Minutes of the Health Commission Meeting
Tuesday, October 17, 2000
101 Grove Street, Room #300
San Francisco, CA 94102
1) CALL TO ORDER
The regular meeting of the Health Commission was called to order by President Roma P. Guy,
MSW, at 3:15 p.m.
- Commissioner Edward A. Chow, M.D.
- Commissioner Roma P. Guy, M.S.W.
- Commissioner Lee Ann Monfredini
- Commissioner Harrison Parker, Sr., D.D.S.
- Commissioner David J. Sanchez, Jr., Ph.D.
- Commissioner John I. Umekubo, M.D.
Note: There was a change in the order of agenda items.
President Guy announced that on Friday, October 13, 2000 Commissioner Ron Hill resigned
from the Commission effective immediately. President Guy acknowledged his work on the
Commission and his leadership as Chairman of the Budget Committee.
2) APPROVAL OF THE REGULAR MEETING OF OCTOBER 2, 2000
Action Taken: The Commission adopted the minutes of the meeting of October 3,
5) PRESENTATION OF THE DEPARTMENT OF PUBLIC HEALTH EMPLOYEE RECOGNITION AWARDS FOR OCTOBER
On behalf of the Commission, Commissioner David Sanchez presented the October awards to the
Cathy Hayashida, Judy Lariviere, Suzanne Daly, and Helen H. Tong, of Population Health and
Prevention were nominated by Judy Bachman and Cliff Young
3) APPROVAL OF THE CONSENT CALENDAR OF THE BUDGET COMMITTEE
Note: Commissioner David Sanchez chaired the Budget Committee, with Commissioner Parker and
Commissioner Monfredini present.
PHP-CHSS – Epidemiology and Disease Control – Request for approval to
accept and expend a grant in the amount of $174,841 from the Centers for Disease Control and
Prevention, for the development, implementation and evaluation of the viral hepatitis
prevention and control program, for the period of September 30, 2000 to September 29, 2001.
(3.2) PHP-Health Promotion – Request for approval to accept and expend a two-year
grant from the State Office of Traffic Safety (OTS), in the amount of $798,353, for the
development of a community-based mini-grant program to promote solutions to traffic safety
problems occurring within a variety of geographical and socio-cultural settings, for the
period of January 1, 2001 to December 31, 2002.
(3.3) CHN-Pharmacy – Request for approval of a new contract with Pharmaceutical Care
Network (PCN), in the amount of $8.4 million, to provide pharmacy benefits management services
for uninsured Community Health Network clients, for the period of November 1, 2000 through
June 30, 2002.
- Bobbie Rabinowitz, representing SEIU Locals 250, 790 and 535, does not support approval
of this contract because it would result in the closure of the outpatient SFGH pharmacy;
expressed Union’s point of view that approval would be a direct violation of the
urged Commission to table the issue until arbitration is completed.
- Tim Hessong, pharmacy technician, opposed approval of contract, which is not a
- Michael Born, pharmacy technician, concerned about patients and services; use the
Department’s own clinics and hold on to SFGH as a safety net.
- Nora Roman, ECSPH and CHRIA, stated this is a decrease in services to the community and
represents a change in policy; abandons people who cannot pay; critical of procedures from
problems with prescriptions.
- Frank Bashford stated the SFGH pharmacists’ salaries are too low.
- Ed Kinchley, ER social worker, feels there are too many loopholes in the plan; he has
not seen the contract to critique it.
Commissioner Monfredini asked whether privatization is in violation of the contract.
Jean Fraser, Deputy City Attorney, indicated the Union is in the grievance process. The
Mayor has already approved this direction through the budget process. If the Commission does
not approve this contract, the contract is dead.
Commissioner Parker expressed his concern about the pharmacy services and feels this
program should be reconsidered. He asked whether the Department has a backup plan. He feels
if a private contractor can do this, why can’t the Department do it?
Commissioner Sanchez referred this item to the full Commission since there are other
public speakers who wish to testify before the full Commission.
(3.4) PHP-Central Administration – Request for retroactive approval of a new contract
with San Francisco Study Center (SFSC), in the amount of $237,000, to provide fiscal agent
services (for the Community Health Institute) for community based acupuncture, Chinese
medicine and therapeutic counseling services through the Community Acupuncture Clinic program,
for the period of July 1, 2000 through June 30, 2001.
(3.5) PHP-CMHS – Request for retroactive approval of a contract renewal with St. Luke’s
Hospital (SLH), for the provision of 24-hour acute psychiatric inpatient hospital services
targeting adult Medi-Cal beneficiaries. The total contract amount for three hospital providers
is $4,300,000 in Medi-Cal funds, for the period of July 1, 2000 through June 30, 2001.
contracted with SLH for services totaling $5,846,000 during FY 1999-2000).
(3.6) PHP-CMHS – Request for retroactive approval of a contract renewal with St. Mary’s
Medical Center (SMMC), in the amount of: (1) $300,000 in City funds, for the provision of
acute psychiatric inpatient hospital, partial day hospitalization and transitional outpatient
services targeting uninsured adolescents, and (2) $4,300,000 in Medi-Cal funds for three
hospital providers for the provision of acute psychiatric inpatient hospital services
targeting Medi-Cal beneficiaries, for the period of July 1, 2000 through June 30, 2001.
contracted with SMMC for services totaling $1,554,862 during FY 1999-2000).
(3.7) PHP-CMHS – Request for retroactive approval of a contract renewal with Saint
Francis Memorial Hospital (SFMH), for the provision of 24-hour acute psychiatric inpatient
hospital services, in the amount of (1) $156,498 in City funds targeting uninsured adults, and
(2) $4,300,000 in Medi-Cal funds for three hospital providers targeting adult
beneficiaries, for the period July 1, 2000 through June 30, 2001. (DPH contracted with SFMH
for services totaling $156,498 during FY 1999-2000).
(3.8) CHS-Housing Services – Request for retroactive renewal approval of a contract
with Caduceus Outreach Services, in the amount of $95,480, to provide pro-bono psychiatric
treatment to homeless and formerly homeless low income persons; case management and counseling
services; and training, education and advocacy work regarding issues that affect the lives of
psychiatrically-ill people, for the period of July 1, 2000 through June 30, 2001.
(3.9) CHS-Housing Services – Request for approval of a renewal contract with Catholic
Charities of the Archdiocese of San Francisco (CCSF), in the amount of $420,640, to provide
housing with comprehensive support services to persons with AIDS or disabling HIV who are very
low income residents of San Francisco, for the period of July 1, 2000 through June 30, 2001.
contracted with CCSF for services totaling $2,038,977 during FY 1999-2000).
Commissioner Monfredini acknowledged a letter from Brian Cahill, interim CEO of Catholic
Charities. She inquired about any heating problems in the facility. The staff of the program
indicated no complaints of heating.
Commissioner Sanchez pointed out the excellent services of this contractor.
(3.10) CHS-Housing Services – Request for retroactive approval of a renewal contract
with John Stewart Company, in the amount of $304,670, to provide property management services
at the Windsor Hotel, for the period of July 1, 2000 through June 30, 2001.
with John Stewart for services totaling $1,001,016 during FY 1999-2000).
(3.11) CHS-Housing Services – Request for retroactive approval of a renewal contract
with San Francisco AIDS Foundation (SFAF), in the amount of $469,422, to provide Partial
Housing Subsidies and Housing Waitlist Services targeting very low income homeless San
Francisco residents with AIDS or disabling HIV, for the period of July 1, 2000 through June
30, 2001. (DPH contracted with SFAF for services totaling $2,662,268 during FY 1999-2000).
(3.12) AIDS Office-HIV Health Services – Request for retroactive approval of a
contract renewal with Community Dental Care, Inc. (CDC), in the amount of $651,429, to provide
decentralized dental services targeting HIV positive, low income residents of San Francisco
who are uninsured or underinsured, for the period of March 1, 2000 through February 28, 2001.
(DPH contracted with CDC for services totaling $651,429 during FY 1999-2000).
Michelle Dixon, AIDS Office, indicated a progress report on this contractor will be
brought back to the Budget Committee in December.
Commissioner Monfredini pointed out much improvement is needed with this contractor.
Commissioner Sanchez expressed his concern about the capability of the contractor. He
urged the Department to reassess the situation and decide to continue, discontinue, or
re-bid the contract.
The contractor, Gene Dowdy, DDS, provided his perspective on the program and an overview
of his capacity and work on the contract.
Commissioner Parker stated he has a lot of problems with this contractor. The areas in
question include: frequency of services, fee schedule, distribution of services, measuring
the quality of work, needs demographics of the patients, and whether there are unexpended
funds. He would recommend a month-to-month contract, with retroactive approval from March 7,
2000 through October 31, 2000.
Commissioner Sanchez recommended another site visit in November, with an update at the
Budget Committee meeting on December 19, 2000. At the December meeting, the Department will
be required to re-bid or to approve this contract from November 1, 2000 through February 28,
(3.13) AIDS Office-HIV Health Services – Request for retroactive approval of a
contract renewal with Glide Foundation, in the amount of $119,985, to provide case management,
peer advocacy and treatment advocacy services targeting HIV positive individuals in the
Tenderloin, for the period of March 1, 2000 through February 28, 2001. (DPH contracted with
Glide for services totaling $419,354 during FY 1999-2000).
Michelle Dixon, AIDS Office, reported improvement has been made since this monitoring
report. Technical assistance is being given to this contractor. An update on this contract
will be referred to the Joint Conference Committee for Population Health and Prevention in
(3.14) AIDS Office-HIV Prevention – Request for retroactive approval of a contract
renewal with Glide Foundation in the amount of $263,645, to provide HIV prevention services
and counseling, testing and referral services, for the period of July 1, 2000 through June 30,
2001. (DPH contracted with Glide for services totaling $419,354 during FY 1999-2000).
(3.15) AIDS Office-HIV Prevention – Request for approval of a contract renewal with
Mobilization Against AIDS International (MAAI), in the amount of $200,723, to provide HIV
prevention services to Latino youth between the ages of 16 and 24 and Latino adults and
transgenders 25 years and over, for the period of October 1, 2000 through June 30, 2001.
contracted with MAAI for services totaling $323,625 during FY 1999-2000).
Commissioners requested an update in two months (December 19, 2000) at the Budget
Commissioner Monfredini stated her displeasure with this monitoring report.
- Michael Petrelis opposed approval of the contract.
(3.16) AIDS Office-HIV Prevention – Request for retroactive approval of a contract
renewal with Regents of the University of California at San Francisco (UCSF) - AIDS Health
Project, in the amount of $176,914 per year for two years, for a total of $353,828, to provide
HIV prevention services targeting behavioral risk populations, for the period of July 1, 2000
through June 30, 2002. (DPH contracted with UCSF for services totaling $11,454,369 during FY
Commissioner Sanchez abstained due to conflict of interest.
(3.17) AIDS Office-HIV Prevention – Request for retroactive approval of a contract
renewal with Regents of the University of California at San Francisco (UCSF) - AIDS Health
Project, in the amount of $327,420, to provide HIV counseling, testing and referral services,
for the period of July 1, 2000 through June 30, 2001. (DPH contracted with UCSF for services
totaling $11,454,369 during FY 1999-2000).
- Michael Petrelis spoke against giving funds to this contractor.
Commissioner Sanchez abstained due to conflict of interest.
(3.18) PHP-Housing - Approval of a supplemental appropriation of $250,000 in general
funds for a transitional housing program for homeless Lesbian, Gay, Bisexual, Transgender,
Queer and Questioning (LGBTQQ) young adults.
- Mitch Thompson, S.F. Recreation and Park, supported the program and the young people
Commissioner Chow commented that problem contracts should be identified earlier prior to
being calendared t the Budget Committee.
Commissioner Parker observed there were 13 retroactive contracts on today’s Budget
Action Taken: The Commission approved the Consent Calendar: 3.1, 3.2, 3.4, 3.5, 3.6,
3.7, 3.8, 3.9, 3.10,. 3.11, 3.12, 3.13, 3.14, 3.15, 3.15, 3.16, 3.17 and 3.18.
Due to conflict of interests, Commissioner Umekubo abstained on #3.6 and Commissioner
Sanchez abstained on #3.16 and #3.17.
Item #3.3 was referred to the full Commission for a decision.
(3.3) CHN-Pharmacy – Request for approval of a new contract with Pharmaceutical
Care Network (PCN), in the amount of $8.4 million, to provide pharmacy benefits management
services for uninsured Community Health Network clients, for the period of November 1, 2000
through June 30, 2002.
Monique Zmuda, Chief Financial Officer, provided a summary of the proposed new contract
- Bobby Rabinowitz, SEIU Local 250, urged the Commission to table this matter pending a
Union arbitration process.
- Dale Butler, SEIU Local 790, advocated not to contract out the pharmacy services and
to table the issue.
- Virginia Leyva, Bay Area Legal Aid, stated the closure of the outpatient pharmacy at
SFGH will negatively impact low-income clients; asked Commission to reconsider.
- Rosalyne S. Montgomery, Transgenders United for Equality, advocated not to close the
- Michael Lyon, Emergency Coalition, opposed approval of contract.
- Lynn S. Carman, attorney, stated this contract is a bureaucratic nightmare; requested
Commission to take this issue off the calendar.
- Mary Magee, Local 790, described the impact of this plan on pregnant women.
- Ed Kinchley, SFGH social worker, advocated to table this contract; accused Deputy City
Attorney of half-truths; no documentation this plan will save money.
- Aurora Grajeda, TransAction Y, stated health services are not to make a profit but to
serve the poor; withdrew an award to Dr. Katz from a transgender group
- Nora Roman, ECSPH/CHRIA, discussed inadequacies of the contract; poor planning of DPH;
this plan is decreasing services; no fee waivers, no quality assurance.
- Josie Mooney, SEIU 790, indicated reasonable people can differ from time to time,
there would be serious consequences of this contract; this would be in violation of the
Union contract and a clear effort to undermine the Union contract.
- Maria Martinez, Mission/Bernal Heights, commented on the impact on neighborhood
clinics; critical for poor people and patients who use the SFGH outpatient pharmacy.
Commissioner Monfredini expressed concern about moving forward to approve this contract
if the Department is not honoring the Union contract.
Jean Fraser, Deputy City Attorney,
Commissioner Monfredini observed that if today the Commission does not approve the
contract, the issue dies. If approved, the issue moves forward to the next stage in the
Commissioner Sanchez questioned tabling the issue; if this issue is tabled, nothing
would go forward.
President Guy asked Commissioners to reopen testimony from the public.
Commissioner Chow questioned reopening public testimony. He would support reopening if
it applies to everyone and not only certain speakers.
Dr. Katz clarified some misinformation given by some of the public speakers. He
described the similar prescription program for mental health and AIDS patients; the
formulary issue; the 116 choices of where to go for medication; the legal questions which
were adequately answered by Ms. Fraser, Deputy City Attorney; and the budget approval
process was already supported by the Health Commission, Board of Supervisors and the
President Guy stated every Commissioner may ask questions of individuals providing
public testimony. She requested clarification from Josie Mooney, SEIU 790, on her point
that no City Department can initiate contracting out. Ms. Mooney stated if the Commission
tables this item, the Union will meet before going to arbitration. Otherwise, the Union
will seek an injunction. She stated she was not here to delay the contract; she was here
to kill it.
Commissioner Sanchez asked about the evaluation of these pharmacy services and how is
quality assurance integrated into this contract. He moved to table the contract, but there
was no second to his motion.
Commissioner Monfredini expressed her uncomfortableness about moving forward to approve
She would like more discussion and information on the contract. She also would like
more legal information and would want to have an understanding of the Mayor’s
perspective on this situation. She would be in favor of continuing this item for more
education and information.
Commissioner Umekubo would like more information on the contractor, the quality of
care, and access to care.
Commissioner Parker supports patient satisfaction and patient convenience. He suggested
doing a pilot project.
President Guy felt a resolution to this issue would not be here at the Health
Commission but should be with the Mayor.
Dr. Katz reminded the Commission of the November 1, 2000 start date for this contract.
There would be financial consequences. Dr. Katz encouraged the Commission to vote up or
down because this has been a long process; and the Commission had already adopted the
policy issue through the budget process. Dr. Katz recommended the Commission consider a
special meeting of the Commission if there is a continuance.
Action Taken: The Commission unanimously voted to continue #3.3 to a special Commission
meeting on Tuesday, October 31, 2000 at 3:00 p.m. The Commission requested this issue be
discussed at a meeting with the Mayor prior to October 31, 2000.
4) DIRECTOR’S REPORT
(Mitchell H. Katz, M.D., Director of Health)
(Report on activities and operations of the Department, and may include activities within the
Community Health Network and Population Health and Prevention Divisions).
The annual Combined Charities campaign kicks off October 23rd. Please look for
information and pledge forms that will be handed out with paychecks October 24th.
If you have any questions, please ask your campaign coordinator. Anne Kronenberg, overall DPH
coordinator, LaFrancine Tate, SFGH coordinator, Steve Koneffklatt, LHH coordinator and Wayne
Clark, coordinator for PH&P.
POPULATION HEALTH AND PREVENTION
The Department received a letter from the Center for Substance Abuse Treatment (CSAT)
awarding funds for the Action Point II grant (HIV Treatment Capacity Expansion). This grant
will support HIV medication adherence for 70 HIV+ individuals who reside in the Bayview as
well as methadone maintenance treatment for 40 of those 70 clients. This project will be a
collaboration between Population Health and Prevention and Southeast Health Center and the
Institute for Community Health Outreach/Nia. The grant covers these services for 3 years.
STD Prevention and Control
The STD branch continues to be awarded grants for a variety of programs. These incude:
- $50,000 for monitoring trends and prevalence of STDs, TB and HIV risk behaviors among
MSMs who seek services at City Clinic and the Tom Waddell Transgender Clinic.
- $277,930 for integrated surveillance systems for communicable diseases
- to link AIDS data with STD data and other variables.
- $40,000 for monitoring the prevalence of STDs and TB infections among persons entering
Community Health Promotion and Prevention
The San Francisco Violence Prevention Network is sponsoring "Peace it Together" -
a day to join together to promote peace & prevent violence using a public health approach.
The event will provide examples of effective public health models to address violence
prevention that relate to alcohol, firearms and witnessing violence.
The sponsors hope to gain specific input and direction from forum participants to continue
development of a long-range strategic plan for Violence Prevention in San Francisco, including
identification of activities.
The event will be held on October 25th from 8:00 am - 5:00 pm at the California
State Building. Peace it Together brochure is on the home page of the DPH website.
The 20th Anniversary Celebration of Newcomers Health Program and Refugee Medical Clinic
will be held November 1st, from 3:00-5:30pm at Refugee Medical Clinic (SFGH Campus,
Building 80, Ward 85). We would like to extend a special invitation to the Health Commission
to attend. Staff, providers and volunteers should RSVP to Patricia Erwin at 705-8553.
COMMUNITY HEALTH NETWORK
Community Initiative – Prostate Cancer
Last Saturday the African-American Men’s Health Initiative, an initiative of the Bayview
Hunters Point Health and Environmental Resource Center, sponsored a successful community
education program focusing on screening of prostate cancer. Prostate cancer is a disease with
high incidence among African-American males.
Cynthia Selmar, Commissioner Parker and Dr. Arthur Coleman were acknowledged at the program
with awards for the leadership in this effort. Among those participating in the day’s event
were Mayor Brown, Supervisor Amos Brown, Dr. Mack Roach, Commissioners Roma Guy and Harrison
Parker, Tony Wagner, Dr. Melissa Welch, Health Center Directors Michael Pile and Freddie Smith
Employee Recognition Dinners
The Laguna Honda Hospital 19th Annual Employee Recognition Buffet Dinner,
Halloween Ball and Costume Contest will be held Friday, October 20, 2000 at Patio Espanol,
2850 Alemany Blvd. Beginning at 6:00 p.m. until 11:30 p.m.
The SFGH Employee Recognition Banquet will be held Nov 17th in the cafeteria at
SFGH. All SFGH and UCSF employees with 10, 15, 20, 25, 30, 35 or more years of service will be
Successful North of Market Senior Services Annual Dinner
Congratulations go out to Gay Kaplan, Director North of Market Senior Services, Terri Brown
and Arla Escontrias, dinner co-chairs of this year's Annual Tribute Dinner held October 12th
at the Argent Hotel. The event was lively, elegant and met this year's fundraising goal.
Attendance was high and included a special visit from Mayor Brown.
Honorees for this year's Francis J. Curry award were: New Leaf Outreach to Elders program,
for their "lunch bunch" program, and Evan White, Bay T.V. News Anchor- a long time
champion of services to the elderly and underserved. The recipient of the Joseph Mignola, Jr.
award went to the Arc for their innovative/collaborative services to the Developmentally
SFGH Credentials Report
Changes in Privileges
Todd Swindell, Act Up/SF, claims the Department is not up front about accurate numbers for
rectal gonorrhea, syphilis, shigella; referred to Dr. Katz’s letter to the Bay Area
6) UPDATE FROM THE LONG-TERM CARE TASK FORCE (AB 1040)
Tony Wagner, Co-Chair of the Task Force and Executive Administrator for the Community
Health Network introduced Sandra Nathan, newly appointed by Mayor Brown as the Department head
for the new Aging and Adult Services Department.
Ms. Nathan thanked the Commissioners for the opportunity to speak. She expressed her
agreement with the findings of the Long-Term Care task Force. She welcomed the opportunity to
decrease Department barriers and to broaden the view of having a coordinated system of care so
that seniors and disabled can maintain themselves in the community. She would like to move in
an integrated fashion.
Mr. Wagner; Jennie Chin-Hansen, Co-Chair of the task Force and On Lok Executive Director;
and Bill Haskell, Project coordinator for the task Force, provided an update on the activities
of the Long-Term Care Pilot Project Task Force since April 2000, and its efforts to develop a
comprehensive plan to improve long-term care service delivery for older and disabled adults;
and propose a long-term care integration pilot project in San Francisco to the State
Department of Health Services (DHS).
In summary, the Task Force has adopted recommendations related to:
- governance structure;
- waiver authority; and
- project phasing.
First, the Task Force recommends that a Governance Working Group be established to
re-evaluate all options for the governance structure of a pilot project and develop a proposal
by March 2001. Second, the Task Force recommends that concurrent 1915(b)(c) Medicaid waivers
be sought on behalf of San Francisco by the State Department of Health Services, Office of
Long-Term Care, as a basis upon which to implement a pilot project. Third, the Task Force
recommends that the pilot project be implemented in manageable incremental phases; the first
and second phases under the current fee-for-service reimbursement system, and the third phase
(if determined desirable) under capitated managed care.
The complete report is available at the Commission Office.
The other topics covered were service-related and administrative costs of a pilot project,
relationship of the pilot project to Laguna Honda Hospital, the continuing role for
relationship of the pilot project to the Department’s Strategic Plan.
Mr. Wagner outlined the next steps.
Commissioner Chow commented the plan so far is a reasonable proposal. He commended the Tank
Force’s ability to change with the circumstances and to incorporate the Commission’s
concerns. He supports the integrated approach.
Commissioner Umekubo, concerned about the financing aspects of the plan, asked if there is
a commitment to funding the waivers. There have been no commitments.
Commissioner Sanchez commended the Task Force in establishing a world class model.
- Marie Jobling, PECC, supports the planning process; shared results of meetings with
consumers; submitted document of the Long-Term Care Consumer Empowerment Project.
- Luis Calderon, CIAPA, advocated for a strong role for consumers; promoted the concept of
"nothing about us without us."
- Fran Watkins, consumer, promoted the waiver concept; does not want to be on welfare; is
looking for ways to protect her assets.
- Gloria Williams, PECC, SAN and CIAPA, supports affordable housing with support systems
to keep people at home.
- Debra Howell, PECC, urged the Commission to remember the "upper poor;" urged
expansion of IHSS Share of Cost pilot project, the increase for eligibility, and an
initiative for long-term care.
President Guy commended the Task Force for a comprehensive report. She acknowledged the
work of Bill Haskell, Project Coordinator, and indicated her support for this social/medical
model with case management. She would like the Task Force’s recommendations and final report
to come back to the Commission in January or February. Mr. Wagner will check with the Task
Force and get back to President Guy.
7) PUBLIC COMMENTS
Michael Petrelis, AIDS.Statistics.com, posed questions on cutting salaries before cutting
services; submitted his letter to Dr. Jeff Klausner on the annual 1999 STD Report, his letter
to Dr. Katz on an HIV consensus meeting, and a letter from Donna Shalala to Congressman Tom
Ronnie Burk, Act UP/SF, commented on AIDS services, a former Health Commissioner; sees
continued greed and graft of funds; reconsider the direction of the City.
Betty Best, Act Up/SF, concerned with the state of public health and the budget; need for
more emphasis on nutrition; San Francisco is in a lot of trouble.
Todd Swindell, Act Up/SF, referred to a new article on a former Health Commissioner;
promoted the appointment of an Act Up/SF person to the Health Commission; observes greed and
corruption in San Francisco on the backs of gay men.
8) OTHER BUSINESS/PUBLIC COMMENTS
The meeting was adjourned at 7:00 p.m.
Sandy Ouye Mori, Executive Secretary to the Health Commission