cesp program. the cesp program provides 24/7 crisis support to older adults and adults with disabilities. out calls that increase social connectiveness for isolated individuals. as well as grief support groups, grief counseling sessions and outreach and education for caregivers, and provencials related to topics on suicide risk, assessment and suicide prevention. the program has seen a increase in its demand for services over the past three years. additionally, the community education and training sessions it provides. during that time, the program has provided more than 2,000 individual grief counseling sessions, provided trainin traid outreach to 3,900 individuals and served 5,000 residents in san francisco. in addition to the increase call volume, cesp has seen a shift in the types of calls it receives. callers are presenting with more complex emotional issues, including showing initial signs of mental health issues, as evidence by exhibiting symptoms such as delusional thoughts, paranoia, anxiety a

the planning for the ace program. we work very closely with portia, the recruiter for the ace program. we have a handful of participants that we support that have applied for city employment. as of now, no one has been hired, but we continue to apply, and portia has been really wonderful and participates in some of the job fairs that we offer. she's come and spoken to some of our intern groups, but at this point, we haven't placed anyone. and at this point, i'm losing track of your last question. >> the last question was, the more numbers are based on percentage based. can you educate us on what types of jobs you guys look for or hope to maintain people. >> yeah. so that's really shifted, i would say, in the last five years. when i started, we primarily were placing in part-time roles, part-time, entry-level roles in entry level employment. and we've seen a shift, and about 50% of our placements are full-time, which is wonderful. as far as our placements, it's as individual as the people that we've worked with. that be

where are the day program? >> the day program is still open. they're two separate programs and two separate locations and they just happen to be on the california campus. >> ok -- the program is closed and that location on the cal campus is no longer being used, right? >> correct. >> the program there is the day program wouldn't continue when the campus closes? >> it wouldn't continue at the campus. >> ok. >> all right. >> so physically you would have to move and that is what you are looking for and presidio at the moment is your best hope? >> we greatly appreciate it. >> well, the commission wants the program to continue, so i think you have -- >> to i.o.a., do you have a plan b? >> yes, all eggs are not in this basket. there are multiple donors we're talking about relative to the presidio and then we have have a real estate people continuing to look for alternative properties. >> an understanding that this is one-time dollars for a donor that could go multiple years, are you having a strategic financial plan how to -- because you are bee faci

welcome, all of yoo the program. how many of your students are entitled to free or r priced lunches? >> in montgomery county 35% of oual population is entitled to free and reduced meals. we see higher percentages at the elementary levels. >> a what aboutyou? >> in fairfax county public schools we have 189,0 students and about 55,000 of them are actually qualifying so that's 28%. >> we have 82% under the farm ,0ogram. we have about 13000 students in total. >> maria, is there ala coron between income levels and academic success? obviously if you have a county that is wealthie and households with more resources and students have a better opportunity to succeed and to perform academically. is there a correlation? >> we can see those over time and what we are worki towards is to break those correlations, to break those and your household income level is not a determinant of your academic success. graduation rates of students is an important piece. montgomery county has auld strived to ensure publicio educ is of high qualit

program with the 2018 innovation program award. and there was an article actually published that you can also look at at csfmo's website, so we're really proud of that accomplishment. as it relates to the various initiatives, we have four bulletins that we issued in 2017-18 and we really believe that to have a high substantiation rate to be achieved, we need to have well informed reporters so that they make high quality reports that can be effectively investigated. it's very difficult to investigate claims when the information is really sporadic, and sometimes, even when we reach back out to the complainant, we don't always get a response. and so when we have enough information, we're able to really work the complaint, and so that's really important in our program. we want to ensure that we give every complaint the attention deserved, and we want to work those complainants. so this initiative as it relates to putting out these bulletins has helped our complaintants to give full disclosure of what they believe has occurred. also, the

the single audit every year. state auditors are accustomed to looking at federal programs and the integrity of those federal programs in their state. can you explain why this should be a seamless transition to add to the single on it responsibilities, taking a look particularly at managed care and medicaid. >> the state auditors have very deep and long-standing knowledge of the state medicaid programs. in most states, seema verma mentioned this in her statement, it is not the number one budget item in the state. it is number 2. in some states it is 30% of the entire budget of the state so it is a very important responsibility. under federal law the single audit act as you mentioned, omb, states are required to perform an audit every year the medicaid program along with other state programs. >> all kinds of programs. frankly our state's budget, most state budgets are dominated by money from the federal government. >> in the omb guidance on this there is a circular that specifies what compliance issues need to be checked by the state auditors doing those audits. some states contract out those audits, the omb complianc

the cannabis equity program in the community, business priority processing program. discussion and action item. the presenter is nicole elliott director opposite cannabis. >> one moment. commissioner dooley. >> i'm going to need to recuse myself from this item. i am involved with the cannabis industry. >> do we have a motion to recuse commissioner dooley. >> >> second. >> all in favor. >> aye. >> you are recused. >> motion passes 5-0. >> ok. so it was 5-0. >> 5-0. ok. >> and we're including commissioner dooley. >> she can vote in that? >> ok. >> 5-0. >> welcome. >> thank you, commissioners. nicole elliott director of the office of cannabis. thank you for having us here today and for agreeing to hear and weigh in on this item. i am joined by my deputy director eugene hillsman, he is right behind me. he will also be presenting on components of the equity program as well. last time i was here was before we had, in place, a final regulatory structure. it was less than a year ago. since then, the city has issued an equity report that was done by my office in collaboration

they should be in the other program. those are things that we do our audits that we will be looking for. in terms of the disabled. if an individual is receiving si, we should be able to have those types of feeds so they are not being in the newly eligible category. need to make sure states are not doing that. there are states that don't use of federal disability determination when they make determination around his abilities. in those states we need to review that as well. we're not able to look at whether they have already been classified under the federal definition. those are things we will be looking at. when the gao reports were done, they were done early on when states had just implemented the new eligibility system. the mother -- the modified adjusted gross income so it's possible that overtime states have improved their eligibility processing. audit. restored the perm those happen every three years. we are requiring states to do their own eligibility ottoman -- eligibility audits in the years and between. i think

even in the medical based program, the structure, because it's open incentive program, it the states pay more, now with a 90% match rate there's more increased risk. i think going forward, we've worked extensively with the states on integrity program issues and we'll continue to do that working with the state auditors and because this is the program for the able-bodied adults is funded 90% of the federal government, i think the onus is on us. the case in mind is california, we had an issue there with some of their patients to managed care organizations and we found that they owed the federal government $9.5 billion. so, i mean, we're always going to have to be looking at this issue, but i think the problem is the structure of the medicaid program, it's an open-ended entitlement. >> on traditional f-map we are an a 50-50 state. so on traditional, is that a prem, too, at 50-50 structurally or not? >> i think so, but it's more of a problem for the able-bodied adults. so i would support structural changes to the medicaid program to address the open-ended entitlement issue. more of an iss

we have the h2a guestworker program. that's the main program they used to bring in guest workers to work in agriculture. in that case what is happening is that program requires employers to show they are paying a decent wage, and they have advertised that job and have done it extensively. i have sat down with farmers who have shown me the paperwork required for every single piece of. -- every single visa. they have to post on state employment report websites and basically get the word out that the advertised it as much as they could. this is run through department of labor. there is a check department of labor runs when these visas are being applied for to make it not being paid under minimum wage or dirt cheap prices. the mechanism in that process they are trying to ensure or bring in a guestworker, that the are being paid a decent wage, but that program has a lot of flaws. it is something congress needs to get into and try to improve to ensure they avoid the kind of things you are talking about. host: pam in florida, go

yet views on the funding of the program very. by way of background, the family and medical leave act of 1993 provides most of workers with up to 12 weeks of job protected orve to care for a new child address and illness, but it does not cover all workers, such as some small business and part-time employees, and the guarantee is for unpaid leave. some workers cannot afford to take time off. paid timeceive some off for illness and holidays, access toworkers have to find paid family leave as opposed other types of leave and paid family leave is rare in lower income households. there are three reasons to support paid leave for workers. first, improving health outcomes . i'm a doctor. i'm concerned about infant and maternal souls. infant mortality is higher in the united dates than in 25 of 28 other developed countries. a recent buddy reports that if a new mother takes paid leave, re-admittance rates for her and her infant decreased by 50%. second, helping families manage work and home responsibilities, particularly for lower income wo

the program on the rite indicates adult day programs in san francisco. there are ten programs in total. three who serve adults with did he shen shall or alzheimers, and one that serves adults who are vehemently disabled. in addition the department of ageing and adult services provide some assistance for adults with dementia or alzheimer's. so while cpmc has been working together with the institute on ageing on this planned change, currently, the institute on ageing has not identified a new location for the day program, and so the impact of this change is uncertain? we know there are a limited number of adult day programs in san francisco that serve adults with dementia or alzheimers, and they are an important resource for keeping the adults in the community and out of institutional, long-term care. if this program were to close then it would result in a loss of services and would have a detrimental impact for residents in san francisco. and with that, that concludes my comments on this item? i'm happy to answer any questions. >> okay. and so what we will

and that started the water system improvement program. one thing that i want to do is take pat around to look at the projects. if it wasn't for you, we wouldn't be able to do the $4.8 billion of infrastructure and we're also planning another $7 billion on the wastewater system. and we really couldn't do it without your leadership at the helm at the time. so we started the master plan for the sewer system improvement program. the other thing you did, you centralized our customer service operations at 1155 at the time. so that was something else that you really did. so, pat then moved courses, back to be city manager in 2005, which recently retired june 30. so i had an opportunity to go and visit pat that day, where she threw a party and it was just remarkable the lives and people and careers that she touched. and it was just great having you at daly city. we've worked on amazing projects together. and you knew what it was about. there's a lot of memories that i can share, but i will share a lot of them offline. from the bottom of my heart,

. >> there's residential, and the day program, and the day program is under cpmc employment? >> it's under i.o.a. the day program has been operated since the very beginning under the institution. >> under the i.o.a. it's the swindell residential that's under cpmc. >> right. >> and that's where cpmc has been helping to adjust those, also? no, no, that has to do with the foundation. sorry. okay. i see. but the residential program is the one that actually is being closed? >> as i mentioned, the residential program is actually closed. the state came out and officially closed it. all the residents who had been living there are now -- >> oh, they have moved. >> it is closed. >> e oh, it is closed. and those people are either at another location, the hospice, and -- >> for the most part, alma villa. two patients were hospice eligible, and one private paying patient close to go elsewhere. >> okay. thank you. >> you're welcome. >> commissioner chung? >> so i have questions, 'cause, like, that's already a done deal. so -- and we really appreciate you giving us the courtesy notice to com

now, a discussion about the new tsa program called "open skies." joining us in our studio and washington, d.c., a reporter and spotlight fellow for the posten globe. -- boston globe. le that tsa plays in surveilling p >> what is the general role the tsa plays and following people for international travel. >> they are responsible for everything in the aviation area. under the umbrella of the tsa you have the u.s. federal air marshal service who have been placed on sites since 9/11 to prevent similar attacks. now, with the new program, they are actively conducting intense surveillance on ordinary americans. host: how does it work? guest: if you have flown into the country since march, you have been part of the program. it is based on travel patterns. larger pull of passengers, you might get a pet down or go through a body scanner. a smaller percentage of about 5000 by now has been assigned a air of armed undercover marshals to follow them around airports and on the plane and right down what they do, note there behavior, when they went to the bathroom,

>> some of the suspects in the program one of the most important things that are building a program andcertainly once the party but one it's a lot easier when you're building the program is to build privacy foundations into that program. when they built the program our threat is 100% embedded into our program. i learned a lot in the last seven years. her key privacy officers at privacy experts on the time we have any sort of an issue where we want to make sure that we were on the right side of tanks and by that i don't necessarily mean the law. a lot of times people think the laws that bar bye bye which you build a process and perhaps in government it might be a little bit more that way but i would argue in the private industry it's very different. there are certain maybe organizations within the company that either consume or maybe handle employee information that we might want as part of our program. legally we could do so. but it's not the right thing to do necessarily far corporate culture so the chief privacy officer insures that we are always on the right side of the law and it's

let's take the medicaid rebate program. drug manufacturers have to provide rebates or discounts to then share that discount with the federal government. manufacturers are supposed to give larger discounts for brand drugs, which are typically more expensive the generic. true to from some drug makers havhave is classified their $1.3 billiong to and lost discounts from drug manufacturers from 2012 to 2016. people might remember this issue from when the maker of epipen misclassified as a generic drug. how is cms tracking the classification of drugs to make sure there are no miss classifications? ofinistrator verma: first all, in terms of the classifications, in terms of the medicaid rebates, the affordable care act capped the amount of rebates the manufacturers had to give. even as they increase their prices, that affordable care act rebates.e in terms of the miss classifications, this has been a significant issue. we know in the case of myland, there was definitely an issue. we worked around the settlement of that that came to

howard talk about some of the programs that the library has such as the one bay, one book program. >> sure, the library does a lot to support book clubs. they are wonderful and one of y areaso many people are in the involved in informal experiences like book clubs and we try to support by providing our book in a box program. we have 120 titles for people to choose from and they are available free for any book club for a month or two and also a program one bay, one book which we select one book for a given year that we invite readers throughout the bay area to read and discuss each other. our selection this year is september in chiraz it is set in iran just after the revolution it's about a family stuck there and the father is unfairly imprisoned. it's a fine book and the author will come to speak both in palo alto and san francisco in june with all the people reading the book this year. >> if somebody has never been a part of a book club and is interesting in joining one or starting one, what kind of services would that person get for constructing their book club, what do they get fro

in the program. as i recall, with the statute -- what the statute says is it someone files a bona fide application, even though we won't get to it for some time, they can get a work authorization within the law. there is a large population of people waiting for final adjudication of their benefit application, which is a congressionally created program. we administrate it faithfully. whether it is living up to what congress intended for it to be, with respect to helping law enforcement, i cannot say. we would have to ask law enforcement. ms. vaughan: maybe we should? dir. cissna: at my agency at least, our role is to administer this. i guess, to the extent that the program has departed in any way from what is in the law, what is required of law enforcement agencies to present to us terms of certifications -- if we have gotten off the rails on that, it should be examined. i don't know that we have. but there are certain elements -- the law enforcement agency certification, the assessment of the claims -

it becomes well, the government has insider threat programs. he mentioned snowden and manning, but i'm going to mention a lot more, but mostly not by name. if you think about these numbers, the fbi and department of justice in the last 15 months have indicted or arrested 15 people. i'm not good at math, but this is good. these are just the ones we are catching. we are catching both types, not only the spies committing espionage and treason against our country, but we are also catching leakers. those who are disclosing classified information to those who don't deserve it or need it. two different areas. i think we look at the threat so we get to do what is really fun, but also demoralizing and put together with the national threat prioritization,signed by the president. we look across the spectrum, what are the threats facing our country? threats and vulnerabilities and consequences. from the threat perspective, we had the usual suspects in russia, china, iran, and north korea. but then we have come insider threats. hey have been a problem as cha

the time and ms. degette and others we streamlined these programs and brought them into the 21st century. we prioritize access evidence-based programs and best practices to make them available to provide across the nation. red states additional flexibly at nursing mental health block to address the specific needs of the patient population and we increase oversight, transparency and accountability for these programs. cheers made important progress in boosting resources for suicide prevention. to too many of us have friends o have lost loved ones suicide. my different and colleague senator gordon smith of oregon tragically lost his son to suicide one day before his sons 22nd birthday. worked hard with senator smith to authorize the original dear ms. smith memorial act which provides information attorney for suicide prevention surveillance and intervention strategies for all ages and is proud to see this important program reauthorized in cures. march funding to which is now law congress provided critical funding for nearly 30 sections of the provisions within cures, these programs include the

. >> good morning, commissioner, michael himes, director for the program for the sfpuc. have a verbal update for you today, and i'm going to cover the usual items with a couple of additions. i'll speak to our enrollment, outreach and status of service to customers. i'll also provide a planning update and some legislative work that we're doing. i am joined by suzanne murkelson of our policy and affairs team to assist in that discussion later on. so with respect to enrollment service, cleanpowersf service and the currently enrollment effort continue to move along successfully. as we've discussed in previous meetings, this month, we're enrolling a large number of commercial and residential accounts into the cleanpowersf program, approximately 27,000 in total. i've been reporting that the opt out rate or percentage has been 3.2% for the program year to date. the opt out rate for the group of customers being enrolled is 1.6%. when we account for these two pools in the previous customers and the new customers, the cumulative rate is 2.8. so i've been reporting on these differe

not every state participates in the program. it is likely that the numbers for the state level do not represent the full cost of the state level. these are the data we were able to have access to. host: we are talking about the cost of incarcerating criminal aliens with gretta goodwin of the gao. to join the conversation, republicans (202) 748-8000, democrats (202) 748-8001, independents (202) 748-8002. what is the government weountability office? guest: are part of the legislative branch. we are kind of the investigative body of the congress. we evaluate and investigate all federal programs. if your agency is receiving money from any of the federal we will audit or evaluate or investigate. the purpose of what we're doing is to ensure that federal moneys are being spent in the most efficient and effective way possible. host: is not happening when it comes to criminal alien incarceration? guest: that depends on how you look at it. we don't have a complete picture of what that looks like. also the reimbursements for the program are

the m.t.a.'s radio communication program. ments for your capital projects, again with not even half of the prop-k time passed, we have two projects that are open to the public. three projects that are nearing completion and one, the downtown extension, that is in design. a similar picture for the 21 programattic categories where $958 million has been allocated through the end of last year and on this slide it shows the allocation status for the 2 -- 21 categories for the time passed and the 30-year lifetime. as you can see on average allocations align with the time passed. but there are some categories shown in red fonts with fewer activities. we looked into a couple of those categories that seemed to have a slower start but did not find anything out of the ordinary. for example, programattic development has only been allocated $4 million through december 2017. but exenss pences this fiscal year 18-19 are expected at $2 million. se it appears that activities for this categoris are ramping up into near future and the $20 millio

but in the security program the competence of security program no matter how much you divided up, it really focuses on three things. do i trust the people that are working inside my organization? do i trust i'm operating of a safe and secure facility? i trust my information, most of it sitting on tim's computer or working its way around the world on a network is safe and secure and nothing is compromise? it is that simple. almost axiomatic in the spaces when something goes wrong, almost inevitably, it is because of a human. because a human has done or committed an act of commission or an act of omission. putting in forms of that someone who is evil or a lot more of them are just careless. results are pretty much the same, something gets compromised here. that is really our shared concern. we have insiders in organizations and on the front end of that we have people who aspire to be in our organizations. how do we deal with that? the better we do on the front end of somebody coming into this kind of environment, in terms of investigation, baseline and what we know that the individual,