, how do we ensure that it is institutionalized in the recommendations -- institutionalized and the recommendations are followed? mr. bolton: that is part and parcel of what we do with the follow-up reviews, making sure the department's following and keeping the recommendations they are given. that would be part of not just the intelligence division but throughout. rep. aguilar: you mentioned specific cases from the past in your report where you did issue findings, they were cleared, and then you came back, like you are talking about, did an open review and you found there were more deficiencies. i guess i'm asking, at what period do you say there are systemic issues here, they are not following through, if they are just showing you enough to get by versus actually institutionalizing the changes? mr. bolton: if it is a serious enough issue, a continuing problem, then that would be incumbent upon me to notify the committees of a serious problem. within the ig committee -- community, we have something called a seven-day letter, which compels the department to answer certain questions. that letter is

. >> okay so the department could recommend your recommendations. >> yes. >> thank you so much and thank you madam chair. >> thank you. i turn now to mr. raskin for his questions. >> thank you very much for convening this hearing. mr. bolton, the department of homeland security under both president trump and president biden, the most violent extremism is the number one threat in the country, the american people, the kind of groups that participate in the january 6 onslaught and siege against the capitol, racist white nationalist antigovernment group so we can expect is going to be more of this coming and it looks like his patent of violence is accelerating so got to get this what are your thoughts on the civil disturbance unit and identified a number of deficiencies there including lack of adequate policies and procedures. do we have a dedicated full-time professional civil disturbance unit if not, why don't we? do we need to change the structure? >> thank you. the department currently the way it constitutes, the civil disturbance unit is more or less, i'd describe as an ad hoc unit with

i appreciate your recommendations. we had about a discussion today and a very good bipartisan way on how to we get better madam chair, our officers. how do we get more officers into the capitol police to focus on a new mission of protection rather than just policing? the gao report, mr. bolton, clearly lays out that it's the capitol police board. this board that's made up of the house sergeant at arms, send sergeant at arms and architect of the capitol that has the authority to implement the recommendations you are making. that's where the american people may not understand that it's the political appointees house sergeant at arms made by the speaker of the house that has the final say on implementing than any good bipartisan agree to commonsense recommendations that you put forward. that's what i think it's important for us to come as a committee, to be able to hear from those house officers. not just you. i want to hear from the people who have purview over the capitol police board because they're on the capitol poli

putting a framework of recommendations provide substance for to take the not going to adopt every recommendation. and those that they might adopt will probably be tweaked or negotiated. i give a lot of credit and their staff are helping us to the process, thank you. >> thank you, congressman. >> i was in congress i associate myself with the gentleman from new hampshire pretty set it right it acknowledge all the tremendous staff time and expertise that went into building this report. i would add 1 thing we really did not dive into too much. that is to cut a whole lot more money coming in from the recovery act. but let's be honest is very much discretionary dollars for block grants. what we are really recommending is that we build a sustainable a reimbursable system where people are not going to run out of money 2 thirds of the way through the year. we do not spend money in mental health but for a large part in the block grants. d they're good for trading the ilgood for the capacity building. but in terms of long-term sustainability we've got to go to these broader health reforms we propose in thi

we have a great number of recommendations but the fact is is a lot of work recommendations we chose not to put in the package. we did a good job of creating framework of recommendations that can attract bipartisan support., that is the real value, providing substance legislators to take, they will not adopt every recommendationt and the things they might adopt will be negotiated but it's a great framework and i give credit to their staff in helping through the process. >> thank you. congressman. >> i associate myself with the gentleman from new hampshire, he said it right acknowledging all the tremendous time and expertise that went in to this. i'd add one more thing, we've got a lot of new money coming in through america's recovery act but let's be honest, that's discretionary dollars for block grant. what we areui recommending is build a sustainable reimbursable system where people will not run out of money two thirds of the way through the year and unfortunately we don't spend money in mental health before a large part in these block grants and they are good for training and the capa

we have a great number of recommendations. the fact is, there was a lot of work and a lot of recommendations we chose not to put in the package. i think we did a good job of creating a framework of recommendations that can attract bipartisan support. at the end of the day, that is the real value, providing substance for legislators to take, they are not going to adopt every recommendation and those that we might adopt will probably be negotiated. but it's a great framework and i give a lot of credit to the bpc and their staff for helping us through this. thank you. >> congressman? >> i would say in congress i associate myself with the gentleman from new hampshire. he said it right in acknowledging all the tremendous staff time and expertise that went into building out this report. i would add one thing that we didn't dive into too much, and that is that we have a lot of new money coming in through the american recovery act. but let's be honest. that is very much discretionary dollars for block grants. what we really recommend

finally we made a recommendation. with the appropriate screening in place, we believe that anybody receiving and doctorate degrees and science, technology area or areas of critical requirements should be granted a visa. we want these individuals to stay, not go back and develop capabilities elsewhere. [inaudible] >> thank you, chairman lynch. yes. >> i was just going to say, this goes back to ranking member question. we look at this, we want to explore our homegrown talent we want to attract worldwide, and we wanted to id and use the talent we have on hand. so exploiting homegrown talent, commissioner cliburn continually just said look, we've got a lot of people who want to get into skin. they don't have the opportunity to do because they can't afford to go to college. so the national research, the national digital corps, national preserve digital corps was designed to do just that. it's like the rotc program. anybody can apply. they give a full ride and when they graduate they would owe, 38 days a a year like a natio

of all the recommendations oig has made in the various reports over the last year, how many recommendations has the sba adopted? >> that's a good question. i actually have it somewhere. i'd have to scroll quickly, to get the number. i do-- or i could get you the number. the recommendation, we have closed of the almost i think 24 of them, we have closed six. and are reviewing information necessary to close others. we do know that they have shown us documentation that several of the others are-- they've addressed them and to be quite honest, they are moving expeditiously to implement the recommendation. >> mr. -- >> and they're addressing them, even if they haven't had time to fully put them in place. >> mr. ware, what does the sba signal to you for their reason not for implementing more of the recommendations that you have just suggested? >> sba, we have resolved all, but one recommendation with sba and then you ask which one that is? i don't know the exact one that is. oh, the one that they didn't resolve is one that they agree with, but they have a different way that they would like to add

of all the recommendations oig has made in the various reports over the last year, how many recommendations has the sba adopted? >> that's a good question. i actually have it somewhere. i'd have to scroll quickly, to get the number. i do-- or i could get you the number. the recommendation, we have closed of the almost i think 24 of them, we have closed six. and are reviewing information necessary to close others. we do know that they have shown us documentation that several of the others are-- they've addressed them and to be quite honest, they are moving expeditiously to implement the recommendation. >> mr. -- >> and they're addressing them, even if they haven't had time to fully put them in place. >> mr. ware, what does the sba signal to you for their reason not for implementing more of the recommendations that you have just suggested? >> sba, we have resolved all, but one recommendation with sba and then you ask which one that is? i don't know the exact one that is. oh, the one that they didn't resolve is one that they agree with, but they have a different way that they would like to add

what the evidence for that recommendation is. as you see on the left, there is, a, a strong recommendation for a statement. b, moderate. c, optional. on the right, it depends on what you're basing this recommendation. if you get a 1, that means there's one or more randomized trials without major limitations. 2-a, are randomized trials or subgroups. 2-b is nonrandomized trials. 3, you don't have a trial but an expert opinion. so obviously 1 and a-1 is based on good data. you'll see others, depending upon what the evidence has been. next slide. so let me just then show you an example. on april 8, eight days ago, there was an update on the recommendation of the use of anti-sars-cov-2 monoclonal antibodies. there was recommendations to treat out patients, again, underscoring patients, with mild to moderate covid-19, at a high risk of clinical progression as defined by the emergency use authorization criteria. and these are the combinations listed there. bamlanivimab and etesevimab, and casirivimab. it should be started as soon as pos

the other thing i would recommend, strongly recommend is don't make it easy. you have to be aware of your surroundings. you know, watch what's around you, you know, when you're pulling in to your garage and things like that. some people leave their garage doors open for extended periods of time where people can see what's in there and, believe me. some of the people that we're talking about to victimize the public, they do surveillance. they see a $10,000 bike sitting in the garage, they may not take it right now, they're likely to come back and get it. don't make yourself an easy target. we're there to work with the public on this and i think some of this has everything to do with prevention and resiliency and that's what we try to promote. you can call the department, can you call your district stations. please engage with us so we can make sure we are doing these things together. >> president cohen: all right. that sounds like good common sense advice. so one more thing. we've discussed some of the dynamics described in increased shootings in the bayview. b

the lease is retroactive until january 2021, and we recommend approval as recommended, and i'm available for questions. >> chair haney: colleagues, questions, comments? seeing none, can we go to public comment, please? >> clerk: yes, mr. chair. d.t. is checking to see if there's any callers in the queue. members of the public, please press star, three to enter the queue. for those already in the queue, please wait until the system has been unmuted before beginning your comments. d.t., are there any callers in the queue? >> operator: there are no callers in the queue. >> chair haney: okay. thank you. i would first make a motion to approve the amendments. can i have a roll call vote, please. >> clerk: yes. [roll call] >> clerk: there are three ayes. >> chair haney: thank you, and can -- i'm now going to make a motion to recommend the item to the full board with a positive recommendation as amended. a roll call vote, please. >> clerk: yes. on that motion -- [roll call] >> clerk: there are three ayes. >> chair haney: great. this will go to the full board with a positive recommendation, and t

thank you for this policy recommendation and the thoughtful recommendations that have been put forthday. on behalf of g.l.i.d.e., i strongly urge you to fund these. 69% of our clients are experiencing homelessness or are marginally housed. the covid-19 pandemic has hit low-income tenants in the bay area especially hard. approximately 140,000 households are behind on rent, owing nearly $500 billion. every day at g.l.i.d.e., we see people making difficult choices, including food and health care. that's why an integrated model is just so important for reducing the total number of homelessness in families. in a survey conducted by our family, youth, and child care, 93% of respondents reported income losses due to the pandemic. 46% did not have any weekly income, and 71% of the women surveyed said g.l.i.d.e. has helped them avoid hunger, so please support these programs so san francisco can provide comprehensive rental and related assistance for unhoused and other vulnerable populations. thank you. >> thank you. secretary hom, how many public commenters do we have in the queue? >> we have

the other thing i would recommend, strongly recommend is don't make it easy. you have to be aware of your surroundings. you know, watch what's around you, you know, when you're pulling in to your garage and things like that. some people leave their garage doors open for extended periods of time where people can see what's in there and, believe me. some of the people that we're talking about to victimize the public, they do surveillance. they see a $10,000 bike sitting in the garage, they may not take it right now, they're likely to come back and get it. don't make yourself an easy target. we're there to work with the public on this and i think some of this has everything to do with prevention and resiliency and that's what we try to promote. you can call the department, can you call your district stations. please engage with us so we can make sure we are doing these things together. >> president cohen: all right. that sounds like good common sense advice. so one more thing. we've discussed some of the dynamics described in increased shootings in the bayview. b

have your own recommendations. can i turn it back over to our labor partners if there's anything you want to comment on in terms of recommendations or the comments in terms of solutions. are john or nato with us? apparently they are not. >> this is sherylyn adams here. in terms of the recommendations, i think absolutely we support -- recommendation 1 was whether or not -- and agreeing with the comments of having the 3% or an ongoing cost of doing business which is over two years. we would move towards having that every year and implementing that. the recommendation is about considering that to be a city-wide policy if i'm not overinterpreting. we would support that and the need for an ongoing 3%. we would agree that the continued increase of the cost is supported. we would take it a step farther and say that the m.c.o. is not fully funding to get to wage compression and address folks who are doing the work not specifically on a city contract but are working side by side in an organization doing similar work as thei

we have made over 70 recommendations last september. we urged the administration to put a vaccine distribution and communication plan in place. we urged that there be a strategy to address gaps in the medical supply chain. we made recommendations for a national testing strategy when the testing information was not complete. we made recommendations to collect better data on the disparate impact of the pandemic on certain segments of the population, including racial minorities and others. we made a similar recommendation on the vaccine and collecting data on who has been vaccinated and if it is reaching the most important people that of the most vulnerable to the pandemic. we have also had a number of recommendations on program integrity issues and transparency and accountability. a lot of emphasis went on quickly disturbing the money. there are a lot of trade-off decisions that meant this transparency and accountability and expectations congress had were not met in many cases. there was a lot of fraud in the unemployment insurance area,

. >> thank you very much, this is a recommendation, not a mandate. it is out of an abundance of caution. if they have a conversation with a patient and they think it is appropriate, we will not stop that provider from administering that vaccine. in many cases it be will be beneficial overall. so again, we are recommending a pause out of an abundance of caution, and on a individual basis a individual and a part of this. >> thank you, going back to subgroups. i know there is a few cases now, but is there any sign of risk from breast cancer, and there is six confirmed cases now, but probably more will come out, is there a number -- how many probable cases do you have on the horizon right now? >> dr. marks? >> i'm happy to take this one, yes. thank you very much. so at this time it's not clear that there is any association with oral contraceptive pill, birth control, and the individuals that had these blood clots. additionally, i think it is too early to make any speculation on how many cases will come out. i do agree with you that it is possible we will

>> not specific recommendations. those are more in line with reporting that certain things that they need that would get them to that area, you know, elevating the intelligence division to a bureau level, the training that that will get them to that point. >> so, back to kind of some of the improvements we need to be making to the capitol police. how is the communication with other departments and government entities, let's say, like the fbi or secret service, how has the communication between those been within the capitol police, and do they need to be improved? >> that would probably be -- i'd be able to answer that fully. in some of our follow-up work that we will be covering that, some of that's going to be the executive team, the command and control areas. so i would be able to answer that question fully once we've completed those flash reports at a later date. >> okay. well, i appreciate that. i'm looking forward to seeing what kind of recommendations you have. and, madam chair, i yield back. >> the gentleman y

this is not part of the recommendation today. we have the cost for analysis purposes the pass cost is 125 to $150 monthly. as i mentioned earlier affordable transit pass will be determined with timma overall affordability program. we did study 50% discount. we determined the price through understanding the retail available products such as ac transit, transbay pass and muni multi pass as well as understood what group it caused us to receive the sustainability. the final pass price adopted after we adopt the ac transit and ferry fare. when we know the fare of those two new routes we will be able to specify what this pass will cost and we will recommend this pass price and seek for your approval at that time. we are also working on developing pass trice adjustment principles. the two we are considering. one inflation rate. as years go bypass price will be adjusted to reflect annual inflation rate. two, transit service to make sure transit pass is reflecting the available transit benefits that are treasure island. if we increase tra

to move up the chain yes so they make recommendations i'm sorry no ours was to my face they make recommendations to the chief of police in the chief of police reviews it he makes recommendations to the police commission and the inspector general's office also reviews all the evidence as well and they make recommendations. most cases they concur with the chief in some cases they disagree and then finally a presentation is made to the police commission and the police commission at that point makes the final decision so there's layers of review right and ultimately in terms of just that 5 member review board right when you were describing. are those decisions always unanimous you know as to whether or not it was a reasonable use of force you know and sometimes those 5 people they may disagree with each other yes we have a something what we call a minority report i've actually written a couple of those myself but yes if one person or a number of people on that board will disagree then that the ones that disagree the minority have to do a report basically tell them what their case what they disagree

this is a recommendation and not a mandate. it's out of an abundance of caution we're recommending that the vaccine be paused in terms of its administration. however, if an individual health care provider has a conversation with an individual patient and they determine the benefit risk for that individual patient is appropriate, we're not going to stop that provider from administering the vaccine because it could be, right in, many cases, that benefit risk will be beneficial overall to that individual. and large majority of cases. so, again, we're recommending a pause out of an abundance of caution. a provider and person can make the decision whether or not to receive the vaccine. >> prautor, we'll take the next question. >> thank you. i'm with "politico." i have a question on subgroups. there are a few cases now. is there any risk linked to birth control? all of the women of are child bearing age. there are 6 confirmed cases but people will come out as they recognize. this how many probable cases do you have on your horizon ri

that is my recommendation. if there are any objections from board members please let me know at this time. >> we are all sticking together. >> that is my recommendation. >> by consensus. >> i will make the motion. >> second. >> commissioner halfron to a special board meeting. madam secretary if you could open the phone lines for public comment, please. >> thank you. reminder to callers to press star 3 to be added to the queue. are there callers on the line? >> we have one caller on the line. >> thank you. caller, please state your name. two minutes begins when you speak. >> good afternoon, commissioners, i am active member with local 21 and vice chair of retirement oversight. i was surprised to hear that there is potential impact to the employee contribution rate after cost sharing. i thought i followed that correctly. i am trying to monitor this and haven't seen anything in the staff reports. i know that is something our members would you be interested to know about. i fully understand this is a complex and im

that is my recommendation. if there are any objections from board members please let me know at this time. >> we are all sticking together. >> that is my recommendation. >> by consensus. >> i will make the motion. >> second. >> commissioner halfron to a special board meeting. madam secretary if you could open the phone lines for public comment, please. >> thank you. reminder to callers to press star 3 to be added to the queue. are there callers on the line? >> we have one caller on the line. >> thank you. caller, please state your name. two minutes begins when you speak. >> good afternoon, commissioners, i am active member with local 21 and vice chair of retirement oversight. i was surprised to hear that there is potential impact to the employee contribution rate after cost sharing. i thought i followed that correctly. i am trying to monitor this and haven't seen anything in the staff reports. i know that is something our members would you be interested to know about. i fully understand this is a complex and im

the cdc and fda confirming a recommending pause in the j&j vaccine.hat is the headline that just crosses the bloomberg. the cdc and the fda confirming recommending a pause in the use of the j&j vaccine. tom: yields don't move all that much. it is very much in equity bloom off the rose. what is important to me is the world cases -- is the word cases. there's obviously multiple involved here. lisa: the question i have from a market perspective is the tail risks that are priced into the market. to so many people have moved past covid. if you look at the survey from bank of america, 15% said covid was not the main tail risk. the pandemic is still here. if we get this news, how disruptive could it be? jonathan: getting some more headlines from the cdc, over 6.8 million doses of j&j have been administered in the united states. j&j stuck in the premarket down by about 2.6%. there it is, the cdc and fda confirming recommending a pause in the use of the j&j vaccine. similar headlines we have seen play out in europe. tom: it is very different nation to nation,

another recommendation i wanted to highlight is we recommended that the city create a task force to explore the viability of a city-run worker owned cooperative. it is clear the services are valued but the companies argued at the time they could not comply with ab-5 and the company's models are not sustainable. we felt it would be good to explore alternatives to the business models of the big app based companies. i did bring on a research associate after a series of next steps who took a deeper dive into cooperatives and that recommendation was the city of san francisco to establish a plan to develop a cooperative. i'll talk more about this in the work plan and proposing a specific project to advance this recommendation. and we recommended that the city establish a rebate program for delivery workers and that was based on the findings that an encouraging number of uber and lyft drivers said they would shift to doing delivery work on an e-bike if given incentive. there are barriers to them, they are expensive. 39% of delivery drivers said they would switch with incentive. 31% were maybes. we

to be clear we are no longer recommending up hans to the johnson and johnson c i support the a c. i.p.s. recommendation that the johnson and johnson code in 1000 axeman be used for persons 18 years of age or older in the united states population under the f.t.'s emergency is authorization and i have signed this recommendation south-east asian leaders are preparing for crisis talks with me and miles military ruler general ming online is attending the 10 mation asiana summit in jakarta be inclusion has been condemned by anti coup protest leaders human rights groups and the newly established unity government in myanmar say the invitation grants the general more legitimacy the search for a missing indonesian submarine is taking on added urgency oxygen supplies on board are now calculated to have run out it went missing with $53.00 people on board on wednesday israel's army says it struck an observation post belonging to a hamas in the gaza strip israel says it's in response to 3 rockets fired from the palestinian territory hamas says it's responding to israeli police intervention at t

what they've done instead is recommend the widest distribution possible. the cdc and the fda will both have to sign off before you can see shots going back into arms, but every indication is they'll move quickly to do that. >> the motion to be voted upon is the covid vaccine -- >> reporter: a cdc advisory committee voting to resume the johnson & johnson vaccine for people 18 and up. >> the vote is 10 in favor, 4 opposed and 1 abstention. >> reporter: the committee did not recommend new restrictions based on age or gender but the vaccine will be updated with a new label indicating that women under the age of 50 should be aware of the risk of blood clots. the recommendations coming ten days after the decision to pause use of j&j. regulators considered evidence of 15 cases of rare and severe blood clots reported among women, including three deaths. that's out of more than 8 million people who got the shot in the u.s. health experts stress the decision to resume use comes with added safety benefits. >> this is a treatable condition if you recognize it right aw

our final recommendation? [speaking spanish] >> let's have the interprets transmit that for us. >> interpreter: good afternoon. i'm representative of delac. for parents with students with special needs. i have three children. all three are english learners and two of them have i.e.p.s. in this pandemic, we parents feel alone. we have had to be co-educators with our children special needs as we have to struggle a lot. it is important that the i.e.p.s interpreters have quality and not limited to one hour. we wanted evaluation to be translated in time because in my case, i waited for more than six months to receive the evaluation of my son. the stress was so much that there was no solution and i thought about suing the district even without having the money for it. in my group, we talked about our needs and lack of support. i want to thank jane robinson, director department of education and group of parent leaders. sometimes a large class sizes or the reality that many teachers are not sufficiently trained in eng

recommendations without board approval?revent the department -- and we are always cognizant of whether it be a budgetary issue or whether it needs to be approved by the committees, but as far as the board has never interfered or stopped -- or the department from implementing any recommendations. >> so the department could implement some of your recommendations without the board approval? >> that's true and correct. >> okay. ig bolton, thank you so much, and thank you, madam chair. >> thank you. i turn now to mr. raskin for his questions. >> madam chair, thank you very much, and thank you to mr. davis for convening this hearing. mr. bolton, the department of homeland security under bothp president trump, former president trump and president biden, said domestic violence extremism is the number one terror threat in the country to the american people, the kind of groups that participated in the january 6th onslaught and siege against the capitol, the racist, white nationalist, anti-government group. so we can expect that there

i recommend that we adopt a btu tax. on the heat content of energy as the best way to provide us with revenue to lower the deficit because it also combats pollution promotes energy efficiency promotes the independence economically of this country as well as helping to reduce the debt and because it does not discriminate against any area unlike a carbon tax. it's not too hard on the coal states unlike a gas tax. it's not too tough on people who drive a long way to work unlike an ad valorem tax. it doesn't increase just when the price of an energy source goes up and it is environmentally responsible. it will help us in the future as well as in the present with the deficit. taking together these measures will cost. an american family with an income of about $40,000 a year less than $17 a month. it will cost american families with incomes under $30,000. nothing because of other programs. we proposed principally those raising the earned income tax credit. because of our publicly stated determination to reduce the deficit if w

has made two recommendations to date. the first recommendation is for hhs to develop a strategy for having more complete data on covid cases and deaths and nursing homes which were only voluntarily reported until last may. the second recommendation is to more systematically develop a plan detailing if and how the centers for medicare and medicaid services will respond to remaining recommendations from a commission appointed and publicly reported last september. today cms has not yet implemented these recommendations. we maintain the importance of these recommendations to inform the government's continued response. we also made a number of recommendations to complete oversight that have yet to be implemented. for example, less than two years ago i testified before this committee regarding the report on nursing homes. that report made six recommendations to cms including they require states or agencies to immediately notify law enforcement of any reasonable suspicion of a crime against a resident. these recommendations are

that was one of the recommendations. i think two things that are helpful, leading in that direction, is mental health s.f. has a lot of focus on this. the pandemic is winding down -- knock on wood -- which has really zapped everybody's attention. and we recently have had our new behavioral health services director begin. >> and who is that -- i'm sorry, who is the new behavioral health director? >> her name is hillary kunins. so she literally started within weeks. so i think all of these pieces and the efforts and the focus, and now actually more time, is going to lead towards changing the objectives where we can. and so i think that will be helpful. but i do think there is quite a lot that is measured. but it is particularly more conducive to measurement when the services are entered into avatar. and that goes with the direct treatment. and these services, they're not opening client charts, that i'm aware of, and they're not drawing down medi-cal because they're low threshold that aren't medi-cal reimbursable. >> they'r