Page 4 - Nutritional Services News Today

You have obviously the costly it is. So i would encourage you to really think this true, and possibly under the umbrella of the department. And i greatly appreciate that is in the alignment on it and it is in alignment with the chiefs that i have spoken to at San Francisco general great. Commissioner taylormcghee . Thank you. And clearly there was a paradigm shift in 2010 when medical cited that transgender surgery or sexual reassignment surgeries were medically necessary. So obviously that obvi...

I received no Public Comment on this item. And any other items from the commissioners, if not, then, we will go on to the next item. Item 9, is the joined Conference Committee report back and honda and did meet in between the last Commission Meeting and today, and so commissioner sanchez. We have a report from commissioner sanchez . Yes. We had a full committee and we heard an excellent report from the hospital staff and also the unique acknowledgments given to the staff ranging from the state w...

Much restrictions for how they could take it out, its been growing so that 25 percent, once weve established our eligibility for that certain year has been a lot and certainly in the years we were most desperate because with the budget issues, so i dont why should there be a restriction on how much we could take in one year . I do understand that should this language as proposed go through, we could change that rule 2 3 of the board could change that rule so maybe we want that limitation of 50 p...

Is one change, but in technical terms, that would be less than 25 percent of the whole balance in the rainy day reserve, but at least there would be certainty about that. Thats why we think there would be less money. Thank you. I want to follow up on that. This is where my antenna goes up because i want to make sure we thought through the whole thing. Clearly there are people that beyond the Rating Agency issue think this is a better situation for them. So i mean, i havent i have to confess and ...

[inaudible] or whether or not we would be getting [inaudible]. Not in the materials that i went through tonight, but yesterday i sent an email with scenarios and calculations to you. Its hard to tell because its speculative. We dont know what the among other things, we dont know what the policymakers of the city would do in the future, including the near future about making draws or appropriations to the district under the current language so its part of this depends on one zone predictions abou...

Supporting the amendment. I think one of the toughest tasks the members have had has had to do with lay offs. Really just a terrible situation and so your first bull let bullet point, im very interested in seeing that change. I think if we think about the lay off process that weve had to go through in the past years, its very cruel and unusual punishment for or valuable assets so im interested in making this charter amendment. Commissioner [inaudible]. I had a question. Go ahead. Were you going ...

Problem. If thats done im okay. Any other questions, comments . You mentioned none of this is set in stone, so can we 60, 40, instead of 75, 25 . Just kidding. My suggestion about this is [inaudible] or whether or not we would be getting [inaudible]. Not in the materials that i went through tonight, but yesterday i sent an email with scenarios and calculations to you. Its hard to tell because its speculative. We dont know what the among other things, we dont know what the policymakers of the cit...

Besides the update on the main budget youll get an update from the staff. We the Nutritional Services and it will come up later. So the report that we got from nutritional look at that and ask any questions ask lee or may i president fewer. So chair winn i had to leave not early nor the meeting i was denied way too over we had the meeting start a 5 oclock. I noticed a big pact was there a recommendation that that come to the committee as a whole there was other information regarding some sort of...

Through the task of identifying some specific edits or mark ups to propose at the committee whenever it takes place. And then as a part of our preparation process for input, it is along the lines of what youre informing us here and then the possible changes. They are this is an ongoing conversation but the last large bull et point regarding withdraws in your presentation, that is on ongoing conversation, or youre here to get the temperature of the board . These are concrete changes wed like to s...

Incredible and the stake holders and i want to thank him as well. And i want to join garcia to give dr. Zevin the accolades because we recently celebrated. And i think that that is something that as a city and we as a Health Department with be proud of because we are leading the way for good and really appropriate transgender healthcare and with that i actually have a question. And it is really about the role map that that you have mentioned at the end. And the providers of the surgeries and i b...