Minutes of the Health Commission Meeting
Tuesday, February 7, 2006
101 GROVE STREET, ROOM 300
San Francisco, CA 94102
1) CALL TO ORDER
Commissioner Monfredini called the meeting to order at 3:10 p.m.
- Commissioner Lee Ann Monfredini, President
- Commissioner, James M. Illig, Vice President
- Commissioner Edward A. Chow, M.D.
- Commissioner Roma P. Guy, M.S.W.
- Commissioner David J. Sanchez, Jr., Ph.D. – left at 5:40 p.m.
- Commissioner Donald E. Tarver, II, M.D.
- Commissioner John I. Umekubo, M.D.
Commissioner Monfredini announced the Health Commission committee
JOINT CONFERENCE COMMITTEE FOR COMMUNITY HEALTH NETWORK
James M. Illig, Chair
Donald E. Tarver, II, M.D., Member
Roma P. Guy, Member
Alejandra Rodas, Youth Health Advisor
JOINT CONFERENCE COMMITTEE FOR LAGUNA HONDA HOSPITAL
Edward A. Chow, M.D., Chair
David J. Sanchez, Jr., Ph.D., Member
JOINT CONFERENCE COMMITTEE FOR POPULATION HEALTH AND PREVENTION
Roma P. Guy, Chair
Lee Ann Monfredini, Member
Milo Santos, Youth Health Advisor
JOINT CONFERENCE COMMITTEE FOR SAN FRANCISCO GENERAL HOSPITAL
Lee Ann Monfredini, Chair
John I. Umekubo, M.D., Member
David J. Sanchez, Jr., Ph.D., Chair
Edward A. Chow, M.D., Member
Donald E. Tarver, M.D., Member
IHSS PUBLIC AUTHORITY
James M. Illig
S.F. HEALTH AUTHORITY
John I. Umekubo, M.D.
David J. Sanchez, Jr., Ph.D.
2) APPROVAL OF THE MINUTES OF THE HEALTH COMMISSION MEETING OF JANUARY
Action Taken: The Commission approved the minutes of the January 17,
2006 Health Commission meeting, with the following corrections: page 2 –
“Medicare” in place of “Medicaid.” Page 5 – added to Dr. Katz’s comments
“He added that while the San Francisco Health Plan would see a
reduction, it decided not to reduce capitation to its medical groups;”
Page 7 - Commissioner Sanchez moved that the nominations for President
and Vice President be closed.
3) APPROVAL OF THE CONSENT CALENDAR OF THE BUDGET COMMITTEE
Items for Approval
(3.1) PHP-AIDS Office – Request for approval to accept retroactively and
expend the Year 2 subcontract from PHFE Management Solutions, in the
amount of $55,140, for HIV Prevention Trials Unit Protocol 039, for the
period of July 1, 2005 to June 30, 2006.
(3.2) AIDS OFFICE-HIV/AIDS Stats & Epidemiology – Request for approval
of a retroactive renewal contract with PHFE Management Solutions, in the
amount of $98,483, including a 12% contingency, to provide fiscal
intermediary support for the HIV/AIDS surveillance activities for the
AIDS Office - HIV/AIDS Statistics & Epidemiology Section, for the period
of January 1, 2006 through December 31, 2006.
(3.3) AIDS OFFICE-HIV Health Services – Request for approval of a
retroactive renewal contract with Catholic Health Care West – St. Mary’s
HIV Care Program, in the amount of $216,160, including a 12%
contingency, to provide Primary Care Services targeting persons with HIV
who reside in San Francisco, for the period of November 1, 2005 through
February 28, 2006.
Secretary’s Note – Commissioner Illig and Commissioner Umekubo abstained
from voting on this item.
(3.4) PHP-AIDS Office – Request for approval of a resolution approving
FY 2006-07 interim agreements that incorporate an extension of the terms
of the FY 2005-06 HIV Health Services Federal Ryan White CARE Title I
Secretary’s Note – Commissioner Tarver abstained from voting on this
item as it relates to Baker Places. Commissioner Illig abstained from
voting on this item as it relates to Project Open Hand.
(3.5) PHP-Housing & Urban Health – Request for approval of a resolution
approving FY 2006-07 interim agreements that incorporate an extension of
the terms of the FY 2005-06 Housing & Urban Health AIDS CARE Title I MOU
Secretary’s Note – Commissioner Tarver abstained from voting on this
item as it relates to Baker Places.
(3.6) PHP-Housing & Urban Health – Request for approval to accept and
expend a grant from the Department of Housing and Urban Development, in
the amount of $982,033, to expand the Direct Access to Housing program
for the period of April 1, 2006 to March 31, 2008, and sole source
personal services contracts with Community Awareness and Treatment
Services and Tenants and Owners Development Corporation, in the amount
of $892,800 for the same time period.
- Commissioner Tarver noted for the record that the cost of this
contract is approximately $14,400 per person. This highlights the cost
of supportive housing. With $7 million, the Department could serve
approximately 486 people.
(3.7) BHS – Request for approval of a retroactive contract renewal with
City College of San Francisco in the amount of $91,800 per year, for a
total contract amount of $462,672, including a 12% contingency, to
provide substance abuse counselor credentialing services, for the period
July 1, 2005 through December 31, 2009.
(3.8) CHP-Primary Care – Request for approval of a retroactive contract
renewal with San Francisco Bar Association, in the amount of $485,120,
with an annual contract amount of $121,280, for a total contract of
$543,334, including a 12% contingency, to provide Supplemental Security
Income application assistance to the chronically homeless and mentally
ill in San Francisco, for the period of July 1, 2005 through June 30,
Items for Discussion and Approval
(3.9) BHS – Request for approval of a retroactive contract with the
Regents of the University of California Center on Deafness, in the
amount of $492,361, to provide mental health and substance abuse
outpatient services, for the period of July 1, 2005 through June 30,
(3.10) CHN-SFGH – Request for approval of the addition of HealthSource
Global Staffing, Inc., to the previously approved contract of $2,700,000
that is shared by eight contractors: Agostini Medical Staffing, Arcadia
Health Services, Inc., Crdentia Corporation, First Call Nursing
Services, Inc., HRN Services, Inc., Medstaff, Inc., Nurse Providers,
Inc. and United Nursing International, to provide supplemental,
temporary per diem and traveling nursing personnel services for San
Francisco General Hospital, for the period of July 1, 2005 through June
(3.11) CHN-SFGH – Request for retroactive approval of a previously
executed emergency contract in the amount of $100,000 with Nurse One
Staffing, LLC, to provide supplemental, temporary per diem and traveling
nursing personnel services under a state of health emergency for San
Francisco General Hospital, for the period of December 1, 2005 through
June 30, 2006, per San Francisco City and County’s Administrative Code,
Section 21.15, Emergency Procurement Procedures.
Action Taken: The Commission approved the Budget Committee Consent
Calendar, including Resolution 01-06, “Approving Fiscal Year 2006/07
Interim Agreements Incorporating an Extension of the Terms of Fiscal
Year 2005-06 HIV Health Services Program Contracts for the Department of
Public Health,” (Attachment A) and Resolution 02-06, “Approving Fiscal
Year 2006/07 Interim Agreements Incorporating an Extension of the Terms
of Fiscal Year 2005-06 Housing and Urban Health Program Contracts for
the Department of Public Health,” (Attachment B).
Commissioner Illig abstained from voting on Item 3.3 and Item 3.4 as it
relates to Project Open Hand. Commissioner Tarver abstained from voting
on Item 3.4 and 3.5 as it relates to Baker Places. Commissioner Umekubo
abstained from voting on Item 3.3.
The Commission asked for an update to the Budget Committee in one year
for Item 3.8.
4) DIRECTOR’S REPORT
Anne Kronenberg, Deputy Director of Health, presented the Director’s
Revenue Supplemental Appropriation
The Mayor is submitting the revenue supplemental today that was approved
by the Health Commission on January 11th. The supplemental is being
revised to include additional one-time costs funded with Health
Department surplus revenues augmented with State Funding and additional
City General Funds that are also one-time in nature. The Health
Commission approved an initial revenue supplemental appropriation of
$10.26M on January 11th, which was later increased to include $2.4M for
work orders and contract expenses. This has now been increased to fund:
- $1,755,000 for efficiency improvements in the neighborhood health
- $9,495,000 for furniture, fixtures and equipment for the Laguna Honda
- $25,000,000 to fund the environmental impact report and design phase
for the SFGH rebuild.
The supplemental will utilize $27.6M of DPH’s projected surplus
revenues, $4M in SB90 state funding and City General Funds of $17.3M.
Universal Healthcare Council
Today Mayor Newsom announced the formation of a new advisory group, the
Universal Healthcare Council. The Council is tasked with delivering a
report in 100 days outlining implementation steps for the Mayor’s
proposed defined benefit program. Co-chairing the Council are Sandra
Hernandez, M.D., CEO of the San Francisco Foundation and Lloyd Dean, CEO
of Catholic Healthcare West. The defined benefit program will provide
uninsured San Franciscans access to health care services at an
affordable cost through the Department of Public Health and the SF
Consortium Clinics. Components of the defined benefit program include:
- Routine health screening and physical exams
- Prenatal care
- Primary care
- Planned hospitalization
Currently the proposal enjoys widespread support from business, labor
and health care advocates. Supervisor Tom Ammiano amended his Universal
Healthcare legislation to allow the new defined benefit program as an
option. Once implemented the program will require an expansion of our
health care system. Dr. Katz will keep the Commission apprised of the
Laguna Honda Special Use District Initiative
As the Commission is aware, a group of activists has presented the
Department of Elections a signature drive that, if approved, will place
an initiative on the ballot that will severely limit future admissions
to Laguna Honda Hospital based on age and long-term disability needs.
One of the critical elements of public health is to be able to respond
to emerging needs of a population, of which Laguna Honda Hospital has a
long and proud history. Had this initiative been in place prior to 1980,
the Department would not have been able to open an AIDS Ward at LHH. DPH
understands and shares the concern that the public has in wanting to
protect the residents of Laguna Honda Hospital and have taken a number
of steps to strengthen security and carefully screen new patients. DPH
continues to admit patients based on the Mayor's directive of 2004,
giving first priority to those from the community, those at risk of
becoming homeless, and, finally, transfers from San Francisco General
Hospital that meet the appropriate criteria. The Director’s Report
included clippings from today's Chronicle and Examiner.
President Bush’s FY 2007 Budget
President Bush’s FY 2007 budget was released yesterday. The proposal
predicts a record deficit of $423 billion in 2006 and reduces funding
for domestic programs. Overall, a $5.3 billion cut is proposed for
non-security domestic discretionary programs, including a $126 million
cut to discretionary health programs. When inflation is taken into
account, the total proposed cut to non-entitlement, non-security
domestic programs is $16.8 billion.
Although $11 billion in cuts to Medicaid services were just enacted, the
budget would cut another $14 billion from Medicaid over the next five
years. Proposed cuts include further limits on intergovernmental
transfers, cuts to payments for targeted case management and reduced
administrative funding. Greater cuts are proposed for Medicare, which
would lose $2.5 billion in FY 2007 and $36 billion over the next 5
years. These include an $8.1 billion reduction in Medicare hospital
inpatient and outpatient reimbursements and $6.2 billion in savings
generated by phasing out, over the next 4 years, Medicare bad debt
payments for inpatient and outpatient hospital services. Medicare
payment rates for skilled nursing homes and home health agencies would
be frozen in 2007, and scheduled inflation increases for these services
in 2008 and 2009 reduced. The budget also allows a scheduled cut in 2007
to Medicare physician payments to go forward.
The House and Senate Budget Committees have until April 15 to hold
budget hearings, mark up a Budget Resolution and resolve differences
between the House and Senate Resolutions. It is not unusual, however,
for Congress to miss the April 15th target.
Laguna Honda Licensing and Certification Survey
State inspectors from the Department of Health Services arrived at
Laguna Honda Hospital (LHH) on Sunday, February 5th for their annual
Licensing and Certification survey. They are also joined by federal
inspectors from the Centers for Medicare & Medicaid Services. There are
a total of 17 inspectors. They are expected to conduct their evaluation
at LHH over the next two weeks.
SF Asthma Task Force Project
A number of key steps have been taken by the Board of Supervisors’
Asthma Task Force. Most notably, the Task Force achieved its goal of
recruiting and hosting 75 participants at the Certified Asthma Educator
Certification Exam Review Course was held on February 2-3 and taught by
the Association of Asthma Educators. The Task Force intends to
financially support each candidate’s registration and successful
completion of the Asthma Educator certification exam and to support
ongoing informal seminars and other resources.
The National Asthma Educator Certification Board initiated the
professional exam process in September 2002. As of November 30, 2005,
there were 1,420 AE-C certificants nationwide, with a national pass rate
of 70 percent. In their words, “By providing a certification process,
patients, providers and healthcare payers will be assured that
information provided by a Certified Asthma Educator (AE-C®) is based
upon scientifically sound concepts.” Another goal of the Board is to
secure third-party reimbursement for asthma counseling by the Centers
for Medicare & Medicaid Services.
The Task Force reached out to a broad and impressive spectrum of
hospitals and clinics that serve patients most in need of asthma
self-management education. Many staff in non-clinical programs are
involved as well as health professionals serving adults with asthma.
Additional financial support for the project has been provided by the
Asthma Resource Center, Inc., through contributions to date from Kaiser
Permanente SF, CPMC Community Benefits and Genentech.
The San Francisco Health Code was recently amended to require the
Department of Public Health to enforce existing Prop 65 (Safe Drinking
Water and Toxic Enforcement Act of 1986) requirements in all restaurants
and markets. Prop 65 requires the public to be notified about the
presence of certain chemicals in foods, beverages or other consumer
products that cause cancer, birth defects, or other reproductive harm.
The San Francisco Law requires the warning sign to be posted in Chinese,
Spanish, and English. On January 12th, Environmental Health sent out a
letter to food establishment owners and operators explaining the new
requirement, along with a list of frequently asked questions and answers
about the new law and a multi-lingual warning sign that meets the Prop
Medical Cannabis Dispensary Act
The Board of Supervisors recently amended the City’s Planning and Health
Codes by requiring a Health Department permit to operate a medical
cannabis dispensary, setting up zoning restrictions, requiring the
Planning Commission to hold discretionary review hearings, setting up an
application process, establishing operating requirements, and requiring
the Health Department to inspect the dispensary at least twice a year.
Working closely with representatives from City Planning, Department of
Building Inspection, and the City Attorney’s Office, the Environmental
Health Section began to implement the legislation on December 30, 2005.
On January 18, 2006, the Environmental Health Section held a public
meeting for owners and operators of existing dispensaries, new
applicants, and the media to discuss the permitting process. Application
forms and referrals to other city agencies are now posted on the
Environmental Health Section’s web page.
LHH Credentials Year-to-Date Report, 7/1/2005 to 01/19/2006
Restriction/Limitation of Privileges
Changes in Privileges
- Commissioner Monfredini said she, Commissioner Illig, Commissioner Guy
and Commissioner Chow attended the Mayor’s press conference at NEMS
regarding universal health care. The energy in the room was
extraordinary, and this proposal has every chance of becoming a reality.
San Francisco will again be at the forefront of health care.
- Commissioner Chow added that business was well represented at the
press conference, including people from the Chamber of Commerce and the
Committee on Jobs. Everyone is genuinely interested in moving this
- Commissioner Umekubo is happy to hear that business is supportive of
this initiative. Last night at the San Francisco Medical Society
Executive Committee meeting, the physicians gave their support for this
effort and want to be involved.
- Patrick Monette-Shaw said that the Health Commission and Dr. Katz are
using AIDS as a scare tactic to build support against the Laguna Honda
Hospital ballot initiative. Mr. Monette-Shaw said it is irresponsible to
add more people to community clinics when the Department already has a
backlog. There is no provision in Supervisor Ammiano’s legislation to
require money to be allocated to primary care.
- Commissioner Chow supports the supplemental appropriation to fund the
next steps for the San Francisco General Hospital rebuild. The
supplemental also helps begin the financing for furniture and equipment
for Laguna Honda Hospital. Furthermore, the proposed supplemental
recognizes that there is an infrastructure problem at the primary care
clinics and begins to address these problems.
5) RESOLUTION SUPPORTING THE CREATION OF A COMMUNITY LIVING TRUST FUND
Commissioner Illig introduced the resolution, and gave some background.
The Living with Dignity plan laid out what San Francisco could do to
help people get out and stay out of institutions such as Laguna Honda
Hospital. Subsequently the TCM program was started. Then in March 2005,
the Controller issued a report that included among its recommendations
the creation of a trust fund that could be used to support hundreds of
people living in the community. Commissioner Illig and others in the
community see the opportunity to create this fund now, which is what is
before the Commission today. He understands that there is some concern
about the amount of money that is initially allocated to the fund, and
he is willing to have this discussion. But he wholeheartedly supports
moving forward with the creation of the community living trust fund. The
time is now.
- Sandy Mori, co-chair of the Long Term Care Coordinating Council (LTCCC),
said the LTCCC strongly supports the creation of the Community Living
Trust Fund. She urged the Health Commission to support the creation of
the fund and urge the Mayor and Board of Supervisors to fund this as
part of the budget process.
- Sandy O’Neill, Independent Living Resource Center and member of the
LTCCC, said money must be attached to the resolution supporting the
creation of the trust fund.
- Meg Cooch, Planning for Elders in the Central City, conveyed comments
from Mercy Housing, which is opening two new buildings: Mission Creek
and 9th & Jesse. The trust fund could help fund these types of programs.
Ms. Cooch urged the Health Commission to include $7 million in its
- Elinore Lurie, Planning for Elders in the Central City, said a
community living trust fund would do a lot to address the gaps in
discharge services, and people would not have to scrounge around at the
last minute to arrange services.
- Bruce Allison, Living Wage, said getting people out of the hospital
gives them a chance to get back into the community.
- Herb Levine, ILRCSF, said the Health Commission should not pass a
resolution without attaching money to it. This would continue a long
tradition of empty promises.
- Bob Planthold spoke in support of the community living trust fund.
Move ahead with the resolution, including specifying a $7 million
allocation to the fund.
- Barry Benda, Golden Gate Regional Center, Jacy Cohen, ARC of San
Francisco, Terrence Jones, Westbay Housing Corporation, said they have
put together a preliminary plan on working together to develop
alternatives for their 33 residents at Laguna Honda Hospital.
- Tricia Webb, LTCCC, said she looks forward to having the choice to be
at home or not. She supports the community living trust fund, and it
needs to be funded.
- Elizabeth Boardman, North and South of Market Adult Day Health Center,
spoke in support of funding the community living trust fund. The
community does not need a resolution that this is another good idea—they
need solid financial support from the City.
- Ruth Gravitt, Mental Health Association, said the community living
trust fund would allow for expansion of community services to address
the growing need for services that cannot be provided by institutions.
People thrive when they are not living in institutions.
- Debra Howell, Hydrocephalus Association, urged the Health Commission
to support the resolution, which gives people the choice to live at
- David Bonner, IHSS Consortium peer mentor, urged the Health Commission
to put money into the community living trust fund to provide more
outreach, paratransit services, and other services that allow people to
live in their homes.
- Michael Kwok, Planning for Elders, said people must have the choice to
live in the community rather than in institutions. The $7.14 million
surplus is a rare opportunity, and he urged the Health Commission to do
the right thing.
- Elizabeth Zirker, Protection and Advocacy, supports the creation of a
community living trust fund, which PAI believes would be one step toward
compliance with the Davis Settlement.
- Patrick Monette-Shaw supports the creation of a trust fund, but not
using the tobacco settlement money or surplus revenue.
- Michael Lyon, San Francisco Gray Panthers, said the Gray Panthers have
taken a position that both skilled nursing homes and community care are
needed. There is enough money for all kinds of care in San Francisco.
- Marie Jobling, Planning for Elders and co-chair of the LTCCC, asked
the Health Commission to prioritize funding for community alternatives
and support a funded trust fund.
- Nancy Brundy, Institute on Aging, said the time is now to invest in
community-based living. $7 million is a drop in the bucket. The Health
Commission should take a leadership role here.
- Yvonne Martinez, SEIU 790, said her union supports community services.
They agree with the concept of community care, but she is concerned
about the lack of detail, including the labor standards and standards of
care for home care. She is concerned about the presumption for Option 2.
- Mel Beetle, 10-Year Plan to End Chronic Homeless Council, spoke in
support of a community fund to help community-based services. It is
- Commissioner Guy disagrees with linking the $7 million to this
resolution. She is not prepared to send this forward with a specific
dollar allocation without details about what would be funded, who would
administer the program and other details about how this is going to
work, none of which is delineated in the resolution. She supports the
Health Commission making a commitment that the community living trust
fund be part of DPH’s budget for next year. She made a friendly
amendment that the last whereas and the first resolved clause be
- Commissioner Chow said a trust fund has enormous merit. There is the
need to work out a roadmap upon which the fund would be developed and
administered. To do this right, the Health Commission needs the details,
and he supports a resolution supporting the creation of a community
living trust fund and asking the Department to flesh out the details and
identify how to structure a fund that works for the long-term future.
- Commissioner Sanchez said today’s announcement about universal health
care speaks to the needs of all people. He supports the community living
trust fund, and having funding for the trust fund on the Health
Commission’s and Health Department’s budget radar.
- Commissioner Umekubo supports the creation of the community living
trust fund, but believes more thought needs to be put into the details.
That said, he does not want to lose the sense of urgency around the
- Commissioner Tarver does not support removing the $7 million
allocation from the resolution. Using this $7.14 million would not take
money from any other services. Allocating this money shows that it is a
priority, and something is lost if references to funding are deleted.
- Commissioner Monfredini supports the community living trust fund.
However, she does not support sending this forward to the Mayor’s Office
without assurances that there will be Department involvement in
administering the trust fund. She supports making funding for the trust
part of the Department’s budget priorities. She asked Dr. Katz to
comment on the best way to move forward. Dr. Katz said Health
Commissioners have consistently told him that they want to increase the
financial commitment to community-based placement. He believes there
must be more work on the details of the fund and to what extent Medicaid
dollars could be leveraged toward this fund.
- Commissioner Illig said the LTCCC has developed a lot of the details
in its Community Placement Plan, which was distributed to the Health
- Commissioner Guy said she believes there are significant ideas to
allow DPH to make a recommendation about funding for a community living
trust fund within this budget year. Is this an accurate assumption? Dr.
Katz said at this time he would have a difficult time telling the Health
Commission to prioritize funding the trust fund over things like
Community Placement or Health at Home. Dr. Katz further believes it is
inevitable that Medicaid will begin to pay for these services. The
Department could develop the details within 60 days.
- Commissioner Tarver said the Health Commission is responsible for
asking for funding, so he supports the resolution as originally
Action Taken: The Commission (Chow, Guy, Illig, Monfredini, Sanchez,
Umekubo) approved an amendment to the resolution to remove the last
Whereas clause and to change the first sentence of the first Resolved
clause to read: Resolved, that the Health Commission recommends the
creation of a Community Living Trust Fund as part of DPH’s budget this
year and sustained in the future, and charges the Department to bring
back details of how it could be funded and managed within the next 60
days. (Commissioner Tarver voted no.)
Action Taken: The Commission approved Resolution 03-06, “Resolution
Recommending the Creation of a Community Living Trust Fund,” as amended
6) 2ND QUARTER FINANCIAL REPORT
Gregg Sass, Chief Financial Officer, presented the 2nd Quarter Financial
Report. This report presents the second quarter financial projection of
revenues and expenditures for FY 2005-06. Mr. Sass noted that this
report builds in the supplemental appropriation that the Health
Commission approved and DPH submitted to the Mayor’s Office. It does not
incorporate the revised supplemental appropriation that Mayor Newsom
announced today. Mr. Sass presented an overview of each division in the
Projected FY 2005-06 Year-End Surplus/Deficit
- Commissioner Illig asked if DPH would still end the year with a
surplus given the Mayor’s proposed supplemental appropriation. Mr. Sass
said he anticipates a small surplus.
- Commissioner Guy asked Mr. Sass what the structural issues are facing
Primary Care. Mr. Sass said that there are two major issues. One is an
intradepartmental transfer between the AIDS Office and Primary Care,
which is being addressed in next year’s budget. The other issue is
personnel services costs that exceed budget.
- Commissioner Umekubo asked if the city is still anticipating an $80
million deficit. Mr. Sass said he has not heard any change to this
7) PUBLIC COMMENT
Louis Dixon spoke about Rogerian Nursing Theory. This is a prevalent
cult in our city and hospital. UCSF is promoting Reike healers as
complementary care for the poor. Homeopathic medicine is being sold all
over the city. He cannot believe professionals believe this.
8) 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 Health Commission (Chow, Guy, Illig, Monfredini,
Tarver, Umekubo) voted to hold a closed session.
The Commission went into closed session at 5:40 p.m. Present in closed
session were Commissioner Chow, Commissioner Guy, Commissioner Illig,
Commissioner Monfredini, Commissioner Tarver, Commissioner Umekubo, Dr.
Mitchell Katz, Director of Health, Gregg Sass, Chief Financial Officer,
Jim Stillwell, Deputy Director, CBHS, Rick Sheinfield, Deputy City
Attorney and Michele Seaton, Health Commission Executive Secretary.
C) Closed session pursuant to Government Code Section 54956.9 and San
Francisco Administrative Code Section 67.10(d)
Action Taken: The Commission (Chow, Guy, Illig, Monfredini, Tarver,
Umekubo) approved the settlement of the audit appeal of the City and
County of San Francisco, Substance Abuse and Crime Prevention Act, OAH
No. N2005030518. City to pay $1,088,685.00. City to keep $855,794.00
D) Reconvene in Open Session
The Commission reconvened in open session at 6:00 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
(San Francisco Administrative Code Section 67.12(a).)
Action Taken: The Commission (Chow, Guy, Illig, Monfredini, Tarver,
Umekubo) voted not to disclose any discussions held in closed session.
9) DISCUSSION OF FUTURE HEALTH COMMISSION AGENDAS
The July 4th Health Commission meeting will be rescheduled to Wednesday,
The November 7th Health Commission meeting will be rescheduled to
November 14th, so as not to conflict with the election.
The June 6th Health Commission meeting will be rescheduled to June 13th,
so as not to conflict with the election.
Commissioner Tarver asked that the following items be added to the
Health Commission’s Master Calendar: Long-term care director, SFGH
Rebuild, Primary Care-CBHS integration, revenue enhancement/eligibility
and the Chief Operating Officer.
The meeting was adjourned at 6:20 p.m.
Michele M. Seaton,
Executive Secretary to the Health Commission
Health Commission meeting minutes are approved by the Commission at the
next regularly scheduled Health Commission meeting. Any changes or
corrections to these minutes will be noted in the minutes of the next
Any written summaries of 150 words or less that are provided by persons
who spoke at public comment are attached. The written summaries are
prepared by members of the public, the opinions and representations are
those of the author, and the City does not represent or warrant the
correctness of any factual representations and is not responsible for