00:00:15 HERE. >> GOOD AFTERNOON.
00:00:16 WELCOME TO THE JULY 21ST REGULAR MEETING OF THE SAN
00:00:19 FRANCISCO BOARD OF SUPERVISORS .
00:00:22 >> MADAM CLERK, WILL YOU PLEASE CALL THE ROLL?
00:00:23 YES SUPERVISOR CHAN CHEN PRESIDENT SUPERVISOR CHEN CHEN
00:00:29 PRESENT SUPERVISOR DORSEY DORSEY PRESENT SUPERVISOR
00:00:33 FIELDER FIELDER PRESENT SUPERVISOR MAHMOOD MAHMOOD
00:00:37 PRESENT SUPERVISOR MANDOLIN PRESIDENT MANDOLIN PRESENT
00:00:41 SUPERVISOR MELGAR MELGAR PRESENT SUPERVISOR SARDAR
00:00:45 SARDAR PRESENT SUPERVISOR CHERYL SHERYL PRESENT
00:00:49 SUPERVISOR WALTON WALTON PRESENT SUPERVISOR WANG WANG
00:00:54 PRESENT MR. PRESIDENT ALL MEMBERS ARE PRESENT.
00:00:58 >> THANK YOU MADAM CLERK THE SAN FRANCISCO BOARD OF
00:00:59 SUPERVISORS ACKNOWLEDGES THAT WE ARE ON THE UNCEDED ANCESTRAL
00:01:02 HOMELAND OF THE RAMAKRISHNA LONI WHO ARE THE ORIGINAL
00:01:05 INHABITANTS OF THE SAN FRANCISCO PENINSULA AS THE
00:01:09 INDIGENOUS STEWARDS OF THIS LAND AND IN ACCORDANCE WITH
00:01:10 THEIR TRADITIONS THE RAMAKRISHNA LONI HAVE NEVER
00:01:14 CEDED LOST NOR FORGOTTEN THEIR RESPONSIBILITIES AS THE
00:01:17 CARETAKERS OF THIS PLACE AS WELL AS FOR ALL PEOPLES WHO
00:01:21 RESIDE IN THEIR TRADITIONAL TERRITORY AS GUESTS WE
00:01:24 RECOGNIZE THAT WE BENEFIT FROM LIVING AND WORKING ON THEIR
00:01:26 TRADITIONAL HOMELANDS. WE WISH TO PAY OUR RESPECTS BY
00:01:29 ACKNOWLEDGING THE ANCESTORS, ELDERS AND RELATIVES OF THE RAW
00:01:32 MATERIAL OWNING COMMUNITY AND BY AFFIRMING THEIR
00:01:36 SOVEREIGN RIGHTS AS FIRST PEOPLES.
00:01:37 COLLEAGUES, WILL YOU JOIN ME IN RECITING THE PLEDGE OF
00:01:40 ALLEGIANCE AS INDIGENOUS UNITED STATES?
00:02:01 >> ON BEHALF OF OUR BOARD I WOULD LIKE TO ACKNOWLEDGE THE
00:02:05 STAFF AT S.F. GOV TV AND TODAY THAT IS KALEENA MENDOZA
00:02:09 AND JEANETTE EGAN LAUGH. THEY RECORD EACH OF OUR
00:02:10 MEETINGS AND MAKE THE TRANSCRIPTS AVAILABLE TO THE
00:02:13 PUBLIC ONLINE. MADAM CLERK, DO YOU HAVE ANY
00:02:17 COMMUNICATIONS? >> YES.
00:02:17 THANK YOU, MR. PRESIDENT. THE BOARD OF SUPERVISORS
00:02:21 WELCOMES YOUR ATTENDANCE HERE IN PERSON HERE IN THE BOARD'S
00:02:24 LEGISLATIVE CHAMBER ROOM 250 ON THE SECOND FLOOR OF CITY HALL.
00:02:27 WHEN YOU CAN'T BE HERE, THE PROCEEDINGS ARE AIRING LIVE ON
00:02:30 S.F. GOV TV'S LOCAL CABLE CHANNEL OR LIVE STREAMING AT
00:02:31 SFO VTV YORK. AS OF JULY 1ST A FULL BOARD IS
00:02:36 REQUIRED TO TAKE REMOTE PUBLIC COMMENT PURSUANT TO SB 707
00:02:41 DURING THE PUBLIC COMMENT PERIODS WE WILL PRIORITIZE
00:02:42 THOSE WHO HAVE JOINED US IN PERSON AND THEN HEAR FROM
00:02:45 OUR REMOTE CALLERS. AS A REMINDER THE BOARD
00:02:48 COMMITTEE MEETINGS ARE NOT REQUIRED TO TAKE PUBLIC REMOTE
00:02:49 PUBLIC COMMENT. THE BOARD HAS ALSO APPROVED A
00:02:52 RULE TO ADDRESS DISORDERLY PUBLIC COMMENT.
00:02:53 MEMBERS OF THE PUBLIC MAY KEEP THEIR COMMENTS GERMANE TO
00:02:57 MATTERS WITHIN THE JURISDICTION OF THE BOARD OR THE SUBJECT
00:02:59 MATTER AND ANY COMMENTS THAT CONTAIN PERSONAL ATTACKS
00:03:01 HARASSMENT OR DISCRIMINATORY REMARKS SHALL BE REDIRECTED.
00:03:04 IN A FAILURE TO IMMEDIATELY REDIRECT THOSE COMMENTS WILL
00:03:08 RESULT IN THAT INDIVIDUAL'S FORFEITURE OF REMAINING TIME.
00:03:12 WE WILL TRANSITION TO THE NEXT SPEAKER.
00:03:15 PLEASE REMEMBER TO ADDRESS YOUR COMMENTS TO THE BOARD AS A
00:03:17 WHOLE AND NOT TO INDIVIDUAL MEMBERS.
00:03:19 TO SUBMIT PUBLIC COMMENT IN WRITING SEND AN EMAIL TO
00:03:21 POST AT SFO GEO REORG OR VIA U.S. POSTAL SERVICE TO THE SAN
00:03:27 FRANCISCO BOARD OF SUPERVISORS NUMBER ONE.
00:03:28 DR. CARLTON BEGINS AT PLACE CITY HALL ROOM 244 SAN
00:03:34 FRANCISCO CALIFORNIA NINE FOR 1 OR 2 TO MAKE A REASONABLE
00:03:38 ACCOMMODATION FOR A FUTURE MEETING UNDER THE AMERICANS
00:03:39 WITH DISABILITIES ACT OR TO REQUEST LANGUAGE ASSISTANCE.
00:03:43 PLEASE CONTACT THE CLERK'S OFFICE AT LEAST TWO BUSINESS
00:03:46 DAYS IN ADVANCE BY CALLING (415) 554-5184 MEMBERS.
00:03:49 THAT CONCLUDES MY COMMUNICATION.
00:03:53 >> THANK YOU, MR. PRESIDENT. THANK YOU, MADAM CLERK.
00:03:56 >> LET'S GO TO APPROVAL OF OUR MEETING MINUTES.
00:03:57 TODAY'S MEETING MINUTES FOR UP FOR APPROVAL ARE THE JUNE 16TH
00:04:01 BOARD MEETING. REGULAR MINUTES.
00:04:04 >> COULD I HAVE A MOTION TO APPROVE THE MINUTES AS
00:04:06 PRESENTED MOVED BY CHEN AND SECONDED BY CHERYL.
00:04:09 MADAM CLERK, CAN YOU PLEASE CALL THE ROLL ON THE MINUTES
00:04:13 SUPERVISOR CHERYL CHERYL I SUPERVISOR WALTON WALTON I
00:04:19 SUPERVISOR WANG WANG I SUPERVISOR CHAN CHEN I
00:04:23 SUPERVISOR CHEN CHEN I SUPERVISOR DORSEY DORSEY I
00:04:28 SUPERVISOR FIELDER FIELDER I SUPERVISOR MAHMOOD MAHMOOD I
00:04:35 SUPERVISOR MANDOLIN MANDOLIN I SUPERVISOR MELGAR MELGAR I
00:04:38 SUPERVISOR SARDAR SADR I THERE ARE LEBANESE WITHOUT OBJECTION
00:04:43 THE MINUTES WILL BE APPROVED AFTER PUBLIC COMMENT AS
00:04:46 PRESENTED MADAM CLERK LET'S GO TO OUR CONSENT AGENDA PLEASE
00:04:50 CALL ITEMS ONE THROUGH THREE ITEMS ONE THROUGH THREE ARE ON
00:04:51 CONSENT. THESE ARE ITEMS ARE CONSIDERED
00:04:54 ROUTINE. IF A MEMBER OBJECTS AN ITEM MAY
00:04:57 BE REMOVED AND CONSIDERED SEPARATELY.
00:05:01 >> MADAM CLERK PLEASE CALL THE ROLL ON ON THE CONSENT AGENDA
00:05:05 SUPERVISOR CHERYL CHERYL I SUPERVISOR WALTON WALTON I
00:05:12 SUPERVISOR WANG WANG I SUPERVISOR CHAN CHEN I
00:05:16 SUPERVISOR CHEN CHEN I SUPERVISOR DORSEY DORSEY I
00:05:23 SUPERVISOR FIELDER FIELDER I SUPERVISOR MAHMOOD MAHMOOD I
00:05:28 SUPERVISOR MANAGEMENT HI MANAGEMENT I SUPERVISOR MELGAR
00:05:31 MELGAR I SUPERVISE OR SADR SADR EITHER LEBANESE WITHOUT
00:05:36 OBJECTION THESE ORDINANCES ARE FINALLY PASSED MADAM CLERK
00:05:40 LET'S GO TO UNFINISHED BUSINESS PLEASE CALL THE BUDGET ITEMS
00:05:46 FOUR THROUGH 19 TOGETHER ITEMS FOUR THROUGH 19 COMPRISE THE
00:05:50 ANNUAL BUDGET ITEM FOUR IS THE BUDGET AND APPROPRIATION
00:05:54 ORDINANCE APPROPRIATING ALL ESTIMATED RECEIPTS AND ALL
00:05:57 ESTIMATED EXPENDITURES FOR DEPARTMENTS OF THE CITY
00:05:59 AND COUNTY OF SAN FRANCISCO AS OF JUNE 1ST, 2026 FOR THE
00:06:02 FISCAL YEAR ENDING JUNE 30TH 2027 AND JUNE 30TH 2028.
00:06:07 ITEM FIVE IS THE ANNUAL SALARY ORDINANCE ENUMERATING POSITIONS
00:06:11 IN THE ANNUAL BUDGET AND APPROPRIATION ORDINANCE FOR
00:06:13 THE FISCAL YEAR ENDING JUNE 30TH, 2027 AND JUNE 30TH 2028.
00:06:18 ITEM SIX IS ORDINANCE TO AMENDING ADMINISTRATIVE CODE TO
00:06:22 AUTHORIZE THE CITY ADMINISTRATOR TO PAUSE, REDUCE
00:06:24 OR RETURN THE ANNUAL CONTRIBUTIONS BY THE
00:06:27 DEPARTMENTS AT CONTRACT FOR PUBLIC WORKS TO THE SAN
00:06:30 FRANCISCO SELF-INSURANCE 30 BOND FUND.
00:06:34 ITEM SEVEN IS AN ORDINANCE TO MODIFY THE BASELINE FUNDING
00:06:35 REQUIREMENTS FOR EARLY CARE AND EDUCATION PROGRAMS
00:06:40 IN FISCAL YEAR 2627 AND 2728 TO ENABLE THE CITY TO USE INTEREST
00:06:44 EARNED FROM THE EARLY CARE AND EDUCATION COMMERCIAL RENTS
00:06:47 TAX FOR THOSE BASELINE PROGRAMS ITEM EIGHT IS AN ORDINANCE TO
00:06:51 AMEND THE HEALTH CODE TO SET PATIENT RATES FOR SERVICES
00:06:53 PROVIDED BY THE DEPARTMENT OF PUBLIC HEALTH FOR FISCAL YEARS
00:06:57 2627 AND 2728. ITEM NINE IS ORDINANCE AMENDING
00:07:01 THE ADMINISTRATIVE CODE TO INCREASE CERTAIN UTILITY METER
00:07:05 FEES AND AUTHORIZE THE COMPTROLLER TO ANNUALLY ADJUST
00:07:06 DEVICE FEES FOR WEIGHTS AND MEASURES AND UTILITY METERS
00:07:09 UP TO THE MAXIMUM ALLOWABLE UNDER STATE LAW.
00:07:12 ITEM TEN IS AN ORDINANCE TEMPORARILY SUSPENDING THE CAP
00:07:14 ON THE USE OF HOMELESSNESS GROSS RECEIPTS TAX REVENUES TO
00:07:17 FUND SHORT TERM RENTAL SUBSIDIES AND FINDING THAT THE
00:07:20 TEMP THAT TEMPORARILY ALLOWING FOR INCREASED EXPENDITURES ON
00:07:25 SHORT TERM RENTAL SUBSIDIES WILL FURTHER THE PURPOSES OF
00:07:28 OUR STATE OF THE ART CITY OUR HOME FUND ITEM 11 IS AN
00:07:31 ORDINANCE TO ADOPT THE NEIGHBORHOOD BEAUTIFICATION
00:07:33 AND GRAFFITI CLEANUP FUND TAX DESIGNATION SELENE TAX FOR TAX
00:07:36 YEAR 2026. >> ITEM 12 IS THE RESOLUTION TO
00:07:40 APPROVE THE FISCAL YEAR 2627 BUDGET OF THE OFFICE OF
00:07:43 COMMUNITY INVESTMENT IN INFRASTRUCTURE FOR OPERATING
00:07:47 AS A SUCCESSOR AGENCY TO THE REDEVELOPMENT AGENCY OF THE
00:07:51 CITY. AND APPROVING THE ISSUANCE OF
00:07:52 BONDS AND THE AGGREGATE PRINCIPAL PRINCIPAL AMOUNT OF
00:07:57 275 MILLION FOR THE PURPOSE OF FINANCING A PORTION OF THIS
00:08:01 ENFORCEABLE OBLIGATIONS. ITEM 13 IS A RESOLUTION TO
00:08:05 CONCUR WITH THE CONTROLLERS ESTABLISHMENT OF THE SUMER
00:08:09 PRICE INDEX FOR 2026 AND ADJUSTING THE ACCESS LINE
00:08:12 TAX FOR THE SAME RATE ITEM 14 IS A RESOLUTION TO AUTHORIZE
00:08:16 THE PUBLIC LIBRARY TO ACCEPT AN EXPENDED 1.5 MILLION GRANT OF
00:08:20 IN-KIND GIFTS, SERVICES AND CASH MONEYS FROM THE
00:08:24 FRIENDS OF THE SAN FRANCISCO PUBLIC LIBRARY FOR DIRECT
00:08:28 SUPPORT FOR THE CHINATOWN BRANCH RENOVATION CAPITAL
00:08:31 PROJECT WITHIN THE PERIOD OF FISCAL YEARS 2627 THROUGH 2930.
00:08:37 ITEM 15 IS A RESOLUTION TO AUTHORIZE THE ACCEPTANCE
00:08:40 AND EXPENDITURE OF RECURRING STATE GRANT FUNDS BY THE SAN
00:08:44 FRANCISCO DEPARTMENT OF PUBLIC HEALTH FOR FISCAL YEAR 2627.
00:08:47 ITEM 16 IS A RESOLUTION TO APPROVE THE FISCAL YEAR 2627
00:08:51 2728 EXPENDITURE PLAN FOR THE DEPARTMENT OF HOMELESSNESS
00:08:56 AND SUPPORTIVE HOUSING FUND. ITEM 17 IS A RESOLUTION TO
00:08:58 CONCUR WITH THE COMPTROLLER CERTIFICATE IN THAT DEPARTMENT
00:09:03 SERVICES PREVIOUSLY APPROVED CAN BE PERFORMED BY PRIVATE
00:09:07 CONTRACTORS FOR A LOWER COST AND SIMILAR WORK PERFORMED BY
00:09:10 CITY AND COUNTY EMPLOYEES. ITEM 18 IS A RESOLUTION TO
00:09:14 CONCUR WITH THE COMPTROLLER CERTIFICATE IN THAT DEPARTMENT
00:09:18 SERVICES CAN BE PERFORMED BY PRIVATE CONTRACTORS FOR A LOWER
00:09:21 COST THAN SIMILAR WORK PERFORMED BY CITY EMPLOYEES FOR
00:09:25 PROTECTIVE PROTECTIVE SERVICES AND SECURITY SERVICES.
00:09:29 AND FINALLY, ITEM 19 IS A RESOLUTION TO AUTHORIZE THE
00:09:33 RECREATION AND PARKS DEPARTMENT TO ISSUE AN AMENDED PERMIT
00:09:34 ALLOWING ANOTHER PLANET ENTERTAINMENT TO HOLD TICKETED
00:09:38 CONCERTS AT THE GOLDEN GATE POLO FIELDS TO TAKE PLACE ON
00:09:41 THE FRIDAY, SATURDAY AND SUNDAY EITHER FOLLOWING OR PROCEEDING
00:09:43 TO OUTSIDE LANDS FESTIVAL IN 27, 28 AND 29 IN EXCHANGE
00:09:48 FOR A MINIMUM PERMIT FEE OF 1.53 MILLION PER DAY FOR TWO
00:09:52 DAY EVENTS AND APPROXIMATELY 2.2 MILLION PER DAY FOR THREE
00:09:56 DAY EVENTS THROUGH 2029 AND WITH OPTIONS TO EXTEND THE
00:09:59 PERMIT UNTIL 2035. >> CHAIR CHAN THANK YOU
00:10:05 PRESIDENT AMANDO MY COLLEAGUES I PLAN TO RESERVE MY COMMENT
00:10:09 UNTIL NEXT WEEK ON OUR FINAL FINAL VOTE AND ALSO THE FINAL
00:10:14 FINAL BOARD MEETING BEFORE THE AUGUST RECESS.
00:10:18 I URGE YOU FOR YOUR YES VOTE ON TODAY'S FIRST VOTE ON THIS
00:10:22 BUDGET WHICH HAD UNANIMOUS VOTE TO RECOMMEND IT OUT OF OUR
00:10:29 BUDGET AND APPROPRIATIONS COMMITTEE.
00:10:32 I DO WANT TO TAKE A QUICK OPPORTUNITY HERE TO THANK ALL
00:10:36 THE MEMBERS OF THE BUDGET AND APPROPRIATIONS COMMITTEE
00:10:40 FOR THEIR HARD WORK. AND SO WITH THAT I WILL RESERVE
00:10:41 MY COMMENTS UNTIL NEXT WEEK. >> THANK YOU.
00:10:47 >> AND WITH THAT I THINK WE CAN TAKE THESE ITEMS.
00:10:52 >> OH, SUPERVISOR FIELDER, THANK YOU, PRESIDENT MIDDLEMEN.
00:10:55 COLLEAGUES, THIS BUDGET CLOSES A MASSIVE DEFICIT WITHOUT MASS
00:10:58 LAYOFFS. CERTAINLY NOT WITHOUT
00:11:02 TRADEOFFS. I'M STILL WRESTLING WITH
00:11:03 GROWING POLICE PAY BY 14% OVER FOUR YEARS ISN'T WHERE I WOULD
00:11:06 HAVE PUT OUR LIMITED DOLLARS. HOWEVER, IN A YEAR WITH LOOMING
00:11:10 FEDERAL CUTS AND NO EASY OPTIONS, THIS BOARD HELD THE
00:11:14 LINE ON CRITICAL SAFETY NET PROGRAMS THAT TENS OF THOUSANDS
00:11:18 OF SAN FRANCISCANS DEPEND ON. >> AND THAT IS A REAL WIN.
00:11:22 THIS BUDGET IS NOT EVERYTHING MANY OF US WOULD HAVE WANTED
00:11:26 BUT IT'S A FIGHT WORTH CONTINUING INTO NEXT YEAR'S
00:11:29 BUDGET. >> THIS WIN IS DUE IN LARGE
00:11:30 PART TO THE ADVOCACY, THE HIGH LEVEL OF ORGANIZATION AND THE
00:11:35 UNITY AMONG COMMUNITY GROUPS AND LABOR THE PEOPLE WHO
00:11:38 DELIVER OUR CITY'S SERVICES EVERY DAY THAT ALLOWED US TO
00:11:42 STAVE OFF THE DEEPEST CUTS AND KEEP CRITICAL SOCIAL
00:11:45 SERVICE PROGRAMS RUNNING FOR THE PEOPLE WHO RELY ON THEM.
00:11:47 >> THAT KIND OF OUTCOME ALSO DEPENDS ON PARTNERSHIP INSIDE
00:11:50 THIS BUILDING. I WANT TO THANK YOU COLLEAGUES
00:11:53 FOR CARING AND SUPPORTING DISTRICT NINE'S PRIORITIES
00:11:55 THROUGHOUT THIS PROCESS WHILE I WAS OUT ON LEAVE.
00:11:58 IN PARTICULAR, I WANT TO RECOGNIZE BUDGET CHAIR CHEN,
00:12:01 SUPERVISOR CHEN AND SUPERVISOR WALTON ALONG WITH THEIR STAFF
00:12:05 FRANCES SHEA, JACKIE PRAGER AND TRACY BROWN FOR THEIR WORK
00:12:09 IN PARTNERSHIP WITH MY STAFF IN MAKING SURE OUR DISTRICT'S
00:12:10 NEEDS WERE HEARD AND MET AT EVERY STAGE.
00:12:13 I ALSO WANT TO THANK MY OWN STAFF JENNIFER FERRIGNO
00:12:17 AND SHEILA CHUNG HAGAN WHO WORKED DILIGENTLY TO MOVE OUR
00:12:21 PRIORITIES FORWARD MAKING THIS OUTCOME POSSIBLE.
00:12:22 >> THE DILIGENCE WITH WHICH THIS BOARD WORKED THROUGH SUCH
00:12:26 A DIFFICULT BUDGET IS A TESTAMENT TO THE COLLABORATIVE
00:12:29 LEADERSHIP OF BUDGET CHAIR CHAN AND THE COMMITMENT OF THE
00:12:32 ENTIRE BOARD. NEXT YEAR PROMISES TO BE AN
00:12:34 EVEN TOUGHER BUDGET YEAR. WE WILL STILL BE FACING FEDERAL
00:12:37 CUTS AND CONTINUED ATTACKS FROM THE TRUMP ADMINISTRATION.
00:12:41 MY HOPE IS THAT WE TAKE THE WORK THAT WHAT WORKED WHAT
00:12:44 WORKED THIS YEAR LISTENING DEEPLY TO COMMUNITY AND LABOR
00:12:48 PARTNERS AND HOLDING THE LINE ON THE PROGRAMS PEOPLE DEPEND
00:12:52 ON MOST AND CARRY THAT SAME APPROACH INTO NEXT YEAR'S
00:12:53 BUDGET. AND WITH THAT COLLEAGUES I'LL
00:12:56 BE VOTING IN SUPPORT OF THESE ITEMS AND I THINK WE CAN TAKE
00:13:03 THESE ITEMS. SAME HOUSE, SAME CALL.
00:13:04 WITHOUT OBJECTION THE ORDINANCES ARE PASSED ON FIRST
00:13:08 READING AND THE RESOLUTIONS ARE ADOPTED.
00:13:11 >> MADAM CLERK, PLEASE CALL ITEM NUMBER 20.
00:13:14 >> ITEM NUMBER 20 IS AN ORDINANCE TO AMEND THE
00:13:17 ADMINISTRATIVE ENVIRONMENT HEALTH, LABOR AND EMPLOYMENT
00:13:19 PART PLANNING POLICE PUBLIC WORKS SUBDIVISION
00:13:22 TRANSPORTATION AND BUILDING INSPECTION COMMISSION CODES TO
00:13:25 MODIFY NUMEROUS REPORTING REQUIREMENTS AFFIRM THE SQUAD
00:13:29 DETERMINATION AND MAKE THE APPROPRIATE FINDINGS.
00:13:33 >> PLEASE CALL THE ROLL ON ITEM 20.
00:13:34 SUPERVISOR CHERYL CHERYL I. >> SUPERVISOR WALTON I'M SO
00:13:40 SORRY. >> WALTON NO.
00:13:44 SUPERVISOR WONG WONG I. SUPERVISOR CHAN.
00:13:48 CHAN NO SUPERVISOR CHEN. CHEN I.
00:13:52 SUPERVISOR DORSEY. DORSEY I.
00:13:56 SUPERVISOR FIELDER. FIELDER.
00:13:59 NO. SUPERVISOR MAHMOOD.
00:14:00 MAHMOOD I. SUPERVISOR BENJAMIN HI.
00:14:04 MANDOLIN I SUPERVISOR MELGAR. MELGAR NO SUPERVISOR SADR.
00:14:10 SADR THERE ARE SEVEN EYES AND FOUR NOS.
00:14:13 THE SUPERVISORS WALTON CHAN FIELDER AND MELGAR VOTED NO.
00:14:17 >> THE ORDINANCE IS FINALLY PASSED.
00:14:18 MADAM CLERK, PLEASE CALL ITEM 21.
00:14:22 >> ITEM NUMBER 21 IS AN ORDINANCE TO AMEND THE PLANNING
00:14:25 CODE TO REDUCE INCLUSIONARY AFFORDABLE HOUSING PROGRAM
00:14:28 REQUIREMENTS FOR PROJECTS OF 25 UNITS OR MORE.
00:14:31 DELETE AFFORDABLE HOUSING PROGRAM REQUIREMENTS FOR
00:14:35 PROJECTS UNDER 25 UNITS. ALLOW ALL PROJECTS TO DEDICATE
00:14:39 LAND TO THE CITY AS AN ALTERNATIVE TO PAYMENT OF THE
00:14:41 INCLUSIONARY HOUSING PROGRAM FEE.
00:14:43 ADOPT A PROCESS FOR PROJECTS TO REQUEST A MODIFICATION TO
00:14:45 CONDITIONS OF APPROVAL RELATED TO INCLUSIONARY AFFORDABLE
00:14:49 HOUSING PROGRAM REQUIREMENT. DELETE CERTAIN ARTICLE FOUR
00:14:53 IMPACT FEES AND ADOPT CONFORMING AMENDMENTS TO
00:14:56 VARIOUS CONDITIONS TO VARIOUS SECTIONS OF THE PLANNING CODE.
00:14:59 AMENDING THE BUILDING CODE TO REDUCE PLANNING CODE ARTICLE
00:15:03 FOUR DEVELOPMENT IMPACT FEES AND ALLOW DEFERRAL OF PAYMENTS
00:15:05 OF SUCH FEES. AND AMENDING THE ADMINISTRATIVE
00:15:08 CODE TO ADOPT CONFORMING AMENDMENTS TO THE REQUIREMENTS
00:15:11 OF THE CITY WIDE AFFORDABLE HOUSING FUND.
00:15:14 TO AFFIRM THE SCORE DETERMINATION AND MAKE THE
00:15:15 APPROPRIATE FINDINGS, PLEASE CALL THE ROLL AN ITEM 21.
00:15:19 >> SUPERVISOR CHERYL CHERYL I. SUPERVISOR WALTON NO WALTON NO
00:15:25 SUPERVISOR WANG. WANG I.
00:15:26 SUPERVISOR CHEN CHEN I. SUPERVISOR CHEN.
00:15:29 CHEN. NO SUPERVISOR DORSEY.
00:15:33 DORSEY I. SUPERVISOR FIELDER.
00:15:37 FIELDER I. SUPERVISOR MAHMOOD MAHMOOD I.
00:15:41 >> SUPERVISOR I MANDARIN I SUPERVISOR MELGAR.
00:15:45 MELGAR I SUPERVISOR SARDAR SARDAR EITHER NINE EYES AND TWO
00:15:49 NOSE WITH SUPERVISORS WALTON AND CHEN VOTING NO.
00:15:53 >> AND THE ORDINANCE IS FINALLY PASSED.
00:15:56 >> MADAM CLERK, PLEASE CALL ITEM NUMBER 20 TWO.
00:15:59 >> ITEM NUMBER 22 IS AN ORDINANCE TO AMEND THE
00:16:01 ADMINISTRATIVE CODE TO STATE THAT IT IS CITY POLICY TO
00:16:04 EXPAND THE AVAILABILITY OF SITE BASED PERMANENT SUPPORTIVE
00:16:08 HOUSING THAT PROHIBITS ONSITE ILLICIT DRUG USE AMONG
00:16:11 RESIDENTS TO MEET THE DEMAND OF PEOPLE EXPERIENCING
00:16:14 HOMELESSNESS WHO PREFER SUCH A RESIDENTIAL OPTION.
00:16:15 >> REQUIRE THAT CITY FUNDING FOR NEW SITE BASED PCH FOR
00:16:19 PEOPLE EXPERIENCING HOMELESSNESS BE USED FOR DRUG
00:16:22 FREE PASSAGE. REQUIRE THE DEPARTMENT OF
00:16:26 HOMELESSNESS AND SUPPORTIVE HOUSING TO SURVEY RESIDENTS
00:16:27 AND REQUIRE HSA TO ADOPT RULES AND REGULATIONS.
00:16:31 ESTABLISH ESTABLISH STANDARDS AND PROTOCOLS FOR EVICTIONS.
00:16:35 >> PLEASE CALL THE ROLL ON ITEM 22.
00:16:38 >> SUPERVISOR CHERYL CHERYL I. SUPERVISOR WALTON O.
00:16:42 WALTON NO SUPERVISOR WANG WANG I SUPERVISOR CHEN CHEN NO
00:16:49 SUPERVISOR CHEN CHEN NO SUPERVISOR DORSEY DORSEY I
00:16:53 SUPERVISOR FIELDER FIELDER NO. SUPERVISOR MAHMOOD MAHMOOD I
00:17:00 SUPERVISOR GENTLEMAN HI. AMENDMENT I SUPERVISOR MELGAR
00:17:03 MELGAR I SUPERVISOR SARDAR SARDAR I THERE ARE SEVEN EYES
00:17:08 AND FOUR NOSE WITH SUPERVISORS WALTON CHEN, CHEN AND FIELD ARE
00:17:12 VOTING NO THE ORDINANCE IS FINALLY PASSED MADAM CLERK
00:17:16 PLEASE CALL ITEM 23. >> ITEM NUMBER 23 IS AN
00:17:20 ORDINANCE TO APPROPRIATE APPROXIMATELY 1.9 MILLION OF
00:17:24 BOARDING OF PRISONERS REVENUE AND APPROXIMATELY 14 MILLION TO
00:17:28 OVERTIME SALARIES AND TO APPROPRIATE APPROXIMATELY 12.1
00:17:33 MILLION FROM A RETIREMENT FRINGE BENEFITS VEHICLES
00:17:35 AND VARIOUS CAPITAL PROJECTS AND WORK ORDERS IN THE
00:17:38 SHERIFF'S OFFICE TO SUPPORT THE DEPARTMENT'S PROJECTED
00:17:42 INCREASES IN OVERTIME IN FISCAL YEAR 2526 PLEASE CALL THE ROLL
00:17:47 ON ITEM 23. SUPERVISOR CHERYL CHERYL I
00:17:51 SUPERVISOR WALTON HI WALTON I SUPERVISOR WONG WANG I
00:17:56 SUPERVISOR CHAN CHEN I SUPERVISOR CHEN CHEN I
00:18:03 SUPERVISOR DORSEY DORSEY I SUPERVISOR FIELDER FIELDER I
00:18:07 SUPERVISOR MAHMOOD MAHMOOD I SUPERVISOR GENTLEMAN I.
00:18:11 AMENDMENT I SUPERVISOR MELGAR MELGAR I SUPERVISOR SADR SADR
00:18:19 EITHER ARE LEBANESE WITHOUT OBJECTION THE ORDINANCE IS
00:18:22 PASSED ON FIRST READING MADAM CLERK PLEASE CALL ITEM 24 ITEM
00:18:26 24 IS A RESOLUTION TO APPROVE THE SECOND AMENDMENT BETWEEN
00:18:29 THE CHILDREN'S COUNCIL OF SAN FRANCISCO AND THE DEPARTMENT OF
00:18:32 EARLY CHILDHOOD FOR THE PROVISION OF THE EARLY CARE
00:18:34 WORK FIRST COMPENSATION AND ADMINISTRATIVE SERVICES TO
00:18:37 SUPPORT THE CITY'S IMPLEMENTATION OF THE CITYWIDE
00:18:40 PLAN FOR EARLY CARE AND EDUCATION, WORKFORCE
00:18:43 DEVELOPMENT AND COMPENSATION INITIATIVES INCREASE THE
00:18:47 AGREEMENT FOR A TOTAL APPROXIMATE AMOUNT OF 230
00:18:50 MILLION FOR A TERM OF OCTOBER 1ST 2022 THROUGH JUNE 30TH 2027
00:18:56 . I THINK WE CAN TAKE THIS SAME
00:18:57 HOUSE SAME CALL WITHOUT OBJECTION THE RESOLUTION IS
00:19:01 ADOPTED. MADAM CLERK PLEASE CALL ITEM
00:19:02 NUMBER 25. >> ITEM NUMBER 25 IS THE
00:19:08 RESOLUTION TO APPROVE AND AUTHORIZE THE DIRECTOR OF
00:19:09 PROPERTY AND ON BEHALF OF THE DEPARTMENT OF HOMELESSNESS
00:19:12 IN SUPPORT OF HOUSING TO ENTER INTO A LEASE OF REAL PROPERTY
00:19:16 LOCATED AT 125 BAYSHORE BOULEVARD WITH W Y EL ORIAN
00:19:22 PROPERTIES FOR INITIAL TERM OF TEN YEARS WITH TWO FIVE YEAR
00:19:25 OPTIONS TO EXTEND ANTICIPATED TO COMMENCE ON JULY FIRST 2026
00:19:29 FOR USE BY THE DEPARTMENT OF HOMELESSNESS AND SUPPORT OF
00:19:32 HOUSING FOR EMERGENCY SHELTER PURPOSES AT INITIAL ANNUAL BASE
00:19:36 RENT OF APPROXIMATELY 655,000 WITH 3% ANNUAL INCREASES TO A
00:19:39 FIRM SEQUEL DETERMINATION AND MAKE THE APPROPRIATE
00:19:43 FINDINGS SO SAME HOUSE, SAME CALL WITHOUT OBJECTION THE
00:19:47 RESOLUTION IS ADOPTED. MADAM CLERK, PLEASE CALL ITEMS
00:19:51 26 THROUGH 28 TOGETHER. >> ITEM 26 IS THE RESOLUTION TO
00:19:56 APPROVE THE SECOND AMENDMENT WITH CANON USA FOR COPIER
00:19:59 MACHINE LEASES, RENTALS AND PURCHASES TO INCREASE THE
00:20:03 CONTRACT FOR A TOTAL AMOUNT OF 15.3 MILLION WITH NO CHANGES TO
00:20:06 THE CONTRACT TERM OF APRIL 1ST 2024 THROUGH A DECEMBER 15TH
00:20:12 2030. ITEM 27 IS A RESOLUTION TO
00:20:15 APPROVE AN AGREEMENT AN AMENDMENT BETWEEN THE CITY
00:20:19 AND SIGLO SUPPLY FOR PLUMBING SUPPLIES EXTENDING THE TERM BY
00:20:22 TWO YEARS THROUGH NOVEMBER 30TH 2031 AND INCREASE THE CONTRACT
00:20:27 FOR TWO NEW TOTAL AMOUNT OF 15.5 MILLION.
00:20:30 AND FINALLY ITEM 28 IS A RESOLUTION TO AUTHORIZE THE
00:20:34 DEPARTMENT OF TECHNOLOGY TO ENTER INTO THE FIRST AMENDMENT
00:20:37 TO THE AGREEMENT WITH ZONES LLC FOR MICROSOFT ENTERPRISE
00:20:41 PRODUCTS TO INCREASE THE CONTRACT FOR A NEW TOTAL AMOUNT
00:20:45 OF 115 MILLION AND TO EXTEND THE TERM FOR A TOTAL TERM OF
00:20:50 SEPTEMBER 1ST 2023 THROUGH AUGUST 31ST 2029 WITH THE
00:20:54 OPTION OF THREE ONE YEAR EXTENSIONS AND WE CAN TAKE
00:20:57 THESE ITEMS SAME HOUSE, SAME CALL WITHOUT OBJECTION THE
00:21:01 RESOLUTIONS ARE ADOPTED. MADAM CLERK, PLEASE CALL OUT A
00:21:04 NUMBER 29. >> ITEM NUMBER 29 IS A
00:21:07 RESOLUTION TO RETROACTIVELY APPROVE AND AUTHORIZE THE
00:21:10 GENERAL MANAGER OF THE SAN FRANCISCO PUBLIC UTILITIES
00:21:11 COMMISSION TO EXECUTE AMENDMENT NUMBER ONE TO THE JOINT
00:21:15 EXERCISE OF POWERS AGREEMENT FOR SEWER SERVICE WITH THE CITY
00:21:19 OF BRISBANE AND GUADALUPE VALLEY MUNICIPAL IMPROVEMENT
00:21:23 DISTRICT INCREASING THE DURATION OF THE ORIGINAL
00:21:26 AGREEMENT TO DECEMBER 31ST, 2027.
00:21:29 >> SAME HOUSE, SAME CALL. WITHOUT OBJECTION THE
00:21:33 RESOLUTIONS ADOPTED. MADAM CLERK, PLEASE CALL ITEMS
00:21:37 30 AND 31 TOGETHER. >> ITEM 31 IS A RESOLUTION TO
00:21:40 APPROVE AND AUTHORIZE THE PURCHASE AND SALE AGREEMENT
00:21:44 BETWEEN THE CITY AND PACIFIC GAS AND ELECTRIC COMPANY FOR
00:21:45 THE ACQUISITION OF RURAL PROPERTY LOCATED AT 5000
00:21:49 HUNTERS POINT BOULEVARD IN THE BAYVIEW NEIGHBORHOOD FOR THE
00:21:52 AMOUNT THOUSAND PLACING THE PROPERTY UNDER THE JURISDICTION
00:21:57 OF THE RECREATION AND PARKS DEPARTMENT AND MAKING
00:22:00 APPROPRIATE FINDINGS. AND ITEM 31 IS A RESOLUTION
00:22:01 AND APPROVING A PURCHASE AND SALE AGREEMENT WITH PACIFIC
00:22:05 GAS AND ELECTRIC COMPANY IN THE AMOUNT OF 950,000 GRANTING
00:22:09 JANIE AND EASEMENT WITH SUBSURFACE UTILITIES IN JOHN
00:22:12 MCLAREN PARK UNDER VISITATION AVENUE AND MANSEL STREET
00:22:16 AND MAKING THE APPROPRIATE FINDINGS.
00:22:19 >> TAKE THESE SAME HOUSE SAME CALL WITHOUT OBJECTION THE
00:22:24 RESOLUTIONS ARE ADOPTED AND PLEASE CALL ITEM NUMBER 32.
00:22:28 >> ITEM NUMBER 32 IS A RESOLUTION AUTHORIZING THE
00:22:31 MAYOR'S OFFICE OF HOUSING AND COMMUNITY DEVELOPMENT TO
00:22:34 ACCEPT AN IN-KIND GIFT OF CONSULTING SERVICES PROVIDED BY
00:22:39 SEVEN FUZE FELLOWS THROUGH THE FUZE FELLOWS PROGRAM VALUED AT
00:22:42 2,520,000 FROM FUZE, A CORPORATE.
00:22:46 FOR THE TERM TO COMMENCE ON AUGUST 1ST, 2026 AND TO EXPIRE
00:22:52 OCTOBER 20TH 2028 TO STRENGTHEN COORDINATION, STRATEGY
00:22:54 AND SYSTEMS ACROSS PUBLIC HEALTH, HOUSING, HOMELESSNESS
00:22:57 AND HUMAN SERVICES. >> SAME HOUSE, SAME CALL
00:23:01 WITHOUT OBJECTION THE RESOLUTIONS ADOPTED.
00:23:04 >> MADAM CLERK, PLEASE CALL ITEM NUMBER THREE.
00:23:08 >> ITEM NUMBER 33 IS A RESOLUTION APPROVING THE PORT
00:23:09 COMMISSION LEASE WITH JP F 1300 BATTERY FOR A SINGLE STORY
00:23:13 RESTAURANT SPACE AN OUTDOOR DINING AREA LOCATED AT 1300
00:23:20 BATTERY STREET FOR A TERM EXPIRING ON MAY 5TH 2046 FOR A
00:23:23 MONTHLY BASE RENT OF 5000 FOR A TOTAL BASE RENT OF
00:23:28 APPROXIMATELY 1.5 MILLION. >> SAME HOUSE.
00:23:29 SAME CALL WITHOUT OBJECTION THE RESOLUTIONS ADOPTED.
00:23:33 MADAM CLERK, PLEASE CALL ITEM 40.
00:23:35 >> ITEM 34. ITEM 34 IS A RESOLUTION
00:23:38 AUTHORIZING THE PORT TO EXECUTE THE FIRST AMENDMENT TO THE
00:23:42 MANAGEMENT AGREEMENT WITH PASHA AUTOMOTIVE SERVICES TO
00:23:45 DISCONTINUE A 50,000 MONTHLY MANAGEMENT FEE PAID BY THE
00:23:49 PORT. ADOPT REVISED REVENUE SHARING
00:23:50 AND SPECIAL EVENT PROVISIONS AND RESTRUCTURE THE EXCLUSIVE
00:23:54 USE OF THE PORT'S PIER EIGHT TERMINAL SAME HOUSE, SAME CALL.
00:24:01 WITHOUT OBJECTION THE RESOLUTION IS ADOPTED
00:24:02 AND PLEASE CALL ITEMS 35 AND 36 TOGETHER.
00:24:05 >> ITEM 35 IS A RESOLUTION APPROVING AND AUTHORIZING THE
00:24:11 FIRST AMENDMENT TO THE LOAN AGREEMENT BETWEEN MAUI CD
00:24:13 AND 1234 GREAT HIGHWAY LLC TO FINANCE PRE-DEVELOPMENT COSTS
00:24:17 ASSOCIATED WITH THE DEVELOPMENT OF MULTIFAMILY RESIDENTIAL
00:24:21 PROJECT AFFORDABLE TO LOW INCOME AND FORMERLY HOME
00:24:24 HOMELESS SENIORS ON THE PROPERTY LOCATED AT 1234 1270
00:24:30 AND 1280 GREAT HIGHWAY IN THE TOTAL AMOUNT NOT TO EXCEED
00:24:31 APPROXIMATELY 27,000,036 IS A RESOLUTION APPROVING
00:24:37 AND AUTHORIZING MAUI CD TO ENTER INTO A GROUND LEASE FOR
00:24:41 1939 MARKET STREET WITH MERCY HOUSING CALIFORNIA 109 FOR A
00:24:45 LEASE TERM OF 75 YEARS AND 124 YEAR FOUR YEAR OPTION TO EXTEND
00:24:51 AND AN ANNUAL BASE RENT OF 15,000 TO CONSTRUCT A 187 UNIT
00:24:54 MULTIFAMILY RENTAL HOUSING DEVELOPMENT AFFORDABLE TO LOW
00:24:59 INCOME HOUSING HOUSEHOLDS. >> SAME HOUSE SAME CALL.
00:25:06 WITHOUT OBJECTION THE RESOLUTIONS ARE ADOPTED.
00:25:07 PLEASE CALL ITEM 37. >> ITEM NUMBER 37 IS AN
00:25:11 ORDINANCE AMENDING THE PLANNING CODE TO INCREASE THE NUMBER OF
00:25:15 GUEST ROOMS FOR HOTEL USES PERMITTED AS A CONDITIONAL USE
00:25:18 AND RH TWO RH THREE ROOM ONE R AND RM3RM FOR ARTICLE ONE
00:25:24 AND ARTIOLE. DISTRICTS FROM FIVE TO FEWER
00:25:30 ROOMS TO TEN OR FEWER ROOMS AND MAKING THE APPROPRIATE
00:25:31 FINDINGS SAME HOUSE SAME CALL WITHOUT OBJECTION THE ORDINANCE
00:25:37 IS PASSED ON FIRST READING PLEASE CALL ITEM NUMBER 38.
00:25:40 >> ITEM NUMBER 38 IS AN ORDINANCE AMENDING THE PUBLIC
00:25:44 WORKS CODE TO WAIVE BANNER AND INSPECTION FEES FOR CERTAIN
00:25:48 NONPROFIT ORGANIZATIONS IN ALL NCDS AND TDS R T AND R T O C
00:25:52 DISTRICTS AND AFFIRMING THE SCORE DETERMINATION.
00:25:56 >> SAME HOUSE AND CALL WITHOUT OBJECTION THE ORDINANCE IS
00:26:00 PASSED ON FIRST READING PLEASE CALL ITEM 39 ITEM NUMBER 39 IS
00:26:05 AN ORDINANCE AMENDING THE FIRE AND PUBLIC WORKS CODES TO WAIVE
00:26:09 APPLICATION REVIEW AND PROCESSING FEES FOR PERMITS
00:26:13 TO ABATE VIOLATIONS RELATED TO THE DEPARTMENT OF BUILDING
00:26:14 INSPECTIONS, INTERNAL QUALITY CONTROL AUDIT AMNESTY PROGRAM
00:26:20 AND AFFIRMING THE SECRET DETERMINATION.
00:26:21 >> SAME HOUSE, SAME CALL. >> WITHOUT OBJECTION, THE
00:26:25 ORDINANCE IS PASSED ON FIRST READING PLEASE CALL ITEM NUMBER
00:26:28 40. >> ITEM NUMBER 40 IS AN
00:26:31 ORDINANCE AMENDING THE POLICE CODE TO PROVIDE PENALTIES FOR
00:26:35 THE PROHIBITED DISCHARGE OF FIREWORKS INCLUDING THAT A
00:26:38 FIRST OFFENSE IS PUNISHABLE AS AN INFRACTION WITH A FINE NOT
00:26:41 LESS THAN $125 OR MORE OR MORE THAN $250.
00:26:45 ANY SECOND AND ANY SUBSEQUENT OFFENSES WITHIN FIVE YEARS OF A
00:26:49 PRIOR OFFENSE ARE PUNISHABLE AS MISDEMEANORS WITH A FINE NOT
00:26:53 LESS THAN 250 OR MORE THAN 750 OR IMPRISONMENT IN THE COUNTY
00:26:56 JAIL OF NOT MORE THAN SIX MONTHS OR BY BOTH SUCH FINE
00:27:00 AND IMPRISONMENT. >> SUPERVISOR WONG COLLEAGUES
00:27:07 THIS ORDINANCE COMES BEFORE THE FULL BOARD WITH THE
00:27:08 RECOMMENDATION OF THE PUBLIC SAFETY AND NEIGHBORHOOD
00:27:11 SERVICES COMMITTEE WHICH APPROVED IT ON JULY 9TH.
00:27:15 THE TERM SAFE AND SANE CAN CREATE A DANGEROUSLY MISLEADING
00:27:16 IMPRESSION THESE FIREWORKS MAY BE LOWER POWERED AND APPROVED
00:27:19 BY THE STATE FIRE MARSHAL BUT THEY ARE NOT HARMLESS
00:27:23 ESPECIALLY IN A DENSE CITY LIKE SAN FRANCISCO.
00:27:25 SPARKLERS, FOUNTAINS AND OTHER CONSUMER FIREWORKS CAN CAUSE
00:27:29 SERIOUS BURNS, IGNITE CLOTHING, INJURE EYES AND START
00:27:33 VEGETATION OR STRUCTURE FIRES. FIREWORKS MARKETED AS IF INSANE
00:27:37 HAVE CAUSED SEVERE INJURIES AND EVEN DEATHS.
00:27:41 >> CHILDREN ARE ESPECIALLY VULNERABLE AND ADULT
00:27:42 SUPERVISION CANNOT ELIMINATE THE RISKS CREATED BY EXTREME
00:27:46 HEAT SPARKS DRY CONDITIONS MISUSE OR DEFECTIVE PRODUCTS.
00:27:49 SAN FRANCISCO ALREADY PROHIBITS THE DISCHARGE OF FIREWORKS
00:27:53 INCLUDING THOSE MARKETED UNDER THIS CATEGORY.
00:27:56 >> BUT OUR LOCAL LAWS DOES NOT CURRENTLY GIVE OFFICERS A CLEAR
00:28:00 AND PRACTICAL WAY TO ENFORCE THAT PROHIBITION.
00:28:01 THIS ORDINANCE WOULD MAKE A FIRST OFFENSE INFRACTION WITH A
00:28:07 FINE BETWEEN $125 AND $250 LESS THAN A STOP SIGN IN OR SPEEDING
00:28:11 TICKET. STRONGER PENALTIES WOULD APPLY
00:28:14 ONLY TO REPEAT OFFENDERS WITHIN FIVE YEARS.
00:28:17 THIS IS NOT AN ARREST FIRST APPROACH OR AN EFFORT TO
00:28:20 CRIMINALIZE CELEBRATION. IT IS ABOUT ENSURING THAT THE
00:28:24 LAW HAS A REAL AND PROPORTIONATE CONSEQUENCE
00:28:25 DETERRENCE WORKS ONLY WHEN PEOPLE BELIEVE THERE IS A
00:28:29 REASONABLE CHANCE THEY'LL BE CITED.
00:28:32 RIGHT NOW OFFICERS MAY STOP THE ACTIVITY BUT OFTEN HAVE NO
00:28:33 CLEAR LOCAL CITATION THEY CAN ISSUE THAT MAKES THE LAW EASIER
00:28:37 TO IGNORE AND REINFORCES THE IMPRESSION THAT FIREWORKS ARE
00:28:41 ACCEPTABLE IN SAN FRANCISCO. THESE FIREWORKS ALSO AFFECT
00:28:45 MORE THAN THE PERSON LIGHTING THEM THEY CAN FRIGHTEN PETS,
00:28:49 DISRUPT FAMILIES AND BE ESPECIALLY HARMFUL TO VETERANS
00:28:52 PEOPLE, PTSD AND PEOPLE WITH SENSORY SENSITIVITIES.
00:28:56 A SINGLE SPARK CAN ALSO THREATEN NEARBY HOMES
00:28:59 AND RESIDENTS. THE 4TH OF JULY WEEKEND ALSO
00:29:00 SHOWED THE BROADER STRAIN CAUSED BY FIREWORKS ACTIVITY
00:29:04 MEDICAL INCIDENTS ON JULY 4TH AND FIFTH WERE ABOUT DOUBLE THE
00:29:08 NUMBER SEEN DURING THE SAME PERIOD OF LAST YEAR WHILE THE
00:29:12 FIRE DEPARTMENT RECEIVED ROUGHLY 576 CALLS IN 24 HOURS
00:29:18 AND RESPONDED TO TWO HOUSE FIRES CAUSED BY FIREWORKS.
00:29:19 WE DO NOT NEED TO WAIT FOR ANOTHER SERIOUS INJURY OR FIRE
00:29:23 TO ACT. EVEN LOWER POWERED CONSUMER
00:29:26 FIREWORKS CAN CAUSE PERMANENT HARM.
00:29:30 THIS ORDINANCE GIVES THE CITY A PRACTICAL TOOL TO CHANGE
00:29:33 BEHAVIOR BEFORE SOMEBODY IS BURNED.
00:29:34 A HOME CATCHES FIRE OR A NEIGHBORHOOD IS PUT AT RISK.
00:29:38 IT SHOULD BE PAIRED WITH EDUCATION, AN OUTREACH FOR
00:29:41 ENFORCEMENT AND TRANSPARENCY. >> BUT LEAVING THE LAW WITH A
00:29:45 WORK WITHOUT A WORKABLE CONSEQUENCE DOES NOT PROTECT
00:29:48 OUR COMMUNITIES. I'D LIKE TO THANK THE CERTAIN
00:29:50 GOOD POLICE DEPARTMENT FOR WORKING WITH US ON THIS
00:29:54 LEGISLATION AND BRINGING UP THIS POTENTIAL LEGISLATION AS
00:29:57 WELL AS THE FIRE DEPARTMENT FOR SHARING DATA ON IT, THE SPCA
00:30:01 FOR COMING OUT TO SPEAK ON FIREWORKS IMPACTS ON PETS
00:30:05 AND THE VETERANS COMMUNITY FOR COMING OUT.
00:30:08 I ALSO WANT TO THANK SUPERVISORS CHERYL MELGAR CIDER
00:30:12 DORSEY MANAGEMENT FOR CO-SPONSORING THIS LEGISLATION
00:30:13 AND I RESPECTFULLY ASK FOR YOUR SUPPORT.
00:30:16 >> THANK YOU. SUPERVISOR FIELDER THANK YOU
00:30:19 PRESIDENT VANDEMAN FIRST OFF THE FINDINGS IN THIS ORDINANCE
00:30:23 READ QUOTE THE PENALTY STRUCTURE ESTABLISHED BY THIS
00:30:26 ORDINANCE IS CONSISTENT WITH THE RECOMMENDATIONS OF THE
00:30:27 CIVIL GRAND JURY. UNQUOTE.
00:30:30 THAT IS FALSE. A CIVIL GRAND JURY DID NOT
00:30:35 RECOMMEND ANY PENALTY STRUCTURE FOR FIREWORKS THAT ARE ALREADY
00:30:39 PROHIBITED LOCALLY. >> THEY ACTUALLY RECOMMEND DATA
00:30:42 COLLECTION A TASK FORCE AND PUBLIC EDUCATION.
00:30:46 ADDITIONALLY, CALIFORNIA HEALTH AND SAFETY CODE ALREADY
00:30:50 PROHIBITS DANGEROUS FIREWORKS AS IF PD DOES HAVE THE ABILITY
00:30:54 TO ENFORCE STATE LAW AS OF PD COMMUNICATIONS AROUND THIS PAST
00:30:58 4TH OF JULY NOTED THAT FIREWORKS THAT EXPLODE GO INTO
00:31:02 THE AIR OR UNCONTROLLABLY MOVE ON THE GROUND CAN LEAD TO A
00:31:06 CITATION OR AN ARREST. THE CURRENT LOCAL FIREWORKS
00:31:09 ORDINANCE PROHIBITS SMALLER FIREWORKS.
00:31:10 THIS ORDINANCE IMPOSES A NEW FLAT FINE OF $125 TO $250 FOR A
00:31:17 FIRST OFFENSE RISING TO $750 AND A MISDEMEANOR UP TO SIX
00:31:20 MONTHS IN JAIL FOR A SECOND OFFENSE WITHIN FIVE YEARS.
00:31:27 >> STATE LAW ALREADY HAS AN ENFORCEMENT MECHANISM FOR
00:31:31 ILLEGAL AND DANGEROUS FIREWORKS SO THIS ORDINANCE COULD ALLOW
00:31:35 JAIL TIME FOR USE OF SMALL AND INSUBSTANTIAL FIREWORKS
00:31:38 EVEN SPARKLERS. >> SIX MONTHS IN JAIL IS A LONG
00:31:43 TIME FOR A SPARKLER IF AN ENFORCEMENT MECHANISM IS WHAT
00:31:46 THIS ORDINANCE SEEKS, IT WOULD MAKE BETTER SENSE TO FOLLOW THE
00:31:50 PENALTY STRUCTURE ALREADY IMPOSED FOR FAR RELATED
00:31:51 OFFENSES $100 FOR THE FIRST VIOLATION UP TO $200 FOR A
00:31:57 SECOND OFFENSE WITHIN A YEAR AND UP TO $500 FOR ADDITIONAL
00:32:00 VIOLATIONS WITHIN ONE YEAR OF THE SUBSEQUENT VIOLATION.
00:32:04 SO I'M CONCERNED THAT THIS LAW WILL RUIN LIVES OF PRIMARILY
00:32:07 YOUNG PEOPLE FROM LOW INCOME HOUSEHOLDS AND COMMUNITIES OF
00:32:11 COLOR AND ACTUALLY MAKE OUR COMMUNITIES LESS SAFE IN DOING
00:32:15 SO. AND SO I WILL BE VOTING NO ON
00:32:16 THIS ITEM. >> MADAM CLERK, PLEASE CALL THE
00:32:20 ROLL ON ITEM 40 SUPERVISOR CHERYL CHERYL I SUPERVISOR
00:32:25 WALTON NO WALTON NO SUPERVISOR WANG WANG I SUPERVISOR CHEN
00:32:30 CHEN I SUPERVISOR CHEN CHEN I SUPERVISOR DORSEY DORSEY I
00:32:37 SUPERVISOR FILTER FILTER NO SUPERVISOR MAHMOOD MAHMOOD I
00:32:41 SUPERVISOR MANDOLIN RIGHT MANDOLIN I SUPERVISOR MELGAR
00:32:47 MELGAR I SUPERVISOR SADR SADR I THERE ARE NINE EYES AND TWO
00:32:52 NOSE WITH SUPERVISORS WALTON INFIELDER VOTING NO THE
00:32:55 ORDINANCE IS PASSED ON FIRST READING MADAM CLERK LET'S GO TO
00:33:02 OUR 2:30 P.M. SPECIAL ORDER. >> ALL RIGHT ARE 230 SPECIAL
00:33:06 ORDER EACH IS A RECOGNITION OF COMMENDATIONS FOR MERITORIOUS
00:33:14 SERVICE WITHIN THE CITY AND COUNTY OF SAN FRANCISCO
00:33:17 AND TODAY WE WILL START WITH DISTRICT TWO SUPERVISOR CHERYL
00:33:21 THANK YOU. >> PRESIDENT MENDELSOHN WOOD
00:33:22 MARY LINDA, PLEASE. WELL, WHY DON'T YOU REMAIN
00:33:25 SEATED FOR A MOMENT AND I'M GOING TO TALK ABOUT YOU FOR A
00:33:29 SECOND. >> COLLEAGUES, TODAY I'M
00:33:30 HONORED TO COMMEND MARY LINDY FOR HER DEDICATED SERVICE TO
00:33:34 SAN FRANCISCO'S SENIOR COMMUNITY CULMINATING WITH HER
00:33:37 RETIREMENT AS THE CEO OF HERITAGE ON THE MARINA.
00:33:41 HERITAGE HAS SERVED SAN FRANCISCO'S SENIORS SINCE 1853,
00:33:47 STANDING AS ONE OF THE CITY'S OLDEST AND MOST STORIED
00:33:48 NONPROFIT ORGANIZATIONS AND A VITAL HOME FOR OLDER ADULTS
00:33:52 IN OUR COMMUNITY. >> MARY GREW UP IN A LARGE
00:33:55 FAMILY IN EASTERN PENNSYLVANIA AND PURSUED A CAREER
00:33:59 IN NURSING, EARNING HER BACHELOR'S DEGREE FROM EASTERN
00:34:00 MENNONITE UNIVERSITY AND HER MASTER'S DEGREE IN NURSING FROM
00:34:03 DREXEL WITH A CONCENTRATION IN EXECUTIVE LEADERSHIP
00:34:07 IN ORGANIZATIONAL DESIGN. >> NOW SHE BEGAN HER CAREER AS
00:34:10 A NEURO CRITICAL CARE NURSE AT TWO OF THE COUNTRY'S MOST
00:34:12 RESPECTED INSTITUTIONS JOHN HOPKINS HOSPITAL
00:34:15 AND MASSACHUSETTS GENERAL HOSPITAL BEFORE FINDING HER
00:34:19 TRUE CALLING IN SENIOR CARE. SINCE 1990 EIGHT, MARY HAS
00:34:23 DEVOTED HER CAREER TO SERVING OLDER ADULTS, ADVANCING THROUGH
00:34:26 ROLES AS AN EDUCATOR, DIRECTOR OF NURSING NURSING HOME
00:34:30 ADMINISTRATOR AND CONTINUING CARE RETIREMENT COMMUNITY
00:34:31 EXECUTIVE DIRECTOR WHO ACROSS PENNSYLVANIA AND CALIFORNIA.
00:34:37 BEFORE ARRIVING IN SAN FRANCISCO, MARY SERVED AS
00:34:38 EXECUTIVE DIRECTOR OF ST PAUL'S TOWERS IN OAKLAND WHERE SHE
00:34:42 GUIDED THE COMMUNITY SAFELY THROUGH THE FIRST YEAR OF COVID
00:34:45 19 WITH ZERO OUTBREAK EARNED RECOGNITION AS A QUOTE GREAT
00:34:48 PLACE TO WORK IN AGING SERVICES AND PROTECTED RESIDENTS
00:34:52 AND STAFF DURING ONE OF THE MOST CHALLENGING PERIODS
00:34:56 IN SENIOR CARE HISTORY. NOW HERE IN SAN FRANCISCO, MARY
00:34:59 JOINED HERITAGE ON THE MARINA AS CEO IN MARCH 2021 BRINGING
00:35:03 VISION AND ENERGY TO AN ORGANIZATION SERVING SOME OF
00:35:07 SAN FRANCISCO'S MOST CHERISHED RESIDENTS.
00:35:11 DURING HER TENURE SHE LED HERITAGE THROUGH SIGNIFICANT
00:35:14 TRANSFORMATION REDUCING OPERATING EXPENSES BY $1.7
00:35:18 MILLION IN HER FIRST YEAR. >> SHE ALSO PARTNERED WITH THE
00:35:22 BOARD TO DOUBLE THE ORGANIZATION'S REVENUE
00:35:23 GENERATING SQUARE FOOTAGE FUNDAMENTALLY RESHAPING THE
00:35:26 IMPACT OF HERITAGE INTO ITS CONTEMPORARY SUCCESS.
00:35:29 SHE'S ALSO A PUBLISHED AUTHOR AND SCHOLAR CONTRIBUTING TO
00:35:33 NURSING AND SENIOR CARE LITERATURE WHICH REFLECTS HER
00:35:34 LIFELONG COMMITMENT TO ADVANCING THE FIELD BEYOND JUST
00:35:38 HER OWN ORGANIZATION. SHE'S ALSO SERVED THE BROADER
00:35:42 SENIOR CARE FIELD THROUGH MULTIPLE LEADING CALIFORNIA
00:35:45 COMMITTEES AND AS A LEADERSHIP COACH.
00:35:46 THROUGH THE ASSOCIATION'S EMERGE PROGRAM.
00:35:50 NOW IT MUST ALSO BE MENTIONED THAT MARY IS A VERY PROUD
00:35:53 MOTHER TO HER TWO SONS THEODORE AND QUINN AND TO AUGGIE, HER
00:35:54 PUPPY ALL OF WHOM WE SUSPECT ARE VERY MUCH LOOKING FORWARD
00:35:58 TO HAVING HER CLOSER TO HOME BACK IN MARYLAND.
00:36:05 >> BUT WE ARE NOT SO HAPPY AS THEY ARE BECAUSE WE HERE IN SAN
00:36:08 FRANCISCO WHETHER IT IS ME YOU HAD THE PLEASURE TO WORK WITH
00:36:12 YOU OR THE RESIDENTS OF HERITAGE, MANY OF WHOM I SEE
00:36:15 HERE IN THE AUDIENCE TODAY HAVE THE PLEASURE OF BENEFITING FROM
00:36:19 YOUR TIRELESS ENERGY, YOUR COMPASSION, YOUR KINDNESS
00:36:23 AND YOUR WARMTH. SAN FRANCISCO IS FOR SURE
00:36:27 LOSING A LIGHT IN YOU BUT BALTIMORE IS GAINING ONE.
00:36:31 AND TO ME THE GREATEST GIFT YOU HAVE GIVEN US IS THE ENDURING
00:36:34 LEGACY THAT HERITAGE WILL HAVE AS IT CONTINUES ON INTO THE
00:36:39 FUTURE. SO THANK YOU FOR YOUR
00:36:40 COMPASSION. MOST IMPORTANTLY, THANK YOU FOR
00:36:44 YOUR COMMITMENT TO ENSURING THAT SAN FRANCISCO'S SENIORS
00:36:47 CAN LIVE WITH DIGNITY AND LIVE WITH JOY.
00:36:51 >> WE WISH YOU ALL THE BEST AS WE BEGIN THIS NEXT CHAPTER WITH
00:36:55 YOUR RETIREMENT. >> MARY, CONGRATULATIONS
00:36:58 AND SUPERVISOR CHERYL I WOULD BE REMISS IF I DID NOT ALSO
00:37:05 CONGRATULATE MARY AND THANK HER FOR HER KINDNESS TO BERNADETTE
00:37:09 ELEANOR BURKE WHO WERE MY GODPARENTS AND WHO FINISHED
00:37:13 THEIR LIVES AT THE HERITAGE AND HAD A WONDERFUL TIME WITH
00:37:17 HER AND LOVED HER VERY MUCH. >> THANK YOU.
00:37:21 THANK YOU SO MUCH, SUPERVISOR CHERYL.
00:37:25 I'M TRULY HONORED AND I'M A LITTLE OVERWHELMED BY ALL OF
00:37:28 THAT. AND I WANT TO SAY THANK YOU FOR
00:37:29 YOUR ONGOING SUPPORT IN DISTRICT TWO.
00:37:32 WE HAVE REALLY BEEN BENEFICIARIES OF THAT.
00:37:36 FOR ME IT'S THE END OF A LONG CAREER AND I'M INCREDIBLY
00:37:38 GRATEFUL GRATEFUL THAT I WAS CALLED TO THIS WORK.
00:37:41 >> WHEN I FIRST GOT INTO THIS FIELD MY HEART WAS SIMPLY DRAWN
00:37:45 TO SUPPORTING AND SERVING SENIORS AS THEY ENTERED THE
00:37:48 LAST DECADES OF THEIR LIVES. >> BUT I QUICKLY REALIZED THAT
00:37:52 I WAS GETTING THE BETTER END OF THE DEAL.
00:37:55 I HAVE LEARNED AND GROWN SO MUCH FROM THE PEOPLE I SERVED.
00:37:59 I'M GRATEFUL TO KNOW THE RESIDENTS I SERVE LEARNING FROM
00:38:02 THEIR STORIES AND RICH HISTORIES AND GRATEFUL TO
00:38:03 WITNESS THE DAILY DEDICATION AND COMPASSION OF OUR STAFF.
00:38:07 >> I'M TRULY GRATEFUL FOR THOSE RELATIONSHIPS.
00:38:11 THE PEOPLE IN OUR COMMUNITY ARE THE ONES WHO INSPIRED ME
00:38:14 AND THEY ARE TRULY THE ONES BEHIND EVERY DECISION THAT WE
00:38:18 MADE AND EVERY GOOD THING THAT WE ACHIEVED.
00:38:19 IN RECOGNIZING ME TODAY YOU'RE RECOGNIZING THOSE RELATIONSHIPS
00:38:23 AND THE QUIET DEDICATION AND BEHIND THE SCENES WORK THAT
00:38:27 I'VE BEEN SO PRIVILEGED TO LEAD .
00:38:30 IT WAS A COLLECTIVE EFFORT TO REACH THE MILESTONE THAT
00:38:32 MATTERS THE MOST AND YOU MENTIONED IT WORKING TO PROTECT
00:38:35 OUR COMMUNITY AND SECURE HOUSING FOR OUR SAN FRANCISCO
00:38:38 SENIORS IN PERPETUITY. >> HERITAGE ON THE MARINA
00:38:39 REFLECTS THE HEART AND SOUL OF SAN FRANCISCO.
00:38:43 AND THIS COMMENDATION IS A DIRECT REFLECTION OF THE STAFF
00:38:46 AND RESIDENTS WHO MAKE HERITAGE SO SPECIAL.
00:38:50 >> IT HAS BEEN MY ABSOLUTE PRIVILEGE TO SERVE THEM.
00:38:51 THANK YOU. >> THANK YOU.
00:39:17 AND YOU CAN USE UP NEXT DISTRICT FOR SUPERVISOR WONG.
00:39:50 >> CAN WE HAVE ART WITH ELDERS COME UP GO GOOD AFTERNOON
00:40:01 AND PRESENT AND COLLEAGUES. >> TODAY WE HONOR A PROGRAM
00:40:05 THAT ENRICHES THE JOURNEY OF AGING AND A LEADER WHOSE WORK
00:40:08 REFLECTS THE VERY BEST OF DISTRICT FOUR IN SAN FRANCISCO.
00:40:12 AS WE CELEBRATE DISABILITY PRIDE MONTH, I'M HONORED TO
00:40:13 RECOGNIZE OUR ELDERS AND EXECUTIVE DIRECTOR MARK
00:40:16 CAMPBELL FOR THEIR EXTRAORDINARY WORK SUPPORTING
00:40:20 OLDER ADULTS AND PEOPLE LIVING WITH DISABILITIES.
00:40:21 ART WITH ELDERS EMBODIES THE SPIRIT OF DISABILITY PRIDE BY
00:40:25 CREATING SPACES WHERE CREATIVITY, CONNECTION AND A
00:40:28 SELF-EXPRESSION ALLOW EVERY PARTICIPANT TO BE SEEN, HEARD
00:40:32 AND VALUED. I ALSO WANT TO HIGHLIGHT MARK'S
00:40:35 DEEP ROOTS IN OUR COMMUNITY. FOR MORE THAN 35 YEARS MARK
00:40:39 AND HIS WIFE DEE, A NURSE AT UCSF NURSES HAVE MADE THEIR
00:40:42 HOME IN THE OUTER SUNSET RAISING THEIR TWO CHILDREN
00:40:45 AND CONTRIBUTING TO THE DISTRICT'S STRONG SENSE OF
00:40:46 COMMUNITY. THE SUNSETS PEACEFUL FOG
00:40:50 SHROUDED CHARACTER HAS LONG SUPPORTED MARK'S ARTISTIC
00:40:53 PRACTICE. HIS DEDICATION TO LAGUNA HONDA
00:40:54 HOSPITAL AND HIS LEADERSHIP OF ARTS WITH OTHERS.
00:40:57 AND FINALLY I WANT TO ENCOURAGE EVERYONE TO JOIN WITH ART WITH
00:41:04 ELDERS AS THEY CELEBRATE THEIR 33RD ANNUAL EXHIBIT AT THE
00:41:07 VETERANS BUILDING FROM AUGUST 16TH THROUGH SEPTEMBER 9TH.
00:41:11 IT'S A WONDERFUL OPPORTUNITY TO EXPERIENCE THE POWER OF
00:41:12 CREATIVITY AND THE VOICES OF ELDER ARTISTS FROM ACROSS OUR
00:41:16 CITY. THANK YOU.
00:41:17 AND WITH THAT I'D LIKE TO TURN IT OVER TO MARK CAMPBELL,
00:41:19 DISTRICT FOUR RESIDENT ARTIST AND EXECUTIVE DIRECTOR OF ART
00:41:21 WITH ELDERS. >> THANK YOU.
00:41:23 THANK YOU. TRUE STORY.
00:41:24 COUPLE OF MONTHS AGO I WAS IN MY STUDIO IN THE AVENUES
00:41:27 PAINTING AND THE DOORBELL RANG AND THE DOGS WENT CRAZY AND MY
00:41:35 SON THE 23 YEAR OLD WENT TO THE DOOR AND HAD A CONVERSATION
00:41:39 WITH SOMEONE. >> AND I WAS YOU KNOW, IT TOOK
00:41:43 A LONG TIME. I'M LIKE WHAT THE HECK WAS THAT
00:41:46 ABOUT? HE FINALLY COMES BACK IN AND HE
00:41:47 SAYS OH I MET A REPRESENTED OF MR. WONG, THE SUPERVISOR WHO'S
00:41:54 RUNNING FOR ELECTION. >> AND I SAID OH WOW.
00:41:55 SO DID THEY REPRESENTED WELL AND HE SAID ACTUALLY WAS IT WAS
00:42:01 ALAN HIMSELF AND AND YOU KNOW I SAID DID YOU DID YOU HAPPEN TO
00:42:05 CHANGE OF ALL VOTE OR LEARN ANYTHING ABOUT IT AND HE SAID
00:42:10 HE WAS VERY IMPRESSED AND WE ARE SO THRILLED THAT THE
00:42:13 RESULTS CAME OUT THE WAY HE DID.
00:42:17 >> BUT WHAT I WANTED TO TALK ABOUT IS THE THE GIFT OF
00:42:21 CREATIVITY AND THE FACT THAT CREATIVITY OPENS DOORS
00:42:27 AND BUILDS BRIDGES AND FOR THOSE WHO ARE MOST
00:42:32 DISENFRANCHIZED I FEEL A SPECIAL FORCE AND WE WE'VE DONE
00:42:43 THE MATH. WE'VE BEEN AROUND FOR ABOUT 30
00:42:47 YEARS AND WE ACTUALLY HAVE IN THAT TIME WORKED WITH OVER
00:42:51 12,000 SENIORS IN THE BAY AREA. WE HAVE ABOUT 50 CLASSES
00:42:55 RUNNING PER WEEK. WE HAVE MANY EXHIBITIONS THAT
00:42:58 HAPPEN THROUGHOUT THE YEAR AND WE HAVE THESE GREAT
00:43:02 OPENINGS AT LAGUNA HONDA HOSPITAL IN THE SUMMERTIME
00:43:08 AND WE INVITE EVERYONE TO VISIT OUR WEBSITE ART WITH ELDERS
00:43:09 YOUR G TO LEARN MORE ABOUT OUR PROGRAMING.
00:43:13 BUT REALLY THRILLED FOR THIS HONOR AND THANK YOU SO MUCH FOR
00:43:20 RECOGNIZING ME AND MY WORK AND WE HAVE DARCY O'BRIAN HERE
00:43:24 AND IRIS WHO AND CRYSTAL BOOTH WHO IS OUR PROGRAM MANAGER IS
00:43:31 UNABLE TO MAKE IT TODAY BUT IT TAKES AN ARMY AND THE REAL
00:43:33 HEROES ARE OUR STUDENTS THOSE WITH DISABILITIES THOSE ELDERS
00:43:39 WHO PUT THEMSELVES OUT THERE AND LEARN THROUGH CREATIVITY
00:43:42 HOW TO MANAGE THE GREAT STRESSES THAT COME WITH GETTING
00:43:46 OLDER. WE REALLY FIND VALUE IN OUR
00:43:48 PROGRAM AND WE UNDERSTAND THAT IT WORKS.
00:43:51 IT TRULY DOES TRANSFORM LIVES. SO THANK YOU SO MUCH FOR THIS
00:43:55 HONOR AND OH REALLY APPRECIATE THAT.
00:43:56 >> THANK YOU. YES, PLEASE I'M GOING TO GET
00:44:15 EVERYBODY IN DISTRICT SIX SUPERVISOR DORSI THANK YOU
00:44:40 PRESIDENT RANDLEMAN COLLEAGUES IN RECOGNITION OF PROBATION
00:44:45 SERVICES WEEK IT IS MY PRIVILEGE TO HONOR THE
00:44:48 DEDICATED PROFESSIONALS OF SAN FRANCISCO'S PROBATION
00:44:49 DEPARTMENTS. AND I'D FIRST LIKE TO WELCOME
00:44:53 CHIEF ADULT PROBATION OFFICER KRYSTAL TULLOCH TO THE LECTERN.
00:44:57 CHIEF TULLOCH IS HERE TO ACCEPT THIS COMMENDATION ON BEHALF OF
00:45:00 THE ADULT PROBATION DEPARTMENT PROBATION PROFESSIONALS CHIEF
00:45:03 TAUGHT PROBATION PROFESSIONALS PLAY A UNIQUE AND ESSENTIAL
00:45:11 ROLE IN OUR JUSTICE SYSTEM EVERY DAY THEY WORK TO
00:45:14 STRENGTHEN PUBLIC SAFETY, SUPPORT VICTIMS, PROMOTE
00:45:15 ACCOUNTABILITY AND HELP JUSTICE INVOLVED INDIVIDUALS
00:45:19 SUCCESSFULLY RETURN TO THEIR COMMUNITIES THROUGH EVIDENCE
00:45:22 BASED AND COURT ORDERED PROGRAMING.
00:45:25 PROBATION OFFICERS HOLD INDIVIDUALS ACCOUNTABLE WHILE
00:45:26 CONNECTING THEM WITH THE SERVICES AND SUPPORT THEY NEED
00:45:30 TO BUILD HEALTHIER AND MORE PRODUCTIVE LIVES.
00:45:33 THEY ALSO SERVE AS IMPORTANT CONNECTORS BETWEEN THE COURT
00:45:37 LAW ENFORCEMENT, CITY DEPARTMENTS, BEHAVIORAL HEALTH
00:45:39 PROVIDERS, SCHOOLS, COMMUNITY ORGANIZATIONS AND SERVICE
00:45:43 PROVIDERS. I'D ALSO LIKE TO RECOGNIZE THE
00:45:46 JUVENILE PROBATION DEPARTMENT FOR ITS WORK SUPPORTING YOUNG
00:45:49 PEOPLE AND THEIR FAMILIES. JUVENILE PROBATION
00:45:53 PROFESSIONALS CONNECT YOUTH WITH EDUCATION SKILLS TRAINING,
00:45:55 BEHAVIORAL HEALTH SERVICES AND OTHER KINDS OF COMMUNITY
00:45:57 BASED SUPPORT. PROBATION OFFICERS BALANCE
00:46:01 OPPORTUNITIES FOR TREATMENT AND REHABILITATION WITH THE
00:46:04 RESPONSIBILITY TO PROTECT THE LARGER COMMUNITY TO SUPERVISE
00:46:06 INDIVIDUAL EYES AND TO ENSURE COMPLIANCE WITH COURT ORDERED
00:46:09 CONDITIONS. HERE IN SAN FRANCISCO,
00:46:13 PROBATION PROVIDES AN EFFECTIVE ALTERNATIVE TO INCARCERATION
00:46:14 WHEN APPROPRIATE. IT ALLOWS INDIVIDUALS TO REMAIN
00:46:17 IN THEIR COMMUNITIES WHILE RECEIVING STRUCTURED
00:46:20 SUPERVISION AND SUPPORT RELATED TO SUBSTANCE USE MENTAL HEALTH
00:46:21 EDUCATION, EMPLOYMENT, HOUSING AND OTHER NEEDS.
00:46:25 BY COMBINING ACCOUNTABILITY AND SUPERVISION WITH ACCESS TO
00:46:29 TREATMENT EDUCATION, WORKFORCE DEVELOPMENT AND REHABILITATIVE
00:46:32 SERVICES, PROBATION HELPS ADDRESS THE ROOT CAUSES OF
00:46:36 CRIME, REDUCE RECIDIVISM AND IMPROVE COMMUNITY
00:46:40 WELL-BEING. TODAY WE RECOGNIZE THE
00:46:41 PROFESSIONALISM, COMPASSION, COMPASSION AND DEDICATION OF
00:46:44 ALL OF SAN FRANCISCO'S PROBATION PROFESSIONALS.
00:46:48 THEIR WORK CHANGES LIVES SUPPORTS FAMILIES AND HELPS
00:46:52 MAKE OUR COMMUNITY SAFER. ON BEHALF OF THE SAN FRANCISCO
00:46:56 BOARD OF SUPERVISORS, IT IS MY HONOR TO COMMEND ALL THE
00:46:57 PROFESSIONALS OF THE ADULT PROBATION AND JUVENILE
00:47:00 PROBATION DEPARTMENTS ON THE OCCASION OF PROBATION SERVICES
00:47:04 WEEK AND IN PARTICULAR CHIEF TULLOCH, CONGRATULATIONS
00:47:07 AND THANKS TO YOU AND YOUR ENTIRE DEPARTMENT FOR YOUR
00:47:11 SERVICE TO THE CITY AND COUNTY OF SAN FRANCISCO.
00:47:18 >> THANK YOU VERY MUCH SUPERVISOR DORSEY FOR YOUR
00:47:23 FIERCELY LEADERSHIP. IT'S AN HONOR TO WORK IN YOUR
00:47:27 LIGHT. AND THANK YOU TO THE OTHER
00:47:30 BOARD MEMBERS WHO HAVE DEFINITELY BEEN SUPPORTIVE OF
00:47:34 AND OR ENGAGED WITH PROBATION OVER THE YEARS.
00:47:40 >> PROBATION CHIEFS ACROSS CALIFORNIA DURING THIS WEEK AS
00:47:44 PRESENTING IN FRONT OF THEIR BOARDS IS TAKING THIS
00:47:48 OPPORTUNITY TO RECOGNIZE THAT CHIEF MERLYN WASHINGTON CHIEF
00:47:52 OF MARIN COUNTY PROBATION DIED SUDDENLY LAST FRIDAY AT THE END
00:47:56 OF OUR ASSOCIATION MEETING. AND SO WE'RE ALL RECOGNIZING
00:48:01 HIM THIS THIS WEEK. >> I WOULD LIKE TO CALL CHIEF
00:48:08 KATIE MILLER UP AS PROBATION AS YOU RECOGNIZE.
00:48:12 THANK YOU. YOU HEAR US AND YOU SEE US JUST
00:48:16 BASED ON YOUR WORDS. SUPERVISOR THANK YOU VERY MUCH.
00:48:20 AND I LIKE SUPER CHIEF MILLER TO SPEAK.
00:48:25 >> THANK YOU. THANK YOU.
00:48:29 SUPERVISOR AS I THINK YOU ALL HEARD US SAY MANY TIMES, WE'RE
00:48:32 THE ONLY COUNTY IN THE STATE WITH TWO CHIEFS SO YOU GET LIKE
00:48:36 TWICE THE PACK OF PUNCH FROM US AND JUST REALLY WANT TO THANK
00:48:40 YOU THANKS TO YOU FOR YOUR RECOGNITION AND REALLY REALLY
00:48:43 ACKNOWLEDGING TODAY THE HARD WORK AND DEDICATION OF THE
00:48:48 FOLKS WHO WORK IN BOTH OF OUR DEPARTMENTS WHO CARE ABOUT OUR
00:48:51 CLIENTS ON OUR END, WHO CARE ABOUT YOUNG PEOPLE AND THEIR
00:48:53 FAMILIES AND THE COMMUNITY AS A WHOLE.
00:48:56 >> THIS IS A REALLY IMPORTANT TIME FOR US EVERY YEAR TO
00:48:59 REFLECT ON WHAT IS SIGNIFICANT AND URGENT AND ESSENTIAL ABOUT
00:49:03 OUR WORK AND SO WE'RE GLAD TO CELEBRATE THAT WITH YOU.
00:49:04 >> THANK YOU. THANK YOU SO MUCH.
00:49:31 TOGETHER WE'RE GOING TO THANK YOU SUPERVISOR DORSEY FOR
00:49:47 ACKNOWLEDGING OUR PROBATION DEPARTMENTS THIS WEEK.
00:49:50 YOU ALREADY HAD A AS AN OFFICER A SPECIAL ACCOMMODATION IN THE
00:49:55 WORKS WHEN YOU TOOK THAT ON SO LET'S DO YOUR SECOND ONE.
00:49:58 >> THANK YOU COLLEAGUES FOR INDULGING ME FOR A LITTLE
00:50:01 MANDATORY DOUBLE DIPPING BUT IT IS REALLY MY HONOR TO RECOGNIZE
00:50:06 A DISTRICT SIX INSTITUTION AND THE ABERDEEN FIGHT CLUB
00:50:11 AND TWO OF ITS CHAMPION FIGHTERS SAN FRANCISCANS WHOSE
00:50:12 ACHIEVEMENTS IN THE RING AND IN OUR COMMUNITY ARE AN
00:50:15 INESTIMABLE CREDIT TO THE CITY AND COUNTY OF SAN FRANCISCO.
00:50:19 I WANT TO START WITH JASON JP PETERSON, OWNER AND HEAD COACH
00:50:23 OF ABERDEEN. >> JP WOULD YOU COME ON UP TO
00:50:27 THE LECTERN? >> JP IS A FORMER PROFESSIONAL
00:50:34 BOXER AND SAN FRANCISCO NATIVE WHO BUILT ABERDEEN AS AN OLD
00:50:35 SCHOOL STRICTLY BOXING GYM IN THE HEART OF OUR CITY RIGHT
00:50:39 ON MARKET STREET. IT'S A PLACE FOCUSED ON
00:50:42 TEACHING REAL FUNDAMENTALS AND TECHNIQUE TO YOUTH
00:50:45 AND ADULTS ALIKE THE KIND OF COACHING THAT CAN GET LOST
00:50:49 IN BIGGER, MORE CROWDED SETTINGS.
00:50:50 IT'S A GYM BY DESIGN WITH CLASSES CAPPED AT JUST TEN
00:50:54 PEOPLE. BUILT AROUND A FIGHTER
00:50:57 AND FIGHT TEAM MENTALITY WHERE EVERY MEMBER TRAINS
00:51:00 AND COMPETES AS IF THEY'RE ONE OF THE CLUB'S CHAMPIONS.
00:51:03 AND THE GYM'S MISSION GOES BEYOND ITS WALLS.
00:51:05 JP IS ALSO FOUNDED A NONPROFIT CONNECTED TO ABERDEEN, THE
00:51:08 ABERDEEN FIGHT CLUB BOXING PROGRAM WHICH USES EVERY DOLLAR
00:51:12 DONATED TO FUND EQUIPMENT AND COMPETITION EXPENSES FOR
00:51:16 THE YOUTH BOXING PROGRAM GIVING SAN FRANCISCO KIDS THE CHANCE
00:51:18 TO COMPETE AT LEVELS THEY MIGHT NOT OTHERWISE HAVE ACCESS TO.
00:51:21 IT'S WITH THIS KIND OF SPIRIT THAT HE BUILT A PLACE THAT
00:51:25 ISN'T JUST A CLUB BUT A COMMUNITY.
00:51:28 IT'S OUT OF THAT GYM AND UNDER JP'S COACHING THAT TODAY'S
00:51:32 OTHER TWO HONOREES HAVE RISEN TO BECOME CHAMPIONS.
00:51:33 CECELIA DOMINIC KAISER CECILIA IS A TWO TIME IS A TWO TIME
00:51:40 NORTHERN CALIFORNIA GOLDEN GLOVES CHAMPION A TWO TIME
00:51:44 SOUTHERN CALIFORNIA STATE CHAMPIONSHIP WINNER AND A STATE
00:51:48 CALIFORNIA STATE GOLDEN GLOVES CHAMPION.
00:51:52 THE GOLDEN GLOVES IS ONE OF THE OLDEST AND MOST STORIED AMATEUR
00:51:56 BOXING COMPETITION IN THE COUNTRY AND WINNING IT AT THE
00:51:59 STATE LEVEL LET ALONE DOING IT MULTIPLE TIMES IN BOTH NORTHERN
00:52:03 AND SOUTHERN CALIFORNIA PUTS DOMINIQUE AMONG THE MOST
00:52:06 ACCOMPLISHED AMATEUR BOXERS THAT OUR STATE HAS EVER
00:52:10 PRODUCED. BUT HER TALENTS DON'T STOP AT
00:52:11 BOXING. SHE'S ALSO AN EMERGENCY ROOM
00:52:15 REGISTERED NURSE AT UCSF AND THE OWNER OF LASER CLEAR
00:52:18 SKIN MED SPA, A LOCAL SMALL BUSINESS.
00:52:22 DOMINIQUE REPRESENTS THE VERY BEST OF WHAT IT MEANS TO BE A
00:52:23 CHAMPION BOTH IN AND OUT OF THE RING AND ALSO SUGAR SARA
00:52:30 MAHMOOD OF. >> DID I PRONOUNCE IT SORRY?
00:52:33 >> DID I PRONOUNCE THAT RIGHT? YEAH.
00:52:35 OKAY. >> I'M SORRY IS A NINE TIME
00:52:38 NATIONAL CHAMPION A DISTINCTION THAT REFLECTS YEARS OF GOING
00:52:42 TOE TO TOE AGAINST THE VERY BEST AMATEUR BOXERS IN THE
00:52:45 NATION AND COMING OUT ON TOP AGAIN AND AGAIN.
00:52:49 THAT RECORD MADE HIM ONE OF THE TOP PROSPECTS IN THE SPORT
00:52:52 AND IT'S WHAT PUT HIM ON THE RADAR TO BECOME THE FIRST SAN
00:52:56 FRANCISCO NATIVE PROFESSIONAL BOXER SIGNED TO ZUFFA BOXING A
00:52:59 NEW PROMOTION THAT LAUNCHED IN JANUARY AND THEN QUICKLY
00:53:04 LANDED MAJOR MEDIA RIGHTS DEALS WITH PARAMOUNT PLUS AND CBS
00:53:07 SARA JUST WON HIS ZUFFA DEBUT ON PARAMOUNT AGAINST AS UNTIL
00:53:14 THEN UNDEFEATED FRENCH CHAMPION IN SAN FRANCISCO WILL BE
00:53:18 WATCHING CLOSELY ON HIS NEXT FIGHT WHICH WAS JUST ANNOUNCED.
00:53:19 HE IS PROOF THAT WORLD CLASS TALENT IS BORN AND MADE RIGHT
00:53:23 HERE IN OUR CITY. ON BEHALF OF THE BOARD OF
00:53:26 SUPERVISORS I WANT TO THANK JP DOMINICK AND SARRAY FOR
00:53:30 REPRESENTING SAN FRANCISCO WITH EXCELLENCE AND FOR THE EXAMPLE
00:53:34 YOU SET FOR ALL THE ATHLETES IN OUR CITY.
00:53:36 >> THANKS SO MUCH. I WROTE THIS LAST NIGHT SO I
00:53:41 DON'T MESS IT UP SO FIRST OFF I'D LIKE TO THANK SUPERVISOR
00:53:45 MATT DORSEY AND HIS OFFICE FOR THEIR SUPPORT AS WELL AS EVERY
00:53:49 BUDDY ON THE BOARD TODAY. THANK YOU GUYS VERY MUCH.
00:53:53 YOU HUMBLE ME WITH THIS ACKNOWLEDGMENT BEYOND WORDS BUT
00:53:56 I'M GOING TO STILL TRY MY BEST TO EXPRESS MY GRATITUDE HERE.
00:54:00 I'M BORN AND RAISED IN SAN FRANCISCO.
00:54:01 I GUESS YOU COULD SAY I ALWAYS DIDN'T MAKE THE RIGHT CHOICES
00:54:05 IN MY LIFE AND THAT LANDED ME WITH A LENGTHY PRISON TERM AT
00:54:08 ONE POINT IN TIME. DURING THAT TIME I DID A LOT OF
00:54:11 REFLECTING ON MY LIFE AND THE MISTAKES I MADE AND I WAS
00:54:15 DETERMINED NOT TO WASTE WHAT I HAD LEARNED THE HARD WAY
00:54:17 BECAUSE IF I DID IT WOULD HAVE BEEN A WASTE OF LIFE BEFORE I
00:54:21 WENT AWAY. BOXING BECAME MY PASSION AND I
00:54:25 HAD HAD I GOTTEN INTO IT AT A YOUNGER AGE THINGS MAY HAVE
00:54:26 BEEN DIFFERENT BUT I DO BELIEVE EVERYTHING HAPPENS FOR A REASON
00:54:30 TO HELP YOU GRASP THE STORY. IN SHORT, ONE MONTH BEFORE I
00:54:34 HAD TO TURN MYSELF IN FOR A TEN YEAR SENTENCE I FOUGHT AT THE
00:54:38 PLAYBOY MANSION AND ON ESPN 30 DAYS LATER I SAT ON A PRISON
00:54:42 YARD THINKING WHAT I COULD HAVE DONE DIFFERENTLY.
00:54:45 THE NEXT TEN YEARS I DAYDREAMED ABOUT BUILDING A GYM AND USING
00:54:49 BOXING AS A PLATFORM TO HELP THE YOUTH OF SAN FRANCISCO STAY
00:54:53 OUT OF TROUBLE AND ATHLETES IN THE SPORT ACHIEVE THEIR
00:54:56 MAXIMUM POTENTIAL. FAST FORWARD AND HERE I AM
00:54:59 OWNER OF A STRICTLY OLD SCHOOL BOXING GYM THE ONLY ONE OF ITS
00:55:04 KIND IN THE HEART OF SAN FRANCISCO BEING ACKNOWLEDGED BY
00:55:07 THE CITY WHICH I AM VERY GRATEFUL.
00:55:08 FLANKED BY MY TWO TIME NORCAL AND STATE CHAMPION AND THE
00:55:15 FIRST PRO BOXER OUT OF SAN FRANCISCO SIGNED BY ZUFFA THE
00:55:19 NEWEST AND FASTEST GROWING BOXING PROMOTION VIEWED AROUND
00:55:23 THE WORLD AND THIS IS IN UNDER THREE YEARS WE ARE DOING IT FOR
00:55:27 REAL AND WE APPRECIATE YOU SAN FRANCISCO FOR ACKNOWLEDGING US.
00:55:30 >> AND LAST BUT NOT LEAST BEFORE I GET TOO LONG AND GET
00:55:34 YELLED AT BY TONY, I JUST WANT TO THANK TONY DELORENZO FOR
00:55:38 ALWAYS BEING THERE AND SUPPORTING US THE BEST HE
00:55:39 CAN AS WELL. >> THANK YOU TONY.
00:55:56 YOU SORRY
00:56:39 ? >> DISTRICT TEN SUPERVISOR
00:56:40 WALTON THANK YOU SO MUCH PRESIDENT OF MANAGEMENT
00:56:44 COLLEAGUES TODAY I HAVE THE PRIVILEGE OF RECOGNIZING
00:56:47 SOMEONE WHOSE STORY IS A POWERFUL TESTAMENT TO
00:56:52 TRANSFORMATION REDEMPTION AND SERVICE TO OUR COMMUNITY.
00:56:56 DAMIAN POSEY DAMIEN'S JOURNEY IS ONE OF RESILIENCE
00:57:10 AND PURPOSE. AFTER RETURNING HOME FROM
00:57:11 PRISON, HE MADE A LIFE CHANGING DECISION TO TRANSFORM HIS
00:57:15 EXPERIENCES INTO A MISSION OF GIVING BACK RATHER THAN
00:57:19 ALLOWING HIS PAST TO DEFINE HIM.
00:57:22 DAMIEN CHOSE TO DEDICATE HIS LIFE TO HELPING OTHERS CREATE
00:57:25 BRIGHTER FUTURES. TODAY HE IS A RESPECTED
00:57:30 COMMUNITY LEADER AND MENTOR WHOSE WORK HAS TOUCHED THE
00:57:33 LIVES OF YOUTH, SENIORS AND FAMILIES THROUGHOUT SAN
00:57:38 FRANCISCO. >> DRIVEN BY THE BELIEF THAT
00:57:42 EVERYONE DESERVES A SECOND CHANCE AND THE OPPORTUNITY TO
00:57:43 SUCCEED, DAMIEN HAS EARNED THE TRUST OF OUR COMMUNITY BY
00:57:47 LEADING WITH COMPASSION, AUTHENTICITY AND ACCOUNTABILITY
00:57:53 . HIS ABILITY TO CONNECT WITH
00:57:54 YOUNG PEOPLE HAS INSPIRED MANY TO PURSUE EDUCATION, EMPLOYMENT
00:58:01 AND PERSONAL GROWTH WHILE BECOMING POSITIVE ROLE MODELS
00:58:02 IN THEIR OWN NEIGHBORHOODS. >> ONE OF DAMIEN'S MOST
00:58:06 IMPACTFUL ACCOMPLISHED MOMENTS IS THE CREATION AND GROWTH OF
00:58:10 THE US FOR US ORGANIZATION. MORE THAN JUST A JOBS PROGRAM
00:58:16 IT EQUIPS YOUNG PEOPLE WITH LEADERSHIP PROFESSIONALISM,
00:58:21 TEAMWORK, COMMUNICATION AND LIFE SKILLS THAT PREPARE
00:58:25 THEM FOR LONG TERM SUCCESS. UNDER DAMIEN'S LEADERSHIP AS
00:58:29 FOR US HAS SUPPORTED COMMUNITY EVENTS, NEIGHBORHOOD CLEANUPS,
00:58:33 FOOD AND RESOURCE DISTRIBUTIONS ,MENTORSHIP INITIATIVES
00:58:37 AND MANY MEANINGFUL ASSISTANCE FOR SENIOR CITIZENS BY BRINGING
00:58:41 GENERATIONS TOGETHER. DAMIEN HAS HELPED FOSTER A
00:58:45 CULTURE OF RESPECT WHERE YOUNG PEOPLE LEARN THE IMPORTANCE OF
00:58:49 SERVING THEIR ELDERS AND SENIORS RECEIVE THE CARE
00:58:52 COMPANIONSHIP AND SUPPORT THEY DESERVE.
00:58:56 KNOWN TO SO MANY AS UNCLE DAMIEN, HE PUTS HIS HEART INTO
00:59:03 EVERY YOUNG PERSON HE MENTORS, ENCOURAGING THEM TO SEE BEYOND
00:59:07 THEIR CIRCUMSTANCES AND RECOGNIZE THEIR OWN
00:59:10 POTENTIAL. HIS LEADERSHIP DEMONSTRATES
00:59:12 THAT LASTING CHANGE IS BUILT THROUGH CONSISTENT GUIDANCE
00:59:16 MEANINGFUL OPPORTUNITIES AND A COMMITMENT TO SERVING OTHERS.
00:59:19 DAMIEN ALSO PLAYS A MAJOR ROLE IN PREVENTING VIOLENCE IN OUR
00:59:24 COMMUNITIES. HE WORKS WITH YOUNG PEOPLE TO
00:59:27 PREVENT RETALIATIONS AND ESCALATE FURTHER INCIDENTS
00:59:31 WHEN ISSUES OCCUR IN NEIGHBORHOODS.
00:59:35 DAMIEN'S JOURNEY FROM REDEMPTION TO LEADERSHIP HAS
00:59:38 BECOME A SOURCE OF HOPE AND INSPIRATION FOR COUNTLESS
00:59:41 INDIVIDUALS. HIS UNWAVERING DEDICATION
00:59:42 CONTINUES TO EMPOWER YOUNG PEOPLE, UPLIFT SENIORS,
00:59:47 STRENGTHEN FAMILIES AND BUILD A MORE CONNECTED
00:59:51 AND COMPASSIONATE COMMUNITY. THANK YOU DAMIEN, FOR YOUR
00:59:55 OUTSTANDING LEADERSHIP AND LASTING CONTRIBUTIONS TO
00:59:58 OUR COMMUNITY AND BEYOND. >> THANK YOU.
01:00:13 I'M NOTHING WITHOUT MY VILLAGE SO I NEED MY VILLAGE TO GO.
01:00:15 COME ON UP HERE, MAN. IF YOU CAME UP FOR UNCLE DAMIEN
01:00:17 IN I NEED YOU TO COME OVER HERE REAL QUICK.
01:00:21 I'M GOING TO DO MY BEST NOT TO BE LONG WINDED BECAUSE I KNOW I
01:00:25 COULD SPEAK. I'LL COME ON UP HERE.
01:00:29 FIRST OF ALL, GIVE AN HONEST TO GOD YOU KNOW, WITHOUT WHOM I
01:00:33 WOULDN'T BE HERE AT ALL AND ESPECIALLY GRATEFUL TO MY
01:00:36 MOTHER. MS..
01:00:40 >> RENE POSEY OVER HERE WHO GAVE BIRTH TO ME 47 YEARS AGO.
01:00:44 WELL, AND STAND UP, MOM. STAND UP.
01:00:45 DON'T MAKE SOME NOISE FOR THIS BEAUTIFUL QUEEN FOR ME, PLEASE.
01:00:49 Y'ALL CLAP IT UP FOR THIS BEAUTIFUL QUEEN FOR ME, PLEASE.
01:00:51 >> THANK YOU. I WANT TO THANK EVERYBODY THAT
01:00:59 CAME OUT HERE TODAY AND KNOW THAT LIKE I ALWAYS SAY, THEY
01:01:02 MADE A CALL MY NAME BUT THIS RECOGNITION AND WHATEVER IT IS
01:01:09 BELONGS TO ALL OF US. EVERYBODY IN THIS ROOM THAT'S
01:01:11 PUTTING UP THIS FIGHT IN THE COMMUNITY, I STAND ON THE
01:01:14 SHOULDERS OF MY ELDERS. I STAND ALONGSIDE THE MANY,
01:01:18 MANY SOLDIERS WHO COULD BE STAND IN HIS PLACE GETTING
01:01:21 RECOGNIZED. YOU KNOW WHOM I WOULD NOT BE
01:01:24 HERE WITHOUT BECAUSE IT DEFINITELY TAKES ALL OF US YOU
01:01:29 KNOW WHAT I'M SAYING TO KEEP UP THIS FIGHT IN THE COMMUNITY,
01:01:33 YOU KNOW, ALL THE WAY FROM PROJECT LEVEL 100% COLLEGE PREP
01:01:37 TAILOR MADE UNITED PLAYERS WAS RUDY'S NOT HERE BUT I GOT TO
01:01:40 PAY HOMAGE TO RUDY BECAUSE Y'ALL KNOW I CAME TO THAT U.P.
01:01:46 LINEAGE, YOU KNOW SHINE RICHARD'S CREEK AS VIP ALL THE
01:01:51 THE RTP ALL THE Y C D, YOU KNOW WHAT I MEAN?
01:01:55 AND I CAN GO ON AND ON THE AMAZING PEOPLE IN THIS ROOM MY
01:01:58 SPIRITUAL ADVISOR WHO WAS THERE FOR ME PASSED IT MARQUESE WENT
01:02:02 BACK HE'LL MAKE SOME NOTES TO PASTOR KEYS FOR ME PLEASE DON'T
01:02:03 PLEASE DO A LOT OF WORK IN THE COMMUNITY CHIK CHICO EVERYBODY
01:02:09 UP HERE AND TO MY BROTHER GOOD BROTHER MY ASSISTANT DANA ALL
01:02:13 OF THE AMAZING YOUNG PEOPLE YOU KNOW THAT WHO ARE HERE AND TO
01:02:17 ALL OF YOU SUPERVISORS WHO I KNOW THIS IS NOT AN EASY JOB
01:02:21 THAT YOU HAVE. YOU KNOW THIS IS NOT AN EASY
01:02:25 JOB THAT YOU HAVE REPRESENTING EACH DISTRICT OF THIS BEAUTIFUL
01:02:29 CITY THAT WE HAVE. YOU KNOW, PEOPLE TALK ABOUT ME
01:02:33 A LOT AND THAT'S BECAUSE I'M YOU KNOW, I DO HAVE A BIG HEART
01:02:37 AND I TELL YOU HOW BIG MY HEART IS IS SEVEN BY SEVEN SQUARE
01:02:40 MILES. YOU KNOW WHAT I'M SAYING?
01:02:43 IN HIS BEAUTIFUL STOLEN LAND THAT WE LIVE ON, YOU KNOW,
01:02:48 WHICH I'VE DEDICATED THE SECOND PART OF MY LIFE BECAUSE WHEN I
01:02:52 WAS COMING UP I WASN'T THE BEST SON.
01:02:56 THAT'S WHY I ALWAYS ACKNOWLEDGE MY MOTHER, YOU KNOW, LIKE THE
01:02:59 BROTHER WHO JUST CAME BEFORE ME ALSO WAS UNFORTUNATELY
01:03:02 IN PRISON FOR 120 MONTHS. THIS TEN YEARS.
01:03:06 BUT DURING THAT TIME I RECEIVED A ELEVATION AND ENLIGHTENMENT
01:03:10 IN MY LIFE AND UNDERSTOOD THE IMPORTANCE OF REPRESENTING FOR
01:03:14 THOSE THAT COME AFTER YOU THE YOUNG PEOPLE NOT FORGETTING
01:03:18 ABOUT THE SENIORS IN OUR COMMUNITY BECAUSE MY MOTHER WAS
01:03:22 A BEAUTIFUL YOUNG MOTHER OF 60 YEARS OLD WHEN SHE HAD ME SO I
01:03:25 HAD AN AMAZING GRANDPARENTS WHO TAUGHT ME A LOT OF THINGS YOU
01:03:29 KNOW, AND JUST LOVING ALL OF THE PEOPLE THE HOUSELESS YOU
01:03:35 KNOW, I'VE HAD THE PLEASURE OF WORKING WITH MATT DORSEY
01:03:36 IN DISTRICT SIX DOWNTOWN. WE KNOW THE STRUGGLES THAT HIS
01:03:39 DISTRICT FACED THAT ALL OF OUR DISTRICTS FACE.
01:03:40 YOU KNOW, I'VE HAD THE PLEASURE WE'RE WORKING WITH A LOT OF YOU
01:03:44 GUYS, YOU KNOW, AND IF I HAVEN'T WORK WITH YOU, I'M OPEN
01:03:47 TO WORKING WITH YOU IN YOUR DISTRICT BECAUSE I AM PRIMARILY
01:03:50 TEN YOU KNOW, GREW UP BUT LIKE I SAID SEVEN BY SEVEN MAN I
01:03:54 LOVE EVERY INCH OF SAN FRANCISCO.
01:03:57 THESE YOUNG PEOPLE COME FROM EVERY DISTRICT IN OUR CITY, YOU
01:04:00 KNOW? AND AS I LEAVE I WANT TO
01:04:01 ENCOURAGE YOU TO NOT FORGET ABOUT THEM.
01:04:05 AND LIKE I SAID, I KNOW THIS JOB IS HARD BUT WE MUST HOLD
01:04:09 THE INDIVIDUALS ACCOUNTABLE THE TECH COMPANIES, THE PROPERTY
01:04:13 MANAGERS AND ALL THAT. I BECAUSE I'M IN A WHO'S IN THE
01:04:16 COMMUNITIES EVERY DAY WE STILL HAVE BRAND NEW APARTMENT
01:04:20 BUILDINGS THAT ARE BREAKING DOWN SENIORS THAT CAN'T GET TO
01:04:21 THEIR APARTMENTS BECAUSE THE ELEVATORS ARE DOWN.
01:04:25 YOU KNOW VIOLENCE IS GOING DOWN BUT WE STILL NEED HELP.
01:04:28 WE HAVE TO ENCOURAGE, ENLIGHTEN AND EMPOWER OUR YOUNG PEOPLE,
01:04:32 THE COMMUNITY ORGANIZATIONS THAT ARE OUT THERE ON THE FIELD
01:04:35 EVERY DAY GIVING BACK LIKE US FOR US.
01:04:37 SO I APPRECIATE YOU GUYS. I LOVE YOU GUYS.
01:04:41 YOU KNOW WHAT I'M SAYING? MY YOUNG PEOPLE I JUST WANT YOU
01:04:44 TO KNOW THIS COULD BE ANY ONE OF Y'ALL UP HERE.
01:04:45 YOU FEEL ME? >> THIS COULD BE ANY ONE OF
01:04:48 Y'ALL UP HERE THAT YOU KNOW AND THEY LEFT.
01:04:54 BUT I WANT TO SHOUT OUT GABE AND THEM THEY JUST LEFT
01:04:56 JUVENILE PROBATION BECAUSE THEY GIVEN ME AN OPPORTUNITY TO WORK
01:04:59 WITH THE YOUNG PEOPLE. I'M IN THE JUVENILE HALLS ALL
01:05:02 THE TIME IN COMMUNITIES ALL THE TIME, YOU KNOW, BUT ON PAPER I
01:05:06 WILL LOOK LIKE AN INDIVIDUAL THAT SHOULDN'T BE DOING THAT,
01:05:07 YOU KNOW. BUT MY KIDS HAVE FAITH IN ME
01:05:11 AND I PROMISE TO CONTINUE TO KEEP WORKING AND NOT LET YOUR
01:05:15 DOWN. I APPRECIATE YOU SO MUCH
01:05:16 AND SERMON ON YOUR WAY OUT MAN. I JUST HOPE AND PRAY THAT WE
01:05:20 GET ANOTHER STRONG LEADER LIKE YOU IN OUR COMMUNITY.
01:05:23 MAN THAT REALLY WORKS WITH THE PEOPLE, TALKS WITH THE PEOPLE,
01:05:27 COMES OUT AND GIVES BACK AND THEN CONGRATULATIONS ON
01:05:30 EVERYTHING THAT YOU'VE DONE. YOU KNOW I'M SAYING THE
01:05:32 PHARMACY I KNOW THEY LIKE TO TALK DOWN TO YOU BUT US IN THE
01:05:35 STREET IN A COMMUNITY WE KNOW HOW HARD YOU WORK AND WE SEE
01:05:38 YOU ALL THE TIME AND WE APPRECIATE YOU AND WE THANK
01:05:39 YOU, MAN AND I THANK EVERYBODY THAT CAME OUT HERE BIG RICH, MY
01:05:44 BROTHER BIG RICH YOU MY BROTHER BIG RICH SUMMER FROM THE HYPE
01:05:49 CENTER PERCY PRESS INTERVIEW EVERYBODY ALL THESE GUYS ARE AC
01:05:53 DC TOO BECAUSE THEY KNOW I'M HALF CATHY VALENCIA.
01:05:58 I LOVE EACH AND EVERY ONE OF YOU.
01:05:59 I APPRECIATE YOUR TAILOR MADE BACK THERE MAN MY GUYS YOU'VE
01:06:02 GOT SAY SAYING I'VE BEEN HOME 15 YEARS YOU'VE BEEN I'M SAYING
01:06:06 GIVE IT BACK SO THEY LET YOU KNOW THEY GOT KIDS AND WAS
01:06:09 WORKING WITH THOSE 15 AND NOW 30 DOING AMAZING THINGS IN THE
01:06:11 COMMUNITY. I APPRECIATE I LOVE ALL YOUR
01:06:13 MAN THANK YOU AND YOU KNOW I COULD TALK FOR TOMORROW FOR FOR
01:06:29 THREE WE'RE GOING TO DO A BIG ONE ON THEIR SECOND DISTRICT
01:07:19 ONE SUPERVISOR CHAN THANK YOU PRESIDENT MAN DOMAIN COLLEAGUES
01:07:22 IT IS MY HONOR. YOU KNOW OUR FORMER KALI
01:07:26 SUPERVISOR DEAN PRESTON HAS DONE THIS BUT I FEEL LIKE IT IS
01:07:31 MY HONOR AND MY PRIVILEGE TO DO THIS EVEN THOUGH WITH SADNESS
01:07:35 THAT PART OF IT WAS A BITTERSWEET TO RECOGNIZE PAUL
01:07:42 OSAKI ON THE OCCASION OF HIS RETIREMENT TO THANK HIM FOR HIS
01:07:46 TIRELESS SERVICE AND LEADERSHIP TO THE JAPANESE CULTURAL
01:07:49 AND COMMUNITY CENTER OF NORTHERN CALIFORNIA LOVELY
01:07:53 LOVINGLY KNOWN AS JAYCEE'S AND SEE ALSO FOR THE COMMUNITY
01:07:57 TO BE KNOW THE CENTER WHILE PAUL WILL BE RECOGNIZED AT A
01:08:05 FORMAL COMMUNITY CELEBRATION THAT WILL BE DURING OUR AUGUST
01:08:10 RECESS. >> IT IS TRULY A PRIVILEGE FOR
01:08:13 ME TO BE ABLE TO RECOGNIZE HIM TODAY IN OUR BOARD CHAMBER.
01:08:17 >> WE HAVE DONE SO BEFORE FOR HIS ACCOMPLISHMENT BUT TODAY WE
01:08:21 GET TO CELEBRATE HIM FOR ALL THAT HE HAS ACCOMPLISHED BEYOND
01:08:28 THE 38 YEARS OF HIS SERVICE SERVING THE CENTER.
01:08:32 IT IS TRULY A LABOR OF LOVE WHAT HE HAS DONE NOT JUST FOR
01:08:36 THE CENTER BUT FOR THE ENTIRE COMMUNITY NOT JUST THE
01:08:40 JAPANESE-AMERICAN COMMUNITY BUT TRULY THE AAPI COMMUNITY.
01:08:44 WE'RE REALLY FOR THE GREATER COMMUNITY THROUGHOUT THE CITY.
01:08:48 BUT HIS MENTORING AND INSPIRING THE GENERATION TO GIVE BACK TO
01:08:53 OUR COMMUNITY SO THAT WE COULD KNOW LOVE AND OUR COMMUNITY
01:09:00 AND TO SERVE OUR COMMUNITY IT IS BECAUSE OF PAUL HAS ALWAYS
01:09:05 BEEN LEADING BY EXAMPLE. PAUL'S LIFELONG CONTRIBUTION
01:09:08 REFLECTS THE VALUES OF DEDICATION THAT IS A TRADEMARK
01:09:16 OF THE ESSAY AND NISEI GENERATION IS WHOSE SACRIFICES,
01:09:20 RESILIENCE AND COMMITMENT TO BUILD COMMUNITY CREATE
01:09:24 OPPORTUNITIES FOR CURRENT AND FUTURE GENERATIONS.
01:09:27 >> PAUL STEADY AND VISIONARY LEADERSHIP HAS HELPED EXPAND
01:09:31 THE IMPACT OF NOT ONLY NANCY THE CENTER BUT ALSO STRENGTHENS
01:09:38 THE CULTURAL, SOCIAL AND COMMUNITY FABRIC OF
01:09:39 JAPANTOWN. PAUL'S WORK HAS A LOCAL,
01:09:47 REGIONAL AND GLOBAL IMPACT BY UPLIFTING THE ESSENTIAL WORK OF
01:09:51 PRESERVING SAN FRANCISCO'S JAPANTOWN ONE OF ONLY THREE
01:09:57 REMAINING JAPAN TOWNS IN OUR COUNTRY, HE HAS BEEN DEEPLY
01:10:01 COMMITTED TO HONORING THE PAST WHILE INVESTING IN THE FUTURE,
01:10:04 ESTABLISHING THE POCHA AS TAKAHASHI E SAY HERITAGE CENTER
01:10:11 ONE OF HIS LASTING GIFTS TO THE COMMUNITY WHICH WILL HELP
01:10:16 PRESERVE THE STORIES, VALUES AND CONTRIBUTIONS OF THE EAST,
01:10:19 SAY PIONEERS FOR FUTURE GENERATIONS.
01:10:22 THANK YOU PAUL, FOR YOUR UNWAVERING COMMITMENT TO
01:10:26 PRESERVING JAPANESE AMERICAN HERITAGE, HERITAGE, CULTURE
01:10:30 AND TRADITIONS ESPECIALLY DURING A TIME WHERE IMMIGRANT
01:10:35 STORIES AND EXPERIENCES ARE BEING ATTACKED AND WIPE AWAY.
01:10:42 SO AT THIS BORDER WE WILL HAVE A RESOLUTION HONORING PAUL
01:10:47 AND THAT WE TO CELEBRATE AUGUST 29TH AS PART OZAKI DAY.
01:10:53 THANK YOU. WE HAVE OTHER SUPERVISORS WHO
01:11:01 WANT TO SAY NICE THINGS ABOUT PAULA SAKI.
01:11:04 >> SUPERVISOR MAHMOOD THANK YOU COLLEAGUES.
01:11:07 I WANT TO ADD MY APPRECIATION FOR PAULA SAKI AS WELL
01:11:11 AND THANK YOU SUPERVISOR CHAN FOR BRINGING FORWARD THIS
01:11:13 COMMENDATION AND AND THE RESOLUTION LATER TODAY THE
01:11:16 JAPANESE CULTURAL COMMUNITY CENTER OF NORTHERN CALIFORNIA
01:11:19 IS A BEDROCK SPACE IN THE JAPANTOWN COMMUNITY AND IN THE
01:11:23 REGION'S JAPANESE DIASPORA UNDER PAUL'S LEADERSHIP THE
01:11:28 CENTER TRANSFORM FROM AN IDEA TO A KEY PART OF THE
01:11:31 UNBREAKABLE STRONG CIVIC AND COMMUNITY FABRIC THAT MAKES
01:11:35 JAPANTOWN SO SPECIAL. >> THE CENTER FOSTERS AND HELPS
01:11:38 GROW TRADITIONS LIKE THE ICHIBAN FLOWER ARRANGEMENT
01:11:40 KENDO MARTIAL ARTS AND THE ANNUAL JAPANESE CEMETERY
01:11:43 CLEANUP TRADITIONS THAT CONNECT US TO THE PAST BUT ALSO BUILD
01:11:47 RELATIONSHIPS AND KINSHIP IN THE PRESENT.
01:11:50 IT SPEAKS TO PAUL'S SELFLESS SPIRIT AND BELIEF IN THE
01:11:54 JAPANTOWN COMMUNITY THAT WHAT WAS INITIALLY GOING TO BE AS I
01:11:58 UNDERSTAND IT FROM COMMUNITY MEMBER IS JUST A YEARLONG GIG
01:12:01 TRANSLATED ACTUALLY INTO 38 YEARS OF SERVICE AT THE HOME OF
01:12:05 THE CENTER. >> PERSONALLY I'VE BEEN
01:12:07 INSPIRED PAUL, BY SEEING YOU BY WATCHING YOU WITH YOUR
01:12:11 PASSIONATE ADVOCACY FOR THE COMMUNITY.
01:12:12 >> RON KEEPING HOTELS OPEN DURING COVID BUT ALSO MAKING
01:12:15 SURE THAT JAYDEN'S VOICE IS HEARD DURING THE REDEVELOPMENT
01:12:19 PLANS FOR THE FILLMORE SAFEWAY AS WELL.
01:12:22 >> HE'S ALSO BEEN AN INSPIRATION AND AN INCREDIBLE,
01:12:24 INCREDIBLE NEW GENERATIONAL LEADERS WHO I'M SO FORTUNATE TO
01:12:27 GET TO WORK WITH TODAY. THE SUPERVISOR EVERY DAY IS
01:12:31 POLLO SAKI DAY IN JAPANTOWN BUT I'M GLAD THAT WE AS A CITY WILL
01:12:35 GET A POLLO SAKI DAY ON AUGUST 29TH.
01:12:37 POLLY WISH YOU A RESTFUL AND JOYOUS RETIREMENT.
01:12:40 >> THANK YOU. >> SUPERVISOR MELGAR THANK YOU.
01:12:48 I'M NOT GOING TO BELABOR SOME OF THE POINTS THAT MY COLLEAGUE
01:12:52 HAVE MADE BUT THANK YOU PAUL FOR EVERYTHING THAT YOU HAVE
01:12:53 DONE FOR OUR CITY. BUT MORE THAN ANYTHING THANK
01:12:56 YOU FOR THE DECADES OF WORK UPHOLDING JAPANESE CULTURE
01:13:03 AND EVERYTHING THAT YOU HAVE GIVEN US IN TERMS OF YOUR WORK
01:13:07 WITH YOUNG PEOPLE PAYING IT FORWARD FOR THE NEXT GENERATION
01:13:10 . YOU HAVE LOTS OF FANS HERE.
01:13:11 YOU HAVE LOTS OF HANDS ON THIS SIDE TOO.
01:13:14 AND GOOD LUCK ON YOUR RETIREMENT.
01:13:19 I KNOW YOU'LL STILL BE DOING A LOT BEHIND THE SCENES BUT AGAIN
01:13:23 FROM THE BOTTOM OF MY HEART THANK YOU.
01:13:24 >> THANK YOU. >> GOOD AFTERNOON.
01:13:30 HONORABLE SUPERVISORS. THANK YOU SUPERVISOR CHAN FOR
01:13:34 THIS HONOR YESTERDAY AT THIS TIME I WAS ACTUALLY AT 850
01:13:40 BRYANT IN ROOM 304 WHICH IS THE JURY ROOM AND I WAS THERE FOR
01:13:47 LIKE 4.5 HOURS TRYING TO THINK OF HOW AM I GOING TO GET OUT OF
01:13:51 THIS? NOT THAT I DON'T THINK SERVING
01:13:52 ON JURIES IS I'VE SERVED ON SEVERAL JURIES BUT I'M TRYING
01:13:55 TO FIGURE OUT HOW AM I GOING TO GET OUT OF THIS AND AT THE END
01:13:59 A JUDGE CAME UP AND HE SAID LET ME LISTEN TO YOUR HARDSHIP
01:14:00 CASES. AND SO ONE WENT UP AND SAID I
01:14:03 HAVE TO TAKE CARE OF MY NINE YEAR OLD MOTHER.
01:14:04 SHE SAID HE SAID SIT DOWN AND ANOTHER ONE WENT UP SAID
01:14:10 I'M THE SOLE PROPRIETOR OF A JOB AND JUST SIT BACK DOWN.
01:14:15 >> AND THE THIRD PERSON WENT UP AND SAID I'M ON A CRUISE
01:14:17 AND JUST SIT BACK DOWN. >> AND I WAS THINKING LIKE WELL
01:14:20 WHAT AM I GOING TO SAY? SO WHEN I WENT UP WHEN HE
01:14:23 CALLED MY NAME I SAID, YOU KNOW, THEY TOOK MY THREE
01:14:27 EXCUSES AND THEN HE SAID TELL ME WHAT YOUR HARDSHIP IS.
01:14:31 >> AND I SAID I GOT TO GO TO CITY HALL.
01:14:34 AND HE SAID THAT'S YOUR HARDSHIP.
01:14:35 THAT'S MY HARDSHIP. SO THAT'S WHY I'M HERE TODAY.
01:14:40 >> YOU KNOW, I WANT TO THANK ALL THE SUPERVISORS, YOU KNOW,
01:14:44 THAT I'VE WORKED WITH OVER THE YEARS SUPERVISOR CHAN MAHMOOD
01:14:49 MENG, OUR CHAN SUPERVISOR FIELD ALTHOUGH YOU KNOW, I REALLY
01:14:56 WISH YOU ARE IN SACRAMENTO WITH OUR STATE SENATOR.
01:14:58 I'M GLAD YOU'RE HERE. >> YOU KNOW, I HAD THE GREATEST
01:15:01 JOB IN THE WORLD WORKING FOR A NONPROFIT ORGANIZATION.
01:15:04 I FELL INTO A BY ACCIDENT WHEN I FLUNKED OUT OF HIGH SCHOOL
01:15:11 AND MY MOM SAID, YOU KNOW, IF YOU DON'T START DOING SOME THEY
01:15:12 KICK YOU OUT OF THE HOUSE. SO I ENDED UP VOLUNTEERING AT
01:15:15 THE ORGANIZATION CALLED THE JAPANESE COMMUNITY YOUTH
01:15:19 COUNCIL AND THAT KIND OF STARTED IT ALL FOR ME.
01:15:22 I LEARNED SELF-ESTEEM. I LEARNED WHAT SERVICE IS, I
01:15:25 LEARNED WHAT LEADERSHIP IS. I WENT TO WORK ON TO BUCHANAN
01:15:29 YMCA LATER THE KOREAN COMMUNITY CENTER, THEN THE ASIAN AMERICAN
01:15:33 RESIDENTIAL RECOVERY SERVICES BEFORE COMING TO THE CENTER
01:15:37 AND SPENDING THE LAST 38 YEARS HERE.
01:15:40 >> SO YOU KNOW WHEN FUNDING ISSUES COME UP FOR NONPROFITS
01:15:47 ESPECIALLY FOR YOUTH FOR CHILDREN I REALLY WANT TO
01:15:51 ENCOURAGE YOU AND I KNOW YOU HAVE TO FUND THEM.
01:15:55 YOU KNOW WHAT WE CAN DO FOR OUR CHILDREN AND WHAT WE DO FOR
01:15:59 NONPROFITS. YOU KNOW, WE WE BUILD
01:16:03 COMMUNITIES. WE CREATE CHANGE.
01:16:04 WE BUILD A BETTER SAN FRANCISCO AND UNLESS WE GET OUT
01:16:07 AND ENCOURAGE OUR YOUTH TO BE ABLE TO BE IN THESE POSITIONS
01:16:11 AND TO BE PART OF THESE COMMUNITIES AND NONPROFITS,
01:16:15 YOU'RE NOT GOING TO SEE THAT HAPPEN.
01:16:18 SO I REALLY WANT TO THANK YOU FOR YOUR FUNDING.
01:16:19 YOU KNOW THOSE PROGRAMS. >> I WANT TO THANK MY STAFF
01:16:26 AND AND TURN TO OUR BACK HERE. I TOLD THEM I'M GOING TO PAY
01:16:30 THEM BUT ACTUALLY YOU'RE TAKING VACATION TIME TO BE HERE SO BUT
01:16:34 AGAIN, I HAD THE GREATEST JOB IN THE WORLD.
01:16:35 YOU KNOW THIS IS GOING TO BE THE FIRST TIME IN 38 YEARS THAT
01:16:39 I HAVEN'T GOT DINGED OFF OF THIS PODIUM.
01:16:42 >> SO THANK YOU VERY MUCH
01:18:04 . LEE HOUSEKEEPER YOU'RE BACK
01:18:08 THERE SOMEWHERE. >> COME ON UP.
01:18:19 YOU CAN BRING YOUR PEOPLE IF YOU WANT TO.
01:18:30 >> >> COLLEAGUES TODAY IT IS MY HONOR TO PRESENT A SPECIAL
01:18:35 COMMENDATION TO LEE HOUSE KEEPER FOR HIS 37 YEARS
01:18:39 ORGANIZING SAN FRANCISCO'S COMMEMORATION OF THE 1906
01:18:43 EARTHQUAKE AND FIRE BEFORE DAWN EVERY APRIL 18TH, SAN
01:18:47 FRANCISCANS GATHER AT LADIES FOUNTAIN AT MARKET GEARY
01:18:51 AND KEARNY STREETS AND AT 5:12 A.M. THE EXACT MINUTE THE
01:18:57 GROUND BEGAN TO SHAKE IN 1906 VINTAGE FIRE ENGINES SOUND A
01:19:01 SIREN INTO THE DARK CITY LEADERS SPEAK A WREATH IS LAID
01:19:05 AND THE CROWD SINGS SAN FRANCISCO THE ANTHEM FROM THE
01:19:09 1936 MGM FILM OF THE SAME NAME .
01:19:12 >> AFTERWARD, THE PROCESSION MOVES TWO MILES SOUTH TO
01:19:17 DISTRICT EIGHT 20TH AND CHURCH STREETS WHERE SAN FRANCISCANS
01:19:20 SPRAY GOLD PAINT ON A SMALL FIRE HYDRANT KNOWN AS THE
01:19:24 LITTLE GIANTS THE ONE HIDE THE ONE HYDRANT THAT KEPT FLOWING
01:19:28 WHEN THE REST FAILED IN 1906 SAVING THE MISSION DISTRICTS.
01:19:32 >> THE EARTHQUAKE COMMEMORATION DATES BACK TO 1919 WHEN THE
01:19:35 SOUTH OF MARKET BOYS, A FRATERNAL ORGANIZATION BEGAN
01:19:38 LAYING A WREATH EVERY APRIL 18TH AT THE FOUNTAIN WHERE
01:19:42 SURVIVORS GATHERED IN 1906 TO SEARCH FOR MISSING FAMILY
01:19:44 AND FRIENDS. THE TRADITION HAS CONTINUED FOR
01:19:48 DECADES AND FOR AND FOR THE LAST 37 OF THOSE YEARS LEE HAS
01:19:55 KEPT IT GOING. >> HE WAS BORN AND RAISED
01:19:58 IN CHICAGO AS A YOUNG MAN. >> HE MADE HIS WAY TO GREENWICH
01:20:00 VILLAGE WHERE HE LIVED ON GAY STREETS AND SPENT HIS EARLY
01:20:03 CAREER IN THE ORBIT OF THE ERA'S BIGGEST MUSICIANS
01:20:06 INCLUDING JANIS JOPLIN AND JUNE OF 1969 AS THE STONEWALL RIOTS
01:20:10 ERUPTED NEAR HIS APARTMENT, STRAIGHT ALLY LEE LENT HIS
01:20:16 GARBAGE CAN LIDS TO THE CROWD OUTSIDE SAID THEY'D HAVE
01:20:18 SOMETHING TO USE AS SHIELDS AGAINST THE POLICE.
01:20:21 >> LEE CAME TO SAN FRANCISCO IN 1980 AND BY 1982 HE'D BUILT
01:20:28 HIS OWN PUBLIC RELATIONS PRACTICE REPRESENTING CLIENTS
01:20:31 THAT HAVE INCLUDED MAYOR WILLIE BROWN AND CIVIL RIGHTS ATTORNEY
01:20:33 JOHN BURRIS. LEE HAS CALLED HIMSELF THE LAST
01:20:36 OF THE OLD TIME SAN FRANCISCO PRESS AGENTS FOR YEARS.
01:20:40 HE WAS ALSO THE PUBLIC VOICE BEHIND THE CHRISTMAS TOY DRIVE
01:20:43 AND LEFT YODELS A SANG FOR ADULTS, A SAN FRANCISCO
01:20:47 RESTAURANT AND SPORTS BAR NAMED FOR THE BASEBALL PLAYER
01:20:50 AND MANAGER WHICH IN SOME YEARS COLLECTED AS MANY AS 15,000
01:20:53 TOYS FOR CHILDREN THROUGH THE SAN FRANCISCO FIREFIGHTER'S TOY
01:20:55 PROGRAM CARRYING BOXES OF TOYS THROUGH A BAR PACK THREE DEEP
01:20:58 WITH CUSTOMERS. >> LEE ONCE SAID, IS SORT OF
01:21:02 LIKE A BALLET HE TOOK OVER THE EARTHQUAKE COMMEMORATION ALMOST
01:21:06 BY ACCIDENT AS IT WAS PASSED ON TO HIM THROUGH A GIRLFRIEND
01:21:09 WHOSE FATHER WAS THE LAST PRESIDENT OF THE SOUTH OF
01:21:10 MARKET BOYS IN ITS EARLY YEARS THE JOB MEANT TRACKING DOWN THE
01:21:14 LIVING SURVIVORS OF THE EARTHQUAKE AND DRAWING OUT
01:21:17 THEIR STORIES ONE BY ONE BEFORE THEY WERE LOST.
01:21:20 THE LAST KNOWN SURVIVOR DIED IN 2016 AT 109 YEARS OLD
01:21:23 AND THE CEREMONIES ORIGINAL REASON FOR BEING WENT WITH HIM.
01:21:27 CHRONICLE REPORTER CARL NULTY GAVE LEE A NEW REASON IT'S NOT
01:21:31 THE SURVIVORS SAN FRANCISCO IS THE SURVIVOR.
01:21:35 LEE KEPT IT KEPT THE TRADITION GOING ON THAT IDEA FOR ANOTHER
01:21:39 DECADE THIS YEAR WAS LEE'S LAST AS ORGANIZER OF THE EARTHQUAKE
01:21:44 COMMEMORATION HE'S PASSED THAT RESPONSIBILITY OFF TO THE
01:21:47 GUARDIANS OF THE CITY, A NONPROFIT DEDICATED TO
01:21:51 CELEBRATING AND PRESERVING SAN FRANCISCO'S POLICE FIRE.
01:21:52 SHERIFF AND EMS CONTRIBUTIONS AND HAVE SUPPORTED LEE
01:21:55 IN RUNNING AND RUNNING THE COMMEMORATION FOR MANY YEARS.
01:21:59 THANK YOU GUARDIANS LEE HAS PRESERVED AND PASSED ON A
01:22:02 TRADITION THAT'S BROUGHT TOGETHER GENERATIONS OF SAN
01:22:06 FRANCISCANS, SURVIVORS, FIRST RESPONDERS, CIVIC LEADERS
01:22:09 AND NEIGHBORS IN REMEMBRANCE CELEBRATING AND REAFFIRMING THE
01:22:13 CITY'S SPIRIT OF RESILIENCE. >> HIS LEGACY CARRIES FORWARD
01:22:17 NOT ONLY THROUGH THAT TRADITION AND HIS OTHER WORK BUT THROUGH
01:22:20 HIS FAMILY HIS SON JAMES SMITH AND HIS GRANDCHILDREN CONNOR
01:22:23 AND KATIE LEE. YOU ARE A GEM ON BEHALF OF THE
01:22:27 SAN FRANCISCO BOARD OF SUPERVISORS AND THE CITY
01:22:29 AND COUNTY OF SAN FRANCISCO. WE WANT TO THANK YOU FOR MAKING
01:22:32 SURE THE CITY KEEPS REMEMBERING WHERE IT CAME FROM.
01:22:36 AND BEFORE I LET YOU SPEAK, SUPERVISOR MELGAR WOULD LIKE TO
01:22:40 SAY SOME THINGS. >> THANK YOU.
01:22:41 I COULDN'T PASS UP THE OPPORTUNITY AT THIS
01:22:44 COMMEMORATION. I REMEMBER THIS COMMENDATION IS
01:22:47 UP BECAUSE OF YOUR WORK ON THE EARTHQUAKE COMMEMORATION BUT I
01:22:51 ALSO JUST WANTED TO PUT IN THAT ALL THE OTHER THINGS THAT YOU
01:22:55 DO THAT PEOPLE DON'T SEE BEHIND THE SCENES AT BRINGING PEOPLE
01:22:59 TOGETHER, BUILDING COMMUNITY, ENGAGING IN GOSSIP OCCASIONALLY
01:23:06 ESPECIALLY POLITICAL GOSSIP YOU KNOW, SATURDAY LUNCHES AT ST
01:23:11 JOHN'S GRILL AND ALL THE THINGS THAT YOU DO BEHIND THE SCENES
01:23:15 TO MAKE OUR CITY BETTER, A BETTER PLACE, A MORE VIBRANT
01:23:19 PLACE, A MORE CONNECTED PLACE. SO THANK YOU FOR BEING SUCH A
01:23:23 MENSCH. THANK YOU FOR YOUR SUPPORT OF
01:23:26 EVERYTHING CIVIC FOR MANY, MANY DECADES.
01:23:30 I AGREE WITH PRESIDENT RANDLEMAN YOU ARE A TRUE GEM
01:23:33 AND YOU HAVE FRIENDS HERE SUPPORTING YOU TO PROVE IT.
01:23:34 THANK YOU SO MUCH LEE YOU HAD A COUPLE OF FRIENDS HERE ON THE
01:23:41 FLOOR AND A FEW OF YOU HAVE PASSED AROUND SOME RATHER
01:23:44 VICIOUS GOSSIP AT WILLIE BROWN TABLE AND THEN TOLD PEOPLE YOU
01:23:56 HEARD IT FROM WILLIE HA HA HA HA WHICH HE GLADLY ACCEPTED.
01:24:01 WHEN I FIRST MOVED HERE I MOVED TO NORTH BEACH AND IT ABOUT
01:24:06 KILLED ME ALL OF THOSE NIGHTCLUBS, ALL THAT FUN AND I
01:24:10 HAD JUST COME UP FROM WORKING IN THE MUSIC BUSINESS FOR A
01:24:13 LONG TIME SO IT SEEMED A NATURAL AND THEN I RAN INTO
01:24:17 KAREN SAPIENZA WHO TOLD ME THERE'S A WHOLE LOT MORE TO SAN
01:24:24 FRANCISCO THAN NORTH BEACH. >> SHE INTRODUCED ME TO HER
01:24:28 FATHER AND LEO SAPIENZA WHO WAS THE PRESIDENT OR TREASURER OF
01:24:35 JUST ABOUT EVERY ORGANIZATION NO STAGE MAINLY MALE WHERE THEY
01:24:40 COULD ESCAPE AND GO DRINKING WITH SOME PURPOSE IN MIND
01:24:44 AND INTO PURPOSE OF THE SOUTH OF MARKET BOYS IT WAS TO MAKE
01:24:54 SOME MONEY AT A DINNER AND THEN PUT A WREATH UP AND IN THOSE
01:25:01 DAYS THERE WERE MANY, MANY, MANY SURVIVORS.
01:25:05 MY JOB FOR THE FIRST 19 YEARS WAS TO GO AND VISIT WITH I
01:25:09 PROBABLY VISITED WITH FOR GOOD LONG TIMES WITH AS MANY AS 100
01:25:17 OR MORE PEOPLE WHO WERE WELL OVER 100.
01:25:20 SOME OF THEM WERE 109 WHO HAD ONE WHO WAS 119 AND TO HEAR
01:25:31 THEIR STORIES AND I HAVE TO MAKE A DIFFICULT DECISION ABOUT
01:25:36 WHO I WOULD OFFER UP TO THE PROCESS IT JUST HAD A GOOD
01:25:39 STORY FOR EVERYBODY. >> TALK ABOUT OUR ROOTS
01:25:43 AND THERE WASN'T A ONE OF THEM THAT WASN'T THE BEST SPEAKER I
01:25:48 EVER HEARD. AND SO OVER THE YEARS WE HAD
01:25:54 HUNDREDS OF SURVIVORS. SO COMING TO THAT POINT WHICH
01:25:58 YOU POINTED OUT ABOUT, THERE'S NO MORE SURVIVORS ANYMORE,
01:26:02 THERE WAS SOME TALK ABOUT USING CARL BUT TOO MANY PEOPLE KNOW
01:26:09 HIM AND KNOW HOW OLD HE IS. SO WE DIDN'T USE IT.
01:26:13 I UNDERSTAND THAT THIS IS ERIC NATION AND I'M VERY HONORED TO
01:26:18 BE ABLE TO IT. THANK YOU RAFFI THANK YOU
01:26:21 SUPERVISOR THANK YOU ALL FOR HONORING ME IN PERSON IN YOUR
01:26:25 HOME. >> I APPRECIATE IT VERY MUCH.
01:26:36 I GET FLOWERS. I SAID THEY'RE NOT GOING TO
01:26:40 GIVE ME FLOWERS
01:27:10 . YEAH, I ALL RIGHT SO OH, THAT
01:27:51 WOULD TAKE US TO OUR 3 P.M. SPECIAL ORDERS.
01:27:55 >> OUR FIRST SET WOULD BE ITEM NUMBER 51.
01:28:01 BUT AS THE AGENDA INDICATES, THE PROJECT SPONSOR WOULD
01:28:04 WITHDREW THEIR PROJECT APPLICATION FOR 1200 LARKIN
01:28:08 STREET AND THE PLANNING DEPARTMENT HAS RESCINDED THEIR
01:28:09 ASSOCIATED APPROVAL LETTER AND THAT MEANS THIS MATTER IS
01:28:12 NOW MOOT AND IS NO LONGER UNDER THE JURISDICTION OF THE BOARD
01:28:16 OF SUPERVISORS. SO WE WILL NOT BE HOLDING THAT
01:28:17 HEARING AND NOR WILL WE BE ABLE TO TAKE PUBLIC COMMENT SINCE
01:28:21 THE MATTER IS NO LONGER BEFORE US.
01:28:24 THE HEARING WAS ONLY AGENDA IS BECAUSE THE PUBLIC HEARING
01:28:25 NOTICE WAS SENT BEFORE THE APPLICATION HAD BEEN WITHDRAWN
01:28:31 . SO MADAM CLERK LET'S CALL OUR
01:28:32 NEXT SPECIAL ORDER ITEM NUMBER 52.
01:28:35 >> ITEM NUMBER 52 IS A HEARING OF THE BOARD OF SUPERVISORS
01:28:39 SITTING AS A COMMITTEE OF THE WHOLE TO EXAMINE THE POTENTIAL
01:28:42 CONSEQUENCES OF KAISER PERMANENTE'S PROPOSALS
01:28:46 IN COLLECTIVE BARGAINING WITH THE NATIONAL UNION OF HEALTH
01:28:47 CARE WORKERS FOR SAN FRANCISCO RESIDENTS AND EMPLOYEES OF CITY
01:28:51 AND TENT, CITY AND COUNTY OF SAN FRANCISCO WHO ARE KAISER
01:28:54 FAMILIES FOR BEHAVIORAL HEALTH CLINICIANS EMPLOYED BY KAISER
01:28:57 AND FOR STANDARDS OF BEHAVIORAL HEALTH CARE PROFESSIONAL
01:29:01 PRACTICE. COLLEAGUES WE ARE NOW SITTING
01:29:05 AS A COMMITTEE OF THE WHOLE TO EXAMINE THE POTENTIAL
01:29:08 CONSEQUENCES OF KAISER PERMANENTE PROPOSALS
01:29:09 AND COLLECTIVE BARGAINING WITH THE NATIONAL UNION OF HEALTH
01:29:13 CARE WORKERS. WE HAVE VARIOUS INDIVIDUALS
01:29:17 FROM NIH W HERE TO PRESENT TODAY.
01:29:21 SUPERVISOR CHEN THIS IS YOUR HEARING SO I'M HANDING IT OVER
01:29:25 TO YOU. >> THANK YOU.
01:29:25 BOARD PRESIDENT AND COLLEAGUES .
01:29:28 BEHAVIORAL AND MENTAL HEALTH CARE IS TOO IMPORTANT TO TAKE
01:29:32 FOR GRANTED. TODAY I'M CALLING A HEARING TO
01:29:33 PROVIDE PUBLIC OVERSIGHT TO THE POTENTIAL CONSEQUENCES OF
01:29:37 KAISER'S PROPOSAL IN COLLECTIVE BARGAINING WITH THE NATIONAL
01:29:41 UNION OF HEALTH CARE WORKERS. >> THIS NEGOTIATION WILL HAVE
01:29:44 AN UNDUE IMPACT ON CITY RESIDENTS AND EMPLOYEES OF THE
01:29:48 CITY AND COUNTY WHO ARE KAISER ENROLLEES AND FOR BEHAVIORAL
01:29:53 HEALTH CONDITIONS EMPLOYED BY KAISER.
01:29:56 TODAY'S HEARING WILL ALSO CONSIDER STANDARDS OF
01:29:57 BEHAVIORAL HEALTH CARE PROFESSIONAL PRACTICE.
01:30:00 I WANT TO THANK MY CO-SPONSORS FOR THIS HEARING.
01:30:05 >> BOTH PRESENT MANAGEMENT AND SUPERVISOR WALTON
01:30:07 AND MALKIA. I ORIGINALLY CALL FOR THIS
01:30:08 HEARING AFTER HEARING FROM MULTIPLE CONSTITUENTS INCLUDING
01:30:12 KAISER PATIENTS AND KAISER NURSES ABOUT PROPOSALS MADE BY
01:30:16 KAISER IN THEIR BARGAINING THAT HAVE THE POTENTIAL TO GREATLY
01:30:20 UNDERMINE THE QUALITY OF CARE THAT PATIENTS ENTITLE TO CREATE
01:30:26 UNFAIR HARDSHIP FOR WORKERS AND UNDERMINE HEALTH CARE
01:30:30 STANDARDS THAT WERE PUT IN PLACE YEARS AGO.
01:30:31 I KNOW THAT REPRESENT REPRESENTATIVE FROM UNIONS WILL
01:30:36 GET INTO THIS FOR MORE IN DETAILS BUT I SPECIFICALLY
01:30:39 WANT TO CALL ALL THAT I HAVE HER ALLEGATIONS THAT KAISER'S
01:30:43 USING. ALL MACHINE LEARNING TO REPLACE
01:30:46 CLINICAL JUDGMENT. >> I FIND THIS ABSOLUTELY
01:30:50 UNACCEPTABLE. >> MENTAL AND BEHAVIORAL HEALTH
01:30:54 ARE INCREDIBLY COMPLEX FOR PATIENTS EXPERIENCING THEM
01:30:58 AND EVEN OUR BEST AND MOST ROBUST HEALTH CARE SYSTEMS CAN
01:31:02 BE EXTREMELY DIFFICULT TO NAVIGATE ESPECIALLY WHEN
01:31:03 SOMEONE IT'S IN CRISIS. >> THE IDEA THAT WE WOULD ALLOW
01:31:07 A.I. TO PROVIDE CLINICAL TREATMENT OR CHARGE FOR
01:31:10 PATIENTS IS SHOCKING AND I HAVE SERIOUS CONCERN THAT WITHOUT
01:31:14 ADEQUATE PROTECTIVE LANGUAGE AROUND EMERGING TECHNOLOGY WE
01:31:21 COULD AT BEST MAKE THE PATIENT'S MENTAL AND BEHAVIORAL
01:31:22 HEALTH ISSUE MORE I.Q OR AT WORSE AND EVIDENTLY BE
01:31:26 RESPONSIBLE FOR DRIVING SOMEONE TO CASE.
01:31:30 I'M NOT AGAINST TECHNOLOGY BUT WITHOUT MEANINGFUL DATA
01:31:34 EVIDENCE AND CLINICAL VALIDATION THAT EMERGING
01:31:38 TECHNOLOGY IS READY FOR THE KINDS OF WORK THAT IS ALLEGEDLY
01:31:42 BEING EMPLOYED. IT WOULD THROUGH KAISER WE ARE
01:31:46 RISING PUTTING PATIENTS IN HARM'S WAY.
01:31:49 YESTERDAY A COMPELLING WAS FILED BY NIH W WITH THE
01:31:54 CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE AND THE
01:31:57 U.S. DEPARTMENT OF LABOR ALLEGING THAT KAISER'S
01:32:01 AUTOMATED EVICTS EVICTS EVE VISIT PORTAL FOR BEHAVIORAL
01:32:05 HEALTH MAKES RECOMMENDATIONS WITHOUT LICENSED CLINICIANS TO
01:32:09 REVIEW. THIS IS A THIS IS THE KIND OF
01:32:10 THINGS I DON'T BELIEVE A AI MACHINE LEARNING ARE ABLE TO DO
01:32:14 AT THIS MOMENT A.I. AND OTHER MACHINE LEARNING EMERGING
01:32:17 TECHNOLOGIES ARE NOT OBLIGATE TO PATIENT CARE OR WELLNESS.
01:32:21 THEY DO NOT TAKE OUR HIPPOCRATIC OATH.
01:32:25 THEY ARE NOT SUBJECT TO A STANDARDIZED REGULATIONS, TESTS
01:32:28 OR OVERSIGHT. >> IF SOMEONE IS SEEKING OUT
01:32:32 THEIR HEALTH CARE PROVIDER TO INQUIRE ABOUT BEHAVIORAL HEALTH
01:32:34 TREATMENT AND THEY DESERVE A MINIMUM TO BE ASSISTED BY A
01:32:37 LICENSED CLINICIANS ON INTAKE. BEFORE WE BEGIN.
01:32:44 I'M SHOCKED AND VERY DISAPPOINTED BY KAISER'S
01:32:48 UNWILLINGNESS TO PARTICIPATE IN TODAY'S HEARING ESPECIALLY
01:32:52 IN LIGHT OF THIS NEW COMPLAINT. >> PARTICIPATION IN HEARING
01:32:55 SUCH AS THIS ARE AN IMPORTANT TO THAT THE POOR USES TO
01:32:59 EMPOWER THE PUBLIC ON KEY ISSUES OF CONCERN.
01:33:03 MENTAL WELLNESS IT'S INCREDIBLY IMPORTANT AND HOW WE ARE TAKING
01:33:07 CARE OF OUR PATIENTS AND WORKERS ESPECIALLY WHAT
01:33:11 EMERGING TECHNOLOGY IS MORE IMPORTANT NOW THAN EVER.
01:33:14 I'M GRATEFUL TO THE MEMBERS OF NEW H W SENIOR AND OTHER
01:33:19 EXPERTS ARE TAKING TIME OUT OF THEIR BUSY DAY TO BE HERE
01:33:23 AND TO EDUCATE THE PUBLIC IN GOOD FAITH.
01:33:26 WITH THAT I WOULD LIKE TO CALL UP SAL ROSSELLI PRESIDENT
01:33:30 EMERITA EMIRATIS NATIONAL UNION OF HEALTHCARE WORKERS TO KICK
01:33:32 US OFF. SHOULD WE HAVE SUPERVISOR
01:33:37 WALTON I BELIEVE IS IN THE QUEUE FIRST THOUGH.
01:33:39 >> THANK YOU SO MUCH PRESIDENT REDMAN AND I JUST WANTED TO ADD
01:33:44 EMPHASIS TO SUPERVISOR CHIN'S STATEMENT AROUND KAISER NOT
01:33:51 SHOWING UP THIS AFTERNOON. I THINK IT IS EXTREMELY
01:33:55 DISRESPECTFUL THAT KAISER IS NOT HERE NOT JUST FOR THE FACT
01:33:59 THAT FAIR. FAIR BARGAINING PRACTICES
01:34:03 SHOULD BE BASIC FOR AN EMPLOYER BUT WHEN THIS BOARD OF
01:34:06 SUPERVISORS MAKES A REQUEST FOR AN EMPLOYER TO ATTEND A HEARING
01:34:10 THEY MOST CERTAINLY SHOULD MAKE SURE THAT THEY ARE
01:34:14 IN ATTENDANCE. SO I JUST WANT TO EMPHASIZE HOW
01:34:16 DISRESPECTFUL THAT IS THAT KAISER HAS DONE THAT AND THEY
01:34:23 NEED TO TAKE NOTE THAT WE KNOW THAT IS DISRESPECTFUL.
01:34:26 THANK YOU PRESIDENT AMENDMENT. >> THANK YOU.
01:34:28 SUPERVISOR WALTON SUPERVISOR WONG.
01:34:30 >> COLLEAGUES AS A FORMER HOSPITAL UNION ORGANIZER I
01:34:34 BELIEVE WORKERS DESERVE A FAIR VOICE AT THE BARGAINING TABLE.
01:34:38 BUT THIS ISSUE GOES BEYOND LABOR RELATIONS.
01:34:39 IT IS ALSO ABOUT KEEPING SAN FRANCISCO SAFE, STABLE
01:34:42 AND FUNCTIONING FAMILIES EXPECT THAT WHEN A LOVED ONE NEEDS
01:34:47 BEHAVIORAL HEALTH CARE, A TRAINED PROFESSIONAL WILL BE
01:34:48 AVAILABLE BEFORE A MANAGEABLE PROBLEM BECOMES AN EMERGENCY
01:34:51 WHEN TREATMENT IS DELAYED OR INTERRUPTED, FAMILIES ARE LEFT
01:34:54 STRUGGLING AND SITUATIONS THAT SHOULD BE HANDLED IN A
01:34:58 CLINICIAN'S OFFICE CAN INSTEAD AND IN AN EMERGENCY ROOM A911
01:35:01 CALL OR A RESPONSE FROM POLICE AND FIREFIGHTERS MAINTAINING AN
01:35:05 EXPERIENCED CLINICAL WORKFORCE IS THEREFORE NOT SIMPLY A UNION
01:35:10 ISSUE IT IS PRACTICAL PUBLIC SAFETY, RESPONSIBLE MANAGEMENT
01:35:13 AND BETTER USE OF OUR EMERGENCY RESOURCES.
01:35:14 KAISER SERVES MANY SAN FRANCISCANS INCLUDING THOUSANDS
01:35:18 OF CITY EMPLOYEES. I WAS BORN AT KAISER GEARY.
01:35:22 I URGED KAISER TO BARGAIN IN GOOD FAITH AND REACH A FAIR,
01:35:25 SUSTAINABLE AGREEMENT THAT KEEPS QUALIFIED CLINICIANS ON
01:35:26 THE JOB PROTECTS CONTINUITY OF CARE AND ADDRESSES BEHAVIORAL
01:35:30 HEALTH NEEDS BEFORE THEY BECOME CRISES.
01:35:33 THAT IS GOOD FOR WORKERS, GOOD FOR PATIENTS AND GOOD FOR
01:35:35 PUBLIC SAFETY. >> THANK YOU.
01:35:38 PRESIDENT ROSELLI. AND I'D JUST LIKE TO FIRST
01:35:45 THANK SUPERVISOR SHARON CHEN FOR CALLING FOR THIS HEARING.
01:35:49 PRESIDENT AND ALDERMAN SUPERVISOR MELGAR.
01:35:53 SUPERVISOR WALTON, THANK YOU FOR CO-SPONSORING IT AND ALL OF
01:35:56 YOU FOR YOUR ONGOING COMMITMENT TO ENSURING THAT ALL SAN
01:36:00 FRANCISCO RESIDENTS AND CITY EMPLOYEES HAVE ACCESS TO
01:36:03 TIMELY, APPROPRIATE BEHAVIORAL HEALTH CARE SERVICES.
01:36:07 NO CITY HAS TAKEN STRONGER ACTION OVER THE YEARS TO HOLD
01:36:11 KAISER PERMANENTE ACCOUNTABLE FOR ITS REPEATED MENTAL HEALTH
01:36:14 ACCESS AND PARITY VIOLATIONS AND TO SUPPORT CLINICIANS
01:36:19 IN THEIR FIGHT FOR THE TIME RESOURCES AND RESPECT THAT THEY
01:36:22 NEED TO BEST SERVE THE PEOPLE OF SAN FRANCISCO.
01:36:26 THIS HEARING COMES AT A PIVOTAL MOMENT.
01:36:27 AS REPORTED IN TODAY'S SAN FRANCISCO STANDARD WHEN KAISER
01:36:31 IS PROPOSING TO EXPLOIT NEW TECHNOLOGY TO SAVE MONEY
01:36:37 AND AVOID ACCOUNTABILITY RATHER THAN FINALLY PROVIDING THE
01:36:42 BEHAVIORAL HEALTH CARE THAT PATIENTS NEED AND THAT THEY
01:36:45 THEIR EMPLOYERS AND SAN FRANCISCO TAXPAYERS ARE PAYING
01:36:49 FOR THEM TO RECEIVE. OUR MEMBERS STAND READY TO WORK
01:36:54 CONSTRUCTIVELY WITH KP MANAGEMENT TO MAKE KAISER THE
01:36:57 BEST PLACE TO GIVE AND RECEIVE BEHAVIORAL HEALTH CARE.
01:37:01 I STILL BELIEVE THERE'S A LOT WE CAN ACCOMPLISH TOGETHER BUT
01:37:05 WE'LL NEVER MAKE PROGRESS AS LONG AS KAISER'S INTENT
01:37:09 AND TRYING TO SILENCE US AND REPLACE US.
01:37:10 THANK YOU AGAIN FOR HOLDING THIS HEARING AND FOR YOUR
01:37:14 COMMITMENT TO ACHIEVE REAL MENTAL HEALTH PARITY REAL
01:37:20 BEHAVIORAL HEALTH, HEALTH CARE PARITY AND UAW AS A LEGISLATIVE
01:37:24 PUBLIC POLICY DIRECTOR IS GOING TO SPEAK NEXT.
01:37:27 >> BENJAMIN REICHERT, THANK YOU SO.
01:37:46 GOOD AFTERNOON, PRESIDENT SUPERVISORS AND MEMBERS OF THE
01:37:47 PUBLIC. MY NAME IS BENJAMIN REICHERT.
01:37:50 I'M THE POLICY DIRECTOR FOR THE NATIONAL UNION OF HEALTH CARE
01:37:53 WORKERS REPRESENTING THE 2400 PSYCHOLOGISTS, LICENSED
01:37:57 CLINICAL SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS
01:38:00 AND OTHER BEHAVIORAL HEALTH PROFESSIONALS WHO CARE FOR
01:38:01 KAISER PERMANENTE PATIENTS THROUGHOUT NORTHERN CALIFORNIA.
01:38:05 THANK YOU FOR HOLDING THIS HEARING.
01:38:08 THIS IS NOT THE FIRST TIME WE'VE BEEN HERE IN 2022.
01:38:10 THIS BOARD HELD A SIMILAR HEARING IN THE MIDST OF A TEN
01:38:14 WEEK STRIKE DURING WHICH KAISER WAS FOUND TO HAVE CANCELED MORE
01:38:16 THAN 100,000 THERAPY APPOINTMENTS REGION WIDE.
01:38:20 THAT STRIKE ITSELF CAME AFTER MULTIPLE PRIOR STRIKES GOING
01:38:22 BACK MORE THAN A DECADE AND MULTIPLE ROUNDS OF STATE OF
01:38:25 STATE SANCTIONS AGAINST KAISER'S BEHAVIORAL HEALTH
01:38:29 SERVICES DATING ALL THE WAY BACK TO 2013 WHICH INCLUDED THE
01:38:31 IMPOSITION OF AN OUTSIDE MONITOR FOR THREE YEARS.
01:38:34 >> WITH YOUR SUPPORT IN 2022 AND YOU W CLINICIANS ONE MORE
01:38:40 TIME FOR PATIENT CARE DUTIES THAT CAN'T BE DONE DURING
01:38:42 APPOINTMENTS LIKE RESPONDING TO PATIENT CALLS AND TAILORING
01:38:45 TREATMENT PLANS. THEY ALSO WANT A VOICE IN THE
01:38:48 MODEL OF CARE. >> SO AFTER NEARLY TWO DECADES
01:38:50 OF DEFICIENCIES AND LABOR STRIFE IT SEEMED LIKE KAISER
01:38:53 WAS READY TO BEGIN REPAIRING ITS RELATIONSHIP WITH
01:38:56 BEHAVIORAL HEALTH CLINICIANS. UNFORTUNATELY IT ENDED ALMOST
01:39:00 AS QUICKLY AS IT BEGAN. >> SINCE WE SETTLED THAT
01:39:01 CONTRACT IN 2022, KAISER HAS BEEN ASSESSED $231 MILLION
01:39:07 IN STATE AND FEDERAL PENALTIES AS PART OF TWO SEPARATE
01:39:10 INVESTIGATIONS. IN A 2023 SETTLEMENT WITH THE
01:39:13 CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE WHICH
01:39:14 INCLUDED A $50 MILLION FINE, KAISER ACKNOWLEDGED THAT IT
01:39:18 LACKS SUFFICIENT BEHAVIORAL HEALTH PROVIDERS AND THAT QUOTE
01:39:21 THIS LACK OF CLINICAL STAFF HAS RESULTED IN EXCESSIVE WAIT
01:39:26 TIMES FOR ENROLLEE INDIVIDUAL THERAPY APPOINTMENTS.
01:39:30 >> THREE YEARS LATER THE DEPARTMENT OF LABOR ORDERED
01:39:33 KAISER TO REIMBURSE PATIENTS MORE THAN $28 MILLION FOR OUT
01:39:36 OF POCKET MENTAL HEALTH CARE COSTS INCURRED BECAUSE KAISER
01:39:39 DIDN'T PROVIDE THEM THE SERVICES THAT THEY PAID FOR
01:39:40 AND WERE ENTITLED TO RECEIVE. THESE PENALTIES MAY SEEM SEVERE
01:39:44 BUT FOR KAISER THEY'RE A DROP IN THE BUCKET.
01:39:47 LAST YEAR KAISER REPORTED PROFITS OF $9.3 BILLION AND BY
01:39:51 YEAR'S END IT HELD NEARLY 73 BILLION IN RESERVES OF CASH
01:39:56 AND INVESTMENTS. YET DESPITE THESE MASSIVE
01:39:59 FINANCIAL RESOURCES, KAISER EXECUTIVES BACKTRACKED ON THEIR
01:40:03 COMMITMENT TO WORK WITH CLINICIANS TO IMPROVE
01:40:04 BEHAVIORAL HEALTH CARE. THE 2022 CONTRACT INCLUDED
01:40:09 LABOR MANAGEMENT MODEL OF CARE COMMITTEES THAT MADE
01:40:10 RECOMMENDATIONS ON IMPROVING CARE.
01:40:13 NOW KAISER HAS STOPPED FUNDING THE RECOMMENDATIONS OF THOSE
01:40:17 COMMITTEES WHICH THEY HAD CONTRACTUALLY COMMITTED TO DO
01:40:18 AT THE VERY SAME TIME THAT KAISER ENTERED INTO ITS $200
01:40:24 MILLION SETTLEMENT AGREEMENT WITH STATE OFFICIALS.
01:40:25 IT STARTED USING QUESTIONNAIRES AND SCORING ALGORITHMS
01:40:29 ADMINISTERED BY CALL CENTER OPERATORS AND ONLINE TOOLS
01:40:32 RATHER THAN LICENSED BEHAVIORAL HEALTH CLINICIANS TO SCREEN
01:40:35 PATIENTS WHO ARE SEEKING THERAPY FOR THE FIRST TIME.
01:40:38 >> HUMAN ENGAGEMENT AND JUDGMENT HAVE BEEN REMOVED
01:40:41 FROM THIS CLINICAL POINT EXCUSE ME CRITICAL POINT IN THE
01:40:42 PROCESS OF INTAKE AND ASSESSMENT AND INITIALLY
01:40:46 ASSIGNING PATIENTS TO A CARE PATHWAY.
01:40:50 >> DESPITE ALL THIS IN U H W CLINICIANS ARE SIMPLY SEEKING A
01:40:53 CONTRACT WITH KAISER THAT REAFFIRMS THE IMPROVEMENTS
01:40:55 WE'VE BEGUN TOGETHER TO MAKE THINGS BETTER FOR PATIENTS.
01:40:58 UNFORTUNATELY SINCE NEGOTIATIONS STARTED OVER A
01:41:01 YEAR AGO, KAISER PROPOSED REVERSING THE MOST IMPORTANT
01:41:04 GAINS THERAPISTS HAVE MADE. KAISER HAS ALSO PROPOSED WHAT
01:41:08 CLINICIANS ARE CALLING THE TERRIBLE THREE.
01:41:11 THESE THREE EXTREME DEMANDS WOULD DEGRADE THE STANDARD OF
01:41:13 CARE FOR PATIENTS AND SET A DANGEROUS COURSE FOR THE FUTURE
01:41:16 OF BEHAVIORAL HEALTH SERVICES THROUGHOUT THE REGION AND THE
01:41:19 STATE OF COURSE THAT OTHER INSURERS AND PROVIDERS WILL
01:41:22 LIKELY EMULATE TO TRY TO SAVE MONEY.
01:41:23 >> THE FIRST DEMAND INVOLVES ARTIFICIAL INTELLIGENCE
01:41:27 AND IT'S SOUTHERN CALIFORNIA CONTRACT WITH NIH W MEMBERS
01:41:30 SIGNED LAST YEAR. KAISER AGREED THAT THE USE OF
01:41:34 NEW TECHNOLOGIES INCLUDING A.I. QUOTE IS NOT TO REPLACE BUT TO
01:41:37 ASSIST BARGAINING UNIT EMPLOYEES IN PROVIDING SAFE,
01:41:41 THERAPEUTIC AND EFFECTIVE PATIENT CARE AND SUPPORT.
01:41:46 BUT NOW KAISER IS REFUSING TO AGREE TO THAT LANGUAGE
01:41:47 IN NORTHERN CALIFORNIA JUST AS IT HAS BEGUN REPLACING
01:41:50 THERAPISTS WITH TECHNOLOGY TO TRIAGE PATIENTS SEEKING CARE TO
01:41:54 MASK ITS INTENTIONS. KAISER IS PROMOTING AN AI
01:41:58 COMMITTEE BUT THE COMMITTEE WOULD HAVE NO POWER AT ALL.
01:42:00 KAISER COULD VETO THE UNION'S APPOINTMENTS TO IT AND IGNORE
01:42:03 THE COMMITTEE'S RECOMMENDATIONS .
01:42:06 THEIR SECOND DEMAND MAKES A MOCKERY OF KAISER'S STATED
01:42:09 COMMITMENT TO AN INTEGRATED MODEL OF CARE WHERE THERAPISTS
01:42:11 CAN WORK CLOSELY WITH DOCTORS AND OTHER CAREGIVERS UNDER A
01:42:14 UNIFIED CLINICAL MANAGEMENT STRUCTURE.
01:42:17 >> INSTEAD, KAISER IS PROPOSING TO ELIMINATE CONTRACT LANGUAGE
01:42:19 COMMITTING THAT THE USE OF SUBCONTRACTED THERAPISTS QUOTE
01:42:22 WILL NOT RESULT IN THE ELIMINATION AND QUOTE OF
01:42:26 EMPLOYED CLINICIANS. THEY'VE EVEN PROPOSED THE
01:42:30 DETAILS OF SEVERANCE PACKAGES FOR CLINICIANS WHO WOULD BE
01:42:34 LAID OFF. THIS WOULD GIVE KAISER A GREEN
01:42:35 LIGHT TO SUBCONTRACT AN EVEN LARGER VOLUME OF BEHAVIORAL
01:42:38 HEALTH SERVICES TO INDEPENDENT PROVIDERS PERFORMING GIG WORK
01:42:42 ON MENTAL HEALTH PLATFORMS. THESE THERAPISTS CAN'T EASILY
01:42:46 COMMUNICATE WITH THE REST OF KAISER'S CARE TEAM LEAVING
01:42:49 BEHAVIORAL HEALTH CARE AS A SEPARATE AND INFERIOR SERVICE
01:42:50 SEGREGATED FROM THE PROMISE OF KAISER'S INTEGRATED HEALTH CARE
01:42:54 SYSTEM. KAISER'S PROPOSAL WOULDN'T JUST
01:42:57 A GREAT CARE FOR KAISER PATIENTS IT WOULD DEGRADE PAY
01:43:00 AND BENEFIT STANDARDS FOR CLINICIANS INCLUDING THOSE
01:43:02 OUTSIDE OF KAISER WHO HAVE NO VOICE THROUGH A UNION AND WORK
01:43:05 AT THE MERCY OF INSURERS, EMPLOYERS AND PLATFORMS WHOSE
01:43:09 ONLY GOAL IS TO KEEP CLINICIAN REIMBURSEMENTS AS LOW AS
01:43:12 POSSIBLE TO MAXIMIZE THEIR OWN PROFITS.
01:43:13 >> THE THIRD PROVISION WOULD HAND KAISER TOTAL CONTROL TO
01:43:18 DETERMINE HOW CARE IS PROVIDED .
01:43:21 FOR THE FIRST TIME KAISER IS DEMANDING A PROVISION IN THE
01:43:23 CONTRACT STATING THAT KAISER HAS THE SOLE DISCRETION TO
01:43:26 QUOTE DETERMINE OR MODIFY THE BEHAVIORAL HEALTH, OPERATING
01:43:29 AND CLINICAL MODELS OF CARE. >> THIS WOULD FORCE THERAPISTS
01:43:34 TO SURRENDER THE CLINICAL AUTONOMY THEY NEED TO DO THEIR
01:43:37 JOBS IN COMPLIANCE WITH PROFESSIONAL STANDARDS
01:43:38 AND STATE LAW. AND IT WOULD INVITE OTHER MAJOR
01:43:41 INSURERS AND EMPLOYERS TO DEMAND THE SAME OF THEIR
01:43:44 CLINICIANS. >> KAISER'S STATED EXCUSE FOR
01:43:48 MAKING THIS DEMAND IS THAT MENTAL HEALTH PROFESSIONALS
01:43:49 IN SOUTHERN CALIFORNIA AGREED TO IT LAST YEAR.
01:43:52 BUT WHAT KAISER DOESN'T SAY IS THAT IT PROPOSED THAT PROVISION
01:43:56 DEEP INTO A NEARLY SEVEN MONTH STRIKE AND THAT WORKERS VERY
01:43:59 RELUCTANTLY AGREED TO IT AS PART OF A PAINFUL COMPROMISE TO
01:44:01 END THAT BITTER STRUGGLE. KAISER'S TERRIBLE THREE DEMANDS
01:44:04 SHOW THAT INSTEAD OF WORKING WITH CLINICIANS TO IMPROVE
01:44:08 CARE, KAISER WANTS TO SILENCE CLINICIANS AND AVOID
01:44:11 ACCOUNTABILITY. IN THE PROPOSALS KAISER IS
01:44:12 MAKING AT THE BARGAINING TABLE HAVE CONSEQUENCES THAT EXTEND
01:44:16 FAR BEYOND ONE EMPLOYER. >> IF KAISER SUCCEEDS
01:44:19 IN SILENCING ITS CLINICIANS WHILE MOVING FULL STEAM AHEAD
01:44:23 TO OUTSOURCE CARE AND PUSH PATIENTS ONTO A.I. PLATFORMS,
01:44:27 OTHER INSURERS AND EMPLOYERS WILL HAVE EVERY INCENTIVE TO
01:44:30 PURSUE SIMILAR CHANGES THAT WOULD DEGRADE THE QUALITY OF
01:44:32 BEHAVIORAL HEALTH CARE IN SAN FRANCISCO AND ACROSS
01:44:35 CALIFORNIA. THE BOARD OF SUPERVISORS HAS
01:44:38 CONSISTENTLY STOOD FOR EQUITABLE ACCESS TO CARE.
01:44:39 STRONG PUBLIC HEALTH SYSTEMS AND RESPONSIBLE CORPORATE
01:44:43 CONDUCT OPPOSING KAISER'S TERRIBLE THREE PROPOSALS IS
01:44:47 CONSISTENT WITH YOUR VALUES. IT WOULD SEND A CLEAR MESSAGE
01:44:50 THAT SAN FRANCISCO EXPECTS ITS LARGEST PRIVATE INSURER TO
01:44:54 STRENGTHEN AND NOT WEAKEN BEHAVIORAL HEALTH CARE.
01:44:57 IT WOULD TELL KAISER THAT INNOVATION SHOULD SUPPORT
01:44:58 CLINICIANS RATHER THAN REPLACE THEM AND THAT INTEGRATED CARE
01:45:02 SHOULD BE MORE THAN A MARKETING STRATEGY.
01:45:05 MOST IMPORTANTLY, IT WOULD TELL THOUSANDS OF KAISER PATIENTS
01:45:06 THAT THEIR CITY STANDS WITH THEM AND THOSE WHO PROVIDE
01:45:10 THEIR CARE TO DEMAND ACCOUNTABILITY FROM THEIR
01:45:13 POWERFUL AND WELL-ENDOWED HMO. THANK YOU FOR YOUR TIME, YOUR
01:45:17 LEADERSHIP AND YOUR COMMITMENT TO PROTECTING ACCESS TO QUALITY
01:45:21 MENTAL HEALTH CARE FOR THE PEOPLE OF SAN FRANCISCO
01:45:22 AND THROUGHOUT CALIFORNIA. NEXT YOU'RE GOING TO HEAR FROM
01:45:27 THREE THERAPISTS AT KAISER WHO ARE MEMBERS OF H.W. ALANA
01:45:32 MARCIE MORRIS, MOLLY PARSONS AND TIANA LOY.
01:45:49 >> GOOD AFTERNOON. MY NAME IS ALANA MARCIE MORRIS
01:45:53 AND I AM A LICENSED CLINICAL SOCIAL WORKER AND THERAPIST AT
01:45:57 KAISER PERMANENTE IN OAKLAND ADULT PSYCHIATRY.
01:46:00 >> I ALSO SERVE ON MY UNION'S BARGAINING COMMITTEE.
01:46:04 >> FOR MOST OF MY SEVEN YEARS AT KAISER I WORKED AS A TRIAGE
01:46:09 CLINICIAN WHEN SOMEONE CALLED SEEKING MENTAL HEALTH OR
01:46:12 ADDICTION MEDICINE SERVICES WHETHER THEY LIVED IN SAN
01:46:15 FRANCISCO OR STOCKTON. >> THE FIRST PERSON AT KAISER
01:46:19 THEY TALKED TO WOULD BE SOMEONE LIKE ME A LICENSED HUMAN
01:46:23 THERAPIST WITH SPECIALIZED TRAINING TO ASSESS THEIR
01:46:27 CONDITION AND THEIR TREATMENT NEEDS.
01:46:28 >> A TRIAGE SCREENING IS ABOUT DETERMINING RISK AND HOW URGENT
01:46:34 SOMEONE'S TREATMENT NEEDS ARE. >> IS THIS PERSON A THREAT TO
01:46:38 THEMSELVES OR THEIR LOVED ONES? >> OR CAN THEY WAIT TEN DAYS
01:46:42 FOR AN INTAKE APPOINTMENT? >> DO THEY NEED IMMEDIATE
01:46:45 INTERVENTION OR A WELLNESS CHECK?
01:46:49 WE MAKE THESE DETERMINATIONS USING OUR CLINICAL JUDGMENT
01:46:52 AND OUR OWN HUMANITY. >> WE ASK FOLLOW UP QUESTIONS.
01:46:56 >> WE LISTEN TO NOT ONLY WHAT THEY SAY BUT WHAT THEY DON'T
01:47:00 SAY OR HOW THEY SAY IT. >> WE OBSERVE THEIR TONE, THEIR
01:47:04 CONSISTENCY AND LISTEN FOR CUES THAT INDICATE HIGHER RISK OR
01:47:08 IMMEDIATE OR WARRANT IMMEDIATE INTERVENTION.
01:47:12 >> THIS IS THE ACCEPTED STANDARD FOR HOW TRIAGE SHOULD
01:47:16 WORK IN MENTAL HEALTH CARE BUT IT'S NOW THE EXCEPTION AND NO
01:47:20 LONGER THE NORM AT KAISER. >> INSTEAD OF BEING ABLE TO
01:47:24 COUNT ON HUMAN LICENSE THERAPISTS TO ASSESS AND DECIDE
01:47:28 THE BEST FIRST STEPS FOR THEIR TREATMENT RELYING ON OUR
01:47:31 EXTENSIVE TRAINING, PROFESSIONAL JUDGMENT AND MANY
01:47:33 YEARS OF EXPERIENCE CONDUCTING RISK ASSESSMENTS, KAISER
01:47:39 PATIENTS REACHING OUT FOR OUR SERVICES NOW RELY ON THE
01:47:40 INITIAL PHASE OF THEIR CARE BEING DECIDED BY QUESTIONNAIRES
01:47:44 THAT ARE EITHER READ BY TELEPHONE OPERATORS OR
01:47:48 SELF-ADMINISTERED ONLINE. >> THEIR ANSWERS ARE FED INTO
01:47:55 ALGORITHMS THAT INSTANTLY DECIDE IF A PATIENT QUALIFIES
01:47:59 FOR THERAPY A CLASS AN ONLINE COACHING PROGRAM OR NO CARE AT
01:48:04 ALL. WE HAVE FILED COMPLAINTS
01:48:07 AGAINST THIS PRACTICE WHICH STARTED IN 2023.
01:48:10 KAISER HAS REFUSED TO CONFIRM WHETHER THE DIGITAL ALGORITHMS
01:48:14 ARE GENERATED BY ARTIFICIAL INTELLIGENCE BUT THEIR USE
01:48:18 CLEARLY VIOLATES CALIFORNIA LAW REQUIRING TRIAGE ASSESSMENTS TO
01:48:22 BE PROVIDED BY A QUOTE PHYSICIAN REGISTERED NURSE OR
01:48:26 OTHER QUALIFIED HEALTH PROFESSIONAL ACTING WITHIN
01:48:30 THEIR SCOPE OF PRACTICE AND WHO IS TRAINED TO SCREEN OR TRIAGE
01:48:34 AN ENROLLEE WHO MAY NEED CARE END QUOTE.
01:48:38 >> KAISER ISN'T JUST VIOLATING THE LAW BY HAVING NEW
01:48:41 TECHNOLOGY DO THE WORK OF ITS HUMAN CLINICIANS.
01:48:45 >> IT'S VIOLATING PATIENT CARE STANDARDS AND PUTTING PATIENTS
01:48:46 AT RISK. >> ARTIFICIAL INTELLIGENCE
01:48:50 AND ALGORITHMS DON'T CAPTURE WHAT TRAINED HUMANS CAN A
01:48:54 COMMON SYMPTOM OF DEPRESSION, FOR EXAMPLE, IS TO MINIMIZE
01:48:58 YOUR SYMPTOMS WHEN MAKING DETERMINATIONS BASED
01:49:01 EXCLUSIVELY ON PATIENT REPORTING.
01:49:05 >> AN ALGORITHM MAY DEEM A PATIENT WITH MORE SEVERE WITH A
01:49:09 MORE SEVERE CONDITION AS ONLY HAVING A MILD OR LESS
01:49:13 SIGNIFICANT SYMPTOMS. I SEE THIS ALL THE TIME SINCE
01:49:17 KAISER STARTED USING TELEPHONE OPERATORS AND ALGORITHMS TO
01:49:20 SCREEN PATIENTS SEEKING CARE. >> SO AS THAT WORK WAS REDUCED
01:49:28 MY CURRENT JOB WHAT I DO MORE OF THESE DAYS IS PREDOMINANTLY
01:49:32 CONDUCTING SCHEDULED INTAKE ASSESSMENTS WITH PEOPLE WITH
01:49:33 PEOPLE AFTER THEY'VE BEEN QUOTE TRIAGED BY AN UNLICENSED
01:49:37 OPERATOR OR AN E VISIT ON THE KAISER APP.
01:49:42 TYPICALLY AROUND TWO WEEKS LATER THE ACUITY AND CRITICAL
01:49:47 NATURE OF SYMPTOMS I AM SEEN HAS INCREASED SIGNIFICANTLY
01:49:51 BECAUSE THE APP A AI AN ALGORITHM OR AN UNLICENSED
01:49:55 TELEPHONE OPERATOR INCORRECTLY DETERMINED THAT THEY COULD WAIT
01:49:59 TEN DAYS TO SEE ME OR THEY PERHAPS WAITED EVEN LONGER
01:50:03 BECAUSE THEY WERE INAPPROPRIATELY BOOKED
01:50:05 ELSEWHERE AND NOW I HAVE TO FIX THEIR CARE PLAN.
01:50:08 I HAVE WATCHED PATIENTS WITHDRAW FROM SUBSTANCES ON
01:50:11 CAMERA BECAUSE NOBODY TOLD THEM TO GO TO THE E.R.
01:50:15 OR CONSULT A PHYSICIAN SOONER. APOLOGIZING TO PATIENTS DURING
01:50:19 AN INAPPROPRIATE DAILY BOOKED INTAKE APPOINTMENT BECAUSE THEY
01:50:24 EXPECTED TO BE SEEN BY A PSYCHIATRIST CAPABLE OF
01:50:28 REFILLING THEIR CRITICAL MEDICATION HAS BECOME A ROUTINE
01:50:31 PART OF MY DAY'S. AS A MEMBER OF OUR UNION'S
01:50:36 BARGAINING TEAM. I DIDN'T THINK NEW TECHNOLOGIES
01:50:38 LIKE ARTIFICIAL INTELLIGENCE AND ALGORITHMS WERE GOING TO BE
01:50:42 A MAJOR ISSUE IN OUR NEGOTIATIONS.
01:50:43 >> LAST YEAR OUR COUNTERPARTS WHO PROVIDED WHO PROVIDE
01:50:47 BEHAVIORAL HEALTH CARE FOR KAISER IN SOUTHERN CALIFORNIA
01:50:51 SETTLED A CONTRACT WITH LANGUAGE STATING THE INTENTION
01:50:54 OF NEW TECHNOLOGIES WAS TO SUPPORT THERAPIES NOT REPLACE
01:50:58 US. SO WE WERE STUNNED WHEN KAISER
01:50:59 REJECTED THAT EXACT LANGUAGE FOR US HERE IN NORTHERN
01:51:03 CALIFORNIA. WE ASKED THEIR BARGAINING TEAM
01:51:07 FLAT OUT IF THAT MEANT THEY WERE PLANNING TO REPLACE US
01:51:10 AND THEY SAID THAT THEY WANTED THAT FLEXIBILITY.
01:51:14 >> I BELIEVE KAISER CAN'T PROMISE NOT TO REPLACE US WITH
01:51:19 AI IN OUR CONTRACT BECAUSE IT IS ALREADY DOING IT.
01:51:22 >> IT IS ALREADY USING NEW TECHNOLOGY TO TAKE WORK AWAY
01:51:26 FROM US HUMAN LICENSE THERAPISTS AND IT WANTS TO BE
01:51:30 ABLE TO REPLACE US ALTOGETHER. >> KAISER HAS NEVER TRULY
01:51:36 UNDERSTOOD MENTAL HEALTH CARE. THE RELATIONSHIP BETWEEN THE
01:51:38 THERAPISTS AND THE PATIENT IS AN INTEGRAL PART OF OUR
01:51:41 TREATMENT. OUR PATIENTS AREN'T COMING TO
01:51:45 US WITH BROKEN BONES. >> YOU CAN'T FIX DEPRESSION
01:51:48 WITH A SCREW IN A NAIL. >> THIS IS INHERENTLY HUMAN
01:51:52 WORK AND WE HAVE TO USE OUR HUMANITY.
01:51:55 I USE MY HUMAN EMPATHY TO HELP PATIENTS HEAL AND I USE MY
01:52:00 HUMAN ANXIETY TO KEEP MY PATIENTS ALIVE.
01:52:04 WHEN MY ANXIETY GOES OFF MY INTERNAL METER THAT THIS
01:52:08 PATIENT NEEDS A LITTLE BIT MORE OF MY ATTENTION TO STAY SAFE
01:52:12 THAT GIVES ME THE CHANCE TO LEAN INTO THEIR CARE.
01:52:15 WHEN THOSE RISK FACTORS PILE UP AS A HUMAN I AM ALSO
01:52:22 ACCOUNTABLE. >> I CAN LOSE MY LICENSE IF I
01:52:24 COMMIT MALPRACTICE. >> WILL SOFTWARE DEVELOPERS OR
01:52:30 BILLION DOLLAR HEALTH PLANS BE HELD ACCOUNTABLE WHEN
01:52:31 TECHNOLOGY MAKES A FATAL ERROR ?
01:52:36 I DO NOT SEE AI BEING USED FOR GOOD.
01:52:40 >> WHERE I WORK I SEE IT MAKING DANGEROUS PATIENT CARE ERRORS.
01:52:44 I SEE IT REINFORCING RACIAL AND GENDER BIAS.
01:52:49 >> YET KAISER IS PROPOSING TO INCREASE ITS ABILITY TO LAY OFF
01:52:54 THERAPISTS AND OUTSOURCE MORE PATIENTS TO THIRD PARTY
01:52:57 COMPANIES THAT USE CHAT BOT COACHING CHAT BASED THERAPY
01:53:01 AND OTHER INNOVATIVE BEHAVIORAL HEALTH APPS IN ORDER TO REDUCE
01:53:06 ITS NEED FOR HUMAN LABOR. >> THIS ISN'T ABOUT GENUINE
01:53:10 INNOVATION. IT'S ABOUT SAVING A BUCK AT THE
01:53:14 EXPENSE OF PATIENT CARE AND PUBLIC HEALTH.
01:53:17 IF WE DON'T STOP THEM NOW WE WON'T STAND A CHANCE DOWN THE
01:53:21 ROAD. >> THANK YOU.
01:53:31 >> HELLO, EVERYBODY. MY NAME IS MOLLY PARSONS.
01:53:35 I AM A THERAPIST AT KAISER AND I HAVE BEEN FOR FIVE YEARS.
01:53:39 >> BUT I ALSO HAVE A PRIVATE PRACTICE WHERE I WORK WITH AN
01:53:42 AGENCY OR A THIRD PARTY CONTRACTOR AND NON KAISER
01:53:43 PATIENTS. SO MY AGENCY THAT I WORK FOR IS
01:53:46 SIMILAR TO THOSE THAT KAISER WANTS TO OUTSOURCE CARE TO FOR
01:53:50 AS MANY MENTAL HEALTH BEHAVIORAL HEALTH PATIENTS AS
01:53:53 IT CHOOSES EVEN IF THAT MEANS LAYING OFF STAFF THERAPISTS
01:53:54 LIKE MYSELF. NOW IF YOU'VE EVER SEEN A
01:53:58 KAISER ADVERTISEMENT AND THEY'RE HARD TO AVOID, YOU
01:54:00 KNOW THAT KAISER TOUTS ITS INTEGRATED HEALTH CARE SYSTEM.
01:54:02 >> ALL OF YOUR PROVIDERS ARE UNDER ONE ROOF COMMUNICATING
01:54:05 AND COORDINATING COORDINATING CARE FOR YOU SEAMLESSLY.
01:54:08 >> AND IN FAIRNESS, THAT MODEL THAT INTEGRATED HEALTH CARE
01:54:12 SYSTEM IS AN EXCELLENT MODEL. THAT'S WHY I CAN'T REALLY
01:54:15 UNDERSTAND WHY KAISER WANTS TO SEGREGATE BEHAVIORAL HEALTH
01:54:16 FROM IT AND TREAT IT AS A SECOND CLASS SERVICE WITHIN
01:54:21 KAISER. >> I COMMUNICATE WITH OTHER
01:54:24 CARE PROVIDERS TO LET THEM KNOW ABOUT WHAT IS GOING ON WITH A
01:54:26 MUTUAL PATIENT TO NUDGE THEM WHEN THEY'VE DROPPED THE BALL
01:54:28 OR VICE VERSA FRANKLY AND TO ADVOCATE FOR THE NEEDS OF
01:54:31 CLIENTS. I CAN SEE WHAT IS PHYSICALLY
01:54:32 IMPACTING PATIENTS IF THEY'VE BEEN HOSPITALIZED OR ADMITTED
01:54:35 TO THE E.R. AND ANY TEST RESULTS.
01:54:38 >> I CAN SEE WHAT APPOINTMENTS THEY'VE ATTENDED OR THOSE THAT
01:54:40 THEY'VE MISSED AND KNOWING ALL OF THIS INFORMATION HELPS ME
01:54:43 PROVIDE BETTER RESOURCES FOR EACH CLIENT AND HELPS ME BETTER
01:54:46 PREPARE FOR EACH SESSION. THE OPPOSITE IS TRUE WHEN I'M
01:54:49 SEEING PATIENTS THROUGH THIRD PARTY CONTRACTORS.
01:54:52 WHEN I OPEN THEIR CHARTS I DON'T SEE ANY NOTES FROM THEIR
01:54:54 PHYSICIANS. I DON'T KNOW WHAT IS HAPPENING
01:54:57 WITH THEM PHYSICALLY OR MEDICALLY.
01:54:58 >> TYPICALLY CLIENTS USE THESE THIRD PARTY CONTRACTORS FOR
01:55:00 THERAPY ONLY AND THEY EVEN GET PSYCHIATRIST CARE ELSEWHERE.
01:55:04 >> IF I HAVE CONCERNS ABOUT PHYSICAL OR MEDICAL ISSUES,
01:55:06 IT'S DIFFICULT TO CONNECT WITH THE OTHER CARE PROVIDERS.
01:55:09 AND SO OFTEN THERE ISN'T ANY CONSULTATION WHEN OUTSIDE
01:55:13 THERAPISTS CANNOT EVEN PRESCRIBE TIME OFF WORK OR GIVE
01:55:14 ACCOMMODATIONS IF THOSE ARE NEEDED.
01:55:17 SO THERE'S SOMETHING ELSE TO UNDERSTAND ABOUT REFERRING
01:55:19 PEOPLE OUTSIDE OF KAISER. >> NEARLY ALL OF THE
01:55:21 APPOINTMENTS WITH KAISER KAISER'S THIRD PARTY BEHAVIORAL
01:55:25 HEALTH CONTRACTORS ARE TELEHEALTH AND THAT DOESN'T
01:55:28 WORK FOR A LOT OF PEOPLE LIKE OLDER ADULTS, YOUNGER KIDS
01:55:30 AND THOSE WHO DON'T HAVE A SAFE SPACE TO TAKE A CALL FROM.
01:55:33 >> THESE ISSUES ARE PART OF THE REASON MANY KAISER PATIENTS WHO
01:55:37 HAVE BEEN REFERRED TO A THIRD PARTY CONTRACTOR END UP
01:55:40 RETURNING TO KAISER. >> PEOPLE'S CONDITIONS OFTEN
01:55:42 GET WORSE WHEN THEY'VE BOUNCED BACK AND FORTH BETWEEN KAISER
01:55:45 AND EXTERNAL PROVIDERS. THE SHUFFLING AMONG MULTIPLE
01:55:48 CLINICIANS INHIBITS THE THERAPEUTIC ALLIANCE
01:55:49 AND DISRUPTS THE CONTINUITY OF CARE.
01:55:53 >> WHAT'S MORE, WHEN THEY RETURN TO KAISER FROM OUTSIDE
01:55:55 TREATMENT IT'S HARDER FOR US TO MEET THEIR NEEDS BECAUSE OUR
01:55:57 SCHEDULES ARE SO FULL. >> WE CAN'T SEE THEM AS QUICKLY
01:56:00 AS THEY NEED TO BE SEEN AND WE CAN'T GIVE THEM THE FREQUENCY
01:56:03 THAT THEY NEED. THEY ARE STUCK THEN CHOOSING
01:56:06 BETWEEN MORE FREQUENT THERAPY WITH AN EXTERNAL PROVIDER
01:56:07 WITHOUT THE INTEGRATED MODEL THEY SIGNED UP FOR AND PAY FOR
01:56:11 OR TO BE SEEN LESS FREQUENTLY THAN THEY NEED.
01:56:14 >> ONE OF THE MOST FRUSTRATING ASPECTS OF THIS THIRD PARTY
01:56:18 CONTRACTORS IS THEY SEE THE EASY CLIENTS WITH MILD ISSUES
01:56:22 THOSE THAT LIKELY COULD BE SEEN LESS FREQUENTLY BUT THEY ARE
01:56:26 THE PEOPLE WHO CANNOT HOOK BUT THEIR EXCUSE ME BUT THEY ARE
01:56:30 THE PEOPLE WHO CAN ACTUALLY SEE CLIENTS WEEKLY.
01:56:31 >> THE THIRD PARTY CONTRACTORS ARE.
01:56:34 >> KAISER KEEPS ALL THE SEVERE AND HIGH NEEDS CLIENTS TO QUOTE
01:56:37 UNQUOTE MONITOR THEM. BUT TELL ME HOW CAN I MONITOR
01:56:41 MY HIGH NEEDS CLIENTS WHEN I DON'T HAVE ANY OPEN
01:56:42 APPOINTMENTS? >> ONE OF THE DEFICIENCIES
01:56:45 KAISER WAS CITED FOR AS PART OF THE 200 MILLION STATE
01:56:48 SETTLEMENT AGREEMENT WAS NOT ADEQUATELY MONITORING ITS
01:56:51 EXTERNAL PROVIDER NETWORKS. I'VE BEEN SEEN AS A CLIENT
01:56:55 MYSELF THROUGH THESE EXTERNAL PROVIDER NETWORKS AND I CAN
01:56:56 ATTEST TO MY NEGATIVE EXPERIENCE.
01:56:59 I'VE HAD A THERAPIST NOT SHOW UP MULTIPLE TIMES, NOT FOCUS ON
01:57:01 THE ISSUES THAT I'VE RAISED. I'VE ASKED FOR SPECIFIC TYPES
01:57:04 OF THERAPY AND BEEN ASSIGNED TO THERAPISTS.
01:57:07 AND WHEN I MEET THEM THEY DON'T PROVIDE THAT AT ALL.
01:57:09 NOW KAISER WANTS TO BE ABLE TO RELY ON EXTERNAL PROVIDER
01:57:12 NETWORKS ENTIRELY AND LAY OFF ITS STAFF THERAPISTS.
01:57:15 >> KAISER'S HYPOCRISY IS MADDENING IN PUBLIC IT SAYS
01:57:19 JOIN US AND YOU'LL GET THE BENEFITS OF INTEGRATED HEALTH
01:57:20 CARE. BUT IN PRIVATE CONTRACT
01:57:23 NEGOTIATIONS, KAISER TELLS US THAT MENTAL HEALTH ISN'T
01:57:26 IMPORTANT ENOUGH TO REMAIN PART OF ITS INTEGRATED HEALTH CARE
01:57:28 SYSTEM. >> LOOK AT THE BIG PICTURE
01:57:31 KAISER HAS $73 BILLION IN RESERVES AND IT HAS RACKED
01:57:36 UP $231 MILLION IN PENALTIES FOR MENTAL HEALTH VIOLATIONS
01:57:37 OVER THE PAST THREE YEARS ALONE.
01:57:40 >> YET ONE OF THE MAIN REASONS WE DON'T HAVE A CONTRACT OVER A
01:57:44 YEAR OF NEGOTIATIONS IS THAT KAISER IS INSISTING ON BEING
01:57:47 ABLE TO PROVIDE A LESSER STANDARD OF CARE TO BEHAVIORAL
01:57:48 HEALTH PATIENTS AND THE CHANGES IT WANTS TO MAKE COMPLETELY
01:57:52 CONTRADICT HOW KAISER MARKETS ITSELF TO THE PATIENTS WE
01:57:56 SERVE. MAKE IT MAKE SENSE TO ME.
01:57:59 WHAT KAISER IS PROPOSING WOULDN'T JUST BE BAD FOR KAISER
01:58:01 PATIENTS IT WOULD BE BAD FOR BEHAVIORAL HEALTH CARE IN SAN
01:58:04 FRANCISCO AND CALIFORNIA. >> KAISER'S PROPOSAL WOULD
01:58:07 FURTHER ENCOURAGE OTHER HMOS AND PROVIDER GROUPS TO TREAT
01:58:10 BEHAVIORAL HEALTH AS A SEPARATE AND THEREFORE LESSER SERVICE
01:58:15 AND FOLLOW KAISER IN TAKING STEPS TO LOWER THEIR COSTS
01:58:16 AND REPLACE HUMAN CARE WITH TECHNOLOGY.
01:58:19 >> AT A MOMENT WHEN INSURERS ARE ALREADY CUTTING
01:58:22 REIMBURSEMENT RATES FOR MENTAL HEALTH THERAPY, KAISER'S
01:58:24 PROPOSAL WOULD DRIVE EVEN MORE CALIFORNIA THERAPISTS TO FORGO
01:58:26 INSURANCE AND ONLY SEE PATIENTS WHO CAN PAY OUT OF POCKET.
01:58:30 >> KAISER CLEARLY WANTS TO RADICALLY DOWNSIZE ITS
01:58:34 BEHAVIORAL HEALTH WORKFORCE AND RELY MORE ON APPS
01:58:35 AND EXTERNAL VENDORS. WE WANT KAISER TO PROVIDE GOOD
01:58:38 CARE AND GOOD JOBS JUST LIKE THEIR ADS SAY THEY WILL.
01:58:40 >> THANK YOU. >> BEFORE THE NEXT SPEAKER I
01:58:49 WOULD LIKE TO TELL MEMBERS OF THE PUBLIC THERE IS A
01:58:53 PROHIBITION ON AUDIBLE SOUNDS OF SUPPORT OR OPPOSITION
01:58:55 OUTSIDE OF OUR ACCOMMODATION PERIOD.
01:58:56 SO IF YOU WOULD LIKE TO SHOW YOUR SUPPORT PLEASE USE YOUR
01:59:00 HANDS. >> THANK YOU.
01:59:07 >> HI MY NAME IS TIANA LE AND I'M A THERAPIST FOR KAISER
01:59:12 HERE IN SAN FRANCISCO. I STARTED LATE LAST YEAR TO BE
01:59:15 PART OF A NEW LGBTQ PLUS TREATMENT TRACK LAST MONTH.
01:59:19 >> I TOLD MANAGEMENT THAT I WAS LEAVING KAISER BECAUSE THE
01:59:20 TRACK HAD NOT YET MATERIALIZED AND I WASN'T TREATING THE
01:59:24 PEOPLE I KNEW THAT COULD BEST SERVE.
01:59:27 >> BUT I'M STILL HERE BECAUSE TO MY SHOCK MANAGEMENT
01:59:30 RESPONDED BY FINALLY GETTING THE LGBTQ PLUS TRACK UP
01:59:34 AND RUNNING. >> I'M GIVING IT A SHOT BUT
01:59:35 THERE ARE STILL REALLY BIG PROBLEMS.
01:59:38 >> SO TO START WE DON'T HAVE ENOUGH STAFF OR CLINICAL
01:59:40 AUTONOMY TO DO OUR BEST FOR PATIENTS AND THERE IS
01:59:43 ABSOLUTELY NO EXCUSE FOR THIS. INSTEAD OF SEEING PEOPLE EVERY
01:59:47 TWO WEEKS AS REQUIRED BY STATE LAW, MY PATIENTS ON AVERAGE IF
01:59:50 THEY'RE LUCKY, HAVE TO WAIT 3 TO 4 WEEKS BETWEEN
01:59:53 APPOINTMENTS. THERE HAVE BEEN TIMES WHEN A
01:59:56 CLIENT HAS REACHED OUT TO ME SAYING I'VE HAD A LOVED ONE
01:59:57 PASS AWAY. DO YOU HAVE AN APPOINTMENT?
02:00:01 CAN I BE SEEN SOONER? AND I HAVE TO SAY NO.
02:00:04 >> OTHER TIMES I'VE HAD THE LAST MINUTE AND TAKE
02:00:05 APPOINTMENTS WITH PATIENTS WHO ARE HIGHER RISK AND NEED TO BE
02:00:08 SEEN WEEKLY BUT I CAN'T SEE THEM FOR THREE WEEKS BECAUSE I
02:00:12 DON'T HAVE ANY APPOINTMENTS. >> KAISER IS A MODEL OF CARE.
02:00:16 >> FLAT OUT DOES NOT WORK. IT OFTEN TAKES PATIENTS A MONTH
02:00:20 BETWEEN WHEN THEY ARE FIRST SCREENED FOR TREATMENT AND WHEN
02:00:21 THEY ACTUALLY START TREATMENT WITH THEIR KAISER THERAPIST.
02:00:24 BY THE TIME THEY COME TO US THEIR SYMPTOMS ARE OFTEN WORSE
02:00:27 AND THEY'RE UPSET OVER HOW THEY'VE BEEN TREATED AND THAT
02:00:30 THEY'RE GOING TO HAVE TO WAIT ANOTHER FEW WEEKS TO BE SEEN
02:00:32 AGAIN. AND SO THE CYCLE CONTINUES.
02:00:34 >> THE SCREENING PROCESS ITSELF HAS BEEN DEGRADED.
02:00:38 NOW THAT KAISER USES TELEPHONE OPERATORS AND ALGORITHMS TO
02:00:40 SCREEN PATIENTS, THERE IS NO METHOD FOR THEM TO REQUEST
02:00:43 PREFERENCES IN A THERAPIST THAT MIGHT INFLUENCE TREATMENTS SUCH
02:00:46 AS CULTURAL BACKGROUND OR GENDER IDENTITY.
02:00:50 I'VE HAD LGBTQ PLUS PATIENTS TELL ME THEY'VE WAITED FOREVER
02:00:52 TO FIND A CLINICIAN WITH MY BACKGROUND AND THAT THEY WERE
02:00:55 GOING TO FOREGO TREATMENT IF THEY DID NOT COME TO SOMEONE
02:00:59 LIKE ME. >> WHEN PATIENTS ARE
02:01:02 ESSENTIALLY TOLD HERE IS YOUR OPTION, TAKE IT OR LEAVE IT
02:01:03 THAT IS NOT ETHICAL AND THAT IS NOT GOOD CLINICAL CARE.
02:01:07 >> NOT AT ALL. >> KAISER IS A MODEL DOESN'T
02:01:10 JUST SHORTCHANGE PATIENTS ON THEIR WAY INTO THE SYSTEM.
02:01:14 >> THERE'S A TREND WE HAVE CALLED KAISER EYES.
02:01:17 SO KAISER TAKES UP IN SPACE TREATMENTS AND OFFERS PATIENTS
02:01:18 LESS THAN A CLINICAL STANDARD. SO FOR EXAMPLE A 90 MINUTE
02:01:22 SESSION BECOMES A 60 MINUTE SESSION AT KAISER A PROGRAM
02:01:26 THAT REQUIRES 12 SESSIONS TO GRADUATE BECOMES AN EIGHT
02:01:28 SESSION PROGRAM A KAISER KAISER MODEL IS TO KEEP PUTTING LESS
02:01:32 CHEERIOS IN THE BOX AND HOPE THAT NO ONE NOTICES DENIALS.
02:01:35 >> A VOICE IN THE MODEL OF CARE WOULD HELP ENSURE NO SORRY
02:01:39 WOULD HELP KAISER ENSURE NO ONE EVER NOTICES.
02:01:43 >> KAISER'S APPROACH TO BEHAVIORAL HEALTH CARE BOILS
02:01:47 DOWN TO THIS. KEEP STAFFING LOW AND MAKE
02:01:48 EVERYONE DO NONSTOP WORK. >> IN PREVIOUS JOBS I'VE HELD
02:01:51 I'D HAVE ABOUT 20 TO 25 POINTS PER WEEK.
02:01:55 >> BUT AT KAISER I'M EXPECTED TO SEE 31 PATIENTS PER WEEK.
02:01:58 >> THERE IS ALMOST NEVER ENOUGH TIME FOR CHART REVIEW
02:02:02 PREPARATION. >> CLINICAL DOCUMENTATION
02:02:05 AND FOLLOW UP CARE COORDINATION AND CONSULTATIONS.
02:02:07 >> IF I HAVE A CANCELLATION ON MY SCHEDULE I HAVE TIME TO
02:02:10 AND DRINK WATER. IF I'M LUCKY BUT THEN TYPICALLY
02:02:13 I'M IMMEDIATELY BOOKED AT THE LAST MINUTE USUALLY WITH A HIGH
02:02:17 ACUITY PATIENT AND ALMOST NEVER ENOUGH TIME TO REVIEW THEIR
02:02:21 CHARTS. >> KAISER WANTS MAXIMUM
02:02:22 PRODUCTIVITY BUT WE'RE NOT MAKING WIDGETS.
02:02:25 WE'RE HELPING PEOPLE CONFRONT DEVASTATING TRAUMA AND DISCUSS
02:02:28 THEIR MOST PRIVATE THOUGHTS. >> WE NEED TO BE 100% PRESENT.
02:02:32 >> BUT IS MY LAST PATIENT OF THE DAY GETTING AS MUCH AS ME
02:02:36 AS MY FIRST PATIENT? >> MY ONLY HOPE IN TRYING TO
02:02:39 STAY WITH KAISER IS THAT WE'RE BARGAINING FOR A NEW CONTRACT
02:02:44 AND THAT WE CAN MAKE THINGS BETTER.
02:02:46 BUT KAISER WANTS TO MAKE THINGS WORSE.
02:02:47 >> THEY WANT TO BE ABLE TO PUT PATIENTS INTO THE PRECIOUS HOUR
02:02:50 OR SO A PERSPECTIVE TIME I GET EVERY DAY TO PREPARE FOR
02:02:54 APPOINTMENTS AND THEN FRANTICALLY RESPOND TO PATIENT
02:02:55 CALLS AND EMAILS, FINISH MAKING NOTES AND PATIENT CHARTS
02:02:58 AND CALL SOCIAL SERVICE AGENCIES.
02:03:02 >> IF KAISER PREVAILS AND CONTRACT NEGOTIATIONS I
02:03:05 WON'T BE ABLE TO DO THIS JOB ANYMORE.
02:03:06 >> THERE WOULD BE NO BREAK WHATSOEVER JUST TO BREATHE.
02:03:09 IT WOULD BE PHYSICALLY MENTALLY AND EMOTIONALLY IMPOSSIBLE TO
02:03:13 DO THE JOB BECAUSE WE'RE ALREADY STRETCHED SO THIN.
02:03:16 >> IT'S ONE THING TO WORK FRANTICALLY KNOWING THAT YOUR
02:03:20 WORK IS MAKING A DIFFERENCE BUT IT'S INTOLERABLE WHEN YOU KNOW
02:03:24 THAT AS FAST AND AS HARD AS YOU WORK IT'S NOT ENOUGH FOR THE
02:03:28 PEOPLE WHO DEPEND ON YOU. WHEN I SEE PATIENTS ONLY ONCE A
02:03:32 MONTH IT'S HARD TO BUILD RAPPORT.
02:03:33 IT FEELS LIKE EACH TIME YOU MEET YOU'RE STARTING OVER.
02:03:36 IT'S TERRIBLE FOR PATIENTS. THEY GET FRUSTRATED.
02:03:39 SOMETIMES THEY GET INTO CRISES AND NEED A HIGHER LEVEL OF
02:03:40 CARE. WE ALL KNOW THAT KAISER HAS A
02:03:43 PROBLEM WHEN IT COMES TO BEHAVIORAL HEALTH CARE.
02:03:45 >> THE QUESTION IS HOW DO WE SOLVE IT?
02:03:47 KAISER THINKS THAT ONLY MANAGEMENT CONTROL CAN FIX THE
02:03:51 PROBLEM BUT THEY DON'T KNOW WHAT THE REAL PROBLEM IS.
02:03:54 THEY THINK THE PROBLEM IS THAT THEY'RE GETTING FINED
02:03:57 AND PENALIZED AND THE SOLUTION IS TO SILENCE THOSE OF US WHO
02:04:01 BLOW THE WHISTLE ON THEM. >> SO FOR CLINICIANS LIKE ME,
02:04:06 THE GOAL IS NOT TO HELP KAISER STAY OUT OF TROUBLE WITH STATE
02:04:07 AND FEDERAL REGULATORS. OUR GOAL IS TO HELP OUR
02:04:10 PATIENTS TO THE BEST OF OUR ABILITY.
02:04:14 >> WE CAN'T DO THAT IF WE HAVE NO SAY IN KAISER'S MODEL OF
02:04:18 CARE. >> DO YOU REALLY TRUST THAT
02:04:19 KAISER MANAGEMENT ALONE CAN FIX THIS PROBLEM?
02:04:22 >> BECAUSE AFTER A YEAR AT KAISER I CERTAINLY DON'T THANK
02:04:24 YOU. >> THANK YOU ALL THE
02:04:29 PRESENTERS. BEFORE WE GOT TO QUESTIONS
02:04:32 LET'S COP ALL THE PRESENTATIONS .
02:04:36 LET'S CAN WE HAVE DR. ADJUSTMENTS MYTH ASSOCIATE
02:04:39 EXECUTIVE DIRECTOR OF THE NATIONAL ASSOCIATION OF SOCIAL
02:04:41 WORKERS CALIFORNIA CHAPTERS UP AND THEN AFTER DR. SMITH LET'S
02:04:44 HAVE DR. LINDA MICHAELS CHAIR OF THE CELL THERAPY ACTION
02:04:52 NETWORK. >> DR. SMITH GOOD AFTERNOON
02:04:56 PRESIDENT, CHAIR AND SUPERVISORS THANK YOU FOR
02:04:57 THE OPPORTUNITY TO JOIN THE DISCUSSION TODAY.
02:05:00 MY NAME IS DR. JASMINE SMITH. I'M A DOCTOR OF SOCIAL WORK
02:05:04 AND LICENSED CLINICAL SOCIAL WORKER AND THE ASSOCIATE
02:05:07 EXECUTIVE DIRECTOR OF THE NATIONAL ASSOCIATION OF SOCIAL
02:05:08 WORKERS CALIFORNIA CHAPTER WHERE I LEAD STATEWIDE
02:05:11 PROFESSIONAL DEVELOPMENT POLICY ADVOCACY AND LEGISLATIVE
02:05:15 INITIATIVES THAT STRENGTHEN BEHAVIORAL HEALTH WORKFORCE
02:05:18 AND REPRESENT MORE THAN 9000 PROFESSIONAL AND STUDENT SOCIAL
02:05:20 WORKERS SUPPORTING VULNERABLE COMMUNITIES.
02:05:22 SOCIAL WORKERS ARE GUIDED BY THE ENHANCED W CODE OF ETHICS
02:05:26 GROUNDED IN THE PRINCIPLES OF SERVICE SOCIAL JUSTICE, DIGNITY
02:05:30 AND WORTH OF THE PERSON. THE IMPORTANCE OF HUMAN
02:05:31 RELATIONSHIP UP'S INTEGRITY AND COMPETENCE THEY ARE ETHICAL
02:05:35 OBLIGATIONS THAT GUIDE EVERY CLINICAL DECISION WE MAKE
02:05:39 IN EVERY RELATIONSHIP THAT WE BUILD WITH THOSE WE SERVE.
02:05:42 ADDITIONALLY, AS REGISTERED ASSOCIATES AND LICENSED
02:05:46 PROFESSIONALS WE ARE ALSO HELD ACCOUNTABLE TO THE CALIFORNIA
02:05:49 BOARD OF BEHAVIORAL SCIENCES TO PROVIDE COMPETENT APPROPRIATE
02:05:51 CARE CONSISTENT WITH OUR ETHICAL AND LEGAL
02:05:54 RESPONSIBILITIES. HOWEVER, MANY OF OUR MEMBERS
02:05:57 EMPLOYED BY KAISER HAVE REPORTED THAT THEY FELT
02:05:59 SYSTEMIC BARRIERS DIRECTLY IMPACTED THEIR ABILITY TO
02:06:02 ADHERE TO THE CODE OF ETHICS. FIRST, BEHAVIORAL HEALTH
02:06:06 SCREENINGS ARE TYPICALLY A CLIENT'S FIRST INTERACTION
02:06:08 IN SEEKING MENTAL HEALTH CARE AND IT IS CRUCIAL THAT THEY ARE
02:06:12 MET WITH AN ETHICALLY AND CULTURALLY COMPETENT
02:06:13 PROVIDER WHO CAN NOT ONLY PROVIDE THE EMPATHY AND WARMTH
02:06:17 REQUIRED TO AUTHENTICALLY BUILD RAPPORT BUT AID THEM SCUSE ME
02:06:20 AID THE CLIENT IN SHARING THEIR CONCERNS AND SYMPTOMS.
02:06:24 THE LICENSED CLINICIAN CONDUCTING THE ASSESSMENT HAS
02:06:28 THE EXPERTISE AND KNOWLEDGE TO RECOGNIZE THE SUBTLE SIGNS OF
02:06:31 CRISIS TRAUMA OR ESCALATING RISK THAT MAY NOT BE OBVIOUS
02:06:36 IN A SCRIPTED CONVERSATION. IT IS DEEPLY CONCERNING TO
02:06:37 LEARN THAT KAISER PERMANENTE HAS REPLACED LICENSED
02:06:41 BEHAVIORAL HEALTH PROFESSIONALS.
02:06:42 WHAT UNLICENSED STAFF AN ALGORITHM WILL SCUSE ME
02:06:44 ALGORITHMICALLY DIRECTED SCREENING TOOLS DURING THE
02:06:48 INITIAL INTAKE PROCESS SINCE JANUARY 2020 FOR THE CALL
02:06:52 CENTER OPERATORS WHO APPLY THESE TOOLS ARE NOT QUALIFIED
02:06:56 TO RECOGNIZE RISK FACTORS EXERCISE PROFESSIONAL JUDGMENT
02:07:00 AND DETERMINE THE APPROPRIATE LEVEL AND URGENCY OF CARE.
02:07:03 >> ADDITIONALLY, KAISER HAS REFUSED TO ANSWER WHETHER
02:07:07 SCREENING TOOLS RELY IN ANY WAY ON ARTIFICIAL INTELLIGENCE.
02:07:11 >> A.I. CAN ONLY REFLECT THE DATA THAT IT IS TRAINED ON.
02:07:15 AND WE KNOW THAT HEALTH CARE DATA REFLECTS LONG STANDING
02:07:16 IN EQUITIES. >> RESEARCHERS INCLUDING DR.
02:07:19 TIERRA TANSLEY HAS RECENTLY HIGHLIGHTED HOW I CAN REINFORCE
02:07:23 EXISTING DISPARITIES WHEN HISTORIC BIAS IS BUILT INTO THE
02:07:27 DATA USED TO DEVELOP THESE TOOLS.
02:07:28 >> A 2022 STUDY AND FOUND THAT A MACHINE LEARNING SYSTEM
02:07:31 ALGORITHM CAUSED BLACK PATIENTS TO EXPERIENCE 33% LONGER WAIT
02:07:36 TIMES BECAUSE IT RELIED ON FACTORS THAT WERE CLOSELY TIED
02:07:40 TO RACE. >> AND MORE RECENTLY IN 2020
02:07:43 FOR A SYSTEMIC REVIEW FOUND THAT RACIAL DISPARITIES
02:07:46 IN HEALTH CARE AI ARE DRIVEN BY BIASED DATASETS HISTORICAL
02:07:50 INEQUITIES, ALGORITHM DESIGN AND THE WAY THESE SYSTEMS ARE
02:07:54 IMPLEMENTED. KAISER PERMANENTE PLANS TO
02:07:58 EXPAND THE USE OF AI ALGORITHMS AND BEHAVIORAL HEALTH SCREENING
02:08:01 AND TREATMENT BUT WHEN THEY ARE DOING THAT THESE STUDIES CANNOT
02:08:05 BE IGNORED. >> DECISIONS ABOUT HOW QUICKLY
02:08:06 SOMEONE RECEIVES TREATMENT OR WHAT LEVEL OF CARE THEY NEED
02:08:10 SHOULD NOT BE INFLUENCED BY TECHNOLOGY THAT REINFORCES
02:08:13 EXISTING DISPARITIES. I CAN BE A HELPFUL TOOL TO
02:08:17 SUPPORT ADMINISTRATIVE TASKS OR ASSIST CLINICIANS BUT IT SHOULD
02:08:19 NEVER REPLACE THE PROFESSIONAL JUDGMENT OF LICENSED BEHAVIORAL
02:08:22 HEALTH PROVIDERS ESPECIALLY WHEN PATIENTS ARE SEEKING HELP
02:08:26 DURING MOMENTS OF CRISIS. KAISER'S ACTIONS MAY PUT IT OUT
02:08:30 OF COMPLIANCE WITH THE CALIFORNIA'S REQUIREMENT UNDER
02:08:31 THE HEALTH AND SAFETY CODE SECTION 1367 .03, WHICH DIRECTS
02:08:37 THAT BEHAVIORAL HEALTH SERVICES MUST BE ASSESSED AND REFERRED
02:08:41 BY LICENSED BEHAVIORAL HEALTH PROVIDERS.
02:08:44 THESE BEHAVIORAL HEALTH ASSESSMENTS SIMPLY CANNOT BE
02:08:45 REDUCED TO SCRIPTED QUESTIONS OR ALGORITHMS BECAUSE THEY SET
02:08:48 THE FOUNDATION FOR TREATMENT AND GETTING THEM WRONG CAN HAVE
02:08:52 SERIOUS CONSEQUENCES FOR PATIENT SAFETY.
02:08:55 WHILE KAISER MAY CLAIM THAT THERE ARE BENEFITS FROM THIS
02:08:57 CHANGE SINCE JANUARY OF 2025, THERAPISTS HAVE DOCUMENTED MORE
02:09:01 THAN 70 EXAMPLES OF NEGATIVE PATIENT CARE OUTCOMES
02:09:04 ASSOCIATED WITH THESE NEW SCREENING PROCESSES SUCH THAT
02:09:08 PATIENTS DETERMINED TO BE HIGH RISK EXPERIENCE LONGER WAIT
02:09:13 TIMES OF MORE THAN ONE WEEK TO INITIATE SERVICES AGAIN
02:09:14 JEOPARDIZING THEIR SAFETY. I WOULD ALSO LIKE TO ADDRESS
02:09:18 THE CONCERN OF PROVIDER BURNOUT IN RELATION TO CLIENT CARE.
02:09:22 A 2025 STUDY FOUND THAT HIGH LEVELS OF BURNOUT AMONG MENTAL
02:09:25 HEALTH PROFESSIONALS OFTEN CALLED THEM CAUSE THEM TO LEAD
02:09:28 TO INCREASED STAFF TURNOVER CAUSING A RIPPLE EFFECT
02:09:31 IN WHICH REMAINING STAFF MEMBERS TAKE ON HEAVIER
02:09:35 CASELOADS LEADING TO FURTHER BURNOUT AND EXASPERATING THE
02:09:39 CYCLE OF STAFF DEPARTURES. THIS CREATES AN UNHEALTHY
02:09:40 ENVIRON IN WHICH INSUFFICIENT RESOURCES ARE THERE TO MEET
02:09:44 PATIENT NEEDS CAUSING THE PROVIDERS TO HAVE LESS TIME TO
02:09:48 DEDICATE TO EACH PATIENT LESS INDIVIDUALIZED PATIENT CARE
02:09:52 AND IN ADDITION TO THE REDUCED TIME FOR PATIENT INTERACTIONS.
02:09:55 BURNOUT HAS BEEN ASSOCIATED WITH DECREASED PRODUCTIVITY
02:09:58 AND LOWER QUALITY OF WORK BUT MOST IMPORTANTLY IT UNDERMINES
02:10:02 THE THERAPEUTIC RELATIONSHIP AS IT IMPACTS THE CLIENT'S
02:10:05 ENTOMBMENT WITH THEIR CLIENTS AND ABILITY TO ENGAGE WITH
02:10:07 EMPATHY. WE HAVE ALSO HEARD FROM OUR
02:10:10 MEMBERS AS THEY HAVE SHARED THE OVERWHELMING BURDEN OF NOT ONLY
02:10:13 HAVING ENOUGH TIME TO DECOMPRESS AND PROCESS BETWEEN
02:10:17 PATIENTS. ONE NOTED THAT THEY HAVE MADE
02:10:18 MULTIPLE ERRORS WITH CLIENTS AS THEY CANNOT BE ENTIRELY PRESENT
02:10:21 DUE TO THEIR WORK OVERLOAD. >> ANOTHER NOTED THAT THEY SEE
02:10:25 6 TO 8 CLIENTS A DAY AND END UP WORKING AN ADDITIONAL UNPAID
02:10:29 THREE HOURS AFTER AN A SCHEDULED EIGHT HOUR DAY EVERY
02:10:32 SINGLE DAY OF THEIR SHIFT JUST TO ENSURE THAT THEY ARE MEETING
02:10:37 THEIR PRODUCTIVITY QUOTAS AND FEAR OF TERMINATION AND OR
02:10:40 RETALIATION. >> LASTLY, ONE SHARE THAT THEY
02:10:41 CANNOT FEASIBLY PROVIDE CLIENTS THE CARE THEY NEED OUTSIDE OF
02:10:45 THEIR APPOINTMENT TIME BECAUSE THEY STRUGGLE WITH THE REALITY
02:10:48 THAT THEIR CLIENTS MAY NOT BE SEEN FOR ANOTHER MONTH AS THEIR
02:10:51 SCHEDULE IS CONSTANTLY FILLED REGARDLESS OF THE APPROPRIATE
02:10:52 OR ACUITY OF THE SYMPTOMS. WHILE INCREASING APPOINTMENT
02:10:56 VALUES MAY APPEAR EFFICIENT, REDUCE PROTECTIVE TIME FOR
02:11:00 PATIENT CARE SUPPORT OUTSIDE OF APPOINTMENTS LIMITS CLINICIANS
02:11:04 ABILITIES TO PROVIDE THOUGHTFUL, COORDINATED
02:11:07 AND COMPREHENSIVE CARE. FINALLY, WE ARE DEEPLY
02:11:11 CONCERNED ABOUT KAISER PERMANENTE'S INCREASING
02:11:14 RELIANCE ON SUBCONTRACTED BEHAVIORAL HEALTH PROVIDERS
02:11:15 THROUGH DIGITAL PLATFORM SUCH AS GROWTH THERAPY, HEADWAY
02:11:19 IN OCD, OPEN MIND RULER SOUNDER MINE AND UPLIFT.
02:11:26 >> OUR MEMBERS HAVE SHARED THAT WHEN A PATIENT'S REGULAR
02:11:28 CLINICIAN IS TEMPORARILY UNAVAILABLE THEY ARE OFTEN
02:11:31 REDIRECTED TO AN OUTSIDE PROVIDER INSTEAD OF RETURNING
02:11:35 TO THEIR ESTABLISHED THERAPIES. >> THESE DISRUPTIONS CAN MAKE
02:11:39 IT HARDER FOR PATIENTS TO MAINTAIN CONSISTENT CARE
02:11:42 AND REBUILD TRUST WITH THEIR NEW PROVIDER WHICH IS
02:11:44 ESPECIALLY CHALLENGING AND BEHAVIORAL HEALTH WHERE THE
02:11:47 THERAPEUTIC RELATIONSHIP IS CENTRAL TO TREATMENT.
02:11:48 >> THIS IS ESPECIALLY CONCERNING AS KAISER HAS LONG
02:11:51 PROMOTED A INTEGRATED MODEL OF CARE WHERE BEHAVIORAL HEALTH
02:11:54 PROVIDERS WORK TOGETHER ACROSS DISCIPLINES TO SUPPORT
02:11:58 PATIENTS. >> HOWEVER OUR SOCIAL WORKERS
02:12:01 HAVE SHARED CONCERNS THAT THEIR EXPERIENCE RECOMMENDATIONS
02:12:05 AND CLINICAL PERSPECTIVES ARE NOT BEING MEANINGFULLY
02:12:06 CONSIDERED WHEN DECISIONS ARE MADE ABOUT HOW CARE IS
02:12:10 DELIVERED. >> THEY DESCRIBE SITUATIONS
02:12:13 WHERE THEY ARE DIRECTED TO FOLLOW WORKFLOWS, TREATMENT
02:12:15 TIMELINES, REFERRAL PROCESSES THAT DO NOT ALIGN WITH THEIR
02:12:18 PROFESSIONAL JUDGMENT INCLUDING PRESSURE TO END TREATMENT
02:12:22 BEFORE PATIENTS WERE READY. KEEP PATIENTS IN PROGRAMS THAT
02:12:26 DID NOT FULLY MEET THEIR NEEDS OR DELAY REFERRAL FOR HIGHER
02:12:29 LEVEL OF CARE EVEN WHEN NEEDED. >> THESE EXPERIENCES HIGHLIGHT
02:12:33 WHY IT IS IMPORTANT THAT SOCIAL WORKERS HAVE A MEANINGFUL VOICE
02:12:37 IN SHAPING THE SYSTEMS AND POLICIES THAT DIRECTLY
02:12:38 IMPACT PATIENT CARE. PATIENTS DESERVE TIMELY ACCESS
02:12:42 TO LICENSED CLINICIANS AND PROVIDERS DESERVE THE TIME
02:12:45 NECESSARY TO DELIVER ETHICAL AND EFFECTIVE CARE
02:12:49 AND TECHNOLOGY SHOULD ENHANCE HEALTH CARE RATHER THAN REPLACE
02:12:53 THE EXPERTISE AND HUMAN CONNECTION.
02:12:56 FOR ALL THESE REASONS THE NSW CALIFORNIA URGES KAISER
02:13:00 PERMANENTE TO WITHDRAW ITS TERRIBLE THREE CONTRACT
02:13:01 PROPOSALS AND REALIGN THEIR PRACTICES WITH ETHICAL CARE BY
02:13:05 INVESTING IN LICENSED BEHAVIORAL HEALTH
02:13:09 PROFESSIONALS, PRESERVING INTEGRATED CARE, PROTECTING
02:13:12 CLINICIANS ABILITY TO PROVIDE QUALITY CARE AND ENSURING THAT
02:13:16 TECHNOLOGY IS IMPLEMENTED IN WAYS THAT ADVANCE EQUITY
02:13:18 RATHER THAN DEEPENING EXISTING DISPARITIES.
02:13:21 WE ASK THAT YOU JOIN A JOIN US IN THIS CALL UPON KAISER AND WE
02:13:24 THANK YOU FOR YOUR TIME
02:14:25 . CAN YOU DO PERCENT REVIEW WHERE
02:14:29 THE NOTES ARE ON THE SIDE? OKAY GREAT.
02:14:51 THANK YOU. >> THANK YOU VERY MUCH FOR YOUR
02:14:58 INTEREST IN THESE ISSUES. I'M HERE TO TALK ABOUT THEM
02:15:00 FROM THE STANDPOINT OF THE EVIDENCE BASE OF HOW AND WHY
02:15:04 PSYCHOTHERAPY WORKS AND TO SHARE SOME RESEARCH FINDINGS
02:15:07 THAT ARE RELEVANT TO THE KAISER PROPOSAL.
02:15:20 >> OKAY. THERE WE GO.
02:15:24 I'M A LICENSED CLINICAL PSYCHOLOGIST.
02:15:25 I'M IN PRIVATE PRACTICE IN CHICAGO.
02:15:29 I'M ALSO THE CHAIR AND CO-FOUNDER OF PSYCHOTHERAPY
02:15:30 ACTION NETWORK, A NONPROFIT THAT ADVOCATES FOR THE PUBLIC'S
02:15:33 ACCESS TO CARE AND ALSO FOR CLINICIANS AND THE CLINICAL
02:15:37 STANDARDS NEEDED TO PROVIDE THAT CARE.
02:15:41 WE CONDUCT A LOT OF OUR OWN RESEARCH AND WE PRODUCED A LOT
02:15:44 OF PUBLICATIONS FROM WHITE PAPERS TO ARTICLES TO A BOOK
02:15:48 ADVANCING PSYCHOTHERAPY FOR THE NEXT GENERATION AND FOUNDED
02:15:53 IN 2017. WE HAVE GROWN SUBSTANTIAL
02:15:55 REALLY SINCE THEN. I'M SORRY WHICH IS TRUE.
02:16:13 >> OKAY. OKAY.
02:16:14 GOTCHA. THANKS.
02:16:14 OKAY. SO WHAT MAKES PSYCHOTHERAPY
02:16:17 EFFECTIVE? IT'S THE RELATIONSHIP YOU'VE
02:16:21 HEARD A LOT ABOUT THE ALLIANCE BETWEEN THE THERAPIST AND THE
02:16:25 PATIENT. >> THIS HAS BEEN STUDIED FOR
02:16:26 DECADES IN MANY DIFFERENT FORMS OF RESEARCH AND THE SAME
02:16:30 CONCLUSION IS REACHED TIME AND TIME AGAIN.
02:16:33 >> THIS MEANS THE THERAPIST MUST BE ABLE TO ASSESS, BUILD,
02:16:37 MAINTAIN AND ADAPT THAT ALLIANCE WITH EACH INDIVIDUAL
02:16:41 PATIENT OVER TIME. WHEN YOU MESS WITH THE
02:16:45 ALLIANCE, YOU MESS WITH WHAT MAKES THERAPY WORK AND YOU MESS
02:16:49 WITH WHAT MAKES THERAPY THERAPY.
02:16:52 YEAH. >> EFFECTIVE TREATMENTS MUST
02:16:56 ALSO BE INDIVIDUAL LIVES NOT STANDARDIZED FOR EACH PATIENT
02:17:04 AND THEY MUST BE OF SUFFICIENT DEPTH AND DURATION TO ENSURE
02:17:05 RECOVERY. EACH PERSON IS UNIQUE IN TERMS
02:17:08 OF MANY FACTORS AS THEIR DIAGNOSIS, THEIR COMPLEXITY,
02:17:12 THEIR PERSONALITY, COEXISTING ISSUES, TRAUMA HISTORY,
02:17:16 RESOURCES, IDENTITIES AND MORE. AND THE CARE MUST BE
02:17:20 INDIVIDUALIZED TO THEM. HELPING PEOPLE WITH ISSUES LIKE
02:17:27 TRAUMA ADDICTION, ABUSE, RELATIONSHIP STRESSORS IT
02:17:31 DOESN'T WORK LIKE AN ANTIBIOTIC DOES WHERE IT'S THE SAME
02:17:35 TREATMENT FOR EVERYBODY. WHEN IT COMES TO MENTAL HEALTH
02:17:38 . DIFFERENT PEOPLE NEED DIFFERENT
02:17:39 APPROACHES AND DIFFERENT MODELS OF CARE.
02:17:44 >> EVIDENCE BASED STANDARDS OF CARE SHOW THIS AS WELL.
02:17:46 WE HAVE TO TREAT UNDERLYING AND CHRONIC CONDITIONS.
02:17:50 AND WHEN WE TALK ABOUT DEPTH, WE'RE TALKING ABOUT GETTING
02:17:54 UNDERNEATH THOSE SUPERFICIAL SYMPTOMS.
02:17:57 AND WHEN WE TALK ABOUT DURATIONS, WE'RE TALKING ABOUT
02:18:00 FOR MANY PEOPLE 40, 50 OR 75 SESSIONS OF CARE.
02:18:05 THIS IS THE STANDARD OF CARE. >> SO KAISER'S FIRST PROPOSAL
02:18:11 IS TO HAVE SOLE DISCRETION OVER THE MODEL OF CARE.
02:18:15 >> THIS DIRECTLY INTERFERES WITH WHAT WE'VE JUST DISCUSSED
02:18:19 ABOUT HOW AND WHY THERAPY WORKS.
02:18:20 THIS IS MESSING WITH THE ALLIANCE MANDATING A SINGLE
02:18:26 STANDARDIZED MODEL OF CARE. IT CONTRADICTS THE EVIDENCE
02:18:28 BASE AND THE IMPORTANCE OF THE THERAPIST TO ASSESS, TREAT
02:18:34 AND ADAPT TO EACH PATIENT INDIVIDUALLY.
02:18:37 ONE SIZE FITS ALL WORKS FOR NO ONE.
02:18:40 WITH THIS PROPOSAL I WOULD PREDICT THAT OUTCOMES WILL
02:18:44 WORSEN AND PEOPLE WILL NOT FEEL HELPED OR UNDERSTOOD AND THEY
02:18:48 WILL DROP OUT OF CARE. >> SECONDLY, KAISER WANTS
02:18:55 FLEXIBILITY OVER SUBSTITUTING THE WORK OF LICENSED CLINICIANS
02:18:59 WITH AI AND A REFUSAL TO MAINTAIN THE LANGUAGE THEY
02:19:03 AGREED TO IN SOUTHERN CALIFORNIA.
02:19:04 THIS IS VERY SERIOUS. THIS WON'T BODE WELL FOR MENTAL
02:19:07 HEALTH OUTCOMES EITHER. IT'S REALLY BEST TO THINK OF
02:19:11 A.I. MENTAL HEALTH TOOLS AS SELF-HELP.
02:19:15 THAT'S WHERE THEY ARE TODAY. THERE ARE SELF-HELP INTERACTIVE
02:19:19 GUIDES, INTERACTIVE JOURNALS. THEY ARE NOT AN EQUIVALENT LET
02:19:23 ALONE A REPLACEMENT FOR PSYCHOTHERAPY BY ANY MEANS.
02:19:27 SO USING MORE A.I. MEANS GIVING PEOPLE SELF-HELP TOOLS.
02:19:31 >> THE SAFETY RISKS ARE VERY HIGH.
02:19:35 I'M SURE YOU'VE ALL HEARD IN THE PRESS TRAGIC CASES OF
02:19:39 PEOPLE DYING BY FOLLOWING THE INSTRUCTIONS OF A.I. CHAT BOTS
02:19:42 AND THE BIASES AND STIGMATIZED INFORMATION THAT'S INHERENT
02:19:46 IN THE LARGE LANGUAGE MODELS. NO LONG TERM STUDIES EXIST TO
02:19:50 SHOW WHETHER AI ENABLED TREATMENTS EVEN WORK.
02:19:54 AND SEVERAL STATES INCLUDING MINE ILLINOIS HAVE ALREADY
02:19:58 RESTRICTED AI FOR THESE REASONS TO A SUPPORT ROLE ONLY WHICH IS
02:20:01 WHERE I THINK IT NEEDS TO BE. AND THESE TOOLS ALSO NEED TO BE
02:20:05 REGULATED BY THE GOVERNMENT, BY THE FDA.
02:20:08 JUST LIKE ANY OTHER MEDICAL INTERVENTION I'M NOT GOING TO
02:20:12 GO THROUGH ALL OF THESE BUT I JUST WANT TO SHOW THIS SLIDE
02:20:16 THE RISKS OF TRYING TO REPLACE PSYCHOTHERAPY WITH AI.
02:20:20 THE LIST IS LONG AND THERE'S A LOT OF SERIOUS ITEMS ON THIS ON
02:20:24 THIS LIST. >> AS FAR AS OUTSOURCING
02:20:31 WITHOUT RESTRICTION, KAISER WANTS THE FLEXIBILITY TO
02:20:32 OUTSOURCE PSYCHOTHERAPY TO OUTSIDE PROVIDERS WHICH IS VERY
02:20:36 CONCERNING IN TERMS OF THAT THERAPEUTIC ALLIANCE AS WELL AS
02:20:40 CLINICIAN AUTONOMY AND JOB SATISFACTION SENDING PATIENTS
02:20:44 TO OTHER CLINICIANS DIRECTLY SEVERS THE ALLIANCE.
02:20:51 THIS WILL COMPROMISE TREATMENT OUTCOMES TO SATISFY PATIENTS
02:20:54 DISSATISFIED THERAPISTS AND INCREASE PATIENT DROPOUT
02:20:58 RATES. THIS IS MESSING WITH THE
02:20:59 ALLIANCE. WELL THIS MAY SAVE KAISER MONEY
02:21:03 IN THE SHORT TERM. IT'S A VERY COSTLY LONG TERM
02:21:07 STRATEGY. WHEN PEOPLE GET EFFECTIVE
02:21:10 PSYCHOTHERAPY THEY ACTUALLY HAVE FEWER ER CRISES AND ER
02:21:14 VISITS, LOWER HOSPITALIZATIONS AND ACTUALLY LOWER OVERALL
02:21:21 MEDICAL SPENDING. THEY TAKE BETTER CARE OF THEIR
02:21:22 MENTAL AND PHYSICAL HEALTH. THE ENTITIES THAT KAISER WANTS
02:21:29 TO OUTSOURCE TO ARE PARTICULARLY PROBLEMATIC.
02:21:30 THERE'S ALREADY RESEARCH AND STUDIES OUT THERE SHOWING
02:21:33 THAT THESE PLATFORM DOES HAVE SIGNIFICANT PROBLEMS IN A
02:21:38 VARIETY OF AREAS FROM TREATMENT EFFICACY TO THERAPIES,
02:21:41 SATISFACTION AND CONFIDENCE IN THE PLATFORMS PATIENT
02:21:45 PRIVACY, TRANSPARENCY AND MORE .
02:21:52 >> HERE'S A BIT MORE DETAIL ON THESE PROBLEMS.
02:21:54 THIS IS FROM A RESEARCH STUDY THAT WE CONDUCTED AND PUBLISHED
02:21:57 LAST YEAR ON THESE PLATFORMS. PRIVACY PROBLEMS THESE
02:22:01 COMPANIES DON'T ADEQUATE PROVIDE PROTECT PATIENT
02:22:05 INFORMATION. THIS IS THE FOUNDATION OF CARE.
02:22:08 THEIR INVESTORS ARE BIG TECH FIRMS AND THEY OUTSOURCE TO AI
02:22:12 COMPANIES AND THERE'S A LOT OF DATA SHARING AND AI TRAINING
02:22:16 GOING ON. LACK OF TRANSPARENCY REGARDING
02:22:20 REALLY BASIC THINGS SUCH AS WHO OWNS THESE COMPANIES?
02:22:23 WHO ARE THE MAJOR INVESTORS? HOW ARE THERAPISTS EVEN PAID?
02:22:30 THESE ARE QUESTIONS THAT THERAPISTS WHO USE THESE
02:22:32 PLATFORMS CURRENTLY DO NOT KNOW THE ANSWER TO.
02:22:35 AND THERE ARE A SERIES OF POLICIES THAT MANY OF THESE
02:22:38 PLATFORMS HAVE WHICH REALLY ARE ADDING UP TO TRYING TO REPLACE
02:22:43 ACTUAL PSYCHOTHERAPY WITH MERE CRISIS MANAGEMENT.
02:22:50 >> REGARDING KAISER'S DESIRE TO NO LONGER PROTECT THE FULL
02:22:57 MEANING OF CLINICAL CARE. CLINICAL TIME INCLUDES NOT JUST
02:23:01 THE FACE TO FACE MEETING WITH THE PATIENT.
02:23:02 THERE'S A LOT OF CONSULTATION, COLLABORATION AND COORDINATION
02:23:06 WITH OTHER THERAPISTS. IF YOU'RE SEEING A COUPLE OR A
02:23:09 FAMILY YOU HAVE TO INTERACT WITH THE OTHER THERAPIST.
02:23:13 >> SEEING THE OTHER PART OF THE COUPLE, THE PARENTS, THE KIDS
02:23:17 PSYCHIATRISTS THERE MAY BE MEDICAL DOCTORS INVOLVED IF
02:23:21 THERE ARE SERIOUS MEDICAL ISSUES GOING ON.
02:23:24 THESE TESTS ARE JUST PART OF CARE AND THEY NEED TO AND THEY
02:23:25 TAKE TIME. >> IF NEW INTAKES ARE SCHEDULED
02:23:29 INTO THIS BLOCK OF TIME, THIS IS ACTUALLY QUITE BAD FOR THOSE
02:23:36 NEW PATIENTS BECAUSE THEY'RE UNLIKELY TO BE SEEN AGAIN
02:23:37 ANYTIME SOON AND IT'S ALSO NOT GOOD FOR KAISER.
02:23:40 THEY WILL BE CREATING A SYSTEM THAT JUST GIVES AN ILLUSION OF
02:23:44 ACCESS WITHOUT ANY REAL MEANINGFUL ACCESS TO CARE FOR
02:23:48 THERAPIES AS HAVING BASIC AUTONOMY OVER THEIR OWN
02:23:52 SCHEDULE IS A DOCUMENTED PROTECTIVE FACTOR AGAINST
02:23:56 BURNOUT. BURNOUT IS A DIRECT PRECURSOR
02:24:03 OF TURNOVER AND TURNOVER AS YOU KNOW WOULD BE EXCEEDINGLY
02:24:07 EXPENSIVE FOR KAISER. IT'S ALSO REALLY COSTLY FOR
02:24:11 PATIENTS WHEN THEIR THERAPIST LEAVES.
02:24:12 MOST OF THEM DROP OUT OF TREATMENT ALTOGETHER.
02:24:18 >> KAISER'S PROPOSALS TAKEN TOGETHER WILL UNDERMINE THE
02:24:22 VERY FACTORS THAT MAKE PSYCHOTHERAPY EFFECTIVE
02:24:25 AND EVEN POSSIBLE AND THERE WILL BE NEGATIVE RESULTS
02:24:26 AND HIGH COSTS TO CLINICIANS, TO PATIENTS AND EVEN TO KAISER
02:24:32 ITSELF. >> I STRONGLY URGE THE BOARD TO
02:24:37 REJECT THE KAISER PROPOSALS AND SUPPORT CLINICIANS AND THE
02:24:41 THERAPEUTIC ALLIANCE AND WHAT WE KNOW MAKES FOR EFFECTIVE
02:24:47 CARE. IF YOU SAID WE'RE GOING TO
02:24:48 ASSESS AND DIAGNOSE BY A ROBOT AND THEN GIVE THE SAME
02:24:51 TREATMENT TO EVERYONE REGARDLESS OF HOW THEY RESPOND
02:24:55 TO IT OVER TIME AND MESS WITH THE VERY THING THAT MAKES
02:24:59 THERAPY EFFECTIVE. YOU KNOW THIS SOUNDS LIKE A
02:25:03 TERRIBLE IDEA. SO PLEASE I URGE YOU TO STAND
02:25:06 UP FOR THE PRINCIPLES OF EFFECTIVE EVIDENCE BASED CARE
02:25:10 AND WHAT WE KNOW AS FAR AS WHAT WORKS FOR CLINICIANS
02:25:13 AND PATIENTS. >> THANK YOU VERY MUCH.
02:25:21 >> THANK YOU, DR. MICHAELS. AND LET'S HAVE OUR LAST
02:25:25 PRESENTER SYDNEY SIMPSON, REGISTERED NURSE.
02:25:29 >> SHE'S THE SAN FRANCISCO MEMBER OF SYDNEY.
02:25:33 >> GOOD EVENING, SUPERVISORS. MY NAME IS SYDNEY SIMPSON.
02:25:37 I'M A MEMBER OF THE CALIFORNIA NURSES ASSOCIATION.
02:25:38 I WORKED AS A REGISTERED NURSE AT KAISER SAN FRANCISCO
02:25:41 AND INTERVENTIONAL RADIOLOGY. MY SIBLINGS FROM ANY AGE W HAVE
02:25:45 HIGHLIGHTED THE DANGERS OF UNREGULATED AI IN OUR HEALTH
02:25:49 CARE SYSTEM. I JUST WANT TO KIND OF BUILD ON
02:25:52 THAT AND TALK ABOUT IT FROM OUR PERSPECTIVE THE NURSE
02:25:54 PERSPECTIVE AND HOW IT ALL SORT OF FITS TOGETHER INTO A REALLY
02:26:00 DANGEROUS PATTERN OF DECISIONS BEING MADE BY KAISER.
02:26:01 >> THAT BLATANTLY PRIORITIZES PROFITS OVER PATIENT SAFETY
02:26:08 AND QUALITY OF CARE. >> SINCE THE TRUMP INAUGURATION
02:26:12 LAST YEAR WE'VE SEEN KAISER TAKE AN INCREASINGLY HOSTILE
02:26:13 APPROACH TOWARDS THEIR UNIONIZED NURSES.
02:26:17 KAISER HAS COMMITTED LARGE SCALE WAGE THEFT AGAINST NURSES
02:26:20 AND IS REFUSING TO REMIT OWED RETROACTIVE PAYMENTS.
02:26:25 KAISER IN SAN FRANCISCO AND BEYOND IS CUTTING MANY
02:26:29 VACANT ARE RN AND NURSE PRACTITIONER POSITIONS LEAVING
02:26:32 OUR DEPARTMENTS DANGEROUSLY UNDERSTAFFED.
02:26:36 >> HERE IN SAN FRANCISCO KAISER HAS ADMINISTERED CUTS TO OUR
02:26:39 IN STAFFING AND PRIMARY CARE AND THE EMERGENCY DEPARTMENT
02:26:42 WHICH OF COURSE ARE THE MAIN DEPARTMENTS BY WHICH PATIENTS
02:26:44 ACCESS CARE. THESE CUTS HAVE RESULTED
02:26:47 IN INCREASED DELAYS IN CARE. I HAVE PERSONALLY SEEN KAISER
02:26:51 PATIENTS INCLUDING MY OWN COWORKERS STRUGGLE TO ACCESS
02:26:55 MEDICALLY NECESSARY CARE AND ACTUALLY LEAVE THE CITY OR
02:26:59 EVEN THE STATE TO ACCESS THAT CARE.
02:27:03 >> WHILE KAISER HAS FULLY LAUNCHED ITS NEW VIRTUAL CENTER
02:27:06 PROGRAM IN WHICH A REMOTE MONITORED IPAD IS RESPONSIBLE
02:27:10 FOR PREVENTING PATIENT FALLS ON THE INPATIENT SIDE, THE KAISER
02:27:14 SAN FRANCISCO EMERGENCY DEPARTMENT HAS SEEN A TRULY
02:27:18 SHOCKING INCREASE IN PATIENT FALLS.
02:27:19 NURSES HAVE SUBMITTED PETITIONS AND WRITTEN LETTERS TO KAISER
02:27:23 ADMINISTRATORS REQUESTING PLANS OF CORRECTIVE ACTION TO ADDRESS
02:27:26 THE CUTS TO STAFFING AND THE SUBSEQUENT IMPACTS TO PATIENT
02:27:30 SAFETY. KAISER REFUSES TO DISCLOSE THIS
02:27:34 INFORMATION. ADDITIONALLY, KAISER'S VAST
02:27:38 INVESTMENT IN UNTESTED AI SIGNALS AN EFFORT TO DIVERT
02:27:42 FUNDING FROM IN-PERSON CAREGIVERS TO NEW UNTESTED
02:27:46 TECHNOLOGIES. >> NURSES ARE NOT AGAINST
02:27:50 SCIENTIFIC OR TECHNOLOGICAL ADVANCEMENT BUT WE WILL NOT
02:27:53 ACCEPT ALGORITHMS REPLACING EXPERTISE, EXPERIENCE HOLISTIC
02:27:58 AND HANDS ON APPROACHES THAT WE BRING TO PATIENT CARE.
02:28:02 IF IT'S WHAT YOU WOULD DEMAND FOR YOUR FAMILY THAT IS ALL
02:28:06 THAT IS ALL WE ARE DEMANDING FOR ALL OF OUR PATIENTS.
02:28:09 KAISER IS USING ALGORITHMIC SYSTEMS TO QUANTIFY NURSING
02:28:13 WORKLOADS AND PATIENT ACUITY LEVELS WHICH INCLUDES SHIFTS.
02:28:16 STAFFING DECISIONS ARE INTO PATIENT ASSIGNMENTS.
02:28:20 THIS OFTEN RESULTS IN INAPPROPRIATE NURSE TO
02:28:21 PATIENT RATIOS AND UNPREDICTABLE SCHEDULING.
02:28:25 INSTEAD, PATIENT ACUITY MEASUREMENT SHOULD BE BASED ON
02:28:29 AN RN'S CLINICAL JUDGMENT AND A HANDS ON ASSESSMENT.
02:28:32 >> KAISER'S ALSO IMPLEMENTED A TECHNOLOGY THAT THEY IRONICALLY
02:28:36 CALLED THE CASTE SYSTEM. AND YES, THAT IS REALLY THE
02:28:41 NAME OF THIS TECHNOLOGY THAT THE TEXT SCANS A PATIENT'S
02:28:44 CHART AND DETERMINES HOW MUCH TIME THE PATIENT WILL RECEIVE
02:28:48 FOR THEIR PRE SURGICAL SCREENING APPOINTMENT
02:28:49 AND WHETHER THEY WILL HAVE ACCESS TO A DOCTOR OR NURSE
02:28:52 PRACTITIONER. WE HAVE ASKED KAISER REPEATEDLY
02:28:54 WHAT'S SPECIFIC INFORMATION? THE CASTE SYSTEM ROBOT USES TO
02:29:00 DETERMINE AND RATION THAT CARE. >> KAISER REFUSES TO DISCLOSE
02:29:05 THIS INFORMATION. CNA REPRESENTED NURSE
02:29:08 PRACTITIONERS DISCOVERED THAT LANGUAGE TRANSLATION NEEDS OF A
02:29:12 PATIENT ARE NOT FACTORED INTO THE APPOINTMENT TIME OF THE
02:29:16 CASTE SYSTEM. THIS IS FUNDAMENTALLY
02:29:19 DISCRIMINATORY AS TRANSLATION OBVIOUSLY TAKES TIME.
02:29:23 WITHOUT INCREASING THE LENGTH OF APPOINTMENT TIMES FOR
02:29:26 PATIENTS WITH TRANSLATION NEEDS, KAISER THEREFORE IS
02:29:27 PROVIDING SUCH PATIENTS WITH LESS TIME IN THEIR PRE SURGICAL
02:29:31 SCREENING APPOINTMENTS THAN THAT AFFORDED TO PATIENTS
02:29:35 WITHOUT TRANSLATION NEEDS. >> KAISER IS ALSO ACCELERATED
02:29:39 THE OUTSOURCING OF OUR PATIENTS CARE TO THIRD PARTY FACILITIES
02:29:43 AND ENTITIES THAT DO NOT HAVE THE SAME OVERSIGHT AND UNION
02:29:46 PROTECTIONS KAISER IS PUSHING. ACUTE CARE PATIENTS OUT OF THE
02:29:50 HOSPITAL AND INTO THE HOME THROUGH THEIR ADVANCED CARE AT
02:29:54 HOME INITIATIVE. THIS PROGRAM PLACES CAMERAS
02:29:57 IN THE HOMES OF ACUTE CARE PATIENTS AND PLACES TO REPLACES
02:30:01 24 HOUR NURSING CARE WITH 24 HOUR SURVEILLANCE.
02:30:05 KAISER HAS CONTRACTED NONUNION NURSES TO SURVEIL THESE
02:30:07 PATIENTS FROM REMOTE AND UNDISCLOSED LOCATIONS.
02:30:10 >> KAISER IS RELIEVED OF THE OBLIGATION OF CLEANING
02:30:14 AND CARING FOR AND COMFORTING THESE PATIENTS AND THIS LABOR
02:30:18 NOW FALLS SOLELY ON TO THE PATIENT'S FAMILY MEMBERS.
02:30:22 >> >> OUR NURSES ARE REPORTING THAT MANY OF THE PATIENTS
02:30:26 PLACED IN THE ADVANCED CARE AT HOME PROGRAM WE CALL THIS CARE
02:30:29 ALL ALONE. INSTEAD OF ADVANCED CARE AT
02:30:31 HOME, OUR NURSES ARE REPORTING THAT MANY OF THE PATIENTS
02:30:34 PLACED IN THE ADVANCED CARE AT HOME PROGRAM ARE BEING
02:30:37 READMITTED TO THE HOSPITAL DUE TO PREMATURE DISCHARGE
02:30:41 AND FRACTURED CONTINUITY OF CARE.
02:30:44 IN SAN FRANCISCO MANY SURGICAL PATIENTS UNDER KAISER ARE SENT
02:30:46 TO THE S.F. SURGERY CENTER WHICH IS ADORNED WITH KAISER
02:30:49 PERMANENTE SIGNAGE. BUT IT IS IN FACT A DISTINCT
02:30:53 AND VERY SEPARATE ENTITY FROM KAISER AND THE NURSES WORKING
02:30:56 THERE HAVE NO UNION PROTECTIONS.
02:30:59 NURSES HAVE REQUESTED INFORMATION ON THE POLICIES
02:31:01 AND PROCEDURES THE INFECTION CONTROL PROTOCOLS AND THE
02:31:04 PATIENT INCLUSION AND EXCLUSION CRITERIA FOR THE S.F. SURGERY
02:31:08 CENTER. KAISER REFUSES TO DISCLOSE THIS
02:31:12 INFORMATION. CNN HAS RECEIVED REPORTS FROM
02:31:15 NURSES WORKING AT THE S.F. SURGERY CENTER THAT WITHOUT
02:31:19 UNION PROTECTION THERE FEAR FEARFUL TO SPEAK UP
02:31:20 AND ADVOCATE FOR PATIENT SAFETY WITH THEIR MULTIBILLION DOLLAR
02:31:24 PROFIT, KAISER COULD EASILY EXPAND STAFFING TO EXTEND THE
02:31:28 HOURS OF BOTH INPATIENT AND OUTPATIENT OPERATING ROOMS
02:31:32 TO MEET THE SURGICAL NEEDS OF OUR PATIENTS.
02:31:35 BUT KAISER HAS REFUSED SUCH PROPOSALS AND CONTINUES TO
02:31:38 CONTRACT OUT CARE AND OPERATIONS.
02:31:42 >> SO IN CLOSING WE CALL ON KAISER TO DO BETTER AND TURN
02:31:45 THEIR RHETORICAL CLAIMS INTO ACTION.
02:31:49 WITH SO MANY CITY WORKERS AND S.F. RESIDENTS DEPENDENT ON
02:31:50 KAISER'S CARE, WE APPRECIATE THIS BOARD WORKING TO ENSURE
02:31:57 THAT THE MILLIONS OF DOLLARS OF PUBLIC FUNDS THAT ARE REMITTED
02:31:59 TO KAISER ANNUALLY ARE BEING SPENT BACK INTO THE CARE OF
02:32:01 CITY WORKERS AND S.F. RESIDENTS .
02:32:05 >> KAISER CAN DEMONSTRATE THEIR COMMITMENT TO IMPROVING PATIENT
02:32:06 CARE BY ONE REPLACE VACATED POSITIONS TO INCREASE STAFFING
02:32:12 AND PATIENT CARE CAPACITIES. THREE INSOURCE OUTSOURCED WORK.
02:32:15 >> AND FOUR PROVIDE TRANSPARENCY AND OVERSIGHT OF
02:32:20 ALL NEW TECHNOLOGIES. >> OUR EXPERIENCE OF KAISER IS
02:32:24 INCREASINGLY BLATANT DISREGARD FOR ACCEPTED STANDARDS OF CARE.
02:32:28 IT'S INAPPROPRIATE AT DEPLOYMENT OF AI AND OTHER TECH
02:32:32 IN PLACE OF HUMAN HEALTH CARE PROFESSIONALS AND ITS GROWING
02:32:35 AGGRESSION TOWARDS ITS UNIONIZED WORKFORCE IS PARALLEL
02:32:38 TO THAT EXPERIENCED BY UAW MEMBERS.
02:32:43 SIENNA SHARES NH W'S ASSESSMENT OF THE NEGATIVE EFFECTS OF
02:32:46 KAISER'S TERRIBLE THREE BARGAINING DEMANDS AND WE JOIN
02:32:50 IN W IN CALLING ON KAISER TO WITHDRAW THEM.
02:32:53 WE ASKED THAT S.F. BOARD OF SUPERVISORS SUPPORT BOTH UNIONS
02:32:55 IN PROTECTING PATIENTS FROM THESE ATTACKS.
02:32:58 NURSES KNOW THAT KAISER CAN SERVE OUR CITY BETTER AND STOP
02:33:01 USING THE CITY AND COUNTY OF SAN FRANCISCO AS A MEANS TO
02:33:05 COLLECT REVENUE FOR THEIR PRIVATE INVESTMENT STRATEGIES.
02:33:09 RATHER, THEY NEED TO INVEST THEIR MULTIBILLION DOLLAR
02:33:10 PROFITS MUCH OF IT COLLECTED HERE IN SAN FRANCISCO BACK INTO
02:33:14 THE CARE OF OUR COMMUNITIES. >> THANK YOU.
02:33:20 >> THANK YOU, SIDNEY. >> NOW LET'S GO TO QUESTIONS.
02:33:27 MY FIRST ROUND OF QUESTIONS WILL GO TO MR. IGER.
02:33:29 >> WOULD YOU COME BACK TO THE PODIUM, PLEASE?
02:33:35 >> MR. IGER KAISER HAS A LONG BEEN KNOWN AS A LABOR FOR ANY
02:33:39 HEALTH CARE EMPLOYER AND TOWARDS ITS HISTORY OF
02:33:43 LABOR MANAGEMENT PARTNERSHIP. >> WHEN AND HOW DID THIS GO
02:33:47 WRONG IN THE SPECIFIC CASE OF BEHAVIORAL HEALTH CARE MOSTLY
02:33:51 MOST RECENTLY. >> HOW CAN IT BE THAT THE MODEL
02:33:55 OF CARE COMMITTEES WERE ABANDONED AND THE THERAPISTS
02:33:59 GUARANTEED A TIME FOR PATIENT CARE SUPPORT WAS ALSO CUT IT
02:34:03 AFTER KAISER HAD AGREED TO THEM AS PART OF THE 2022 STRIKE
02:34:07 SETTLEMENT. >> TELL US WHAT HAPPENED.
02:34:10 THANK YOU. SUPERVISOR FOR THE QUESTION.
02:34:14 I WISH THAT I COULD GIVE YOU A SATISFYING ANSWER.
02:34:18 I DON'T KNOW WHY KAISER HAS CHANGED HIS ATTITUDE TOWARDS
02:34:19 ITS EMPLOYEES. IF THEY WERE HERE MAYBE THEY
02:34:22 WOULD TELL US BUT THEY DECLINED TO COME.
02:34:25 BUT YOU HEARD JUST FROM THE REPRESENTATIVE FROM THE
02:34:27 CALIFORNIA NURSES ASSOCIATION THAT THEY HAVE BEEN TAKING AN
02:34:30 INCREASINGLY ANTI-UNION YEN ATTITUDE TOWARD THEIR EMPLOYEES
02:34:34 AND THE UNIONS THAT THEIR EMPLOYEES HAVE CHOSEN TO
02:34:38 REPRESENT THEM. >> WE AS I MENTIONED IN MY
02:34:41 TESTIMONY WE THOUGHT THAT THE CONTRACT IN NORTHERN CALIFORNIA
02:34:45 IN 2022 WAS A SIGN THAT THINGS WERE GOING TO IMPROVE.
02:34:46 BUT IT DIDN'T LAST LONG. VERY SHORTLY AFTER THAT, KAISER
02:34:50 CHANGED THE WAY IT STARTED TO TREAT ITS EMPLOYEES.
02:34:53 DURING THIS ROUND OF NEGOTIATIONS AS I SAID IN MY
02:34:57 TESTIMONY, THEY HAVE GONE BACK ON THEIR COMMITMENT TO FUND THE
02:35:01 RECOMMENDATIONS OF THE MODEL OF CARE COMMITTEES.
02:35:04 AND I THINK THAT IF YOU LOOK AT THE MODEL OF CARE AND THE
02:35:06 PATIENT CARE SUPPORT TIME ISSUE, KAISER'S PROPOSALS ARE
02:35:09 REALLY JUST ABOUT SQUEEZING MORE APPOINTMENTS INTO
02:35:13 PROVIDERS OF SCHEDULES. SO THAT THEY CAN SEE MORE
02:35:17 PATIENTS WITH FEWER STAFF AND REDUCE THEIR NEED TO
02:35:20 SUBCONTRACT. THEY RECENTLY TOLD PROVIDERS
02:35:24 IN THE NORTH VALLEY THAT THEY CAN ONLY HIRE MORE STAFF IF
02:35:28 EXISTING PROVIDERS ARE MORE PRODUCTIVE AND DISCHARGE
02:35:31 PATIENTS FASTER. SO I THINK THAT THE CHANGE
02:35:35 IN BEHAVIOR THAT YOU'RE NOTICING AND THAT WE'RE SEEING
02:35:38 IS REALLY ABOUT KAISER BEGINNING TO BEHAVE MORE
02:35:42 AND MORE LIKE A FOR PROFIT TYPE OF ENTITY AND TRYING TO SQUEEZE
02:35:46 EMPLOYEES MORE TO MAXIMIZE REVENUE.
02:35:49 >> THANK YOU. IT'S REALLY CLEAR TO ME I THINK
02:35:54 AND AND I IN THIS CASE I THINK KAISER IS REALLY USING
02:35:58 SUBCONTRACTING AND TECHNOLOGY TO PAPER OVER ITS CARE, ITS
02:36:02 EFFICIENCIES RATHER THAN SPENDING TIME AND AMPLE
02:36:05 RESOURCES TO CONTINUE TO RECRUIT AND RETAIN ENOUGH
02:36:09 DIAPERS TO MEET PATIENTS NEEDS. >> CAN YOU ALSO ELABORATE ON
02:36:13 THE EXTENT TO WHICH KAISER CURRENTLY RELIES ON STAFF
02:36:17 THERAPISTS AS OPPOSED TO SUBCONTRACTORS WHO PROVIDE
02:36:21 BEHAVIORAL HEALTH CARE AND ALSO HOW THE RAW NUMBERS AND THE
02:36:25 RATIO BETWEEN THEM HAVE SHIFTED RECENTLY?
02:36:26 >> YES. >> SINCE THE TEN WEEK STRIKE
02:36:31 IN 2022 TO ESTABLISH OUR CURRENT CONTRACT KAISER
02:36:33 ENROLLMENT IN NORTHERN CALIFORNIA HAS INCREASED
02:36:36 SLIGHTLY TO 4.6 MILLION ENROLLEES WHILE THE NUMBER OF
02:36:39 STAFF THERAPISTS HAS INCREASED VERY SLIGHTLY IF AT ALL.
02:36:43 DESPITE KAISER'S ACKNOWLEDGMENT AS PART OF ITS SETTLEMENT
02:36:47 AGREEMENT WITH THE STATE AND FEDERAL GOVERNMENT THAT IT
02:36:50 LACKS THE CAPACITY TO PROVIDE ACCESS TO CARE CONSISTENT WITH
02:36:51 THE TIMELY ACCESS REQUIREMENTS OF THE LAW.
02:36:54 >> THE MOST IMPORTANT FACT IS THIS SINCE THE PANDEMIC THE
02:36:58 NEED FOR BEHAVIORAL HEALTH CARE HAS RISEN DRAMATICALLY,
02:37:02 ESPECIALLY AMONG YOUTH. IN 2023, KAISER CEO GREGG ADAMS
02:37:06 ACKNOWLEDGED THAT 20% MORE PEOPLE CAME IN FOR BEHAVIORAL
02:37:10 HEALTH CARE THAN AT THE SAME POINT THE PRIOR YEAR.
02:37:13 SO WHAT WE'RE SEEING IS THAT ENROLLMENT IS BASICALLY STEADY.
02:37:16 THE NUMBER OF STAFF THERAPISTS IS BASICALLY STEADY BUT PATIENT
02:37:20 NEED FOR CARE HAS INCREASED SIGNIFICANTLY.
02:37:24 IN ORDER TO MEET THIS INCREASE IN REALLY DEMAND FOR CARE
02:37:27 WITHIN THE TIMEFRAMES PRESCRIBED BY LAW, KAISER IS
02:37:31 OUTSOURCING TREATMENT TO PLATFORM PROVIDERS
02:37:33 AND SUBSTITUTING TECHNOLOGY FOR HUMAN CARE.
02:37:36 IT'S STRETCHING ITS STAFF THERAPISTS TO SEE MORE PATIENTS
02:37:40 IN THE SAME AMOUNT OF TIME AND IT'S ALSO SIMPLY CONTINUING
02:37:43 TO VIOLATE THE REQUIREMENTS OF THE LAW AND FAILING TO MEET THE
02:37:47 INCREASE IN ITS ENROLLEES NEEDS.
02:37:47 HENCE THE MULTIPLE AND REPEATED SETTLEMENT AGREEMENTS AND FINES
02:37:54 . >> OKAY I'M FORTUNATELY KAISER
02:37:58 IS NOT HERE. >> THIS IS WILL BE A QUESTION
02:38:01 THAT I ALSO WOULD LOVE TO ASK KAISER.
02:38:02 SO YOU TOLD ME THAT YOU HAVE TOLD US NOT JUST MYSELF ABOUT
02:38:09 KAISER'S DEMAND FOR CONCESSIONS BUT WHAT IS AND YOU WHICH
02:38:10 DOUBLE AND YOU W PROPOSING IN NEGOTIATION AND WHAT HAS
02:38:17 BEEN KAISER'S RESPONSE TO YOUR PROPOSALS?
02:38:18 >> THANK YOU. YOU KNOW REALLY IN UAW MEMBERS
02:38:22 ARE NOT PROPOSING ANYTHING PATH BREAKING.
02:38:25 WE ARE OUR BARGAINING COMMITTEE HAS PROPOSED A MODEST FINANCIAL
02:38:29 INCREASES COMPLETELY IN LINE WITH WHAT KAISER HAS PROVIDED
02:38:32 TO THE UNION EMPLOYEES OF OTHER UNIONS.
02:38:33 YOU KNOW, IN RECENT NEGOTIATIONS.
02:38:37 AS MENTIONED, WE'VE PROPOSED LANGUAGE REGARDING A.I.
02:38:40 AND TECHNOLOGY THAT KAISER HAS AGREED TO IN OTHER PLACES BUT
02:38:42 IS REFUSING TO AGREE TO IN NORTHERN CALIFORNIA.
02:38:44 >> I THINK THERE'S ONE EXAMPLE THAT REALLY UNDERSCORES WHAT WE
02:38:48 SEE AS KAISER'S UNREASONABLENESS IN THESE
02:38:52 NEGOTIATIONS IN WHICH TO BE CLINICIANS HAVE REQUESTED A
02:38:55 MECHANISM TO CAP CASELOAD FOR PROVIDERS AND THIS IS SIMILAR
02:39:00 TO THE WAY THAT DOCTORS AT KAISER HAVE A CAP.
02:39:03 >> AND WHAT WE'VE PROPOSED WOULD ACCOMPLISH PRECISE WHAT
02:39:07 THE DEPARTMENT OF LABOR SETTLEMENT DIRECTED KAISER TO
02:39:09 DO WHICH IS ENSURE THAT PROVIDERS AREN'T GIVEN NEW
02:39:12 PATIENTS WHEN THEIR SCHEDULES ARE SO IMPACTED THAT THEY CAN'T
02:39:16 PROVIDE THEIR CURRENT PATIENTS THE ACCESS THAT THEY NEED THAT
02:39:20 MEETS THE LEGAL REQUIREMENTS FOR TIMELY CARE.
02:39:23 >> SO IN OTHER WORDS ANY W MEMBERS AT THE BARGAINING TABLE
02:39:27 HAVE PROPOSED A TRANSPARENT AND ACCOUNTABLE PROCESS FOR
02:39:30 ACCOMPLISHING WHAT KAISER IS REQUIRED TO DO PER THE TERMS OF
02:39:34 ITS SETTLEMENT AGREEMENT THAT IT AGREED TO AND SIGNED WITH
02:39:38 THE DEPARTMENT OF LABOR. BUT KAISER WON'T AGREE TO THAT
02:39:42 PROPOSAL AND HAS NOT GIVEN US A COUNTERPROPOSAL OF THEIR OWN.
02:39:46 AND SO I THINK YOU LOOK AT ALL OF THIS WHAT'S HAPPENING AT THE
02:39:50 BARGAINING TABLE AND WHAT'S BEEN TALKED ABOUT HERE TODAY
02:39:51 AND IT'S CLEAR THAT KAISER HAS ONE STANDARD FOR MEDICAL HEALTH
02:39:54 CARE AND A LESSER STANDARD FOR BEHAVIORAL HEALTH CARE.
02:39:58 >> OUR MEMBERS ARE TRYING TO REBALANCE THAT.
02:40:01 >> AND KAISER IS REFUSING THANK YOU FOR A RESPONSE.
02:40:05 I WOULD LIKE TO CALL UP TOKYO FLU CLINICIAN WHO MR. IF KAISER
02:40:16 WERE TO WORK IN EARNEST WOULD YOU AND OTHER STAFF THERAPISTS
02:40:23 IN ESTABLISHING AND IMPLEMENTING ITS MODEL OF
02:40:24 CARE? >> WHAT DO YOU THINK THE RESULT
02:40:28 WOULD BE? I THINK PATIENTS WOULD GET MUCH
02:40:31 BETTER CARE. >> I MEAN THE WHOLE GOAL RIGHT
02:40:32 IS TO HAVE MORE CLINICIANS PROVIDING CARE SO THERE WOULD
02:40:35 BE A LOT LESS PRESSURE FOR US TO GRADUATE PATIENTS FROM
02:40:39 TREATMENTS BEFORE THEY'RE EVEN READY AND THEN WE'LL HAVE MORE
02:40:43 REASONABLE CASELOADS FOR CLINICIANS FOR US.
02:40:44 SO THEN WE CAN TRULY FOCUS ON PROVIDING THAT COMPREHENSIVE
02:40:47 TREATMENT THAT THAT KAISER SO TOUTS.
02:40:51 RIGHT. AND I THINK ESPECIALLY WITH
02:40:54 THERAPY AND TREATMENT IT'S REALLY IMPORTANT TO UNDERSTAND
02:40:56 THAT IT'S NOT IT'S NOT ALWAYS A TIME A TIME LOOM TO PROCESS
02:41:02 WHICH IS WHAT KAISER WANTS US TO THINK, RIGHT?
02:41:03 BECAUSE I WANT FOLKS TO THINK SO.
02:41:05 SO IN PRESENTATIONS REQUIRE CHRONIC CARE AND TREATMENT.
02:41:07 AND OFTENTIMES PATIENTS COME TO US AFTER WAITING SO LONG FOR
02:41:11 CARE AND ARE FRUSTRATED WITH US WHEN WE CAN ONLY SEE THEM EVERY
02:41:15 3 TO 4 WEEKS AT BEST AND THEN THEY GIVE UP ON TREATMENT
02:41:18 AND THERAPY ALTOGETHER SO THEY JUST QUIT.
02:41:21 WE'RE WE ARE COMPLETELY LETTING DOWN OUR COMMUNITIES OR
02:41:23 PATIENTS AND PEOPLE DON'T REALIZE THAT CLINICIANS AT
02:41:26 KAISER ARE OFTEN IN SUCH SORRY WE ARE WE ARE UNDER SUCH
02:41:32 INTENSE PRESSURE TO GRADUATE OUTPATIENTS WHEN REPORT HAS
02:41:34 HARDLY EVEN BEEN BUILT AND A LOT OF TRAUMAS AND OTHER THINGS
02:41:37 HAVEN'T EVEN BEGUN TO BE PROCESSED.
02:41:40 >> THANK YOU. AND AND I THINK WHAT YOU JUST
02:41:44 SHARE THAT IT'S REALLY SHORTCUTTING CLINICAL STANDARDS
02:41:48 AND IT'S VERY CONCERNING WHAT HAVE YOU AND YOUR COWORKERS
02:41:52 DONE TO PUSH BACK AGAINST THIS PRACTICES AND WHAT DOES KAISER
02:41:56 SAY WHEN YOU CONFRONT MANAGEMENT AND WHAT HELP HAVE
02:42:00 YOU GOTTEN FROM PROFESSIONAL BODIES THAT ESTABLISH GENERALLY
02:42:05 ACCEPTED STANDARDS OF CARE IN TERMS OF MANAGING MENT
02:42:12 SUPPORT IN ALL HONESTY I HAVEN'T GOTTEN VERY MUCH
02:42:17 MANAGEMENT SUPPORT AND THIS IS JUST MY OWN OPINION BECAUSE I
02:42:19 ONLY WORK FOR SAN FRANCISCO, KAISER AND MAYBE DIFFERENT
02:42:21 IN OTHER PLACES BUT IT REALLY FEELS LIKE IT'S PUSHING AGAINST
02:42:25 A BRICK WALL. WE'RE TRYING OUR BEST TO GET
02:42:28 PATIENTS IN WITHIN LIKE YOU KNOW ALLOTTED AMOUNT OF CARE
02:42:30 TIME, YOU KNOW, ACCORDING TO STATE LAW.
02:42:33 BUT OFTENTIMES WE ARE IN A WAY ENCOURAGED BY MANAGEMENT TO HOW
02:42:39 TO SEE TO IN A WAY SO WHEN OUR CLINICAL JUDGMENT AS THERAPISTS
02:42:46 DICTATES THAT A PATIENT BE SEEN SOONER THEN WE CAN ACTUALLY SEE
02:42:51 THEM AGAIN. THE PRESSURE FROM MANAGEMENT IS
02:42:54 THAT IT'S TO PLEASE REVISE HER JUDGMENT AND SAY IT'S
02:42:55 APPROPRIATE TO SEE THEM EVERY 3 TO 6 WEEKS SO THAT THE DELAY
02:42:59 WON'T VIOLATE STATE LAW. >> SO I WOULD SAY THAT IN TERMS
02:43:02 OF GETTING SUPPORT FROM MANAGEMENT, IT IS MORE OF A
02:43:06 PUSHBACK TO FOLLOW THEIR POLICIES, THEIR PROCEDURES
02:43:09 INSTEAD OF OUR CLINICAL PRACTICE, OUR ETHICS AND WHAT
02:43:13 WE SHOULD BELIEVE IN AND HOW YOU ACTUALLY DID THE PRACTICE
02:43:20 OF PUSHING LIKE BECAUSE WE HAVE THE FOLLOW THE LEGALITY OF LATE
02:43:23 THE MONTHS AND THEN YOU ACTUALLY PUSH A PATIENT AND SAY
02:43:27 THAT YOU KNOW IT'S OKAY TO SEE TO REVISIT AGAIN IN COUPLE OF
02:43:31 MONTHS LATER IT BUT IT'S VERY CONCERNING TO ME.
02:43:35 >> YES NO AND I WOULD SAY YOU KNOW, IT DEFINITELY VARIES FOR
02:43:39 ME AND MY OWN EXPERIENCE AND HOW I WORK WITH PATIENTS.
02:43:43 THAT IS SOMETHING I DEFINITELY DON'T SEE.
02:43:46 I TRY MY BEST TO FIT THEM IN AS SOON AS I CAN AND IN ALL
02:43:50 HONESTY TRANSPARENCY IS KEY HERE, RIGHT?
02:43:51 WE'RE ALL WORKING WITHIN A SYSTEM THAT IS HARD TO PUSH
02:43:55 BACK AND CHANGE AGAINST. >> YEAH.
02:43:58 THANK YOU FOR YOUR COURAGE. THANK YOU.
02:43:59 THANK YOU. MY NEXT SET OF QUESTION IS FOR
02:44:02 DR. MICHAELS. DR. MICHAELS, BASED ON THE
02:44:09 TESTIMONY WE HAVE HEARD FROM AND YOUR MEMBERS, IT SEEMS LIKE
02:44:13 KAISER IS INCREASINGLY OUTSOURCING CLINICAL WORK TO
02:44:16 PRACTICE MANAGEMENT COMPANIES COMPANIES WHICH MOST PEOPLE
02:44:20 CALL INTERNAL INTERNET THERAPY PLATFORMS.
02:44:24 >> WHAT CONCERNS SHOULD WE HAVE ABOUT HOW THESE COMPANIES ARE
02:44:28 STRUCTURED IT AND HOW THEY MANAGE THE CLINICIANS WHOM THEY
02:44:32 USE AS INDEPENDENT CONTRACTORS ?
02:44:35 WELL, THANK YOU FOR THAT IMPORTANT QUESTION.
02:44:39 THESE COMPANIES THESE PLATFORMS ARE BACKED BY THREE LARGE
02:44:43 AND POWERFUL GROUPS. >> FIRST, PRIVATE EQUITY
02:44:46 AND VENTURE CAPITAL INVESTORS. SECOND BIG TECH COMPANIES
02:44:50 INCLUDING GOOGLE AND AMAZON. AND THIRD, THE MAJOR
02:44:54 TRADITIONAL INSURANCE COMPANIES.
02:44:58 YES, THEY ARE DIRECTLY INVOLVED AND ARE MAJOR INVESTORS IN IN
02:45:04 THESE PLATFORMS. SO THIS TRIO THEY SHARE A FOCUS
02:45:09 ON PROFITS AND THEY SHARE A FOCUS ON PURSUING GROWTH
02:45:12 AND COST CUTTING. WHAT THEY ALSO SHARE IS THAT
02:45:16 THEY DON'T NECESSARILY KNOW ALL THAT MUCH ABOUT PSYCHOLOGY OR
02:45:20 MENTAL HEALTH CARE. >> THEY'RE VERY CONCERNED
02:45:23 AND ORGANIZED AROUND HOW THEY CAN MAKE MONEY AND MAKE MONEY
02:45:28 FOR THEIR INVESTORS AND THEY ARE NOT CONCERNED OR ORGANIZED
02:45:32 AROUND WHAT MAKES FOR QUALITY CARE OR THE CONDITIONS NEEDED
02:45:36 FOR PATIENTS OR THERAPISTS TO PROVIDE THAT.
02:45:39 ALSO CLINICIANS WHO ARE CONNECTED TO THESE PLATFORMS
02:45:46 ARE 1099 CONTRACTORS. >> THIS IS AN UBER MODEL.
02:45:50 THE PLATFORMS HAVE A TREMENDOUS AMOUNT OF CONTROL OVER THE
02:45:55 POLICIES AND THINGS ACTUALLY THAT RIGHTLY SHOULD BE CLINICAL
02:45:59 DECISIONS. >> SO PLATFORMS ARE OBTAINING
02:46:03 CLINICAL DATA DIRECTLY FROM PATIENTS WITHOUT EVEN ASKING OR
02:46:06 INFORMING THERAPIES AS THEY'RE GOING AROUND THE THERAPIST TO
02:46:11 GET THIS DATA. >> THERE ARE ALSO PRESSURING
02:46:14 FOR EXAMPLE THERAPISTS AND DIFFERENT WAYS TO USE THEIR
02:46:19 AI SCRIBING AND DOCUMENTATION AND TOOLS AND THEY'RE
02:46:23 COLLECTING A MASSIVE AMOUNT OF DATA AND THIS INCLUDES
02:46:26 RECORDING AND RETAINING ENTIRE TRANSCRIPTS OF THERAPY SESSIONS
02:46:33 . SO YES, THEY WANT THE DATA
02:46:34 WHICH IS EXTREMELY VULNERABLE AND PRIVATE.
02:46:38 >> SO THEY ARE ON THE PATH TO TRAINING THEIR OWN CHAT BOTS
02:46:44 AND ALSO DEVELOPING CAPITATED PAYMENT MODELS THAT WILL
02:46:48 RADICALLY CHANGE THE VIABILITY OF MENTAL HEALTH PRACTICE.
02:46:53 SO MANY, MANY CONCERNS AND WE DOCUMENTED IT A LOT OF THIS
02:46:58 IN OUR RESEARCH REPORT ON THESE COMPANIES LAST YEAR.
02:47:01 >> THANK YOU, DOCTOR, MY MICHAEL AND ALSO MY NEXT
02:47:04 QUESTION IS WHAT ELEMENTS OF WHAT KAISER IS PROPOSING ARE
02:47:08 DIFFERENT FROM WHAT YOU HAVE SEEN FROM OTHER INSURERS
02:47:12 AND WHAT IMPACT DO YOU THINK THEY WOULD HAVE ON INDUSTRY?
02:47:13 >> WHY PRACTICES AFFECTING PATIENTS ACCESS TO AFFORDABLE
02:47:19 QUALITY CARE AND THE ABILITY OF CLINICIANS TO PROVIDE ITS
02:47:23 ETHICS PROVIDES CARE ETHICALLY AND SUSTAINABLY?
02:47:27 >> WELL INSURERS ARE NOT PROPOSING MODELS OF CARE.
02:47:31 FOR ONE, THEY ARE NOT MESSING WITH THE ALLIANCE DIRECTLY AS
02:47:36 AS KAISER WOULD BE AND THEIR PROPOSALS.
02:47:39 TRADITIONAL INSURERS ARE NOT MANDATING USAGES OF AI.
02:47:43 >> THEY ARE DOING OTHER THINGS WITH AI.
02:47:47 THEY'RE TRYING TO CREATE THEIR OWN AI MODELS AND PRODUCTS.
02:47:51 AETNA EVEN ANNOUNCED A SINGLE SESSION AI PRODUCT FOR 2027
02:47:57 WHICH IS EXTREMELY PROBLEMATIC. BUT THEY ARE NOT SHOWING THE
02:48:02 SAME KINDS OF INTENT TO WITH WHAT KAISER'S WANTING TO DO
02:48:06 WITH SUBSTITUTING OR USING AI IN THOSE WAYS.
02:48:12 >> BUT YOU KNOW INSURERS DO TRY TO CUT COSTS SIMILAR TO I THINK
02:48:17 WHAT KAISER IS DOING BUT THEY'RE NOT REALLY INSERTING
02:48:21 THEMSELVES INTO THE DEFINITIONS OF OF TREATMENT AND OVER
02:48:25 DIRECTLY OVERRIDING CLINICIAN AUTONOMY IN THE WAYS THAT WE'VE
02:48:30 TALKED ABOUT AND YOU'VE HEARD ABOUT TODAY.
02:48:33 I THINK ALL OF THESE PROPOSALS FROM KAISER WOULD REALLY ADD UP
02:48:37 TO DRASTICALLY REDUCED ACCESS TO CARE FOR PATIENTS.
02:48:40 THEY'RE GOING TO GET LESS QUALITY CARE.
02:48:44 AND THESE PROPOSALS WILL DRIVE THERAPISTS OUT OF THE KAISER
02:48:48 NETWORK. SO IF PATIENTS WANT CARE WITHIN
02:48:52 KAISER THEY'RE GOING TO HAVE TO WAIT FOR IT.
02:48:53 AND IF IF THEY CAN AFFORD IT THEY WILL PROBABLY BE LIKELY TO
02:48:56 SEEK IT OUTSIDE OF KAISER AND PAY FOR IT THEMSELVES.
02:49:00 SO I THINK THAT IT WOULD BE A VERY BAD RECIPE FOR CLINICIANS
02:49:04 AND AND FOR THE PUBLIC. THANK YOU, DOCTOR MICHAELS
02:49:08 LOPEZ AND I DON'T HAVE MORE QUESTIONS IF ANY OF MY
02:49:12 COLLEAGUES WOULD LIKE TO ASK ANY THEY DO.
02:49:15 SUPERVISOR MELGAR THANK YOU PRESIDENT.
02:49:19 I THANK YOU. SUPERVISOR CHEN FOR CALLING
02:49:23 THESE HEARINGS AND FOR YOUR REALLY GOOD QUESTIONS.
02:49:26 I HAVE BEEN A KAISER MEMBER SINCE I WAS 18.
02:49:29 >> ALL THREE OF MY DAUGHTERS WERE BORN AT KAISER.
02:49:34 I HAVE GOTTEN EXCELLENT CARE AT KAISER NOT JUST THROUGH, YOU
02:49:38 KNOW, PREGNANCIES AND CHILDBIRTH BUT ALSO MY
02:49:42 HUSBAND, YOU KNOW, WHILE AGO HAD A VERY SERIOUS HEALTH ISSUE
02:49:46 THAT GOT HIM TO SPEND ABOUT A MONTH AT KAISER AND GOT NOTHING
02:49:51 BUT EXCELLENT CARE FROM THAT VERY DEDICATED AND PROFESSIONAL
02:49:54 STAFF THERE. AND FOR ALL OF THESE YEARS THE
02:49:59 ONE EXCEPTION TO THAT EXCELLENT CARE FOR MY FAMILY WAS MENTAL
02:50:04 HEALTH RELATED WHEN ONE OF MY DAUGHTERS HAD AN ACUTE CRISIS.
02:50:07 AND WHAT WE ACCESS AT KAISER WAS NOT GREAT AND LEFT US
02:50:16 HAVING TO SEEK OTHER RESOURCES AND WHAT WE WERE PAYING FOR WE
02:50:20 HAD PAID FOR FOR DECADES AND SO I TAKE THIS ISSUE VERY, VERY
02:50:23 SERIOUSLY HAVING LIVED THROUGH IT AND HAVING BEEN A LOYAL
02:50:31 AND DEDICATED KAISER MEMBER AND FOR MOST OF IT AT MOST OF
02:50:34 IT, YOU KNOW, HAVING RECEIVED REALLY EXCELLENT CARE PROVIDED
02:50:38 BY THE STAFF. SO I THANK YOU AGAIN SUPERVISOR
02:50:43 CHAN FOR CALLING THIS HEARING. I RECOGNIZE THAT THERE ARE SOME
02:50:49 TOPICS THAT ARE BEST DISCUSSED AT THE BARGAINING TABLE OR AT
02:50:54 MEDIATION BUT YOU KNOW THERE'S ALSO A LEVEL OF TRANSPARENCY
02:50:58 THAT I THINK WE NEED TO HAVE. >> GIVEN THAT THIS HEARING IS
02:51:01 BEING HELD IN PUBLIC BECAUSE YOU KNOW, KAISER IS SUCH AN
02:51:05 IMPORTANT PART OF THE NETWORK OF CARE IN SAN FRANCISCO
02:51:08 AND ALSO KAISER PROVIDES HEALTH CARE FOR A BIG PART OF THE
02:51:13 EMPLOYEES OF THE CITY AND COUNTY OF SAN FRANCISCO
02:51:16 MYSELF INCLUDED IN OUR DEPENDANCE.
02:51:20 SO I WANT TO MAKE SURE THAT KAISER WITH OUR CONTRIBUTIONS
02:51:24 ARE PUTTING PATIENTS INTERESTS FIRST AND CONNECTING PATIENTS
02:51:31 WITH WHAT THEY NEED AND NOT PUTTING THAT SORT OF SECOND.
02:51:38 IT IS AN ISSUE OF PUBLIC INTEREST.
02:51:39 I AM REALLY DISAPPOINTED THAT THEY'RE NOT HERE AT THE LAST
02:51:42 TIME I MET WITH KAISER LEADERSHIP WAS IN MY ROLE AS A
02:51:50 LAND USE AND TRANSPORTATION COMMITTEE CHAIR BECAUSE THEY'RE
02:51:54 SEEKING AN EXPANSION OF THEIR CAMPUS WHICH I SUPPORT AND THE
02:51:57 CITY YOU KNOW IN COUNTY OF SAN FRANCISCO WILL NEGOTIATE WITH
02:52:01 THEM. BUT YOU KNOW THEY'RE COMING TO
02:52:04 US ASKING FOR SOMETHING AND I THINK THAT IT IS FAIR TO BE
02:52:08 TRANSPARENT ABOUT WHAT IS GOING ON.
02:52:12 SO I HOPE THEY'RE LISTENING TODAY.
02:52:13 I AM DISAPPOINTED THAT THEY'RE NOT HERE AND I THINK THAT THEY
02:52:20 MIGHT HAVE TRIED A DIFFERENT APPROACH IN THEIR RELATIONSHIP
02:52:21 WITH US. >> BUT THAT AND I WILL IN A
02:52:26 DIRECT SOME OF MY QUESTIONS TO ELENA WHO SPOKE EARLIER.
02:52:31 >> ELLEN, YOU'RE STILL HERE. THERE ARE SO YOU TALKED A
02:52:38 LITTLE BIT ABOUT WHAT HAPPENED WHEN TOOLS WERE FIRST DEPLOYED
02:52:45 DURING YOUR WORK. SO I'M HOPING THAT YOU CAN TALK
02:52:49 US THROUGH LIKE WHAT HAPPENED YOU KNOW, WHEN THIS WAS ROLLED
02:52:52 OUT. WHAT WAS YOUR RESPONSE?
02:52:56 YOU KNOW, NOT JUST AT THE BARGAINING TABLE BUT LIKE WHAT
02:52:58 WAS YOUR RESPONSE LIKE WITH YOUR COWORKER OR IS WHEN YOU
02:53:01 WERE TOLD THIS IS WHAT'S GOING ON NOW LIKE WHAT DID THAT LOOK
02:53:04 LIKE WITH YOUR SUPERVISOR? >> SURE.
02:53:08 AS SOON AS WE FOUND OUT THAT KAISER HAD UNLICENSED CLERICAL
02:53:12 STAFF DOING TRIAGE WORK WHICH WAS KIND OF THE BEGINNING OF
02:53:13 THIS EROSION OF TRIAGE, WE FILED A GRIEVANCE WHICH OVER
02:53:19 TWO YEARS LATER HASN'T BEEN SCHEDULED FOR ARBITRATION.
02:53:22 WE ALSO FILED A CHARGE WITH THE NLRB NATIONAL LABOR RELATIONS
02:53:26 BOARD WHICH THEY HAVE SINCE DEFERRED BACK TO THE GRIEVANCE
02:53:34 AND ARBITRATION PROCESS. >> AND WE FILED A COMPLAINT
02:53:35 WITH THE DAMAGE SEE ALLEGING VIOLATIONS OF CALIFORNIA LAW
02:53:41 WHICH LIMITS TRIAGE TO QUALIFIED LICENSED INDIVIDUALS
02:53:45 AND THE DAMAGE C REPORTS TO US THAT THEY ARE STILL
02:53:47 INVESTIGATING. BUT INTERPERSONALLY WE WERE
02:53:50 VERY ALARMED. >> RIGHT.
02:53:54 BECAUSE I YOU KNOW, SHARE YOUR EXPERIENCE AS HAVING PHENOMENAL
02:53:58 CARE. I'VE HAD TWO BABIES AT KAISER.
02:53:59 I'M A LIFETIME MEMBER AND AS AN EMPLOYEE IN PSYCHIATRY I HAVE
02:54:06 SEEN A MUCH DARKER SIDE OF KAISER THAN I EVER SAW AS A
02:54:09 PATIENT PRIOR. >> SO MY COLLEAGUES AND I WERE
02:54:14 ALARMED, RIGHT? I MEAN I HAVE BEEN TRAINED.
02:54:17 >> IT TOOK ME A DECADE AND A HALF THROUGH EXPERIENCED
02:54:22 PRACTICE GOING THROUGH ALL THE STATE REQUIREMENTS AND I WAS
02:54:25 TOLD WHEN I WAS GOING THROUGH THAT BY THE STATE YOU YOU WILL
02:54:31 YOU KNOW, YOU HAVE TO GO THROUGH THIS BECAUSE PUBLIC
02:54:33 SAFETY IS IN YOUR HANDS. SO MY COLLEAGUES AND I ALL
02:54:36 TOGETHER ESSENTIALLY YOU KNOW, WE'VE WORKED OUR ENTIRE CAREERS
02:54:40 TO ACCESS DOING CLINICAL TRIAGE AND TO QUICKLY LEARN THAT
02:54:47 OPERATORS AND ALGORITHMS CAN JUST QUICKLY DO WHAT HAS TAKEN
02:54:51 ME MANY, MANY YEARS OF EXPERIENCE AND MY COLLEAGUES WE
02:54:54 WERE ALL VERY, VERY FRUSTRATED .
02:54:58 >> SO ELENA, WHAT HAPPENS TO THE PATIENT?
02:55:02 SO IF THEY ARE TRIAGED BY SOMEONE YOU KNOW, SOMEONE WHO
02:55:04 IS NOT LICENSE OR SOMEONE IS THAT EVEN A PERSON?
02:55:07 WHAT HAPPENS IF THEN THEY'RE ASSIGNED TO SOMETHING THAT'S
02:55:10 NOT APPROPRIATE OR THAT THEY FEEL IS NOT HELPING THEM OR
02:55:14 THAT DOESN'T MEET THEIR NEEDS? THEN WHAT IS WHAT IS THEIR
02:55:17 RECOURSE? RIGHT.
02:55:21 SO TO TO ANSWER BLUNTLY WE DON'T ALWAYS KNOW WHAT HAPPENS
02:55:25 TO THOSE PATIENTS WHEN THE BOTS AND OPERATORS GET IT WRONG,
02:55:29 ESPECIALLY WHEN THEY'RE OUTSOURCED BECAUSE THEY'RE
02:55:32 THERE NOW OUTSIDE OF THE INTEGRATED HEALTH PLAN.
02:55:36 SO I ONLY REALLY KNOW OF THE PATIENTS WHO EITHER A PROVIDER
02:55:40 OR THEMSELVES ARE STRONG SELF ADVOCATES.
02:55:44 SO WHEN PATIENTS ADVOCATE FOR THEMSELVES OR THE EXTERNAL
02:55:48 PROGRAM DETERMINES THAT THEY'RE NOT APPROPRIATE FOR THEIR
02:55:49 PROGRAM, THEY END UP BOOKED WITH ME AND INSTEAD OF TALKING
02:55:55 TO ME A MONTH AGO, YOU KNOW WE'RE TALKING DOWN THE ROAD
02:55:59 WHEN THE PATIENT IS FRUSTRATED LIKELY DETERIORATE IT.
02:56:03 A LOT OF THE EVIDENCE SUGGESTS THAT THE BEGINNING OF ONES CARE
02:56:05 EPISODE IS THE OPPORTUNITY TO INSTILL HOPE AND WHEN WE CAN
02:56:09 INSTILL THAT HOPE AND THE BEGINNING A LOT OF PEOPLE GIVE
02:56:13 UP. >> SO WHEN THEY MAKE IT TO ME
02:56:19 AFTER GREAT DELAYS I ACTUALLY CONDUCT A THOROUGH ASSESSMENT
02:56:24 TO CORRECT THEIR TREATMENT PLAN AND CONNECT THEM TO THE
02:56:28 CLINICALLY APPROPRIATE CARE. OFTENTIMES PATIENTS ARE
02:56:31 CONFUSED, UPSET AND THEY OFTEN GET ANGRY THAT THEY'RE GOT
02:56:35 MISDIRECTED IN THE FIRST PLACE. YOU KNOW, AS I SAID EARLIER,
02:56:39 APOLOGIZING HAS BECOME A ROUTINE PART OF MY DAY.
02:56:43 >> SO YOU KNOW, I'M DOING WHAT I CALL SERVICE RECOVERY AS
02:56:47 OPPOSED TO THE ORIGINAL TRIAGE AND CLINICAL ASSESSMENT JOB
02:56:51 THAT I SIGNED UP FOR MANY YEARS AGO.
02:56:54 BOTTOM LINE PATIENTS THAT ARE ALREADY SUFFERING FROM THEIR
02:56:58 PSYCHIATRIC IMPAIRMENT ARE SUFFERING EVEN FURTHER FROM THE
02:57:02 DELAYS IN CARE THAT THE UNLICENSED OPERATOR OR
02:57:06 ALGORITHMIC BASED TRIAGE CREATES AND THOSE CONSEQUENCES
02:57:10 ARE UNFORTUNATELY QUITE DIRE. >> THANK YOU.
02:57:11 THAT'S MY QUESTIONS. >> THANK YOU.
02:57:15 SUPERVISOR FIELDER THANK YOU, PRESIDENT MIDDLEMEN THANK YOU
02:57:19 SUPERVISOR CHEN FOR CALLING FOR THIS HEARING.
02:57:22 THANK YOU TO EVERYONE WHO'S SHOWN UP TODAY.
02:57:23 I HAVE A QUESTION FOR DR. MICHAELS.
02:57:29 >> DR. MICHAELS, AT THE END OF YOUR TESTIMONY YOU PREDICTED A
02:57:31 SET OF NEGATIVE RESULTS FOR CLINICIANS, PATIENTS AND KAISER
02:57:34 ITSELF IF KAISER MANAGEMENT WERE TO SUCCEED IN FORCING ITS
02:57:40 TERRIBLE THREE CONTRACT DEMANDS ON UAW MEMBERS COULD YOU EXPAND
02:57:44 ON HOW YOU INFERRED THOSE SPECIFIC RESULTS FROM THE
02:57:48 SPECIFIC CONTENT OF WHAT KAISER MANAGEMENT IS ASKING ANY UAW
02:57:52 MEMBERS TO ACCEPT? SURE.
02:57:52 THANK YOU. I MEAN IT'S NOT TOO VAGUE OF AN
02:57:57 INFERENCE THESE THINGS HAVE BEEN TRIED IN OTHER SETTINGS
02:58:01 AND THERE'S EVIDENCE TO SHOW THAT THIS IS WHAT THESE ARE THE
02:58:05 RESULTS. THIS IS WHAT HAPPENED.
02:58:06 SO FOR EXAMPLE, IF WE THINK ABOUT FOR PATIENTS IF IF THERE
02:58:11 IS A ONE SIZE FITS ALL OR A STANDARDIZED MODEL WHICH IS ONE
02:58:16 OF THE THINGS THAT KAISER WANTS TO DO, WE KNOW THAT THAT'S NOT
02:58:19 GOING TO WORK FOR EVERYBODY. DIFFERENT PEOPLE NEED DIFFERENT
02:58:23 TREATMENT APPROACHES WHICH IS WHY WE HAVE DIFFERENT MODELS
02:58:25 AND THERAPISTS ARE TRAINED IN MULTIPLE MODELS AND ALSO USE
02:58:27 THE INFORMATION THEY OBTAINED FROM THEIR WORK WITH EACH
02:58:31 INDIVIDUAL PATIENT TO ADAPT EVEN WITHIN A SESSION AS WELL
02:58:38 AS OVER TIME. SO WE KNOW THAT WHEN SOMEBODY
02:58:41 RECEIVES TREATMENT THAT IS NOT THE RIGHT MODEL OR THE RIGHT
02:58:46 APPROACH FOR THEM, THEY DON'T FEEL GOOD, THEY DON'T FEEL
02:58:49 HELP, THEY DON'T FEEL UNDERSTOOD.
02:58:50 THEY THINK THERAPY DOESN'T WORK OR THERAPY DOESN'T WORK FOR ME
02:58:56 MAYBE I'M NOT ABLE TO BE HELPED.
02:58:57 THEIR SYMPTOMS MAY WORSEN. THEY MAY DROP OUT OF TREATMENT
02:59:02 ALTOGETHER. >> DROPOUT WILL ALSO PROBABLY
02:59:05 INCREASE FROM THE OUTSOURCING SITUATION WHEN PATIENTS ARE
02:59:12 SHUTTLED TO TWO DIFFERENT THERAPISTS OR THEY HAVE TO
02:59:16 INTERACT WITH AN AI. YOU KNOW THIS IS A DIRECT
02:59:23 INTERRUPTION OF THE ALLIANCE. AND SO THE ALLIANCE IS THE
02:59:27 REASON AND THE METHOD BY WHICH THERAPY WORKS.
02:59:31 AND WHEN YOU'RE INTERRUPTING THAT ALLIANCE AND MESSING WITH
02:59:35 IT, RESULTS ARE GOING TO DECREASE.
02:59:36 OUTCOMES WILL WORSEN. AND THEN FINALLY, YOU KNOW,
02:59:40 WHEN THERE IS A LACK OF AUTONOMY FOR THE THERAPIST
02:59:44 AND MORE BURNOUT, MORE TIME PRESSURES ETC. AND YOU KNOW
02:59:51 THERE'S MORE TURNOVER OF TURNOVER OF THERAPISTS THAN
02:59:55 PATIENTS ARE ALSO LIKELY TO DROP OUT OF CARE WHEN THEY'RE
02:59:59 THERAPIST LEAVES. THEY'LL PROBABLY LEAVE AS WELL.
03:00:03 SO ADDING ALL OF THIS UP TOGETHER FOR FOR THE PATIENTS I
03:00:06 THINK OUTCOMES WILL WILL WORSEN PEOPLE WILL SUFFER MORE
03:00:10 AND IT'S UNNECESSARY. THERE'S ALSO FOR THE CLINICIAN
03:00:18 IT'S AS SOME PEOPLE HAVE SAID WE ARE DUTY BOUND BY OUR CODE
03:00:22 OF ETHICS. EACH DEGREE OR DISCIPLINE HAS A
03:00:26 SPECIFIC CODE OF ETHICS AND WE HAVE A STATE LICENSE AND WE ARE
03:00:29 ACCOUNTABLE TO PROVIDING CARE ACCORDING TO THOSE ETHICAL
03:00:34 STANDARDS AND THE TERMS OF OUR LICENSE IF SOMETHING GOES WRONG
03:00:38 IT'S ON US AND IN THESE SOME OF THESE CHANGES THAT KAISER IS
03:00:43 PROPOSING THAT ACCOUNTABILITY AND RESPONSIBILITY WOULD BE
03:00:46 DIFFUSED AND TAKEN AWAY AND THE AI DOESN'T HAVE A LICENSE.
03:00:53 IT DOESN'T IT DIDN'T GO TO GRADUATE SCHOOL.
03:00:56 THIS IS NOT A VERY GOOD PLAN AT ALL FOR QUALITY CARE AND I
03:01:01 THINK WELL A LOT OF THESE POLICIES MAY SAVE KAISER MONEY
03:01:05 IN THE SHORT TERM WHICH I IMAGINE THAT IS THEIR MAIN
03:01:09 MOTIVATION FOR FOR PROPOSING THESE THINGS.
03:01:10 >> THEY WILL ACTUALLY CREATE NEW AND HIGHER COSTS IN THE
03:01:16 LONG TERM IN TERMS OF REPLACING THERAPIES, IN TERMS OF MEDICAL
03:01:21 COSTS FOR FOR PATIENTS WHO DON'T GET APPROPRIATE CARE.
03:01:25 >> IT'S A VERY COSTLY LONG TERM GAMBIT THAT KAISER IS PLAYING
03:01:32 HERE AND IT'S NOT GOOD FOR PATIENTS FOR THERAPISTS OR
03:01:35 REALLY EVEN FOR KAISER ITSELF. >> THANK YOU.
03:01:40 SUPERVISOR FIELDER SUPERVISOR WALTON WAS OBSERVING TO ME
03:01:50 EARLIER THAT THIS HEARING REALLY WOULD HAVE BEEN A MORE
03:01:54 USEFUL EXERCISE FOR THE MEMBERS OF THE BOARD OF SUPERVISORS IF
03:01:58 KAISER HAD DEEMED HAD DEIGNED TO SEND REPRESENTATION AND I
03:02:02 CAN CERTAINLY UNDERSTAND THEM NOT WANTING TO BE HERE TO HEAR
03:02:09 THIS STORY AND RESPOND TO OUR QUESTIONS.
03:02:10 ON THE OTHER HAND, THEIR NON PRESENCE, YOU KNOW SUGGESTS TO
03:02:17 ME THAT THE STORY IS BASICALLY RIGHT AND THAT THE PICTURE
03:02:21 THAT'S BEING PAINTED BY THE BY THE WORKERS IS IS PRETTY OR
03:02:25 ACCURATE OF A LARGE BUSINESS THAT IS INTERESTED IN SQUEEZING
03:02:29 EFFICIENCIES OUT OF AN UNDER RESOURCED POOR PART OF ITS OF
03:02:33 ITS OPERATION AND WITH BAD CONSEQUENCES THAT ARE A CONCERN
03:02:40 TO THIS BOARD OF SUPERVISORS. SUPERVISOR MELGAR YOU KNOW AS
03:02:45 AS YOU INDICATED I MEAN WE ARE CONCERNED ABOUT HOW WORKERS GET
03:02:49 TREATED IN OUR CITY. WE ARE CONCERNED ABOUT HOW
03:02:53 FOLKS WHO LIVE IN SAN FRANCISCO AND HAVE WHO ARE MEMBERS OF
03:02:57 KAISER AND HAVE MENTAL HEALTH NEEDS ARE TREATED AND GET CARE
03:03:01 OR DO NOT GET CARE BUT WE ARE ALSO A PURCHASER.
03:03:05 >> WE HAVE YOU KNOW, MANY, MANY, MANY SAN FRANCISCO CITY
03:03:09 EMPLOYEES WHO EITHER THEMSELVES OR THEIR FAMILIES AT SOME POINT
03:03:12 ARE GOING TO NEED BEHAVIORAL HEALTH RESOURCES AND WE DO NOT
03:03:15 WANT TO BE SUBJECTING OUR EMPLOYEES TO A SIT AND OUR
03:03:19 RETIREES TO A SITUATION WHERE THEY CAN'T ACTUALLY GET THE
03:03:22 CARE THAT THEY NEED. THE PICTURE WE'VE HEARD IS
03:03:26 PRETTY DYSTOPIAN. I MEAN IT'S SORT OF YOUR
03:03:29 IMAGINATION OF THE WORST CALL CENTER EXCEPT YOU'RE NOT
03:03:31 ARGUING ABOUT, YOU KNOW, WITH THIS BOT ABOUT, YOU KNOW, SOME
03:03:37 PRODUCT OR YOU KNOW SOME YOU KNOW THE SHOES YOU'RE ARGUING
03:03:40 WITH THE BOT ABOUT THE THE KIND OF CARE THAT YOU'RE GOING TO
03:03:44 GET FOR YOUR KID AND THAT'S YOU KNOW, NOT GOOD I GUESS I THINK
03:03:51 I YOU KNOW, I GUESS I WOULD LIKE TO INVITE MS..
03:03:56 MISS MARKEY MAURICE TO COME BACK.
03:04:00 >> YOU'RE IN HIGH DEMAND. I MEAN IT WOULD BE INTERESTING
03:04:10 AGAIN IF KAISER WERE HERE WE COULD HAVE A CONVERSATION ABOUT
03:04:14 HOW MIGHT A WHAT ARE YOU TRYING TO DO WITH A I AND THE WAYS
03:04:18 IN WHICH YOU KNOW I MEAN IT SOUNDS ENTIRELY BELIEVABLE THAT
03:04:26 THEY'RE, YOU KNOW, TRYING TO TURN OVER THIS KIND OF INTAKE
03:04:29 WORK TO A PROCESS THAT DOES NOT INVOLVE PEOPLE AND THAT SEEMS
03:04:34 REALLY WRONG IN AND I GUESS ILLEGAL IN IN THIS CONTEXT.
03:04:41 BUT I MEAN I DON'T THINK THAT THE AS I UNDERSTAND IT THE
03:04:45 CLINICIANS AT KAISER ARE NOT SAYING NO I NEVER YOU'RE SAYING
03:04:52 YES BUT USE IT TO MAKE US BETTER AS CLINICIANS I THINK.
03:04:56 BUT CAN YOU TALK A LITTLE BIT MORE ABOUT HOW AIR COULD BE
03:05:00 DEPLOYED RESPONSIBLY IN WAYS THAT WOULD SUPPORT THERAPIES
03:05:03 WORK RATHER THAN REPLACING IT INAPPROPRIATELY AND HOW COULD I
03:05:08 HELP ADDRESS THE STAFFING SHORTAGE?
03:05:09 >> SURE. I YOU KNOW, THERE'S A LONG
03:05:13 HISTORY OF, YOU KNOW, TECHNOLOGY AND INNOVATION
03:05:16 REALLY HELPING THE MEDICAL FIELD.
03:05:19 SO I MYSELF AND AS A UNION WE ARE NOT ANTI AI, WE ARE NOT
03:05:24 ANTI INNOVATION. I KNOW THAT I SOUND SKEPTICAL
03:05:27 ABOUT THE USE OF AI BUT THAT'S BECAUSE I CARE DEEPLY ABOUT
03:05:31 PATIENT PRIVACY AND CARE EFFECTIVENESS.
03:05:34 AS DR. MICHAEL SHARED YOU START RECORDING SESSIONS, YOU ENTER A
03:05:40 THIRD PARTY INTO THE ROOM. THE NATURE OF THAT ALLIANCE IS
03:05:44 IS SEVERED. THERE'S JUST NO DATA THAT
03:05:45 SUPPORTS IT. SO I WANT TO SEE THAT DATA
03:05:48 FIRST BEFORE MAKING MASSIVE PUBLIC HEALTH DECISIONS.
03:05:52 >> BUT I HAVE SEEN HOW KAISER HAS TIME AND TIME AGAIN MADE
03:05:56 CHANGES IN OUR DAILY OPERATION IN THE NAME OF IMPROVING ACCESS
03:06:01 OR PATIENT CARE WHEN THE CHANGES ARE MORE ABOUT THEIR
03:06:04 BOTTOM LINE. SO AS A UNION WE'RE NOT AGAINST
03:06:08 THE RESPONSIBLE USE OF AI USING AI THAT SUPPORTS THERAPISTS
03:06:12 PROTECT PATIENT PRIVACY AND DOES NOT REMOVE REMOVE
03:06:16 HUMANS FROM THIS HUMAN WORK OF THERAPY.
03:06:23 >> I CAN SEE I USE TO REMOVE SOME MENIAL TASKS ADDRESS
03:06:27 OPERATIONAL INEFFICIENCIES LIKE PAPERWORK OR ADMINISTRATIVE
03:06:31 LAG. WE'RE SEEING THE SAME PROBLEMS
03:06:32 IN THOSE REALMS THAT WE DID A DECADE AGO SO I'D LIKE TO SEE
03:06:38 USE THERE OR MAYBE EVEN IN WAYS THAT WOULD HELP US HONE OUR
03:06:42 SKILLS AS HUMAN THERAPISTS. BUT BEFORE A.I. IS DEPLOYED
03:06:46 IN ANY MANNER IT IS ABSOLUTELY NECESSARY THAT THE THERAPISTS
03:06:50 WHO WILL BE USING OR AFFECTED BY AI TOOLS HAVE A REAL VOICE
03:06:54 AND HOW IT'S DEPLOYED. I FEAR THAT THE TECH INDUSTRY
03:07:01 ALONGSIDE MY EMPLOYER SIMPLY SEES A PROFIT MAKING
03:07:05 OPPORTUNITY INCLUDING THE COST SAVINGS OF LAYING OFF HUMAN
03:07:10 PROVIDERS AND IS NOT GENUINELY MOTIVATED BY IMPROVING ACCESS
03:07:16 TO INNOVATION OR OVERALL CARE EXPERIENCES AND YOU MENTIONED
03:07:21 THE SHORTAGE SO VERY RESPECTFULLY WE PUSH BACK ON
03:07:25 THE TRUE EXISTENCE OF A THERAPIST SHORTAGE ESPECIALLY
03:07:29 IN SAN FRANCISCO. >> I CANNOT THROW A ROCK ON
03:07:33 MARKET STREET WITHOUT HITTING FIVE MUFTIS.
03:07:36 >> YOU KNOW THE SHORTAGE IS NOT KEYSTONES.
03:07:41 >> I WILL NOT SCOUTS. I PROMISE DO NO HARM.
03:07:44 AM I RIGHT? THE SHORTAGE IS NOT AVAILABLE.
03:07:48 THERAPISTS, SUPERVISORS THE SHORTAGE OUR THERAPISTS THAT
03:07:52 CAN MAKE A LIVING ON THE PAY RATES UNILATERALLY DETERMINED
03:07:56 BY THE HEALTH PLANS THE SHORTAGE OUR PROVIDERS TAKING
03:08:03 INSURANCE OR WILLING TO ACCEPT FACTORY ASSEMBLY LINE WORKING
03:08:07 CONDITIONS THAT NOW WANT TO PUSH QUESTIONABLE TECHNOLOGY ON
03:08:11 US AS WELL. >> THAT'S THE SHORTAGE HERE.
03:08:15 >> THERE ARE PLENTY OF US WILLING TO WORK AND SUPPORT
03:08:19 HUMAN HEALING WHEN GIVEN THE APPROPRIATE RESOURCES TO DO SO
03:08:23 ACCORDING TO INDUSTRY STANDARDS OF CARE AND JUST FROM A MENTAL
03:08:32 EXERCISE PROFESSOR SUBJECTIVE IF THERE IS A HUMAN SHORTAGE
03:08:35 HELP ME UNDERSTAND WHY LAYING OFF THE HUMANS COMMITTED TO THE
03:08:39 WORK IS THE VIABLE SOLUTION. I QUOTE MY COLLEAGUE MAKE IT
03:08:43 MAKE SENSE. >> SO THAT'S THAT'S THAT'S HOW
03:08:47 I FEEL ABOUT THAT. I MEAN THANK YOU FOR THAT.
03:08:48 IT IS YOU KNOW IF OUR OUR KAISER REPRESENTATIVE IS WERE
03:08:56 HERE I WOULD LOVE IT. >> I WOULD ASK YOU TO I WOULD
03:08:57 ASK THEM, YOU KNOW WHY THIS LANGUAGE THAT SEEMS PRETTY
03:09:00 REASONABLE AND HAS WORKED ITS WAY INTO A ANOTHER CONTRACT YOU
03:09:04 KNOW WOULD NOT WORK IN NORTHERN CALIFORNIA.
03:09:07 BUT OF COURSE WE CANNOT ASK THAT QUESTION OR AT LEAST WE
03:09:11 CAN ASK IT BUT IT'S GOING TO AVOID.
03:09:12 ALL RIGHT. THANK YOU.
03:09:15 THANK YOU SO MUCH. YEAH.
03:09:15 AND THEN I DO HAVE A COUPLE OF QUESTIONS FOR MS..
03:09:21 >> PARSONS. >> WELCOME BACK.
03:09:25 HELLO. HELLO.
03:09:28 SO YOU HAVE YOU'RE IN AN INTERESTING SPOT IN THAT YOU'RE
03:09:30 BOTH YOU'RE BOTH INSIDE AND OUT.
03:09:33 YOU'RE BOTH YOU ARE BOTH A KAISER THERAPIST AND YOU'VE
03:09:36 YOU'VE WORKED ARE CURRENTLY WORK AS AN INDEPENDENT
03:09:40 PROVIDER, CORRECT? >> I DO NOT SEE KAISER CLIENTS
03:09:43 THROUGH THAT. OKAY.
03:09:44 WE'RE NOT ALLOWED TO. OKAY.
03:09:47 >> EVERYONE HEARD THAT RIGHT. SO I'M WONDERING GIVEN THAT IF
03:09:51 YOU COULD TALK A LITTLE BIT MORE ABOUT THE DIFFERENCES
03:09:54 IN THE PROBLEMS THAT YOU FACE WORKING AS A KAISER STAFF
03:09:55 THERAPIST AND THE PROBLEMS WE FACE WORKING AS AN INDEPENDENT
03:09:58 CONTRACTOR, INDEPENDENT CONTRACTOR, INDEPENDENT
03:10:00 PROVIDER AND TELL US WHAT YOU THINK ARE THE BEST AND WORST
03:10:03 PARTS OF THE WORK ON BOTH SIDES OF THAT DIVIDE.
03:10:07 >> YEAH SO I ALREADY NAMED RIGHT THAT THE INTEGRATED CARE
03:10:10 MODEL THAT KAISER SAYS IT HAS WHEN IT ACTUALLY WORKS IT WORKS
03:10:14 VERY WELL, RIGHT? SO AS A KAISER STAFF THERAPIST
03:10:17 I CAN SEE WHAT'S GOING ON WITH MY CLIENTS, RIGHT?
03:10:19 A PERFECT EXAMPLE IS I HAD A WOMAN WHO WAS 41 WEEKS PREGNANT
03:10:23 AND SHE WAS TERRIFIED OF GETTING AN INJECTION AND I
03:10:26 COULD JUST LOOK IN HER CHART TO SEE HOW SHE GIVEN BIRTH YET.
03:10:29 IS SHE IN THERE? WHAT'S GOING ON?
03:10:32 WHAT'S HAPPENING? RIGHT.
03:10:33 AND IN ANY OPENING I HAD I ACTUALLY SCHEDULED HER TO CALL
03:10:36 HER BECAUSE SHE WAS TERRIFIED AND I ACTUALLY SAME AS SOME OF
03:10:40 US HERE RIGHT HAVE HAVE BEEN THROUGH THAT.
03:10:41 I'VE GIVEN BIRTH AT KAISER. I WAS INDUCED TWO TIMES.
03:10:44 SO I CAN USE THAT PERSONAL EXPERIENCE TO SAY LIKE HEY,
03:10:45 THIS IS WHAT YOU MIGHT BE ABLE TO EXPECT.
03:10:48 >> LET'S TALK ABOUT YOUR ANXIETY.
03:10:49 LET'S TALK ABOUT YOUR WORRY. I CANNOT DO THAT AS A WHEN I
03:10:52 WORK AS A THIRD PARTY CONTRACTOR BECAUSE I DON'T HAVE
03:10:54 ANY OTHER NOTES THAN MY OWN RIGHT.
03:10:55 THERE'S NO INFORMATION. THERE'S NO TEST RESULTS.
03:10:58 THERE'S NO DOCTORS THAT I CAN JUST MESSAGE AND SAY HEY,
03:11:03 WHAT'S GOING ON? HEY, THIS IS A CONCERN THEY
03:11:05 HAVE, RIGHT? THIS PARTICULAR CLIENT I
03:11:06 MESSAGED HER OB AND SAID THIS IS A BIG CONCERN SHE HAS JUST
03:11:09 WANT TO GIVE YOU A HEADS UP. >> RIGHT.
03:11:10 SO THAT'S PROBABLY THE DOWNFALL OF WORKING WITH A THIRD PARTY
03:11:13 CONTRACTOR IN TERMS OF KAISER, THE BIGGEST CHALLENGE IS TIME,
03:11:17 RIGHT? I MEAN WE'VE ALL TALKED ABOUT
03:11:20 IT BUT IN OUR CONTRACT RIGHT NOW EVERY SINGLE RETURN PATIENT
03:11:24 WE HAVE MEETING WE'VE SEEN THEM BEFORE AND THEY ARE RETURNING
03:11:28 TO US THOSE SLOTS RIGHT FOR EVERY FIVE OF THOSE WE SEE WE
03:11:32 HAVE ONE INTAKE MEETING. WE'VE NOT SEEN THIS PERSON
03:11:35 BEFORE OR AT LEAST NOT IN THE LAST YEAR.
03:11:37 AND SO THE EXPECTATION IS IF I'M GETTING FIVE NEW CLIENTS A
03:11:42 WEEK LET'S SAY RIGHT LET'S SAY I SEE 30 PATIENTS AND FIVE OF
03:11:44 THEM ARE NEW TO MAKE THAT ALL FIT I HAVE TO BE TERMINATING OR
03:11:48 CLOSING SERVICES WITH FIVE RETURN PATIENTS WHICH IS JUST
03:11:52 NOT HAPPENING OF COURSE, RIGHT? >> ESPECIALLY BECAUSE WE DON'T
03:11:56 REALLY GET TO SEE RETURN PATIENTS AS MUCH AS WE SHOULD.
03:12:00 SO IF I SEE A RETURN PATIENT ONCE EVERY 4 TO 6 WEEKS IT'S
03:12:03 OBVIOUSLY GOING TO TAKE LONGER FOR THEM TO RECOVER IF I COULD
03:12:07 SEE THEM WEEKLY. THERE ARE ALSO CERTAIN MODELS
03:12:10 OF CARE WHERE REALLY ETHICALLY I SHOULD BE SEEING THEM WEEKLY
03:12:13 . >> YOU KNOW MDR, FOR EXAMPLE IS
03:12:15 A SERVICE WE OFFER. YOU NEED TO SEE SOMEONE WEEKLY
03:12:18 FOR THAT BUT THEY'RE NOT BOOKED WEEKLY BECAUSE THERE'S JUST NOT
03:12:19 TIME FOR THAT. >> THE ANOTHER ISSUE I SEE
03:12:25 WITHIN KAISER IS I'M A SPECIALIST SO I DO COUPLES
03:12:26 THERAPY. I'M A CERTIFIED SEX THERAPIST.
03:12:30 I'M A PERINATAL MENTAL HEALTH SPECIALIST.
03:12:31 THOSE ARE ALL THINGS THAT PEOPLE REALLY WANT, RIGHT?
03:12:34 >> I'M ONE OF THREE SEX THERAPISTS WITHIN THE ENTIRE
03:12:37 NORTHERN CALIFORNIA REGION. RIGHT.
03:12:39 AND I CAN PUT THAT ON MY PROFILE IN TERMS OF A THIRD
03:12:47 PARTY CONTRACTOR. >> RIGHT.
03:12:48 THEY CAN GO THEY CAN SEE LIKE OH, SHE DOES THIS, SHE DOES
03:12:51 THAT. THAT'S GREAT.
03:12:51 I WANT TO BOOK WITH HER WITHIN KAISER.
03:12:53 I HAVE WORKED THERE FOR FIVE YEARS ABOUT FOUR YEARS AGO OR
03:12:56 SORRY ABOUT ONE YEAR AGO SO FOUR YEARS THEN I FOUND OUT
03:13:00 THAT THERAPISTS COULD CREATE THEIR OWN MY DOCTOR ONLINE
03:13:03 PROFILE WHICH IF YOU'VE HAD A PCP, IF YOU'VE BEEN WITH KAISER
03:13:06 YOU CAN GO AND LOOK AT THE DOCTORS AND THEY SAY
03:13:08 INFORMATION ABOUT THEM. >> I DIDN'T KNOW WE COULD DO
03:13:11 THAT IN MENTAL HEALTH SO ABOUT A YEAR AGO I FILLED ONE OUT
03:13:14 AND THEN I STARTED GETTING REFERRALS FOR CERTIFIED SEX
03:13:17 THERAPISTS AND MY MANAGER WHO WANTED THAT SERVICE MY MANAGER
03:13:21 TOLD ME TO TAKE THAT OFF MY PROFILE BECAUSE MY SCHEDULE WAS
03:13:23 GETTING TOO FULL WITH PEOPLE OUTSIDE OF MY SERVICE AREA.
03:13:26 I REFUSED SO I KEPT IT ON THERE BECAUSE LEGALLY SPEAKING YOU
03:13:31 CAN BE SEEN ANYWHERE WITHIN THE NORTHERN CALIFORNIA REGION AS A
03:13:35 KAISER PATIENT BUT THAT'S ANOTHER PROBLEM RIGHT?
03:13:41 EVEN IF YOU HAVE AN ISSUE WITHIN KAISER YOU'RE NOT
03:13:42 DIRECTED TO THAT SPECIALIST AND THIS HAS BECOME MORE OF AN
03:13:45 ISSUE SINCE TRIAGE LEFT OR RIGHT SINCE WE'VE HAD ROBOTS
03:13:52 AND PEOPLE I DON'T EVEN KNOW YOU KNOW, SCHEDULING INTO OUR
03:13:53 APPOINTMENT SLOTS BECAUSE YOU KNOW IF LIKE AN I I'M TRYING
03:13:56 NOT TO USE THE TERMINOLOGY AND SHORTCUTS IF AN INTAKE
03:14:00 ASSESSMENT COORDINATOR WHO WORKS IN MY OFFICE SAYS OH THIS
03:14:04 PATIENT IS YOU KNOW HAS POSTPARTUM DEPRESSION, HE'S
03:14:08 GOING TO REACH OUT TO ME OR BOOK THEM IN MY SCHEDULE RIGHT
03:14:11 ? >> A ROBOT CERTAINLY CAN'T DO
03:14:12 THAT, YOU KNOW. SO THAT'S ANOTHER BIG ISSUE
03:14:15 WITHIN WORKING WITH KAISER IS THAT CLIENTS DON'T ALWAYS GET
03:14:19 THE SPECIALIZED CARE THEY NEED .
03:14:22 SO NOTWITHSTANDING THOSE CHALLENGES IT SEEMS LIKE IT
03:14:27 WOULD BE GOOD TO BRING MORE CARE BACK IN-HOUSE AND I'M
03:14:34 WONDERING IF YOU HAVE THOUGHTS ON THINGS THAT KAISER COULD DO
03:14:36 TO DO THAT AND WHAT BENEFITS THAT WOULD HAVE FOR THE CURRENT
03:14:39 WORKFORCE AND FOR KAISER ENROLLEES.
03:14:42 >> RIGHT. SO I MEAN YOU HEARD THAT
03:14:46 KAISER'S YOU KNOW, AMOUNT OF ENROLLEES HAS BEEN ABOUT THE
03:14:47 SAME THE AMOUNT OF THERAPIES HAS BEEN ABOUT THE SAME BUT THE
03:14:50 ENROLLEES WANTING MENTAL HEALTH CARE HAS GONE UP BY 20% WHICH
03:14:53 IS SIGNIFICANT. THAT'S A HUGE JUMP.
03:14:56 SO OBVIOUSLY IT MAKES SENSE TO HAVE MORE CLINICIANS RIGHT?
03:15:00 >> THAT'S THE OBVIOUS ANSWER AND GIVING US CASELOAD CAPS
03:15:04 WHICH ALSO MAKES SENSE. YOU KNOW, AGAIN I CAN'T BE
03:15:05 IN TAKING PATIENTS IF I HAVE NO OPEN SLOTS AND I CAN'T BE
03:15:10 SEEING MY PATIENTS AS MUCH AS THEY NEED WHAT IS ACTUALLY
03:15:13 ETHICAL IF I HAVE NO SLOTS? >> SO KEEPING A FULL STAFF OF
03:15:17 THERAPISTS RIGHT PSYCHIATRIST CASE MANAGERS ASSESSMENT INTAKE
03:15:22 COORDINATORS INTENSIVE OUTPATIENT PROGRAM CLINICIANS
03:15:24 RIGHT. AND IT DOES MEAN HIRING MORE
03:15:25 CLINICIANS BUT INSTEAD KAISER IS PAYING TO OUTSOURCE CARE TO
03:15:32 CLINICIANS WHO WORK FOR THIRD PARTY CONTRACTORS WHO DO HAVE
03:15:35 CASELOAD CAPS, RIGHT? >> THOSE THIRD PARTY
03:15:36 CONTRACTORS WE SEE IT ALL THE TIME LIKE OH WE NEED TO REFER
03:15:40 TO THE EXTERNAL PROVIDER NETWORK WHICH IS A WHOLE LIST
03:15:43 OF PEOPLE AND SOMETIMES THOSE CERTAIN YOU KNOW LIKE GROW OR
03:15:47 RULE OR WHATEVER THERE ARE NO OPEN SLOTS TO REFER TO BECAUSE
03:15:50 THEIR CLINICIANS HAVE CASELOAD CAPS AND IF THERE ARE NO
03:15:52 CLINICIANS WHO HAVE OPENINGS THAT IS NOT A RESOURCE THAT WE
03:15:55 CAN SEND TO. SO WE HAVE TO LOOK FOR A
03:15:56 DIFFERENT ONE. >> ALL RIGHT.
03:16:01 THANK YOU. YEAH, THANK YOU VERY MUCH.
03:16:04 IF OTHER COLLEAGUES HAVE QUESTIONS OR OH, THERE WE GO.
03:16:09 SUPERVISOR JAN THANK YOU PRESIDENT RANDLEMAN THANK YOU
03:16:13 SIR ROGER CHAN FOR TODAY'S HEARING.
03:16:16 >> I DO NOT HAVE ADDITIONAL QUESTIONS.
03:16:17 I THINK WHAT I WOULD LIKE TO SEE IS IF WE'RE AT TOWARDS THE
03:16:20 AT THE END OF THIS HEARING IS SINCE WE'RE HOLDING THIS
03:16:24 HEARING AS A COMMITTEE OF THE WHOLE IS THAT PERHAPS IS WE
03:16:28 COULD EITHER SUBPOENA KAISER OR THAT WE ISSUE A LETTER ON
03:16:33 BEHALF OF THE BOARD SUPERVISOR TO KAISER INDICATING ALL THE
03:16:36 QUESTIONS THAT WE HAD TODAY COLLECTIVELY AS A COMMITTEE OF
03:16:40 THE WHOLE AND BE ABLE TO SUBPOENA KAISER FOR THE ANSWER
03:16:44 TO OUR QUESTIONS. >> THANK YOU.
03:16:47 THANK THANK YOU. SUPERVISOR CHEN SUPERVISOR
03:16:50 CHEN, DO YOU HAVE ANY COMMENTS BEFORE WE GO TO PUBLIC COMMENT
03:16:54 ? >> NO I DO.
03:16:55 LET'S GO TO PUBLIC COMMENT FIRST AND I'M GOING TO OFFER A
03:16:58 CLOSING REMARKS THE PUBLIC COMMENT RIGHT.
03:17:05 >> IF YOU WOULD LIKE TO PROVIDE PUBLIC COMMENT ON ITEM 52
03:17:09 PLEASE LINE UP TO SPEAK NOW ON THE RIGHT HAND SIDE OF THE
03:17:11 CHAMBER. >> ONCE WE EXHAUST THE IN LINE
03:17:13 IN PERSON LINE WE WILL GO TO OUR REMOTE CALLERS.
03:17:17 IF YOU ANTICIPATE PROVIDING PUBLIC COMMENT THE TELEPHONE
03:17:20 NUMBER AND MEETING 90 ARE PUBLISHED ON THE AGENDA
03:17:21 AND STREAMING ON YOUR SCREEN. >> FIRST PUBLIC COMMENT OR HERE
03:17:25 IN PERSON EXCUSE ME. OH MY NAME IS BARRY TORONTO
03:17:32 AND I AM A KAISER PATIENT. I WANT TO SPEAK FIRST BECAUSE I
03:17:36 HAVE A KAISER CLASS ONLINE AND IN TEN MINUTES SO IT HAS TO
03:17:40 RELATE TO THIS TOPIC MATTER THEY OFFER GREAT CLASSES
03:17:47 AND ALSO DID A GREAT JOB ON MY CATARACTS FOR MY EYES THE ONLY
03:17:52 THING I DON'T UNDERSTAND IS WHY THEY DON'T CARE ABOUT TOM ABOUT
03:17:55 DOING GREAT JOB ON MENTAL HEALTH COUNSELING.
03:17:59 I DON'T THAT DOESN'T MAKE SENSE TO ME HOW YOU YOU PROVIDE ALL
03:18:02 THESE GREAT SERVICES BUT YOU DON'T WANT TO CONTINUE IT.
03:18:06 YEAH I MEAN I. I MEAN IF YOU WATCHED TWO AND A
03:18:10 HALF MEN AND AND AND CHARLIE SHEEN AND THE THERAPIST YOU
03:18:14 KNOW YOU YOU GOT TO HAVE A THERAPIST THE BACK AND FORTH I
03:18:18 IS DOESN'T HAVE THE GRADUATE DEGREE WHICH IS TRUE I DON'T
03:18:21 DOESN'T MAKE SENSE TO DO IT THIS WAY WHEN WHEN ALL LOGIC GO
03:18:31 GOES THE OTHER WAY SO KAISER HAS GREAT EMPLOYEES AND NOT
03:18:35 ONLY THAT BUT THEY'RE NOT HERE FOR THEIR PAY.
03:18:37 THEY'RE HERE FOR THEIR PATIENTS .
03:18:39 SO SO IT SHOWS KAISER SHOULD BE HAPPY AND BE HERE TO SEE ALL
03:18:44 THE SUPPORT FOR KAISER PATIENTS BUT OBVIOUSLY IT'S ABOUT KAISER
03:18:47 TRYING TO SAVE MONEY RATHER THAN CARE ABOUT THEIR PATIENTS
03:18:51 HEALTH. SO SO I'M VERY MUCH CONCERNED
03:18:55 SO CARING ABOUT ABOUT OUR FELLOW HUMAN UNION BROTHERS
03:19:00 AND SISTERS I THINK IT'S IMPORTANT THAT WE GET ANSWERS
03:19:05 FROM KAISER AND ASK THEM TO JOIN JOIN THE CROWD AND THE
03:19:13 COMMUNITY TO CARE ABOUT THE MENTAL HEALTH OF THE CITY
03:19:17 AND AND ESPECIALLY THEIR PATIENTS.
03:19:20 >> THANK YOU VERY MUCH. THANK YOU, MR. TORONTO FOR YOUR
03:19:22 COMMENTS. NEXT SPEAKER BY SUPERVISORS IAN
03:19:25 LEWIS UNITE HERE THE HOTEL AND RESTAURANT WORKERS UNION
03:19:29 AMONG OUR MEMBERS WE HAVE FOUGHT FOR AND WON HEALTH CARE
03:19:33 BENEFITS FOR 65,000 KAISER PATIENTS AROUND THIS COUNTRY
03:19:38 INCLUDING 14,000 HERE IN SAN FRANCISCO.
03:19:42 >> AND YOU KNOW IT'S ESPECIALLY THE PEOPLE CHOOSE KAISER
03:19:45 BECAUSE OF THE PROMISE OF KAISER, THE PROMISE OF
03:19:49 INTEGRATED COORDINATED HUMAN BASED CARE THAT'S ESPECIALLY
03:19:53 IMPORTANT TO A COMMUNITY LIKE OURS WHERE THREE QUARTERS ARE
03:19:56 BORN OVERSEAS, GREW UP SPEAKING DIFFERENT LANGUAGES, INCREDIBLY
03:20:00 IMPORTANT TO NAVIGATE A HEALTH SYSTEM AND THEY CHOOSE KAISER
03:20:03 DESPITE THE PRICE YOU ALL KNOW HOW HARD OUR UNION HAS FOUGHT
03:20:08 FOR HEALTH CARE ESPECIALLY IN THIS CITY.
03:20:11 THE U.S. SPENDS TWICE AS MUCH AS ANY OTHER COUNTRY ON HEALTH
03:20:14 CARE. NORTHERN CALIFORNIA SPENDS
03:20:15 TWICE THAT OUR HEALTH BENEFITS FOR A FAMILY COST $18.40 A
03:20:21 KAISER THAT COMES OUT OF OUR MEMBERS POCKETS HERE IN SAN
03:20:26 FRANCISCO THAT'S ALMOST FIVE TIMES THE MINIMUM SPENDING
03:20:28 REQUIREMENT IN SAN FRANCISCO FOR HEALTH CARE.
03:20:32 IT'S ALMOST NOT QUITE THE MINIMUM WAGE IN SAN FRANCISCO
03:20:36 AND I BRING THAT UP BECAUSE IT'S NOT FOR A LACK OF
03:20:37 RESOURCES THAT ALL OF THIS IS HAPPENING.
03:20:41 IT'S BECAUSE OF CONCERTED CHOICES AND I KNOW THE FACT
03:20:45 THAT KAISER UNDERVALUES BEHAVIORAL HEALTH COMPARED TO
03:20:48 OTHER HEALTH CARE IS NOT A SURPRISE TO ANYBODY HERE BUT
03:20:52 WHAT YOU HEARD TODAY SHOULD TERRIFY YOU AS LEADERS OF A
03:20:56 CITY WHICH IS THE BIGGEST PURCHASER OF HEALTH CARE
03:20:57 BENEFITS AND LEADERS OF A COUNTY THAT IS ENTRUSTED WITH
03:21:00 THE PUBLIC HEALTH, IT SOUNDS TO ME LIKE KAISER IS LEADING US
03:21:04 DOWN THE TRACK OF A K-SHAPED ECONOMY IN HEALTH CARE WHERE
03:21:08 FOR WORKING PEOPLE EVEN THOSE WHO CAN GIVE UP $18 AN HOUR FOR
03:21:15 EXCELLENT HEALTH CARE BENEFITS, WE ARE OFFERED IN-HOME
03:21:18 AND TECHNOLOGY AND PRECARIOUS GIG WORKERS AND THE ONLY PEOPLE
03:21:22 WHO ARE GOING TO BE LEFT WITH TRUE HUMAN BASED CARE ARE THOSE
03:21:24 WHO CAN PAY OUT OF CASH. >> IT'S NO POLITICAL COMMUNITY
03:21:30 COLLEGES FOR CUTTING YOU OFF. WE ARE PROVIDING EVERYBODY THE
03:21:34 SAME. TWO MINUTES NEXT SPEAKER KIM
03:21:38 CARR VALLONE SAN FRANCISCO LABOR COUNCIL AND WE LIVE
03:21:42 IN VERY STRANGE TIMES AND ALL OF YOU SHOULD BE VERY CONCERNED
03:21:50 ABOUT THE HEALTH AND WELFARE OF OUR CITY EMPLOYEES.
03:21:53 WE'VE ALREADY HAD A TRAGEDY HAPPENED DOWN IN VTA AND SAN
03:21:58 JOSE. >> THE MENTAL HEALTH OF OUR
03:22:01 CITY EMPLOYEES IS CRITICAL TO THEM BEING ABLE TO DO THEIR
03:22:06 JOBS DAY IN AND DAY OUT. >> THE FACT THAT KAISER WANTS
03:22:10 TO LEAD WITH THE SAME I THAT CAN'T DISTINGUISH A CONE FROM A
03:22:17 DOG TO A PERSON ON THE STREET AND PUT THAT IN CHARGE OF
03:22:21 MENTAL HEALTH CARE YOU SHOULD ALL BE LIKE TERRIFIED OF WHAT
03:22:28 CAN HAPPEN TO OUR WORKERS AND WHAT HAPPENS IN OUR CITY
03:22:33 AND COUNTY. >> WE KNOW AI IS IMPERFECT BUT
03:22:39 WE CANNOT ALLOW KAISER TO EXPERIMENT ON OUR CITY
03:22:43 AND COUNTY WORKERS. WE KNOW IT DOESN'T WORK.
03:22:47 >> WE KNOW A.I. DOESN'T VALUE LIFE.
03:22:51 IT CAN'T IT'S NOT ALIVE BUT ALLOWING OUR CITY AND COUNTY
03:22:55 WORKERS TO RECEIVE THIS TYPE OF CARE IS COMPLETELY UNACCEPTABLE
03:22:59 ON SO MANY LEVELS. >> I CAN'T VALUE LIFE.
03:23:06 IT DOESN'T DISTINGUISH WHETHER THE CONE HAS A LIFE A DOG HAS A
03:23:10 LIFE OR A PERSON HAS A LIFE AND THEM TAKEN AWAY MEANS
03:23:14 NOTHING TO THE MACHINE OTHER THAN SOMEONE HAS TO TELL IT
03:23:17 THAT IT WAS WRONG. >> THANK YOU.
03:23:21 THANK YOU FOR YOUR COMMENTS TO THE NEXT SPEAKER PLEASE.
03:23:26 >> GOOD AFTERNOON. MY NAME IS BENJAMIN KAMLA.
03:23:30 I SERVE AS THE POLICY MANAGER FOR THE NATIONAL ASSOCIATION OF
03:23:32 SOCIAL WORKERS CALIFORNIA CHAPTER.
03:23:35 IN RESPONSE TO KAISER PERMANENTE'S TERRIBLE THREE
03:23:38 PROPOSALS WE ASKED OUR SOCIAL WORK MEMBERS COMPRISED OF
03:23:41 KAISER PATIENTS AND EMPLOYEES HOW THESE CHANGES ARE AFFECTING
03:23:45 CARE. AND THE FEEDBACK WE RECEIVED
03:23:46 WAS CONSISTENT THESE PROPOSALS SHIFT THE FOCUS AWAY FROM
03:23:50 CLINICAL CLINICAL DECISION MAKING TOWARDS REDUCING COSTS.
03:23:54 >> ONE MAJOR CONCERN WAS A PROPOSAL TO HAVE BEHAVIORAL
03:23:57 HEALTH TRIAGE CONDUCTED BY CALL CENTERS FOR NON-LICENSED
03:23:58 PERSONNEL INSTEAD OF LICENSED BEHAVIORAL HEALTH PROVIDERS.
03:24:02 AS ONE OF OUR SOCIAL WORKERS SHARED QUOTE IF WE WANT BETTER
03:24:06 TRIAGE, KAISER NEEDS A FORMAL INTAKE DEPARTMENT NOT A CALL
03:24:10 CENTER AND QUOTE ANOTHER SHARED THAT EVEN WHEN THEY IDENTIFY A
03:24:14 PATIENT IS IN URGENT NEED OF THERAPY THEY MUST STILL SEND
03:24:18 THAT PATIENT THROUGH A PHONE TRIAGE PROCESS WITH AN
03:24:21 UNLICENSED REPRESENTATIVE BEFORE CONNECTING THEM WITH
03:24:22 CARE. >> AND OF THOSE WE CONTACTED
03:24:25 95% REPORTED BEING NOT AT ALL CONFIDENT THAT KAISER CELL
03:24:30 PHONE SERVICE REPRESENTATIVES ARE CONSISTENT WITH MEETING
03:24:33 CALIFORNIA'S REQUIREMENTS THAT LIMIT NON-LICENSED STAFF FROM
03:24:37 MAKING CLINICAL ASSESSMENTS ON DETERMINING WHEN PATIENTS NEED
03:24:38 LICENSED BEHAVIORAL HEALTH CARE PROVIDERS ALSO RAISE CONCERNS
03:24:42 ABOUT THE LOSS OF CONTINUITY OF CARE.
03:24:45 PATIENTS ARE BEING REDIRECTED TO OUTSIDE PROVIDERS TO MEET
03:24:48 THOSE ACCESS METRICS EVEN WHEN THEY HAVEN'T ESTABLISHED A
03:24:51 THERAPEUTIC RELATIONSHIP. >> ONE PROVIDER DESCRIBED
03:24:53 PATIENTS BEING REFERRED TO QUOTE A BRAND NEW PROVIDER
03:24:56 INSTEAD OF BOOKING A SOONER APPOINTMENT WITH THEIR REGULAR
03:25:00 PROVIDER MADE TO START ALL OVER AGAIN.
03:25:01 SO TAKEN TOGETHER THESE CONCERNS REFLECT A NEED TO
03:25:05 PRIORITIZE CLINICAL EXPERTISE, CONTINUITY OF CARE AND PATIENT
03:25:08 SAFETY OVER ADMINISTRATIVE EFFICIENCY.
03:25:11 WE URGE KAISER PERMANENTE TO LISTEN TO THE CONCERNS OF
03:25:12 PATIENTS AND PROVIDERS. >> THANK YOU FOR YOUR TIME.
03:25:16 THANK YOU FOR YOUR COMMENTS. SO THE NEXT SPEAKER PLEASE.
03:25:21 >> HELLO. GOOD AFTERNOON.
03:25:22 MY NAME IS DR. GUILLERMO RODRIGUEZ AND I'M THE REGION B
03:25:25 DIRECTOR FOR NSW CALIFORNIA CHAPTER.
03:25:28 IT'S A PLEASURE TO BE HERE. I'M HERE TO ADVOCATE FOR ALL
03:25:32 THE SOCIAL WORKERS, FOR THE TEAM HERE, FOR THE VOICES WHO
03:25:36 ARE HERE TODAY ADVOCATING USUALLY POLICIES GET
03:25:38 IMPLEMENTED WHEN SOMETHING TRAGIC HAPPENS THAT'S NOT GET
03:25:43 TO THAT POINT. WE WANT TO IMPLEMENT POLICIES
03:25:44 TO STOP ANY TRY TO GS OF MENTAL HEALTH.
03:25:47 >> ON KAISER'S WEBSITE IT STATES QUOTE WE BELIEVE A
03:25:51 PERSON'S PHYSICAL HEALTH, MENTAL HEALTH AND SOCIAL HEALTH
03:25:55 ARE CONNECTED AND ESSENTIAL TO A PERSON'S OVER ALL WELL-BEING.
03:25:58 >> I END QUOTE. >> AS SOCIAL WORKERS WE AGREE
03:26:03 WITH THAT. BUT THOSE WORDS MUST BE
03:26:06 REFLECTED INTO PRACTICE. >> WITH KAISER NOT BEING HERE
03:26:10 IT SPEAKS VOLUMES. >> IT HURTS A LITTLE BIT OR A
03:26:13 LOT FOR SOME OF US BUT I WISH THAT COULD BE HERE SO I COULD
03:26:16 HEAR WHAT THEY HAVE TO SAY IN REGARDS TO THE VOICES
03:26:17 IN TODAY'S ROOM. >> THANK YOU SO MUCH.
03:26:21 THANK YOU FOR YOUR COMMENTS. NEXT SPEAKER PLEASE.
03:26:24 AND AS THIS SPEAKER APPROACHES THE MICROPHONE, IF WE HAVE
03:26:28 ANYONE ELSE IN THE ROOM WHO HAS PUBLIC COMMENT FOR THIS
03:26:29 COMMITTEE OF THE WHOLE HEARING FROM WHOM WE HAVE NOT YET
03:26:32 HEARD, YOU MAY LINE UP TO SPEAK ALONG THAT WESTERN WALL.
03:26:33 NEXT SPEAKER PLEASE. >> GOOD EVENING.
03:26:38 THIS HAS BEEN AN EXTREMELY INTERESTING PRESENTATION AND I
03:26:42 CERTAINLY THINK IT'S IMPORTANT TO KEEP THE HUMANITY
03:26:46 IN MEDICINE AND IN OTHER ACTIVITIES CERTAINLY
03:26:50 IN THERAPY. THERE WERE MANY ISSUES RAISED
03:26:54 ABOUT QUALITY PRIVACY ACCOUNTABILITY, WHO CONTROLS
03:26:58 THE VAT? WHO CONTROLS CHANGES THAT MIGHT
03:27:02 BE MADE? THERE'S NO SUCH THING AS A
03:27:03 FIXED ITEM. THERE APPARENTLY MANY
03:27:06 DIFFERENCES IN HOW A.I. IS WORKING WHO IS RESPONSIBLE FOR
03:27:13 MAKING SUPPOSED IMPROVEMENTS OR PROVIDING SO-CALLED GUARDRAILS
03:27:17 WHICH WE'VE HEARD AND READ ABOUT FAILING QUITE A LOT.
03:27:22 THE NEW YORK TIMES HAD AN EXTENDED STORY ABOUT A COUPLE
03:27:26 WHOSE SON TEENAGE SON WAS HELPED BY A CHAT PAL AS IT WERE
03:27:35 BASICALLY TO WORK OUT ALL THE DETAILS OF HOW TO COMMIT
03:27:37 SUICIDE. AND AS THE VERY LAST STEP, THE
03:27:41 SON FOR NOW A SECOND TIME SAID I'M THINKING OF AND THE TIMES
03:27:48 GOT THE EXCHANGES BETWEEN THE THEIR SON AND THE CHAT.
03:27:55 >> HE SAID I'M THINKING OF LEAVING THE ROPE LYING AROUND
03:27:59 SO SOMEBODY WILL FIND IT. AND THE CHAT ANSWERED AND I'M
03:28:06 PARAPHRASING NOT SUCH A GOOD IDEA.
03:28:10 MAYBE YOU SHOULD LET THE FOLKS LEARN WHAT YOU HAVE PLANNED
03:28:15 WHEN YOU HAVE SUCCEEDED BASICALLY WHEN THEY FIND YOU
03:28:19 IN THE CLOSET HANGING FROM THE BAR WITH A ROPE.
03:28:22 THAT THE CHAT HELPED THE KID MAKE.
03:28:26 SO THE A.I. IS WORKING WITH A WHOLE DIFFERENT WORLD OF WHO
03:28:30 KNOWS WHAT MOTIVES AND PURPOSES MAKING MONEY FOR THE COMPANY
03:28:34 THAT MADE IT AND SO ON. BIG PROBLEM.
03:28:37 >> THANK YOU FOR YOUR COMMENTS. >> SEEING NO OTHER INDIVIDUALS
03:28:41 WHO ARE IN PERSON WE WILL GO TO OUR CALL IN LINE IF YOU HAVE
03:28:45 NOT ALREADY DONE SO PLEASE PRESS STAR THREE TO LINE UP
03:28:49 REMOTELY WHEN IT'S YOUR TURN TO SPEAK LISTEN CAREFULLY AND WHEN
03:28:52 THE SYSTEM SAYS YOU HAVE BEEN UNMUTED THAT WILL BE THAT IS
03:28:54 YOUR CUE TO BEGIN YOUR COMMENTS.
03:28:56 LET'S HEAR FROM OUR FIRST CALLER.
03:28:57 WELCOME SPEAKER THANK YOU. >> CAN YOU HEAR ME?
03:29:14 >> YES, WE CAN HEAR YOU. I SUPPORT THE PRI, THE WORKERS
03:29:18 AREA. I USE THE DEMO IT FOR WORKING
03:29:23 PARTY LIKE DOROTHY AND MANAGEMENT.
03:29:25 >> IT'S PAUSING THE SPEAKERS TIME WE WILL BE REDIRECTING
03:29:29 AND MOVING ON TO THE NEXT SPEAKER.
03:29:32 NEXT CALLER. >> THAT CONCLUDES THE COMMENT.
03:29:41 Q MR. PRESIDENT, THAT MESSAGE WAS BROUGHT TO YOU BY YOUR
03:29:44 CALIFORNIA STATE LEGISLATURE WHICH IS NOT SUBJECT TO THE
03:29:48 REQUIREMENTS OF REMOTE PUBLIC COMMENT.
03:29:52 PUBLIC COMMENT IS NOW CLOSED AND SUPERVISOR CHEN, THIS IS
03:29:58 YOUR HEARING. >> THANK YOU BILL PRESS
03:30:02 AND MANAGEMENT. I WOULD LIKE TO TAKE A MOMENT
03:30:05 TO THANK EVERYONE WHO ATTENDED TODAY'S HEARING.
03:30:09 I ESPECIALLY WANT TO APPRECIATE THE WORKERS.
03:30:12 >> THANK YOU. THANK YOU FOR TAKING TIME OFF
03:30:16 TO EDUCATE US ON EVERYTHING THAT YOU ARE GOING ON AT YOUR
03:30:20 WORKPLACE, YOUR COMMITMENT TO PATIENT CARE, QUALITY, PATIENT
03:30:25 SAFETY. IT'S LOUD AND VERY CLEAR THE
03:30:28 THINGS THAT WE DISCUSSED TODAY ARE INFURIATING, CONCERNING
03:30:35 AND UNACCEPTABLE. >> IT IS A SHAME THAT KAISER
03:30:37 DIDN'T SEND A REPRESENTATIVE TO ANSWER OUR QUESTIONS OR AT
03:30:40 LEAST TO LISTEN TO TESTIMONY PROVIDED TODAY.
03:30:44 NEXT TUESDAY I WILL BE INTRODUCING A RESOLUTION
03:30:48 CALLING ON KAISER TO DROP ITS TERRIBLE STORY CONTRACT EVENTS.
03:30:54 AS HIGHLIGHTED BY THE TESTIMONY AND PRESENTATION WE HEARD TODAY
03:30:58 . WITH THAT I WANT TO SHOUT OUT
03:31:02 TO MY LEGISLATIVE AIDE JACKIE PRAGER FOR HER WORK ON THIS
03:31:03 HEARING AND ALSO THE RESOLUTION THAT I WILL BE INTRODUCING NEXT
03:31:10 TUESDAY. >> THROUGH THE CHAIR I WOULD
03:31:11 LIKE TO MAKE A MOTION TO FILE THIS HEARING.
03:31:17 >> ALL RIGHT. I THINK I JUST GAVEL THAT
03:31:22 RIGHT. OKAY.
03:31:24 THIS MATTER HAS BEEN HEARD AND IS NOW FILED.
03:31:26 ALL RIGHT, MADAM CLERK, LET'S GO TO OUR NEXT SPECIAL ORDER
03:31:30 PLEASE CALL ITEMS 53 AND 54 TOGETHER.
03:31:35 >> YES. ITEM 53 IS A HEARING AT THE
03:31:39 BOARD OF SUPERVISORS SITTING AS A COMMITTEE OF THE WHOLE TO
03:31:42 CONSIDER THE RENEWAL AND EXPANSION OF A PROPERTY
03:31:43 BASED BUSINESS IMPROVEMENT DISTRICT KNOWN AS A DOWNTOWN
03:31:46 COMMUNITY BENEFIT DISTRICT. ITEM 54 IS THE COMPANION
03:31:49 RESOLUTION TO ESTABLISH THE PROPERTY BASED BUSINESS
03:31:54 IMPROVEMENT DISTRICT KNOWN AS THE DOWNTOWN COMMUNITY BENEFIT
03:31:58 DISTRICT ORDERING THE LEVY AND COLLECTION OF ASSESSMENTS
03:31:59 AGAINST PROPERTY LOCATED IN THAT DISTRICT FOR TEN YEARS
03:32:02 COMMENCING WITH FISCAL YEAR 2026 2027 SUBJECT TO CONDITIONS
03:32:09 AS SPECIFIED AND MAKING ENVIRONMENTAL FINDINGS.
03:32:13 >> THE PURPOSE OF THIS COMMITTEE OF THE WHOLE IS TO
03:32:14 HEAR TESTIMONY ON THE PROPOSED LEVY OF ASSESSMENTS OF THE
03:32:17 PROPERTY AND BUSINESS IMPROVEMENT DISTRICT AND NAME
03:32:18 THE DOWNTOWN COMMUNITY BENEFIT DISTRICT.
03:32:20 PURSUANT TO THE BOARD'S RESOLUTION OF INTENT INTENTION
03:32:24 ADOPTED MAY 19TH, 2026 WHICH SET TODAY'S HEARING DATE
03:32:27 AND ALSO APPROVED THE MANAGEMENT DISTRICT PLAN THE
03:32:31 ENGINEER'S REPORT AND THE FORM OF BALLOTS FOR PROPERTY OWNERS.
03:32:34 DETAILS ON THE COVERED AREA CAN BE FOUND IN THE LEGISLATIVE
03:32:38 FILES. AFTER THE HEARING IS CLOSED,
03:32:39 THE DEPARTMENT OF ELECTIONS WILL COUNT ALL BALLOTS
03:32:43 SUBMITTED INCLUDING ANY ADDITIONAL BALLOTS RECEIVED
03:32:46 DURING THE PUBLIC HEARING TODAY AND SUBMIT THE TABULATION BACK
03:32:49 TO THE BOARD. MEMBERS OF THE PUBLIC MAY VIEW
03:32:53 THE BALLOT TABULATION BY THE DEPARTMENT OF ELECTIONS ON THE
03:32:55 BASEMENT LEVEL OF CITY HALL IN ROOM 59.
03:32:58 IF THE TABULATION OF THE WEIGHTED BALLOTS SHOWS A
03:33:02 MAJORITY PROTEST, THE BOARD OF SUPERVISORS WILL NOT APPROVE
03:33:06 THE ESTABLISHMENT OF THE DISTRICT OR IMPOSE THE
03:33:07 ASSESSMENTS. IF THERE IS NOT A MAJORITY
03:33:10 PROTEST THE BOARD MAY THEN VOTE TO ESTABLISH THE DISTRICT
03:33:13 AND IMPOSE THE ASSESSMENTS. A MAJORITY PROTEST WOULD EXIST
03:33:17 IF THE WEIGHTED BALLOTS SUBMITTED IN OPPOSITION TO THE
03:33:18 ESTABLISHMENT OF THE ASSESSMENT DISTRICT EXCEED THE WEIGHTED
03:33:22 BALLOTS SUBMITTED IN FAVOR OF ESTABLISHMENT.
03:33:25 BALLOTS ARE WEIGHTED ACCORDING TO THE PROPOSED FINANCIAL
03:33:29 OBLIGATION OF EACH AFFECTED PROPERTY.
03:33:30 THE HEARING IS NOW OPEN. >> SUPERVISOR SAUTER THANK YOU
03:33:37 PRESIDENT MAILMAN AND I WANT TO SAY A FEW REMARKS BEFORE WE
03:33:40 CONTINUE ON WITH THE PROCEEDINGS.
03:33:44 YOU KNOW, I THINK I HAVE THE PLEASURE OF HAVING THE MOST
03:33:46 COMMUNITY BENEFIT DISTRICTS OF ANY DISTRICT IN THE CITY AND IT
03:33:49 IS A REAL HONOR TO WORK WITH DOWNTOWN PARTNERSHIP.
03:33:56 THIS IS A REALLY SPECIAL GROUP OF PEOPLE AND THE WORK THAT
03:33:58 THEY DO IS REALLY PHENOMENAL. THERE'S A FEW THINGS I WANT TO
03:34:01 HIGHLIGHT AND A FEW THINGS THAT I THINK REALLY DESERVE TO BE
03:34:05 RECOGNIZED ABOUT HOW WE'RE DOING THIS.
03:34:08 AND THE FIRST IS THAT THIS IS A PARTNERSHIP MODEL.
03:34:12 THIS IS IN FACT THE FIRST TIME THAT THE PORT OF SAN FRANCISCO
03:34:15 IS OPTING TO JOIN A COMMUNITY BENEFIT DISTRICT.
03:34:19 I MEAN I THINK THAT SAYS A LOT ABOUT THE PORT AND PARTICULARLY
03:34:22 THE NEW LEADERSHIP OF OUR NEW DIRECTOR MIKE MARTIN.
03:34:26 >> WE ALSO HAVE REC PARK LOOKING TO WORK WITH THE
03:34:30 COMMUNITY BENEFIT DISTRICT PARTICULARLY TO BRING THE NEW
03:34:34 EMBARCADERO PLAZA AND SUE BERRYMAN PARK IMPROVEMENTS TO
03:34:38 LIFE. >> AND YOU KNOW, I THINK AS
03:34:39 YOU'LL HEAR AND AS YOU PROBABLY HAVE HEARD BEFORE, THIS IS A
03:34:45 COMMUNITY BENEFIT DISTRICT THAT WAS STOOD UP AT THE BEGINNING
03:34:49 OF THE PANDEMIC THE WORST POSSIBLE TIME BUT ALSO THE TIME
03:34:53 THAT WE REALLY NEEDED YOU THE MOST.
03:34:54 AND YOU HAVE GONE ABOVE AND BEYOND IN SOME OF THE MOST
03:34:57 CHALLENGING YEARS IN OUR CITY BEGINNING WITH THE PANDEMIC
03:35:00 THROUGH THE ECONOMIC RECOVERY AND NOW AS WE'RE STARTING TO
03:35:04 SEE LIGHT ON THE OTHER SIDE OF THINGS IN IT.
03:35:05 YOU KNOW, THIS IS A PROCESS WHERE WE ARE LITERALLY ASKING
03:35:09 PROPERTY OWNERS TO TAX THEMSELVES MORE AND THAT IS A
03:35:15 TALL TASK. BUT DESPITE THAT I'VE HEARD
03:35:16 NOTHING BUT EXCITEMENT AND CONFIDENCE AND TRUST COMING
03:35:22 FROM PROPERTY OWNERS DOWNTOWN. THERE'S A REAL APPETITE
03:35:26 AND EAGERNESS FOR THIS EXPANSION AND YOU KNOW, I THINK
03:35:30 PROPERTY OWNERS HAVE A LOT TO LOOK FORWARD WITH WITH THIS
03:35:32 EXPANSION. THE DOWNTOWN PARTNERSHIP HAS
03:35:35 DONE A FANTASTIC JOB OF WORKING WITH OUR OFFICE AND WITH ALL
03:35:38 THE CITY DEPARTMENTS THROUGH THIS RENEWAL PROCESS.
03:35:41 IT IS AN EARLY RENEWAL WHICH IS EXTREMELY RARE.
03:35:45 BUT AGAIN I THINK IT SPEAKS TO THE AMBITION OF THIS GROUP OF
03:35:49 INDIVIDUALS IN THIS COLLECTIVE BODY HERE NOT ONLY THE CBD BUT
03:35:53 THE CITY DEPARTMENTS THAT I MENTIONED THAT ARE WORKING WITH
03:35:56 . I DO WANT TO DO A FEW SPECIFIC
03:35:58 ACKNOWLEDGMENTS AND RECOGNITIONS.
03:36:01 OF COURSE ROBBIE SAW ROBBIE SILVER, EXECUTIVE DIRECTOR OF
03:36:06 DOWNTOWN PARTNERSHIP THE FEARLESS LEADER OF THIS
03:36:08 ORGANIZATION, THE STEERING COMMITTEE THAT REALLY DUG INTO
03:36:12 THE WEEDS OF HOW THIS EXPANSION COULD WORK AND AND WILL WORK
03:36:16 BEING DAN KINGSLEY AND THEN CHRIS REESE AS WELL.
03:36:21 >> AND YOU KNOW I MENTIONED SOME OF THE DEPARTMENTS THAT
03:36:25 ARE PARTNERING ON THIS. THERE'S ALSO A LOT OF CORPORATE
03:36:28 PARTNERS, COMMUNITY PARTNERS THAT HAVE STEPPED UP
03:36:29 PARTICULARLY I WANT TO SHOUT OUT B AND AARON FENTON WHO HAVE
03:36:33 BEEN WORKING CLOSELY ON THE EMBARCADERO PLAZA ELEMENT
03:36:36 AND PARK OVERLAY OF THIS AND LASTLY JACKIE HAZELWOOD WHO
03:36:42 HAS DONE A FANTASTIC JOB STEERING THIS FORWARD.
03:36:43 SO I KNOW THERE'S MORE STEPS AND BALLOTS NEED TO BE COUNTED
03:36:51 BUT I REALLY AM CONFIDENT HERE AND LOOK FORWARD TO THIS
03:36:52 EXPANSION AND THANK EVERYONE FOR BRINGING THIS TO THE TABLE
03:36:56 TODAY. THANK YOU.
03:36:59 SUPERVISOR SAUTER I BELIEVE THAT WE HAVE THE MAYOR'S OFFICE
03:37:03 OF ECONOMIC AND WORKFORCE DEVELOPMENT, JACKIE HAZELWOOD
03:37:07 AND THEN THE DOWNTOWN CBD. >> ROBBIE SILVER THANK YOU
03:37:14 PRESIDENT MIDDLEMAN AND GOOD GOOD EVENING SUPERVISORS.
03:37:18 MY NAME IS JACKIE HAZELWOOD. I'M THE COMMUNITY BENEFIT
03:37:19 DISTRICT PROGRAM DIRECTOR WITH THE OFFICE OF ECONOMIC
03:37:22 AND WORKFORCE DEVELOPMENT. I OVERSEE AND ADMINISTER THE
03:37:26 CBD PROGRAM ON BEHALF OF IWD. I'M JOINED HERE BY CASTILLO
03:37:30 HOLLICK FROM OUR TEAM AS WELL. SO TODAY'S HEARING IS THE
03:37:34 CULMINATION OF A MULTIYEAR PLANNING EFFORT DRIVEN BY THE
03:37:38 DOWNTOWN COMMUNITY BENEFIT DISTRICT WHICH DOES BUSINESS AS
03:37:42 DOWNTOWN AS A PARTNERSHIP OR DFP.
03:37:45 THROUGH THIS EFFORT DFP ENGAGED PROPERTY OWNERS, COMMUNITY
03:37:49 STAKEHOLDERS, CITY DEPARTMENTS AND PARTNER AGENCIES TO DEVELOP
03:37:53 THE PROPOSED RENEWAL AND EXPANSION OF THE DISTRICT
03:37:56 PENDING THE RESULTS OF THE FORTHCOMING BALLOT TABULATION
03:37:58 LATER TONIGHT. IF APPROVED, THE RESOLUTION
03:38:01 BEFORE YOU TODAY WOULD AUTHORIZE DE SFP TO CONTINUE
03:38:05 OPERATING FOR A NEW TEN YEAR TERM UNDER AN UPDATED
03:38:08 MANAGEMENT PLAN. BEFORE I INTRODUCE ROBBIE
03:38:11 SILVER, EXECUTIVE DIRECTOR OF DFP TO PRESENT ON THE
03:38:16 ORGANIZATION'S EFFORT AND THE VISION OF THE PROPOSED RENEW
03:38:17 DISTRICT. I'D ALSO LIKE TO JUST
03:38:20 ACKNOWLEDGE SEVERAL INDIVIDUALS WHOSE WORK HAS SUPPORTED THIS
03:38:24 PROCESS. MY SINCERE THANK YOU TO THE
03:38:27 MAYOR AND TO HIS STAFF PARTICULARLY ADAM SONGS THAT TO
03:38:31 SUPERVISOR SAUTER AND TO HER STAFF PARTICULARLY TO GABEL TO
03:38:35 SUPERVISOR DORSEY AND TO HIS STAFF MADISON TAM TO OUR
03:38:38 DIRECTOR AT AWP AND TOPIA. CHRIS CAUCUS IN CASE YOU
03:38:42 HOLLICK DIRECTOR MIKE MARTIN SCOTLAND'S IT ALL.
03:38:43 AMY COHEN WITH THE PORT DIRECTOR SARAH MADELINE DANA
03:38:47 KETCHUM AND BEP ING WITH RYAN PARK STAFF FROM THE CLERK'S
03:38:50 OFFICE INCLUDING LISA SAMARA, JOHN CARROLL AND MANY CREIGHTON
03:38:54 DEPUTY CITY ATTORNEYS MONEY PYTHON AND HUGO CABRERA.
03:39:01 AND ESPECIALLY KWONG QUACH PRISCILLA TOVE AND ALICE ALICE
03:39:05 LAU WITH THE DEPARTMENT OF ELECTIONS.
03:39:06 THANK YOU ALL FOR YOUR COLLABORATION AND PARTNERSHIP
03:39:09 THROUGH THIS PROCESS. THERE'S A LOT OF FOLKS CLEARLY
03:39:11 THIS TAKES A VILLAGE. I ESPECIALLY NOW LIKE TO
03:39:14 RECOGNIZE SFP EXECUTIVE DIRECTOR ROBBY SILBER AND HIS
03:39:18 STAFF AND SPS BOARD OF DIRECTORS MANY OF WHOM ARE HERE
03:39:22 TODAY FOR THEIR ONGOING SUPPORT THROUGHOUT THIS CAMPAIGN.
03:39:25 SO TURNING NOW TO THE ITEM BEFORE THE BOARD TODAY.
03:39:29 SO THE DOWNTOWN COMMUNITY BENEFIT DISTRICT WAS ORIGINALLY
03:39:33 ESTABLISHED BY THE BOARD OF SUPERVISORS IN 2019 FOR A 15
03:39:36 YEAR TERM BEGINNING ON JANUARY 1ST, 2020 AND WITH THE
03:39:40 INTENTION TO CONTINUE THROUGH DECEMBER 31ST, 2035.
03:39:42 >> ALTHOUGH THE DISTRICT IS NOT REQUIRED TO RETURN RENEW UNTIL
03:39:46 THE END OF THIS TERM FOLLOWING STAKEHOLDER ENGAGEMENT,
03:39:50 PROPERTY OWNER ENGAGEMENT AND APPROVAL BY ITS BOARD OF
03:39:54 DIRECTORS, THE SFP ELECTED TO PURSUE AN EARLY RENEWAL
03:39:58 IN ORDER TO UPDATE THEIR MANAGEMENT PLAN AND ALIGN THEIR
03:40:02 BUDGET SERVICES AND DISTRICT BOUNDARIES WITH THE EVOLVING
03:40:03 NEEDS OF DOWNTOWN. >> IF APPROVED THE RENEWED
03:40:07 DISTRICT WOULD OPERATE UNDER THE PROPOSED MANAGEMENT PLAN AN
03:40:10 EXPANDED SERVICE AREA FOR A NEW TEN YEAR TERM COMMENCING
03:40:13 JANUARY 1ST, 2027 AND ENDING DECEMBER 31ST 2036.
03:40:18 AS ROBBY WILL DISCUSS IN GREATER DETAIL IN A MOMENT,
03:40:22 THE PROPOSAL WOULD EXPAND DISTRICT BOUNDARIES TO INCLUDE
03:40:23 THE FUTURE EMBARCADERO PARK AND PORTIONS OF THE EMBARCADERO
03:40:26 OWNED BY THE PORT OF SAN FRANCISCO.
03:40:29 SO PRIOR TO TODAY'S HEARING THE DISTRICT COMPLETED THE
03:40:30 PROCEDURAL REQUIREMENTS ESTABLISHED ESTABLISHED UNDER
03:40:34 THE CALIFORNIA PROPERTY AND BUSINESS IMPROVEMENT
03:40:37 DISTRICT LAW OF 1994. IN APRIL SFP EXCEEDED THE
03:40:41 REQUIRED 30% THRESHOLD TO INITIATE THE BALLOT PHASE.
03:40:45 THEY SUBMITTED 107 PETITIONS WHICH REPRESENTED JUST OVER $5
03:40:49 MILLION IN ASSESSMENTS OR 40.3% OF THE PROPOSED ASSESSMENT.
03:40:52 FOLLOWING THAT MILESTONE ON MAY 19TH THE BOARD OF SUPERVISORS
03:40:57 ADOPTED THE RESOLUTION OF INTENTION AUTHORIZING THE
03:41:00 SPECIAL ASSESSMENT BALLOTING PROCESS.
03:41:01 BALLOTS WERE MAILED TO ALL AFFECTED PROPERTY OWNERS ON
03:41:04 JUNE 6TH, OPENING THE REQUIRED 45 DAY BALLOTING PERIOD WHICH
03:41:07 CULMINATES IN TODAY'S SESSION TODAY.
03:41:08 >> THROUGHOUT THIS PROCESS DCEP WORKED CLOSELY WITH NUMEROUS
03:41:12 CITY PARTNERS AS I MENTIONED PARTICULARLY YORK AND PARK
03:41:15 AND THE PORT OF SAN FRANCISCO. >> ON JUNE 30TH THE BOARD OF
03:41:19 SUPERVISORS AUTHORIZED THE MAYOR TO CAST ASSESSMENT
03:41:20 BALLOTS IN THE AFFIRMATIVE ON BEHALF OF THE CITY AND COUNTY
03:41:24 OF SAN FRANCISCO AND I WANT TO ACKNOWLEDGE THAT HAVING WAS
03:41:27 HERE EARLIER AND IS ABLE TO ANSWER ANY QUESTIONS SHOULD
03:41:31 THERE BE ANY FOLLOW UPS LATER ON AS THEY COME.
03:41:34 >> ANOTHER IMPORTANT COMPONENT AS HAS BEEN HIGHLIGHTED BY
03:41:35 SUPERVISORS ORDER IS THE INCLUSION OF THE PORT OF SAN
03:41:38 FRANCISCO WITHIN THE DISTRICT BOUNDARIES.
03:41:42 ON JUNE 10TH THE PORT COMMISSION UNANIMOUSLY APPROVED
03:41:45 THE PORT'S PARTICIPATION IN THE PROPOSED DISTRICT.
03:41:46 IF APPROVED TODAY THE EXPANDED DISTRICT WOULD INCLUDE PORT
03:41:50 OWNED PROPERTIES ALONG THE EMBARCADERO WHICH WOULD
03:41:53 REPRESENT APPROXIMATELY $882,000 IN FIRST YEAR
03:41:56 ASSESSMENTS. BEYOND THE FINANCIAL
03:41:59 CONTRIBUTION, THE INCLUSION REFLECTS COORDINATED PLANNING
03:42:01 BETWEEN THE PORT AND DFP TO SUPPORT LONG TERM STEWARDSHIP,
03:42:05 MAINTENANCE AND ACTIVATION ALONG THE WATERFRONT WHILE
03:42:08 STRENGTHENING THE CONNECTION BETWEEN THE EMBARCADERO
03:42:11 AND DOWNTOWN CORE. I WANT TO ACKNOWLEDGE THAT
03:42:12 SCOTLAND'S ATL AND AMY COHEN FROM THE PORT ARE ALSO PRESENT
03:42:16 IN CHAMBERS. SHOULD THERE BE ANY QUESTIONS
03:42:17 REGARDING THE PORT'S PARTICIPATION?
03:42:20 WITH THAT OVERVIEW I'D NOW LIKE TO INVITE ROBBIE SILVER, THE
03:42:24 EXECUTIVE DIRECTOR OF DFP TO PRESENT ON THE PROPOSED RENEWAL
03:42:28 AND EXPANSION. >> THANK YOU.
03:42:31 >> THANK YOU JACKIE. GOOD AFTERNOON OR ALMOST
03:42:35 EVENING PRESIDENT OF MANAGEMENT AND MEMBERS OF THE BOARD OF
03:42:39 SUPERVISORS CITY STAFF AND MEMBERS OF THE PUBLIC.
03:42:43 THANK YOU FOR BEING HERE TODAY AND ALLOWING US TO PRESENT ON
03:42:47 THIS TOPIC. I TOOK OVER THE ORGANIZATION
03:42:49 IN 2020 AT THE HEIGHT OF THE PANDEMIC AND THIS WAS BEFORE
03:42:53 VACCINES SO IT IS QUITE THE SURREAL EXPERIENCE TO BE UP
03:42:55 HERE TODAY TALKING ABOUT ECONOMIC RECOVERY FOR OUR CITY
03:42:59 AND OUR BELOVED DOWNTOWN. >> THIS EFFORT IS FUNDAMENTALLY
03:43:06 ABOUT ENSURING DOWNTOWN SAN FRANCISCO REMAINS COMPETITIVE
03:43:10 AND ITS PRIMARY TAX BASE TO FUND CITYWIDE SERVICES.
03:43:11 OUR RESILIENT AND POSITIONED FOR LONG TERM RECOVERY
03:43:15 AND GROWTH. OVER THE PAST SEVERAL YEARS OUR
03:43:18 DOWNTOWN HAS FACED UNPRECEDENTED CHALLENGES FROM
03:43:22 THE IMPACTS OF THE PANDEMIC AND SHIFTS IN OFFICE
03:43:26 UTILIZATION TO INCREASING PRESSURE ON PUBLIC REALM
03:43:29 MAINTENANCE, SAFETY AND ECONOMIC VITALITY AND AT
03:43:30 THE SAME TIME EXPECTATIONS FOR CLEAN STREETS, SAFE
03:43:34 ENVIRONMENTS AND VIBRANT PUBLIC SPACES HAVE ONLY INCREASED.
03:43:41 THIS IS THE REALITY THAT PROPERTY OWNERS, BUSINESSES,
03:43:45 RESIDENTS AND VISITORS ARE ASKING FOR MORE SERVICES, MORE
03:43:49 ACTIVATION AND STRONGER COORDINATION THAN EVER
03:43:53 AND EARLY RENEWAL ALLOWS US TO PROACTIVELY RESPOND TO THOSE
03:43:57 NEEDS RATHER THAN WAITING FOR CHALLENGES TO BE RESOLVED ON
03:44:00 THEIR OWN. RENEWAL IS NOT SIMPLY ABOUT
03:44:03 CONTINUING EXISTING SERVICES. IT IS ABOUT EVOLVING THE
03:44:05 DISTRICT'S TO MEET THE FUTURE OF DOWNTOWN EXPANSION ALLOWS US
03:44:12 TO BRING IN ADDITIONAL NEIGHBORHOODS, COMMERCIAL
03:44:13 CORRIDORS AND STAKEHOLDERS TO A UNIFIED STRATEGY FOCUS ON A
03:44:17 CLEAN AND SAFE SERVICES ECONOMIC DEVELOPMENT, PUBLIC
03:44:21 SPACE ACTIVATION AND ADVOCACY. DOWNTOWN FUNCTIONS AS AN
03:44:25 INTERCONNECTED ECOSYSTEM AND OUR BOUNDARIES
03:44:29 AND RESOURCES MUST REFLECT THAT .
03:44:32 NEXT SLIDE PLEASE. >> SO THIS IS OUR CURRENT
03:44:36 BOUNDARIES IN IN 2017 A COALITION OF PROPERTY OWNERS
03:44:41 AND BUSINESSES CAME TOGETHER WITH A SIMPLE GOAL CREATE A
03:44:44 CLEANER, SAFER AND MORE WELCOMING DOWNTOWN.
03:44:47 WE OFFICIALLY LAUNCHED OPERATIONS IN JANUARY 2020 JUST
03:44:50 WEEKS BEFORE THE PANDEMIC DRASTICALLY CHANGED THE
03:44:54 TRAJECTORY OF OUR CITY AND THE WORLD.
03:44:57 OVER THE PAST SIX YEARS WE'VE EVOLVED FROM SIMPLY CREATING A
03:44:59 TRADITIONAL CLEAN AND SAFE DISTRICT TO AN ORGANIZATION
03:45:02 FOCUSED ON PLACE MANAGEMENT, ECONOMIC DEVELOPMENT, PUBLIC
03:45:06 REALM ACTIVATION AND DOWNTOWN RECOVERY IN ORDER TO RISE TO
03:45:10 POST-COVID CHALLENGES. >> OUR WORK FOCUSES ON THESE
03:45:14 AREAS AS MENTIONED BEFORE AND TOGETHER THESE FUNCTIONS
03:45:19 HELP ENSURE THAT DOWNTOWN REMAINS A PLACE WHERE
03:45:22 BUSINESSES CAN SUCCEED. RESIDENTS CAN THRIVE
03:45:26 AND VISITORS FEEL WELCOME. AND AS FRONT LINE STEWARDS OVER
03:45:30 THE LAST SIX YEARS YOU CAN SEE THESE ARE TANGIBLE RESULTS FROM
03:45:34 OUR AMBASSADOR TEAMS FROM PICKING UP TRASH FILE WASTE
03:45:37 GRAFFITI POWER WASHING EVERYTHING THAT A CBDC IS
03:45:41 DESIGNED TO DO. >> ONE EXAMPLE OF OF OUR
03:45:49 ABILITY TO INNOVATE HAS BEEN OUR PARTNERSHIP WITH THE
03:45:53 DOWNTOWN DEVELOPMENT CORPORATION TO LAUNCH THE
03:45:54 MARKET STREET AMBASSADOR CORRIDOR PILOT.
03:45:57 SINCE THIS PARTNERSHIP MAJOR EMPLOYER CITY AGENCIES
03:46:00 AND COMMUNITY ORGANIZATIONS HELP FUNDED THE PROGRAM TO
03:46:04 IMPROVE CONDITIONS AROUND OUR DOWNTOWN TRANSIT HUBS SINCE
03:46:08 JUNE AND JULY OF 2025 AMBASSADORS HAVE GENERATED OVER
03:46:14 71,000 PUBLIC INTERACTIONS AND CONTRIBUTED TO A 53%
03:46:18 REDUCTION IN SAFETY RELATED 911 CALLS IN THIS AREA.
03:46:22 THIS PILOT DEMONSTRATES HOW STRATEGIC PRIVATE PUBLIC
03:46:23 PARTNERSHIPS CAN DELIVER MEASURABLE RESULTS.
03:46:30 AND AS DOWNTOWN EVOLVES WE MUST THINK BEYOND MAINTENANCE
03:46:34 AND OPERATIONS. OUR AWARD WINNING PUBLIC REALM
03:46:35 ACTION PLAN PROVIDES A ROADMAP FOR TRANSFORMING DOWNTOWN
03:46:39 STREETS AND PUBLIC SPACES INTO DESTINATIONS THAT SUPPORT
03:46:43 ECONOMIC ACTIVITY, COMMUNITY GATHERING AND CULTURAL
03:46:46 EXCHANGE. THIS PLAN WAS CREATED FROM
03:46:47 INPUT FROM STAKEHOLDERS NOT A TOP DOWN APPROACH BUT RECEIVING
03:46:51 DIRECTIONS DIRECTLY FROM THE COMMUNITY.
03:46:58 >> THESE ARE SOME OF OUR WORK THAT HAS COME OUT OF OUR PUBLIC
03:47:02 REALM ACTION PLAN THAT WE'VE BEEN ABLE TO ACCOMPLISH.
03:47:05 FIRST LANDING AT LIGHT A STAFF THE FRONT STREET ENTERTAINMENT
03:47:10 ZONE, FIRST ENTERTAINMENT ZONE AND THE STATE OF CALIFORNIA.
03:47:13 OUR DOWNTOWN GATEWAY PROJECT AT THE CORNER OF MARKET
03:47:18 AND CALIFORNIA STREET AT THE CABLE CAR LINE AND OF COURSE
03:47:22 MECHANICS MONUMENT PLAZA. >> THESE PROJECTS REPRESENT
03:47:29 WHAT A MODERN DOWNTOWN MANAGEMENT ORGANIZATION LOOKS
03:47:32 LIKE THROUGH STRATEGIC ACTIVATIONS, STREETSCAPE
03:47:33 IMPROVEMENTS AND PRIVATE PUBLIC PARTNERSHIPS.
03:47:37 WE TRANSFORM THESE UNDERUTILIZED SPACES INTO
03:47:40 COMMUNITY ASSETS WHETHER IT'S LANDING AT LIGHT A STORE FRONT
03:47:43 STREET DOWNTOWN GATEWAY OR MECHANICS.
03:47:44 EACH PROJECT DEMONSTRATES HOW THOUGHTFUL PLACEMAKING CAN
03:47:48 INCREASE FOOT TRAFFIC SUPPORT LOCAL BUSINESSES AND INCREASE
03:47:52 DOWNTOWN'S IDENTITY. WE'VE ALSO BECOME A LEADER THAT
03:47:55 ONCE LED IN PRODUCING PUBLIC EVENTS PROGRAMS SUCH AS LET'S
03:48:02 GLOW S.F. THE STEEL ON BELT IN FRONT STREET AND DRAG ME
03:48:06 DOWNTOWN, ATTRACT VISITORS, SUPPORT LOCAL BUSINESSES
03:48:07 AND REINFORCE DOWNTOWN'S REPUTATION AS A CULTURAL
03:48:11 DESTINATION. >> LET'S CLOSE SPECIFICALLY HAS
03:48:15 BROUGHT MORE THAN 375,000 ATTENDEES SINCE IT STARTED
03:48:21 AND 2021 SO THIS BRINGS US TO THE PURPOSE BACK ONLINE.
03:48:25 >> THIS BRINGS US TO THE PURPOSE OF TODAY'S HEARING.
03:48:26 DOWNTOWN SAN FRANCISCO HAS EXPERIENCED RENEWED MOMENTUM
03:48:30 AND RATHER THAN WAIT UNTIL THE END OF OUR CURRENT TERM,
03:48:33 PROPERTY OWNERS CHOSE TO PURSUE AN EARLY RENEWAL APPROXIMATELY
03:48:37 EIGHT YEARS AHEAD OF SCHEDULE BECAUSE THEY BELIEVE DOWNTOWN
03:48:41 RECOVERY CAN AND SHOULD MOVE FASTER.
03:48:44 >> THIS PROPOSAL DESIGNED TO DESIGNED ACCELERATE RECOVERY,
03:48:48 STRENGTHEN THE SERVICE DELIVERY AND EXTEND SUPPORT TO THE
03:48:52 EMBARCADERO WATERFRONT ONE OF SAN FRANCISCO'S MOST IMPORTANT
03:48:55 PUBLIC SPACES. >> WE'VE DONE EXTENSIVE
03:48:59 COMMUNITY OUTREACH OVER THE LAST YEAR AND A HALF.
03:49:03 >> WE ESTABLISHED A RENEWAL AND EXPANSION STEERING
03:49:06 COMMITTEE. WE'VE CONDUCTED FOCUS GROUPS,
03:49:07 HOSTED COMMUNITY MEETINGS, LAUNCHED A DEDICATED WEBSITE
03:49:11 MAILED SURVEYS TO EVERY PROPERTY OWNER AND COMPLETED
03:49:17 NUMEROUS ONE ON ONE INTERVIEWS WITH STAKEHOLDERS THROUGHOUT
03:49:18 THE DISTRICT. WE ALSO COORDINATED EXTENSIVELY
03:49:21 WITH THE OFFICE OF ECONOMIC AND WORKFORCE DEVELOPMENT, THE
03:49:24 PORT OF SAN FRANCISCO AND RECREATION AND PARKS.
03:49:28 LOOKS LIKE ONE MORE FIVE PRIMARY GOALS GUIDE THIS
03:49:35 EFFORT. FIRST IS TO STRENGTHEN DOWNTOWN
03:49:38 COMPETITIVE POSITION. SECOND SECURE THE CITY'S TAX
03:49:39 BASE AND INVESTMENTS. THIRD CREATE A STRONGER
03:49:43 PLATFORM FOR ADVOCACY, INVESTMENT AND ECONOMIC GROWTH.
03:49:47 FOURTH, ENHANCE OUR SERVICE DELIVERY AND PROVIDE
03:49:51 OPERATIONAL EXCELLENCE. AND FIFTH SUPPORT THE
03:49:53 ACTIVATION OF THE EMBARCADERO PARK PROJECT.
03:49:57 >> UPON OUR DUE DILIGENCE WE STUDY DOWNTOWNS ACROSS THE
03:50:00 COUNTRY AND FOUND THAT OUR DOWNTOWN HAS HAS ONE OF THE
03:50:04 LOWEST RESOURCES. THIS PROPOSED RENEWAL HELPS
03:50:07 ENSURE THAT SAN FRANCISCO REMAINS COMPETITIVE WITH OTHER
03:50:09 DOWNTOWNS THAT ARE INVESTING HEAVILY INTO THE PUBLIC REALM.
03:50:12 SAFETY ACTIVATION AND ECONOMIC DEVELOPMENT RENEWAL ALLOWS US
03:50:19 TO SIGNIFICANTLY EXPAND SERVICES MOST NOTABLY AS CLEAN
03:50:23 AND SAFE SERVICES WILL DOUBLE AND TRANSITION TO A 24 HOUR
03:50:26 OPERATION. THIS PROPOSAL ALSO FUNDS A NEW
03:50:29 HOMELESS OUTREACH PROGRAM AND OVERNIGHT SAFETY PATROLS.
03:50:31 >> LASTLY, IT ACCELERATES OUR IMPLEMENTATION OF OUR PUBLIC
03:50:34 REALM ACTION PLAN NO LONGER RELYING ON CITY GRANTS BUT
03:50:41 FOCUSING ON THESE EFFORTS TO BOOST BEAUTIFICATION EFFORTS TO
03:50:44 SUPPORT SMALL BUSINESSES AND OUR OVERALL DOWNTOWN
03:50:46 RECOVERY. >> THIS IS THE PROPOSED MAP
03:50:52 THAT EXPANDS BEYOND THE EXISTING FINANCIAL DISTRICT
03:50:58 IN JACKSON SQUARE TO INCLUDE THE EMBARCADERO AND PORT AREAS
03:51:01 FROM 43 TO 70 BLOCKS THREE SERVICE ZONES WILL PROVIDE
03:51:06 FOCUSED DEPLOYMENT OF RESOURCES RATHER THAN A ONE SIZE FITS ALL
03:51:09 APPROACH. THE EXPANSION REFLECTS HOW
03:51:12 PEOPLE ACTUALLY EXPERIENCE DOWNTOWN TODAY AS A CONNECTED
03:51:14 ECOSYSTEM RATHER THAN A COLLECTION OF SEPARATE
03:51:17 NEIGHBORHOODS. DIFFERENT SERVICE ZONES HAVE
03:51:20 BEEN DESIGNATED TO MATCH VARYING SERVICE NEEDS WHILE
03:51:21 ENSURING EQUITABLE INVESTMENT ACROSS THE DISTRICT.
03:51:27 >> THE NEXT TWO SLIDES ILLUSTRATE SPECIFIC SERVICE
03:51:28 IMPROVEMENTS THAT MAKE THIS RENEWAL POSSIBLE AGAIN.
03:51:33 ESSENTIALLY PROPERTIES WILL RECEIVE DOUBLE THE AMOUNT OF
03:51:36 CLEANING AT DOUBLE THE AMOUNT OF POWER WASHING AND DOUBLE THE
03:51:40 AMOUNT OF SAFETY PROGRAMS. IN ADDITION WE WILL CREATE
03:51:43 DEDICATED FUNDING STREAMS DIRECTLY FOR ECONOMIC
03:51:44 DEVELOPMENT ADVOCACY, STREETSCAPE IMPROVEMENTS,
03:51:48 PUBLIC REALM PROGRAMING, DESTINATION MARKETING
03:51:52 AND BUSINESS ATTRACTION EFFORTS .
03:51:55 >> THE PROPOSED METHODOLOGY WAS DEVELOPED THROUGH A TRANSPARENT
03:51:59 PUBLIC PROCESS AND REVIEWED BY OUR ASSESSMENT ENGINEER.
03:52:03 YEAR ONE IS PROJECTED TO GENERATE APPROXIMATELY $11
03:52:08 MILLION IN ASSESSMENTS SUPPORTING AN OVERALL OPERATING
03:52:09 BUDGET OF APPROXIMATELY 11.3 MILLION.
03:52:16 AND YOU CAN SEE THE BREAKDOWN IN OUR MANAGEMENT PLAN BETWEEN
03:52:20 CLEAN AND SAFE AND PLACEMAKING TO SERVE IDENTITY ECONOMIC
03:52:21 DEVELOPMENT AND ADVOCACY AND ADMINISTRATION
03:52:24 AND MANAGEMENT AND CONTINGENCY FUND.
03:52:28 >> NEXT SLIDE. >> A MAJOR COMPONENT OF THIS
03:52:32 PROPOSAL IS THE LONG TERM STEWARDSHIP OF EMBARCADERO
03:52:36 PARK. THIS FIVE ACRE WATERFRONT
03:52:37 WATERFRONT PARK INVESTMENT REPRESENTS ONE OF THE MOST
03:52:41 SIGNIFICANT PUBLIC ROUND PROJECTS IN DOWNTOWN SAN
03:52:44 FRANCISCO'S HISTORY. >> THE PROPOSED PARK OVERLAY
03:52:47 WILL NOT BE ACTIVATED UNTIL THE PARK ASSET IS SUBSTANTIALLY
03:52:52 COMPLETE AND A FORMAL AGREEMENT IS IN PLACE WITH RECREATION
03:52:55 AND PARKS DEPARTMENT. THIS ENSURES SUSTAINABLE
03:52:59 FUNDING FOR PROGRAMING AND ACTIVATION.
03:53:02 IT'S OUR VISION THAT ALL SAN FRANCISCO NEIGHBORHOODS WILL
03:53:04 HAVE A PLACE HERE. APPROXIMATELY $1.8 MILLION WILL
03:53:10 BE RAISED BASED ON THIS PROJECT BASED ON A PROPERTY'S PROXIMITY
03:53:13 TO THE PARK. >> OVER THE PAST YEAR WE'VE
03:53:17 COMPLETED THE STAKEHOLDER OUTREACH, DEVELOPED OUR NEW
03:53:21 MANAGEMENT PLAN, AN ASSESSMENT ENGINEER'S REPORT AND OUR
03:53:24 PETITION PROCESS AND CONDUCTED THE REQUIRED PROPERTY BALLOT
03:53:29 PROCEEDING. AND TODAY REPRESENTS THE FINAL
03:53:30 STEP IN THAT PROCESS. >> IN CLOSING THE COMMUNITY
03:53:36 BENEFIT DISTRICT MODEL HAS CONSISTENTLY DEMONSTRATED
03:53:37 MEASURABLE RESULTS. CLEANER STREETS ENHANCE
03:53:41 HOSPITALITY AND AMBASSADOR SERVICES, STRONGER MARKETING
03:53:45 AND EVENTS AND IMPROVE COORDINATION BETWEEN THE
03:53:48 PRIVATE SECTOR AND THE CITY. BUT PERHAPS MOST IMPORTANTLY
03:53:52 THIS RENEWAL IS ABOUT CONFIDENCE CONFIDENCE FOR
03:53:53 BUSINESSES CONSIDERING WHETHER THEY'LL STAY OR GROW IN SAN
03:53:57 FRANCISCO. CONFIDENCE FOR EMPLOYEES
03:54:00 RETURNING BACK DOWNTOWN. CONFIDENCE FOR VISITORS
03:54:01 RESIDENTS AND INVESTORS THAT DOWNTOWN IS CONTINUING TO MOVE
03:54:05 FORWARD AND WE BELIEVE THIS RENEWAL AND EXPANSION POSITIONS
03:54:09 US NOT ONLY TO MAINTAIN THAT MOMENTUM BUT HELP SHAPE THE
03:54:13 NEXT CHAPTER. I ALSO WANT TO TAKE A MOMENT TO
03:54:16 RECOGNIZE ONE OF OUR FOUNDING MEMBERS, CLINT RILEY, WHO FOR
03:54:19 NOT HIM THIS ORGANIZATION SHOULD WOULD NOT HAVE COME
03:54:24 TOGETHER BACK IN 2017 AND 2018 WHO SADLY PASSED AWAY OVER THE
03:54:27 WEEKEND. AND WE WISH HIS FAMILY ALL THE
03:54:31 BEST DURING THIS TIME. THANK YOU FOR YOUR
03:54:34 CONSIDERATION AND WE'RE HAPPY TO ANSWER ANY QUESTIONS.
03:54:38 >> THANK YOU. SUPERVISOR CHAN THANK YOU
03:54:39 PRESIDENT AMANDA MANN AND PLEASE HELP ME UNDERSTAND
03:54:46 THAT LOOKS LIKE THE DISTRICT COVERED THE PORT SIDE AND THAT
03:54:49 THE RATE COLLECTED FROM THE PORT SITES UP TO A LITTLE BIT
03:54:53 OVER $800,000 A YEAR. AND SO IT MEANS THAT THE SAN
03:54:57 FRANCISCO PORT IS PAYING INTO THAT, CORRECT?
03:55:01 >> THAT'S CORRECT. IN THIS CASE THE PORT WILL
03:55:04 SERVE AS THE MASTER PROPERTY OWNER BUT DEPENDING ON THEIR
03:55:05 SUBLEASE IS WHAT THEIR TENANTS THEY'LL PROBABLY BE NEGOTIATED
03:55:09 AND THAT THEY CAN PASS ON SOME OF THOSE ASSESSMENTS ONTO THEIR
03:55:13 TENANTS OR SUBLEASES. >> THAT MEANS THE FERRY
03:55:20 BUILDING COULD BE IN THE FERRY BUILDING AND THEN THIS AREA
03:55:21 WE'RE LOOKING THROUGH PIER FIVE AND SEVEN AS WELL.
03:55:25 >> BUT THE DISTRICT THAT YOU CURRENTLY PROPOSE DOES NOT
03:55:28 INCLUDE SILBERMAN PARK OR EMBARCADERO PLAZA.
03:55:32 >> YEAH, OUR CURRENT DISTRICT BOUNDARIES DOES NOT INCLUDE THE
03:55:36 PORT NOR EMBARCADERO AND SUE BERRYMAN PARK.
03:55:39 SO PART OF THIS EXPANSION EFFORT IS MAKING SURE THOSE
03:55:43 PROPERTIES ARE BROUGHT IN AND THERE IS A SUSTAINABLE FUNDING
03:55:44 MODEL FOR PROGRAMING AND ACTIVATION.
03:55:47 >> AND IT ALSO DOES NOT INCLUDE THE IMPACT FEDERAL BUILDINGS
03:55:51 WHICH IS OWNED BY BOSTON PROPERTY CURRENTLY NOT BUT BXP
03:55:55 IS REPRESENTED HERE TODAY AND WILL BE JOINING THE
03:55:56 DISTRICT. >> BUT IT LOOKS LIKE ACCORDING
03:55:59 TO YOUR PROPOSAL THE BENEFITS INCLUSIVE OF THE PARK OVERLAY
03:56:03 MEANING THAT YOU ARE DEDICATED ROUGHLY ABOUT $1.8 MILLION TO
03:56:07 THE PARK MAINTENANCE NOT MAINTENANCE BUT PROGRAMING
03:56:11 AND ACTIVATION. SO AT THE END OF THE DAY REC
03:56:15 AND PARK WILL BE ULTIMATELY RESPONSIBLE FOR MAINTENANCE
03:56:18 AND CLEANLINESS. THIS WILL BE A SUPPLEMENTAL
03:56:22 AND ENHANCE TO WHATEVER THE CITY'S BASELINE SERVICES WILL
03:56:23 BE. >> AND AND THE $1.8 MILLION
03:56:29 ROUGHLY IS NOT GOING TO HAPPEN UNTIL THE RENOVATION IS
03:56:33 COMPLETED. >> CORRECT.
03:56:33 SO THAT THAT WILL NOT BE TRIGGERED NOW AND IT WILL NOT
03:56:36 BE TRIGGERED UNTIL FISCAL YEAR. MOST LIKELY 28 TO 29.
03:56:40 AND WHICH TIME PROPERTY OWNERS WILL BE NOTIFIED OF THE
03:56:44 TRIGGERING WHICH WILL BE UNDER THE AUTHORITY OF OUR BOARD OF
03:56:48 DIRECTORS. AND AGAIN, WE WANT TO MAKE SURE
03:56:49 LIKE THE PARK ITSELF IS SIGNIFICANTLY COMPLETED
03:56:52 AND READY TO RECEIVE THOSE FUNDS AS WELL AS WE HAVE A
03:56:56 SATISFACTORY OPERATIONS AGREEMENT WITH THE REC AND PARK
03:57:00 DEPARTMENT. >> AND THEN WITH THAT WOULD
03:57:01 THAT AGREEMENT WILL HAVE TO COME TO THE BOARD SUPERVISOR
03:57:04 FOR FINAL APPROVAL. I WILL HAVE TO GET BACK TO YOU
03:57:08 ON THAT. I'M NOT SURE ON THAT PROCESS.
03:57:13 >> HEY, SUPERVISOR CHAN. NO, ULTIMATELY IT HAS TO.
03:57:17 >> THE AGREEMENT IS BETWEEN REC AND PARK AND DOWNTOWN
03:57:21 PARTNERSHIP IN TERMS OF THE SPECIFICITY OF THE
03:57:24 PARTICULARITIES OF THE MAINTENANCE AGREEMENT GIVEN THE
03:57:26 FACT THAT THERE'S SOME ASPECTS OF THE PARK THAT AREN'T FULLY
03:57:29 SOLIDIFIED REC AND PARK WAS COMFORTABLE WITH THE FACT THAT
03:57:33 IN THE MANAGEMENT PLAN WHICH IS IN FRONT OF YOU ALL TODAY TO
03:57:37 APPROVE THAT NECESSITATES THE AGREEMENT BETWEEN REC AND PARK
03:57:43 AND DFP ON THESE ITEMS TO BE DETERMINED.
03:57:44 >> BUT HOW I UNDERSTAND THOUGH BECAUSE THE $1.8 MILLION IS
03:57:48 ACTUALLY COMING FROM THE COMMUNITY BENEFIT DISTRICT.
03:57:52 AND SO THEN WOULDN'T IT BE AN ASSET TO EXPEND GRANT TO THE
03:57:56 REC AND PARK AND WHICH IS THEN OR ARE YOU SAYING THAT THE CBD
03:58:00 IS ACTUALLY GOING TO BE DOING THE PROGRAMING WORTH $1.8
03:58:06 MILLION WORTH AND AT PARK PROPERTY?
03:58:10 >> THE LATTER PART SO YES THE CBD WOULD BE DOING THE
03:58:13 PROGRAMING ITSELF. AND I SHOULD ALSO NOTE TOO AS A
03:58:15 PART OF BOTH THE PETITION PHASE AND THE BALLOT PHASE ON THE
03:58:17 BALLOT ITSELF THERE'S LANGUAGE INDICATING THE FACT OF THE FACT
03:58:21 THAT PROPERTY OWNERS MAY BE ASSESSED.
03:58:25 AND AS SOON AS FISCAL YEAR 2020 FOR THIS ADDITIONAL ASSESSMENT.
03:58:29 SO THIS WAS CLEAR IN TERMS OF THE BALLOT LANGUAGE ITSELF
03:58:33 AND THE PETITION LANGUAGE ITSELF FOR PROPERTY OWNERS AS
03:58:34 THEY WERE FILLING THAT INFORMATION OUT.
03:58:37 >> I'M JUST A LITTLE BIT CONFUSED BECAUSE AT THE END OF
03:58:38 THE DAY THE DISTRICT THE BENEFIT DISTRICT DOES NOT
03:58:40 INCLUSIVE OF SILBERMAN AND THEN BAGATELLE PLAZA WHICH IS
03:58:44 TOTALLY FINE BECAUSE I WOULD ASSUME REC AND PARK WOULD NOT
03:58:47 WANT TO PAY THE TAX LIKE PORT DOES ESPECIALLY DOES NOT
03:58:51 GENERATE ANY REVENUE LIKE THE PORT WOULD BE WITH FERRY
03:58:55 BUILDING. BUT THEN THE BENEFIT DISTRICT
03:58:59 CAN DECIDE WHAT KIND OF ACTIVITIES AND PROGRAMING GO ON
03:59:06 THE PUBLIC LAND THAT IS WORTH $1.8 MILLION.
03:59:07 I'M JUST A LITTLE BIT CONFUSED. I'M JUST TRYING TO UNDERSTAND
03:59:11 HOW DO WE THEN DETERMINE THAT WHAT KIND OF PROGRAMING WHAT
03:59:14 KIND OF ACTIVITIES WOULD THAT BE GOING ON TO A PUBLIC PARK IF
03:59:18 IF IF REC AND PARK I'M JUST TRYING TO UNDERSTAND THE
03:59:22 JURISDICTION AND JUST DECISION. >> SURE.
03:59:25 SURE. LET ME CLARIFY 11..
03:59:26 SO THE CURRENTLY EMBARCADERO PLAZA AND SUBURBAN PARK ARE NOT
03:59:30 PART OF OUR BOUNDARIES, RIGHT? SO WITH THE EXTENSIVE
03:59:36 CONVERSATIONS WE'VE HAD WITH THE REC AND PARK DEPARTMENT,
03:59:38 THEY'RE AGREEING TO JOIN THE CBD AS A PART OF THIS BALLOT
03:59:41 PROCESS. AND THE ONE ROUGHLY 1.8 MILLION
03:59:47 WILL BE GENERATED THROUGH PROPERTY ASSESSMENTS AS WELL
03:59:51 AND IT'S ACTUALLY BASED ON A FORMULA THAT WE STUDIED WITH
03:59:55 OTHER URBAN PARKS THROUGHOUT THE COUNTRY.
03:59:56 THE CLOSER YOU ARE TO IT URBAN PARK THE LOGICALLY THE MORE
04:00:03 BENEFIT YOU'RE GOING TO GET AND PROBABLY INCREASED VALUE
04:00:04 FOOT TRAFFIC AND THINGS LIKE THAT.
04:00:07 SO THAT'S WHERE WE'VE DEVELOPED THAT FORMULA BASED ON
04:00:11 PROXIMITY. SO NOW THAT HOPEFULLY OUR
04:00:14 BALLOT PROCESS WILL BE APPROVED.
04:00:15 OUR NEXT STEP IS TO WORK WITH REC AND PARK AND WORK WITH
04:00:22 COMMUNITY TO DECIDE HOW SHOULD THIS PARK BE PROGRAMED IN THE
04:00:26 FUTURE. SO THERE THERE'S STILL A LOT TO
04:00:27 FIGURE OUT THERE. WE WANTED TO MAKE SURE AS WE
04:00:30 ARE DOING THIS PROCESS NOW WE COULDN'T GO BACK IN A COUPLE OF
04:00:34 YEARS AND THEN TRY TO DO ANOTHER SPECIAL ASSESSMENT.
04:00:38 SO WE'RE MAKING SURE THAT THAT FUNDING WILL BE THERE IN THE
04:00:41 FUTURE. AND THEN WE ESSENTIALLY HAVE
04:00:43 ABOUT TWO YEARS TO WORK WITH THE DEPARTMENTS AS WELL AS
04:00:48 COMMUNITIES TO AGAIN UNDERSTAND WHAT TYPE OF PROGRAMING.
04:00:52 AND AGAIN OUR VISION IS IS WE WANT THIS PARK TO FEEL LIKE IT
04:00:53 BELONGS TO EVERYBODY IN SAN FRANCISCO AND MAKING SURE THAT
04:00:57 OUR WONDERFUL NEIGHBORHOODS HAVE A PLACE IN DOWNTOWN.
04:01:00 >> MY SENSE IS YOU WILL HAVE TO COME BACK TO THE BOARD OF
04:01:01 SUPERVISORS FOR FINAL APPROVAL FOR FOR THAT AGREEMENT SIMILAR
04:01:05 TO WHAT WE HAVE DONE AT CRINKLE PARK WHICH IS WITH THE YMCA.
04:01:11 BUT I LOOK FORWARD TO IT. I THINK IT'S A WORTHWHILE
04:01:15 INVESTMENT AND I APPRECIATE THE FACT THAT YOU'RE MAKING PORT
04:01:16 PAY IN TO THE CBD BUT NOT REC AND PARK AND THEN YOU'RE
04:01:20 SPENDING PROGRAMING AND SUPPORT INTO THE PARK TO THE PUBLIC
04:01:24 SPACE WHICH I APPRECIATE. >> THANK YOU.
04:01:27 YOU'RE WELCOME. THANK YOU.
04:01:30 ALL RIGHT. I DON'T SEE ANYONE ELSE IN THE
04:01:33 QUEUE. SO AT THIS TIME A PROPERTY
04:01:38 OWNER WHO WISHES TO CHANGE THEIR VOTES OR WHO HAS NOT YET
04:01:39 VOTED MAY SPEAK WITH THE DEPARTMENT OF ELECTION STAFF AT
04:01:42 A TABLE JUST OUTSIDE THE LEGISLATIVE CHAMBERS.
04:01:46 THEY CAN PROVIDE YOU WITH THE AFFIDAVIT AND BALLOT.
04:01:49 AND AFTER PUBLIC COMMENT CLOSES THE BALLOTS WILL BE COUNTED.
04:01:53 MADAM CLERK, WE WILL NOW OPEN PUBLIC COMMENT FOR THIS MATTER
04:01:57 AND WE'RE GOING TO GIVE EVERY SPEAKER TWO MINUTES.
04:01:58 >> YES. IF YOU WOULD LIKE TO PROVIDE
04:02:01 COMMENTS ON THE DOWNTOWN CBD ITEMS 5053 AND 54 PLEASE LINE
04:02:04 UP TO SPEAK NOW ON THE RIGHT HAND SIDE OF THE CHAMBER.
04:02:08 ONCE THE IN-PERSON LINE HAS BEEN EXHAUSTED WE WILL GO TO
04:02:12 OUR REMOTE SPEAKERS. IF YOU ANTICIPATE PROVIDING
04:02:15 REMOTE PUBLIC COMMENT THE TELEPHONE NUMBER AND MEDIA
04:02:16 NIGÉRIA PUBLISHED ON THE AGENDA AND STREAMING ON YOUR SCREEN.
04:02:20 THE FIRST PUBLIC COMMENTS ARE HERE IN PERSON PLEASE COME
04:02:22 FORWARD. >> GOOD EVENING SUPERVISORS.
04:02:30 MY NAME IS CATALINA. I AM WITH THE TRANSGENDER
04:02:34 DISTRICT AND WE HAVE THE PRIVILEGE OF BEING THE
04:02:37 BENEFICIARY COMMUNITY PARTNER WITH DOWNTOWN SAN FRANCISCO
04:02:41 WITHIN THEIR PRIDE EVENTS. >> WE ARE HERE TO SUPPORT THIS
04:02:45 INITIATIVE BUT ALSO TO HIGHLIGHT THE IMPACT THAT THESE
04:02:49 THREE YEARS OF PARTNERSHIP THAT WE'VE HAD WITH THEM HAS ON NOT
04:02:53 ONLY OUR COMMUNITY BUT ALSO THE DOWNTOWN.
04:02:56 SAN FRANCISCO AREA AND MID-MARKET CORRIDOR WHICH
04:02:58 IS WHERE WE PREDOMINANTLY WORK .
04:03:01 >> WE'RE SUPER FORTUNATE OF THIS OPPORTUNITY BECAUSE
04:03:05 IN BEING IN THESE EVENTS WE'VE WE'VE PROGRESSIVELY SEEN MORE
04:03:06 AND MORE ENGAGEMENT AND THROUGH THAT FOLKS THAT ARE BRINGING
04:03:12 THEIR FAMILIES AND BRINGING IN JOY AND EXPANDING UPON THAT
04:03:19 DURING THIS TIME AND WE BELIEVE THAT THIS IS AN INITIATIVE THAT
04:03:24 SAN FRANCISCO SHOULD INVEST INTO BECAUSE THIS IS WHAT SAN
04:03:27 FRANCISCO IS KNOWN FOR MORE SO BRINGING IN COMMUNITY
04:03:31 AND AMPLIFYING JOY BETWEEN GENERATIONS AND PEOPLE WITHIN
04:03:35 THE BAY AREA. THANK YOU.
04:03:39 >> THANK YOU FOR YOUR COMMENTS. NEXT SPEAKER GOOD EVENING.
04:03:43 I'M CHRIS FRIIS OF RED CO AND HARRINGTON SO I HAVE THE
04:03:47 LUXURY OF BEING BOTH A PROPERTY OWNER IN THE DISTRICT.
04:03:50 I CURRENTLY OWN FOUR BUILDINGS ABOUT 700,000FT2 AND ALSO BEING
04:03:53 A SMALL BUSINESS OWNER SO I CAN SPEAK TO MY EXPERIENCES WITH
04:04:00 CTS-V AND I AM VERY EXCITED TO SUPPORT AND I'VE ALSO PLAYED A
04:04:08 ROLE IN THE RENEWAL STEERING COMMITTEE HERE WITH MY PARTNER
04:04:09 DAN KINGSLEY. SO I'M I'M OFFERING UP MY
04:04:12 SUPPORT AND ANY SORT OF FURTHER QUESTIONS FOR THE BOARD BUT I
04:04:19 BELIEVE WE'RE IN GREAT HANDS AND WE'RE EXCITED TO SEE THIS
04:04:20 MOVE FORWARD SO THANK YOU. >> THANK YOU FOR YOUR COMMENTS.
04:04:24 NEXT SPEAKER GOOD EVENING PRESIDENT MADAM AND MEMBERS OF
04:04:27 THE BOARD SUPERVISOR SOUDER THANKS FOR THE SHOUT OUT.
04:04:31 MY NAME IS AARON FENTON AND I REPRESENT PXP.
04:04:35 WE OWN AND MANAGE THE EMBARCADERO CENTER WHICH IS THE
04:04:38 LARGEST OFFICE RETAIL AND PUBLIC GATHERING SPACE
04:04:42 IN DOWNTOWN SAN FRANCISCO. I'M HERE TODAY TO EXPRESS BXP
04:04:46 SUPPORT FOR THE RENEWAL AND EXPANSION OF THE S.F.
04:04:50 DOWNTOWN S.F. PARTNERSHIP. EMBARCADERO CENTER WAS NOT PART
04:04:53 OF THE ORIGINAL BID BECAUSE MOST OF THE SERVICES THAT THE
04:04:54 BID PROVIDED WAS SOMETHING THAT WE ALREADY DID OURSELVES.
04:04:57 HOWEVER, AFTER SEEING THE BENEFITS THE BID PROVIDES TO
04:05:01 THE FINANCIAL DISTRICT FROM ITS STREET CLEANING CREWS TO ITS
04:05:04 PUBLIC REALM ACTIVATIONS, WE ULTIMATELY AGREED TO JOIN THE
04:05:09 DISTRICT BUT NOT ONLY TO JOIN THE DISTRICT BUT TO SUPPORT ITS
04:05:12 EXPANSION BECAUSE WE BELIEVE THESE SERVICES ARE BEING
04:05:13 PROPOSED ARE CRITICAL TO THE RECOVERY OF DOWNTOWN AS
04:05:17 PROPERTY OWNERS AND LONG TERM INVESTORS WE KNOW FIRSTHAND
04:05:21 THAT DOWNTOWN SUCCESS DEPENDS ON MORE THAN JUST BUILDINGS.
04:05:24 IT DEPENDS ON HAVING CLEAN STREETS A SAFE ENVIRONMENT,
04:05:27 STRONG NEIGHBORHOOD IDENTITY AND HIGH QUALITY PUBLIC SPACES
04:05:31 AND CONSISTENT PROGRAMING THAT BRINGS PEOPLE TOGETHER.
04:05:34 AND THESE ARE EXACTLY THE TYPE OF SUPPLEMENTAL SERVICES THAT
04:05:38 THE DOWNTOWN AS A PARTNERSHIP PROVIDES.
04:05:41 WE'RE PARTICULARLY SUPPORTIVE OF THE PARTNERSHIP'S ROLE
04:05:43 IN HELPING ACTIVATE AND MAINTAIN THE FUTURE
04:05:45 EMBARCADERO PARK B P IS CURRENTLY LEADING THE
04:05:48 DEVELOPMENT OF THIS TRANSFORMATIONAL WATERFRONT
04:05:49 IN PARTNERSHIP WITH THE CITY AND WE KNOW THAT SUCCESSFUL
04:05:54 URBAN PARKS AROUND THE COUNTRY THAT GREAT PUBLIC SPACES
04:05:57 REQUIRE ONGOING STEWARDSHIP ACTIVATION AND CLEANLINESS,
04:06:01 SAFETY AND PROGRAMING TO REACH THEIR FULL POTENTIAL.
04:06:04 SAN FRANCISCO IS MAKING A SIGNIFICANT INVESTMENT
04:06:08 IN DOWNTOWN'S FUTURE INCLUDING THE PARK THE DOWNTOWN ASSET
04:06:09 PARTNERSHIP IS THE ORGANIZATION THAT WILL HELP ENSURE THOSE
04:06:13 INVESTMENTS SUCCEED LONG TERM WAY AFTER THE RIBBON CUTTING.
04:06:17 SO FOR THAT REASON BXP STRONGLY SUPPORTS THE RENEWAL
04:06:20 AND EXPANSION. >> THANK YOU.
04:06:21 THANK YOU FOR YOUR COMMENTS. NEXT SPEAKER HELLO MY NAME IS
04:06:28 EMILY XU AND I'M SPEAKING ON BEHALF OF THE ACLU OF NORTHERN
04:06:33 CALIFORNIA, A PROPERTY OWNER IN THE DISTRICT.
04:06:36 >> WE HAVE THREE OVERARCHING QUESTIONS ABOUT THE NEARLY 70%
04:06:41 OF THE PROPOSED BUDGET ALLOCATED TOWARDS CLEAN, SAFE
04:06:44 AND PLACEMAKING AND GOALS. >> FIRSTLY, THE PLAN PROPOSES
04:06:48 TO INCREASE SAFETY PATROLS AND SO WE ASK WHO WILL CONDUCT
04:06:52 THESE PATROLS? HOW AND WILL SAN FRANCISCO
04:06:55 POLICE DEPARTMENT BE INVOLVED? WHERE WILL THESE PATROLS ADD TO
04:06:59 THE EXISTING POLICING IN THE DISTRICT?
04:07:00 >> SECONDLY, THE PROPOSED DISTRICT BUDGET INCLUDES A
04:07:06 QUOTE INTEGRATED NETWORK OF SECURITY CAMERAS.
04:07:07 >> SO WE ASK WHO WILL HAVE ACCESS TO THIS FOOTAGE?
04:07:11 >> HOW WILL IT BE USED AND MANAGED?
04:07:12 AN IMPORTANTLY HOW WILL THE PRIVACY RIGHTS OF THOSE
04:07:15 CAPTURED ON CAMERA BE PROTECTED ?
04:07:19 >> AND FINALLY THE BUDGET PROPOSES FUNDING FOR HOMELESS
04:07:23 OUTREACH AND SO WE ASK WHAT WILL THIS CONSIST OF?
04:07:24 WELL, THE DISTRICT'S PLAN OFFERED GENUINE ACCESS TO
04:07:27 RESOURCES AND SERVICES OR SIMPLY COMPEL UNHOUSED PEOPLE
04:07:31 TO TAKE UP RESIDENCE ON THE STREETS OUTSIDE THE DISTRICT.
04:07:34 SO WE LOOK FORWARD TO CLARIFICATION ON THESE POINTS.
04:07:37 >> THANK YOU. >> THANK YOU FOR YOUR COMMENTS.
04:07:42 NEXT SPEAKER PLEASE. >> GOOD EVENING SUPERVISORS.
04:07:45 MY NAME IS SHADI KAILA. >> I'M COUNSEL AT EMPIRE
04:07:49 AND WE'RE WITHIN THE DISTRICT. I'M HERE ON BEHALF OF EMPIRE TO
04:07:53 EXPRESS OUR STRONG SUPPORT FOR THE EXPANSION OF THE COMMUNITY
04:07:56 COMMUNITY BENEFIT DISTRICT. THERE ARE FEW INITIATIVES THAT
04:08:00 WE AS A COMPANY CONTRIBUTE TO FINANCIALLY THAT SO
04:08:03 IMPRESSIVELY INVISIBLY DELIVER ON THEIR PROMISES.
04:08:07 THE STAFF OF THE COMMUNITY BENEFIT DISTRICT ARE A FRIENDLY
04:08:08 FACE AT EACH CORNER BEAUTIFYING, ASSISTING,
04:08:11 INFORMING AND KEEPING SAFE THE COMMUNITY MEMBERS WHEN WE CALL
04:08:15 DC ASSAF P'S THERE IN A TIMELY MANNER WHETHER IT'S CLEAN TRASH
04:08:19 POWER WASH SURROUNDING SIDEWALKS, GRAFFITI REMOVAL OR
04:08:23 OTHERWISE. THEY'RE THERE AND THEY DELIVER
04:08:27 AND WHAT THIS DOES FOR THE CONTINUING NARRATIVE OF SAN
04:08:28 FRANCISCO AS A RESURGING CLEAN, SAFE CITY IS IMMEASURABLE.
04:08:34 THEY'RE GREAT PARTNERS TO US AND THE CITY AT LARGE.
04:08:36 WE'RE ALSO PARTICIPANTS IN AND SPONSORS OF LIGHTS GLOW ASSAF
04:08:41 WE BELIEVE IT'S ONE OF THE MORE UNIQUE PROGRAMS WE HAVE IN THIS
04:08:42 CITY BRINGING JOY AND BEAUTY TO THIS CITY DURING THE HOLIDAY
04:08:45 SEASON. AND IT'S A SMALL EXAMPLE OF
04:08:48 WHAT THIS COMMUNITY BENEFIT DISTRICT CAN DO AND GIVEN THE
04:08:50 RESOURCES THAT IT NEEDS. >> DOWNTOWN S.F. PARTNERSHIP
04:08:53 SHOULD BE MARKETED AS ONE OF THE GREATER BENEFITS OF HAVING
04:08:57 A BUSINESS WITHIN THE DISTRICT. IT'S THAT COMPELLING OF A
04:09:00 BENEFIT THAT I BELIEVE IT WOULD ACTUALLY INCENTIVIZE BUSINESSES
04:09:04 TO LOCATE WITHIN OR REMAIN WITHIN THE DISTRICT.
04:09:07 I URGE YOU TO VOTE TO EXPAND THE DOWNTOWN COMMUNITY BENEFIT
04:09:09 DISTRICT. THANK YOU.
04:09:11 THANK YOU FOR YOUR COMMENTS. NEXT SPEAKER.
04:09:14 >> HI THERE. I'M RANDY HELDER.
04:09:15 I REPRESENT GENSLER WHICH IS THE LARGEST ARCHITECTURE
04:09:19 AND DESIGN FIRM IN THE WORLD FOUNDED HERE IN SAN FRANCISCO
04:09:23 IN 1965. WE WERE ONE OF THE FIRST
04:09:25 EMPLOYERS IN THE WAKE OF THE PANDEMIC TO BRING OUR EMPLOYEES
04:09:27 BACK TO THE OFFICE FIVE DAYS A WEEK WHEN WE MOVED INTO OUR NEW
04:09:32 LOCATION AT 220 MONTGOMERY STREET.
04:09:34 NOW SO WHEN WE WERE DOING THAT THE EFFORTS OF THE DOWNTOWN AS
04:09:38 A PARTNERSHIP BEEN KEEPING OUR DOWNTOWN SAFE AND CLEAN WERE
04:09:42 ABSOLUTELY VITAL TO OUR EMPLOYEES FEELING SAFE, FEELING
04:09:45 PROUD TO BE IN THE OFFICE FIVE DAYS A WEEK NOW THAT WE FIND
04:09:48 OURSELVES IN THE FORTUNATE POSITION OF BEING IN AN
04:09:52 ECONOMIC UPSWING. THE EXPANSION AND RENEWAL IS
04:09:55 ABSOLUTELY CRITICAL TO KIND OF CONTINUING THAT UPSWING
04:09:59 BRINGING TOGETHER THE NEW NEWLY EXPANDED DISTRICT, CREATING
04:10:03 CONSISTENCY IN EXPERIENCES FOR OUR VISITORS, OUR CLIENTS WHO
04:10:07 ARE COMING TO SAN FRANCISCO TO MAKE BIG INVESTMENTS IN OUR
04:10:11 CITY AND OUR STATE. HAVING THAT CONSISTENT
04:10:15 EXPERIENCE BETWEEN THE WATERFRONT AND THE DOWNTOWN
04:10:16 WITH THE PLACEMAKING EFFORTS IN ADDITION TO THE CLEAN
04:10:19 AND SAFE PROGRAM IS ABSOLUTELY VITAL AND SO WE AS A LARGE
04:10:23 EMPLOYER IN THE DISTRICT ABSOLUTELY SUPPORT
04:10:27 AND ENCOURAGE YOU ALL TO VOTE TO SUPPORT THIS RENEWAL
04:10:30 AND EXPANSION. >> THANK YOU.
04:10:31 THANK YOU FOR YOUR COMMENTS. >> NEXT SPEAKER.
04:10:38 >> >> GOOD EVENING SUPERVISORS AND PRESIDENT MENDELSOHN.
04:10:42 MY NAME IS DREW CONNELLY. I'M THE GENERAL MANAGER OF
04:10:45 GALLERY PARK HOTEL AND THE FINANCIAL DISTRICT SINCE 2024.
04:10:49 >> I'M HERE TO SUPPORT THE RENEWAL AND EXPANSION OF THE
04:10:50 DOWNTOWN S.F. PARTNERSHIP. >> JUST LAST MONTH IN JUNE THE
04:10:56 HOTEL REACHED A MAJOR MILESTONE WHERE WE EXCEEDED THE JUNE OF
04:11:00 2019 IN OUR OCCUPANCY. THAT'S THE FIRST METRIC THAT
04:11:03 WE'VE EXCEEDED THAT SINCE THE PANDEMIC.
04:11:06 >> AND EVEN THOUGH IT'S JUST ONE MEASURE OF A HOTEL'S HEALTH
04:11:10 ,EVERY OCCUPIED ROOM REPRESENTS SOMEONE WHO CHOSE
04:11:11 SAN FRANCISCO. THEY COULD HAVE HELD THEIR
04:11:15 MEETINGS ELSEWHERE. THEY COULD HAVE TAKEN A
04:11:16 DIFFERENT VACATION. BUT THEY CAME HERE WHO WALKED
04:11:18 OUR STREETS, EAT IN OUR RESTAURANTS, VISITED OUR
04:11:19 BUSINESSES AND FORMED AN OPINION THAT THEY'LL TAKE HOME
04:11:23 WITH THEM. WHEN I ARRIVED HERE IN 2020 FOR
04:11:26 THE HOTEL I'D MISSED ITS BUDGET EVERY MONTH FOR THE PAST YEAR.
04:11:30 THE OWNERS HAD SOME SOME SERIOUS CONCERNS ABOUT THE LONG
04:11:33 TERM FUTURE OF THE HOTEL. IN 2025 WE INCREASED BY 20%
04:11:37 AND THEN IN 2026 WERE FORECASTED TO INCREASE BY 20%
04:11:40 AGAIN. I'M VERY PROUD OF THOSE RESULTS
04:11:44 BUT I DON'T THINK THEY BELONG ONLY TO US.
04:11:47 IT'S AN INDICATOR THAT PEOPLE ARE CHOOSING DOWNTOWN SAN
04:11:48 FRANCISCO AGAIN AND WE CAN SEE THAT CONFIDENCE RETURNING
04:11:52 IN FORMERLY EMPTY STOREFRONT IS COMING BACK TO LIFE AND SMALL
04:11:56 BUSINESSES ACROSS THE DOWNTOWN INCLUDING SEVERAL AROUND
04:11:59 GALLERIA PARK IN CONVERSATIONS WITH HOTEL OWNERS
04:12:03 AND COMMERCIAL REAL ESTATE LEADERS AS WELL.
04:12:04 THEY'RE ACTIVELY LOOKING FOR OPPORTUNITIES TO INVEST IN SAN
04:12:07 FRANCISCO AGAIN AND THAT'S A REMARKABLE AND HARD EARNED
04:12:08 SHIFT FROM JUST A FEW YEARS AGO.
04:12:11 >> THIS RENEWAL WILL BUILD ON THAT MOMENTUM.
04:12:14 >> OVER THE PAST TWO YEARS RENEWED COLLABORATION BETWEEN
04:12:15 THE CITY, LOCAL BUSINESSES AND ORGANIZATIONS LIKE DOWNTOWN
04:12:19 S.F. PARTNERSHIP HAS BECOME TO TO HAS BEGUN TO CHANGE HOW
04:12:23 PEOPLE EXPERIENCE DOWNTOWN. CLEANLINESS, SAFETY,
04:12:26 BEAUTIFICATION AND ACT OF PUBLIC SPACES MAY SOUND LIKE A
04:12:28 SEPARATE EFFORTS BUT TO A VISITOR THEY ARE ALL PART OF
04:12:31 ONE EXPERIENCE. AND THAT'S WHY THE DOWNTOWN
04:12:34 S.F. PARTNERSHIP MATTERS SO MUCH.
04:12:37 AND PROJECTS LIKE THE EMBARCADERO PARK ARE IMPORTANT
04:12:39 FOR THAT EFFORT TO CONTINUE THIS EXTRAORDINARY MOMENTUM.
04:12:42 >> THANK YOU. >> THANK YOU FOR YOUR COMMENTS.
04:12:46 NEXT SPEAKER. >> GOOD EVENING.
04:12:49 I'M JOHN DUNLAP, THE RESIDENTIAL MEMBER OF THE BOARD
04:12:54 OF DIRECTORS OF THE PARTNERSHIP .
04:12:56 I'VE BEEN ON THE BOARD ABOUT FOUR YEARS.
04:12:58 I'VE LIVED IN THE DISTRICT FOR ABOUT EIGHT AND I CAN'T IMAGINE
04:13:04 NOT HAVING THIS PARTNERSHIP IN EXISTENCE TO HELP KEEP THE
04:13:09 STREETS SAFE AND CLEAN. THE KEY THING FOR THE RESIDENTS
04:13:12 OF THE DISTRICT IS TO MAKE SURE THAT IT'S SAFE, IT'S CLEAN,
04:13:17 THAT THERE'S INFRASTRUCTURE AROUND TO SUPPORT THAT.
04:13:20 I'VE SERVED ON A LOT OF BOARDS AND COMMISSIONS IN MY CAREER
04:13:24 AND THIS IS ONE OF THE MOST INCLUSIVE FORWARD THINKING
04:13:28 AND AGGRESSIVE RELATIVE TO MISSION ORGANIZATIONS I'VE EVER
04:13:32 BEEN INVOLVED WITH. THE STAFF IS INCREDIBLE KIND,
04:13:35 AGGRESSIVE AS I MENTIONED AND DOING ALL THAT THEY CAN TO
04:13:39 SERVICE THE DISTRICT. I APPRECIATED JOINING THE BOARD
04:13:43 ABOUT FOUR YEARS AGO AS THE ONLY RESIDENTIAL MEMBER OF THE
04:13:44 BOARD. I FELT I'VE HAD A VOICE, I'VE
04:13:48 BEEN HEARD AND THAT I'VE BEEN ABLE TO GET ACCESS TO RESOURCES
04:13:51 FOR RESIDENTS TO BE ABLE TO HAVE AN ENVIRONMENT THAT
04:13:55 SUPPORTS A TERRIFIC LIVING ENVIRONMENT.
04:13:59 ADDITIONALLY I WANTED TO MENTION HOW IMPORTANT IT IS FOR
04:14:04 PUBLIC SPACE INVESTMENT AND SUPPORTING ECONOMIC
04:14:08 RECOVERY AND I THINK THE PLAN AND THE INCLUSIVE NATURE OF
04:14:12 THIS ORGANIZATION IS GOING TO MAKE THAT HAPPEN AND GROW
04:14:15 CONTINUING INVESTMENT INTO THIS DISTRICT IS IMPORTANT.
04:14:20 AS WE ALL KNOW, THE DOWNTOWN NEEDS TO BE VIBRANT AND SAFE
04:14:23 AND I THINK THIS THIS EFFORT, THIS PARTNERSHIP MAKES THAT
04:14:27 HAPPEN. SO I'D URGE ALL OF YOU TO
04:14:30 SUPPORT THE RENEWAL AND EXPANSION OF THIS
04:14:34 PARTNERSHIP. >> THANK YOU VERY MUCH.
04:14:35 THANK YOU FOR YOUR COMMENTS. >> NEXT SPEAKER.
04:14:40 >> HI, I'M A RESIDENT OF D SIX. I LIVE ON MARKET STREET
04:14:45 IN MID-MARKET. HAVE SINCE THE SUMMER OF 2021
04:14:48 WITH MY WIFE WHO'S A TRANSGENDER WOMAN AND MYSELF
04:14:52 NON-BINARY PERSON ALSO AND YOU KNOW I JUST IT JUST SOUNDS LIKE
04:14:59 AND FROM EVERYTHING I HAVE READ JUST THIS IS FOR BUSINESSES
04:15:03 THIS ISN'T IT FOR LIKE HOMELESS PEOPLE AND GETTING BACK TO
04:15:07 THEIR ECONOMIC RECOVERY OR POOR PEOPLE AND MAKING SURE DOWNTOWN
04:15:11 AND SAN FRANCISCO IN GENERAL IS AFFORDABLE FOR THEM.
04:15:14 >> I APPRECIATE THE COMMENTER WHO TALKED ABOUT WHAT THOSE
04:15:18 HOMELESS OUTREACH MEAN WHAT DO SAFE STREETS AND HOW THAT AS A
04:15:25 PD MEAN BECAUSE FOR ME MY WIFE AND I EXPERIENCE HAVE BEEN
04:15:34 EXPERIENCING A WORSENING QUALITY IN DOWNTOWN SAN
04:15:38 FRANCISCO WHERE NOW WE HAVE SF DOES A SPEEDY PRESENCE HAS
04:15:45 INCREASED INCREDIBLY OVER THE LAST SEVERAL YEARS AND NOW
04:15:46 EVERY NIGHT WE HAVE MULTIPLE S.F. PD SUVS WITH THEIR LIGHTS
04:15:52 ON PARKED DIRECTLY LIKE IN FRONT OF OUR DOORS.
04:15:56 WE NOW ARE READING ABOUT THE DRONE SURVEILLANCE THAT IS
04:16:00 HAPPENING MORE TIMES THAN WE'RE AWARE OF BECAUSE THEY'RE SO
04:16:04 HIGH IN THE SKY. WE ARE HUMAN EYES CANNOT SEE
04:16:05 THEM BUT THEY CAN SEE US AND AS TRANS PEOPLE LIVING IN SAN
04:16:09 FRANCISCO WHICH IS SUPPOSED TO BE LIKE ONE OF THE SAFE HAVENS
04:16:12 IN THIS COUNTRY THAT IS NOT A COMFORTING THOUGHT AT ALL.
04:16:16 BEING SURVEILLED BY CPD IS NOT COMFORTING.
04:16:17 I'LL SEEING HOMELESS PEOPLE BEING HARASSED TO MOVE ALONG
04:16:23 AND THEIR CIVIL RIGHTS CIVIL RIGHTS BROKEN AND THE
04:16:25 DEPARTMENT PUBLIC WORKS JUST HARASSING THEM SFPD TERRORIZING
04:16:28 THEM, THE SIDEWALKS CONSTANTLY BEING CLEANED TO KEEP DRUGS OFF
04:16:35 OF THEM AND KEEP PEOPLE OFF THEM.
04:16:36 >> AND IT'S IT'S TERRIBLE FOR ME.
04:16:38 >> SO WHATEVER. ALL RIGHT.
04:16:39 THANK YOU FOR YOUR COMMENTS. SEE NO OTHER INDIVIDUALS HERE
04:16:43 IN PERSON. WE WILL BE MOVING ON TO THE
04:16:44 REMOTE CALL IN LINE IF YOU HAVE NOT ALREADY DONE SO PLEASE
04:16:49 PRESS STAR THREE TO LINE UP TO SPEAK REMOTELY AS I PREVIOUSLY
04:16:50 STATED. PERSONAL ATTACKS, HARASSMENT OR
04:16:54 DISCRIMINATORY REMARKS WILL RESORT RESULT IN THE SPEAKER
04:16:57 FORFEITING THE REMAINING TIME AND WE WILL BE MOVING ON TO THE
04:17:01 NEXT SPEAKER. >> LET'S HEAR FROM THE FIRST
04:17:02 CALLER. >> ALL RIGHT.
04:17:13 IT SOUNDS LIKE THAT NOW WE STARTED TALKING ABOUT YOUR
04:17:14 TARGET FACT. >> ALL RIGHT, MR. PRESIDENT,
04:17:19 DID I MENTION THE CALIFORNIA STATE LEGISLATURE?
04:17:21 THANK YOU GUYS. >> PUBLIC COMMENT IS NOW CLOSED
04:17:27 . >> ALL RIGHT.
04:17:27 SO NOW THIS HEARING HAS BEEN HELD AND IS NOW FILED.
04:17:36 >> THE BALLOTS ARE GOING TO BE TABULATED.
04:17:39 >> WE WILL RETURN TO ITEM 54 AFTER THE DEPARTMENT OF
04:17:41 ELECTIONS REPORTS THE RESULTS. AND THAT I THINK MADAM CLERK
04:17:47 TAKES US BACK TO ITEM 441 41 PLEASE CALL ITEM 41.
04:17:56 >> YES. ITEM 41 IS AN ORDINANCE
04:17:59 AMENDING THE POLICE CODE TO REPEAL THE PROHIBITION ON
04:18:00 CERTAIN TYPES OF LIBRARIES LENDING OR RENTING ANY BOOK
04:18:03 MAGAZINE PAMPHLET OR OTHER PRINTED MATTER TO ANY PERSON
04:18:07 UNDER THE AGE OF 21 UNLESS A PERSON HAS OBTAINED A
04:18:11 MEMBERSHIP CARD WITH THE CONSENT OF A PARENT OR LEGAL
04:18:14 GUARDIAN. >> SUPERVISOR WONG WE'RE NOT
04:18:18 TIMING SUPERVISOR WONG I DON'T THINK.
04:18:22 >> COLLEAGUES, THIS ORDINANCE ALSO COMES BEFORE THE FULL
04:18:26 BOARD WITH THE RECOMMENDATION OF PUBLIC SAFETY NEIGHBORHOOD
04:18:27 SERVICES COMMITTEE. THIS MEASURE IS PART OF MY
04:18:29 OFFICE'S BROADER EFFORT TO CLEAN UP OUTDATED PROVISIONS
04:18:30 IN SAN FRANCISCO'S CODES INCLUDING THROUGH OUR DUMB LAWS
04:18:34 CONTEST THE LAW CONCERNS CIRCULATING LIBRARIES PRIVATE
04:18:37 BUSINESSES THAT RENTED BOOKS AND OTHER PRINTED MATERIALS.
04:18:44 >> THIS INDUSTRY DISAPPEARED LONG AGO BEFORE BLOCKBUSTER
04:18:47 CAME ALONG AND NOW BLOCKBUSTER ITSELF HAS GONE BEEN GONE LONG
04:18:51 ENOUGH TO INSPIRE NOSTALGIA. YET SAN FRANCISCO IS STILL
04:18:55 REGULATING UNDER THE CURRENT POLICE CODE A CIRCLING LIBRARY
04:18:56 CAN NOT LEND A BOOK, MAGAZINE PAMPHLET OR OTHER PRINTED
04:19:00 MATERIAL TO ANYONE UNDER 21 UNLESS THEY HAVE A MEMBERSHIP
04:19:04 CARD APPROVED BY A PARENT OR GUARDIAN IN WRITING SIGNED
04:19:07 IN PERSON AND WITNESSED BY THE LIBRARIAN.
04:19:08 SO UNDER THIS LAW A 20 YEAR OLD COULD VOTE SERVING MILITARY
04:19:12 WORK FULL TIME AND GET MARRIED BUT WOULD STILL NEED PARENTAL
04:19:16 PERMISSION TO RENT A BOOK. REPEALING THIS LAW DOES NOT
04:19:19 AFFECT OUR PUBLIC LIBRARIES OR REMOVE ANY ANY MEANINGFUL
04:19:21 PROTECTION. IT SIMPLY REMOVES A REQUIREMENT
04:19:24 TIED TO A BUSINESS MODEL THAT HAS BEEN OBSOLETE FOR
04:19:26 GENERATIONS. GOOD GOVERNMENT MEANS NOT ONLY
04:19:27 PASSING NEW LAWS BUT OCCASIONALLY ADMITTING THAT
04:19:31 SOME OLD ONES ARE IN FACT NOT USEFUL ANYMORE.
04:19:34 I THINK SUPERVISOR SNYDER AND CHERYL FOR CO-SPONSORING
04:19:35 THIS ORDINANCE AND I RESPECTFULLY ASK FOR YOUR
04:19:37 SUPPORT MADAM CLERK, PLEASE CALL THE ROLL IN THIS ITEM
04:19:41 AND ITEM 41 SUPERVISOR ARE CHERYL CHERYL I SUPERVISOR
04:19:48 WALTON WALTON I. SUPERVISOR WONG WONG I
04:19:52 SUPERVISOR CHEN CHAN I SUPERVISOR CHEN CHEN I
04:19:56 SUPERVISOR DORSEY DORSEY I SUPERVISOR FIELDER FIELDER I
04:20:00 SUPERVISOR MAHMOOD MAHMOOD I SUPERVISOR RANDLEMAN I.
04:20:04 AMENDMENT I SUPERVISOR MELGAR MELGAR I SUPERVISOR SARDAR SADR
04:20:10 I THERE ARE 11 EYES WITHOUT OBJECTION THE ORDINANCE IS
04:20:14 PASSED ON FIRST READING PLEASE CALL ITEM 40 TWO ITEM NUMBER 42
04:20:18 IS AN ORDINANCE AMENDING THE HEALTH CODE TO REPEAL THE
04:20:21 PROHIBITION ON TRANSPORTING BREAD IN OPEN BASKETS OR
04:20:23 CONTAINERS ON CITY STREETS. THE PROHIBITION ON SELLING
04:20:26 UNSTERILIZED RAGS AND OTHER TYPES OF CLOTH TO BE USED FOR
04:20:30 CLEANING AND THE PROHIBITION ON OPERATING A LAUNDRY FOR
04:20:34 STERILIZING SUCH RAGS WITHOUT A PERMIT.
04:20:37 >> SUPERVISOR WONG COLLEAGUES THIS ORDINANCE ALSO COMES
04:20:41 BEFORE THE FULL BOARD OF THE RECOMMENDATION OF THE PUBLIC
04:20:43 SAFETY AND NEIGHBORHOOD SERVICES COMMITTEE.
04:20:45 LIKE IN THE PREVIOUS ITEM IT GREW OUT OF OUR DUMB LAWS
04:20:47 CONTEST AND AS PART OF MY OFFICE'S BROAD EFFORT TO CLEAN
04:20:50 UP OUTDATED PROVISIONS IN SAN FRANCISCO'S CODES, THIS
04:20:54 ORDINANCE REPEALS TWO SETS OF OLD HEALTH CODES THE FIRST
04:20:56 PROHIBITS TRANSPORTING BREAD CAKE OR PASTRIES THROUGH CITY
04:21:00 STREETS IN OPEN BASKETS EXPOSED CONTAINERS OR EXPOSED VEHICLES
04:21:07 . >> THIS PROVISION APPEARS TO
04:21:08 COME FROM AN ERA WHEN SAN FRANCISCO WAS CONFRONTING VERY
04:21:11 REAL CONCERNS ABOUT DISEASE CONTAMINATION AND EVEN PLAGUE.
04:21:15 THOSE CONCERNS WERE NOT SILLY AT THAT TIME BUT TODAY WE HAVE
04:21:17 MODERN DAY FOOD SAFETY LAWS AND RESIDENTS SHOULD NOT HAVE
04:21:21 TO WONDER WHETHER CARRYING AN EXPOSED BAGEL DOWN THE STREET
04:21:24 COULD BECOME A PUBLIC HEALTH VIOLATION OR MAKE YOU AN
04:21:27 OUTLAW. THE SECOND SET OF PROVISIONS
04:21:29 REGULATES INDUSTRIAL WIPING WAX WITH DETAILED RULES FOR
04:21:31 STERILIZATION, INSPECTION LABELING AND SPECIAL LAUNDRY
04:21:35 PERMITS. AGAIN WORKPLACE ANNOTATION IS
04:21:38 IMPORTANT BUT THOSE PROTECTIONS ARE NOW COVERED BY MODERN STATE
04:21:42 AND FEDERAL STANDARDS. WE DO NOT NEED OUTDATED LOCAL
04:21:43 PROVISIONS THAT LEAVE PEOPLE WONDERING WHETHER WASHING YOUR
04:21:47 CAR WITH DIRTY RAGS MIGHT TRIGGER A MUNICIPAL WIPING RAG
04:21:51 VIOLATION. REPEALING THESE PROVISIONS DOES
04:21:54 NOT WEAKEN PUBLIC HEALTH PROTECTIONS OR CREATE AN
04:21:55 ENFORCEMENT GAP BUT SIMPLY REMOVES AN OVERLY SPECIFIC
04:21:59 RULES THAT HAVE LONG SINCE BEEN REPLACED BY MODERN STANDARDS.
04:22:02 GOOD GOVERNMENT MEANS PASSING LAWS WHEN THEY'RE NEEDED
04:22:04 AND RECOGNIZING WHEN THEY'RE NO LONGER NEEDED.
04:22:07 I THINK SUPERVISOR CHERYL FOR CO-SPONSORING THIS ORDINANCE
04:22:09 AND I RESPECTFULLY ASK FOR HER SUPPORT.
04:22:10 >> THANK YOU. I THINK WE CAN TAKE THIS ITEM
04:22:14 SAME HOUSE, SAME CALL WITHOUT OBJECTION THE ORDINANCE IS
04:22:17 PASSED ON FIRST READING MADAM CLERK PLEASE CALL ITEMS 43 TO
04:22:21 40 FIVE TOGETHER. >> YES.
04:22:22 ITEMS 43 TO 40 5 OR 3 RESOLUTIONS DETERMINING THE
04:22:25 ISSUANCE OF OR TRANSFER OF A LIQUOR LICENSE WILL SERVE THE
04:22:28 PUBLIC INCONVENIENCE OR NECESSITY OF THE CITY
04:22:31 AND IMPOSING CONDITIONS ON THE ISSUANCE OF THE LICENSES.
04:22:35 ITEM 43 IS A TYPE 42 ON SALE BEER AND WINE PUBLIC PREMISES
04:22:38 LIQUOR LICENSE TO THE LOVE POTION LIBRARY LLC LOCATED AT
04:22:44 284 SNOWY STREET. ITEM 44 IS A PERSON TO PERSON
04:22:48 PREMISE DEPARTMENT'S TRANSFER OF A TYPE 21 OFF SALE GENERAL
04:22:51 BEER, WINE AND DISTILLED SPIRITS LIQUOR LICENSE TO DEL
04:22:54 RIO PRODUCE MARKET INC DOING BUSINESS THE DEL RIO PRODUCE
04:22:59 MARKET LOCATED AT 2214 CLEMENT STREET AND ITEM 45 IS A PERSON
04:23:03 TO PERSON PREMISE TO PROVINCE TRANSFER OF A TYPE 20 OFF SALE
04:23:07 BEER AND WINE LIQUOR LICENSE TO FOOD FOLK LLC DOING BUSINESS AS
04:23:13 FOOD FOLK LOCATED AT 210 ELEMENTARY AND WE CAN TAKE
04:23:20 THOSE ITEMS SAME HOUSE SAME CALL WITHOUT OBJECTION THE
04:23:21 RESOLUTIONS ARE ADOPTED MADAM CLERK PLEASE CALL ITEM 46.
04:23:26 >> ITEM NUMBER 46 IS A MOTION APPROVING THE MAYORAL
04:23:28 APPOINTMENT OF JAMES PAPPAS TO THE REDEVELOPMENT SUCCESSOR
04:23:31 AGENT OF AGENCY OVERSIGHT BOARD TERM ENDING JANUARY 24TH, 2013.
04:23:36 >> SAME HOUSE, SAME CALL THE MOTION WITHOUT OBJECTION THE
04:23:39 MOTION IS APPROVED. MADAME CLERK PLEASE CALL ITEM
04:23:44 47. >> ITEM 47 IS A MOTION
04:23:45 APPROVING THE MAYOR'S NOMINATION FOR THE
04:23:49 REAPPOINTMENT OF LIEUTENANT LEONARD POGGIO TO THE
04:23:50 ENTERTAINMENT COMMISSION TERM ENDING JULY 1ST, 2013.
04:23:53 >> SAME HOUSE, SAME CALL. WITHOUT OBJECTION THE MOTION IS
04:23:57 APPROVED. MADAM CLERK, PLEASE CALL ADAM
04:24:00 NUMBER 48 ITEM 40 EIGHT IS A MOTION APPROVING THE MAYOR'S
04:24:04 NOMINATION FOR THE REAPPOINTMENT OF PAUL WOOLFORD
04:24:05 TO THE PUBLIC WORKS COMMISSION FOR A TERM ENDING JULY 2ND,
04:24:09 2013. >> SAME HOUSE, SAME CALL.
04:24:12 >> WITHOUT OBJECTION THE MOTION IS APPROVED.
04:24:13 PLEASE CALL 49 ITEM 49 AS A MOTION APPROVING THE MAYOR'S
04:24:16 NOMINATION FOR APPOINTMENT OF VANESSA HARTIGAN TO THE PORT
04:24:20 COMMISSION. TERM ENDING MAY 1ST 2030.
04:24:22 >> SAME HOUSE, SAME CALL WITHOUT OBJECTION THE MOTION IS
04:24:26 APPROVED. >> PLEASE CALL ITEM 50.
04:24:28 ITEM 50 IS A MOTION APPOINTING ROBERT EATON GAIL GEARY
04:24:32 CATHERINE AND MILLER CHRISTOPHER INGRAM RESIDENCY
04:24:36 REQUIREMENT WAIVED AND BRANDON BRACAMONTES RESIDENCY
04:24:38 REQUIREMENT WAIVED FOR A ONE FOR ONE YEAR TERMS BEGINNING
04:24:43 UPON THE COUNCIL'S FIRST MEETING TO THE FIRE CODE
04:24:44 TECHNICAL ADVISORY COMMITTEE. >> SAME HOUSE SAME CALL WITHOUT
04:24:48 OBJECTION THE MOTION IS APPROVED.
04:24:50 >> AND LET'S GO TO OUR COMMITTEE REPORTS PLEASE CALL
04:24:58 ITEM NUMBER 57. >> I WILL START WITH ITEMS 57
04:25:02 THROUGH 62 OR CONSIDERED BY THE GOVERNMENT AUDIT AND OVERSIGHT
04:25:06 COMMITTEE ON JULY 16TH AND WERE FORWARDED TO THE BOARD AS
04:25:08 COMMITTEE REPORTS. ITEM 5057 SPECIFICALLY IS AN
04:25:11 ORDINANCE AMENDING THE LABOR AND EMPLOYMENT CODE TO REVISE
04:25:15 THE CRITERIA FOR AN EMPLOYEE IN THE CITY TO QUALIFY FOR
04:25:18 PARENTAL LEAVE BENEFITS UNDER THE PAID PARENTAL LEAVE
04:25:22 ORDINANCE BY REDUCING FROM 180 DAYS TO 90 DAYS THE MINIMUM
04:25:25 NUMBER OF DAYS THAT AN EMPLOYEE MUST WORK BEFORE THEY'RE
04:25:28 ELIGIBLE TO RECEIVE PARENTAL LEAVE BENEFITS FROM THEIR
04:25:32 EMPLOYER. >> SAME HOUSE, SAME CALL
04:25:33 WITHOUT OBJECTION THE ORDINANCE IS PASSED ON FIRST READING
04:25:36 PLEASE CALL ITEM 58 THROUGH 62 TOGETHER ITEMS 58 THROUGH 62 OR
04:25:42 5 ORDINANCES AUTHORIZING SETTLEMENT OF LAWSUITS WITH THE
04:25:46 CITY. ITEM 58 IS WITH PAULINE SILVA
04:25:49 RAY FOR 65,000 BOISE INVOLVING AN EMPLOYMENT DISPUTE.
04:25:55 ITEM 59 IS WITH ROBERT BLAISDELL AND DAVID PORTALES
04:25:59 FOR $1 MILLION INVOLVING ALLEGED PERSONAL INJURY ON A
04:26:03 CITY STREET. ITEM 60 IS WITH FOR THIS WITH
04:26:06 ALFRED MARTINEZ ENGINEERING FOR 80,000 INVOLVING ALLEGATIONS OF
04:26:11 BREACH OF CONTRACT ITEM 61 IS WITH AND LAW FOR A 40,000
04:26:17 INVOLVING AN ALLEGED PERSONAL INJURY ON THE CITY SIDEWALK
04:26:21 AND ITEM 62 IS A SETTLEMENT WITH SAMUEL ROSAS FOR 200,000
04:26:24 INVOLVING ALLEGED CIVIL RIGHTS VIOLATIONS.
04:26:28 >> SAME HOUSE, SAME CALL WITHOUT OBJECTION, THE
04:26:31 ORDINANCES ARE PASSED ON FIRST READING PLEASE CALL ITEM 63
04:26:35 ITEMS 63 AND 64 WERE CONSIDERED BY THE LAND USE
04:26:38 AND TRANSPORTATION COMMITTEE ON JULY 20TH AND WERE FORWARDED TO
04:26:42 THE BOARD AS COMMITTEE REPORTS .
04:26:44 ITEM 63 SPECIFICALLY IS AN ORDINANCE AMENDING THE PUBLIC
04:26:48 WORKS CODE TO AUTHORIZE THE DEPARTMENT OF PUBLIC WORKS TO
04:26:50 RECOVER THE CITY'S COSTS FOR BIDDING ILLEGAL DUMPING THROUGH
04:26:53 ADMINISTRATIVE ENFORCEMENT PROCEEDINGS AGAINST PERSONS
04:26:57 RESPONSIBLE FOR THE ILLEGAL DUMPING AND AFFIRMING AFFIRMING
04:27:00 THE CINCO DETERMINATION. >> SAME HOUSE, SAME CALL.
04:27:05 WITHOUT OBJECTION THE ORDINANCE IS PASSED ON FIRST READING
04:27:06 PLEASE CALL ITEM 64. >> ITEM 64 IS AN ORDINANCE
04:27:11 AMENDING THE PLANNING CODE TO DESIGNATE THE HOUSE OF LATIN
04:27:13 ROCK AS A LANDMARK CONSISTENT WITH THE STANDARDS OF ARTICLE
04:27:18 TEN OF THE PLANNING CODE AFFIRMING THE SCORE
04:27:19 DETERMINATION AND MAKING APPROPRIATE FINDINGS.
04:27:22 >> SAME HOUSE, SAME CALL. WITHOUT OBJECTION THE ORDINANCE
04:27:24 IS PASSED ON FIRST READING PLEASE CALL ITEM 65.
04:27:26 >> I GUESS I'LL START WITH ITEM 65 AND 66 WERE CONSIDERED BY
04:27:30 THE RULES COMMITTEE ON JULY 20TH.
04:27:33 ITEM 65 WAS REFERRED TO THE BOARD AS A COMMITTEE REPORT
04:27:37 AND ITEM 66 WAS NOT SENT. ITEM 65 WAS RECOMMENDED AS
04:27:38 AMENDED WITH A NEW TITLE TO APPROVE THE MAYOR'S NOMINATION
04:27:42 FOR THE REAPPOINTMENT OF LYDIA SO TERM ENDING JUNE 30TH 2030
04:27:48 TO THE PLANNING COMMISSION SUPERVISOR WONG.
04:27:52 >> JUST WANTED TO SAY I'M PLEASED TO SUPPORT LYDIA
04:27:53 SEWARD'S REAPPOINTMENT TO THE PLANNING COMMISSION.
04:27:55 MANY OF US HAVE HAD THE OPPORTUNITY TO WORK WITH LYDIA
04:27:58 OVER THE YEARS AND KNOW FIRSTHAND THE PROFESSIONALISM,
04:28:00 INTEGRITY AND STEADY LEADERSHIP SHE BRINGS TO PUBLIC SERVICE.
04:28:03 SHE HAS EARNED THE TRUST OF COLLEAGUES ACROSS CITY HALL
04:28:06 THROUGH HER THOUGHTFUL JUDGMENT AND COLLABORATIVE APPROACH
04:28:07 AND A WAVERING COMMITMENT TO SERVING THE PEOPLE.
04:28:11 CERTAINLY I WANT TO THANK LYDIA FOR HER YEARS OF DEDICATED
04:28:14 SERVICE TO OUR CITY AND CONGRATULATE HER ON HER
04:28:15 WELL-DESERVED REAPPOINTMENT NEXT.
04:28:18 >> SAME HOUSE, SAME CALL. >> WITHOUT OBJECTION, THE
04:28:23 MOTION IS APPROVED. >> MADAM CLERK, LET'S GO TO
04:28:26 ROLL CALL FOR INTRODUCTIONS. >> YES.
04:28:30 FIRST UP ON ROLL CALL TO INTRODUCE NEW BUSINESS TODAY IS
04:28:31 SUPERVISOR CHERYL. >> THANK YOU, PRESIDENT MANDEL
04:28:38 MIN. >> TODAY I'M INTRODUCING
04:28:38 LEGISLATION AND THAT AFFECTS THE WAY THAT WE PURCHASE
04:28:45 FIREARMS AND AMMUNITION UNDER CHAPTER 21 H.
04:28:49 THE CITY'S ADMINISTRATIVE CODE AND THIS IS AN UPDATE TO
04:28:54 LEGISLATION PASSED BY MY PREDECESSOR ASSEMBLY MEMBER
04:28:57 STEPHANIE THAT HAS SIMILAR BEEN ENACTED IN OTHER JURISDICTIONS.
04:29:01 THE POINT OF OF INTRODUCING THIS UPDATE WAS REALLY TO BUILD
04:29:05 ON THAT WORK AND TO MAKE SURE THAT OUR CITY UPHOLDS THE
04:29:09 STRINGENT STANDARDS TO WORK WITH ONLY THE MOST REPUTABLE
04:29:16 AND ETHICAL DEALERS IN THE COUNTRY BUT ALSO TO MAKE SURE
04:29:21 THAT OUR CITY DEPARTMENTS OR CITY PURCHASER CAN FOLLOW THESE
04:29:27 RULES EFFECTIVELY AND EFFICIENTLY AND NOT
04:29:31 CONSISTENTLY HAVE TO ASK FOR WORKAROUNDS.
04:29:33 SO I'M EXCEPT I'M EXCITED TO INTRODUCE THIS.
04:29:35 I'M GRATEFUL TO CITY ADMINISTRATOR CARMEN CHU, THE
04:29:39 CITY ADMINISTRATION'S ENTIRE OFFICE BUT ESPECIALLY THE
04:29:42 OFFICE OF CONTRACT ADMINISTRATION FOR WORKING
04:29:44 DILIGENTLY ON THIS AND I ESPECIALLY WANT TO THANK BRADY
04:29:47 AGAINST GUN VIOLENCE FOR THEIR PARTNERSHIP, FOR THEIR SUPPORT
04:29:51 FOR THE PROPOSED CHANGES IN THIS ORDINANCE
04:29:55 AND ESPECIALLY TO ASSEMBLY MEMBER STEPHANIE FOR LEADING
04:29:59 THE WAY ON THIS AND FOR HELPING US TO KIND OF CONTINUE TO
04:30:03 UPDATE HER WORK. THANK YOU VERY MUCH COLLEAGUES
04:30:06 . I HOPE TO HAVE YOUR SUPPORT
04:30:07 GOING FORWARD AND FURTHERMORE I'D LIKE TO BE RE REFERRED
04:30:10 FOLLOWING BOARD PRESIDENT MANAGEMENT'S COMMENTS DURING
04:30:14 ROLL CALL. >> THEIR ASSESSMENT THANK YOU
04:30:17 SUPERVISOR SHERYL SUPERVISOR WALTON THANK YOU SUPERVISOR
04:30:21 WANG THANK YOU SUPERVISOR CHEN HAS LEFT MR. PRESIDENT.
04:30:31 >> SURE. COULD I HAVE A MOTION TO EXCUSE
04:30:32 SUPERVISOR CHAN FROM THE REMAINDER OF THE MEETING MOVED
04:30:35 BY CHEN SECONDED BY FIELDER. WE CAN TAKE THAT WITHOUT
04:30:36 OBJECTION. >> WITHOUT OBJECTION.
04:30:39 THE SUPERVISOR IS EXCUSED AND THEN CONTINUE.
04:30:42 >> SUPERVISOR CHEN THANK YOU, CARMEN.
04:30:46 >> I'M CLARK COLLEAGUES TODAY I AM INTRODUCING LEGISLATION THAT
04:30:50 ADVANCES OUR HOUSING AND POLICY GOALS FOR THE PRIORITY EQUITY
04:30:54 GEOGRAPHIES NEIGHBORHOODS FUND THE MISSION CHINATOWN B WILL
04:30:58 FILLMORE EXCELSIOR AND OCEAN ROADS ARE HOME TO COMMUNITIES
04:31:01 PARTICULARLY VULNERABLE TO DISPLACEMENT.
04:31:05 THESE ARE AREAS WHICH THE PLANNING DEPARTMENT THE
04:31:06 DEPARTMENT OF PUBLIC HEALTH AND OUR HOUSING ELEMENT HAVE
04:31:10 DEFINED AS HAVING RESIDENTS EXPERIENCING HEALTH AND HOUSING
04:31:13 RISKS, ECONOMIC DISADVANTAGE AND OTHER DEMOGRAPHIC
04:31:17 AND SOCIAL INDICATORS. WHY STATE AND LOCAL POLICY
04:31:20 CONTINUE TO INCENTIVIZE DEVELOPMENT WITHIN THE PRIORITY
04:31:21 EQUITY GEOGRAPHIES THROUGH REZONING OFFERS STATE
04:31:25 STREAMLINING INCENTIVES AND DENSITY BONUS PROGRAMS.
04:31:28 THE HOUSING ELEMENT CALLS FOR ENTITIES PLACEMENT COMMUNITY
04:31:32 STABILIZATION AND AFFORDABLE HOUSING STRATEGIES.
04:31:37 >> MY LEGISLATION HELPS ACHIEVE THIS GOAL FOR DEVELOPMENT
04:31:40 PROJECTS THAT TEAR DOWN EXISTING HOMES.
04:31:43 IT ESTABLISHES A REPLACEMENT HOUSING STANDARD BASED ON THE
04:31:48 PROPORTION OF LOW INCOME RENTERS TO THE OVERALL
04:31:49 POPULATION WITHIN THE PRIORITY EQUITY GEOGRAPHIES NOT CITYWIDE
04:31:54 . THE LEGISLATION ALSO ESTABLISH
04:31:55 AN ADDITIONAL TIER OF AFFORDABILITY EXTREMELY LOW
04:31:59 INCOME THAT IS MORE INCLUSIVE OF THE RANGE OF INCOMES OF
04:32:03 RENTERS WITH THE PRIORITY EQUITY GEOGRAPHIES.
04:32:06 >> WITH THIS LEGISLATION WE ARE EXPANDING OUR TOOLBOX TO KEEP
04:32:10 THE CITY AFFORDABLE FOR OUR MOST VULNERABLE SAN
04:32:14 FRANCISCANS. I LOOK FORWARD TO YOUR
04:32:15 CONSIDERATION AND I WANT TO THANK SUPERVISOR WALTON
04:32:18 AND FIELDER FOR HER EARLY CO-SPONSORSHIP AND MY
04:32:22 LEGISLATIVE AIDE CHARLIE THOMAS FOR ALL HIS WORK ON THIS
04:32:25 AND THE REST I SUBMIT. >> THANK YOU.
04:32:27 THANK YOU SUPERVISOR CHEN. SUPERVISOR DORSEY THANK YOU
04:32:30 MADAM CLERK. >> I WOULD ASK TO BE REFERRED
04:32:31 AFTER THE BOARD PRESIDENT ALL RIGHT THEN WHERE WILL
04:32:34 SUPERVISOR FILTER? >> THANK YOU MADAM CLERK
04:32:38 COLLEAGUES SYNTHETIC TEXT IMAGE AUDIO AND VISUAL EXTRUDERS ALSO
04:32:42 KNOWN AS GENERATIVE ARTIFICIAL INTELLIGENCE HAVE CHANGED THE
04:32:47 MEDIA LANDSCAPE AND THEREFORE THE LANDSCAPE OF WHAT IS REAL
04:32:50 AND WHAT IS FAKE IN THE REALM OF INFORMATION NOW OUR EVERYDAY
04:32:54 FEEDS ARE FULL OF SYNTHETIC MEDIA CREATED BY LARGE LANGUAGE
04:32:58 MODELS THAT AS THEY BECOME MORE AND MORE SOPHISTICATED ARE
04:33:02 MAKING IT HARDER FOR THE AVERAGE REASONABLE PERSON TO
04:33:06 DECIPHER BETWEEN CONTENT THAT IS UNALTERED AND CONTENT THAT
04:33:07 IS ALTERED AS WELL IN THE MONTHS LEADING UP TO AN
04:33:10 ELECTION, VOTERS ARE FED CONSTANT STREAMS OF ADS FROM
04:33:14 VARIOUS CAMPAIGN COMMITTEES VIA SOCIAL MEDIA, ROBO CALLS, MASS
04:33:18 TEXTS, MAILERS AND MORE. THAT IS WHY I'M PLANNING TO
04:33:22 WORK WITH THE CITY ATTORNEY TO DETERMINE WHAT LEGISLATIVE
04:33:25 ACTION THE CITY CAN TAKE TO REGULATE THE USE OF SYNTHETIC
04:33:29 AUDIO PHOTO AND VIDEO EXTRUDERS ALSO KNOWN AS GENERATIVE AI
04:33:33 IN THE REALM OF FREE AND FAIR ELECTIONS USING THE LEAST
04:33:37 RESTRICTIVE MEANS ON FREE SPEECH AS POSSIBLE THE RUSS I
04:33:41 SUBMIT THANK YOU SUPERVISOR FIELDER SUPERVISOR MAHMOOD
04:33:44 COLLEAGUES TODAY I'M SUBMITTING A DRAFT AND REQUEST FOR REVISED
04:33:49 LEGISLATIVE PROPOSALS TO CONTINUE THE VISION OF THE
04:33:52 AFFORDABLE GROCERIES ACT FOCUSED ON THE MOST TIME
04:33:55 EFFICIENT COMPONENTS THAT WE CAN MOVE FORWARD ON IN THE
04:33:56 COMING WEEKS AND MONTHS. WHILE SAN FRANCISCANS WILL NOT
04:34:00 GET A CHANCE TO HAVE THEIR VOICES HEARD AT THE BALLOT BOX
04:34:03 ON THE ORIGINAL VERSION OF THIS PROPOSAL, WE AS A BOARD STILL
04:34:07 HAVE A RESPONSIBILITY TO CONTINUE TO ADDRESS THE PROBLEM
04:34:10 OF FOOD SECURITY DIRECTLY AS WE HAVE BEEN FOR YEARS.
04:34:14 >> OUR RESIDENTS DESERVE ACTION ON FOOD ACCESS AFFORDABILITY
04:34:15 AND THE ACTIVATION OF ZOMBIE STORIES THAT PLAGUE OUR
04:34:18 NEIGHBORHOODS. THE NEW AFFORDABLE GROCERIES
04:34:21 ACT WILL INCLUDE NEW IDEAS AND EXPAND UPON ALREADY
04:34:23 EXISTING PROGRAMS THAT WE KNOW MAKE A DIFFERENCE SUCH AS ONE
04:34:26 RESTORING FUNDING TO THE HEALTHY RETAIL SRF PROGRAM TO
04:34:30 CONVERT CORNER STORES INTO AFFORDABLE PRODUCE STORES
04:34:34 BECAUSE YOU CAN TELL A LOT ABOUT A NEIGHBORHOOD'S HEALTH
04:34:35 BY HOW FAR SOMEONE HAS TO WALK FOR A FRESH TOMATO.
04:34:38 AND IN TOO MANY PARTS OF THE CITY THAT DISTANCE KEEPS
04:34:42 GROWING. NUMBER TWO CREATING GROCERY
04:34:45 STARTUP INCENTIVES BY EXPANDING THE FIRST YEAR FREE PROGRAM TO
04:34:46 EXEMPT GROCERY STORES FROM BUILDING AND PLANNING PERMIT
04:34:50 FEES AS WELL AS EXPANSION OF THE STOREFRONT OPPORTUNITY
04:34:53 GRANT TO PROVIDE FUNDING FOR CAPITAL BUILD OUTS OF NEW
04:34:55 GROCERY STORES AND FOOD DESERTS BECAUSE IF A GROCER WANTS TO
04:34:58 OPEN IN A FOOD DESERT CITY HALL'S OWN PAPERWORK SHOULDN'T
04:35:01 BE WHAT STOPS THEM. FINALLY, ZONING CHANGES SUCH AS
04:35:05 LEGISLATING NEW DENSITY BONUSES FOR HOUSING DEVELOPMENTS THAT
04:35:09 INCORPORATE NEW GROCERY STORES ON THE GROUND FLOOR LIKE NEW
04:35:10 YORK CITY'S FRESH PROGRAM AND REFORMS TO MAKE
04:35:13 SUBDIVISIONS OF EXISTING VACANT PARCELS EASIER FOR NEW GROCERY
04:35:17 STORES. THIS IS A DRAFTING REQUEST
04:35:20 AND THE CONVERSATION WILL CONTINUE AND I HOPE IT ENDS
04:35:21 WITH EVERY FAMILY IN THE CITY HAVING A PLACE TO BUY FRESH
04:35:25 AFFORDABLE PRODUCE WITHIN WALKING DISTANCE OF THEIR HOME.
04:35:28 TODAY IN THAT SPIRIT I'M INTRODUCING A RESOLUTION
04:35:32 IN SUPPORT OF AB 1857 THE GROCERY STORE ACCESS ACT
04:35:36 AUTHORED BY ASSEMBLY MEMBER CECILIA AGUILAR CURRY BECAUSE
04:35:39 EVERY CALIFORNIA COMMUNITY DESERVES RELIABLE ACCESS TO
04:35:43 HEALTHY AFFORDABLE FOOD, FOOD INSECURITY ISN'T CONFINED TO
04:35:47 ANY ONE PART OF THE STATE. ACROSS THE BAY AREA COMMUNITIES
04:35:51 FROM VALLEJO TO OAKLAND TO SAN FRANCISCO HAVE WATCHED GROCERY
04:35:52 STORES CLOSED AND SIT VACANT FOR YEARS ZOMBIE STORES AND A
04:35:56 PROBLEM THAT COMPOUNDS THIS SITUATION ARE RESTRICTIVE
04:35:59 COVENANTS THAT LOCK OUT THE PERSON FROM EVER HOSTING A
04:36:06 GROCERY STORE AGAIN. WHEN A GROCERY STORE CLOSES,
04:36:09 COMMUNITIES SHOULD HAVE THE OPPORTUNITY TO ATTRACT A NEW
04:36:10 OPERATOR AND NOT BE BLOCKED BY THESE RESTRICTIVE COVENANTS
04:36:14 THAT KEEP FORMER GROCERY SITES VACANT INDEFINITELY.
04:36:18 AB 1857 ADDRESSES THIS NARROW BUT IMPORTANT BARRIER BY MAKING
04:36:22 THESE COVENANTS UNENFORCEABLE UNDER SPECIFIC CIRCUMSTANCE
04:36:26 THOSE WHILE PRESERVING LOCAL ZONING, PERMITTING HEALTH
04:36:27 AND SAFETY REQUIREMENTS ORGANIZATIONS ON THE FRONT
04:36:30 LINES OF HUNGER HERE IN SAN FRANCISCO INCLUDING CLYDE FACTS
04:36:34 AND THE SAN FRANCISCO MARIN FOODBANK HAVE ENDORSED THIS
04:36:38 LEGISLATION. >> THIS BILL DOESN'T REQUIRE
04:36:39 ANY CITY TO APPROVE A GROCERY STORE NOR DOES IT OVERRIDE
04:36:42 LOCAL LAND USE AUTHORITY. >> IT SIMPLY REMOVES AN
04:36:45 ANTI-COMPETITIVE OBSTACLE TO RESTORING GROCERY ACCESS.
04:36:49 >> BY ADOPTING THIS RESOLUTION, SAN FRANCISCO JOINS COMMUNITIES
04:36:51 ACROSS THE BAY AREA AND CALIFORNIA CALLING FOR
04:36:54 POLICIES THAT REDUCE FOOD INSECURITY, ENCOURAGE FAIR
04:36:57 COMPETITION AND PUT SHUTTERED COMMERCIAL SPACES BACK TO USE.
04:37:01 THANK YOU SUPPORTERS OF CHEN FOR YOUR CO-SPONSORSHIP
04:37:02 AND COLLEAGUES. I RESPECTFULLY ASK FOR YOUR
04:37:05 SUPPORT. >> THE REST I SUBMIT.
04:37:05 THANK YOU SUPERVISOR FOR MR. PRESIDENT.
04:37:09 >> THANK YOU MADAM CLERK. COLLEAGUES TODAY I HAVE AN
04:37:13 IN MEMORIAM TO RESOLUTIONS AND AN ORDINANCE I WILL DO THE
04:37:19 IN MEMORIAM FIRST AND I KNOW THERE ARE OTHERS WHO WANT TO
04:37:21 SPEAK AFTER THAT SO WE'LL DO THAT.
04:37:23 THE THAT IN MEMORIAM IS FOR CLINT REILLY WHO DIED THIS PAST
04:37:28 WEEKEND AT AGE 79. BORN IN OAKLAND ON JANUARY 13TH
04:37:34 ,1947, CLINT WAS THE OLDEST OF TEN CHILDREN THE SON OF A
04:37:38 MILKMAN AND A CONCESSION STAND OPERATOR.
04:37:41 HE GREW UP IN SAN LEANDRO AND ATTENDED ST PATRICK'S
04:37:43 SEMINARY IN MENLO PARK FOR COLLEGE, INTENDING TO BECOME A
04:37:46 CATHOLIC PRIEST AS PART OF HIS STUDIES, CLINT ENGAGED
04:37:49 IN SOCIAL JUSTICE RESEARCH AND ACTIVISM AND ALTHOUGH HE
04:37:52 ULTIMATELY CHOSE NOT TO PURSUE THE PRIESTHOOD AND LEFT THE
04:37:54 SEMINARY SEVERAL YEARS BEFORE ORDINATION, THOSE EXPERIENCES
04:37:57 KINDLED HIS INTEREST IN POLITICS AND ITS POWER TO
04:38:00 AFFECT CHANGE ON A BROAD SCALE .
04:38:04 IN THE 1970S HE FOUNDED CLINTON REILLY CAMPAIGNS AND PIONEERED
04:38:07 A NEW APPROACH TO POLITICAL CONSULTING THAT BROUGHT POLLING
04:38:09 VOTER DATA ADVERTISING AND PRECISELY TARGETED CAMPAIGN
04:38:14 MAIL UNDER ONE ROOF. HE WAS KNOWN FOR FOCUSING RACES
04:38:15 AROUND JUST A FEW KEY ISSUES AND COMMUNICATING THOSE ISSUES
04:38:19 TO VOTERS THROUGH EXPERTLY CRAFTED IF HARSH ADVERTISING
04:38:23 AND MESSAGING CLIFF'S TALENTS CLINT'S TALENTS AS A POLITICAL
04:38:30 CONSULTANT BROUGHT HIM NATIONAL RECOGNITION AND ESTABLISHED HIM
04:38:33 AS ONE OF THE MOST SOUGHT AFTER STRATEGISTS OVER THE COURSE OF
04:38:37 HIS POLITICAL CAREER HE WORKED ON CAMPAIGNS FOR SPEAKER
04:38:39 EMERITA NANCY PELOSI, FORMER SENATOR DIANNE FEINSTEIN
04:38:42 AND BARBARA BOXER, FORMER MAYOR FRANK JORDAN AND THAT'S
04:38:45 JUST NAMING A VERY FEW OF HIS CLIENTS.
04:38:48 A 1987 NEW YORK TIMES ARTICLE DESCRIBED CLINTON RILEY
04:38:52 CAMPAIGNS AS PERHAPS THE MOST SUCCESSFUL POLITICAL CONSULTING
04:38:53 FIRM OF ITS TIME. TAKE A RANDOM SAMPLING OF SAN
04:38:56 FRANCISCO AND SAN FRANCISCO'S CAMPAIGN CONSULTANTS TODAY
04:39:00 AND ODDS ARE THEY SPENT AT LEAST SOME OF THEIR CAREER
04:39:04 WORKING FROM WORKING FOR AND LEARNING FROM CLINT REILLY.
04:39:07 IN ADDITION TO RUNNING CANDIDATE CAMPAIGNS, CLINTON
04:39:12 HELPED MAYOR FRANK JORDAN KEEP THE SAN FRANCISCO GIANTS
04:39:13 AND SAN FRANCISCO AND HELPED PASS A $52 MILLION BOND TO FUND
04:39:16 THE CREATION OF THE ASIAN ART MUSEUM IN 1995.
04:39:22 HE ENDED HIS CAREER IN POLITICAL CONSULTING
04:39:25 AND BEGAN ONE IN REAL ESTATE. THAT YEAR HE BOUGHT THE
04:39:26 MERCHANTS EXCHANGE BUILDING IN THE FINANCIAL DISTRICT HOME
04:39:30 TO THE JULIA MORGAN BALLROOM. HE WOULD GO ON TO ACQUIRE A
04:39:33 NUMBER OF DOWNTOWN OFFICE BUILDINGS, EVENT SPACES
04:39:34 AND HOSPITALS BUSINESSES. IN 1999 HE ANNOUNCED A RUN FOR
04:39:40 MAYOR CITING CONCERNS ABOUT THE MANAGEMENT OF MUNI UNDER
04:39:42 MAYOR WILLIE BROWN. HE LOST THAT BID.
04:39:45 BUT HE AND MAYOR BROWN LATER SMOOTHED OVER THEIR
04:39:46 RELATIONSHIP AND BROWN REMEMBERS CLINT AS ABLE
04:39:49 AND DEDICATED AND COMMITTED. HE WAS PASSIONATE ABOUT LOCAL
04:39:53 MEDIA AND JOURNALISM. IN 2006 HE BROUGHT AN ANTITRUST
04:39:57 SUIT AGAINST MEDIA NEWS GROUP, THE DENVER BASED OWNER OF THE
04:40:02 MERCURY NEWS AND HEARST CORPORATION AND OWNER OF THE
04:40:05 S.F. CHRONICLE ALLEGING THE TWO WERE COLLUDING TO CREATE A
04:40:09 LOCAL MEDIA MONOPOLY. HE LATER ENTERED THE PUBLISHING
04:40:10 WORLD THE PUBLISHING BUSINESS HIMSELF ACQUIRING THE HILL
04:40:13 GAZETTE IN 2016 AND THE SAN FRANCISCO EXAMINER AND S.F.
04:40:17 WEEKLY IN 2020. >> THROUGHOUT HIS LIFE CLINT
04:40:20 THE CHILD OF WORKING CLASS PARENTS WHO HAD LIMITED
04:40:24 FINANCIAL RESOURCES NEVER FORGOT THE GENEROSITY OF THOSE
04:40:28 WHO HELPED HIM OBTAIN A CLASSICAL EDUCATION WHICH HE
04:40:31 CREDITED AS PROVIDING THE FOUNDATION FOR HIS LARGER THAN
04:40:33 LIFE CAREER. IN 2007 HE FOUNDED BAY
04:40:36 SCHOLARS, THEN KNOWN AS THE CLINT REILLY SCHOLARSHIP
04:40:39 PROGRAM TO HELP COVER TUITION COSTS FOR STUDENTS ATTENDING
04:40:42 CATHOLIC HIGH SCHOOLS AROUND THE BAY AREA.
04:40:45 SINCE ITS FOUNDING, THE PROGRAM HAS AWARDED MORE THAN $3
04:40:48 MILLION IN SCHOLARSHIPS TO 546 STUDENTS.
04:40:50 CLINT WAS FEARLESS, INNOVATIVE, CLEARLY A GENERATIONAL
04:40:56 POLITICAL TALENT AND HIS IMPACT ON SAN FRANCISCO CANNOT BE
04:40:58 OVERSTATED. HE IS SURVIVED BY HIS WIFE
04:41:01 JANET RILEY AND HIS DAUGHTERS JILL AND EVA.
04:41:05 AND OUR THOUGHTS GO OUT TO THEM.
04:41:07 REST IN PEACE, JANET. REST IN PEACE, CLINT RILEY.
04:41:09 MAY YOUR MEMORY BE A BLESSING. I SEE.
04:41:13 SUPERVISOR DORSEY IN THE QUEUE .
04:41:19 I THANK YOU PRESIDENT MOUNTBATTEN FOR THAT.
04:41:20 EXCELLENT IN MEMORIAM FOR CLINT REILLY.
04:41:23 I APPRECIATE THE OPPORTUNITY TO ADD MY OWN WORDS TO YOURS
04:41:27 AND TO EXPRESS MY CONDOLENCES TO JANET AND JILL AND AVA AS
04:41:31 WELL AS TO THE MANY FRIENDS, COLLEAGUES AND EMPLOYEES WHOSE
04:41:35 LIVES WERE TOUCHED BY CLINT'S GENEROSITY, CONVICTION AND LOVE
04:41:38 FOR OUR CITY. I FIRST MET CLINT REILLY
04:41:41 IN 1990 WHEN I WAS A YOUNG POLITICAL OPERATIVE BRAND NEW
04:41:45 TO SAN FRANCISCO FROM BOSTON AND HE WAS A LEGENDARY
04:41:46 POLITICAL CONSULTANT WHO HAD FAMOUSLY JUST FIRED DIANNE
04:41:50 FEINSTEIN AS A GUBERNATORIAL CLIENT.
04:41:53 IT REALLY WASN'T UNTIL YEARS LATER THAT I GOT TO KNOW
04:41:58 CLINTON. JANET, HOWEVER, AND TRULY
04:41:58 APPRECIATE HOW MUCH THEY CONTRIBUTED TO OUR CITY AND TO
04:42:01 ITS DIVERSE COMMUNITIES. FOR ME AS A CATHOLIC, ONE OF
04:42:05 THE THINGS I MOST ADMIRED ABOUT CLINT WAS HIS GROUNDBREAKING
04:42:08 LEADERSHIP AS THE FIRST CHAIRMAN OF THE BOARD OF
04:42:10 CATHOLIC CHARITIES AT A TIME WHEN LAY LEADERSHIP IN THE
04:42:14 CHURCH WASN'T COMMON. HE REPRESENT IT A BRAND OF
04:42:17 LIBERAL CATHOLICISM THAT APPEALED TO ME AND THAT ABLY
04:42:20 DEMONSTRATED HOW FAITH AND PUBLIC SERVICE CAN
04:42:23 REINFORCE ONE ANOTHER WITHIN OUR CHURCH AS WELL AS WITHIN
04:42:27 OUR CITY. HE WAS A STRONG VOICE FOR
04:42:28 SOCIAL JUSTICE EVEN WHEN IT WASN'T EASY.
04:42:31 IN FACT FOR ME AS A GAY MAN ESPECIALLY I REALLY APPRECIATED
04:42:35 THE PRINCIPAL STANCE CLINT TOOK IN 2015 WHEN HE SPOKE OUT
04:42:38 BOLDLY AGAINST ARCHBISHOPS SALVADOR CORDILEONE OVER
04:42:42 APPROACHES THAT WERE HOSTILE TO THE LGBTQ PLUS COMMUNITY.
04:42:47 CLINT HELPED TO ORCHESTRATE A FULL PAGE AD IN THE SAN
04:42:51 FRANCISCO CHRONICLE WHOSE SIGNATORIES INCLUDED TOM BRADY
04:42:54 SENIOR AS WELL AS CLINT HIMSELF CALLING ON POPE FRANCIS TO
04:42:58 REPLACE CORDILEONE AND FOR FOSTERING QUOTE DIVISION
04:42:59 AND INTOLERANCE. THAT WAS ALSO NOT THE FIRST
04:43:02 TIME CLINT REILLY STOOD HEROICALLY AS A STRAIGHT ALLY
04:43:06 TO THE LGBTQ PLUS COMMUNITY. HANK PLANT, THE LONG TIME
04:43:10 BROADCAST NEWS REPORTER AND ANCHOR HERE IN THE BAY
04:43:13 AREA, RECALLED ON SOCIAL MEDIA THAT ONE OF CLINT'S FIRST
04:43:16 POLITICAL ACTS WAS TO GO DOWN TO DADE COUNTY, FLORIDA IN 1977
04:43:20 TO CAMPAIGN AGAINST ANITA BRYANT'S ANTI-GAY BALLOT
04:43:23 MEASURE. EARLIER TODAY I WAS TEXTING
04:43:25 WITH JOHN WHITEHURST WHO'S TWO AND A HALF YEARS WORKING FOR
04:43:28 CLINT TAUGHT HIM ENOUGH TO SPEND THE NEXT 35 YEARS WORKING
04:43:34 AS ONE OF SAN FRANCISCO'S TOP POLITICAL CONSULTANTS IN HIS
04:43:35 OWN RIGHT. JOHN RECALLED THAT CLINT WORKED
04:43:38 SIDE BY SIDE WITH A GENERATION OF GAY POLITICAL CONSULTANTS
04:43:41 SOME OF WHOM WERE MENTORS TO ME EARLY IN MY CAREER INCLUDING
04:43:46 ROBERT BARNES, JIM RIVALDO AND PAVICH.
04:43:49 CLINT RILEY WAS A STAUNCH ALLY TO THE LGBTQ PLUS COMMUNITY
04:43:53 AND A MAN OF COURAGE AND PRINCIPLE WHO NEVER
04:43:54 HESITATED TO SPEAK HIS CONSCIENCE.
04:43:57 HE LEAVES A VALUED AND ENDURING LEGACY TO THE CITY HE LOVED.
04:44:00 HE WILL BE MISSED. AND MAY HIS MEMORY BE A
04:44:02 BLESSING. >> SUPERVISOR CHERYL THANK YOU
04:44:08 BOARD PRESIDENT GENTLEMEN FOR SPONSORING THIS.
04:44:09 THIS IN MEMORIAM. >> YOU KNOW WHAT WHAT HAS
04:44:13 ALWAYS STOOD OUT ABOUT CLINT STORIES AND HOW MANY DIFFERENT
04:44:16 WAYS HE FOUND TO INVEST IN THIS CITY POLITICS, REAL ESTATE
04:44:20 JOURNALISM, PHILANTHROPY, BUILDING A FAMILY HERE AND EAST
04:44:24 CHAPTER. HE WAS BUILDING SOMETHING THAT
04:44:25 MADE SAN FRANCISCO STRONGER. TODAY LOCAL JOURNALISM IS UNDER
04:44:32 ENORMOUS PRESSURE BUT HIS DECISION TO PURCHASE THE
04:44:33 EXAMINER AND COMMIT TO ITS FUTURE INVEST IN ITS FUTURE WAS
04:44:36 A MEANINGFUL ACT OF CIVIC FAITH THAT I KNOW I AND SO MANY OF US
04:44:40 SITTING HERE HAVE DEEP APPRECIATION FOR.
04:44:43 THROUGH BASE SCHOLARS HE MADE SURE THAT A FAMILY'S FINANCIAL
04:44:46 CIRCUMSTANCES WOULD NOT BE THE DECIDING FACTOR IN WHETHER A
04:44:50 YOUNG PERSON IN THE BAY AREA COULD ACCESS AN EXCELLENT
04:44:51 EDUCATION AND AND THIS IMPACT AGAIN WAS NOT CONFINED TO ANY
04:44:57 ONE ARENA. HIS MARK WAS LEFT ON A WIDE
04:44:58 RANGE OF FIELDS AND A BREADTH OF CONTRIBUTION WHICH IS TRULY
04:45:02 RARE. HIS LEGACY CARRIES ON THROUGH
04:45:04 THE LIVES HE UPLIFTED THE INSTITUTIONS HE CREATED.
04:45:09 OF COURSE THE GIANTS WHO HE HELPED KEEP IN THE CITY AND THE
04:45:10 MANY OTHER WAYS HE DEVOTED HIMSELF TO SERVING THE CITY HE
04:45:13 LOVED. I WANT TO EXTEND MY CONDOLENCES
04:45:16 TO HIS WIFE JANET, HIS DAUGHTERS JILL AND EVAN TO ALL
04:45:17 WHO WORKED ALONGSIDE HIM TO MAKE THE CITY BETTER.
04:45:21 >> THANK YOU GUYS. >> THANK YOU COLLEAGUES.
04:45:28 I'LL MOVE ON TO MY RESOLUTIONS. THE FIRST IS A RESOLUTION
04:45:34 CELEBRATING THE 155TH ANNIVERSARY OF THE SAN
04:45:35 FRANCISCO CAMPUS FOR JEWISH LIVING AND COMMENDING ITS LONG
04:45:38 RECORD OF COMPASSIONATE CARE FOR OLDER ADULTS IN OUR CITY.
04:45:42 FOUNDED IN 1871 TO CARE FOR THE AGED AND INFIRM MEMBERS OF SAN
04:45:46 FRANCISCO'S JEWISH COMMUNITY AND FORMALLY KNOWN AS THE
04:45:47 JEWISH HOME TODAY THE CAMPUS ON SILVER AVENUE IS ANCHORED BY
04:45:51 THE JEWISH HOME AND REHABILITATION CENTER
04:45:54 AND THE FRANK RESIDENCES AND PROVIDES SKILLED NURSING
04:45:55 REHABILITATION, ASSISTED LIVING MEMORY CARE AND ONE OF NORTHERN
04:45:59 CALIFORNIA'S ONLY SPECIALIZED INPATIENT GERIATRIC PSYCHIATRY
04:46:02 UNITS. THE CAMPUS IS ONE OF THE
04:46:05 LARGEST NONPROFIT EMPLOYERS AND THE EXCELSIOR TRAINING THE
04:46:07 REGION'S NEXT GENERATION OF GERIATRIC CARE PROVIDERS
04:46:12 AND SERVING MORE THAN 2500 INDIVIDUALS AND FAMILIES EACH
04:46:13 YEAR. WORK IT CARRIES OUT FOR ANYONE
04:46:17 WHO NEEDS IT REGARDLESS OF ABILITY TO PAY.
04:46:20 I MYSELF WILL FOREVER BE GRATEFUL FOR THE CARE OF THE
04:46:23 JEWISH HOME PROVIDED TO MY GRANDMOTHER AND THEN TO MY
04:46:25 MOTHER AS THEY EACH APPROACH THE END OF THEIR LIVES.
04:46:28 COLLEAGUES I WANT TO THANK CO SPONSORS SUPERVISORS CHEN
04:46:31 MELGAR, DORSEY AND WANG AND ASK FOR YOUR SUPPORT FOR THIS
04:46:35 RESOLUTION HONORING THE SAN FRANCISCO CAMPUS FOR JEWISH
04:46:38 LIVING CENTURY AND A HALF OF SERVICE TO OLDER ADULTS ACROSS
04:46:42 SAN FRANCISCO. I'M ALSO INTRODUCING A B TESTED
04:46:46 PAYMENT WAIVER RESOLUTION TO ALLOW FILM ASSAF TO PARTNER
04:46:50 MORE CLOSELY WITH THE SAN FRANCISCO TRAVEL ASSOCIATION
04:46:53 AND OUR LOCAL HOTEL INDUSTRY. OUR FILM INDUSTRY DEPENDS ON
04:46:54 PARTNERS ACROSS THE CITY WHO HELP US MARKET SAN FRANCISCO AS
04:46:58 A PREMIERE DESTINATION FOR FILM ,TELEVISION AND MEDIA
04:47:02 PRODUCTION. SAN FRANCISCO TRAVEL
04:47:03 ASSOCIATION IS ONE OF THOSE PARTNERS AND OUR HOTELS ARE
04:47:07 TOO. THEY WANT TO INVEST
04:47:09 IN PROMOTING SAN FRANCISCO AS A FILMING DESTINATION AND FILM.
04:47:11 ASSAF WANTS TO WORK WITH THEM. HOWEVER, SINCE SAN FRANCISCO
04:47:14 TRAVEL OBTAINS FILM PERMITS TO THE FILM COMMISSION IT IS
04:47:18 CLASSIFIED AS A RESTRICTED SOURCE.
04:47:20 SO FILM ITSELF IS LIMITED IN ITS ABILITY TO SOLICIT OR
04:47:22 ACCEPT IN-KIND SUPPORT. EVEN THOUGH PROMOTING SAN
04:47:25 FRANCISCO AS A FILM DESTINATION IS A SHARED OBJECTIVE, THE SAME
04:47:28 IS TRUE OF HOTELS. A LOCAL HOTEL RECENTLY
04:47:29 APPROACHED FILM ASSAF WANTING TO HOST A FILM INDUSTRY MIXER
04:47:32 BUT BECAUSE THAT HOTEL OBTAINED A PERMIT THROUGH THE FILM S.F.
04:47:36 OFFICE FILM ITSELF IS UNABLE TO SOLICIT OR ACCEPT THAT KIND OF
04:47:39 SUPPORT WITHOUT A WAIVER. THIS WAIVER WOULD AUTHORIZE THE
04:47:43 EXECUTIVE DIRECTOR, COMMISSIONERS AND STAFF TO
04:47:44 SOLICIT DONATIONS AND IN-KIND SUPPORT FROM THE SAN FRANCISCO
04:47:47 TRAVEL ASSOCIATION AND HOTELS FOR A LIMITED SIX MONTH PERIOD
04:47:50 TO SUPPORT FILM SERVICE, MARKETING AND INDUSTRY
04:47:54 ENGAGEMENT EFFORTS. MARKETING SAN FRANCISCO AS A
04:47:55 PREMIERE PRODUCTION DESTINATION IS CRITICAL TO ATTRACTING FILM
04:47:59 TELEVISION AND MEDIA PROJECTS THAT CREATE JOBS, GENERATE
04:48:02 LOCAL SPENDING AND SHOWCASE THE CITY TO AUDIENCES AROUND THE
04:48:04 WORLD. HOSTING INDUSTRY EVENTS,
04:48:06 BUILDING RELATIONSHIPS WITH PRODUCTIONS AND GETTING THE
04:48:08 WORD OUT THE SAN FRANCISCO IS OPEN FOR BUSINESS CAN HELP
04:48:10 BRING FILM, TELEVISION AND MEDIA PROJECTS HERE
04:48:14 AND WITH THEM THE JOBS AND SPENDING THAT FOLLOW.
04:48:15 SPONSORSHIPS AND IN-KIND CONTRIBUTIONS LIKE THESE ALLOW
04:48:18 THE FILM COMMISSION TO EXPAND ITS MARKETING AND COMMUNITY
04:48:21 ENGAGEMENT WORK WITHOUT RELYING SOLELY ON CITY FUNDS.
04:48:25 I WANT TO THANK MANAGER FATAH FROM FILM ISF AND LOREN CURRY
04:48:29 FROM THE CITY ATTORNEY'S OFFICE FOR THEIR WORK ON THIS
04:48:33 LEGISLATION. I ALSO WANT TO THANK GRACE WANG
04:48:36 AND MAVE KELLY IN MY OFFICE. AND LASTLY COLLEAGUES I AM
04:48:40 INTRODUCING AN ORDINANCE TO UPDATE CHAPTER SEVEN OF THE SAN
04:48:43 FRANCISCO ENVIRONMENT CODE. CHAPTER SEVEN CODIFIES THE
04:48:45 CITY'S MUNICIPAL GREEN BUILDING REQUIREMENTS.
04:48:46 THESE UPDATES WILL PROVIDE CLEAR GUIDANCE TO CITY
04:48:51 DEPARTMENTS REGARDING THE DESIGN, DEVELOPMENT
04:48:52 AND RENOVATION OF CITY BUILDINGS AND ADVANCE THE
04:48:54 BUILDING SECTOR CLIMATE GOALS IN THE YEARS AHEAD.
04:48:58 THEY ALSO STREAMLINE EXISTING REQUIREMENTS AND ALIGN THEM
04:49:01 WITH INDUSTRY STANDARDS, REGULATIONS AND THE CITY'S 2026
04:49:04 CLIMATE ACTION PLAN. I WANT TO THANK CINDY COMERFORD
04:49:07 ,NICK KESSLER, BARRY HOOPER, ALICE HER AND CHARLES SHEEHAN
04:49:09 AT THE DEPARTMENT THE ENVIRONMENT FOR THEIR WORK ON
04:49:12 THIS UPDATE. I'D ALSO LIKE TO THANK ROB
04:49:15 KAPLAN FROM THE CITY ATTORNEY'S OFFICE AND GRACE WANG FROM MY
04:49:19 OFFICE AND THE REST I SUBMIT THANK YOU MR. PRESIDENT.
04:49:22 SUPERVISOR MELGAR. THANK YOU PRESIDENT.
04:49:26 I'D LIKE TO BE ADDED TO THE IN MEMORIAM FOR FOR CLINT
04:49:30 REILLY. I ALSO LIKE YOU SUPERVISOR
04:49:33 DORSEY WORKED FOR CLINT IN 1994 WHILE CLINT WAS RUNNING
04:49:37 KATHLEEN BROWN'S CAMPAIGN FOR GOVERNOR WHICH SHE WAS
04:49:41 ULTIMATELY DEFEATED BY PETE WILSON UNFORTUNATELY BUT WILL
04:49:45 ALWAYS REMEMBER HIS MENTORSHIP. MANY MANY VERY STRATEGIC
04:49:51 AND INTERESTING CONVERSATIONS EVEN ONES WHEN WE DISAGREED
04:49:56 AND SEND ALL THE LOVE TO JANET AND HIS FAMILY AND THE REST I
04:50:00 SUBMIT THANK YOU. >> AND ACTUALLY MAYBE WE CAN
04:50:01 HAVE THAT COME FROM THE FULL BOARD AS WELL.
04:50:04 SO LET'S HAVE THAT BE FROM THE FULL BOARD.
04:50:09 THANK YOU. SUPERVISOR MILK OUR SUPERVISOR
04:50:12 SAUTER THANK YOU MR. PRESIDENT. SENOR THEIR NAMES ON THE
04:50:18 ROSTER. >> LET'S GO TO PUBLIC COMMENT
04:50:19 AT THIS TIME THE BOARD OF SUPERVISORS WELCOMES GENERAL
04:50:22 PUBLIC COMMENT IN PERSON SPEAKERS WILL BE PRIORITIZED SO
04:50:26 PLEASE LINE UP ON THE RIGHT HAND SIDE OF THE CHAMBER DURING
04:50:29 GENERAL PUBLIC COMMENT YOU MAY SPEAK TO APPROVAL THE JUNE 16TH
04:50:33 BOARD MEETING MINUTES ITEM 69 THROUGH 75 THE ITEMS UNDER THE
04:50:35 FOR ADOPTION WITHOUT COMMITTEE REFERENCE GENDA AND OTHER
04:50:39 GENERAL MATTERS THAT ARE NOT ON TODAY'S AGENDA BUT MUST BE
04:50:43 WITHIN THE BOARD'S SUBJECT MATTER JURISDICTION FOR SPEAKER
04:50:46 POLICE OH OH. >> OH.
04:50:54 NOT QUITE. HI EVERYBODY AGAIN.
04:50:57 MY NAME IS AMELIA AND I HAVE RETURNED TO SPEAK ON THE
04:50:58 REMOVAL OF THE PIER COUNSELORS FROM THE STREET CRISIS RESPONSE
04:51:01 TEAM. IN MY INDIVIDUAL CAPACITY I
04:51:02 HAVE PROVIDED EACH OF YOU A PROBLEM SOLVING FRAMEWORK TO
04:51:05 BREAK THROUGH THE SILOS BETWEEN OUR FIRST RESPONSE HEALTH CARE,
04:51:08 SOCIAL SERVICE AND HOMELESSNESS SYSTEMS TO FIX THIS.
04:51:11 AND THANK YOU TO THE FIVE SUPERVISORS OFFICES THAT HAVE
04:51:15 ALREADY ENGAGED WITH ME AND MY COLLEAGUES.
04:51:17 ONE OF THE CLINICIANS FROM AND YOU H.W. SAID EARLIER
04:51:19 SOMETHING ALONG THE LINES OF THE BEGINNING OF THE CARE
04:51:22 JOURNEY IS WHERE YOU NEED TO INSPIRE HOPE.
04:51:25 AND I CAN'T MAKE A BETTER I CANNOT MAKE A BETTER CASE FOR
04:51:27 KEEPING PEERS ON STREET CRISIS NATIONAL RESEARCH ON CERTIFIED
04:51:33 PEER SUPPORT CONSISTENTLY SHOWS REDUCED REPEAT EMERGENCY CALLS
04:51:34 AND BETTER ENGAGEMENT AND CARE. A NINE ON ONE ENGAGEMENT THAT
04:51:38 ENDS IN REFUSAL IS TAXPAYER MONEY SPENT TWICE MAYBE THREE,
04:51:41 FIVE, TEN TIMES OVER AGAIN EVERY AVOIDED AMBULANCE,
04:51:44 TRANSPORT AND EMERGENCY ROOM VISIT IS GENERAL FUND MONEY
04:51:48 REMOVING PEERS DOESN'T CUT COSTS IT MOVES COST TO THE MOST
04:51:52 EXPENSIVE PARTS OF THE SYSTEM. I AM INTERESTED IN WORKING
04:51:55 UPSTREAM IN THE PROVIDED FRAMEWORK I HAVE INCLUDED A
04:51:59 MECHANISM FOR MEDI-CAL REIMBURSEMENT FOR PEER
04:52:00 SERVICES. MY FIRST ASK BEFORE THE RECESS
04:52:03 SIGN A LETTER TO THE MAYOR'S OFFICE REQUESTING HE CONVENE
04:52:07 APPROPRIATE STAKEHOLDERS AND PAUSE THE RESTRUCTURING
04:52:08 PENDING INTERDEPARTMENTAL REVIEW.
04:52:11 IF THIS DOES NOT SUFFICE I ASK THE RULES COMMITTEE TO CALENDAR
04:52:15 A HEARING TO EVALUATE THE PROGRAM AND PROPOSED FRAMEWORK.
04:52:18 I FURTHER ASK THE BUDGET AND APPROPRIATIONS OVERSIGHT
04:52:22 AND TO REQUIRE OUTCOME DATA BEFORE THIS PROGRAM CHANGES
04:52:24 AGAIN IN THE FUTURE. IN THIS HARD FOUGHT MOMENT OF
04:52:27 GROWTH FOR A 24 HOUR CRISIS CONTINUUM OF CARE, WE CANNOT
04:52:30 AFFORD TO LOSE THE CRITICAL FUNCTION OF PEERS INSPIRING
04:52:33 PEOPLE TO ACCEPT THE SERVICES WE NOW HAVE.
04:52:36 I ASK THIS LEGISLATIVE BODY PAUSE EXAMINE AND MEASURE.
04:52:40 WE HAVE TO ACT PROPORTIONATELY ACROSS THE SYSTEM OF CARE.
04:52:44 >> THANK YOU. THANK YOU FOR YOUR COMMENTS.
04:52:45 NEXT SPEAKER. >> HELLO.
04:52:54 THIS IS A POEM I WROTE RECENTLY AS A SAN FRANCISCAN TURNED OUT
04:52:58 TO HAVE AN ANEURYSM. >> IT'S JUST A POEM.
04:52:59 ANOTHER MAN, A FATHER AND IMMIGRANTS FROM MEXICO WITH
04:53:02 COPPER SKIN WAS HUNTED DOWN AND MURDERED BY ICE.
04:53:06 >> AGAIN, I SEE ONE OF HIS ADULT KIDS SPEAKING INTO
04:53:09 CAMERAS IN ANGUISH CRYING THAT HIS FATHER DIDN'T DESERVE THIS.
04:53:10 THEY BREAK MY HEART BREAKING THROUGH BRICK SQUEEZING TEARS
04:53:13 FROM CONCRETE TOMBS. I FEEL WHEN I SEE MEMORIALIZED
04:53:17 FATHER MOURNING FAMILY ABSOLUTE EVIL SANCTIONS EVIL WORSE THAN
04:53:20 ROAMING TARGETED AIR SURVEILLANCE POWERED HUNTING
04:53:24 IN THE STREETS. I THINK OF HERE MY HOME EMPTY
04:53:28 STREETS INVISIBLE EVIL VANISHED IMMIGRATION COURTS DEFUNDED
04:53:32 RAPID RESPONSE NETWORK S.F. PD TARGETING HUMANS AND TRANS VIA
04:53:36 AIR SURVEILLANCE POWERED REAL-TIME RESPONSE CENTER CHRIS
04:53:40 LARSON FUNDED DRONES AND CAMERAS HOUSED IN DONALD
04:53:42 TRUMP'S TOWER SWARMS OF SFPD INDISTINGUISHABLE FROM ICE
04:53:45 TACKLE AND ATTACK PEOPLE WHO DIDN'T DESERVE THIS.
04:53:48 >> MY TEARS ARE FROZEN. IT'S TOO COLD HERE IN SAN
04:53:52 FRANCISCO HOT TEXAS EXPANDING ICE MELTS ME COLD CALIFORNIA
04:53:55 EXPANDING TRANSPHOBIA FREEZE ME FIGHT FLIGHT FON CLAMMY PANIC
04:53:59 QUIETS PANIC SCREAM WHERE WE'RE UNCIVIL AND LOUD MOUTHED IF WE
04:54:03 DO A FROZEN BRICK AN EXPLODING BROOK IS SILENCE BRICK
04:54:04 ASSAILING BRICK AN UPRIGHT BRICK, A BLOOD RED BRICK A
04:54:08 HISTORICAL BRICK AN EXTENSION OF MY BEING ATOMS EARTH BONDED
04:54:11 IN DIFFERENT FORMATIONS WITH DIFFERENT PROPERTIES MINGLING
04:54:14 ELECTRONS EXCHANGE BETWEEN ME AND BRICK MY MUSCLE STRAIN THE
04:54:18 LONGER I GRIP THIS COMPACT COLLECTION OF ORGANIZED ATOMS
04:54:19 POTENTIAL ENERGY IGNITES. >> ALSO YOU HAVE A COLLEAGUE
04:54:22 SPEWING RACIST, ISLAMOPHOBIC ANTI TRANSPHOBIC TROPES
04:54:29 AND NOW RED SCARE RHETORIC. YET I DON'T REALLY SEE ANYONE
04:54:33 COUNTERING HIS FEARMONGERING. I SAY 1 OR 2 SUPERVISORS
04:54:38 SOMETIMES SO YOUR SILENCE ALLOWS A CULTURE OF BIGOTRY
04:54:42 AND REPRESSION TO FLOURISH. >> AND IF YOU DON'T AGREE WITH
04:54:46 ANY OF THAT YOU SHOULD BE AN ADULT.
04:54:47 USE YOUR WORDS AND SAY SOMETHING.
04:54:49 >> THANK YOU FOR YOUR COMMENTS. NEXT SPEAKER MY NAME IS RICHARD
04:55:06 S.G. PETERSON. >> TRIBUTE TO CLINT RILEY.
04:55:13 IF YOU'VE EVER REALLY SPENT TIME WITH HIM AND I OVER THE
04:55:17 YEARS SPENT SOME TIME WITH HIM HE'S THE GREATEST PHONE BOOTH
04:55:21 KNIFE FIGHTER IN SAN FRANCISCO HISTORY.
04:55:29 >> >> THE GOOD NEWS FOR ME IS THAT I THINK I STILL HAVE MY
04:55:36 LICENSE TO PRACTICE LAW AND THE BAD NEWS FOR MANY OF YOU OR
04:55:40 SOME OF YOU IS THAT I'VE GOT MY LICENSE TO PRACTICE LAW.
04:55:44 THE REASON I HAVE THIS LITTLE DEMONSTRATION HERE IS HOW EASY
04:55:51 IT IS TO INTERRUPT EVEN WHEN YOU THINK YOU HAVE EVERYTHING
04:55:55 SET UP IN A LAW OFFICE. >> THIS IS AN OPTICAL FIBER.
04:56:02 IT CAN BE CUT WITH A SIMPLE TOENAIL CLIP PUT YOU DOWN,
04:56:13 TAKES A WEEK BEFORE YOU GET EVEN SERVICE TO COME OUT THERE
04:56:17 AND LOOK AT WHAT'S HAPPENING TO YOUR PROBLEM.
04:56:21 >> THERE ARE A LOT OF ISSUES IN SAN FRANCISCO AND I THINK
04:56:24 THEY CAN BE TAKEN DOWN BY I THINK A SIMPLE SNIP OF THESE
04:56:28 LITTLE FIBER OPTIC CABLES SO SOME ATTENTION NEEDS TO BE PAID
04:56:32 TO THAT. BUT I WANT TO LET YOU GUYS GO
04:56:36 BEFORE I RAMBLE ON AND HAVE A NICE WEEKEND.
04:56:43 >> THANK YOU FOR YOUR COMMENTS .
04:56:47 ARE THERE ANY OTHER INDIVIDUALS WHO WOULD LIKE TO PROVIDE
04:56:49 PUBLIC COMMENT IN PERSON? >> SEEING NONE WE'LL GO TO THE
04:56:52 REMOTE CALL IN LINE IF YOU HAVE NOT ALREADY.
04:56:54 SHOUT OUT TO MAMIE HAAS. >> LOVE YOU.
04:56:59 >> ALL RIGHT. IF YOU HAVE NOT ALREADY DONE SO
04:57:00 PLEASE PRESS STAR THREE TO LINE UP REMOTELY.
04:57:04 AS I PREVIOUSLY STATED, PERSONAL ATTACKS, HARASSMENT OR
04:57:07 DISCRIMINATORY REMARKS WILL RESULT IN THE SPEAKER
04:57:11 FORFEITING THE REMAINING TIME AND WE WILL MOVE ON TO THE NEXT
04:57:14 SPEAKER. >> LET'S HEAR FROM OUR FIRST
04:57:15 REMOTE CALLER. >> NO NAME IS GORE ALL OF A
04:57:30 SUDDEN AND NOT LIVE UP AT MODOC COUNTY IN THE STATE OF
04:57:31 JEFFERSON. I WANT TO TALK ABOUT WOW IN OUR
04:57:34 LIFE HERE IN CALIFORNIA AND BEING FRAMED FRAN
04:57:38 SPECIFICALLY I HATE. I HATE HIM SO MUCH.
04:57:42 THEY BEAT OUR GIRLS IN SPORT. THEY BEAT BULL FEMALE GUIDE
04:57:49 JAIL INMATE BREATHING AND THEY WEIGH THEIR BEATS AND RAN INTO
04:57:54 MEN WELL WELL BASICALLY IT'S A THREE I'LL LEAVE IT AT EAT IF
04:57:57 THEY BOTH WANT PAID AND YOU NAME WHO YOU WERE THEN THERE
04:58:01 REASON YOU GAVE IT MEN WERE MEN AND IF ANY OF THESE IT'S GOOD
04:58:08 THING TRAINEES IN A RESTROOM WITH MY WIFE THEY WILL HAVE A
04:58:11 BAD TIME. CALIFORNIA SILVER APPEALED
04:58:12 THROUGH SPACE ALL RIGHTS FOR TRAINEES AND LOCK THEM UP
04:58:16 IN THE INSTITUTIONS. GOD BLESS AMERICA AND GOD BLESS
04:58:19 OUR ATTORNEY PORTEOUS IS DONALD TRAPPED?
04:58:29 DO WE HAVE ANY OTHER CALLERS ON THE REMOTE CALL IN LINE.
04:58:33 SEE NONE. >> I REMAIN UNPERSUADED THAT
04:58:38 THIS WAS A GOOD IDEA WITHOUT PUBLIC COMMENT IS NOW CLOSED.
04:58:45 ALL RIGHT, MADAM CLERK, PLEASE CALL THE FOR ADOPTION WITH THAT
04:58:49 COMMITTEE REFERENCE AGENDA ITEM 16 THROUGH 75 TOGETHER.
04:58:52 >> YES. ITEM 609 THROUGH 75 WERE
04:58:55 INTRODUCED FOR ADOPTION WITHOUT COMMITTEE REFERENCE A UNANIMOUS
04:58:58 VOTE IS REQUIRED FOR ADOPTION OF A RESOLUTION ON FIRST
04:59:01 APPEARANCE ANY SUPERVISOR MAY REQUIRE RESOLUTION ON FIRST
04:59:05 READING TO GO TO COMMITTEE ON SUPERVISOR CHERYL SEVER NUMBER
04:59:09 70 PLEASE. >> OKAY THAT'S IT.
04:59:16 >> MADAM CLERK CAN YOU CALL THE ROLL ON THE REMAINING BALANCE
04:59:17 OF THE ITEMS ON THE REMAINING BALANCE MINUS ITEM 70
04:59:20 SUPERVISOR CHERYL CHERYL I SUPERVISOR WALTON WALTON I
04:59:28 SUPERVISOR WONG WONG I SUPERVISOR CHEN CHEN I
04:59:32 SUPERVISOR DORSEY DORSEY I SUPERVISOR FIELDER FIELDER I
04:59:37 SUPERVISOR FOR MAHMOOD MAHMOOD I SUPERVISOR BENJAMIN HIGH
04:59:41 MENDHAM IN I SUPERVISOR MELGAR MELGAR I SUPERVISOR SARDAR
04:59:48 SARDAR EITHER NICE WITHOUT OBJECTION THE RESOLUTIONS ARE
04:59:52 ADOPTED AND THE MOTION IS APPROVED PLEASE CALL ITEM 70.
04:59:55 ITEM 70 IS A RESOLUTION SUPPORTING CALIFORNIA STATE
04:59:58 ASSEMBLY BILL NUMBER 2564 WHICH WOULD PROHIBIT RETAILERS FROM
05:00:01 ENGAGING IN SURVEILLANCE PRICING.
05:00:05 >> SUPERVISOR CHERYL THANK YOU PRESIDENT MANAGEMENT FIRST
05:00:09 AND FOREMOST I WANT TO THANK SUPERVISOR FIELDER FOR BRINGING
05:00:13 THIS UP. I THINK THE POINT OF MAYBE 2564
05:00:17 TO MAKE SURE THAT COMPANIES ARE NOT JACKING UP PRICES ON
05:00:21 CONSUMERS BASED ON ANY NUMBER OF THINGS IS FANTASTIC.
05:00:27 I HAVE SOME QUESTIONS SPECIFICALLY REGARDING SOME
05:00:31 AMENDMENTS THAT ARE GOING AROUND IN SACRAMENTO TO ADDRESS
05:00:32 CONCERNS ABOUT KIND OF LET'S LET'S CALL IT INADVERTENTLY
05:00:39 PROHIBITING COMPANIES FROM ISSUING DISCOUNTS BASED ON
05:00:42 RECENT PURCHASES. >> SO JUST TO GET SOME TIME TO
05:00:46 ADDRESS THOSE CONCERNS AND MAKE SURE OF THAT, I'D LIKE TO JUST
05:00:51 SEND THIS ITEM TO COMMITTEE. ALL RIGHT.
05:00:54 IT'S GOING TO COMMITTEE AFTER I GAVEL ON THAT.
05:01:00 OKAY. AND I THINK THE LAST TIME I DID
05:01:01 THIS I GOT IN TROUBLE BECAUSE I ALLOWED FOR DIALOG AT THIS
05:01:05 MOMENT WHICH I DON'T THINK WE GET TO DO.
05:01:08 SO I THINK IT'S GONE TO COMMITTEE.
05:01:10 ALL RIGHT. AND DO WE HAVE HOW LONG DO YOU
05:01:15 THINK IT'S GOING TO TAKE US TO GET THE RESULTS?
05:01:19 >> WE DO HAVE THE SERGEANT AT ARMS CHECKING TO SEE WHAT THE
05:01:23 DEPARTMENT OF ELECTIONS OH, WE HAVE A WE JUST WALKED IN.
05:01:30 >> ARE YOU DONE? YOU'RE READY.
05:01:33 >> OKAY THEN WE WILL GO BACK TO 54.
05:01:42 THANK YOU. PEARSON US OKAY WE'RE NOW GOING
05:01:57 BACK TO ITEM 54. >> MADAM CLERK, CAN YOU PLEASE
05:02:00 READ THE RESULTS OF THE ELECTION?
05:02:03 YES, SIR. YOU THE RETURNED WEIGHTED
05:02:07 BALLOTS VOTING FOR THE DOWNTOWN COMMUNITY BENEFIT DISTRICT WAS
05:02:13 85.15% IN THE RETURN WEIGHTED BALLOTS VOTING AGAINST THE
05:02:18 DOWNTOWN CBD WAS 14.85% FURTHER INDICATING THERE WAS NO
05:02:24 MAJORITY PROTEST. >> SO THERE IS NO MAJORITY
05:02:28 PROTESTS AND THEREFORE MADAM CLERK, CAN YOU PLEASE CALL THE
05:02:36 ROLL ON ITEM 54 YES ON ITEM 54 SUPERVISOR CHERYL CHERYL I
05:02:41 SUPERVISOR FOR WALTON HIGH WALTON I SUPERVISOR WONG WONG I
05:02:47 SUPERVISOR CHEN CHEN I SUPERVISOR DORSEY DORSEY I
05:02:51 SUPERVISOR FIELDER FIELDER I SUPERVISOR MAHMOOD MAHMOOD I
05:02:56 SUPERVISOR MANDARIN HAI MENDHAM AND I SUPERVISOR MELGAR MELGAR
05:03:03 I SUPERVISOR SARDAR SARDAR EITHER TENNIS WITHOUT OBJECTION
05:03:07 THE RESOLUTION IS ADOPTED AND THAT TAKES US I BELIEVE TO
05:03:15 OUR IMPERATIVE AGENDA. >> DO WE HAVE ANY IMPERATIVE
05:03:16 AGENDA ITEMS? MADAM CLERK WE HAVE NO
05:03:18 IMPERATIVE AGENDA ITEMS TODAY THEN COULD YOU PLEASE READ THE
05:03:20 IN MEMORIAM? YES.
05:03:23 TODAY'S MEETING WILL BE ADJOURNED IN MEMORY OF THE
05:03:26 FOLLOWING BELOVED INDIVIDUALS ON BEHALF OF PRESIDENT
05:03:30 MANAGEMENT AND THE ENTIRE BOARD FOR THE LATE MR. CLINT RILEY.
05:03:37 I THINK THAT BRINGS US TO THE END OF OUR AGENDA.
05:03:38 MADAM CLERK DO WE HAVE ANY FURTHER BUSINESS BEFORE US
05:03:41 TODAY? >> THAT CONCLUDES OUR BUSINESS
05:03:42 FOR TODAY. WE ARE ADJOURNED