Minutes of the Health Commission Meeting
Tuesday, August 20, 2002
at 3:00 p.m.
101 Grove Street, Room #300
San Francisco, CA 94102
1) CALL TO ORDER
The meeting was called to order by Commissioner Chow at 3:15 p.m.
- Commissioner Edward A. Chow, M.D., President
- Commissioner Roma P. Guy, M.S.W., Vice President
- Commissioner Lee Ann Monfredini
- Commissioner Harrison Parker, Sr., D.D.S.
- Commissioner David J. Sanchez, Ph.D. (arrived at 4:20 p.m.)
- Commissioner Arthur M. Jackson
- Commissioner John I. Umekubo, M.D.
2) APPROVAL OF THE MINUTES OF THE REGULAR MEETING OF JULY 16, 2002
Action Taken: The Commission (Chow, Guy, Monfredini, Parker) approved
the minutes of the July 16, 2002 Health Commission meeting.
3) APPROVAL OF THE CONSENT CALENDAR OF THE BUDGET COMMITTEE
Commissioner Monfredini chaired and Commission Parker attended the
Budget Committee meeting. Commissioner Jackson and Commissioner Umekubo
(3.1) DPH-Central Administration/MIS - Request for approval of a new
contract with Siemens Medical Solutions Health Services Corporation, in
the amount of $966,150, to assist in the transition from an outsourced
patient billing system to an in-house patient billing system, for the
term of September 1, 2002 through June 30, 2003.
- Commissioner Monfredini emphasized that DPH is under a tight
timeline and she wants assurances this project will be completed in
a timely manner. Ronald Castleberry from Siemens said he feels
confident in a six-month timeline.
(3.2) AIDS Office-Prevention - Request for approval of a retroactive
sole source contract renewal with Continuum HIV Day Services, in the
amount of $745,875, for the Homebase Program, which provides
transitional HIV support services for incarcerated persons and the HOPE
Study, a research project, which assesses the effectiveness of the
Homebase Program, for the period of July 1, 2002 through June 30, 2003.
(3.3) AIDS Office-Prevention - Request for approval of a retroactive
contract renewal with Centerforce, Inc., in the amount of $764,000, to
provide HIV prevention and education services to incarcerated and
post-release populations at San Quentin State Prison, Central California
Women’s Facility and Fresno County Jail, for the period of July 1,
2002 through June 30, 2003.
(3.4) AIDS Office-Prevention - Request for approval of a new,
retroactive contract with Centerforce, Inc., in the amount of $59,004,
to provide HIV prevention and education services to incarcerated and
post-release African-American men at San Quentin State Prison whose
post-release address is within the San Francisco Eligible Metropolitan
Area, for the period of July 1, 2002 through December 31, 2002.
- Commissioner Parker asked how many patients would be served by
this new program. Nick Gardner from Centerforce said that they are
expecting to serve 2200 to 2600 individuals in the next six months
for both programs; 300-400 will be African American men.
(3.5) AIDS Office-HIV Research - Request for approval to accept and
expend retroactively a subcontract from Public Health Foundation
Enterprises, Inc. (PHFE), in the amount of $325,345, to fund a project
for “San Francisco HIV Vaccine Clinical Trials”, for the period of
June 1, 2002 to May 31, 2003.
(3.6) CHP-Maternal and Child Health - Request for approval to accept
and expend a grant from the California Department of Health Services, in
the amount of $113,788, to support healthy eating and childhood
overweight prevention services, for the period of August 1, 2002 to
September 30, 2003.
(3.7) PHP-AB 75 Project - Request for approval to accept and expend
retroactively a grant allocation from the State Department of Health
Services through its California Healthcare for Indigents Program (CHIP),
in the amount of up to $4,136,456, to provide reimbursement for health
services delivered to indigent persons for the term FY 2002-03.
(3.8) PHP-Epidemiology and Disease Control - Request for approval to
accept and expend retroactively a supplemental grant from the State
Department of Health Services, in the amount of $893,885, to further
develop and implement plans for public health preparedness and response
to bio-terrorism for the period of July 1, 2002 to August 30, 2003. The
grant includes a sole-source contract with the Regents of the University
of California for $18,031 for the same period.
(3.9) PHP-Behavioral Health Services - Request for retroactive
approval of a renewal contract with Lifemark Corporation, in the amount
of $434,222, to provide fiscal intermediary services to the Personal
Assisted Employment Services (PAES) for dental services, for the period
of July 1, 2002 through June 30, 2003. + This item was continued from
the July 16, 2002 meeting.
- Commissioner Parker asked if the treating dentists see the
patients promptly. Poo Yee Lindhalh said patients are treated
rapidly. Commissioner Parker asked if a participant has ever missed
out on a job interview because of having to wait for dental
services. Ms. Lindhalh replied that this program serves the very
disadvantaged, and it takes participants a while to get through the
system to the point where they can go to a job interview, so usually
this situation does not present itself.
(3.10) PHP-Behavioral Health Services - Request for approval of a
contract modification with San Francisco State University, in the amount
of $20,000 per year, for the period of July 1, 2002 through June 30,
2004, of a four-year contract, to provide professional substance abuse
counselor training and certification services, for a total contract
value of $340,000, for the period of July 1, 2000 through June 30, 2004.
(3.11) PHP-Behavioral Health Services - Request for approval of a
retroactive contract renewal with Morrisania West, Inc., in the amount
of $517,605, to provide day treatment substance abuse services to
African American youth and young adults, for the period of July 1, 2002
through June 30, 2003.
(3.12) PHP-Behavioral Health Services - Request for retroactive
approval of a new sole source contract with San Francisco Suicide
Prevention, in the amount of $304,000, to provide fiscal intermediary
services for the San Francisco Office-Based Opiate Treatment one-year
pilot project, for the period of July 1, 2002 through June 30, 2003.
- Because this is a new contract for a new program, Commissioner
Monfredini requested a six-month status report to the CHN Joint
(3.13) Primary Care - Request for approval of a retroactive renewal
contract with Haight Ashbury Free Clinics, Inc., with a total four-year
contract amount of $207,100, to provide primary care and HIV screening
services to low-income residents of San Francisco, for the period of
July 1, 2002 through June 30, 2006.
(3.14) CHN-SFGH Trauma Program - Request for approval of a new
contract with Gerson/Overstreet, in the amount of $75,000, to provide
aeromedical access needs assessment and feasibility study for the Trauma
Center at San Francisco General Hospital, for the period of September 1,
2002 through August 31, 2003.
- Commissioner Monfredini asked when the feasibility study would be
done. Mr. Overstreet from Gerson/Overstreet Architects said he is
prepared to begin the project immediately. Ms. O’Connell’s
expectation is that after the feasibility study is done the
Department will be able to answer any questions about licensing and
community issues, and be able to move forward with a helipad. Ms. O’Connell
stated that Gerson/Overstreet outlined in detail all of the steps
that need to be done, and the study will be completed by February or
March. She added that the expectation for remaining a Level 1 trauma
center is that there will be a helipad, and DPH will not fully meet
the requirements of the Trauma Plan until there is a helipad.
(3.15) CHN-SFGH - Request for retroactive approval of a new contract
with the Regents of the University of California, in the amount of
$280,000, to provide orthotics and prosthetics for medically indigent
adult clients of the Community Health Network, for the period of July 1,
2002 through June 30, 2003.
(3.16) CHN-SFGH Nursing Operations - Request for approval of contract
renewals with the following firms for a combined total of $1,500,000:
C.W. Healthcare, Inc., HRN Services, Inc., Maxim Healthcare Services,
Inc., Medical Staffing Network, Inc., Medstaff, Inc., Nurse Providers,
Inc. and United Nursing International, for the provision of
supplemental, temporary, per diem and traveling nursing personnel
services for the San Francisco General Hospital, Community Health
Network, for the period of September 1, 2002 through August 31, 2003.
- Commissioner Monfredini expressed her unhappiness with the three
contracts (Medical Staffing Network, C.W. Healthcare and Maxim) that
had unacceptable or improvement needed performance ratings. Ms.
Digdigan from San Francisco General Hospital said that by the end of
October she would have a better sense if the three contractors will
be able to perform. She said that since these contracts were only
started in May she is giving them 90 more days to improve service.
She added that she would ideally like to have more than three
contracts to call during time of high demand. Commissioner
Monfredini requested that Medical Staffing Network be called as a
last resort, and staff should look for a contractor to replace them.
- Commissioner Parker supports the 90-day period to see if there are
performance improvements, and asked that a report on these three
contracts be given to the San Francisco General Hospital Joint
Conference Committee in 90 days.
(3.17) CHN-Jail Health Services - Request for approval of a
retroactive renewal contract with Haight Ashbury Free Clinics, Inc., in
the amount of $3,749,029, to provide psychiatric and substance abuse
treatment services for inmates in the San Francisco County Jail system,
for the period of July 1, 2002 through June 30, 2003.
Action Taken: The Commission (Chow, Guy, Monfredini, Parker) approved
items 3.1 through 3.17 of the Budget Committee consent calendar, with the
exception of item 3.10. Item 3.10 was continued until Commissioner Sanchez
arrived, at which time the Commission (Chow, Monfredini, Parker, Sanchez)
approved it. Commissioner Guy abstained. Item 3.12, report back to the
Community Health Network Joint Conference Committee in six months. Item
3.16, report back to SFGH Joint Conference Committee in 90 days.
Selective Provider Contracting Program Waiver
Federal approval of California’s Selective Provider Contracting
Program (SPCP) waiver is in jeopardy. The SPCP, established in 1982,
provides critical Medicaid funding for California’s disproportionate
share hospitals (under the SB 1255 program) and teaching hospitals (under
the Graduate Medical Education program). Like other waivers, the SPCP
waiver is subject to renewal every two years. However, during the current
renewal process, the federal government has suggested that a key component
of the waiver may be disallowed, resulting in a $300 million reduction in
federal Medicaid funds to California’s safety net hospitals over the
next two years. For San Francisco General Hospital, this would mean a
reduction of $9.1 million. The Department has been working closely with
the Mayor’s Office of Legislative Affairs, with the City’s federal
lobbyist, and with our health and hospital partners in California to do
all we can to ensure federal approval of this critical Medicaid waiver.
On July 24th, the Governor held a press conference at San Francisco
General Hospital. The purpose of the press conference was to highlight the
Governor's commitment to HIV/AIDS and to encourage the passage of the
State budget to ensure continued availability of funding for critical
health programs. The Governor toured Ward 5A, the inpatient AIDS/Oncology
unit, and then addressed the media on the front lawn.
Federal Nurse Reinvestment Act
On August 1st, President Bush signed the Nurse Reinvestment Act, which
is intended to ease the nationwide nursing shortage. The new law:
- provides scholarships and loans to nursing students who agree to
serve for two years in a hospital with a critical nurse shortage;
- includes a loan cancellation incentive for nurses who receive
masters or doctoral degrees to teach at nursing schools;
- offers nurses continuing education, geriatric training, "career
ladder" programs, internship and mentor programs.
Though the legislation has been enacted, Congress must now appropriate
money to fund the bill. The Department of Public Health will continue to
work with the City’s federal lobbyist to support this important bill.
Outreach at 7th and Berry Streets
On July 27th, a homeless encampment located on City owned property at
7th Street and Berry was dismantled. Several homeless outreach staff
including the HOPE and MOST teams provided assistance to the 75 - 100
individuals residing in the encampment. DPH staff from the HOPE and MOST
teams provided medical assistance and mental health services. Staff from
the CATS/MAP First Response team provided transportation and assistance
completing Shelter Plus Care applications. Barbara Garcia and Charlie
Morimoto were both present to oversee any additional assistance.
Laguna Honda Environment Impact Report Approved
I am pleased to report that the Board of Supervisors unanimously
approved the Laguna Honda Hospital Replacement Project Environmental
Impact Report (EIR) August 12th. The approval of the EIR enables the first
phase of infrastructure construction to commence on schedule this fall. I
want to thank Commissioners Chow, Jackson and Sanchez, as well as the
staff and residents of Laguna Honda who attended the Board hearing to
support approval of the EIR.
A new state regulation for reporting HIV infection went into effect
July 1, 2002. It requires all health care providers and laboratories in
California to report positive HIV antibody results to the local health
officer. Blood banks and anonymous test sites are exempt from this
regulation. The regulation is referred to as “non-names reporting”
since the client’s name won’t be included in the report. One of the
purposes of this regulation is to have a better assessment of the epidemic
through better tracking.
As the Commission is aware, DPH, along with other city agencies and
community partners, has been actively conducting public awareness
campaigns concerning driver safety and in particular watching for
pedestrians. I am pleased to report that between 2000 and 2001 there was a
significant reduction in the number of pedestrian fatalities and injuries
in San Francisco. In 2001, 19 pedestrian deaths were recorded; this is
down 40 percent from 32 pedestrian deaths recorded in 2000. Similarly,
there were 916 pedestrian injuries in 2001, down 5% from 965 injuries in
2000. Other Bay Area jurisdictions did not experience the same magnitude
of declines in pedestrian injuries suggesting that San Francisco’s
reductions may be attributed to public awareness campaigns and are not
just a result of regional downtrends in traffic.
Childhood Immunizations Improving
There is good news from the Communicable Disease Prevention Unit about
immunizations among young children in San Francisco. According to the most
recent citywide survey , a record 81.5% of two-year-olds were up-to-date
with the immunizations needed to protect them against seven serious
diseases. The retrospective analysis also revealed that, broken down by
race and ethnicity, there were gaps between the overall coverage rates and
those of Latino and African American children. The gaps, however, have
decreased substantially from three years ago. Since 1999, the coverage
rate for African American children increased from 57% to 70%, and for
Latino children, the rate increased from 63% to 75%. An overall level of
90% coverage is optimal.
The dramatic increase in immunization coverage is a result of a
comprehensive effort with a special focus on reminder/recall systems by
local pediatric immunization providers, the San Francisco Immunization
Coalition and the Department of Public Health. The citywide survey is
conducted every three years. The information obtained from the survey
(attached) will be shared with all local pediatric providers and for
planning future immunization projects, especially among minority
New Deputy CFOs Hired
I am pleased to announce we have hired two new Deputy Chief Financial
Officers who will assist Gregg Sass in managing the financial operations
of the Department. Anne Okubo has been hired to replace Larry Doyle who
retired last June. I am sure that you remember Anne from her tenure here
as Budget Manager. For the last two years, Anne has been serving the City
as the Director of Finance and Administration for the Emergency
Communications Department. We are pleased to have Anne back in the
Valerie Inouye has been hired to fill Gregg’s previous position as
Deputy Finance Director for San Francisco General Hospital, Primary Care,
Health at Home and Jail Health. Valerie is a certified public accountant
and has over 20 years’ experience in healthcare financial management,
most recently as Controller at Stanford Hospital and Clinics. Valerie will
be another excellent addition to DPH’s finance team.
Director of Operations for Community Programs Hired
Michelle Ruggels, previously the Community Mental Health Services
Budget Manager, has been hired to the position of Director of Operations
for Community Programs. In this role, she will supervise and coordinate
the budget staff, facilities and other operational functions across the
Community Programs Division with the goal of streamlining and integrating
activities wherever possible.
- Commissioner Parker emphasized that prevention works across the
board, and this is demonstrated by the pedestrian safety outcomes. It
is also cost efficient. With regard to the Federal Nurse Reinvestment
Act, do we have any idea how this will be implemented? Dr. Katz
replied that it is still in the planning stages, and is not yet funded
by Congress. He added that nurses have been taken for granted, and the
fact that the president signed this legislation is a statement in and
of itself that nurses matter.
- Commissioner Guy echoed Commissioner Parker’s points about
prevention because it is often difficult to see successes, yet two
were presented in the Director’s Report. With regard to
immunization, the report shows foreign-born children were less likely
to be immunized. Is this because they came to the county at a later
age or are there other factors. Dr. Katz said there will always be a
gap for foreign children because the study does not take in to account
opportunity for immunization. So, if a child came when she was three,
this is only counted as a non-immunization. But because San Francisco
has the Healthy Kids program, which covers immigrants, the next survey
should show the gap decreasing.
5) PRESENTATION OF THE DEPARTMENT OF PUBLIC HEALTH EMPLOYEE
RECOGNITION AWARDS FOR THE MONTH OF AUGUST
Commissioner Chow presented the August Employee Recognition Awards.
Marcos Bañales, Health Worker III
SFGH - Jail Health Services, Forensic AIDS Project
Isela Gonzalez, Health Worker III
Adult and Pediatrics Asthma Clinic Team
Nancy Madden, N.P.
Shannon Thyne, M.D.
Rajeev Venkayya, M.D.
SFGH - Children’s Environmental Health Promotion
Karen Cohn, Program Manager
6) PRESENTATION OF THE ANNUAL JAIL HEALTH REPORT
Joe Goldenson, Medical Director, Forensic Services, presented the Jail
Health Report. Jail Health Services views the period of incarceration as
an opportunity to treat and provide prevention services to the inmate
population who typically does not access these services in the community.
The presentation focused on collaborative projects, future directions and
Five programs were highlighted: Forensic Support Services (Mentally Ill
Offender Grant I); Connections (Mentally Ill Offender Grant II); Hepatitis
Prevention Program; Homebase Outcomes Project Evaluation (HOPE); and STD.
Kate Monaco Klein presented the Homebase/HOPE Study. The project is
designed to increase post-release use of medical and social services,
decrease post-release medication non-adherence, decrease post-release HIV
risk behaviors and decrease recidivism. 76 clients have been enrolled and
28 have completed the Homebase project. Preliminary data shows that 61%
graduated, 33% discharges, and 4% MIA. 67% of the control group clients
were reincarcerated at least one time and 60% of the Homebase clients were
reincarcerated at least one time. This outcome has lead staff to realize
that it took a long time for their clients to become homeless, HIV
positive and substance abusers so it will take a long time to change these
Ms. Monaco Klein also presented the Hepatitis Prevention Program, which
is a collaborative effort with Jail Health Services and DPH Hepatitis
Prevention Program. The pilot project, which began in January, offers risk
assessment, counseling, testing, vaccination and follow-up services. In
the first quarter of the Hepatitis B Vaccination pilot program 89% of
participants received their second vaccination. She added that staff is
moving toward multi-infection counseling.
Jo Robinson, Director of Jail Psychiatric Services and Assistant
Director of Jail Health Services, presented the Mentally Ill Offenders
Grants information. Over the past ten years there has been a 35% increase
in inmates with mental illness in San Francisco jails, which is a result
of the increasing criminalization of the mentally ill.
In 1998 legislation was adopted that approved $104 million statewide
for the Mentally Ill Offender Crime Reduction Grants demonstration
project, which is designed to curb recidivism among persons with mental
illness. The grants require collaboration and communication between law
enforcement, corrections, mental health and other agencies. San Francisco
received two projects. MIO I-Forensic Support Services is a four-year, $5
million grant. MIO II-Connections was a three-year, $3.5 million grant but
has been cut to two years due to the state budget crisis.
Forensic Support Services provides assertive case management services
with a long-term commitment to participants. It is fully enrolled with 249
participants but has yet to be fully assessed. The diagnostic picture is
that they are seeing inmates with severe mental health problems.
MIO II provides short-term criminal justice case management with a
mental health bridge. This program works closely with the Sheriff’s
Department, JPS, Pre-trial Diversion, Center for Juvenile and Criminal
Justice, Progress Foundation and others. There are 83 active participants
who have mental health and substance abuse diagnoses. There are three
levels of evaluation: address changes at the gate-keeping county agencies;
address changes at the community-service level; and address changes at the
Issues and Needs
- More mental health professionals needed to assess for Courts
- Judges don’t know what to do with this population
- Limited treatment resources - judges concerned about releasing to
- Loss of SSI while in jail
- Need for special training
- Housing shortage
- Organic brain disease
Dr. Joe Goldenson reported on the chlamydia screening program in the
jail. Jail Health Services instituted a STD screening program where males
ages 18-30 and females ages 18-35 are screened. People who are positive
are treated in the jails, and STD has devoted resources to locate and
treat people in the community once they have been released from jail. In
order to evaluate the impact of the jail’s chlamydia screening program,
they compared chlamydia rates at two health centers, Southeast and Ocean
Park. When the screening started Southeast clinic had a much higher rate
of positivity than Ocean Park did. Over the four years of the program the
rate has declined at Southeast while remaining constant at Ocean Park.
Because a high proportion of people screened in the jails come from
neighborhoods in the south east sector of the city, the data suggest that
chlamydia screening in the jails has been a factor that has contributed to
this decrease. This reinforces their belief that efforts in the jail to
identify and treat problems have major impacts on the community.
Future Goals and Directions
- Develop outreach to this population in the community
- Research to determine barriers to DPH services already being
provided in the community
- Develop coordinated services among JHS, DPH, other City departments
and community agencies
- Educate incarcerated individuals about prevention and primary care
opportunities in the community
- While incarcerated, connect them to a neighborhood clinic
- Have social service agencies come into the jail to initiate
- Commissioner Guy is very excited that these initiatives that were
undertaken by the staff have demonstrated that further collaboration
among services providers has successful outcomes. The chlamydia
program clearly demonstrates that collaboration and access work. She
asked how this can be continued vis-à-vis budget issues, the
reorganization that is going on in DPH and other factors. Many of our
inmates have complex, severe mental health diagnoses, which can make
them a difficult population to work with. Large number of inmates with
schizophrenia. These efforts will need funding.
- Commissioner Monfredini asked if inmates are required to be in
compliance with medication orders while in jail. Dr. Goldenson said
that they have the same rights to refuse medication as someone who is
not incarcerated. Dr. Katz added that there is a bill by
Assemblymember Thompson that sets conditions for allowing mandatory
medication. Commissioner Monfredini asked if inmates are referred to a
counselor or psychiatrist when they leave. Ms. Robinson said that they
give every inmate that leaves who requests it a two-week supply of
medication, a prescription and an appointment. And there are five
social workers (in addition to those funded through the MIO grants)
whose job is to work with the courts and the clients to get them
placed in the community and do follow up. Commissioner Monfredini
asked if housing a problem. Ms. Robinson said that through one of the
grants there is housing upon discharge. But this is only available for
people who are participating in that grants.
- Commissioner Parker said substance abuse is a core problem. We need
to get the community involved. DPH is doing its job but cannot succeed
alone to reduce substance abuse, which is the foundation of many
problems. Need to provide more prevention. Dr. Goldenson said that at
times the magnitude of the problem can be depressing but there is
hope, for example Proposition 36. This allows people with substance
abuse problems to get treatment rather than being put in jail.
Commissioner Parker said that when these people are released from
jail, who welcomes them? Who gives them a job? Who gives them housing?
The community has to be involved.
- Commissioner Chow asked how many inmates succeed after they are
released and if not, what are the barriers. Ms. Robinson said that the
hope is that the research done on the mentally ill offenders
grants-which is being done on all California programs-should give us
the information we need on how effective these interventions are. This
should be complete in approximately 1 ½ years. Dr. Katz reminded the
commissioners that the jail programs are just one, often short,
intervention in very complex lives. We need to make sure we set the
right goal for jail health services. Dr. Chow said it is very
important to see how many of the participants in these innovative
programs actually get connected in the community. This will be studied
in both the mental health and STD programs. Dr. Goldenson said that a
number of years ago they did a study looking at how many people who
had tested positive in jail for TB went to a TB clinic post-release.
Some interventions led to an increase from 3% to 30%.
7) PRESENTATION OF THE HEALTHCARE ACCOUNTABILITY REPORT
Mitch Katz presented an update on the Health Care Accountability
Ordinance. He gave some background on what the Health Commission, when it
approved the program, specified be offered in the insurance product. This
is the right thing for the Health Department and the right thing for
employers. Because of the way it was written there were a number of
exemptions. The ordinance is very complicated to implement. The final
rules and regulations were only issued in May. Therefore the Department
has not been able to undertake an actuarial study, but Dr. Katz
anticipates that by October or November they will have the data to
undertake the actuarial analysis. He can report in December or January so
that the Health Commission can make recommendations for further direction.
There are two alternatives for possible consideration. One is to use a
Taft-Hartely framework, which is currently available for union employees.
Secondly there is state legislation that, if passed, would enable
individual employers mandated to provide insurance will be considered a
“small employer” and be allowed to participate in the State’s small
employer purchasing pool.
Dr. Katz that DPH contracts were reviewed and a number were found to be
exempt. Of those that fall under the ordinance most contractors are able
In summary, they have not been able to meet the timelines and the lack
of complaints about this ordinance by agencies and employers is because of
the work that has been done. Judith Blackwell, the City Purchaser, spoke
on behalf of the Office of Contract Administration (OCA). She said they
have worked very well with DPH. The regulations that were issued were a
result of several extensive meetings with various parties including
advocacy groups, non-profits, the health care community and many others.
Now they are in the implementation stage. 56 audits have been done to
ensure compliance with the ordinance, and OCA is working to ensure that
compliance language is included in all future contracts.
- Dale Butler, SEIU 790 - this legislation has had a real life impact
on people’s lives. From the very inception of the ordinance, DPH,
OCA, the labor community and Bay Area Organizing Committee have worked
very well together. The next step is to figure out other places to
go-there are still a lot of people out there without health insurance.
- Sister Kathleen Healy, Bay Area Organizing Committee (BAOC) -
commended the work of the Office of Contract Administration in
implementing this ordinance, and thanked the Commission for the high
standards that were set at a low cost for the employee. BAOC
understands the delays but looks forward to the ordinance being fully
implemented. And they are especially interested in hearing how the
program could work for other insured populations in San Francisco.
- Commissioner Monfredini is proud of what we have done but we need
viable data to proceed.
- Commissioner Guy said that the Commission should get another report
in January. She was initially disappointed because of the lack of
data, which led to her concern about whether or not this was a viable
mechanism for providing health insurance. Ms. Blackwell, Dr. Katz and
BAOC have convinced her that this question cannot be answered without
data. She wants the City to influence passage of the state
legislation. The requirement to cover 15-hour per week workers will be
difficult to comply with.
- Commissioner Chow is particularly concerned about options for
covering employees who work 15 to 20 hours per week. He added that the
Commission would need to review the standards in June 2003 so having
the data in January is crucial to allowing the Commission to make
recommendations in June.
8) PUBLIC COMMENTS
Elizabeth Frantes - offended by Supervisor Leno’s medical marijuana
proposal because not many people were consulted in its creation. He wants
the city to get in the business of growing medical cannabis, which will
take years. She does not want access to medical marijuana limited. We need
growers coops now. In the name of being a medical cannabis sanctuary
please do something.
9) CLOSED SESSION
A) Public comments on all matters pertaining to the closed session
B) Vote on whether to hold a closed session (San Francisco
Administrative Code Section 67.11)
- Action Taken: The Commission (Chow, Guy, Monfredini, Parker,
Sanchez) voted to hold a closed session.
- The Commission went into closed session at 5:13 p.m. Present in the
closed session were Commissioner Chow, Commissioner Guy, Commissioner
Monfredini, Commissioner Parker, Commissioner Sanchez, Mitch Katz,
M.D., Norm Nickens, Anthony Grumbach, Deputy City Attorney, and
C) Closed session pursuant to Government Code Section 54956.9 and San
Francisco Administrative Code Section 67.10(d)
- Conference with Legal Counsel - Existing Litigation
- Proposed settlement of a litigated claim for $100,000, Cordero v.
CCSF, San Francisco Superior Court Case #324064
Action Taken: The Commission (Chow, Guy, Monfredini, Parker, Sanchez)
approved the $100,000 settlement.
D) Reconvene in Open Session
The Commission reconvened in open session at 5:45 p.m.
- Possible report on action taken in closed session (Government Code
Section 54957.1(a)2 and San Francisco Administrative Code Section
- Vote to elect whether to disclose any or all discussions held in
closed session (San Francisco Administrative Code Section 67.12(a).)
Action Taken: The Commission (Chow, Guy, Monfredini, Parker, Sanchez)
voted not to disclose discussions held in closed session.
The meeting was adjourned at 5:45 p.m.
Michele M. Olson, Executive Secretary to the Health Commission