this is actually an item that the health service system asked me to carry for them. it is is simple item, and it is non-controversial, i believe. generally, the voters come in 2004, approved proposition c, which remove the health service system from the city's department of human resources and made the organization a separate department. however, the administrative code was not completely cleaned up to that effect. what is proposed ordinance would do with the we would end and administrative code to designate that the health service system as the city's department is responsible for administering the city's benefit cafeteria plan and for contracting for services related to those benefits. right now, is still reside under the human resources department. it is a formality and clean up language. the ordinance also confirms that the courts, as well as the sfcta are also participating employers to the city's plan. i believe these are not controversial. it is really clean up language. there is no fiscal and back to this item as others in a budget analyst report to it. with t

shelters, families who, within a few months, will be reaching the time limit in our full-service shelter system. families living in residential hotels in the city and around the bay area. and families staying in cars and on the streets but there are currently 79 families in the city's full service system, and that is a long-term shelter where people have a room. there's food and service there. not the overnight shelter. in addition, there are 253 families on the waiting list waiting for shelter, an all-time high in san francisco. in 16 years, whenever see numbers that high. when we look to the national data with respect to homeless families, there is a few things we know. we know that they do not have higher levels of mental illness, substance abuse, or engagement what the child protective system when compared to other poor families. they simply have a housing problem. in its san francisco, the problem is related to a dearth of affordable housing, often coupled with lack of income. i want to make sure people understand that this is very different than a chronic thomas issue that we have dealt w

under the fee-for-service system, beneficiaries receive services from any medi-cal provider. they are paid for and it service, including an office visit. while the fee-for-service system provides patients with the ability to choose any participating provider, the system also creates unintended impetus to provide more services, not necessarily better managed services. in this, and there are providers within a designated network provider group in the plan. while patients must limit their plan to providers within the network they choose, they manage patient care to promote quality and better outcomes. in an attempt to increase quality and reduce costs, the state is moving away from fee- for-service medi-cal and team managed medi-cal. those and san francisco are currently uninsured but who will become eligible for medi-cal in 2014 will be required to enroll in managed care. in san francisco, there are two plants, the san francisco health plan managing care for approximately three-quarters of approximately all medi-cal, and another covers the remaining. once the beneficiary choose

system services and you also have other services broadband. lines and you have increased and we now have about fifty five million people using the broadband internet it's the highest indicator among all european countries. and that's why we've got them up before your television and radio stations will move on to digital broadcasting it will stimulate competition by twenty fifteen we'll have about twenty two stations that will be free for our citizens for our people and us number of. number of channels that will be provided by the paid so cable stations theater number of two stations could rise to one hundred s. asterisk agua projects we all know that have been skeptics but here are the facts facts for more than three hundred companies don't fall due cutting edge technologies and research are no residents of the skulker projects with we are building one of the approaching we're building a university we have partnership programs we are the world's major companies who will create a very said centers in school of course is just the beginning and i

i will assure you that the health service's board and the health services system is doing everything they can to try to find transparency so that we don't just kind of turn our budget over to the health care providers. everyone else -- president chiu: on the issue of the possibility that over the next 20 years, there may be an escape clause to get out of being able to continue to fly to st. louis, have you considered what other options might be available to maintain saint luke's under different ownership? is it viable for the hospital to exist outside of the framework? >> it would be very difficult for that, but we know that in the work of what we're doing is to protect the 20 years and whether they would still have the obligation if it wanted to pull out of it, what obligation they would have to complete the 20 years. there are systems in the city, when of those being our own. that is a concern that i certainly have. that is why it is so important to maintain the 20-year commitment to ensure that we do have a hospital that continues to provide in that community and also support the

. >> our director of our own health services system, she is here. i would like to give her an opportunity to address that. supervisor campos: i know that she cares deeply about these issues and has been doing great work on this. i certainly know how critical is for her. thank you for being here. >> thank you, supervisors. at the government operations committee, it was established in our testimony that average cost for the health services for hospitals today was about $1,000 more than the average cost of other hospitals. 70% of our blue shield costs are hospital costs. the health service board is entertaining right now passing substantial amounts of the premium costs on to employees in the form of co pays and deductibles just to keep lucio competitive. the increasing cost of hospital care is what is driving the health premium cost of. having that is why we are looking at the office of economic development who work with cpmc to make sure the costs of the development agreement are not passed on. sutter did step up and agreed to allow us to have our con

the city human services agency will work with the housing authority to give homeless families that are in the shelter systemand on public housing waitlists immediately into a vacant housing units. this is already underway as a staffer and human services and about 40 are currently a defined families and will begin processing by today -- are under way as our staff and human- resources to work with those currently defined families and will begin processing today. they are now processing the first 18 homeless families. human services will also find a new rent subsidy voucher and moved in rent for first month rent, furniture for families, and provide post placement supported case management. the long-term goal, i should add, is to increase the incomes of these families in order to place them into permanent come on subsidized housing. human services is committed to using a hundred thousand dollars out of the mayor's homeless fund to matching the contributions from the founder of sales force. i extend the deep gratitude for engaging in such an intractable issue and for putting real resources behind their commitmen

system that is pretty much automatic. that is true with the lowe's project, the bloomingdale's site. it comes out that way anyway that they call us back for reemployment services. we have a reputation in a system, and they use it. president chiu: supervisor campos. supervisor campos: thank you, mr. president. i want to thank the staff members for their presentation and i wanted to ask a few questions on the issue of health care. and if i could, through the chair, if i could address my questions to the director of the public health. i would like to begin by thanking barbara garcia and her staff that have been working for quite some time on this matter, and i appreciate the willingness to keep us informed of their progress had to make sure that our concerns are taken into account. i want to again, thank you for that and think the staff for all the work that has got into this. we passed the health care services master plan legislation that, for the first time, requires that we as a city and county think strategically about the short-term and long- term health needs, not only of the city as a whole, but of individual neighborhoods and district. it is with that min

system. members can rate the service of their host and right a review. and the host can rate how their guests behaved. he has hosted more than 50 people. he constantly receives requests from foreign members. >> translator: it's a good chance to speak to foreigners in english. it can broaden my world. that's why i love this system. >> reporter: here's another service attracting foreign tourists looking to experience japanese culture. takahashi started his online tourism business in august. through it, foreign travelers can get to see a side of japan that many foreigners don't know. the website offers over 20 different tours and making reservations is easy. this american used the website to find an authentic dojo for karate training. he trained for an hour. a portion of the money he paid to the karate school went to takahashi's company. >> it was very fun. it was nice to experience something more japanese than just walking around and taking pictures of everything. >> reporter: takahashi's business receive as government subsidy. he's now trying to expand hi

system. members can rate the service of their host and right a review. and the host can rate how their guests behaved. he has hosted more than 50 people. he constantly receives requests from foreign members. >> translator: it's a good chance to speak to foreigners in english. it can broaden my world. that's why i love this system. >> reporter: here's another service attracting foreign tourists looking to experience japanese culture. takahashi started his online tourism business in august. through it, foreign travelers can get to see a side of japan that many foreigners don't know. the website offers over 20 different tours and making reservations is easy. this american used the website to find an authentic dojo for karate training. he trained for an hour. a portion of the money he paid to the karate school went to takahashi's company. >> it was very fun. it was nice to experience something more japanese than just walking around and taking pictures of everything. >> reporter: takahashi's business receive as government subsidy. he's now trying to expand hi

let's make another step towards a healthy system of medallion ownership, for the taxi service of san francisco. secretary boomer: richard fogel, followed by it -- [reading names] i cannot hand them out at this point. >> some of you have seen the letter i sent by email. for those of you have not seen it, it is just 1.5 pages, and i think he will understand it. with the documents i have handed it to roberta, it includes my personal phone numbers, and i invite your questions and comments 24 hours a day, seven days a week. you have all of my information there, and i'll be happy to talk with anybody about anything. those of you who have seen the letter already, any questions -- questions now, will be happy to speak to them. chairman nolan: thank you very much. >> and finally, i do not have any interest in getting money returned to me for the medallion i bought, but i am asking to get my medallion returned to me. there was a meeting of the minds with the predecessors, and they agreed to sell me a transfer medallion. i agreed to buy it. now i am asking for it to be returned. chairman nolan:

that's why i love this system. >> reporter: here is another service attracting foreign tourists looking to experience japanese culture. masaha takahashi started his online tourism in august. through it, foreign travelers can get to see a side of japan that many foreigners don't know. the website offers over 20 different tours, and making reservations is easy. jeff lucic, an american, use the the website to find an authentic dojo for karate training. he trained for an hour. the portion of the money lucic payed to the karate school went to takahashi's company. >> it was very fun and it was nice to experience something more japanese than just walking around and taking pictures of everything. >> reporter: takahashi's business receives a government subsidy. he's now trying to expand his sr. on this day he visits a cafe where the patrons can hang out and fondle rabbits. takahashi thinks this concept is uniquely japanese and the shop appreciates his service. >> translator: before i couldn't advertise to foreigners. this system helps me. >> reporter: takahashi's customers post their reviews on

that's why i love this system. >> reporter: here is another service attracting foreign tourists looking to experience japanese culture. masaha takahashi started his online tourism in august. through it, foreign travelers can get to see a side of japan that many foreigners don't know. the website offers over 20 different tours, and making reservations is easy. jeff lucic, an american, use the the website to find an authentic dojo for karate training. he trained for an hour. the portion of the money lucic payed to the karate school went to takahashi's company. >> it was very fun and it was nice to experience something more japanese than just walking around and taking pictures of everything. >> reporter: takahashi's business receives a government subsidy. he's now trying to expand his sr. on this day he visits a cafe where the patrons can hang out and fondle rabbits. takahashi thinks this concept is uniquely japanese and the shop appreciates his service. >> translator: before i couldn't advertise to foreigners. this system helps me. >> reporter: takahashi's customers post their reviews on

there is the signal system at fourth and king street for potential improvements to future speed service. even without these changes, the t is the fastest of the light rail lines when moving above ground. i will continue to work to make sure it is working as it can and are serving the people of district 10 well. thank you, supervisor cohen, all the supervisors, and i wish you a happy end of year and new year. president chiu: thank you, mr. mayor. madam clerk, could we go to our consent agenda? clerk calvillo: each item will be enacted with a single roll call vote. president chiu: would anyone like to sever any of these items? could you call item 2 through 23? clerk calvillo: [reading roll] supervisor wiener, supervisor avalos, supervisor campos, president chiu, supervisor chu, supervisor cohen. there are 11 ayes. president chiu: these items are adopted. item 24. clerk calvillo: item 24, amending the park could to offer a long-term management agreement to the national park service for a park in san mateo county. president chiu: roll-call vote? clerk calvillo: [reading ro.ll] supervisor el