rights are being rolled back or in the process or have already been rolled back because of the dobbs decision. so we put out a call to lawyers all over the bay and frankly, all over the country, and as of this moment there have been over 70 law firms that have answered our call to be part of the legal alliance for reproducti

if they can text with providers. the providers will come to work for them. do immunization workshops. giving them the ability to work with somebody and it helps them have more confidence in their health care journey. if somebody is dealing with a chronic disease or some sort of conditions that might be new. they will work with the teams to set up to make sure they know where to go to get the lowest cost imaging in their area and do prescription management with them. so if they are prescribed a medication, but there is a better alternative, they are able to go through that. they look at these specific health insurance plan and take it a step further. this would help give better access to people to manage and engage in their health care. >> i appreciate it. thank you for what you do. reppo mercer thanked -- >> thank you chair budd -- chair buchanan and ranking member. this is a very important hearing. it comes at a critical time. especially as we are speaking about map -- making america healthy again. regardless of political affiliation i think we can all agre

she both supports her providers and provides deep accountability post-pandemic kathy supported the re inflation of the large congregate shelters and mercy south and next door. she is currently supporting the project management of the msi south rehab work which will significantly improve modernize and make fully accessible the facilities at the site. an area where kathy thrives is when there are critical incidents that are sites in need of a rapid response and support from hsc h during a recent event kathy ensured there was support from our city partners including the department of public health. she deployed to the site herself to connect with staff in person. she set up a series of meetings both for staff to debrief on the incident and to develop a forward looking plan with the organization's leadership that takes into consideration areas for improvement. >> kathy consistently brings a thoughtful, empathetic and solutions based demeanor when organizing debriefs with the cbo provider and city partners after critical incidents, kathy brings a vast wealth of historical shelter system kn

behavioral health and in-home health providers. this will help to secure a more favorable workplace, more competitive workplace for these caregivers here in our great state. and i know we can get this done. in november i presented a truly supplemental budget. one that anticipated the end of sweeping federal programs and it recommends a few essential items like those mentioned above, those intended to address emergencies and unintended needs. it's easy to talk about across the board cuts and you can't cut a u by a third or expects to perform on half the forge. when the state's revenues dropped by a third back in 2020, we had to make very difficult choices and we heard from conservatives, liberals alike, about what they didn't like in our cuts. we did what we did by eliminating programs, not just hoping more on for less. times change and our state is getting back on track. i asked that as we work on the supplemental and then on the 27-28 budget we bear in mind the consequences of our decisions by just always affecting neighbors and c

we will share about the program and provide updates and provide place am updates, going in to how we plan to expand the program. our ace program may not be familiar started in 1985. as our civil service rule 115. put on the ballot and row in the by san franciscans prospect a increase representation of individuals with disabilities. and the city workforce. and -- 2016 department of human resources sent it over and created a team called diversity recruit am team who supports our ace program. the vision of that at the time of myself employed to the role at a recruittory support the program was to encourage dhr to support the departments in -- impelementing program in their different departments. i want it star by saying our program is one route to hiring people with disabilities in the city. however, they do have a way to participate in our general hiring process the normal route applicants need to apply for the position through our website. any position they like and during that time they can ask for reasonable accommendations to be successful and taking exam before they are going thro

it provides an estimated $5.6 billion in savings for our people. it reduces taxes from between 10% to 71% for working families depending on household income. it moves hawaii from having the second highest tax rate to the fourth lowest tax burden in the country. this is something you should be proud of and thank you for doing that for the people of hawaii. [applause] people feel this and understand better, family of four making $88,000 in hawaii will see the take-home pay increase by more than $3600 per year by 2031. these tax cuts are already going into effect now. by 2031 the number of hawaii households that will pay zero state income tax will rise from 25% to 40% keeping more money in peoples pockets and stimulate the statewide economy and growth. over the last two years we made careful budgetary decisions to reduce spending by $500 million in 2024 and 2023. we also maintained a rainy day fund for future challenges we have. our goal continues to be that we make the state more affordable and also so families can live in hawaii for the next generat

that is the one provider or provider team that employees actually workvi with. can telehealth if they want to prove they can text with your providers for they will come in and do worksite programs for them. do immunization workshops give them the ability to work with somebody that have more confidence in the healthcare journey. so, someone is that with a chronic disease or a condition that might be new, they can actually work with these teams to set up these programs. they know which of the lowest-cost imaging in their area of brazil to do prescription management at prescribed a medication but there's a better alternative. they would be able to go through that it help them with that. they look atou the specific heah insurance plan. but then they take it a step further. this would help get better access to people engage in the health care. >> i appreciate love the director primary server programmer thank you what you do appreciate it. >> thank you. your recognize. >> thank you very much chairman buchanan to the ranking member i look forward to working with you an

they have no ability to provide equipment, provide manpower to provide the air covered. and the intelligence in real time intelligence that has been provided. button states insurance they are unable to assist ukraine in any significant way. absent american participation, there are 2 at of 27 national leaders who are ahead of the rest in facing reality. and they are not friends approaching. they are simply really, i think, is a matter of the future is your full crack. finally, since everyone was now running for cover in the face of a mr. trump started aggression plans for, for a revising trade relations with yet there was a lot of wonder sacrifice with a crack the one now to the middle east, where the 6th prisoners swap is happening right now. as part of the israel, hamas ceasefire. deal. 3 hostages had been handed over by the militant group from dogs, them in exchange. israel has started the release of palestinian prisoners with $369.00 is set to be freed. today, our middle east and bureau chief korea from ocean. i has more details in ramallah with raised palestinian pri

that's our long term vision that city departments must provide on an annual basis and we're providing an update on the annual annual update of that to you today. >> so they all work together in that the ten year capital plan that's the vision of our capital program two year capital budget that's our there our actual authority to spend and then our debt authorization is the authority the maximum authority for debt that we're allowed to issue. so the first item that will discuss here is just an overview of our capital budget. what's important here is there's no changes that we're asking for in this fiscal year and in fact we're really proud of that coming into fiscal year 2526. this is the first time in five years that we are not making a mid-cycle adjustment to our in the mid-cycle of our capital budget in front of you. before the meeting we handed out the gfr magazine which is the government finance review magazine. we recently received an award and the award was published on page 31 about magazine for our capital planning improvement initiative and we believe that a lot of the work t

with this ruling, it does provide a reprieve.ome other relief we hope as well for payments that the u.s. government is due to pay partners and all of those who have been limiting programs long before january 20. anchor: there are a lot of legal questions around this. looking at what appears to be a limited order here, do you think this will go far enough to protect so many jobs that are being threatened? >> for now. just to give you a window into what everybody was dealing with, particularly in the last 24 hours, when staff around the world found out that an agency that was more than 10,000 people was being whittled down. all around the globe. while people were quite alarmed and devastated about the fact that they would be losing their job. they were more devastated today of the leaving there work. this is not a 9-5 job. this is a 24/7 job, especially when you are serving overseas. there was a tremendous amount of feeling of desperation that these people who have been more than just colleagues, were really family anchor: you are

they also provided coaching to service providers who were staffed primarily by people hired during the lockdown and really knew that one mode of service delivery so they could coach them to operate in-person services in alignment with our department program guidelines and reporting requirements. i'll move along to our last service area that we'll talk about today. >> nutrition and wellness services in this area promote physical health and well-being for older adults and adults with disabilities by providing nutritious foods and supporting healthy lifestyles. >> examples of services in this area include our food programs like congregate meal communal dining, home delivered meals and food pantry services. we also offer other wellness programs like health promotion, physical fitness and fall prevention classes. >> dust made significant investments in this service area during the last funding cycle, increasing funding by nearly $9 million. >> most of this growth was the result of large funding infusions in our home delivered meals. over $3.7 million. our congregate meals program over $3 mi

care for veterans and providing shelter for homeless veterans. i will also just say are really expensive. when i talk with new hampshire veterans they make it very clear what they want. they want a restauranter and more effective da that can help them access benefits that they earned and deserve in our service. the last thing we need to do at a time when we need to be doing more for veterans is to reduce the number of va doctors and staff or make it harder to hire people in the future. let's be clear, the administration's actions will make it harder for veterans to get the quality, prompt care and support that they have earned through their sacrifice. my dad served in world war ii and survived the battle of the bulge, he instilled in me that we should never take those who fought for granted and had a way of asking at the table, what are you doing for freedom today, a question he had a right to ask. one of the things we can do for freedom today is make sure that all our active duty men and women and veterans know that we have their backs. >> amen.

we also provide educators with no-cost training that's grounded in the science of reading. and we sent every first grader in the state of back of literacy enhancing books, known as decodables, to what parents reinforce reading skills at home. now it's time to do the same with another foundational skill, math. along with early childhood literacy, nothing is more predictive of future success both in the classroom and the workforce and the confidence that comes with math efficiency. .. >> according to a survey by pugh research, more than 7 in 10 high the results are as predictable as they are unacceptable. lost sleep, lower productivity and more distractions and increased anxiety. many districts have begun to address the problem. some like hoover high in des moines have ruled out the use of cell phones during instructional time. others like the ottumwa community school district, require that kids put their phones away for the entire school day. a good case can be made for either policy or something in between. and i truly applaud the administrators, teachers and parents coming

so at the same rate that we're providing payment for occupied units we will also be providing it for vacant units in order. it's really in consideration for them to stay those extra 60 days. additionally worth mentioning is that the indemnification clause and this is a change from the version that you received will be removed from the existing role. they will not be indemnifying the housing authority for the additional 60 days and then the last part of the contract worth mentioning that is we've gone back and forth on is there was a request for an early termination clause and we believe that if we're paying for 60 days we should make sure that they're available for 60 days because it's not just the onsite management but there's also some outstanding audit needs and we want to make sure that we receive everything that's needed for the audit as well and before they exit. so those are the substantive changes that have occurred since you received your books and at this point we are comfortable entering into an agreement as are they for their confirmation and are there any concerns that y

so it would provide us some funding, it would provide the a citywide the city is using our legislative process today all of the departments do this would just give them a more efficient way to submit their legislation into through the committees into the board. thank you supervisor for the question that talk about thank you i want to say elon musk has nothing on you madam clerk that you know you truly are to the department of efficiency has remained flat with the budget and even with inflation and all the increasing cost. >> i am personally grateful to you for the work that you and your team has done. >> there always been there for us even during late and then expect it late hours and then expect the times you always work with us even at times when we have to call for a special meeting whether they take place or not. >> i know that that's actually a lot of work go into what most people do not see at the public realm and so for that i again am very grateful. i don't see other questions and names on the roster. we're happy to have a public comments on this item when we do come back that

and care to mothers that it failed to provide ini care to mothers that it failed to provide in thisfailed to provide in this case, iothers that it failed to provide in this case, the ers was a 1555555th {5551151ij mdiized " {5551151ij ”died 15 first was a baby that died in the trust were fined 2019, the trust were fined which was a record fine £8,000 which was a record fine forfailures, and the to three cases in 2021 relate to three cases in 2021 over very short of time, and it over very shertfif time, and it all come out in the court will fill 29mg. qfll in 515 131151th ...,..,.,..,....,,....., will all genie get. in. the eeert'”" ' " ” next week, and will ell eeme eet in. the eeert'”" ' " ” next week, and we case next week, and we understand the care quality understand the care qeelitv 77 are understand the care qeelitv , , are accusing understand the care qeelity , , are accusing the e .and treatments 7 and treatment of of and treatmentof the safe care and treatment of the babies and their mothers. 1: were talking yesterday on we were talking yesterday on this programme, about a sep

we are going to provide you with all these things. we are going to provide you with drops. but no sooner had they settled in office, then they realize that there was not enough money to finance all these things unread, the to give you money. why the bretton woods institution i m s and was about ready to give you money. why institutions create them done under the commonwealth? ready to give you money? why all these institutions the americans also okay. and do i prepared to give you money to buy lots really? this chinese game within for us for us to do are prepared to build you. i really ways to build you a roads to build you. i applets, they, me, the idea is also okay. they are prepared to manage your ports and to do all these, the narrative set is that african countries now find themselves so heavily in debt to the only 2 countries in africa, which are not invested at israel on both one or the other african countries on liberty nanda, that on the i a not that truck, they cannot get into this via all those in dependence. because a number of them for every tone, $10.00 that t