00:00:12 . >> GOOD AFTERNOON.
00:00:13 THE MEETING WILL COME TO ORDER. WELCOME TO THE APRIL EIGHT,
00:00:16 2026 MEETING OF THE BUDGET AND APPROPRIATION COMMITTEE.
00:00:19 I AM SUPERVISOR CONNIE CHAN, CHAIR OF THE COMMITTEE.
00:00:21 I AM JOINED BY VICE CHAIR SUPERVISOR MATT DORSEY AS MY
00:00:24 MEMBERS SUPERVISORS DANNY SOUDER, SHERMAN WALTON
00:00:28 AND SHANNON CHEN OUR CLERK. >> IT'S BRANT HALEY BUT I WOULD
00:00:32 LIKE TO THANK COLLEEN KALEENA MENDOZA FROM ESSEX TV FOR
00:00:36 BROADCASTING THIS MEETING. >> MR. CLERK, DO YOU HAVE ANY
00:00:40 ANNOUNCEMENTS? THANK YOU, MADAM CHAIR.
00:00:42 >> JUST A FRIENDLY REMINDER TO THOSE IN ATTENDANCE TO PLEASE
00:00:44 MAKE SURE TO SILENCE ALL CELL PHONES AND ELECTRONIC DEVICES
00:00:47 TO PREVENT INTERRUPTIONS TO OUR PROCEEDINGS SHOULD YOU HAVE ANY
00:00:50 DOCUMENTS TO BE INCLUDED AS PART OF THE FILE THAT SHOULD BE
00:00:52 SUBMITTED TO MYSELF? THE CLERK PUBLIC COMMENT WILL
00:00:54 BE TAKEN ON THE ITEM ON THIS AGENDA WHEN PUBLIC COMMENT IS
00:00:58 CALLED PLEASE LINE UP TO SPEAK ON THE WEST SIDE OF THE CHAMBER
00:01:02 TO YOUR RIGHT MY LEFT ALONG THOSE CURTAINS AND WHILE NOT
00:01:04 REQUIRED TO PROVIDE PUBLIC COMMENT WE DO INVITE YOU TO
00:01:08 FILL OUT A COMMENT CARD AND LEAVE THEM ON THE TRAY BY
00:01:10 THE TELEVISION TO YOUR LEFT BY THE DOORS IF YOU WISH FOR YOUR
00:01:12 NAME TO BE ACCURATELY RECORDED FOR THE MINUTES.
00:01:16 ALTERNATIVELY YOU MAY SUBMIT PUBLIC COMMENT IN WRITING
00:01:17 IN EITHER OF THE FOLLOWING WAYS HE MAILED THEM TO MYSELF, THE
00:01:20 BUDGET AND THE APPROPRIATIONS COMMITTEE CLERK HAT B R N T GOT
00:01:25 A L I P A HAD SRF GEO V THAT ORG IF YOU SUBMIT PUBLIC
00:01:32 COMMENT VIA EMAIL IT WILL BE FORWARDED TO THE SUPERVISORS
00:01:35 AND ALSO INCLUDED AS PART OF THE OFFICIAL FILE.
00:01:37 YOU MAY ALSO SEND YOUR WRITTEN COMMENTS VIA U.S. POSTAL
00:01:40 SERVICE TO OUR OFFICE IN CITY HALL AT ONE DR. CARLTON BE GO
00:01:44 TO PLACE ROOM 244 SAN FRANCISCO CALIFORNIA NINE FOR 1 OR 2.
00:01:50 >> AND MADAM CHAIR THAT CONCLUDES MY ANNOUNCEMENTS.
00:01:51 THANK YOU, MR. CLERK. AND BEFORE WE CALL OUR URGENT
00:01:54 AGENDA ITEM WE WILL NEED TO EXCUSE PRESIDENT RUFF OUR
00:01:58 AMENDMENT. I LIKE TO MAKE THE MOTION TO
00:02:01 EXCUSE PRESIDENT SECOND BY VICE CHAIR DORSEY AND A ROLL CALL
00:02:05 PLEASE. >> AND ON THAT MOTION BY CHAIR
00:02:09 CHAN SECONDED BY VICE CHAIR DORSEY THAT WE EXCUSED
00:02:12 SUPERVISOR MANAGEMENT FROM ATTENDING TODAY'S MEETING.
00:02:13 IF I START DORSEY I DORSEY I REMEMBER SUTTER SUTTER I
00:02:19 REMEMBER WALTON WALTON I REMEMBER CHEN CHEN I CHURCH SAM
00:02:23 I AND I WE HAVE FIVE EYES THE MOTION PASSES AND WITH THAT MR.
00:02:28 CLERK PLEASE CALL ITEM NUMBER ONE.
00:02:31 >> YES. ITEM NUMBER ONE IS OUR HEARING
00:02:34 ON THE MARCH UPDATE OF THE CITY AND COUNTY'S FIVE YEAR
00:02:38 FINANCIAL PLAN THE THREAT OF FEDERAL AND STATE FUNDING CUTS
00:02:41 AND THEIR IMPACT ON CITY PROGRAMS AND SERVICES AND PLANS
00:02:43 APPROACH TO MITIGATE THESE CUTS.
00:02:45 >> MADAM CHAIR. THANK YOU MR. CLERK.
00:02:49 AND TODAY WE HAVE SOPHIA KETTLER, MAYOR'S BUDGET
00:02:50 DIRECTOR AS WELL AS OUR COMPTROLLER'S OFFICE HERE TO
00:02:53 MAKE THIS PRESENTATION. >> GOOD MORNING, MEMBERS OF THE
00:03:03 COMMITTEE. >> THANK YOU.
00:03:04 I AM ATTEMPTING TO GET THIS SLIDE VERSION F VERSION UP SO
00:03:10 APOLOGIES BEAR WITH ME. ALL RIGHT.
00:03:43 >> ALL RIGHT. THANK YOU, CHAIR CHAN.
00:03:44 THANK YOU. MEMBERS OF THE COMMITTEE.
00:03:47 MY NAME IS SOPHIA KETTLER, MAYOR'S BUDGET DIRECTOR.
00:03:48 I AM JOINED BY MICHELLE LERMA AND DEVIN MCCAULEY FROM THE
00:03:52 BUDGET ANALYSIS DIVISION OF THE CONTROLLERS OFFICE AND WE ARE
00:03:55 UPDATING ON THE MARCH 2020 SIX UPDATES TO THE FIVE YEAR
00:03:59 FINANCIAL PLANNING AND JOINT REPORTS.
00:04:05 SO RELEASE ON MARCH 31ST WE HAD A A MUCH IMPROVED AND STILL NOT
00:04:12 VERY GOOD DEFICIT REPORT. >> YOU CAN SEE ACROSS THE TOP
00:04:18 HERE KIND OF LIKE THE FOUR YEAR PROJECTION ON WHICH OF OUR
00:04:22 ANNUAL SHORTFALL IS IN EACH YEAR.
00:04:25 >> YEAR ONE IS 100 AND 68.5 MILLION GROWING TO JUST OVER $1
00:04:30 BILLION BY YEAR FOUR. >> THAT GIVES US A TWO YEAR
00:04:31 DEFICIT OF 240 OR $642.8 MILLION.
00:04:38 THAT IS A NEARLY $300 MILLION IMPROVEMENT OVER THIS THE
00:04:43 DECEMBER JOINT REPORT WE CONTINUE TO ASSUME 306 ISH
00:04:50 MILLION DOLLARS OF OUR ONE REVENUE LOSS AND THAT IS ABOUT
00:04:56 48% OF THE DEFICIT AT THIS POINT.
00:04:57 >> A COUPLE OF THINGS TO FLAG HERE ON THESE NUMBERS 168 IS
00:05:04 BELOW ANY OF OUR BASELINE TRIGGERS SO WE WILL EXPECTS TO
00:05:05 PAY OUT ALL OF OUR BASELINES THIS YEAR BUT WE STILL AND BUT
00:05:12 DESPITE ALL OF THIS GOOD NEWS, WE STILL HAVE A VERY
00:05:13 SIGNIFICANT GROWING DEFICIT AS OUR COSTS CONTINUE TO RISE OVER
00:05:19 THE NEXT FOUR YEARS AND WE'LL TALK ABOUT THE SHAPE OF THIS
00:05:20 DEFICIT OVER THE NEXT COMING SLIDES.
00:05:25 >> THE GOOD NEWS THERE IS GOOD NEWS AND I PUT IT ALL ON THE
00:05:30 SAME SLIDE IN YEAR ONE AND THESE ARE ALL WITH THE
00:05:32 EXCEPTION OF FUND BALANCE YEAR ONE NUMBERS WE SAW AN INCREASE
00:05:36 IN THE FIRST YEAR OF THE BUDGET AND BUSINESS TAX PROP M TIMING
00:05:39 KIND OF SHIFTED WHEN WE ARE RECEIVING A BUNCH OF MONEY
00:05:44 AND SO WE ARE SEEING A BIG SPIKE IN BUSINESS TAX IN YEAR
00:05:47 ONE HOTEL AND SALES TAX AFTER HAVING BEEN DOWNWARD REVISED
00:05:51 FOR THE LAST SEVERAL JOINT REPORTS IS FINALLY STARTING TO
00:05:55 SHOW SOME SIGNS OF LIFE WHICH IS GREAT NEWS FOR OUR CITY
00:05:58 AND KIND OF A COMEBACK DOWNTOWN TRANSFER TAX IS CONTINUING TO
00:06:02 CLIMB UP AS YOU KNOW THAT IS AN INCONSISTENT TAX BUT WE DO SEE
00:06:10 SOME GOOD NEWS IN YEAR ONE IN FUND BALANCE.
00:06:14 THIS IS A CURRENT YEAR FUND BALANCE NUMBER THAT WE THEN
00:06:17 SPREAD OVER THREE YEARS AND I THINK WE TALKED ABOUT THAT LAST
00:06:19 TIME WE HAVE 150 MILLION DOLLARS OF ADDITIONAL FUND
00:06:22 BALANCE REPORTED IN THIS UPDATE AND THAT REFLECTS REALLY TWO
00:06:26 THINGS I GUESS IT'S AN ADDITIONAL 149 VERSUS DECEMBER
00:06:32 THAT WAS AROUND $90 MILLION FROM THE SIX MONTH REPORT WHICH
00:06:33 IS UNSPENT SAVINGS FROM DEPARTMENT COSTS SALARY
00:06:39 AND BENEFITS, THINGS LIKE THAT. AND THEN WE HAD A BUNCH OF TAX
00:06:44 REVENUE IN THE CURRENT YEAR IN PARTICULAR MICHELLE
00:06:45 AND MICHELLE'S COMING TO SAVE ME FOR MYSELF.
00:06:48 >> I THINK THE THE AIRBNB SETTLEMENTS NOTABLY IS A PART
00:06:51 OF THAT PARTICULARLY THE GENERAL FUND PORTION AND AGAIN
00:06:56 WHAT WE DO WITH FUND BALANCE IS WE TEND TO SPREAD IT OVER THREE
00:06:59 YEARS RATHER THAN HAVE IT AS A BIG LUMP IN THE FIRST YEAR.
00:07:01 AND THEN FINALLY WE ARE SEEING INCREASED PATIENT CENSUS AT
00:07:05 S.F. GENERAL AND LAGUNA HONDA AND EXPANDED BILLABLE
00:07:06 ENCOUNTERS. THIS HAS BEEN A BIG INITIATIVE
00:07:10 OF THE DEPARTMENT OF PUBLIC HEALTH MAKING SURE THAT ALL OF
00:07:13 THE THINGS THAT WE COULD BILL MEDI-CAL FOR THAT WE HAD NOT
00:07:14 BEEN DOING WE ARE STARTING TO SEE SOME OF THAT REVENUE WHERE
00:07:17 WE ARE ELIGIBLE AND SO THAT SHOWS AN ADDITIONAL $30 MILLION
00:07:20 OF REVENUE IN YEAR ONE. >> WE DO HAVE SOME COST
00:07:24 INCREASES AND DOWNWARD REVENUE PRESSURES AS WELL IN ACROSS THE
00:07:30 TWO YEAR DEFICIT IN ACROSS THE THE FORECAST IN GENERAL WE
00:07:34 CONTINUE TO HAVE RISING LABOR COSTS.
00:07:35 >> WE DID HAVE SOME SOME GOOD NEWS AT RETIREMENTS.
00:07:38 >> THEY HAD HAD AN ACTUARIAL CHANGE THAT HAS KIND OF
00:07:41 SMOOTHED HOW WE THINK ABOUT MICHELLE YOU MIGHT HAVE TO
00:07:45 EXPLAIN THIS BETTER THAN I BUT SMOOTH IS HOW WE THINK ABOUT
00:07:52 THE COST OF LIVING ADJUSTMENTS AT THE RETIREMENT BOARD
00:07:55 AND THAT HAS SAVED US AROUND $30 MILLION IN GENERAL FUND
00:07:58 AND $60 MILLION ALL FUNDS OVER THE TWO YEARS OF THE DEFICIT.
00:08:02 HEALTH INSURANCE RATES ARE CONTINUING TO RISE.
00:08:06 WE HAD PREVIOUSLY FORECAST THEM AT 9% A YEAR.
00:08:07 WE ARE NOW FORECASTING THEM A 9.5% INCREASES ANNUALLY
00:08:10 CITYWIDE OPERATING COSTS CONTINUE TO DRIVE UP OUR
00:08:14 PROPERTY TAX APPEALS REFUNDS ARE ALSO CLIMBING AND SO THAT
00:08:18 ADDED ABOUT A $56 MILLION HITS TO OUR PROPERTY TAX.
00:08:25 >> WE HAD A CORRECTION IN HOW WE THOUGHT ABOUT THE PROPERTY
00:08:29 TAX AND I'M GOING TO GET THIS I'M GOING TO SAY IT'S WRONG
00:08:32 AND I APOLOGIZE BUT SB 593 WHICH GIVES THE OCI THE
00:08:39 AUTHORITY TO SELL DEBT FOR AFFORDABLE HOUSING EFFECTIVELY
00:08:44 LIKE COMES IN AT THE TOP OF THE FUNNEL OF OUR PROPERTY TAXES
00:08:49 AND KIND OF REDUCES OUR PROPERTY TAX REVENUE WE HAD
00:08:52 PREVIOUSLY HAD A DIFFERENT THOUGHT ABOUT HOW THAT HIT THE
00:08:57 GENERAL FUND THIS MARCH UPDATE CORRECTS THAT AND ADDS KIND OF
00:09:02 A 40 IT IS 86% GENERAL FUND PROPERTY TAX FUNDED THERE IS AT
00:09:09 RISK. THERE ARE TWO THINGS IN HERE
00:09:10 AND MICHELLE WILL CORRECT MY NUMBERS ON THEM AB 2526 WOULD
00:09:12 DIVERT ADDITIONAL EXCESS ERATH MONEY TO SPECIAL EDUCATION
00:09:16 WHICH REDUCED THE CITY'S SHARE AND THEN SIMULTANEOUSLY THERE
00:09:20 IS A PUSH BY A NUMBER OF SUPERINTENDENTS TO SHIFT KIND
00:09:23 OF THE ACCOUNTING AT THE STATE LEVEL FROM ENROLLMENT BASED OR
00:09:31 FROM ATTENDANCE BASED TO ENROLLMENT BASED AND THAT WOULD
00:09:32 ALSO HAVE A SIGNIFICANT IMPACT ON OUR ACCESS GRAPH.
00:09:36 >> I HAVE HEARD A FEW ESTIMATES THERE FROM ANYWHERE FROM 15 TO
00:09:40 $90 MILLION. >> AND THEN FINALLY PROP M
00:09:43 FILING TIMING. WE HAD A NUMBER OF BUSINESSES
00:09:49 SHIFT THEIR FILING FROM THE MARCH DEADLINE KIND OF FILED
00:09:53 THE EXTENSION FOR NOVEMBER. SO WE HAVE A LITTLE BIT MORE
00:09:54 UNCERTAINTY AND THAT SHIFTS IN THOSE RECEIPTS FROM THE
00:09:57 CURRENT YEAR TO NEXT YEAR. >> AND MICHELLE, ANY TIME YOU
00:10:04 WANT TO TAP IN ON THESE, YOU LET ME KNOW.
00:10:07 >> SO HERE'S OUR BUSINESS TAX REVENUE PROJECTIONS AND I THINK
00:10:09 I WANT TO REALLY CALL YOUR ATTENTION TO A COUPLE OF
00:10:11 THINGS. FIRST, THE GOLD LINE IS WHERE
00:10:13 WE HAD PREVIOUSLY FORECAST IN THE DECEMBER UPDATE.
00:10:16 >> SO THE BLUE LINE IS WHAT THE MARCH UPDATE IS ASSUMING YOU
00:10:20 WILL SEE THAT IN YEAR ONE WE HAVE A HUGE SPIKE AND THEN IT
00:10:23 COMES BACK DOWN AND THAT IS LARGELY DRIVEN BY THE TIMING OF
00:10:28 THOSE PROP M BUSINESS TAX PAYMENTS.
00:10:31 SO WE HAD ASSUMED SOME NEXT YEAR A BUNCH OF THEM ARE
00:10:35 PUSHING FORWARD. WE ARE STILL BECAUSE WE'VE HAD
00:10:38 FEWER FILINGS AND THIS IS THE FIRST PROP M FILING WE'RE STILL
00:10:41 THE TEAM IS DOING EXCELLENT JOB BUT WE'RE STILL KIND OF
00:10:43 FIGURING OUT LIKE WHAT THE EFFECT OF PROP M IS AGAINST THE
00:10:49 DEFICIT. THERE IS $90.7 MILLION
00:10:52 IN UPSIDE BUT AS YOU CAN SEE THAT IS A KIND OF ENTIRELY
00:10:54 IN YEAR ONE AND THEN WE HAVE A LITTLE BIT OF DOWNSIDE IN YEAR
00:10:56 TO AND THEN IN GENERAL THE UNDERLYING DRIVER OF ALL OF OUR
00:11:02 BUSINESS TAX RECEIPTS IS CONTINUES TO BE AND AGAIN WE
00:11:04 HAD TALKED ABOUT THIS LAST TIME THE THE CITY'S COLLECTED SHARE
00:11:10 OF GLOBAL BUSINESS ACTIVITY. IT IS NOT NECESSARILY DRIVEN BY
00:11:11 LIKE LOCAL BUSINESSES AND THEN WE CONTINUE TO HAVE UNCERTAINTY
00:11:17 WITH PROP M BECAUSE OF THAT FILING DEADLINE.
00:11:19 >> ANYTHING YOU WOULD LIKE TO ADD, MICHEL?
00:11:21 >> ALL RIGHT. I'VE KIND OF LIKE TAKING ALL OF
00:11:25 THEIR TALKING POINTS UNFORTUNATELY HOTEL TAX AS I
00:11:29 MENTIONED, THIS IS A BRIGHT SPOT FOR US.
00:11:33 >> THE COMPTROLLER'S OFFICE HAS REVISED UPWARDS THEIR HOTEL
00:11:37 AND SALES TAX PROJECTIONS STARTING IN CURRENT YEAR
00:11:41 AND THE GROWTH CONTINUES TO BE MODEST BUT IT IS AROUND $3,637
00:11:47 MILLION OF GOOD NEWS IN THE IN THE DEFICIT SUPER BOWL 60
00:11:54 WAS A GREAT REVENUE RECORD FOR US AND WE HOPE THAT THAT KIND
00:11:58 OF WE CONTINUE TO RIDE THAT GOOD NEWS VIBE SHIFT WHATEVER
00:12:05 WE ARE CALLING IT. BUT THE GAINS DO SLOW RIGHT I
00:12:10 THINK WE THERE'S LIKE A BIG PUSH FROM SUPER WELL BUT WE DO
00:12:13 NOT NECESSARILY EXPECT THAT THAT RATE OF GROWTH CONTINUES
00:12:16 AND THEN SALES TAX THERE IS SOME UPSIDE BUT IT IS LIMITED
00:12:20 IT'S ABOUT $11 MILLION OVER THE TWO YEARS BUT WE ARE VERY
00:12:24 EXCITED ABOUT THIS. THIS IS HISTORICALLY WE HAVE
00:12:27 BEEN REVISING THESE DOWN THIS TIME THE COMPTROLLER'S OFFICE
00:12:31 HAS REVISED THEM UP PROPERTY TAX REVENUE PROJECTIONS.
00:12:35 SO OVER THE TWO YEARS WE ARE SEEING A DECREASE
00:12:36 IN TRADITIONAL PROPERTY TAXES WITH AN INCREASE A SMALL
00:12:39 INCREASE IN EXCESS ERATH IN TOTAL THIS KIND OF AFFECTS
00:12:46 OUR TWO YEAR DEFICIT BY AROUND $46 MILLION.
00:12:49 >> WE CONTINUE TO SEE ADDITIONAL APPEALS AGAINST
00:12:52 PROPERTY TAXES AND SO WE CONTINUE TO WITHHOLD ME WORKING
00:12:56 THROUGH THOSE AS WE HAVE DISCUSSED.
00:12:57 THAT REQUIRES A CERTAIN AMOUNT OF STAFFING ACROSS A NUMBER OF
00:13:00 DEPARTMENTS TO MAKE SURE THAT WE ARE NOT THAT WE ARE AT LEAST
00:13:04 KEEPING UP WITH THOSE APPEALS SO THAT THEY ARE NOT
00:13:05 AUTOMATICALLY DECIDED AGAINST US.
00:13:08 >> AND THEN BUT WE DO KIND OF SEE ONCE THEY GO THROUGH THAT
00:13:12 PROCESS IT IS RESETTING PROPERTY TAXES AT A LOWER RATE.
00:13:15 THAT IS BOTH TRUE OF THE APPEALS AND JUST GENERALLY KIND
00:13:19 OF LIKE THE MOVEMENT IN THE COMMERCIAL MARKET ON BUILDINGS
00:13:23 THAT HAVE BEEN KIND OF LIKE SOLD AT A DISCOUNT TO THEIR
00:13:24 PREVIOUS RATES. >> AGAIN, THE OCI BOND
00:13:28 CORRECTION IS REFLECTED HERE WHERE THAT THAT IS A HIGHER
00:13:31 PORTION OF OUR TRADITIONAL PROPERTY TAXES THAN WE HAD
00:13:35 PREVIOUSLY THOUGHT AND AS I MENTIONED EXCESS ERATH IS
00:13:39 VOLATILE AND SUBJECT TO A NUMBER OF STATE BILLS
00:13:42 AND INITIATIVES. AND THEN LASTLY I WANTED TO
00:13:46 CALL ATTENTION TO OUR PROJECTED BASELINES.
00:13:50 WE ARE EXPECTING TO PAY $1.5 BILLION IN BASELINES IN THE
00:13:57 FIRST YEAR OF THE BUDGET GROWING TO 1.65 IN YOUR 2030
00:14:04 AND THAT IS $142 MILLION ADDITIONAL IN THE FIRST YEAR OF
00:14:11 THE BUDGET GROWING TO 231 BY THE END OF THE FOUR YEAR
00:14:13 FORECAST ABOVE WHAT WE HAD PREVIOUSLY PROJECTED OR WHAT WE
00:14:17 ARE CURRENTLY SPENDING RATHER I WILL NOT WALK THROUGH THE
00:14:25 BASELINES UNLESS YOU WOULD LIKE ME TO AND SO TALKING ABOUT
00:14:31 FEDERAL AND STATE FUNDING CHANGES AND THREATS SO LAST
00:14:35 TIME I WAS HERE WE TALKED A LOT ABOUT H.R. ONE AND HOW WE
00:14:38 ASSUMED H.R. ONE IN THE BUDGET. AS A REMINDER THERE KIND OF
00:14:39 THREE THINGS THAT ARE DRIVING OUR H.R. ONE REVENUE REVENUE
00:14:46 FORECAST DECREASE. >> I DON'T KNOW HOW TO SAY THAT
00:14:50 MORE ELOQUENTLY. ONE WAS THE NUMBER OF
00:14:53 UNSATISFACTORY IMMIGRATION STATUS AS THEY CALL IT IN H.R.
00:14:59 ONE AND THE NUMBER OF PEOPLE THAT WE CURRENTLY HAVE BILLING
00:15:02 AGAINST MEDI-CAL THAT LOSE THEIR THEIR MEDI-CAL
00:15:04 ELIGIBILITY THAT WAS AROUND 7500 PEOPLE 75 TO 10,000
00:15:10 PEOPLE. THERE IS AN INCREASED WORK
00:15:14 REQUIREMENTS AND SOME CHANGES ON HOW PEOPLE GET AN AUTOMATIC
00:15:17 WAIVER FROM THE WORK REQUIREMENT.
00:15:18 FOR EXAMPLE YOU USED TO BE ABLE TO GET A WAIVER AUTOMATICALLY
00:15:22 IF YOU HAD BEEN EXPERIENCING HOMELESSNESS OR WERE LIVING
00:15:25 IN PERMANENT SUPPORTIVE HOUSING THAT IS NO LONGER TRUE.
00:15:26 SO WE SEE KIND OF LIKE A NUMBER OF PEOPLE THAT WE THINK WILL
00:15:29 PROBABLY NOT STAY ON MEDI-CAL ELIGIBILITY BECAUSE OF THAT
00:15:33 WORK REQUIREMENTS. >> AND THEN THE THIRD WAS THE
00:15:36 FRICTION OF THE SIX MONTH ENROLLMENT RIGHT NOW PEOPLE
00:15:39 HAVE TO KIND OF RE-UP THEIR ELIGIBILITY ONCE A YEAR THAT IS
00:15:43 SHIFTING TO EVERY SIX MONTHS AND WE WILL START TO SEE THAT
00:15:45 LIKE WE HAD KIND OF FORECASTS THAT THAT WOULD OVERALL HAVE
00:15:50 BETWEEN A 200 AND $400 MILLION HIT ON REVENUE OF PEOPLE THAT
00:15:54 WE CURRENTLY SERVE AND GIVE CARE TO AND THEN BILL MEDI-CAL
00:15:58 FOR US AND INSTEAD WE WILL SEE LIKE WE WILL NOT BE GETTING
00:16:02 THAT REVENUE ANY MORE WE DO PLAN TO CONTINUE PROVIDING CARE
00:16:08 AND SO AS I SAID WE THAT WE KIND OF GOT A RANGE FROM AN HSA
00:16:12 OF WHAT WE THINK THAT WILL LOOK LIKE IT COULD BE UP TO $400
00:16:16 MILLION OF ANNUAL LOST REVENUE BASED ON LAST YEAR'S H.R. ONE
00:16:20 AND WE ASSUMED $86 MILLION IN YEAR ONE GROWING TO AROUND
00:16:25 220 IN YEAR TWO FOR THAT 300 MILLION NUMBER THAT I'VE GIVEN
00:16:27 YOU EARLIER AND THEN STABILIZING IN THE OUTYEARS
00:16:31 CLOSER TO $210 MILLION. THE PRESIDENT'S RECONCILIATION
00:16:35 BILL WHICH IS IN ITS EARLY STAGES COMPOUNDS ALL OF THIS.
00:16:42 >> A FEW THINGS THAT HAVE COME OUT OF THAT ARE FIRST THERE IS
00:16:46 ZERO FUNDING ASSUMED FOR THE CONTINUUM OF CARE WE GET IN ANY
00:16:50 GIVEN YEAR BETWEEN 55 AND $70 MILLION FOR THE CONTINUUM OF
00:16:54 CARE. SO THAT WOULD BE A HUGE HIT TO
00:16:55 OUR SUPPORTIVE HOUSING AND SHELTER SYSTEM.
00:16:57 THEY ARE ASSUMING OR THEY HAVE FLOATED AND THIS IS AGAIN VERY
00:17:02 EARLY STAGES ELIMINATION OF ANY NON-CITIZEN ON MEDICAL WE HAVE
00:17:09 NOT GOTTEN ANYWHERE NEAR ANY COSTING FOR THAT YET BUT IT IS
00:17:13 A HUGE RISK AND SOMETHING THAT WOULD KIND OF AGAIN TAKE THE
00:17:14 BOTTOM OUT OF OUR MEDI-CAL REVENUES.
00:17:19 >> WE TALKED ABOUT THE TWO CHANGES AT STATE FUNDING FOR
00:17:20 ERATH AGAIN ONE THE INCREASED FUNDING FOR SPECIAL EDUCATION
00:17:27 AND SECOND THE CHANGE IN ENROLLMENTS OR FROM
00:17:31 ENROLLMENTS TO ATTENDANCE BOTH EXCELLENT THINGS FOR OUR SCHOOL
00:17:34 SYSTEMS BUT BOTH ME REDUCED REVENUES FOR OUR GENERAL FUND.
00:17:38 AND THEN AS REMINDER WE HAD SET ASIDE APPROXIMATELY $400
00:17:42 MILLION IN LAST YEAR'S BUDGET AS A ONE TIME FOR KIND OF LIKE
00:17:46 SUDDEN SHOCKS TO THESE THINGS SO THAT WE CAN GIVE OURSELVES
00:17:49 TIME TO FIGURE OUT HOW TO REBALANCE AS THESE KIND OF
00:17:53 IMPACTS HIT OUTSIDE OF THE BUDGET CYCLE.
00:17:56 SO THAT DOES CONTINUE TO REMAIN THERE.
00:17:57 WE HAVE SPENT $3.5 MILLION OUT OF THAT RESERVE THIS YEAR FOR
00:18:03 THE IMMIGRATION SUPPLEMENTAL AND THEN FINALLY A FEW KEY
00:18:07 RISKS TO THE FORECAST. WE DO NOT ASSUME A RECESSION
00:18:11 SCENARIO THAT WOULD BE VERY BAD.
00:18:18 A COUPLE OF THINGS WE WOULD WATCH THERE IS THE EFFECT OF
00:18:22 OIL IN OIL PRICES, INTEREST RATES KIND OF LIKE THE ONGOING
00:18:26 JOB CUTS ACROSS THE CITY AND PARTICULARLY IN THE TECH
00:18:30 SECTOR. H.R. ONE IMPLEMENTATION
00:18:33 UNCERTAINTY AS WE SAID WE ASSUMED KIND OF A MIDDLE OF THE
00:18:35 ROAD REVENUE LOSS AND THAT COULD BE MUCH HIGHER.
00:18:38 WE WILL START TO HAVE BETTER INFORMATION ON WHAT THAT LOOKS
00:18:42 LIKE STARTING AROUND DECEMBER. >> FEDERAL POLICY VOLATILITY
00:18:48 AGAIN BETWEEN OIL PRICES, TARIFFS CHANGES TO H.R. ONE,
00:18:53 CHANGES TO H-1B LIMITS. THERE IS A LOT KIND OF GOING ON
00:18:57 AT THE FEDERAL LEVEL THAT AFFECTS OUR ECONOMY
00:18:59 SIGNIFICANTLY. OUR PENSION RETURN RATE IS
00:19:03 DOING PRETTY WELL. WE ASSUME A 7.2% RETURN AT LAST
00:19:06 CHECK IT WAS YEAR TO DATE AROUND 8.45.
00:19:10 BUT AGAIN THE MARKETS HAVE BEEN VOLATILE AND SO WHERE THAT
00:19:15 CLOSES THE YEAR WOULD AFFECT WHAT WE CONTRIBUTE TO THE
00:19:18 PENSION SYSTEM. >> POLICE AND FIRE LABOR
00:19:22 NEGOTIATIONS ARE NOT FINALIZED YET SO THEY ARE NOT REFLECTED
00:19:26 THE TENTATIVE AGREEMENTS ARE NOT REFLECTED IN THIS REPORT.
00:19:31 AND THEN THERE ARE A FEW BALLOT MEASURES ON THE JUNE BALLOT
00:19:36 THAT WOULD EITHER REDUCE REVENUE OR SIGNIFICANTLY
00:19:40 INCREASE REVENUE AND WE WILL NOT BE CONTEMPLATING THE
00:19:44 EFFECTS OF EITHER OF THOSE IN OUR BUDGET AND BECAUSE THAT
00:19:48 ALL HAPPENS AFTER WE INTRODUCE AND THAT IS ALL I AM AVAILABLE
00:19:52 FOR QUESTIONS AND I WILL ABSOLUTELY DEFER TO MICHELLE
00:19:56 LERMA WHO IS MUCH BETTER AT THE REVENUE ISSUES THAN I THANK
00:19:59 YOU. >> THANK YOU SUPERVISOR WALTON
00:20:03 THANK YOU CHAIR CHAN THANK YOU DIRECTOR KILLER.
00:20:06 >> SO IN YOUR OPINION, DO WE HAVE ARE WE IN A BETTER
00:20:13 SITUATION IN BETTER SHAPE THAN WE WERE AT THIS TIME LAST YEAR
00:20:21 ? >> NO, I DON'T BELIEVE SO.
00:20:22 I DON'T THINK WE'RE IN A SIGNIFICANT ONLY WORSE SHAPE.
00:20:26 >> BUT WE WE HAD WE WE HAD HOPED TO BE IN A MUCH BETTER
00:20:30 SHAPE GIVEN A LOT OF REALLY TOUGH DECISIONS THAT WERE MADE
00:20:34 IN THE BUDGET LAST YEAR AS I THINK I'VE SAID BEFORE, LIKE
00:20:37 THE MAYOR IS VERY FOCUSED ON THOUGHTFULLY NOT ALL AT THE
00:20:44 SAME TIME REDUCING THE STRUCTURAL DEFICIT AND THINKING
00:20:46 ABOUT THE LONG TERM FISCAL HEALTH OF THE CITY.
00:20:48 >> WE MADE A LOT OF REALLY TOUGH DECISIONS IN LAST YEAR'S
00:20:50 BUDGET AND THEN ONE JUST KIND OF BOTTOMED THOSE ALL OUT
00:20:52 AND REVERSED ALL OF THAT PROGRESS.
00:20:55 SO I THINK WE ARE VERY FORTUNATE TO BE ABLE TO WITH
00:21:00 THE SHAPE OF THIS DEFICIT AND WITH KIND OF THE THE SPIKE
00:21:01 IN REVENUES IN YEAR ONE THAT WILL ALLOW US TO SMOOTH THE
00:21:04 IMPACTS OF THESE CONTINUED TOUGH CHOICES.
00:21:07 AND AND I THINK THAT THAT IS A IT IS HELPFUL TO HAVE THAT
00:21:11 BREATHING ROOM AND I THINK THAT IS REALLY A GOOD SIGN FOR US.
00:21:15 >> BUT THE OUT YEARS ARE NOT IMPROVING AND WE NEED TO FIGURE
00:21:20 OUT HOW TO REDUCE OUR SPENDING GROWTH SO I KNOW WE'RE BEING
00:21:26 CAUTIOUS AND I AM NOW VERY CONFUSED BECAUSE IF I LOOK AT
00:21:30 LAST YEAR'S NUMBERS, IF I LOOKED AT PREVIOUS PROJECTED
00:21:34 DEFICIT, IF I LOOK AT PREVIOUS PROJECTED INCOME JUST FROM WHAT
00:21:41 I SEE IT LOOKS LIKE THE PICTURE TODAY IS BETTER THAN IT WAS
00:21:48 THIS TIME LAST YEAR. >> I THINK THE TWO YEAR DEFICIT
00:21:51 NUMBER IS BETTER AND SEEING THAT THE FEDERAL CUTS WHICH ARE
00:21:56 MAJOR WEREN'T MAYBE WITH SOME OF US MIGHT HAVE THOUGHT IN THE
00:22:03 WORST CASE SCENARIO HOW ARE WE NOT IN A BETTER SHAPE?
00:22:07 >> I WANT TO BE CLEAR THAT WE WEREN'T PARDON ME I DIDN'T MEAN
00:22:10 TO INTERRUPT. I THINK IT'S A REALLY IMPORTANT
00:22:14 QUESTION AND IT IS SOMETHING THAT WE SPEND A LOT OF TIME
00:22:18 THINKING ABOUT OURSELVES KIND OF LIKE WHAT DOES THIS MEAN?
00:22:20 WE HAVE NOT YET SEEN WHAT THE ACTUAL IMPACT OF THE H.R. ONE
00:22:24 CUTS IS, RIGHT? WE HAVE MADE ESTIMATES AND THEN
00:22:25 WE ARE WORKING INCREDIBLY HARD TO MAKE SURE THAT EVERYBODY WHO
00:22:28 USED TO HAVE A WAIVER, FOR EXAMPLE OR WHO USED TO BE
00:22:32 ELIGIBLE LIKE WE ARE FLOODING EACH ESSAY AND PAGE WITH THE
00:22:35 RESOURCES TO BE ABLE TO KEEP AS MANY PEOPLE ELIGIBLE AS
00:22:39 POSSIBLE NOT JUST FOR THE REVENUE ALTHOUGH THAT IS
00:22:43 IMPORTANT BUT FOR THE CARE OF OF THE VULNERABLE SAN
00:22:46 FRANCISCANS THAT DEPEND ON MEDI-CAL OR CAL FRESH FOR
00:22:50 EXAMPLE. >> BUT WE HAVE NOT SEEN LIKE
00:22:53 WE'VE MADE ESTIMATES AND WE'VE KIND OF KEPT WITH THOSE
00:22:55 ESTIMATES FOR THE PAST SIX MONTHS BUT WE WON'T SEE THE
00:23:01 ACTUAL EFFECT OF WHAT HAPPENS ON LAST YEAR'S H.R. ONE UNTIL
00:23:04 WE KIND OF SEE HOW MUCH SUCCESS WE'VE HAD IN KEEPING PEOPLE
00:23:08 ELIGIBLE STARTING IN DECEMBER. >> WELL I JUST WANT TO MAKE
00:23:12 SURE THAT WE ARE HONEST WITH OURSELVES AND WITH THE PUBLIC
00:23:15 BECAUSE OBVIOUSLY WE HAVE TO BALANCE THE BUDGET BUT IN JUNE
00:23:19 AND I ALSO WANT TO MAKE SURE THAT WE CAN SAVE AS MANY
00:23:23 SERVICES, SAVE AS MANY JOBS AS WE GO THROUGH THE PROCESS.
00:23:27 YEP. I JUST WANT TO MAKE SURE WE'RE
00:23:28 BEING REAL ABOUT WHAT'S IN FRONT OF US AND MAKING SURE
00:23:31 THAT I ALSO UNDERSTAND WHAT'S IN FRONT OF ME BECAUSE FROM MY
00:23:37 STANDPOINT FROM WHAT I SEE LOOKING AT FORMER FORECAST,
00:23:42 LOOKING AT ALL THE NUMBERS FROM THE PREVIOUS YEAR AND LOOKING
00:23:46 AT WHAT'S HAPPENING NOW, HEARING WHAT I'M HEARING FROM
00:23:50 THE STATE KNOWING THAT MAY REVISE IS COMING IT SEEMS WE
00:23:53 ARE IN BETTER POSITION THAN WE WERE LAST YEAR AND SO I HOPE AS
00:23:57 WE GO INTO BUDGET THAT WE TAKE THAT INTO ACCOUNT AS WE LOOK AT
00:24:01 WHERE WE NEED TO MAKE CHANGES SO THAT WE BALANCE THE BUDGET
00:24:05 AND ALSO DO EVERYTHING WE CAN TO ADDRESS THE DEFICIT.
00:24:09 >> THANK YOU. THANK YOU.
00:24:12 >> THANK YOU. AND VICE CHAIR DORSEY THANK YOU
00:24:16 CHAIR CHEN I'LL JUST EXPLORE A LITTLE BIT H.R. ONE
00:24:23 IMPLICATIONS YOU HAD MENTIONED THAT WE ARE NOW DOING A BETTER
00:24:27 JOB AS A CITY OF GETTING REIMBURSEMENTS FOR MEDICAL.
00:24:34 >> I'M JUST WONDERING IS THERE WORK THAT WE CAN BE DOING WITH
00:24:38 OUR MEDI-CAL BENEFICIARIES ON ON MEETING WORK OR SATISFYING
00:24:42 WORK REQUIREMENTS OR RE-UPPING SUPPORTING PEOPLE TO RE-UP
00:24:46 EVERY SIX MONTHS SO THAT WE CAN JUST DO A LITTLE MORE A LITTLE
00:24:51 EXTRA WORK THAT WOULD BE PENNY WISE TO KEEP PEOPLE ON
00:24:57 BENEFITS. >> ABSOLUTELY.
00:24:58 THAT'S EXACTLY THE RIGHT QUESTION SUPERVISOR AND WE'VE
00:25:01 UNDERTAKEN A NUMBER OF THINGS OVER THE LAST SEVEN MONTHS.
00:25:04 FOR EXAMPLE, THE MAYOR'S OFFICE OF INNOVATION HAS BEEN WORKING
00:25:09 VERY CLOSELY WITH HSA TO FIGURE OUT HOW TO I'M GOING TO USE A
00:25:18 WORD THAT WOULD I WOULD GET FOX NEWS TO POUNCE ON US.
00:25:21 SO I'M TRYING TO THINK BETTER ONE THAT WOULD HELP PEOPLE WHO
00:25:25 MIGHT NOT OTHERWISE HOLDS DOWN A DAY TO DAY JOB FIND A WAY TO
00:25:33 MEET THE WORK REQUIREMENT. >> SO FOR EXAMPLE HOW CAN WE
00:25:37 GET PEOPLE TO PARTICIPATE IN THEIR COMMUNITY IN A
00:25:41 COMMUNITY CLEANUP, IN A VOLUNTEER SERVICE?
00:25:44 HOW CAN THEY PARTICIPATE IN FOOD DISTRIBUTION AND WITH
00:25:46 WHAT SORT OF REGULARITY DO THEY NEED TO DO THAT IN ORDER TO
00:25:49 CREATIVELY MEET THE WORK REQUIREMENTS?
00:25:53 >> AND SO THAT IS A COMBINATION OF THINKING ABOUT LIKE WHAT THE
00:25:57 LEGAL STRUCTURE OF THE WORK REQUIREMENT IS HOW WE CAN BRING
00:26:00 MORE PEOPLE TO SIGN UP FOR THAT, HOW WE MAKE SURE THAT
00:26:02 THAT COUNTS TOWARDS THE WORK REQUIREMENT AND HOW WE MAKE
00:26:05 SURE THAT THEY ARE ENSURING THAT THE CITY UNDERSTANDS THAT
00:26:08 THEY ARE DOING THAT WORK SO THAT THEY DO MAINTAIN
00:26:11 ELIGIBILITY. >> AT THE SAME TIME WE ARE
00:26:12 LOOKING AT THE FORMS THAT ARE REQUIRED AND KIND OF LIKE ALL
00:26:16 OF THE PAPERWORK THAT GOES INTO RE-UPPING ELIGIBILITY
00:26:19 AND TRYING TO MAKE SURE THAT THAT IS AS USER FRIENDLY AND AS
00:26:21 STREAMLINED AS POSSIBLE SO THAT IT IS MUCH LESS OF A BURDEN
00:26:24 AND IS KIND OF LIKE A SAME INFORMATION CLICK AND JUST
00:26:28 RESUBMIT EVERY SIX MONTHS RATHER THAN HAVING TO GO BACK
00:26:31 AND RECHECK YOU KNOW LIKE HOW BASICALLY HOW DO WE MAKE THAT
00:26:35 AS FAST AND IS AS FRICTIONLESS AS POSSIBLE AND THEN FINALLY WE
00:26:41 ARE EXPLORING ADDING ELIGIBILITY WORKERS AT HSA.
00:26:42 WE'VE BEEN MAKING SURE THAT THEY ARE NOT A PART OF OUR
00:26:46 HIRING SLOWDOWN SO THAT WE HAVE AS MANY ELIGIBILITY WORKERS AS
00:26:49 POSSIBLE PARTICULARLY ON CAL FRESH AND MEDI-CAL.
00:26:50 SO THAT WE CAN WRAP OUR ARMS AROUND INDIVIDUALS WHO DO NEED
00:26:54 HELP MANAGING, WORKING, WALKING THROUGH THAT SYSTEM AND THAT'S
00:26:58 KIND OF BEEN THE APPROACH TO DATE IS IS THINKING THROUGH
00:27:01 EVERY PIECE OF HOW THAT WORKS AND KEEP AS MANY PEOPLE
00:27:05 ELIGIBLE AS POSSIBLE AND THEN SIMULTANEOUSLY ON THE HEALTH
00:27:07 SIDE FOR THE FOR THE USES AS THEY CALL THEM THE
00:27:10 UNSATISFACTORY IMMIGRATION STATUS HOW DO WE MAKE SURE THAT
00:27:13 OUR SOCIAL SAFETY NET IS SET UP TO CONTINUE TO WELCOME THEM
00:27:17 INTO PREVENTATIVE CARE SO THAT WE DO NOT SEE AN UNDUE UPSIDE
00:27:22 ON EMERGENCY SERVICES FOR EXAMPLE I THINK THERE WERE
00:27:28 DETAILS THAT WEREN'T CLEAR AFTER THE PASSAGE OF H.R. ONE
00:27:35 IN PARTICULAR I RECALL HERE TALKING TO SOMEONE FROM THE
00:27:36 DRUG POLICY REALM ABOUT WHETHER AND TO WHAT EXTENT THIS WOULD
00:27:40 AFFECT PEOPLE WHO ARE IN DRUG TREATMENT WHO MAY NOT BE IN A
00:27:44 SITUATION WHERE THEY COULD WORK IF THEY WANTED TO.
00:27:47 IT'S JUST AND MY UNDERSTANDING AT THE TIME WAS THAT THERE
00:27:50 MIGHT BE SOME DETAILS THAT THE CODE OF FEDERAL REGULATIONS IS
00:27:54 GOING TO WORK OUT. >> DO WE HAVE ANY MORE CLARITY
00:27:55 ON SOME OF THAT? I WOULD IMAGINE THE DEPARTMENT
00:27:58 OF PUBLIC HEALTH DOES THAT IS NOT SOMETHING I'M FAMILIAR WITH
00:28:01 . I BET IT SEEMS LIKE IT WOULD
00:28:02 HIT THE THE DISABILITY WAIVER AND KIND OF WHO WHO FALLS INTO
00:28:06 THE DISABILITY WAIVER. >> I WOULD BE DELIGHTED TO GET
00:28:07 YOU THAT INFORMATION AND COME BACK.
00:28:09 >> OKAY, GREAT. THANKS.
00:28:13 THANK YOU. I KIND OF WANT TO MAKE SURE IF
00:28:17 THERE'S ANYTHING THAT THE COMPTROLLER LIKE TO ADD FOR
00:28:21 THIS PRESENTATION. IF NOT, I'M MOVING ON TO THE
00:28:24 PEOPLE'S COALITION ON BUDGET PRESENTATION.
00:28:28 >> OKAY
00:29:11 . ARE ALL RIGHT.
00:29:16 >> THANK YOU CHAIR CHAN AND MEMBERS OF THE BUDGET
00:29:20 AND APPROPRIATIONS COMMITTEE WE ARE REALLY GRATEFUL TO HAVE THE
00:29:21 OPPORTUNITY TO SHARE A LITTLE BIT MORE ABOUT THE COMMUNITY
00:29:25 PERSPECTIVE AND THE CBO AND PROVIDER PERSPECTIVE ON
00:29:29 WHAT'S HAPPENING WITH THE STATE AND FEDERAL CUTS AND HOW THAT
00:29:32 IS IMPACTING OUR LOCAL RESPONSE TO THESE AND WE HAVE A
00:29:36 PERSPECTIVE TO SHARE AND ARE REALLY GRATEFUL FOR TO THE CITY
00:29:40 AND TO DPJ FOR DOING PHENOMENAL WORK TRYING TO HELP US SOLVE
00:29:44 THIS BUDGET DEFICIT THAT IN MANY WAYS A LOT OF THESE
00:29:47 EFFECTS ARE NOW BEING AS WE SAID WORSENED BY THESE TRUMP
00:29:51 IMPACTS. SO WANT TO APPRECIATE A LOT OF
00:29:55 THE WORK THAT HAS GONE INTO THAT AND WE DO WANT TO UPLIFT
00:29:58 AND SHARE THE COMMUNITY PROVIDER PERSPECTIVE ON THE
00:30:02 CITY'S RESPONSE AND MAYBE HIGHLIGHT SOME GAPS THAT YOU
00:30:04 MIGHT NOT BE HEARING IN OTHER AREAS OF HOW THIS IS LANDING
00:30:08 THAT WE APPRECIATE THAT THE DEPARTMENT OF PUBLIC HEALTH
00:30:11 AND THAT THE CITY HAS BEEN RESPONSIVE TO HEARING AND HOPE
00:30:13 THAT YOU AS SUPERVISORS ARE ALSO NICE AND RESPONSIVE TO
00:30:17 HEARING HOW THESE THINGS ARE LANDING WITH US ON OUR END.
00:30:21 >> SO WE'RE HERE WITH THE PEOPLE'S BUDGET COALITION.
00:30:22 I'M ON YOUR WORLD SEGMENT. I'M THEIR COALITION COORDINATOR
00:30:26 AND WE DO ANALYSIS OF BUDGET CUTS WITH REGARD TO EQUITY
00:30:31 IMPACTS IS OUR MOST IMPORTANT PART OF THE BUDGET AND HOW WE
00:30:34 ANALYZE THIS SO WE KNOW THAT FROM THE COMMUNITY SIDE THAT
00:30:38 OUR COMMUNITY MEMBERS ARE FEELING THE EFFECTS OF CUTS AS
00:30:42 IN MEDICARE AND SNAP AND FOOD ACCESS AND HIV PREVENTION
00:30:45 AND RESEARCH AND THAT THIS IS TARGETING IMMIGRANTS ON THE
00:30:49 LOCAL LEVEL WHERE OUR BUDGET REALLY ANALYZED WHERE WE DO
00:30:53 HAVE THE POWER TO MAKE THESE DECISIONS ON THE LOCAL LEVEL WE
00:30:56 ARE ALSO SEEING REDUCED ACCESS TO HEALTH CARE TO HARM
00:31:00 REDUCTION SERVICES THAT RAPPLER KATE, THE CUTS THAT ARE
00:31:05 HAPPENING FROM THE FEDERAL LEVEL WE ARE ALSO SEEING
00:31:06 WORKFORCE DEVELOPMENT CUTS WHICH TIES INTO THIS SNAP
00:31:09 AND FOOD ACCESS BENEFIT ACCESS THAT IF FOLKS ARE NOT ABLE TO
00:31:14 FIND AN EMPLOYMENT THEY'RE NOT ABLE TO ACCESS THESE BENEFITS
00:31:18 ANYMORE AND WE ARE SEEING HIV SERVICES PARTICULARLY WITH
00:31:22 REGARDS TO CAPACITY BUILDING AND EQUITY ACCESS ARE ALSO
00:31:26 BEING IMPACTED AT THE LOCAL LEVEL AND FINALLY REDUCING THAT
00:31:30 IMMIGRANT SERVICES SAFETY NET THAT ALTHOUGH LEGAL SERVICES
00:31:33 REMAINS FUNDED IN THIS CITY, A LOT OF THE OTHER SUPPORTS THAT
00:31:37 WRAPAROUND FAMILIES WHEN THEY ARRIVE HERE AND THAT REACH
00:31:41 THOSE EMERGENCY NEEDS, THOSE SUPPORTS ARE GOING TO BE BADLY
00:31:45 HURT IN THE BUDGET THAT IS APPROACHING US.
00:31:48 >> SO THIS IS OUR ANALYSIS ON HOW THIS WILL IMPACT THE EQUITY
00:31:53 OF SAN FRANCISCO. SO THIS IS JUST AN ANALYSIS ON
00:31:57 THE PROPOSED CUTS SO FAR WE KNOW THAT THE PROPOSED CUTS
00:32:02 THAT WE KNOW ALREADY REPRESENT MAYBE A THIRD OF THE CUTS THAT
00:32:05 ARE COMING. BUT WE CAN LOOK TO THIS TO SEE
00:32:08 WHAT DIRECTION ARE WE GOING IN AS A CITY.
00:32:09 AND I DO WANT TO HIGHLIGHT AND POINT OUT THAT FOR OUR
00:32:13 FILIPINO COMMUNITIES AND FOR OUR PACIFIC ISLANDER
00:32:16 COMMUNITIES, BOTH COMMUNITIES RESPECTIVELY EXPECT TO LOSE
00:32:19 WHAT MAKES UP ABOUT 20% OF ALL OF THE GRANT FUNDING TO CBOS
00:32:23 FOR THOSE COMMUNITIES WILL BE CUT THIS YEAR.
00:32:29 SO 20% OF ALL DEDICATED FUNDING TO CBOS FOR THESE COMMUNITIES
00:32:33 WILL BE CUT. IT IS ON THE TABLE PROPOSED TO
00:32:37 BE CUT AT THIS TIME. SIMILARLY IF WE LOOK AT WHAT'S
00:32:41 HAPPENING WITH TRANSGENDER AND LGBT SERVICES WE'LL TOUCH
00:32:44 MORE ON THIS IN A BIT. AND ON THE RIGHT HAND SIDE IS A
00:32:46 LIST OF SOME OF THE CUTS THAT ARE ALSO BEING SEEN IN MORE
00:32:49 SPECIFIC DETAIL. BUT SIMILARLY 20% OF ALL CBO
00:32:53 FUNDING FOR TRANSGENDER COMMUNITIES WILL BE CUT IN THIS
00:32:57 BUDGET AND THIS IS JUST WHAT'S PROPOSED SO FAR.
00:33:00 THIS IS JUST ABOUT A THIRD OF THE CUTS THAT WE ARE FACING
00:33:03 AND THESE ARE CUTS COMING FROM MH CD AND FROM DEEP AND IN MANY
00:33:07 WAYS OUR RESPONSES TO WHAT'S GOING ON AT THE FEDERAL LEVEL
00:33:10 EVEN IF ALSO RESPONSES TO OUR LOCAL BUDGET DEFICIT FINISHING
00:33:14 UP HERE THIS IS ONE OF THE MOST DIRE THINGS THAT WE HAVE FOUND
00:33:21 IN OUR ANALYSIS WITH CD AND WITH THIS IS THAT 60% OF
00:33:24 THESE CBO CUTS WILL IMPACT IMMIGRANTS DIRECTLY.
00:33:28 >> SO 60% OF ALL OF THE BUDGET REDUCTIONS 100% OF THESE BUDGET
00:33:32 REDUCTIONS WILL IMPACT EXTREMELY LOW INCOME AND LOW
00:33:36 INCOME FAMILIES. THAT'S 100% OF THE SERVICES
00:33:40 THAT IS A PART OF THEIR REQUIREMENT AND 60% OF THOSE
00:33:43 FOLKS WILL BE IMMIGRANTS. SO THOSE COULD BE UNDOCUMENTED
00:33:47 IMMIGRANTS. THEY COULD BE DOCUMENTED
00:33:48 IMMIGRANTS BUT THEY WILL FEEL THE MASSIVE BRUNT OF THESE.
00:33:52 AND SO THIS IS OUR ANALYSIS ALSO ON THE CUTS SO FAR TO SAY
00:33:56 THAT OF COURSE WE WANT SOLUTIONS TO THIS BUDGET CRISIS
00:34:00 THAT ARE NOT BUDGET CUTS BUT WHEN WE DO HAVE TO MAKE BUDGET
00:34:04 CUTS WE HAVE TO TAKE INTO ACCOUNT EQUITY AND FOR US WE
00:34:08 REPRESENT THE COMMUNITY. WE REPRESENT THE PEOPLE WHO
00:34:09 RECEIVE THESE SERVICES FROM OUR CBOS AND THE COMMUNITY IS
00:34:15 SCARED AND THEY'RE NOT JUST SCARED AT WHAT'S HAPPENING ON
00:34:17 THE FEDERAL LEVEL OR ON THE STATE LEVEL.
00:34:20 >> THEY'RE SCARED OF THE DECISIONS THAT YOU FOLKS WILL
00:34:23 HAVE TO DECIDE ON IN JUNE AND THEY'RE SCARED OF HOW THAT
00:34:24 IS GOING TO IMPACT THEM AS WELL.
00:34:27 >> AND SO WITH THAT I'M GOING TO PASS IT TO LAURA SHECKLER
00:34:31 FROM THE CALIFORNIA PRIMARY CARE ASSOCIATION.
00:34:34 THANK YOU. HI EVERYONE.
00:34:39 AS ANA SAID, MY NAME IS LAURA SHECKLER.
00:34:40 I'M WITH THE CALIFORNIA PRIMARY CARE ASSOCIATION WHICH IS THE
00:34:43 STATEWIDE ASSOCIATION FOR COMMUNITY HEALTH CENTERS ACROSS
00:34:46 CALIFORNIA. WE REPRESENT 2300 CLINICAL
00:34:49 SITES ACROSS THE STATE AND SERVE 1 IN 3 MEDI-CAL
00:34:53 BENEFICIARIES AND THAT INCLUDES MANY OF THE FEDERALLY QUALIFIED
00:34:57 HEALTH CENTERS AND COMMUNITY HEALTH CENTERS HERE
00:35:00 IN CALIFORNIA AND OUR MEMBERSHIP AS WELL.
00:35:01 >> SO FOR ME I JUST WANTED TO TAKE A MOMENT AND GROUND THIS
00:35:05 CONVERSATION IN THE LARGER STATEWIDE CONTEXT BECAUSE THE
00:35:12 CONVERSATION THAT'S HAPPENING HERE IN THIS BUILDING IS THIS
00:35:16 VERY SIMILAR CONVERSATION THAT'S HAPPENING AND EVERY CITY
00:35:20 AND COUNTY CHAMBER ACROSS THE STATE AND ACROSS THE COUNTRY
00:35:24 RIGHT NOW WE'RE SEEING VERY SIMILAR PATTERNS ABOUT WHICH
00:35:28 WHICH COMMUNITIES ARE ULTIMATELY IMPACTED BY BOTH THE
00:35:32 FEDERAL CUTS, THE STATE CUTS AND THEN COMING DOWN TO THE
00:35:33 CITY AND COUNTY GOVERNMENT DECISIONS AS WELL.
00:35:38 SO I KNOW YOU'VE HAD LOTS OF CONVERSATIONS ABOUT H.R. ONE,
00:35:41 BUT REALLY THE WAY I THINK ABOUT THAT IS THIS IS A COST
00:35:45 SHIFTING EXERCISE IS SHIFTING THE COSTS FROM THE FEDERAL
00:35:48 GOVERNMENT ONTO THE STATE AND THEN THE STATE IS MAKING
00:35:50 BUDGET DECISIONS THAT OFTEN ARE ARE SHIFTING THOSE COSTS ONTO
00:35:56 THE COUNTY AND CITY GOVERNMENTS AND THEN ULTIMATELY YOUR
00:35:58 DECISIONS ARE REALLY ABOUT, YOU KNOW, DO THOSE COSTS GET PASSED
00:36:04 ON TO YOUR COMMUNITY BASED ORGANIZATIONS AND THE
00:36:05 COMMUNITIES THAT THEY ARE SERVING?
00:36:09 >> SO BOTH AT THE STATE AND LOCAL LEVELS THAT'S THE KEY
00:36:13 QUESTION HERE IS WILL THESE COSTS BE ABSORBED OR WILL THE
00:36:17 BENEFITS AND FUNDING AND SERVICES BE CUT AND WHAT
00:36:18 ARE THE CREATIVE OPTIONS YOU HAVE AVAILABLE FOR REALLY
00:36:21 THINKING THROUGH THAT? I WANT TO STRESS REAL QUICKLY
00:36:25 THAT FOR ORGANIZATIONS LIKE HEALTH CENTERS AND OTHER
00:36:29 COMMUNITY BASED ORGANIZATIONS WHO ARE RECEIVING FEDERAL
00:36:32 FUNDING, THE IMPACTS ARE REALLY COMPOUNDING HERE.
00:36:36 SO ALONG WITH THE TRICKLE DOWN IMPACTS THEY ARE ALSO FACING
00:36:40 CHANGES TO THINGS LIKE THEIR GRANTS AGREEMENTS THAT ARE
00:36:41 LOOKING TO RESTRICT HOW THEY SERVE CERTAIN POPULATIONS
00:36:47 AND SERVICES AND PARTICULARLY FOR CARE THAT IS HIGHLY
00:36:52 POLITICIZED IN THIS MOMENT. I'M SURE THAT WILL BE NO
00:36:55 SURPRISE TO FOLKS IN THIS ROOM THAT THAT IS PARTICULARLY
00:36:59 IMPACTING COMMUNITIES THAT ARE THE ENTIRE TIRELESSLY TARGETED
00:37:03 BY THE FEDERAL GOVERNMENT. SO TRANS COMMUNITIES,
00:37:07 IMMIGRANTS, REPRODUCTIVE HEALTH SERVICES AND HARM REDUCTION
00:37:11 SERVICES AS JUST A FEW OF THOSE AND THEN THE FURTHER YOU GET
00:37:15 DOWN THE FOOD CHAIN HERE, THE MORE THOSE IMPACTS ARE
00:37:19 AMPLIFIED. >> SO NOW WE'RE REALLY AT A
00:37:20 MOMENT WHERE THE REAL RISK HERE IS THAT THE MOST HARMFUL
00:37:24 IMPACTS OF H.R. ONE ARE BEING PASSED ON TO OUR CRITICAL
00:37:31 SAFETY NET PROVIDERS AND THEN THE COMMUNITIES THAT THEY SERVE
00:37:34 AND THOSE COMMUNITIES ARE ALREADY NAVIGATING DAILY
00:37:35 ATTACKS ON THEIR WELL-BEING. >> THEN THE LAST THING I WANT
00:37:39 TO SAY REALLY QUICKLY HERE IS THAT I WANT TO HIGHLIGHT THAT
00:37:43 THERE ARE SOME OTHER COUNTIES WHO ARE REALLY LEADING THE WAY
00:37:47 RIGHT NOW IN THIS SPACE TO MAKE SURE THAT THERE ARE THERE
00:37:51 SPECIFICALLY FINDING WAYS TO ENSURE THAT THESE COMMUNITIES
00:37:55 AND THEIR SERVICES ARE PROTECTED DURING THESE TIMES.
00:37:59 >> SO ACROSS THE BAY OVER IN ALAMEDA COUNTY, FOR EXAMPLE,
00:38:02 THE ALAMEDA COUNTY BOARD OF SUPERVISORS HAS VOTED TO SET
00:38:06 ASIDE $5 MILLION OVER THE NEXT FIVE YEARS FOR GENDER AFFIRMING
00:38:09 CARE AND TRANS COMMUNITIES SPECIFICALLY SONOMA COUNTY IS
00:38:15 CURRENTLY PROPOSING 1.5 MILLION IN THE COMING YEAR TO SUPPORT
00:38:17 TRANS AND IMMIGRANT IMMIGRANT COMMUNITIES TO BACKFILL THESE
00:38:20 CUTS AND LOS ANGELES BOARD OF SUPERVISORS EARLIER THIS YEAR
00:38:24 PASSED A MOTION TO PLACE A TEMPORARY HALF CENT SALES TAX
00:38:28 ON THE JUNE 2026 BALLOT WITH A SPENDING PLAN TO MAKE SURE THAT
00:38:36 IT GOES TO SAFETY NET PROVIDERS AND THAT WILL IS ESTIMATED TO
00:38:39 GENERATE $1 BILLION ANNUALLY. SO THERE REALLY ARE CREATIVE
00:38:43 OPTIONS HERE FOR THINKING ABOUT HOW DO WE MAKE SURE THAT WE'RE
00:38:47 ABLE TO PRESERVE CARE AND SERVICES AND YEAH, I THINK
00:38:51 THE LAST THING HERE IS BEFORE WE MOVE ON TO THE SPECIFIC
00:38:55 PROVIDERS IS REALLY THE QUESTION THAT'S IN FRONT OF YOU
00:38:59 AS THE BOARD OF SUPERVISORS ALONG WITH YOUR COUNTERPARTS
00:39:02 STATEWIDE AND NATIONALLY IS HOW WILL YOU RESPOND AND WHO ARE
00:39:07 YOU GOING TO PROTECT AND WHICH VALUES ARE YOU GOING TO UPHOLD
00:39:10 IN THIS PARTICULAR BUDGET? >> THANK YOU.
00:39:14 >> THANK YOU. AND WITH THAT I'LL THAT'S THE
00:39:19 END OF OUR SLIDES BUT I'LL PASS IT TO OUR NEXT COUPLE OF
00:39:22 SPEAKERS WHO WILL BE LAURA THOMAS FROM THE S.F. AIDS
00:39:26 FOUNDATION AND THE HIV AIDS PROVIDERS NETWORK.
00:39:29 THANKS TANYA. GOOD AFTERNOON SUPERVISORS
00:39:31 AND LAURA THOMAS WITH THE SAN FRANCISCO AIDS FOUNDATION AND A
00:39:34 RESIDENT OF DISTRICT TEN. AND I WANT TO HIGHLIGHT SOME OF
00:39:37 THE WAYS IN WHICH CUTS TO HIV SERVICES ARE HAPPENING AT THE
00:39:44 FEDERAL LEVEL. WHAT WE'RE TRYING TO DO TO
00:39:45 MITIGATE THAT AT THE STATE LEVEL AND THEN WHAT'S
00:39:48 POTENTIALLY HAPPENING AT THE LOCAL LEVEL THAT COULD
00:39:52 UNDERMINE SOME OF THAT WORK. SO THE CORE OF OUR HIV SERVICES
00:39:56 FOR PEOPLE LIVING WITH HIV HERE IN THE CITY IS THE RYAN WHITE
00:40:00 CARE SYSTEM AND RYAN WHITE IS A FEDERAL LEGISLATION THAT WAS
00:40:07 DESIGNED AND CREATED HERE IN SAN FRANCISCO WHICH WE'RE
00:40:08 VERY PROUD OF AND IT IS A SORT OF A DISASTER RELIEF MODEL THAT
00:40:15 SENDS FEDERAL DOLLARS TO URBAN AREAS HARDEST HIT BY HIV SAN
00:40:19 FRANCISCO FOR A NUMBER OF REASONS.
00:40:22 AT ONE POINT WE WERE RECEIVING $40 MILLION A YEAR.
00:40:24 THERE WERE CHANGES IN THE FORMULA AT THE FEDERAL LEVEL
00:40:27 NOW WE'RE DOWN TO ABOUT $15 MILLION A YEAR IN FEDERAL
00:40:30 DOLLARS BUT IN LARGE PART BECAUSE OF OUR COMMITMENT TO
00:40:34 PEOPLE LIVING WITH HIV HERE IN THIS CITY AND FIERCE
00:40:37 ADVOCACY FROM PEOPLE LIVING WITH HIV, THIS CITY HAS SEEN
00:40:41 ITS WAY CLEAR TO BACKFILL THOSE FEDERAL CUTS YEAR AFTER YEAR.
00:40:46 AND SO NOW WE HAVE A RYAN WHITE SYSTEM THAT IS A MIX OF FEDERAL
00:40:50 AND LOCAL GENERAL FUND DOLLARS .
00:40:53 >> IT IS IT IS DESIGNED AND INTENDED TO BE THE SAFETY
00:40:56 NET SERVICES SO IT IS DESIGNED AND CREATED FOR PEOPLE WHO ARE
00:41:01 NOT ON MEDI-CAL FOR EXAMPLE, WHO DON'T HAVE PRIVATE
00:41:02 INSURANCE, WHO ARE UNINSURED AND UNDERINSURED.
00:41:05 WE KNOW THE CURRENT ADMINISTRATION IS MAKING
00:41:09 CHANGES AGAIN TO THE FORMULA AND WE ARE FACING A LOSS OF
00:41:11 ABOUT 20% OF THE RYAN WHITE DOLLARS OVER THE NEXT FIVE
00:41:15 YEARS. WE KNOW THAT NOW WE CAN SEE IT
00:41:19 COMING AND WE NEED TO BE READY AND PREPARED AND TO FIGURE OUT
00:41:23 HOW WE ARE GOING TO BACKFILL AND HOLD THAT SYSTEM OF CARE
00:41:27 TOGETHER AGAIN, THIS IS THE SYSTEM OF CARE THAT WE HAVE
00:41:28 CREATED FOR PEOPLE WHO DON'T HAVE MEDI-CAL AND PRIVATE
00:41:31 INSURANCE. WE KNOW AS YOU'VE HEARD BEFORE
00:41:34 AND AS YOU KNOW WELL THAT PEOPLE ARE GOING TO BE PUSHED
00:41:38 OFF OF MEDI-CAL FOR A VARIETY OF DIFFERENT REASONS.
00:41:39 THE RYAN WHITE SAFETY NET NEEDS TO BE THERE TO CATCH THEM.
00:41:42 THAT'S WHAT IT'S INTENDED AND CREATED FOR.
00:41:46 WE ARE HEARING THAT THERE MAY BE AN ADDITIONAL THERE MAY BE A
00:41:49 5% CUT LOCALLY TO HIV HEALTH SERVICES THIS YEAR.
00:41:53 WE'RE VERY CONCERNED. IT DOESN'T MAKE ANY SENSE TO BE
00:41:57 SETTING ASIDE MONEY TO PROVIDE FOR FOLKS WHO ARE FALLING OFF
00:42:01 OF MEDI-CAL WHEN WE'VE GOT A SYSTEM WHILE ALSO CUTTING THE
00:42:05 SYSTEM THAT WE CREATED FOR THAT SAME POPULAR OPTION THAT
00:42:09 ALREADY EXISTS THAT ALREADY IS IN PLACE THAT INDIVIDUALS
00:42:13 ALREADY KNOW AND TRUST. ONE OF THE OTHER THINGS THAT'S
00:42:17 BEEN HAPPENING IN THE HIV WORLD STARTING EARLY LAST YEAR WITH A
00:42:20 SERIES OF EXECUTIVE ORDERS FROM THE PRESIDENT AROUND GENDER
00:42:24 IDEOLOGY AND AROUND I A WHOLE LOT OF HIV RESEARCH WAS
00:42:27 ELIMINATED UNDER THOSE MY ORGANIZATION THE SAN FRANCISCO
00:42:32 AIDS FOUNDATION ALONG WITH THE SAN FRANCISCO COMMUNITY HEALTH
00:42:36 CENTER, THE JOB HISTORICAL SOCIETY AND A NUMBER OF OTHER
00:42:39 ORGANIZATIONS AROUND THE COUNTRY BANDED TOGETHER AND WE
00:42:41 FILED A LAWSUIT AGAINST THE TRUMP ADMINISTRATION SFA F V
00:42:43 TRUMP THAT HAS I'M AGAINST THE EXECUTIVE ORDERS ON GENDER
00:42:50 IDEOLOGY AND I THAT IS CONTINUING TO WORK ITS WAY
00:42:52 THROUGH THE COURTS BUT SO FAR IT HAS PROTECTED US FROM CUTS
00:42:55 FOR THOSE REASONS AND WE ARE STILL WAITING TO SEE HOW THAT
00:43:01 PLAYS OUT IN COURT. IT'S BEEN COMBINED WITH ANOTHER
00:43:03 SET OF LAWSUITS BUT OUR LEGAL FOLKS AT LAMBDA LEGAL HAVE BEEN
00:43:09 FANTASTIC IN HELPING WITH THAT .
00:43:12 SO THAT'S A PENDING CUT THAT IS CURRENTLY BEING STOPPED AT THE
00:43:17 COURT LEVEL. THERE'S A SIMILAR SET OF CUTS
00:43:20 TO HIV PREVENTION THAT THE FEDERAL ADMINISTRATION TRIED TO
00:43:24 PUT THROUGH A FEW MONTHS AGO. IT WAS CUTS TO CALIFORNIA,
00:43:28 COLORADO, ILLINOIS AND MINNESOTA.
00:43:31 HIV PREVENTION SORT OF GOT CAUGHT UP IN THAT BECAUSE WE
00:43:36 HAD GRANTS THERE. IT INCLUDED AROUND $10 MILLION
00:43:42 IN CUTS TO SAN FRANCISCO, $8 MILLION DIRECTLY TO THE
00:43:45 DEPARTMENT OF PUBLIC HEALTH. AGAIN, SAN FRANCISCO GATES
00:43:47 FOUNDATIONS FOR FRANCISCO COMMUNITY HEALTH CENTER
00:43:50 AND UCSF MADE UP THE REST OF THAT.
00:43:53 THAT HAS ALSO THE ATTORNEYS GENERAL FOR THOSE FOUR STATES
00:43:54 HAVE FILED SUIT AND THAT IS CURRENTLY THOSE CUTS ARE BEING
00:44:01 HELD AND THAT IS GOING THROUGH THE COURT PROCESS.
00:44:04 ONE OF THE CHALLENGES FOR US AS A COMMUNITY BASED ORGANIZATION
00:44:08 EVEN THOUGH OUR MONEY IS STILL CONTINUING TO FLOW, WE ARE NOT
00:44:12 ACTUALLY COVERED UNDER THE ATTORNEYS GENERAL LAWSUIT
00:44:13 AND SO WE ARE CONCERNED THAT WE MAY STILL GET THOSE CUTS
00:44:19 AND THOSE ARE HIV PREVENTION CUTS PARTICULARLY FOR THE TRANS
00:44:23 COMMUNITY AND FOR THE GAY, BI AND TRANS MEN WHO HAVE SEX WITH
00:44:27 MEN COMMUNITIES HERE WE ARE ALSO HEARING THAT SOME OF THE
00:44:31 GRANTS THAT WE HAVE WITH THE CENTERS FOR DISEASE CONTROL
00:44:35 AND PREVENTION WHEN THEY COME TO THE END OF THEIR CYCLE UNDER
00:44:38 A NORMAL ADMINISTRATION THEY WOULD BE RENEWED.
00:44:42 WE'RE HEARING EITHER THAT THEY MAY NOT BE CONTINUED AT THIS
00:44:45 UNDER THIS ADMINISTRATION OR THEY MAY BE CONTINUED WITH
00:44:49 LANGUAGE THAT MAKES THEM ESSENTIALLY AN IMPLEMENTER BILL
00:44:54 SUCH AS NOT BEING ABLE TO SERVE TRANS PEOPLE WHICH IS NOT
00:44:58 SOMETHING THAT IS ACCEPTABLE. BUT LET'S JUST SAY I ALSO JUST
00:45:03 WANT TO HIGHLIGHT ONE OF THE PROPOSED CUTS THAT WE WERE ABLE
00:45:07 TO PUSHBACK ON ALSO THIS YEAR WAS $2 BILLION NATIONWIDE
00:45:10 IN CUTS FOR THE SUBSTANCE ABUSE MENTAL HEALTH SERVICES
00:45:14 ADMINISTRATION AND IT INCLUDED CUTS TO ORGANIZATIONS HERE
00:45:18 IN SAN FRANCISCO AS WELL AS ACROSS THE STATE IN PARTICULAR
00:45:22 THE MINORITY AIDS INITIATIVE HIV SAMHSA GRANTS SO TARGETING
00:45:26 BIPOC FOLKS WITH HIV OR AT AT RISK OF HIV THERE WAS ENOUGH
00:45:34 PUSHBACK THEY UNWISELY I GUESS CHOSE TO CUT RED STATES AS WELL
00:45:38 AS BLUE STATES IN THAT ONE AND THERE WAS ENOUGH PUSHBACK
00:45:41 THAT THOSE WERE HELD IN ABEYANCE BUT IT'S ALSO STILL
00:45:44 VERY CLEAR THAT THEY ARE THEY WOULD LIKE TO CUT THOSE
00:45:48 SERVICES AS WELL. SO THAT'S JUST SOME CONTEXT
00:45:52 IN TERMS OF WHAT'S HAPPENING AT THE FEDERAL LEVEL AT THE STATE
00:45:55 LEVEL AS ADVOCATES WE ARE WORKING VERY HARD TO TRY TO
00:45:59 FREE UP SOME STATE MONEY TO BACKFILL SOME OF THESE FEDERAL
00:46:04 CUTS, PARTICULARLY THE RYAN WHITE CUTS AND WE'VE BEEN
00:46:05 EFFECTIVE AT THAT SO FAR. BUT THAT ONLY HOLDS AS LONG AS
00:46:08 OUR LOCAL FUNDING HOLDS STEADY AS WELL BECAUSE IF WE LOSE THAT
00:46:15 IT'S JUST GOING TO EXACERBATE ALL OF THESE OTHER LOSSES.
00:46:17 SO THAT'S SOME OF THE CONTEXT AROUND HIV FUNDING AND I'M
00:46:23 CERTAINLY HAPPY TO ANSWER THEIR QUESTIONS BUT I KNOW THERE ARE
00:46:25 A NUMBER OF OTHER IMPORTANT ISSUES THAT NEED TO BE RAISED
00:46:27 SO I WILL HAND IT OVER TO MY NEXT COLLEAGUE.
00:46:30 >> THANK YOU LAURA AND THE NEXT UP WILL BE JIM JEFF FROM
00:46:35 LANDMARK COMMUNITY HEALTH SERVICES TO SPEAK TO GENDER
00:46:38 AFFIRMING CARE. >> HELLO EVERYONE.
00:46:43 MY NAME IS JIM JAFFE. I USE THEY THEM PRONOUNS
00:46:47 AND THE EXECUTIVE DIRECTOR OF LAMERTON COMMUNITY HEALTH
00:46:50 SERVICES HERE IN SAN FRANCISCO. WE ARE IN THE MISSION DISTRICT
00:46:54 AND HAVE BEEN AROUND FOR ABOUT HALF A CENTURY PROVIDING
00:46:55 PRIMARY CARE AND MENTAL HEALTH SERVICES TO LOW INCOME TRANS
00:46:59 INTERSEX AND OTHER MARGINALIZED COMMUNITIES AS A FEDERALLY
00:47:02 QUALIFIED HEALTH CENTER LOOK ALIKE WE DO THIS REGARDLESS OF
00:47:06 ABILITY TO PAY OR INSURANCE STATUS AND WE ACTUALLY OFTEN
00:47:10 ABSORB THE UNCOMPENSATED COSTS OF CARE FOR PEOPLE ALL OVER THE
00:47:14 STATE OF CALIFORNIA FOR GENDER AFFIRMING CARE TODAY THAT CARE
00:47:17 SYSTEM AND OUR PEOPLE'S VERY LIVELIHOOD IS UNDER ATTACK BY
00:47:22 THE FEDERAL GOVERNMENT. THIS IS NOT JUST ABOUT FUNDING
00:47:25 CUTS. IT'S A COORDINATED EFFORT
00:47:26 TARGETING TRANSGENDER PEOPLE ONE THAT IS ALREADY
00:47:29 DESTABILIZING TO OUR LOCAL HEALTH CARE INFRASTRUCTURE
00:47:32 AND OUR PERSONAL ABILITY TO OBTAIN HEALTH CARE USE A
00:47:34 BATHROOM, OBTAIN EDUCATION EMPLOYMENT, PLAY WITH OUR PEERS
00:47:40 AND ULTIMATELY OUR RIGHT TO BE OUR AUTHENTIC SELVES.
00:47:44 >> AT LEAH MARTIN WE HAVE BEEN FORCED TO WITHDRAW FROM OR
00:47:46 AVOID APPLYING TO FEDERALLY SOURCE GRANTS AND THAT'S NOT
00:47:49 JUST FEDERALLY ADMINISTERED GRANTS BUT ALSO STATE AND CITY
00:47:52 GRANTS THAT ARE FEDERALLY SOURCED BECAUSE OF THE LEGAL
00:47:55 AND FINANCIAL RISK OF LIABILITY .
00:47:59 THAT MEANS FEWER DOLLARS ARE COMING TO SAN FRANCISCO'S
00:48:00 PRIMARY CARE AND MENTAL HEALTH SAFETY NET ANTI OR TRANS
00:48:04 POPULATIONS RESIDING HERE EVEN AS WE SECURED NEW STATE
00:48:07 INVESTMENT AS INVESTMENTS TO EXPAND GENDER AFFIRMING CARE
00:48:12 THIS YEAR ESPECIALLY TO YOUTH, WE SIMULTANEOUSLY ARE SET TO
00:48:15 RECEIVE A CUT OF THE SAME AMOUNT PER YEAR FROM THE CITY
00:48:19 OF SAN FRANCISCO AND POSSIBLY MORE TO COME.
00:48:23 >> EFFECTIVELY CANCELING OUT THAT DELIBERATE INVESTMENT FROM
00:48:24 THE STATE. UNFORTUNATELY THE NEED IS
00:48:27 RAPIDLY INCREASING AS HOSPITALS AND LARGER SYSTEMS BEGIN
00:48:30 SCALING BACK OR ELIMINATING GENDER AFFIRMING CARE
00:48:34 ESPECIALLY FOR USE FOR YOUTH. WE ARE SEEING THE NETWORK
00:48:36 COLLAPSE SO WE'RE ESTIMATING THAT AT LEAST 10,000 YOUNG
00:48:41 PEOPLE IN CALIFORNIA HAVE ALREADY LOST ACCESS TO THEIR
00:48:43 GENDER AFFIRMING CARE PROVIDER AND NEED A NEW ONE.
00:48:46 WE ARE TRYING OUR BEST TO FILL THAT GAP.
00:48:50 THESE PATIENTS ARE COMING HERE TO SAN FRANCISCO TO LIE
00:48:54 AND MARTIN TO PLACES THAT ARE ALREADY OPERATING AT CAPACITY
00:48:57 ARE CURRENTLY YOU ARE SET TO UNDERMINE AN INITIATIVE TO SAVE
00:49:01 ACCESS TO GENDER AFFIRMING CARE IN THIS CITY IN THIS STATE.
00:49:05 AND GIVEN THAT PEOPLE ARE COMING TO US FROM OTHER STATES,
00:49:07 THE NATION WITHOUT INTERVENTION THIS WILL RESULT IN FURTHER
00:49:09 DELAYED CARE WORSENING HEALTH OUTCOMES INCREASE PREMATURE
00:49:16 PREVENTABLE DEATH FOR THE TRANS POPULATION AND SIGNIFICANTLY
00:49:20 HIGHER COSTS TO THE CITY OVER TIME IN E.R. AND ADMISSION
00:49:21 VISITS. I ALSO JUST WANT TO SAY THAT
00:49:25 YOU'LL PROBABLY HAVE A LOT OF PUBLIC OUTRAGE ABOUT THIS GIVEN
00:49:30 THE LACK OF ACTION TO IMPEDE AN ONGOING GENOCIDE AND PUBLIC
00:49:33 HEALTH CRISIS AGAINST YOUR TRANS COMMUNITIES HERE AT HOME.
00:49:36 SAN FRANCISCO HAS LONG BEEN CALLED IT'S A LONG CALLED
00:49:40 ITSELF A SANCTUARY. NOW IS THE TIME TO ACT BACKFILL
00:49:43 THE FEDERAL FUNDING LOSSES, REINVEST IN YOUR LOCAL TRANS
00:49:47 AFFIRMING CARE PROVIDERS AND FUND THE INFRASTRUCTURE
00:49:51 AND CAPACITY NEEDED TO MEET THIS SURGE IN DEMAND.
00:49:52 OUR COMMUNITIES ARE NOT ABSTRACT.
00:49:55 THEY ARE HERE AND THEY ARE COUNTING ON YOU.
00:49:57 THANK YOU. THANK YOU.
00:50:03 >> I'D LIKE TO PASS IT TO KATJA PADILLA FROM THE LATINO TASK
00:50:04 FORCE. >> GOOD AFTERNOON SUPERVISORS.
00:50:09 I'M GOING TO I'M GOING TO READ IT OFF BECAUSE I KNOW I CAN GO
00:50:13 ON FOR HOURS BUT MY NAME IS KATIA PADILLA.
00:50:16 I STAND HERE REPRESENTING COMMUNITIES ACROSS SAN
00:50:17 FRANCISCO IN COLLABORATION WITH THE BBC.
00:50:20 BUT I CAN'T HELP TO MENTION I'M ALSO THE CEO OF LATINO TASK
00:50:23 FORCE WHICH IS AN ADVOCACY BODY THAT SEES EXACTLY HOW THE
00:50:28 IMMIGRANT POPULATION IS CARRYING THE WEIGHT OF THESE
00:50:29 DEEP SYSTEMIC INEQUITIES. WHAT WE ARE SEEING TODAY IS NOT
00:50:33 JUST A BUDGET ISSUE. IT IS A DIRECT THREAT TO
00:50:36 IMMIGRANT COMMUNITIES WHO RELY HEAVILY ON THESE SYSTEMS TO
00:50:38 THRIVE AT THE FEDERAL AND STATE LEVELS WE ARE SEEING CUTS TO
00:50:40 ESSENTIAL PROGRAMS LIKE MEDICAL CALWORKS, FOOD ASSISTANCE,
00:50:44 HOUSING SUPPORT THESE ARE NOT ABSTRACT PROGRAMS.
00:50:47 THESE ARE THE LIFELINES THAT IMMIGRANT FAMILIES DEPEND ON TO
00:50:49 STAY HEALTHY HOUSED AND FED WITH STRICTER ELIGIBILITY
00:50:52 REQUIREMENTS AND REDUCED FUNDING.
00:50:53 MANY IMMIGRANTS, ESPECIALLY MIXED STATUS FAMILIES WILL BE
00:50:56 PUSHED OUT OF ACCESS ENTIRELY, LEAVING THOUSANDS WITHOUT
00:51:00 HEALTH CARE AND BASIC SUPPORT. WE'RE ALSO SEEING THE
00:51:04 ELIMINATION OR WEAKENING OF PROGRAMS THAT SUPPORT CHILDREN,
00:51:05 YOUTH AND WORKING FAMILIES FROM WORK IN WORKFORCE DEVELOPMENT
00:51:08 TO EDUCATION AND HOUSING PROGRAMS.
00:51:12 THESE CUTS WILL NOT JUST IMPACT INDIVIDUALS, THEY WILL
00:51:15 DESTABILIZE ENTIRE COMMUNITIES. AND HERE IN SAN FRANCISCO, AS
00:51:18 YOU SAW THE NUMBERS THAT ANYA JUST SHARED 60% CUTS TO THE
00:51:19 IMMIGRANT COMMUNITY WHEN GOVERNMENT SYSTEMS PULL BACK,
00:51:23 COMMUNITY BASED ORGS ARE EXPECTED TO FILL THAT GAP
00:51:27 WITHOUT THE RESOURCES TO DO SO. I'M LIVE IN IT RIGHT NOW.
00:51:30 ORGANIZATIONS LIKE THE ONES WE REPRESENT HERE BECOME THE FRONT
00:51:32 LINE PROVIDING FOOD, HEALTH ACCESS, WORKFORCE SUPPORT
00:51:34 AND SAFETY AND Y'ALL KNOW IF WE HAD TO DO THAT FOR COVID BUT WE
00:51:39 CANNOT DO THAT IF CITY FUNDING IS ALSO BEING REDUCED AT THE
00:51:42 SAME TIME THESE NEEDS ARE INCREASING.
00:51:46 THIS MOMENT REQUIRES US TO BE CLEAR THESE CUTS DO NOT
00:51:47 ELIMINATE THE NEED. THEY SHIFT THE BURDEN ONTO THE
00:51:50 MOST VULNERABLE COMMUNITIES AND THE ORGANIZATIONS THAT
00:51:53 SERVE THEM. IF WE'RE SERIOUS ABOUT EQUITY
00:51:54 AND PUBLIC HEALTH IN SAN FRANCISCO THEN WE MUST PROTECT
00:51:58 AND INVEST THE VERY SYSTEMS THAT IMMIGRANT COMMUNITIES RELY
00:51:59 ON. LET'S BE HONEST THESE CUTS
00:52:02 DON'T REDUCE THE NEED THEY PUSH OUR PEOPLE DEEPER INTO SURVIVAL
00:52:05 MODE AND WE REFUSE TO STAND BY WHILE OUR COMMUNITIES ARE
00:52:09 FORCED TO STRUGGLE JUST TO EXIST IN A CITY THAT THEY HELP
00:52:10 SUSTAIN. >> THANK YOU.
00:52:15 THANK YOU. I'M PROUD TO BE ABLE TO PASS IT
00:52:19 TO MARNI REAGAN FROM LOGAN STREET YOUTH SERVICES I
00:52:24 SUPERVISORS. MY NAME IS MARTY REGAN.
00:52:28 I'M A DIVISION DIRECTOR AT LARKIN STREET YOUTH SERVICES.
00:52:31 I'M ALSO CHAIR OF THE HOMELESS EMERGENCY SERVICES PROVIDER
00:52:33 ASSOCIATION. I'M HERE TO TALK ABOUT SNAP
00:52:35 AND MEDICAID WORK REQUIREMENTS THAT BEGIN JUNE 1ST AND WHAT
00:52:39 THEY MEAN FOR SAN FRANCISCO'S MOST VULNERABLE RESIDENTS
00:52:43 PEOPLE EXPERIENCING HOMELESSNESS WORK REQUIREMENTS
00:52:46 ARE OFTEN FRAMED AS PROMOTING SELF-SUFFICIENCY BUT WITHOUT
00:52:47 ACCESS TO JOB TRAINING, STABLE WAGES OR WORKFORCE CASE
00:52:51 MANAGEMENT. THESE REQUIREMENTS DON'T CREATE
00:52:54 OPPORTUNITY. THEY CREATE BARRIERS UNHOUSED
00:52:58 AND UNSTABLE HOUSE PEOPLE NEED WORKFORCE PROGRAMS NOT BECAUSE
00:53:00 THEY'RE UNWILLING TO WORK BUT BECAUSE HOMELESSNESS CREATES
00:53:03 STRUCTURAL BARRIERS TO UNEMPLOYMENT TO EMPLOYMENT THAT
00:53:06 MOST TRADITIONAL JOB MARKETS AND TRAINING SYSTEMS ARE NOT
00:53:10 DESIGNED TO ADDRESS. AS OF JUNE 1ST SNAP
00:53:13 AND MEDICAID RECIPIENTS WILL HAVE TO PROVE THEY'RE WORKING
00:53:17 OR IN TRAINING PROGRAMS FOR AT LEAST 80 HOURS A MONTH IN ORDER
00:53:18 TO RETAIN ROUTINE FOOD AND HEALTH CARE WITHOUT
00:53:21 INVESTMENT AND WORKFORCE PROGRAMS TO ENSURE FOLKS CAN
00:53:25 COMPLY WITH THOSE PEOPLE WILL LOSE FOOD AND HEALTH CARE
00:53:29 PERIOD. THIS IS UTTERLY INHUMANE.
00:53:33 IN SAN FRANCISCO WE ALREADY KNOW THE DATA MOST HOMELESS
00:53:37 INDIVIDUALS WANT TO WORK AND MANY HAVE WORKED IN THE
00:53:38 PAST WHAT THEY LACK IS NOT MOTIVATION, IT'S SUPPORT
00:53:42 AND FOR TRANSITIONAL AGE YOUTH WHO ARE EXPERIENCING THE
00:53:45 HIGHEST RATE OF UNEMPLOYMENT ACROSS THE COUNTRY ABOUT 10%
00:53:48 THEY LACK EXPERIENCE IN ENTRY LEVEL OPPORTUNITIES WHEN
00:53:52 BENEFITS ARE CONDITIONED ON WORK BUT WORKFORCE PATHWAYS ARE
00:53:56 UNDER-RESOURCED. THE RESULT IS DEEPER POVERTY,
00:54:00 WORSENING HEALTH OUTCOMES AND MORE PEOPLE CYCLING THROUGH
00:54:02 EMERGENCY ROOMS, JAILS AND SHELTERS AT FAR GREATER
00:54:05 COST TO THE CITY. THIS IS ENTIRELY PREVENTABLE.
00:54:09 THAT'S WHY WE'RE URGING THE CITY TO PLEASE ACT PROACTIVELY
00:54:13 IF THESE WORK REQUIREMENTS ARE THE REALITY THEN THE CITY HAS A
00:54:17 RESPONSIBILITY TO INVEST IN WORKFORCE PROGRAMS THAT
00:54:20 ACTUALLY MAKE COMPLIANCE POSSIBLE.
00:54:21 >> THAT MEANS LOW BARRIER PAY, JOB TRAINING, SUSTAINABLE WAGES
00:54:24 AND SUPPORTIVE WORK PROGRAMS. WHAT DOES THIS TAKE?
00:54:28 STRONG COORDINATION BETWEEN HCA, HCA AND EWG.
00:54:31 I WISH THEY WERE HERE TODAY AND PROVIDERS WHO KNOW WHAT
00:54:35 CLIENTS NEED. >> WE CAN CHOOSE A PUNITIVE
00:54:39 APPROACH THAT PUSHES PEOPLE OFF LIFE SAVING BENEFITS OR WE CAN
00:54:41 CHOOSE A SMART, HUMANE RESPONSE THAT INVESTS IN PATHWAYS TO
00:54:45 STABILITY. SAN FRANCISCO IS ALWAYS LED
00:54:48 WITH INNOVATION AND COMPASSION. NOW IS THE TIME TO DO SO AGAIN.
00:54:52 BY PAIRING WORK REQUIREMENTS WITH REAL WORKFORCE
00:54:55 OPPORTUNITIES ESPECIALLY FOR PEOPLE LOW INCOME
00:54:56 AND EXPERIENCING HOMELESSNESS, I WILL NOW TURN IT OVER TO MY
00:55:00 FRIEND AND COLLEAGUE COLLEEN REBECCA FROM D.C..
00:55:03 >> THANKS. >> HELLO.
00:55:06 SUPERVISOR'S MY NAME IS COLLEEN REBECCA.
00:55:11 >> I'M THE DIRECTOR OF COMMUNITY ORGANIZING POLICY
00:55:14 AND PLANNING FOR TENDERLOIN NEIGHBORHOOD DEVELOPMENT
00:55:15 CORPORATION. >> AFFORDABLE AND PERMANENT
00:55:19 SUPPORTIVE HOUSING PROVIDERS ARE CONCERNED ABOUT THE IMPACTS
00:55:22 OF H.R. ONE ON OUR TENANTS. >> THE CITY ESTIMATES ESTIMATES
00:55:26 THAT DUE TO NEW WORK REQUIREMENTS AND RESTRICTIONS
00:55:29 ON IMMIGRANT ELIGIBILITY 20 5000 TO 50,000 SAN FRANCISCANS
00:55:33 COULD LOSE MEDI-CAL ELIGIBILITY AND 21,000 COULD LOSE CAL FRESH
00:55:37 NUTRITION BENEFITS. >> IT WASN'T STATED YET, BUT I
00:55:41 DO WANT TO POINT OUT THAT THE DAY THAT THE SO-CALLED
00:55:44 UNSATISFACTORY IMMIGRANT POPULATION LOSE CAL FRESH
00:55:48 BENEFITS HAS ALREADY PASSED. >> IT WAS APRIL 1ST LAST WEEK
00:55:51 AND THE DAY THAT WORK REQUIREMENTS KICK IN IS LESS
00:55:56 THAN TWO MONTHS AWAY. THE IMPACTS OF OUR ONE WILL BE
00:56:02 FELT BY THE CITY IN TERMS OF REDUCED REVENUES LARGER SHARE
00:56:05 OF COST AND INCREASED NEED FOR CITY ELIGIBILITY WORKERS TO
00:56:07 MEET NEW ADMINISTRATE OF BURDENS.
00:56:11 THESE ARE NOT JUST IMPACTS THE CITY MUST BEAR.
00:56:14 >> THE IMPACT OF FEDERAL AND CITY BUDGET DECISIONS WILL
00:56:16 BE FELT ACUTELY BY SAN FRANCISCANS WHO ARE NEWLY
00:56:19 INELIGIBLE FOR FEDERAL BENEFITS AT A TIME WHEN THE CITY IS
00:56:23 PROPOSING CUTS TO CITY FUNDED SERVICES THAT SUPPORT THEM.
00:56:26 >> CUTS TO CITY FUNDED WORKFORCE DEVELOPMENT PROGRAMS
00:56:31 ARE BEING PROPOSED WHILE PEOPLE ARE AT RISK OF LOSING HEALTH
00:56:34 AND FOOD BENEFITS DUE TO WORK REQUIREMENTS.
00:56:38 >> CUTS TO CITY FUNDED IMMIGRANT SERVICES ARE BEING
00:56:39 PROPOSED WHILE IMMIGRANT POPULATIONS FACE THE LOSS OF
00:56:43 HEALTH AND NUTRITION BENEFITS. >> HOLES IN THE FEDERAL HEALTH
00:56:46 AND NUTRITION SAFETY NET THREATEN OUR TENANT'S OVERALL
00:56:50 STABILITY MAKING IT HARDER TO AFFORD RENT AND TO MEET OTHER
00:56:54 BASIC NEEDS. THE FIRST LINE OF SUPPORT WITH
00:56:57 THESE CHALLENGES ARE SOCIAL WORKERS THE SOCIAL WORKERS THAT
00:57:01 WORK IN OUR HOUSING. >> AS MORE TENANTS NEED
00:57:04 ADDITIONAL SUPPORT DUE TO BENEFIT CUTS, CUTS TO CITY
00:57:09 FUNDING MEAN FEWER COMMUNITY SERVICES AVAILABLE.
00:57:12 THERE ARE NO ADDITIONAL RESOURCES BEING PROPOSED TO
00:57:16 SUPPORT HOUSING BASED SOCIAL WORKERS AND CASE MANAGERS AS
00:57:17 THEY TRY TO HELP TENANTS MAINTAIN THEIR HOUSING AS THEY
00:57:20 LOSE ACCESS TO HEALTH AND FOOD BENEFITS AND AS THEY CONTEND
00:57:24 WITH STRICTER ELIGIBILITY BENEFIT RULES AND THEY FACE
00:57:27 DECREASED COMMUNITY RESOURCES DUE TO CITY CUTS.
00:57:31 >> STONE THOMAS IS A PERMANENT SUPPORTIVE HOUSING RESIDENT
00:57:35 AND A MEMBER OF THE SUPPORTIVE HOUSING PROVIDERS NETWORK
00:57:39 ADVISORY BOARD. >> AND NEXT HE'S GOING TO
00:57:40 DISCUSS IMPACTS OF CUTS FROM A TENANTS PERSPECTIVE.
00:57:50 >> GOOD AFTERNOON SUPERVISORS. MY NAME IS STONE THOMAS
00:57:53 SELF-SERVE. I'M A PUBLIC SERVICE TRAINEE
00:57:54 FOR DPW AND HUMAN RESOURCES, A VOLUNTEER FOR S.F. PD AND THE
00:57:58 CHAIRMAN OF THE RESIDENT ADVISORY BOARD FOR PERMANENT
00:58:02 SUPPORTIVE HOUSING PROVIDER NETWORK.
00:58:03 I'M HERE TODAY BECAUSE I AM STILL NAVIGATING THE VERY
00:58:06 SYSTEM I WORK TO IMPROVE. WE ARE NOT HERE TODAY.
00:58:09 WE ARE HERE TO DISCUSS SNAP CUTS BUT WE CANNOT TALK ABOUT
00:58:13 FOOD WITHOUT TALKING ABOUT THE BENEFIT MAZE.
00:58:15 WHEN BENEFITS ARE CUT, RESIDENTS ARE FORCED INTO FOOD
00:58:17 PANTRIES THAT OFTEN SERVE MOLDY AND EXPIRED FOOD.
00:58:21 NOW THAT I AM EMPLOYED BY THE CITY I HAVE HIT A NEW BARRIER.
00:58:24 BENEFITS OFFICES ARE OPEN ONLY DURING THE EXACT HOURS I AM
00:58:28 REQUIRED TO BE AT WORK. WE ARE EFFECTIVELY CREATING A
00:58:30 SYSTEM THAT DISINCENTIVE RISES THE VERY ECONOMIC MOBILITY WE
00:58:33 CLAIM TO WANT. SUPPORT SUPPORTIVE HOUSING
00:58:37 CAUGHT MY FREE FALL AFTER A NEIGHBOR'S FIRE LEFT ME
00:58:38 HOMELESS AND I'M GRATEFUL FOR IT.
00:58:40 BUT GRATITUDE SHOULDN'T MEAN ACCEPTING INSTABILITY.
00:58:44 CURRENTLY CITY MANDATES FORCE RADIATORS TO RUN ON A FIXED
00:58:45 SCHEDULE REGARDLESS OF THE OUTSIDE TEMPERATURE PUSHING MY
00:58:49 ROOM TO 85 DEGREES AND FORCING ME TO BUY AN AC THAT IS
00:58:51 NEGATIVELY IMPACTED MY HEALTH. THE SOLUTION ISN'T JUST MORE
00:58:56 ROOMS IT IS DIGNITY IN THE ROOMS THAT WE HAVE.
00:59:00 WE NEED TO UPDATE OUTDATED CITY MANDATES TO ALLOW FOR WEATHER
00:59:04 RESPONSIVE HEATING. WE MUST PRIORITIZE CAPITAL
00:59:07 IMPROVEMENTS LIKE MODERN HVAC AND SOUNDPROOFING.
00:59:08 IF A RESIDENT CANNOT FIND PHYSICAL REST DUE TO THE HEAT
00:59:12 NOISE OR SMOKE THEY CANNOT FIND THE STABILITY REQUIRED TO HOLD
00:59:15 DOWN A JOB. WHEN WE FIX THESE BARRIERS WE
00:59:18 UNLOCK MASSIVE POTENTIAL. >> THE TENDERLOIN IS FULL OF
00:59:22 PEOPLE WITH POTENTIAL SOME WITH MORE DEGREES THAN MANY IN THIS
00:59:23 ROOM. BUT TRAUMA DOESN'T CARE ABOUT
00:59:26 YOUR RESUME. THE SUPPORTIVE HOUSING PROVIDER
00:59:29 NETWORK IS A RESERVOIR OF UNTAPPED ECONOMIC GROWTH.
00:59:30 MATHEMATICALLY ONE PERSON WITH A JOB PAYING RENT ACCOUNTS FOR
00:59:34 UP TO THREE PEOPLE WHO CANNOT. WE NEED TO STOP THINKING ABOUT
00:59:39 SNAP AND HOUSING BENEFITS AS HANDOUTS AND SEE THEM AS THE
00:59:42 FLAW OF AN ECONOMIC ENGINE. IN MY FREE TIME I'VE LEARNED TO
00:59:45 CODE AND I'M PARTNERING WITH THE S.F. HOUSING ACCELERATOR
00:59:47 FUND TO LAUNCH A BETA PROGRAM TO HELP RESIDENTS NAVIGATE
00:59:50 THESE COMPLEX SYSTEMS. IF I HAVE SOMEONE WORKING
00:59:53 IN H.R. FOR THE CITY STILL FIND THE
00:59:54 SYSTEM NEARLY IMPOSSIBLE TO NAVIGATE, HOW CAN WE EXPECT
00:59:57 SOMEONE IN A CRISIS TO DO IT ALONE?
01:00:01 PLEASE DO NOT ADD MORE BARRIERS.
01:00:02 DO NOT CUT THE BENEFITS THAT ALLOW US TO CATCH OUR BREATH
01:00:05 AND CONTRIBUTE BACK TO THE CITY WE LOVE.
01:00:06 >> THANK YOU. THANK YOU.
01:00:12 >> AND THAT'S ALL FOR OUR PRESENTATION.
01:00:13 I APPRECIATE ALL OF YOU FOR SITTING THROUGH IT
01:00:16 AND LISTENING TO US AND FOR HEARING I HOPE THAT YOU HEARD
01:00:20 THAT WE ARE YOUR PARTNERS IN ADDRESSING THESE CUTS THAT
01:00:22 ARE COMING FROM THE STATE AND THE FEDERAL LEVEL.
01:00:25 WE ARE YOUR PARTNERS AND WE NEED YOU AND WE NEED YOUR
01:00:28 SUPPORT. >> EVERY PERSON WHO SPOKE HERE
01:00:32 AND LOOKING AROUND THE AUDIENCE AS WELL I CAN SEE ALMOST EVERY
01:00:35 SINGLE PERSON HERE IS FACING A CUT FROM THE TRUMP
01:00:39 ADMINISTRATION, FROM THE STATE BUT ALL OF THEM FACING HERE
01:00:43 TODAY ARE GETTING CUT BY THE CITY AND GETTING CUT IN A
01:00:44 BUDGET THAT YOU ARE GOING TO DECIDE ON IN JUNE.
01:00:48 WE HAVE NO CHOICE OF WHAT TRUMP DECIDES TO DO.
01:00:52 WE HAVE A CHOICE ON HOW WE RESPOND AND WE ARE HERE TODAY
01:00:55 BECAUSE THE RESPONSE THAT WE ARE HEARING SO FAR WE ARE
01:00:59 GRATEFUL THAT THE CITY IS TRYING AND MAKING AN EFFORT
01:01:02 AND WE ARE HERE TO SAY WE NEED TO BE PARTNERS IN THIS
01:01:06 TOGETHER. YOU ARE NEVER GOING TO GET IT
01:01:07 RIGHT ON YOUR OWN. WE ARE THE PEOPLE THAT INTERACT
01:01:10 DAY TO DAY WITH SAN FRANCISCANS .
01:01:13 WE ARE THE PEOPLE WHO SERVE THE COMMUNITY.
01:01:14 WE ARE YOUR PARTNERS IN THIS AND FINDING A SOLUTION AND YOU
01:01:17 CAN'T CUT THE BUDGETS OF THE PEOPLE WHO YOU ARE GOING TO
01:01:22 TURN TO FOR QUESTIONS FOR ADVICE OR FOR PROBLEM SOLVING.
01:01:26 >> WE CAN'T SOLVE THIS ALONE AND IT'S GOING TO TAKE ALL OF
01:01:30 US TOGETHER AND SO WE LOOK FORWARD TO WORKING WITH YOU
01:01:33 IN THIS BUDGET SEES THEM AND WE APPRECIATE YOUR TIME AND FOR
01:01:34 LISTENING TO US AND WE ARE ALL AS ALWAYS AND PEOPLE'S BUDGET
01:01:38 AVAILABLE FOR ANY QUESTIONS AND THE BEAUTIFUL PART OF
01:01:41 PEOPLE'S BUDGET COALITION BEING 150 MEMBER ORGS
01:01:45 AND INDIVIDUALS. THERE'S AN ORG THAT YOU CARE
01:01:48 ABOUT AND OUR ISSUE AND THE YOUR TOP ISSUE THAT YOU CARE
01:01:49 ABOUT IS REPRESENTED BY ONE OF OUR AMAZING MEMBERS AND WE ARE
01:01:53 HAPPY TO CONNECT WITH YOU AND GRATEFUL FOR ALL OF YOU
01:01:57 AND THANK YOU ESPECIALLY CHURCH AND FOR THE OPPORTUNITY.
01:02:00 >> THANK YOU. THANK YOU.
01:02:01 I DON'T SEE ANY NAME ON THE ROSTER RIGHT NOW SO I'M JUST
01:02:05 GOING TO ASK SORT OF HOW DO WE MOVE THIS FORWARD?
01:02:08 I MEAN JUST GRANT IT LIKE GIVING THIS IS ANOTHER YEAR OF
01:02:11 DIFFICULT YEAR. WE'VE BEEN THROUGH A LOT OF
01:02:12 DIFFICULT YEARS ALREADY. JUST KIND OF WANTED TO SEE IF
01:02:16 YOU KNOW FROM THE MAYOR'S OFFICE IN TERMS OF APPROACH TO
01:02:20 FRANKLY ISN'T JUST TO THE CUTS BUT I THINK IN ACROSS LIKE ALL
01:02:26 ACROSS IN GENERAL LIKE WE UNDERSTAND THERE'S CHALLENGES
01:02:30 WITH I THINK AS RECENT AS THE MAYOR HAS ANNOUNCED LIKE
01:02:34 HUNDRED AND 27 LAYOFFS AND JUST KIND OF WANTED TO UNDERSTAND
01:02:36 WHAT IS THE MAYOR'S APPROACH OF THIS BUDGET IN TERMS OF PROCESS
01:02:42 BESIDES YOU KNOW WHAT HIS DEPARTMENTS ARE ALREADY DOING
01:02:46 WHICH EVERY DEPARTMENT HAS TO HAVE LIKE THEIR BUDGET
01:02:47 PRESENTATION PUBLICLY BUT IS THERE ANY OTHER SPECIFIC
01:02:51 INSTRUCTION OR APPROACH THAT THE MAYOR HAS FOR THIS YEAR'S
01:02:55 BUDGET IN TERMS OF PARTNERSHIP IN TERMS OF.
01:03:00 SO I, I HAVE AN ANSWER TO EVERYTHING BUT THE LAST PART
01:03:04 AND I WOULD LOVE TO DIVE IN FURTHER ON THAT A COUPLE OF
01:03:07 THINGS THAT WE WERE TRYING TO DO DIFFERENTLY THIS YEAR IS WE
01:03:09 HAVE BEEN TRYING TO MEET WITH COMMUNITY ORGANIZATIONS
01:03:15 EARLIER. WE HAD A NUMBER OF WORKSHOPS
01:03:20 IN THE FALL TO KIND OF REALLY UNDERSTAND HOW WE'D LIKE.
01:03:23 >> THE MAYOR HAS BEEN VERY CLEAR ON WHAT HIS PRIORITIES
01:03:25 ARE AND I THINK WE REALLY WANTED TO HEAR FROM FROM
01:03:30 COMMUNITY BASED ORGANIZATIONS AND COMMUNITY COALITIONS HOW
01:03:32 THEY THINK ABOUT THOSE PRIORITIES.
01:03:35 FOR EXAMPLE, THE MAYOR ALWAYS SAYS, YOU KNOW, PUBLIC SAFETY,
01:03:37 PUBLIC SAFETY, PUBLIC SAFETY. >> I THINK THERE IS A VERY
01:03:40 CLEAR UNDERSTANDING AFTER OUR WORKSHOPS THAT PUBLIC SAFETY
01:03:44 DOES NOT ALWAYS JUST YOU KNOW AND THIS SHOULDN'T COME AS A
01:03:47 SURPRISE TO ANYONE BUT PUBLIC SAFETY DOES NOT JUST MEAN FUND
01:03:48 THE POLICE. IT MEANS HOW DO WE MAKE SURE
01:03:51 EVERY INDIVIDUAL FEELS SAFE WALKING DOWN THEIR STREETS.
01:03:54 >> THAT'S EVERYTHING FROM GENDER BASED VIOLENCE RESPONSE
01:03:58 TO SAFE ROUTES TO SCHOOL KIND OF HAVING MUCH MORE OF A
01:04:03 COMMUNITY LED APPROACH AND I THINK THAT THAT'S THOSE HAVE
01:04:07 BEEN REALLY HELPFUL MEETINGS FOR US.
01:04:09 WE HAVE BEEN SITTING DOWN WITH THE COALITIONS AS EARLY
01:04:13 AND OFTEN AS POSSIBLE. WE ARE SETTING UP OFFICE HOURS
01:04:15 FOR EVERY ORGANIZATION TO COME MEET WITH US AND THEN I THINK
01:04:19 AS WE IDENTIFY PROGRAM CUTS THROUGH KIND OF THE END OF
01:04:22 APRIL AND THE BEGINNING OF MAY ,WE'RE GOING TO START HAVING
01:04:26 SOME OF THOSE CONVERSATIONS THAT PEOPLE DON'T FEEL CAUGHT
01:04:28 OFF GUARD WHEN WE GET TO JULY I DO THINK OR TO JUNE RATHER
01:04:32 GIVEN KIND OF THE SHAPE OF THE DEFICIT THAT WE TALKED ABOUT
01:04:37 EARLIER HOW WE HAVE KIND OF A MUCH SMALLER NUMBER IN YEAR ONE
01:04:41 AND A LARGER NUMBER IN YEAR TWO I THINK IN THE EVENT THAT WE
01:04:45 NEED TO MAKE SOME REALLY TOUGH DECISIONS ABOUT KIND OF OUR
01:04:48 MOST VULNERABLE COMMUNITIES, WE WOULD TRY AND SHIFT THOSE CUTS
01:04:52 TO YEAR TWO SO THAT OUR ORGANIZATIONS CAN KIND OF HAVE
01:04:55 SOME PLANNING TIME TO WE CAN FIGURE OUT LIKE WHERE WHERE A
01:05:01 SERVICE MIGHT CONTINUE TO EXIST BE KIND OF MOVE TO REDIRECT
01:05:05 CLIENTS IF APPROPRIATE. I MEAN I THINK WE DON'T CHERISH
01:05:13 ANY OF THIS AND AND I THINK OUR HOPE IS TO REALLY BE VERY
01:05:16 THOUGHTFUL ABOUT NOT TRYING TO KIND OF LIKE DOUBLE HIT
01:05:24 PARTICULAR COMMUNITIES. ANOTHER THING THAT WE HAVE SET
01:05:29 UP IS KIND OF MAKING SURE THAT AS WE ARE EVALUATING PROPOSALS
01:05:32 FROM DEPARTMENTS LOOKING NOT JUST THAT THAT IN THE SILO OF
01:05:37 THAT DEPARTMENT BUT THINKING ABOUT ALL RIGHT THIS
01:05:40 ORGANIZATION HAS A GRANT HERE, HERE, HERE, HERE AND HERE WHILE
01:05:44 THEY MIGHT BE CONTRACTED FOR DIFFERENT THINGS THEY DO TENDS
01:05:45 TO SERVE KIND OF THE SAME LAST MILE POPULATION.
01:05:49 HOW DO WE MAKE SURE THAT WE AREN'T CUTTING THE SAME
01:05:50 ORGANIZATION IN EVERY PLACE? AND I THINK THAT IS SOMETHING
01:05:52 THAT WE HAVE HAD. WE HAVE ADDITIONAL DATA THIS
01:05:56 YEAR THAT THE MAYOR'S BUDGET OFFICE HAS NOT HISTORICALLY HAD
01:05:58 ACCESS TO. SO WE'RE KIND OF BEING A LITTLE
01:06:01 BIT MORE WE'RE ABLE TO BE A LITTLE BIT MORE THOUGHTFUL
01:06:03 AND HAVE A LITTLE BIT MORE TRANSPARENCY INTO THE GRANT END
01:06:04 OF IT RATHER THAN THE HIGH LEVEL PROGRAM BUDGET.
01:06:08 >> SO THOSE ARE SOME OF THE THINGS WE ARE THINKING THROUGH
01:06:11 AND I THINK THAT IT'S A COMBINATION OF BETTER DATA,
01:06:15 MORE MEETINGS, HOPEFULLY MORE LISTENING.
01:06:18 HOPEFULLY PEOPLE WILL FEEL LISTENED TO.
01:06:19 BUT I THINK THE YOU KNOW THE OUTCOME WILL PROBABLY IT IS
01:06:26 IN A MITIGATION NOT A WE CAN'T SAVE EVERYTHING.
01:06:30 >> OH, ABSOLUTELY. I THINK IT IS A TOUGH
01:06:31 AND CHALLENGING TIMES. WHAT I THINK THAT SIMILARLY WE
01:06:34 HAVE DISCUSSED AND TALK ABOUT WITH THE PUBLIC SERVICE
01:06:39 EMPLOYEE AND MAKING SURE THAT YOU HAVE EARLY AND FREQUENT OR
01:06:43 AT LEAST REGULAR COMMUNICATION LINES.
01:06:46 I THINK TODAY I'M GOING TO ASK AND URGE THE CONSIDERATION OF
01:06:50 HAVING FREQUENT AND REGULAR SET COMMUNICATION WITH THE BUDGET
01:06:55 BUT WITH THE PEOPLE'S BUDGET COALITION AND FROM HERE AND ON
01:07:02 OUR PRIOR TO JUNE I THINK WILL HELP EASE A LOT OF ANXIETY BUT
01:07:06 ALSO CREATE SOME POTENTIAL A BETTER TRANSITION OR STRATEGY I
01:07:14 SHOULD SAY TRANSITIONING FROM THE FIRST YEAR FOR FISCAL YEAR
01:07:20 TO THE SECOND ESPECIALLY IF WE'RE SEEING MORE CUTS FOR THE
01:07:23 SECOND ONE AND TO KIND OF HELP US MITIGATE A BIT BETTER ABOUT
01:07:27 WHAT THAT COULD LOOK LIKE. I THINK THAT I'M GOING TO I'M
01:07:35 GOING TO BE IN A SPACE WHERE SINCE WE HAVE REALLY IN THE
01:07:38 LAST TWO FISCAL YEARS SORT OF WITH THE RECOGNITION OF JUST
01:07:42 THE PREVIOUS ADD BACK PROCESS JUST NO LONGER EXIST REALLY
01:07:46 BECAUSE THERE'S NO MONEY LIKE THERE'S NO ADDITIONAL FUNDS
01:07:50 THAT LIKE WE CAN ACTUALLY REALLY ALLOCATE AND WHAT END UP
01:07:54 WITH IS TO THE WAYS THAT LIKE WHAT OTHER WAYS THAT THE BOARD
01:08:01 CAN COME THROUGH AND FIND SAVINGS AND BE ABLE TO PUT
01:08:05 THINGS ON RESERVE OR TO BE ABLE TO PUT THOSE DOLLARS LIKE SHIFT
01:08:06 TO SPENDING WITH THE DOLLARS BUT THEN NOT NECESSARILY HAVING
01:08:10 MORE DOLLARS I SHOULD SAY. AND SO I THINK WE'VE BEEN DOING
01:08:14 THE BEST WE CAN ALL LAST TWO FISCAL YEARS TO SHIFT SOME OF
01:08:18 THE SPENDING THAT AGAIN MEET THE BALANCE BETWEEN WHAT THE
01:08:22 MAYOR HAS PROPOSED BUT ALSO WHAT THE BOARD COLLECTIVELY
01:08:25 WANT AND THEN ALSO MEETING DEMANDS OF REALLY ON BEHALF OF
01:08:29 SAFETY NET ORGANIZATIONS AND SERVICES THAT THE PEOPLE
01:08:32 BUDGET COALITION HAS BROUGHT FORTH.
01:08:36 I THINK THIS YEAR WHAT I AM GOING TO ADD I THINK AFTER MY
01:08:43 COMMENT IS THAT I'M GOING TO URGE THE MAYOR'S OFFICE TO
01:08:45 CONSIDER FREQUENT AND REGULAR COMMUNICATIONS FROM THIS POINT
01:08:48 AND ON OUT IN THE NEXT FEW WEEKS LEADING TO JUNE LEADING
01:08:51 TO YOUR PROPOSAL FINAL PROPOSAL IN JUNE.
01:08:55 NOT THAT WE HAVE SOME CONVERSATIONS STARTING ALREADY
01:08:59 INSTEAD OF WAY WAY WAITING UNTIL JUNE.
01:09:03 WELCOME IT. THANK YOU.
01:09:04 I'M GOING TO BRING BACK THE PEOPLE OH IF I MAY JUST REALLY
01:09:07 QUICK LIKE LAST I'M GOING TO BRING BACK THE PEOPLE'S BUDGET
01:09:14 COALITION AND AND JUST KIND OF WANT TO ASK THIS VERY SAME
01:09:15 QUESTION YOU MENTIONED, YOU KNOW, A PARTNERSHIP.
01:09:18 WHAT DOES THAT LOOK LIKE? >> BUT WE'D BE HAPPY TO SHARE
01:09:25 AS WELL OF WHAT THIS LOOKS LIKE FOR OUR ORGANIZATIONS AND WE'VE
01:09:29 SEEN THIS PRETTY SUCCESSFULLY WITH AS WELL.
01:09:32 >> BUT WHEN WHEN PARTNERS ARE APPROACHED TO TALK ABOUT CUTS
01:09:37 IT'S VERY DIFFICULT TO RESPOND TO HOW SHOULD WE CUT YOUR
01:09:40 BUDGET IS KIND OF THE FRAMING IN WHICH MANY OF THESE
01:09:45 CONVERSATIONS HAPPEN AND IT'S NOT SOMETHING THAT WE'RE REALLY
01:09:48 ABLE TO RESPOND TO BUT PROPOSALS WE ARE ABLE TO
01:09:52 RESPOND TO. >> BUT THE DIFFICULTY IS IS
01:09:53 WHEN THOSE PROPOSALS ARE LATE IN THE GAME OR LAST MINUTE AS
01:09:59 IT'S UNDERSTANDABLE THAT THEY COULD BE BUT IT MAKES IT A
01:10:00 LITTLE DIFFICULT AND THEN IT'S NOT OBVIOUS ONCE THE
01:10:04 ANNOUNCEMENTS COME OUT HOW WE ARE ABLE TO RESPOND.
01:10:08 SO OUR AVENUE THAT OF COURSE WE USE IS TO COMMUNICATE WITH THE
01:10:11 SUPERVISORS WITH YOURSELVES TO HELP US FACILITATE A
01:10:14 CONVERSATION ABOUT NEXT STEPS. BUT IT'S NOT AN OBVIOUS
01:10:16 CONVERSATION ABOUT HOW WE CAN PROCEED WITH NEXT STEPS.
01:10:20 >> BUT I THINK IT'S A REALLY VALUABLE CONVERSATION THAT WE
01:10:24 SHOULD HAVE AND HAVE MORE FREQUENTLY WITH OUR COMMUNITY
01:10:27 PARTNERS AND BE VERY PROACTIVE THAT WE SHOULD BE HAVING THESE
01:10:31 CONVERSATIONS ALL YEAR ROUND OF CONSTANTLY WE SHOULD BE
01:10:35 IN CONVERSATION BETWEEN GRANTING DEPARTMENTS AND WITH
01:10:38 GRANTEES ON HOW CAN WE REDUCE THESE BUDGETS, HOW CAN WE GET
01:10:42 THESE COSTS DOWN. IT NEEDS TO BE A LONG TERM
01:10:43 CONVERSATION THAT DOESN'T HAPPEN JUST DURING BUDGET
01:10:46 SEASON BUT IT NEEDS TO BE YEAR ROUND OF NOBODY IS GOING TO BE
01:10:50 VERY COMFORTABLE WITH SHARING OF WE WANT TO WE CAN CUT
01:10:55 IN THIS WAY WE CAN CUT X, Y, Z BUT PEOPLE ARE READY IN A WAY
01:10:59 THAT I HAVE NOT SEEN BEFORE IF THE OPTION IS ON THE TABLE
01:11:03 BETWEEN THIS PROGRAM GOES AWAY AND YOUR COMMUNITY WILL NO
01:11:06 LONGER BE SERVED OR CAN WE MAKE THIS A SLOW A SLOWER PROCESS?
01:11:10 CAN WE FIND OTHER FUNDING SOURCES IN THE MEANTIME?
01:11:14 I THINK FOLKS WOULD BE HAPPY TO HAVE THAT CONVERSATION.
01:11:17 >> IT'S NOT YET OBVIOUS HOW WE HAVE THAT CONVERSATION ABOUT
01:11:19 THIS. I CAN I ASK JUST FOR A MORE
01:11:22 SPECIFIC DANCE AND LET'S ACTUALLY GET THIS PROCESS JUST
01:11:25 KIND OF TRANSPARENT. I I DON'T THINK THAT IT IS ANY
01:11:30 TO ANYBODY'S BENEFITS BOTH FROM THE MAYOR'S OFFICE OR FROM FOR
01:11:34 US TO DRAW IT DOWN TO A VERY SPECIFIC LIKE GRANTEES TO THAT
01:11:38 DETAILS FOR DOLLARS AMOUNT WHAT I DO HOW ABOUT LIKE WHAT I DO
01:11:42 EXPECT IS THAT THE CONVERSATION SHOULD IN CATEGORIES
01:11:48 AND DOLLARS OF BOTH IN BUDGET AT DOLLARS IN CATEGORIES OF
01:11:53 SERVICES AND PROGRAMING BUT NOT TO A POINT OF GRANTEES BECAUSE
01:11:56 THAT'S JUST NOT GOING TO BE THE WAY IT'S GOING TO WORK.
01:12:00 I THINK WHATEVER IT IS FOR THE PROCESS IT WILL ALWAYS HAVE TO
01:12:05 GO THROUGH AN RFP AND WHAT THAT WILL LOOK LIKE.
01:12:08 MAYBE THERE'S CONVERSATION COULD BE ABOUT EXISTING
01:12:11 CONTRACT BUT I THINK THAT TO SORT OF SHOULD BE A BUDGET
01:12:15 PRIORITIES AND JUST NOT SPECIFIC ABOUT GRANT AND GRAM
01:12:18 T'S DOES THAT WORK? >> YEAH THAT SOUNDS ABOUT RIGHT
01:12:26 AS WELL AND WHEN IT COMES TO THAT BIGGER PICTURE OF MANY OF
01:12:29 THESE DEPARTMENTS IS COMMUNITY IS FEELING A SENSE OF LOSS
01:12:34 AND A SENSE OF CONFUSION WHEN IT COMES TO MH KD AND WOODY
01:12:38 IN PARTICULAR AND EVEN HRC TO SOME EXTENT OF THESE HAVE BEEN
01:12:41 COMMUNITY HOMES FOR CERTAIN PROGRAMS AND IT'S NOT CLEAR
01:12:45 WHAT THE DIRECTION IS GOING TO BE FROM THE MAYOR'S OFFICE AS
01:12:49 WE DECREASE COMMUNITY DEVELOPMENT WORKFORCE
01:12:50 DEVELOPMENT AND MANY OF THE PROGRAMS OUT OF HRC IT'S NOT
01:12:54 CLEAR WHAT THE HOME IS OR WHAT THE VISION IS THAT WE SHOULD BE
01:12:58 ADOPTING TO FOR US TO RESPOND TO AS WELL.
01:13:01 >> BUT I'M GOING TO I'M GOING TO ACTUALLY CATCH ON WITH THAT
01:13:04 SPECIFICALLY ABOUT WORKFORCE I IN AGREEMENT WITH THAT YOU KNOW
01:13:05 I THINK THAT I WANT TO BETTER UNDERSTAND WORKFORCE
01:13:08 DEVELOPMENT PIECE IN TERMS OF SPENDING AND WHICH CITY
01:13:12 DEPARTMENTS WILL BE RESPONSIBLE FOR THOSE PROGRAMING AND HOW
01:13:16 MUCH ARE WE THINKING THAT HOW MUCH DOES THE MAYOR THINK ABOUT
01:13:21 INVESTMENTS IN THESE PROGRAMS WILL LOOK FORWARD TO KIND OF
01:13:24 SEE SOME KIND OF BREAKDOWN PRIOR TO JUNE?
01:13:28 SO I WOULD ASSUME THAT IS LIKE I'M SUGGESTING I KNOW THAT
01:13:35 THERE'S A LOT OF THINKING BEHIND IT AND A LOT OF WORK
01:13:36 AROUND IT BUT I THINK THAT THIS IS PROBABLY JUST ONE EXAMPLE
01:13:40 AND THEN I'M GOING TO GIVE ANOTHER EXAMPLE LIKE TENANTS
01:13:43 PROTECTION PROGRAMING OR YOU KNOW, PROGRAMING AND THAT IS
01:13:47 SPECIFICALLY SERVING LGBTQ COMMUNITY AND IN THE CATEGORY
01:13:54 AND WHICH CITY DEPARTMENTS WILL BE INVOLVED AND THE KIND OF
01:13:56 FUNDING THAT WE'RE THINKING THAT THE MAYOR IS GOING TO BE
01:13:58 PROPOSING LIKE A ROUGHLY DOLLAR AMOUNT.
01:14:02 THIS IS FOR EXAMPLE, YOU KNOW THE MAYOR IS GOING TO INVEST X
01:14:05 AMOUNT IN LGBTQ PROGRAMING IN SERVICES THAT IS INVOLVING
01:14:10 HUMAN RIGHTS COMMISSION INVOLVING DEPARTMENT OF PUBLIC
01:14:13 HOUSING INVOLVING D C I F JUST JUST FOR THOUGHTS ABOUT HOW WE
01:14:18 COULD CONTINUE TO LIKE COMMUNICATE IN THE NEXT FEW
01:14:21 WEEKS IT'S MY SUGGESTION AND WE'LL SEE HOW THAT HOW THAT
01:14:28 WORKS OUT. >> VICE CHAIR DORSEY THANK YOU
01:14:32 CHAIR CHAN I WANT TO THANK EVERYONE FOR THEIR
01:14:33 PARTICIPATION TODAY. >> ONE THING I HEARD IN THAT I
01:14:39 AGREE WITH AND I THINK WE'VE TALKED ABOUT IS WE'RE IN A TIME
01:14:42 WHEN THERE ARE VULNERABLE COMMUNITIES THAT I MEAN LET'S
01:14:47 JUST BE HONEST THERE THERE ARE TRUMP TARGETED COMMUNITIES
01:14:50 WHERE WE HAVE A SITUATION WHERE EVEN PHILANTHROPIES
01:14:55 AND FOUNDATIONS AND PRIVATE SUPPORT THEY DON'T WANT A
01:14:56 TARGET ON THEIR BACK EITHER. AND I THINK THAT REALLY
01:14:59 ELEVATES THE URGENCY FOR THE CITY GOVERNMENT TO PRIORITIZE
01:15:03 THOSE COMMUNITIES BECAUSE THERE'S NO CAVALRY COMING FOR
01:15:07 THE TRANS COMMUNITY OR IMMIGRANT COMMUNITIES OR ANY
01:15:10 SORT OF D-I KINDS OF THINGS. IF IT'S NOT US IT'S NOT GOING
01:15:14 TO HAPPEN. >> SO I HEAR AND SHARE THAT
01:15:17 YOUR YOUR FEELINGS ABOUT THAT. THERE WAS ONE THAT WAS
01:15:21 MENTIONED THAT I HADN'T CONSIDERED AND THAT WAS I'M NOT
01:15:22 SURE WHO BROUGHT IT UP ABOUT ABORTION ACCESS
01:15:25 AND REPRODUCTIVE RIGHTS I SUPPOSE THAT MAKES SENSE BUT I
01:15:29 DON'T KNOW IF THAT ONE I DON'T KNOW IF IF THAT GETS FEDERAL
01:15:33 FUNDING ANYWAY OR IF THAT'S A STATE FUNDED KIND OF PRIORITY.
01:15:37 BUT COULD SOMEBODY JUST ELABORATE WHAT WHAT WE SHOULD
01:15:40 BE THINKING ABOUT IN TERMS OF REPRODUCTIVE ACCESS THAT IT'S
01:15:44 NEW AND DIFFERENT NOW? >> YEAH.
01:15:48 SO I MEAN IN THE POST ROWE WORLD, RIGHT WE'RE SEEING THAT
01:15:52 PEOPLE HAVE TO TRAVEL GREAT DISTANCES TO GET ABORTIONS
01:15:57 THESE DAYS AND PLANNED PARENTHOOD HAS BEEN FIGHTING
01:16:01 THEIR OWN FEDERAL FUNDING AND COURT CASE FOR A REALLY
01:16:04 LONG TIME. A LOT OF THAT IS STILL UP
01:16:08 IN THE AIR AND SO WE HAVE SEEN CLINICS CLOSING AND FEDERALLY
01:16:12 QUALIFIED HEALTH CENTERS ARE LESS FREE, ARE LESS FREELY ABLE
01:16:17 TO PROVIDE ABORTION IS NOT SOMETHING THAT YOU'RE ABLE TO
01:16:21 USE FEDERAL FUNDING FOR. AND SO THE STATE HAS CREATED A
01:16:25 STATE BASED MECHANISM TO PAY FOR THAT FOR MEDICAL AND WE'RE
01:16:29 ADVOCATING FOR A SIMILAR THING FOR GENDER AFFIRMING CARE
01:16:33 ACTUALLY BECAUSE THAT SYSTEM THAT WAS CREATED TO PROTECT
01:16:36 ABORTION CARE WAS VERY SUCCESSFUL AND WE'VE ALSO
01:16:38 CREATED GRANTS RIGHT? BUT WE'RE SEEING THAT PEOPLE
01:16:41 FROM ALL OVER THE COUNTRY ARE COMING TO CALIFORNIA OR COMING
01:16:44 TO SAN FRANCISCO IN ORDER TO GET CARE EVEN JUST ON THE
01:16:47 STATES, YOU KNOW, ALONGSIDE CALIFORNIA.
01:16:51 AND SO WE'RE YOU KNOW, WE PROVIDE ABORTION LAMERTON WE DO
01:16:54 SPECIFICALLY GENDER AFFIRMING ABORTIONS WHICH CAN'T BE
01:16:58 ACCESSED AT PLANNED PARENTHOOD EVERYWHERE NECESSARILY.
01:17:01 BUT WE ARE SEEING THAT PEOPLE ARE COMING TO US MORE OFTEN
01:17:03 NEED MORE TRANSPORTATION SUPPORT TO GET TO US AND WE'RE
01:17:06 ABSORBING ALL OF THOSE COSTS AS WELL.
01:17:10 >> GREAT. AND THEN I ALSO JUST IF IT
01:17:14 WOULD BE OKAY I DON'T KNOW IF I COULD ASK ABOUT RYAN WHITE
01:17:18 FUNDING. I WANT TO GET TO JUST A SENSE
01:17:21 OF IT'S ONE OF MY FAVORITE TOPICS.
01:17:22 >> I'M ALWAYS HAPPY THAT I JUST SO I DON'T I FEEL LIKE I'M NOT
01:17:28 SURE WHY I THOUGHT THIS BUT I THOUGHT THE FEDERAL IT WASN'T
01:17:32 AS ENDANGERED AT THE FEDERAL LEVEL EVEN THOUGH THERE'S
01:17:33 THREATS THAT IT WAS IT SEEMS TO BE SOMETHING THAT CONGRESS HAS
01:17:37 SORT OF STILL FUNDING. SO I WANT TO KNOW WHAT WHAT HOW
01:17:40 ENDANGERED IS RYAN WHITE FUNDING AT THE FEDERAL LEVEL
01:17:44 AND WHAT DO WE NEED TO YEAH, THAT'S A VERY GOOD QUESTION
01:17:47 AND THERE'S SORT OF TWO THINGS WELL, THERE ARE THREE THINGS
01:17:49 GOING ON. IT'S CURRENTLY STILL FUNDED AT
01:17:51 THE FEDERAL LEVEL AND IT UP UNTIL IN THE PRESIDENT'S BUDGET
01:17:57 LAST YEAR THEY PROPOSED CUTS TO SOME OF THE COMPONENTS OF RYAN
01:18:01 WHITE BUT NOT THE MAIN LIKE THE PART A THAT COMES TO THE CITIES
01:18:03 OR PART B WHICH INCLUDES THE AIDS DRUG ASSISTANCE PROGRAM.
01:18:06 THEY DIDN'T PROPOSE ANY CUTS TO THAT AND THE PRESIDENT'S BUDGET
01:18:10 FOR THIS YEAR THAT JUST CAME OUT LAST WEEK INCLUDED DIDN'T
01:18:17 INCLUDE CUTS TO PART OR PART B BUT DID ELIMINATE ALL THE OTHER
01:18:21 PARTS INCLUDING THE PART C THAT GOES TO COMMUNITY HEALTH
01:18:26 CENTERS D INCLUDES DENTAL SERVICES, A FEW OTHER THINGS
01:18:29 THEY DID PROPOSE ELIMINATING ALL OF THOSE ELIMINATING THE
01:18:33 ENDING THE HIV EPIDEMIC MONEY WHICH IS SORT OF ADD ON MONEY
01:18:37 ON TOP OF THOSE AND ELIMINATING A LOT OF THE HIV PREVENTION
01:18:41 MONEY. AGAIN THAT'S THE PROPOSED
01:18:41 BUDGET FROM THE PRESIDENT RYAN WHITE AS YOU KNOW IS BEEN VERY
01:18:48 IT'S BEEN A BIPARTISAN POPULAR OR PROGRAM FOR FOR FUNDING
01:18:53 IN PREVIOUS ITERATIONS OF CONGRESS.
01:18:56 SO IT'S WE'RE GOING TO SEE WHAT HAPPENS IN CONGRESS.
01:19:00 BUT THE PRESIDENT IS DEFINITELY PROPOSING TO REDUCE THE FUNDING
01:19:04 FOR THAT. THE OTHER PART OF IT IS THAT
01:19:05 OUR AWARD IN SAN FRANCISCO IS GOING DOWN AND SO THAT'S SORT
01:19:13 OF INDEPENDENT OF THE TOTAL AMOUNT AS THE HIV EPIDEMIC HAS
01:19:16 SHIFTED IN OTHER PLACES AS SAN FRANCISCO HAS DONE A BETTER
01:19:20 AND BETTER JOB OF PREVENTING NEW HIV INFECTIONS.
01:19:23 AND AGAIN THIS IS ABSOLUTELY A RESULT OF OUR OUR SUCCESS
01:19:27 AND OUR EFFECTIVENESS AT PREVENTING NEW HIV CASES HERE
01:19:31 AND HIV HAS BEEN, YOU KNOW, CONTINUED TO GROW IN THE SOUTH
01:19:39 AND OTHER PARTS OF THE U.S. THE MONEY HAS BEEN SHIFTED THERE.
01:19:42 AND SO THE THE PARTICULAR FORMULA CHANGE THAT HAPPENED
01:19:46 THIS PAST YEAR IS BASED ON NO LONGER PREVIOUSLY YOU WERE
01:19:54 COUNTED FOR PURPOSES OF RYAN WHITE WHERE YOU WERE FIRST
01:19:57 DIAGNOSED WITH HIV AND FOR MANY, MANY YEARS SAN FRANCISCO
01:20:01 LIKE PEOPLE WOULD BE DIAGNOSED IN OKLAHOMA MOVED TO SAN
01:20:02 FRANCISCO. WE HAD A LOT OF PEOPLE WHO
01:20:05 WEREN'T DIAGNOSED HERE AND SO WE SUFFERED UNDER THAT.
01:20:06 THEY'VE NOW TURNED THAT AROUND THOUGH.
01:20:09 AND AS SAN FRANCISCO HAS GOTTEN MORE EXPENSIVE AND PEOPLE HAVE
01:20:12 MOVED OUT. SO IN CALIFORNIA, FOR EXAMPLE,
01:20:13 THE PALM SPRINGS AREA WILL BE GETTING A LOT MORE MONEY UNDER
01:20:17 THIS FORMULA CHANGE BECAUSE SO MANY PEOPLE LIVE THERE NOW
01:20:20 AND THEY DESERVE THAT MONEY BECAUSE THEY'RE TAKING CARE OF
01:20:24 FOLKS THERE. AND WHAT WE KNOW IS THAT WE'RE
01:20:27 GOING TO SEE A 19% CUT OVER THE NEXT FIVE YEARS.
01:20:28 SO WE WE KNOW THAT WE CAN PLAN FOR THAT.
01:20:32 THAT'S BEEN IN THE FEDERAL REGISTER.
01:20:35 BUT YOU KNOW, THE THING IS ALSO THAT WE ARE DOING AN
01:20:39 EXCEPTIONALLY GOOD JOB OF KEEPING PEOPLE ALIVE HERE
01:20:42 IN SAN FRANCISCO. SAN FRANCISCO'S ALSO VERY
01:20:44 EXPENSIVE PLACE TO LIVE TO PROVIDE HEALTH CARE.
01:20:47 SO WE'RE GOING TO CONTINUE TO NEED TO PROVIDE SERVICES FOR
01:20:51 ALL THE FOLKS WHO ARE LIVING WITH HIV HERE AND THAT'S NOT
01:20:55 GOING DOWN EVEN IF OUR FEDERAL DOLLARS ARE GOING DOWN.
01:20:58 DOES THAT ANSWER YOUR QUESTION? OKAY.
01:20:59 YOU OKAY? >> THANK YOU GUYS VERY MUCH
01:21:09 APPRECIATE AS IT IS A VERY TOUGH SITUATION.
01:21:13 I DON'T THINK ANY OF US LIKE IT AT ALL.
01:21:14 BUT I ALSO WANTED TO SAY THIS IN A CONTEXT OF THE
01:21:21 PRESENTATION TODAY THAT THIS IS ALSO I'M VIEWING THE UPCOMING
01:21:26 BUDGET FOR ALL OF US IN CONVERSATION THAT THE WAY I
01:21:29 VIEW THIS IT'S IN TWO SCENARIOS WHEN IT COMES TO THE BUDGET.
01:21:33 I THINK THAT THOSE ONE SCENARIOS I TRULY IS WITH THE
01:21:37 TRUMP ADMINISTRATION AND AS WE CAN SEE FROM THE PRESENTATION
01:21:41 TODAY BUT ALSO BASED ON THE PROJECTION THAT THERE THERE'S A
01:21:44 REALLY A REAL THREAT FROM THE TRUMP ADMINISTRATION
01:21:48 AND THERE'S A IT'S BEEN A REAL THREAT FOR MANY AND THAT WHEN
01:21:52 IT COMES TO THE CUTS AND THAT WITH THE FURTHER CUTS TO THE
01:21:56 CITY WHEN WE TALK ABOUT IT'S NOT JUST CITY CUTS PROGRAM BUT
01:22:00 REALLY THE CITY TO RECEIVING OR GETTING CUTS FROM THE FEDERAL
01:22:03 FUNDING THAT WE CURRENTLY YOU KNOW, RECEIVE.
01:22:08 I THINK THAT SCENARIO IS VERY DETRIMENTAL BUT IS NOT JUST
01:22:12 DETRIMENTAL TO SAN FRANCISCO BUT IT'S DETRIMENTAL TO
01:22:15 CALIFORNIA AND I WOULD SAY ENTIRE NATION.
01:22:16 SO LET'S JUST PEN THAT FOR FOR A THOUGHT.
01:22:20 I THINK WHAT WE'RE ALSO SEEING THOUGH FROM THE PROJECTION THAT
01:22:23 WE'RE THE OUTLOOK IN TERMS OF AROUND HOTEL TAX BASED BUSINESS
01:22:27 TAX, WE ALSO SEE A CITY THAT IS WE'RE WHERE WE'RE ACTUALLY IN A
01:22:31 POSITIVE DIRECTION AND POSITIVE TRAJECTORY AND THEN THE WAY I
01:22:35 SEE IT IS THAT WE ARE ALREADY BETTER OFF THAN WE WERE DURING
01:22:39 PANDEMIC AS I HAVE SEEN THAT THOSE SOME OF THE PROJECTIONS
01:22:44 VERSUS THE WHAT WE ARE SEEING NOW BOTH IN PROJECTION BUT
01:22:48 IN ACTUAL BUT I ALSO WHAT I'M ALSO SEEING IS THAT IS NOT A
01:22:54 PROJECTION THAT IS A SIGNIFICANT TAX REVENUE
01:22:57 INCREASE, A SIGNIFICANT INCREASE OF ANY TYPE AND THEN
01:23:05 WE ACTUALLY DO SEE COST OF DOING BUSINESS.
01:23:09 WE SEE THAT, YOU KNOW, HEALTH CARE COSTS AND THOSE ARE
01:23:13 ACTUALLY CONTINUE TO ON A RISE. SO IT MEANS THAT I DON'T SEE
01:23:17 THAT WE'RE OUT OF THE WOODS. I DON'T SEE THAT WE ARE SOMEHOW
01:23:22 BETTER OFF THAN WE WERE AND THAT WE WILL BE IN IN THE
01:23:25 IMMEDIATE TERM IN THE NEXT TWO FISCAL YEAR, EVEN THE NEXT FIVE
01:23:29 FISCAL YEARS. WE'RE GOING TO BE BETTER OFF
01:23:32 AND I'M GOING TO BE IN A POSITION TO SAY THIS TO
01:23:33 EVERYBODY IN THIS ROOM WHICH ACTUALLY I THINK THAT A LOT OF
01:23:37 YOU IN THIS ROOM REALLY HAVE BEEN DRIVING THE BUDGET FOR THE
01:23:40 LAST 2 OR 3 FISCAL YEARS AND I REALLY HOPE AND WITH THE
01:23:46 EXPECTATION THAT THIS IS ALSO THE SAME SOME SOME SAME
01:23:49 LEADERSHIP THAT WILL BE DRIVING THAT CONVERSATION AND NEXT TO
01:23:53 FISCAL YEARS FOR THE VERY LEAST THAT I THINK THAT WE WANT TO BE
01:23:57 MEETING THE DEMANDS OF SAN FRANCISCO WOULD ALSO THE
01:24:02 REALITY OF SAN FRANCISCO'S LIKE FINANCES AND THOSE NEED TO COME
01:24:05 IN IN SYNC. I DO BELIEVE THAT MAYOR DANIEL
01:24:09 LURIE ALONG WITH OUR COMPTROLLER AND ALONG WITH
01:24:13 DIRECTOR KETTLER AND WITH THE BUDGET PEOPLE'S BUDGET
01:24:17 COALITION THAT ESPECIALLY IN OUR LAST FISCAL YEAR HAS
01:24:21 DONE A LOT OF WORK. BUT AS WE ALL SEE THAT THE
01:24:29 SERVICE NEEDS ARE GOING TO CONTINUE TO INCREASE ESPECIALLY
01:24:32 UNDER TRUMP. SO I AM ASKING EVERYONE TO
01:24:36 THINK OUTSIDE THE BOX AND BE CREATIVE.
01:24:40 I HAVE SOME IDEAS AND THOUGHTS ,YOU KNOW, BUT I THINK THAT
01:24:45 THEY ARE THEY'RE RESERVED FOR POTENTIAL LEAD THE CONVERSATION
01:24:49 IN JUNE BECAUSE I'M EAGER TO SEE, YOU KNOW, WHAT WILL
01:24:53 HAPPEN. YOU KNOW WILL WE BE ABLE TO
01:24:56 HAVE MORE AN INCREASE OF TAX REVENUE ADDITIONALLY TO WHAT WE
01:25:03 ARE PROJECTING RIGHT NOW BUT IN THE SAME AT THE SAME TIME
01:25:07 LET'S SEE WHAT THE STATE GOVERNMENT IS GOING TO DO TOO.
01:25:10 LIKE THERE'S ACTUALLY THERE'S OTHER OTHER IMPACTS THAT I AM I
01:25:18 THINK THAT WE NEED TO EVALUATE. SO WHICH IS TO SAY I THINK THAT
01:25:21 WHILE I DO APPRECIATE THIS UPDATE, I FEEL LIKE THERE'S
01:25:25 STILL A LOT OF WORK THAT NEEDS TO BE DONE IN THE COMING WEEKS
01:25:28 FOR ALL OF US HERE IN THIS ROOM AND I URGE YOU ALL TO STAY AT
01:25:30 THE TABLE AND AND TO BE COMMITTED TO HAVING
01:25:33 CONVERSATION AND HAVING THE COMMITMENTS THAT WE WILL WORK
01:25:38 THIS OUT. SO WITH THAT, LET'S GO TO
01:25:42 PUBLIC COMMENT ON THIS HEARING AND IT IS MY GOAL TO HAVE THIS
01:25:45 HEARING FILED AND HEARD IN FILE.
01:25:46 >> YES. RIGHT NOW OPENING PUBLIC
01:25:49 COMMENT ON THIS ITEM NUMBER ONE IF WE HAVE ANY MEMBERS OF THE
01:25:53 PUBLIC WHO WISH TO ADDRESS THIS COMMITTEE AND I'LL BE TIMING
01:25:56 EACH. >> SPEAKER TWO MINUTES FOR
01:25:57 SPEAKER PLEASE. FOR SPEAKER I CHECK MY CHECK.
01:26:10 >> OKAY. GOOD AFTERNOON, SUPERVISORS.
01:26:18 MY NAME'S PALOMA FLORES. I'M A COMMUNITY MEMBER SAN
01:26:22 FRANCISCO RESIDENT SMALL BUSINESS OWNER AND FOR THE PAST
01:26:25 15 YEARS I'VE BEEN FIGHTING THE GOOD FIGHT ON BEHALF OF THE
01:26:29 AMERICAN INDIAN ALASKAN NATIVE INTERTRIBAL COMMUNITY HERE
01:26:32 IN THE CITY MOST NOTABLY WITHIN THE BEHAVIORAL MENTAL HEALTH,
01:26:36 EDUCATION AND POLICYMAKING SPACE.
01:26:40 WE'VE BEEN HERE BEFORE. WE'VE TALKED ABOUT BUDGETS BUT
01:26:43 WE'VE NEVER BEEN HERE AT THIS TIME OF THIS TIME OF THE
01:26:47 COLLECTIVE EXPERIENCE WHEN WE'RE TALKING ABOUT BUDGET,
01:26:51 WE'RE TALKING ABOUT MONEY, WE'RE TALKING ABOUT LIVES NOT
01:26:52 NUMBERS. >> WHEN YOU LOOK AT THE BUDGET
01:26:56 IT'S IMPORTANT TO UNDERSTAND HOW CRUCIAL IT IS FOR ADEQUATE
01:27:03 SUSTAINABLE FUNDING FOR ALL THE PEOPLE THAT CALL THIS CITY HOME
01:27:07 . ANY ADDITIONAL CUTS TO FUNDING
01:27:10 FOR THESE ALREADY DEEPLY IMPACTED COMMUNITIES?
01:27:15 IT DOESN'T MAKE SENSE. THE ARGUMENTS CLEAR THE CITY IS
01:27:19 RECKONING WITH THE TIME TO ALIGN THEIR GOALS AMBITIONS
01:27:25 AND FUTURE TO WHAT'S HAPPENING ON A FEDERAL AND STATE LEVEL.
01:27:29 YET SAN FRANCISCO IS DIFFERENT. WE ARE DIFFERENT.
01:27:34 THIS IS THE FLAGSHIP BECAUSE BY REDUCING THE FUNDING WITH THESE
01:27:38 RESPECTIVE COMMUNITIES WHO ALREADY ARE FIGHTING THE GOOD
01:27:42 FIGHT FOR FOOD HEALTH CARE, HOUSING AND JOBS DOES NOTHING
01:27:46 FOR ANYONE ESPECIALLY OUR YOUNG PEOPLE.
01:27:50 >> OH IS THAT MY TIME 30S OKAY AND WITH THAT BEING SAID ARE
01:27:54 YOUTH AND FAMILIES DESERVE MORE?
01:27:57 WE ARE A CITY BUILT BY THE PEOPLE THE PEOPLE OF THE WORLD
01:28:01 SO PLEASE CONSIDER HOW THIS BUDGET WILL IMPACT SAID
01:28:04 COMMUNITIES THAT YOU SEE REPRESENTING THE CITY OF SAN
01:28:05 FRANCISCO AS THE WORLD BEYOND. BUT WITHOUT THOSE COMMUNITIES
01:28:10 NATIVE COMMUNITY PACIFIC ISLANDER, LATINO,
01:28:13 AFRICAN-AMERICAN AND SO FORTH THIS CITY WILL NOT BE THE CITY
01:28:17 THAT IT'S KNOWN FOR AND THE FUTURE THAT WE'RE GOING
01:28:20 COLLECTIVELY BECAUSE WE ARE THE SOLUTION.
01:28:21 >> THANK YOU. THANK YOU MUCH, PALOMA FLORES
01:28:24 FOR ADDRESSING THIS COMMITTEE. >> NEXT SPEAKER, PLEASE.
01:28:27 THANK YOU SUPERVISORS. HELLO, I'M WILLIAM ISLAND, 17
01:28:33 YEAR RESIDENT OF DISTRICT FIVE AND THE CONTRACT MANAGER FOR
01:28:35 THE JUSTICE AND DIVERSITY CENTER OF THE BAR ASSOCIATION
01:28:38 OF SAN FRANCISCO. LAST YEAR THE MAYOR SOLD THE
01:28:41 H.R. ONE RESERVE ON THE IDEA THAT THE BILL'S IMPACT TO THE
01:28:43 CITY'S REVENUES COULD BE AS HIGH AS $400 MILLION PER YEAR.
01:28:46 NOW WE ESTIMATE THE IMPACT AT $226 MILLION PER YEAR.
01:28:51 WE ALSO JUST HEARD THAT H.R. ONE AND H.R. ONE'S IMPACT WILL
01:28:54 MOSTLY BE FELT THROUGH REDUCTIONS IN MEDI-CAL
01:28:57 REIMBURSEMENTS TO THE DEPARTMENT OF PUBLIC HEALTH.
01:28:58 MEANWHILE, DPA IS PREPARING TO ANNOUNCE ENORMOUS CUTS TO
01:29:01 SPENDING NEXT YEAR ELIMINATING SERVICES AND SUPPORTS THAT OUR
01:29:05 POOREST NEIGHBORS RELY UPON MANY OF THE SAME SAN
01:29:08 FRANCISCANS WHO ARE NOW EXPECTED TO BE KICKED OFF
01:29:09 MEDI-CAL BY BY H.R. ONE. THIS IS THE EXACT SITUATION
01:29:14 THAT THE H.R. ONE RESERVE WAS CREATED TO ADDRESS.
01:29:15 THE NATURE RESERVE IS INTENDED TO BACKFILL THE H.R. ONE
01:29:19 IMPACTS H.R. ONE IS IMPACTING AND YET IS MAKING HUGE CUTS.
01:29:22 WHY THE H.R. ONE RESOURCES BE RELEASED TO BACKFILL H.R. ONE?
01:29:27 EACH ONE IMPACTS A AND PREVENT THE HISTORICALLY DEVASTATING
01:29:29 CUTS TO PLANS TO ANNOUNCE IN THE NEXT TWO WEEKS.
01:29:33 THAT'S WHAT THE H.R. ONE RESERVE IS FOR AND WE SHOULD
01:29:35 USE IT FOR ITS INTENDED PURPOSE.
01:29:36 THANK YOU AND THANK YOU MUCH FOR YOUR COMMENTS.
01:29:39 >> NEXT SPEAKER. >> GOOD AFTERNOON SUPERVISORS.
01:29:46 >> MY NAME IS ANDY STONE. I'M WITH THE HIV ADVOCACY
01:29:50 NETWORK AND I JUST WANTED TO BRIEFLY KIND OF HIT HOME A LOT
01:29:53 OF THE THEMES THAT WE'VE ALREADY HEARD SO ELOQUENTLY
01:29:54 SHARED TODAY. BUT I'M ORIGINALLY FROM
01:29:57 SOUTHWEST GEORGIA. I MOVED HERE.
01:30:01 I'M A GAY MAN. WHEN I CAME HERE I WAS YOUNGER.
01:30:05 AFTER I HAD GOTTEN KICKED OUT OF MY HOUSE I WAS DEPENDING ON
01:30:09 THE SOCIAL SAFETY NET IN ORDER TO ESTABLISH MYSELF IN THE CITY
01:30:12 . I CAME HERE BECAUSE IT WAS A
01:30:13 SAFE HAVEN FOR PEOPLE. IT WAS A SHINING CITY ON THE
01:30:17 HILL. IT WAS A BEAUTIFUL PLACE WHERE
01:30:18 I COULD FIND COMMUNITY AND REAL CONNECTIONS AND JUST MORE
01:30:24 STABILITY IN MY LIFE. RIGHT?
01:30:25 AND THAT'S PARTIALLY BECAUSE OF THE COMMUNITY THAT WAS BUILT
01:30:28 HERE BY OUR COMMUNITIES AND THE BEAUTIFUL SERVICES AND CULTURE
01:30:35 THAT WE'VE BUILT UP HERE IN SAN FRANCISCO.
01:30:38 AND NOW I'M AFRAID OF WHAT A LACK OF A SOCIAL SAFETY NET
01:30:42 WOULD MEAN FOR PEOPLE WHO ARE YOUNG NOW TRYING TO FLEE
01:30:46 VIOLENCE IN WHATEVER OTHER PART OF THE COUNTRY WHO COME HERE
01:30:50 SEEKING REFUGE AND HAVEN TO NO LONGER BE SUPPORTED.
01:30:54 >> AND JUST IT HIT THIS HOME. >> THE DECISIONS THAT WE'RE
01:30:58 MAKING REALLY DO REVERBERATE RIGHT.
01:31:02 THEY SEND MESSAGES TO OUR COMMUNITY.
01:31:05 I JUST HAD A CONVERSATION WITH A RECENT FRIEND WHO'S A TRANS
01:31:08 WOMAN WHO TOLD ME THAT UNFORTUNATELY SHE LOST SOMEONE
01:31:13 IN HER COMMUNITY WHO'S A GOOD FRIEND OF HERS TO SUICIDE JUST
01:31:16 IN THE PAST WEEK. >> AND THIS IS BECAUSE OF THE
01:31:24 THREATS AND THE ASSAULTS THAT WE'VE BEEN SEEING AT THE
01:31:25 FEDERAL LEVEL FROM THIS RISING AUTHORITARIANISM
01:31:28 AND AUTHORITARIAN FAR RIGHT MOVEMENT.
01:31:29 >> WE HAVE TO HOLD THE LINE HERE IN SAN FRANCISCO AND SHOW
01:31:35 THAT THERE IS HOPE THAT WE VALUE THE DIGNITY OF EVERY
01:31:39 SINGLE PERSON THROUGH THE DECISIONS WE ARE MAKING TO
01:31:40 SUPPORT PEOPLE TO NOT JUST SURVIVE BUT THRIVE IN THE MIDST
01:31:44 OF ALL THAT THIS MOMENT ENTAILS.
01:31:47 >> THANK YOU. AND THANK YOU IN STONE.
01:31:50 >> NEXT SPEAKER. >> GOOD AFTERNOON SUPERVISORS.
01:31:58 MY NAME IS SOPHIA SAVINO RESTAURANTEURS.
01:31:59 I AM THE DEPUTY DIRECTOR IN APPLETON LATINAS THE ONLY
01:32:02 ORGANIZATION RUN AND LET BY TRANS AND INTERSEX PEOPLE
01:32:06 IN THE CITY AND COUNTY OF SAN FRANCISCO, CALIFORNIA.
01:32:09 I WANT TO EXPRESS OUR DEEP CONCERN REGARDING THE LOCAL
01:32:13 BUDGET CUTS. WHILE FEDERAL POLICY PROPOSALS
01:32:17 DIRECTLY CREATING THE STABILITY OF OUR STRONG LATINA
01:32:20 AND IMMIGRANTS COMMUNITY, OUR COMMUNITY FACES UNIQUE
01:32:24 AND COMPLEX CHALLENGES THAT REQUIRES STRONG AND CONSISTENT
01:32:28 SUPPORT. >> THESE CUTS WILL DRASTICALLY
01:32:30 REDUCE ESSENTIAL SERVICES FOR THE SURVIVAL AND DEVELOPMENT OF
01:32:33 OUR MEMBERS SUCH AS HOUSING, HEALTH CARE, JOB TRAINING
01:32:38 PROGRAMS, LEGAL ASSISTANCE SERVICES AND MORE AND MORE.
01:32:44 THESE SERVICES ARE NOT LUXURY. THESE SERVICES ARE FUNDAMENTAL
01:32:48 LIFELINES FOR OUR HISTORICALLY BALTIMORE POPULATION AND WE
01:32:53 ALSO OBSERVE WITH ALARM THE FEDERAL GOVERNMENT POLICY
01:32:57 PROPOSALS THAT TARGET TRANSGENDER AND IMMIGRANT
01:32:58 COMMUNITIES. THIS MEASURES ARE NOT ONLY
01:33:00 DISCRIMINATORY BUT THEY ALSO ACCLIMATE OF FEAR AND HATRED
01:33:04 THAT JEOPARDIZE THE SAFETY AND WELL-BEING OF OUR
01:33:08 COMMUNITIES. GIVEN THIS SITUATION, WE WANT
01:33:11 YOU TO PRIORITIZE PRICE FUNDING FOR HELP WELLNESS AND SOCIAL
01:33:15 SUPPORT SERVICES THAT TRANS LATINAS AND IMMIGRANT
01:33:19 COMMUNITIES RECOGNIZING. THIS INVESTMENT ASSISTANCE
01:33:22 ANGEL FOR SOCIAL EQUALITY THANK YOU VERY MUCH AND THANK YOU FOR
01:33:25 ADDRESSING THIS COMMITTEE. NEXT SPEAKER.
01:33:30 >> HELLO. THANK YOU VERY MUCH FOR HAVING
01:33:31 ME TODAY. MY NAME IS ILANA DE LA MORA
01:33:34 AND THIS IS MY FIRST TIME HERE AT THE SAN FRANCISCO CITY HALL
01:33:35 MEETING. I'VE BEEN TO RICHMOND CITY HALL
01:33:38 IN OAKLAND CITY HALL AND I SEE YOU GUYS ARE VERY LONELY HERE
01:33:39 SO I'LL BE SURE TO KEEP YOUR COMPANY IN THE NEAR FUTURE WHEN
01:33:42 CONCERNED THAT I HAVE IS I WAS HEARING THE LADY HERE IS TO SAY
01:33:48 THAT SHE WANTS TO RAISE TAXES AND WAYS THAT DID NOT OBVIOUSLY
01:33:53 SAY SHE WANTS TO RAISE A LOT OF TAXES I THINK RAISING TAXES AS
01:33:55 THIS TIME IN SAN FRANCISCO IS VERY WRONG AND CLOSE TO IMMORAL
01:34:01 . AND ALSO I KNOW I NOTICED YOU
01:34:02 WERE SAYING HORRIBLE THINGS ABOUT TRUMP AND I VOTED FOR
01:34:05 TRUMP AND I KNOW A LOT OF PEOPLE IN CALIFORNIA DON'T LIKE
01:34:07 HIM. I CAN ONLY IMAGINE WHY THE
01:34:09 REASONS ARE BUT I LIKE TRUMP AND I THINK HE BROUGHT BACK OUR
01:34:13 ECONOMY. WE WERE CLOSED TO ALL
01:34:14 IMPOVERISHED WHILE BIDEN WAS PRESIDENT.
01:34:17 WE COULD HAVE ALL JUST ENDED UP IN CONCORD BY A DIFFERENT
01:34:21 COUNTRY PROBABLY BEEN CONQUERED BY CHINA.
01:34:22 WHO KNOWS? THANK GOD BIDEN THANK GOD BIDEN
01:34:25 IS GONE AND WE HAVE TRUMP NOW SAVING OUR COUNTRY, SAVING THE
01:34:28 AMERICAN VALUES, BRINGING BACK TO LIFE THE PRIDE IN THE
01:34:32 AMERICAN FLAG WHICH IS GREATLY LOST DURING THE TIME OF BIDEN.
01:34:36 >> OKAY, GOING BACK TO THE RAISING THE TAXES, PLEASE DO
01:34:40 NOT DO THAT. SAN FRANCISCO IS BARELY COMING
01:34:41 BACK TO LIFE. MANY BUSINESSES DIDN'T HAVE ANY
01:34:44 WORK FOR ABOUT FIVE YEARS. >> THERE WERE MOST OF THEM LIKE
01:34:48 HALF OF THE BUSINESS IN SAN FRANCISCO WENT BANKRUPT AND ARE
01:34:49 GONE. THE ONES THAT ARE HERE HAVE
01:34:52 BEEN HERE FOR A VERY LONG TIME AND WERE ONLY ABLE TO SURVIVE
01:34:55 COVID BECAUSE THEY'VE BEEN HERE FOR A VERY, VERY LONG TIME
01:34:58 AND THEY WERE BARELY MAKING IT. AND IF YOU GIVE THEM MORE TAXES
01:35:00 RIGHT NOW WHEN THEY'RE BARELY BOUNCING BACK, THAT IS EVIL.
01:35:03 YOU'RE GOING TO TAKE ALL THEIR MONEY AWAY THAT THEY'RE MAKING
01:35:06 NOW. PLEASE DON'T DO THAT.
01:35:07 AND YOU GAVE THEM MORE TIME. SO I'M GOING TO TAKE MORE TIME.
01:35:09 >> SO ANOTHER THING IS I THINK IT'S VERY WRONG TO RAISE TAXES
01:35:14 SO PEOPLE FROM THE BQ COMMUNITY OR TRANSSEXUAL COMMUNITY CAN
01:35:18 HAVE TRANSPLANTS. SO IF A MAN WANTS TO BE A WOMAN
01:35:22 YOU WANT TO GIVE THEM MORE MONEY SO THEY CAN DO THAT.
01:35:25 NO, DON'T DO THAT. DO NOT RAISE OUR TAXES FOR
01:35:26 SURGERIES BECAUSE A MAN WANTS TO BE A WOMAN OR A WOMAN WANTS
01:35:29 TO BE A MAN. THAT IS A WASTE OF MONEY
01:35:31 AND NOT THE PRIORITY RIGHT NOW. >> WHEN BUSINESSES ARE BARELY
01:35:33 BOUNCING BACK IF YOU DO THAT, YOU'RE EVIL.
01:35:37 >> THANK YOU VERY MUCH. THANK YOU MUCH.
01:35:40 READY TO DEADLINE FOR ADDRESSING THIS COMMITTEE NEXT
01:35:41 SPEAKER. >> HI, GOOD AFTERNOON.
01:35:44 MY NAME IS PETER MURPHY. I, I WANT TO IN A WAY I WANT TO
01:35:49 APPLAUD ANYA AND THE PEOPLE'S BUDGET COALITION.
01:35:52 I I'M WITH THE MENTAL HEALTH ASSOCIATION IN SAN FRANCISCO.
01:35:57 >> I'M ALSO A MEMBER OF THE 12 STEP COMMUNITY AND I'M ALSO A
01:36:00 SAN FRANCISCO NATIVE. >> AND ONE THING I LEARNED FROM
01:36:05 ANYA IS OUR BUDGETS OUR BUDGETS ARE SHOW US WHERE WHAT OUR
01:36:09 PRIORITIES ARE. >> AND I REALLY FEEL LIKE WE
01:36:12 NEED TO MAINTAIN THE PRIORITIES THAT SAN FRANCISCO I FEEL LIKE
01:36:17 HAS ALWAYS BEEN KNOWN FOR AND THAT MEANS COMPASSION FOR
01:36:20 THOSE FOR THOSE THAT NEED OUR NEED, OUR SUPPORT.
01:36:23 WHERE I WORK AT THE MENTAL HEALTH ASSOCIATION IS HERE.
01:36:27 >> FRANCISCO WE'RE ALSO FACING CUTS AND IT'S JUST THE GENERAL
01:36:31 THE ATMOSPHERE WE HAVE WE HAVE A WE HAVE A STATE RUN WARM
01:36:35 LINE. >> IT'S ALSO BEEN FINANCED BY
01:36:38 THE DEPARTMENT OF PUBLIC HEALTH HERE IN SAN FRANCISCO AT
01:36:40 DIFFERENT TIMES BUT IT'S NOW A STATE RUN SERVICE.
01:36:43 >> BUT WE'RE WE'RE HAVING TO CUT BACK OUR SERVICES FOR THAT
01:36:46 12 STEP PROGRAMS EVEN THOUGH WE'RE WE'RE WE'RE
01:36:51 SELF-SUPPORTING THE COST OF LIVING IN SAN FRANCISCO HAS I
01:36:54 BELIEVE AFFECTED OUR OUR ABILITY TO TO HAVE A LOT OF
01:36:58 THOSE PROGRAMS IN SAN FRANCISCO FOR FOR THE COMMUNITY THAT
01:37:02 REALLY NEEDS THEM. >> SO BUT AGAIN I WANT TO I
01:37:05 WASN'T SURE IF I WAS GOING TO SPEAK TODAY BUT I'M HERE TO
01:37:07 SUPPORT THE THE GROUPS THAT HAVE THAT HAVE SPOKEN OUT TODAY
01:37:13 . >> AND I REALLY WANT TO I WANT
01:37:14 TO THANK ANA AS WELL FROM THAT PEOPLE'S BUDGET COALITION AND I
01:37:17 WANT TO THANK ALL YOU ALL THE SUPERVISORS.
01:37:18 SO THANK YOU VERY MUCH AND THANK YOU PETER MURPHY
01:37:24 SEEING NO OTHER SPEAKERS. >> MADAM CHAIR, THAT COMPLETES
01:37:26 OUR Q C NO MORE PUBLIC COMMENTS.
01:37:28 PUBLIC COMMENT IS NOW CLOSED. COLLEAGUES I AM GOING TO SPEAK
01:37:32 FOR MYSELF EVEN THOUGH I THINK MAYBE ALL OF YOU WOULD CONCUR
01:37:36 BUT I'M GOING TO SPEAK FOR MYSELF THAT I WILL ALWAYS STAND
01:37:39 IN SOLIDARITY WITH THE LGBTQ COMMUNITY AS WELL AS JUST
01:37:46 RECOGNIZING THE IMPORTANCE OF REPRODUCTIVE CARE AND GENDER
01:37:50 AFFIRMING CARE AND THAT I PERHAPS AND THIS IS SOMETIMES
01:37:57 WE WILL BE IN A POLICY DISAGREEMENT THAT I ALWAYS AM
01:37:59 GOING TO BE THAT ONE POLICYMAKER AFFIRMATIVELY
01:38:05 BELIEVE IN PROGRESSIVE TAXATION, THAT THE PEOPLE WHO
01:38:10 CAN PAY SHOULD BE PAYING FOR THEIR FAIR SHARE.
01:38:14 AND WHAT I SEE THE POVERTY AND CHALLENGES THAT WE FACE
01:38:18 IN THIS COUNTRY AND ALSO IN OUR CITY IS BECAUSE OF THE WEALTH
01:38:21 GAP THAT CONSTANTLY WE SEE THAT THE THE HAVES AND HAVE NOTS BUT
01:38:25 THAT'S JUST ME. >> AND WITH THAT COLLEAGUES
01:38:29 AGAIN I WANT TO ENCOURAGE EVERYONE TO CONTINUE THIS
01:38:33 CONVERSATION AND I URGE THE BOTH THE MAYOR'S OFFICE, THE
01:38:40 COMPTROLLER REALLY THE MAYOR'S OFFICE AS WELL AS THE PEOPLE'S
01:38:43 BUDGET COALITION TO CONTINUE THIS ONGOING CONVERSATION.
01:38:48 I LOOK FORWARD TO A ROBUST DISCUSSION IN JUNE.
01:38:51 BUT I AGAIN JUST THINK THAT ANYWAYS THIS IS I'M GOING TO
01:38:58 SAY AND WITH THAT I WOULD LIKE TO MAKE THE MOTION TO HAVE THIS
01:39:02 HEARING HEARD AND FILE. I, I GUESS SO AND AND SO I DO
01:39:13 AND THE SECOND FOR A MOTION WHEN IT COMES TO THE FIVE
01:39:16 PEOPLE COMMITTEE WHERE WE'RE GETTING HANG OF IT AND WITH
01:39:20 THAT A ROLL CALL PLEASE ON THAT MOTION AND ON THAT MOTION THAT
01:39:24 THIS HEARING BE HEARD AND FILED MOVED BY CHURCH AND SECONDED BY
01:39:28 VICE CHAIR DORSEY AND VICE CHAIR DORSEY DORSEY I REMEMBER
01:39:32 SUTTER SUTTER I REMEMBER WALTON WALTON ABSENT MEMBER CHEN CHEN
01:39:36 I CHAIR CHAN I CHAN WE HAVE HORIZON MEMBER WALTON ABSENT
01:39:41 THE MOTION PASSES AND MR. CLERK DO WE HAVE ANY OTHER BUSINESS
01:39:44 BEFORE US TODAY? >> MADAM CHAIR, THAT CONCLUDES
01:39:47 OUR BUSINESS. >> THE MEETING IS ADJOURNED