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Clarity, so the city grant program, is that the children funds reduction here . Hone for 250,000 another for 150,000 . Thats the general fund reduction. Supervisor farrell mr. Rose would you like to give us more specificity . Those are general fund recommendations, the 350,000 but we are referring to which the department agrees with. Supervisor farrell any questions or comments . To have a motion to approve the budget Analyst Recommendations . Okay. Supervisor breed, can we do that without opposition . So moved. gavel thank you. We have the department of Public Health here, barbara garcia, greg wagne and team. Good morning. Chair farrell and supervisors. Garcia supervisor of health. After we worked with the Budget Analysts Office we are ready to say we are in agreement today. Supervisor farrell thank you ms. Garcia. Mr. Rose wonder we go to the updated dp report. On page 83, for 1314 recommended reductions are 1,139,136, and in 1415 1,213,260 which is that those are again general fund reductions. Supervisor farrell thank you mr. Rose. Any questions for mr. Rose or ms. Garcia or anyone else at dph . Supervisor mar. Supervisor mar ms. Garcia, yesterday at the board of supervisors meeting the number of people testified about the concern about acute Psychiatric Services especially in year 2 and what the plans are for making sure that we are adequately supporting communities in need and i am just wondering if you could respond . With the mayors Mental Health cuts we believe that we are trying to meet the needs of the community as well as the San Francisco general discharge ability. Medicare cut we cannot have anyone to long in a psychiatric bed. As a way to prepare them for the next level of care. They have not opposed that change and there is no loss of clement. Most importantly i think the services that we will be recreating the Behavioral Health center will meet the needs of psychiatric patients and others in the community. Thank you. Supervisor breed i had two questions. The position being eliminated for the psychiatric social worker position, that is vacant since july, 2011, is there a reason why you decided not to fill that position . There are many reasons. Some of the reasons are that we do get our classifications frozen during the time of deficit. We have a deficit this year; so many times that is part of the process. We never try to close a position. We also have new testing exams that take a long time for dhr to develop so it is basically timing issue of trying to get all the positions in line and getting them open. At times we have an open req and positions get frozen and we have to go through the whole process all over again. Supervisor breed is there not a need for this position . Yes there is that we have a negotiation with the budget analyst and we clearly see that after two years we would have to let the position go. Supervisor breed and were you in the process of hiring or trying to fill that particular position . That position would be over 100200 positions, clearly every position is important but some of them take a lot more time to get hired. Supervisor breed what are we talking about in terms of timing . Depends on where it is in the process, we have to open it again and go through the mayors requisition process and dhr; it could take another 68 months. Supervisor farrell i am doing some calisthenics in the back. One of the consideration. The apartment has 338 approved positions; one of the reasons why we looked at these older positions and recommended their deletion since they have not been filled on the other hand the department testified that there are many new positions in the budget. That was part of the basis of our recommendation. Supervisor breed im only bring this up because one of the challenges that we have are the Mental Health issues. Im concerned about eliminating a position that was clearly need to be filled. We also actually need this kind of position in our jail system currently. So i have some concerns about eliminating it, and preferred to see it filled and used appropriately because clearly it is a position that is needed. I want to express that and would prefer but im not necessarily hearing that there are any assurances that it will be filled in a timely manner. If i may have our staff we look at these positions and work with the budget analysts staff to see if there are other things that we can trade for that particular position. Will be happy to look at it that way. Supervisor breed and the second issue that i get complaints almost every other week when i go to laguna honda, from the residence as well as workers there because the new laguna honda is a different size and the meals are served to the patients there are definitely an hour, to an hour and a half handy mealtime what it used to be at the old laguna honda. A lot of folks have gotten used to it but it is still a challenge. I dont know if there has been any change or any increase in staffing more and increasing resources with this proposed budget for laguna honda in a way to help with the new challenges of the hospital currently experiencing like meal service for example. We certainly can look at it and work with your office on that supervisor. An hour executive director of the hospital i know she is aware of this issue and we start we can report that to you and give you the plan of how it can improve that and i know thats been an issue because of how big the hospital is in the serving of those meals but it is something they want to improve on but we can incorporate your office into that discussion. Supervisor breed we know there are less beds but different configuration. And ongoing quality improvement. Well work with you on. Another possibility for the committee you could leave the decision authorization to hired this position in the budget and substitute it with an attrition reduction, it would achieve the same savings that the budget analyst is recommended that leave the department the authority to hire the position. We would agree with the controller. It would be a good compilation reference to supervisor breeds question. It will be the same amount of savings but the position authorization would be less in the budget. Supervisor farrell supervisor breed, is that something you want to entertain . Do i have a motion to accept the amended budget analysts recommendation for the controller suggestion . Can we do that without opposition . There are ongoing questions about the budget that we will continue to talk about tomorrow. While we have the director here, as we noted at the time we submitted our revenue letter on the mayors proposed budget, the final state budget had not been adopted. It has been completed. While here we wanted to talk about the most significant part which is the final state budget resolve the question that has been debated for quite a while about how the state intends to implement the Affordable Care act. Totally appropriately 300 Million Dollars in expense of the state and pain by pulling back 300 million in realignment revenue that currently flows two counties. That grows to 900 million in the second year and it has an impact on the revenue of the department of health budget. In year one, the reduction translates by fourminute to a 17 Million Dollar reduction. That is the revenue weakness versus the budget before you. In year two theres a formula about how the 900 Million Dollars in state cuts will be allocated to counties; it will likely be at a minimum 17 million and potentially as high as 48 million. There also uncertainties related to the Affordable Care act unknown to us at this point. For example we expect to have more insured population which should improve medical revenue to the hospital. And of course there are other activities going on at the department of Public Health that we will continue to monitor over the course of the year. What we dont feel that the mayor and the board need to act to address this revenue loss at this time it will be a significant financial risk heading into the budget year and beyond and accordingly under the charter we required to place reserves in the department of healths budget to offset the potential loss in his budget. Who identified reserves and expenses that we can hold in both years of them budget equivalent to 17 million in both years and most likely that will be a mixed and we will finalize this for you today; it will be a mix of furniture, fixtures and equipment for the new hospital funded in the budget and potentially other capital projects. Will place those in control as reserves and keep the board updated on revenues as we know more. Supervisor farrell any questions for the controller on that . Any other questions for mr. Rose or ms. Garcia. Can we take that motion to accept the budget Analyst Recommendations as revised for the controller suggestion . Can we do that without opposition . gavel i do see the chief hear from juvenile probation. Good morning supervisors. Chief juvenile Probation Department to inform this body of our belief in the final recommendations that mr. Roses office is provided and we are in agreement and would ask for your approval of the juvenile Probation Departments budget. Supervisor farrell can go to your updated report please mr. Rose . We have revised our report on page 68 where we recommended previously 212,927, we are not recommending reductions of 143,088, on page 68. Similarly for fy 1414 recommended 135,566, we are now recommending reductions of 146 supervisor farrell we have a motion to accept the budget Analysts Recommendations . Can we do so without opposition . So moved. gavel . At this time we have three departments that we have not heard of. Starting at 11 30 otherwise well go to recess. Can we speak on item number three . Mr. Clerk can you call item 3 . Clerk young reading supervisor farrell supervisor avalos, do you want to speak on this . Supervisor avalos this is something we wanted to move forward just in case wanted to have a discussion. We are still far apart, we would like to use the suspension indiscernible ideally we dont use the Budget Stabilization dollars, or the Budget Stabilization dollars are used for closing out, indiscernible in case we cannot come to agreement with the Mayors Office. Supervisor farrell if we could could have the controller talk on the item. We passed the simple fact sheet on the numbers for your knowledge. The board adopted a financial policy a couple of years ago. As part of a followup to proposition a in 2009. That reserve policy adopted by the board establishes this reserve fed by various volatile revenues, most notably transfer tax. When they exceed a fiveyear average revenues flow to this reserve m and are available in much the same way that the rainy day reserve is when revenues decline. That same financial policy allows the mayor and the board however to suspend the policy but for the upcoming budgetary by a 2 3 vote. The overall reserve position on page 1 of the handout we are entering we expect and the current fiscal year with approximately 127 min dollars in our two reserves, intended to carry a down economic cycles like the one recently worked our way through. In the budget year and the budget year plus one we are projecting to the possibility to the stabilization reserve and draw money from the rainy reserve for purposes of indiscernible . Just over 20 Million Dollars in deposits, ending balances of 147 Million Dollars. There is a policy itself is in london the set the target reserve level equivalent to 10 of revenues and if we exceed 10 percent of revenues the reserve is effectively capped; the reserve flows to the general fund. There is not a magic number here but the best practice is between that range and the reserve policy itself contains 10 percent. You can see that the reserve balances we expect to end this twoyear period with total just under 4 , the cities position has improved over the last several years as we recover from the downturn. Another way that people talk about stabilization reserves at times is trying to maintain between one and as high as two months reserves. As we indicated on the slide there is also a growing general reserve in the budget before you also adopted by the board as part of the financial policy, it surface like a different purpose intended purpose for the policy is to absorb Cost Increases or revenue declines above and beyond those assumed in the budget within a 12 month period; we give you that reserve modestly differently. And just the next two slides are illustrations of part of what this reserve is intended to hedge against which is just the volatility of our most volatile revenue in the city which is transfer tax; we talked about this earlier this month. Transfer taxes very unpredictable, heavily driven by commercial real estate cycle, it can quickly go up during upturns and quickly down during downturns. This is a significant part of the revenue challenge that we faced in the last recession. As recently as three years ago the General Fund Budget contained 15 in dollars and transfer tax; the budget before you in the next two years assumes 225 million. We expect as we enter the next downturn to cycle down quickly as well, it is a hard revenue to predict. On the third slide to concede that the volatility doesnt just stretch across fiscal years; it is hard for us to predict even within the fiscal year so if we look at the monitor returns on transfer tax between the years we just closed, because this is so heavily driven by large commercial transactions we really have stark differences monthtomonth. You can see that in december we achieved over 16 million in a single month so it is challenging to take on unexpectedly positive news and serve as a hedge when we have a downturn like the most recently had. It is a bit of context information for the board as you consider this legislation. Supervisor farrell supervisor avalos. Supervisor avalos thank you for your presentation. I support the reserves and the financial policy in 2010 going to the ballot and also crazy ordinances before that here with the full board and also worked on authoring an increase in the Real Estate Tax and i feel there is a great groundswell of support to make it happen outside of city hall organized with a lot of communities and labor groups to make sure that the measure passed; a lot of expectations on how those funds will be used. Though seven been quite as fulfilled as i thought they couldve been. I believe we have a couple of days, hopefully just one day to be able to come to some agreement with the Mayors Office on how to reprioritize the budget and it will take some giveandtake. I hope that when it comes to some of these increases that we have in revenue that we can decide how to reprioritize the services and make a deposit is planned into the Budget Stabilization reserve. I would like to keep this in play while we have those discussions and hopefully we get a positive outcome, and the budget that really reflects the consensus that this may or has been working to words for a couple of years now. I think is budget should reflect that same effort that he has put in to words consensus in San Francisco. Supervisor farrell thank you supervisor avalos, any questions or comments at this time . Why dont we open up supervisor breed. Supervisor breed a point of clarification. I recall a budget presentation by kate howard. Definitely showed us that the projections of what San Francisco is anticipating in the future will increase in terms of revenue. But, the expenses are anticipated to definitely far exceed those revenues we expect to generate. And the reason why i bring that up because everyone that discussed the budget with me in the community and a lot of my constituents they are very excited and very optimistic about the fact that we are in what is considered to be a good budget time in comparison to the past because revenues clearly are going up. I want to make sure that i understand what this means in terms of opening the door to these reserves and what how that is used, i personally dont really understand all lot about it necessarily. And what it means in terms and if we open it up to use it, are we opening it up to use it all or some of it . But also, i want us to be responsible with how we allocate resources. I think that there have been savings from some of the changes that we made but also would like to try and stay within the context of the existing budget if there is more wiggle room without necessarily going into our savings but more importantly i would like to see us put more into savings and also make sure that we are balancing the needs of each and every district i appropriately especially with a lot of the challenges we face. Want to make sure that were doing everything we can to strike a balance to be able to continue to be responsible with saving money and try to understand a little bit more about what this specifically means in terms of digging into this item. Supervisor farrell intention is to continue this item until tomorrow and there is room for conversation and you can speak with our controller. Mr. Attorney you wish to speak . This item is not on tomorrows agenda so you can at the end of liberation today recess the meeting; under the board rules you have to take a few votes to recess the meeting and decide that this item will be continued. Supervisor farrell thank you for that. Supervisor mar. Supervisor mar i see on slide number 2, it is leveled out from 201213, looks like from the chart projecting past 2014, anticipate that it will stay steady between 200250 Million Dollar range . The budget before you assumes 225 Million Dollars in each of the next two years. Continued local strength in the commercial market. Given the proposition ends that supervisor avalos mentioned, trying to increase the tax rate this tax is progressive and is dependent on the amount of churn that we see in the commercial market. It assumes that level of activity we have seen in the last year will continue in the next two. We are actually updating our transfer tax estimate as well as part of the updates on the board on things that may have changed since the budget, we are expecting to see weakness in that. Nothing leads us to revise budget year estimate by the budget generally assumes continued strength. I know harvey rose looking at the legislative Analyst Report the president chiu, and the board of supervisors on revenue and expenditures i am wondering if you could comment on the potential risks a supervisor breed said, digging into the Budget Stabilization reserve or other reserves. What are the risks involved . We can provide more information on this. The city does like everyone else, goes through economic cycles, revenue cycles up and cycles down. Proposition a and the policy that followed were meant to insulate the city; when times were better more money could be saved. The city adopted a rainy day reserve in 2004 which provided helpful relief during this period but our analysis at that time indicated that we needed more to avoid really Significant Service cuts streaming down the economy. We can never predict when that downturn will occur which is part of the challenge frankly a budget revenue projections but we do know that when it does occur, having adequate reserves help us

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