Well now have item 2, roll call. Thank you president scott. Our roll coloradoed to order is 103 p. M. And roll call starting with president scott, present. Vice president hao and breslin and canning is excused. Dorsey, present. Commissioner follansbee, present. With that, we have a quorum. Can we go to item number 3 . [multiple speakers] it wasnt his fault. Thank you president scott. Item 3 is general Public Comment. A opportunity for members of the public to comment on any matters within the boards jurisdiction that is fot on the agenda. Remote viewing is available on sfgovtv and online using webex. Welcomes public participation. There is a opportunity for the public to comment at the beginning of the meeting and each item. In person comment is first and then virtual. Each speaker is allowed 3 minutes to comment. All Public Comments are made concerning the agenda item presented. A caller may ask questions of the body but no obligation to answer or engage in dialogue. Will hear up to 3
Competitive rfq process to look for qualified respondents. In 2009 we did a public rfp and got two bids and one from recology and one from Waste Management. We looked at other environmental factors which came out fairly evenly but the thing that was very striking was the difference in cost which would translate to over 100 million for ratepayers over the lifetime of this contract. So recology was selected by the panel. Lawsuits were filed. Lawsuits were dismissed and over the course of the next four years the board repeatedly took a look at this contract. You held four hearings, two votes and after the hearings and the votes the board unanimously approve the process and said in fact recology was the qualified bidder for the contract. Supervisor mar. I just wanted to ask you to slow down a minute and on the environmental benefits of the recology contract my recollection is the reduction in Greenhouse Gas emissions because of the green rail but with more miles trucking from tunnel road t
Caps or spreading of maximums throughout the year a person who wouldnt spend 0 more than a certain amount in one year or shift the burden there are two bills pending before the state legislation ab 39 prevents the copies from a tier and assemblyman bill requires the companies to report medications that costs more 10,000 just to conclude it is clear it matters in San Francisco but that helps to put a finer point on this is a chart showing element san franciscans living with hiv we dont have good numbers for multiply scleras and other disease but necessary need access to treatment that is why it is an important issue here in San Francisco thank you very much priscilla so mr. Chairman id like to ask as mentioned our assemblyman david chiu is sponsored legislation around this and aarons office is here i want to ask him to come up and speak on the assembly mans behalf. Thank you very much as the supervisor said im here im aaron on behalf of dude for the most part thank you, supervisor wiene
He showed up to get his monthly drug and he showed me a photo its beyond me why Insurance Companies financial incentives it strikes me it is illegal. I have a little bit of Additional Information that gets to that point here. Okay. So you laid out the speciality tiering as you stated supervisor wiener they may violate the Affordable Health care act provisions for protecting people that have preexisting conditions and maybe discriminatory and for patient it puts a substantial financial strain on people and the costs cannot can be unexpected may be a person needs a drug for a disease and its on a stoplight tier the health plan changed the policy and the cost increased dramatically as youve stated cost effects whether a person can afford their diner or medication theyll probably buy the food they need and this gets to your other point buyouts action of plan for plan the initiation of treatment with initiation of treatment for diseases coming sooner and in the stance of chronic deceased th
Insurance plan. This is important one conversation we were having in the community there are people that opt for the high digestible plans and find the dedublt are noted manageable were ask them to go to a silver plan were talking about spll silver plans having drugs that are effectively unaffordable for people thats a real problem. Absolutely and i didnt mention when i was talking about the unexpected nature of the health costs brauj plans you pay a lower amount but the minute you need health care it is far more expensive 2, 3, 4 a baggage plan the cost sharing for speciality plans can be 40 percent of the cost for drugs so what that table shows the proportion of the plans for all the drugs in a specified class into the tier for hiv medications they looked at medications broken covering medications for example 29 percent of the plans for all probable cause terrors and 60 percent of plans put the cancer medications into a stoplight column it is nationwide issue a study was done in spec