so, now i'll talk a little bit about the ill pact of health reform on san francisco's uninsured. the 2011 american community survey which is part of the u.s. census estimates the rates of insurance and uninsurance, these data show that approximately 84 thousand san franciscans are uninsured, 60 thousand aof these are enrolled specifically designed to protect the unschroeder, healthy san francisco was created in 2007 to coordinate care for san franciscan's uninsured, this is by the department of public health as well as clinic, hospitals and physicians across the city, more than 50 thousand participants have access to more than 37 health care homes and they are provided with specialty services, pharmacy services, primary care services and more. sf task is a program that began, sf path is similar to san francisco but it's available to those people who will be available for medi cal come january 1, 2014. the current 10 thousand enrollees were enrolled, they will be all the nautically enrolled in medi cal in january where the sf path program will end. these two programs, healthy san

second we need to ensure successful transitions of uninsured to health insurance, because we know who the majority of our uninsured are and how to contact them, thanks to healthy san francisco, we have several healthy san francisco initiatives under way to ensure this successful transition. i've been saying that healthy san francisco is now not only a health care access program but a coverage conversion program. we've been highlighting health reform messages and our participant newsletter, we have a website on information on health reform readiness, we're launching a text messaging campaign this summer for retention, we're training sf path s*us mer services to answer questions regarding health reform, we're spearheading a citywide campaign to ensure all healthy san francisco participants can apply for any insurance in which they're eligible at any of our 33 enrollment sites throughout the city and partnering with the human service agency for communication and is staff training, behind the scenes, we're working to provide a smooth transition into medi cal. we need to do targeted out la

we are looking to ready our system to be the provider of choice for our patients, our uninsured parents have not had a wide choice of health care providers but health insurance provides them with that choice, we want them to choose us. a recent survey indicated that 60% of low-income individuals who are uninsured would change their provider if they were given the choice to do so so we are responding to that challenge and integrating the service we offer throughout our delivery system so we do a better job to coordinate the care our patients need, we're working to improve quality and capacity to increase access to care, we're enhancing our patient's experience by shortening waiting times and increasing our efficiency in customer service and these are exactly the items that barbara is at the health department working on today. our second role is more citywide in nature and related to our mission to protect and promote the health of all san franciscans, we're maximizing enrollment into the health insurance options under the nca and i'll focus on this a little bit more. the health departmen

and will remain uninsured for two reasons. one is many of them are undocumented and the second piece of that is that they will not be able to afford health care on their health care reform. it was encouraging to hear from legal council that there's a way in which the current health care ordinance will be able to support our low-income families to be able to afford health care reform. lastly, i will say you already heard that we got some funds for our enrollment and we want to express to educate our community around all the options, people have to remain in health care and we will do our part to ensure that those 35 thousand uninsured individuals have a place where they can call their medical home, so thank you. >> thank you very much, ms. story. next speaker, please. >> good afternoon, supervisors, my name is shanell williams and i'm a student trustee at city college of san francisco representing 90 thousand students, so also some history, in 2004, i served on the youth commission, at that time we wrote legislation to expand t

, we estimate 3 to 4 million remaining uninsured statewide about which a million will be undocumented and 800 thousand will not have an option of coverage, looking in the bay area, we estimate of the working population that will remain uninsured, roughly half -- >> mr. jacobs, 's, i'd like to ask you the finish what you were saying because i think the information you're talking about is very important. i just want to make sure we have that information. *frjts so, half will not be eligible for affordable care act program and is if we look at those who are eligible for healthy sarn fra*ns, that goes down to a little over about 43% will not be eligible for programs, so if i can just quickly finishing up, for those who will be eligible for the program, and it's important to say this is a big expansion and for many people, the cost of coverage through covered california will be much less than they would pay today and for a much better plan but it will still be costly for many. for a full time worker earning $15 an hour, 30 thousand dollars a year, they would still pay 200 dla, a month for

locally, approximately 56 thousand san franciscans who are uninsured today will have access to healthnsurance. how does health reform propose to expand access too insurance? it requires that people have insurance and it gives them more options to obtain it. the requirement for people to have insurance is called the individual mandate as the supervisor mentioned previously. most but not all u.s. residents will be subject to the mandate which becomes effective on january 1. those that are not subject to the mandate include undocumented individuals, that will be the largest proportion of individuals not subject to the mandate. those experiencing hardships such as homelessness, people with incomes below the threshold for filing federal tax returns which is about 9750 dollars per year, the incarcerated, those are the religious exemptions. >> my apologies, do you have copies of the slides for the committee. >> i'm sorry, i do not, i apologize. >> continue, please. >> anyone who is subject to the individual mandate and fails to show klein which will be done through their tax return, financia

many of the millions of uninsured now.here has been a lot of concern with some of the changes that health care costs with some of the changes that health care some of the the changes --t health care costs well sell insurance. away because they think it is too high of a risk. is other big change insurance cannot charge more for people who are sick. cancer or diabetes they cannot charge more for you. how thought in terms of prices because of that. there are also some things that are forcing down play. that is these new insurance exchanges. people can shop. all the plants will be standardized. you will have gold plans, silver plans. right now when you try to shopper health insurance most of the benefits are often different. it is difficult to compare plans. right now we are seeing states come out. some states have reported their premium numbers. we are seeing this the board. new york is going down. other states say they will go up. right now we only have a portion. more we can get into detail about those states. we are talkin

now, speaking of the uninsured, the san francisco insurance will allegation be affected. the healthy san francisco has definitely helped some of the families in hunter's point bayview. we do have agencies like the southeast center, the bayview medical center and we have health fairs throughout our community but we need more outreach, we need our families to know how to obtain these services in insurance, so i want to see more outreach out in hunter's point bayview, and i'm sure you are aware in my community that we have a high rate of asthma, diabetes and cancer and also trauma, a lot of trauma related issues are in hunter's point bayview and this causes a problem with our children. i am an employee with the unified school district, and i would just like to see that the parents have more access of insurance and know the health benefits available to them because you must realize that good health is a conduit for closing this educational gap for children of color, so please keep this program going, it's very important for our community in hunter's point bayview, thank you.

under obamacare hospitals receive fewer federal dollars to take care of the uninsured.way this is supposed to reduce costs, but if people don't start signing up, hospitals will be forced to keep treating the uninsured but with less federal money. >>> coming up, kodak gets a second chance, but jcpenney is what happens when social media uncovers unheard, fascinating news stories? >>they share it on the stream. >>social media isn't an afterthought. it drives discussion across america. >>al jazeera america social media community, on tv and online. >>this is your outlet for those conversations. >>post, upload, and interact. >>every night, share undiscovered stories. [[voiceover]] every day, events sweep across our country. and with them, a storm of views. how can you fully understand the impact unless you've heard angles you hadn't considered? antonio mora brings you smart conversation that challenges the status quo with unexpected opinions and a fresh outlook. including yours. mission. i'm from houston, texas, and i'm an associate producer for america tonight. i grew up in

host: what are the uninsured rates? guest: one and four people in texas do not have health insurance. in florida it is one in five. people are not used to having health insurance. there is a much bigger road to climb in the state in texas and florida. right now texas and florida are two states that are now extending medicaid. there is even more pressure there. host: the question on the subsidies issues. can you please tell us who pays for all of the subsidies you keep talking about so often? where does that money come from? >> the funding for obama care largely comes from funding to hospitals overtimes as well as some hired taxes on upper incomes. this is where the wide majority of the money is coming from. it is not coming out of the patterns of most americans. it is also coming on other parts of the health industry. insurers are going to be paying a tax. people going out to tanning salons are paying a tax. this is where it is coming from. you might say if they have to pay a tax to help fund obamacare is in it going to

, it identified those special populations that are most likely to be uninsured and may require special outreach, young adults are critical to health reforms success, younger healthier people are critical to balance out the older who are often sicker and help keep costs down for the whole system and will eventually lower prices overall. latino and asian adults with a specific focus on chinese adults, information from covered california will be available only in english and spanish and not chinese so this will require a local effort, residents of the southeast corridor and small business -- small proprietors and other businesses, the final is messaging, and this is the simple three step message that we've been saying all along, new opportunities for health insurance coverage are coming and we are here to help you. health insurance is better than healthy san francisco if you qualify for it, but if you don't qualify for it, healthy san francisco will be here to help you. so, the timing of these transitions, in june of 2013, cover california identified the five plans that will be offered in