That contract was signed by pg e and they made a deal with the city, that is a breach of contract. If they pulled out and did not keep up their end of the bargain, understand me. That is an additional lawsuit that should be filed against pg e. Pg e has been busted by investigator that showed that well over several years ago they were told about their defective equipment and the electrical wires, and the electrical poles could cause a fire hazard. They did not do a damn thing about it. That is further proof. A minimum of 89 people have lost their lives in that fire, that took place, on the other side of the bay. Its disgusting. About you, talking about you want to take over their system, and their defaulted equipment is a waste of money. You can start by going and gathering god damn new semi get that 21 billion that he put in, and stop rebuilding and build your own system to distribute electricity that you already didnt it demonstrated that you can generate on your own behalf. Also, sorry. Your time is up. Next speaker, please. Hello supervisors, i am a resident of district one. I am also an electrical engineer, retired, a graduate of davis and berkeley. I think i am probably the only engineer, graduate engineer in this room, of the presenters we saw today. I appreciate, mr. Peskin, you are a person with with attention to detail. That is what engineers do. Supervisor peskin i think the general manager of our puc is an engineer, but go ahead. Many people who talk about being an engineer, there are many with different flavors. My degree is in Electrical Engineering specifically. I wanted to speak to the risks, and challenges, little bit and say am probably in favor of the option that nobody wants. One of the things pg e has now is what they call a scale. The city will lose some of that. It costs that the city wont increase almost certain because of that. Im not going to go into details, but i think you understand what the scale is. Things like distribution facilities, maintenance facilities, all of the things that needed for infrastructure to support the operation are distributed along its territory and can be shared within the territory. We will lose out in San Francisco. Supervisor peskin we have some of that upcountry. May be some, not all. Not to the extent that pg e in terms of responding to largescale things like how many power lines down. Im not going to get enough time to speak. In terms of the cost, we just talked about the park escalator canopies, and the unexpected high cost, and that is typical. It is a very common thing. Im not going to go into that any further. Finally, about the employees, it has been reported the employees already saying if theyre only in San Francisco they will lose the ability to transfer out. They will be competing with tech employees for their salaries. Supervisor peskin thank you. No, sir. Are there any other members of the public who would like to testify on this informational hearing . Seeing none. Public comment is closed. Ms. Hale, general manager kelly, godspeed. Any additional comments from Committee Members . We will be hearing from you quarterly about the red, yellow and green lights of which i think around that long list you last furnished us which was pages long. Everything else was predominantly red, little bit yellow. If anybody out there, from pg e is watching and they have legions of lobbyists, Governmental Affairs people, would you at least be decent to the city on that issue. This is amounting to extortion. This has nothing to do with the rest of the conversation we are having. Why dont you stop that nonsense with that. We are adjourned. Clerk is there a motion on the item . The item . The Health Services board will now come to order. Please stand for the pledge of allegiance. [pledge of allegiance] madam secretary, roll call, please. Yes. Item three, roll call. [roll call] there are some commissioners excused and rafael nadal him and is also excuse. We have a quorum. Item number 4, please. Item four, approval of possible bulk possible modifications of the meetings set forth below. June 13th, 2019, and the special Meeting Minutes from july 11th, 2019. Are there any corrections to the minutes . Of either meeting . Seeing none, i will entertain a motion. I will move that the minutes from june 13th and july 11th meetings be approved. Second. Okay. Any Public Comment on this item . All right. All in favor . Aye. Any opposed . It is unanimous. Item five is general Public Comment on matters within the boards jurisdiction. Is there any Public Comment, anyone who would like to speak at this time or have a question . Hello, i am a retired teacher with the united educators of San Francisco. Is this an appropriate time to give feedback on the presentation last time . Because i wasnt here until the end and i did have some feedback to give because im thinking it might be a good time because the minutes were about the last meeting. I think it is fine. Thank you. I want to say that the motto that was the model that was presented was quite amazing and just show that theres a lot of change going on. I would like to, as a teacher, when we do something new, we have a pilot, and im wondering if there is a pilot where you start off with a very small group of people and you they volunteer, and you get a good Cross Section and you can take out some of the bugs there. And also, is a former bilingual teacher, im going to ask if there will be accountability for many of the families who probably speak another language, and that is something to be considered with the new health plan models. Also, i was reading something, coincidentally i think it was the july issue, and they talked about healthcare, and they talked about two models that were successful. One using the preventative model , and the two cities were denver and austin, and they have done the vertical integration, so i am wondering if it might be useful for you to know about that. Those are my general comments. Thank you. Thank you. Any other Public Comment . All right. Public comment is closed. Item number 5. Item number 6, please. Item six is the president s report. This report is given by president breslin. I have nothing to report at this time. Is there any Public Comment . Seeing none, item number 7, please. Item seven is appointment of the Health ServiceBoard Committee chairs and members for fiscal year 20192020. This is presented by president breslin. All right. My duty as president is to recommend the chairs of the committee and the members of the committee for the following year , on the finance and budget committee, as chair, commissioner lim, and Committee Members commissioner monsey and commissioner mandelman, and for the governance committee, im recommending as chair, commissioner scott, and members, commissioner canning and commissioner how. I would entertain a motion to approve these recommendations. Can i ask one question . Who are you appointing yourself to . Either. As president , i am ex officio on all boards. I move approval of the two committee two committees appointed as outlined. Second. Any Public Comment on this item . Seeing none, all those in favor . Aye. Any opposed . It is unanimous. All right. Item number 8, please. Item eight is the directors report. This report is given by the executive director. Thank you and good afternoon. I would like to start my directors report by recognizing , on behalf of the Health Service system and the Health Service system board, our staff member, florence lamb, who is retiring as of september first. Their certificate of commendation reads, in grateful recognition for your enduring commitment to exceptional customer service, the Health Service system and the Health Service board thank you for your 19 years of service, your work ethic and positive attitude is extraordinary. Your initiative and willingness to go beyond expectations has significantly contributed to the success of h. S. S. We really appreciate, and many of the staff had lots of wonderful things to say about you and the extra hours that you put in during open enrolment, the dedication that you have, in particular to the School District personnel. I thank you are the go to person on all things School District, which is terrific, and bringing in new employees is another great skill that you have. I know you answer every question that ive ever asked, and i see you often in mitchells office hanging out. Im sure that says a lot. It is really a pleasure to i have had a very short tenure with you, but obviously you have made a lasting impression on the Health Service system and our members. For that we thank you. [applause] i personally want to thank you for your service and wish you a very happy, healthy retirement. Any other comments . All right. I will return to the reports. I will just highlight a few things. One is we did make it through on time with rates and benefits approval. It was a little dicey in some moments, but there is no controversy about the rights and benefits package that we put together this year, and i personally want to thank my entire team for the tremendous work that went into creating the rights and benefits package. I appreciate it. I also want to think, in his absence, supervisor mandelman for sponsoring legislation and for seeing the process through for us. In addition, pamela will note in her finance report, but in the parallel timeline, we also had our Budget Approved of the board of supervisors, which is no small task, and i wanted to recognize pamela for the effort that she puts in on that every year. It is Pretty Amazing the process , so thank you, pamela. As a followup to the market assessment, we are having we are engaging communities and collaboration with the Member Engagement process. The design of that is not complete, so im not here to tell you what thats going to be today other than we are working on it and we will have information coming out to our members shortly where we will be designing a few workshops and focus groups. It did come to my attention recently, and i just wanted to add this clarification that apparently a few years ago, when there was the change in the medicare product for our members , there was an extensive number of outreach and town Hall Meetings to educate us about a change. I did want to say that is not the approach that we will be taking with this because we dont have something to educate people about. We are also we are actually in a very targeted session to try and get a sampling of the wide array of members that we have to get their input. It is more of a focus Group Approach and i dont think i know i wasnt aware of that prior methodology, so i just wanted to manage expectations around how what we would be doing. To that end, i just wanted to recognize shenae, who is in the room from community and collaboration and as part of the team. There she is. She was helping us design our workshops. I will be facilitating more to come on that shortly. The new hours of operations for the Member Services is in effect as of august first, and i noted this morning coming in that the team is hard at work at 8 00 a. M. In the morning, not that their doors may not be open to serve members, but they were fully engaged in some of the process improvement training and work that they are doing, so i did want to assure the public and our board that those hours are being well purposed with the team and it is very much appreciated to be able to have that time to do the training and process improvement work and all the new, knew everything, constantly changing. People need time to take up that information. Pamela has helped me put together a pretty comprehensive legislative update report in your packet. As you are aware, there is a lot going on, both at the state and federal level. We will try to keep you abreast. We could spend hours on almost anyone of these topics if the board wishes to have additional information, or has a keen interest in any particular item, please let us know and we will do our best to keep folks updated, but i did want to call out, in particular the governor in california. We did past the healthy california for all. There is a commission that is being formed to really look at the singlepayer issue. It is my understanding that that commission has not be full been fully appointed yet, but that will be something to pay close attention to. As we all know, Governor Newsom has a passion for healthcare. Also, we have pamela who uncovered the m. C. O. Tax. It is actually being considered in california as we speak, so we will see what happens when the Legislature Reconvenes in september. So theres much more i could say , but i felt that at this point, this is a pretty nice summary of what is going on, and we will keep that up to date for your information. I did just mention the lean process improvement. I will be talking about that as part of the Operations Report for some time to come because we are very much learning how to become a learning organization and learn process improvement that will, that is already having an impact on things outside of the project itself and just learning new ways to work together. The Member Services team and others are meeting daily to go over the things that they are working on to improve, and thats going to carry forward, even though we will take the our eye off the ball a little bit during open enrolment, the daily meeting huddles will continue, which i think will really enhance the ability for the team to Stay Together and focus through open enrolment. We are very excited about that. I did want to acknowledge Sean Lovering here from blue shield of california. There was news that see pmc is now part of the trio network as our board may recall. That negotiation took almost three years, but they are now part of the trio network. So i think there are members that wish to participate in trio , and that was holding them back. We could take a look at that again as an option during open enrolment. We have had some issues that we have worked through with our account Management Team at kaiser where we did have some changes in the way that they did procedures for terminating members from kaiser. It was setting off some alarms in our office, and we have worked through these issues. It has been a real roll up your sleeve, trying to determine what the root cause of this problem was, and it has been a joint effort to resolve that. Will be monitoring that closely in the days and weeks to come to ensure that it is resolved. As a followup to the june 13th meeting, mike clark worked diligently to create the answers to some complicated questions about how the tax works with our various providers , and why we see the yeartoyear medicare plan variation. If Board Members have any questions, mike is here and can take those questions. Operationally, in addition to florences retirement news, we have had a number of promotions, and i believe some of these folks are here. Carrie is now our wellbeing manager. She has been our acting manager from time to time over the last couple of years and has persevered, and is now the manager for the vision and we are very pleased to have her in that role. Michael, is michael here or not . He is our contracts administrative manager and he received that promotion. Eileen is promoted to the senior benefit analyst. Weve had a lot of movement and i did acknowledge in the report, shannon, who is a senior h. R. Consultant who came back after a Maternity Leave and has been really amazing and clearing the backlog we had of unfilled positions. We still have some open winds, and in particular, we are being very focused on the benefit analyst positions that we need to have in place for open enrolment. Those lists are out and i know the team was behind closed doors yesterday, going through applications. That is moving forward really quickly at this point. I think the last thing that i wanted to call out, because it is such a big part of open enrolment, is the electronic benefit process. It continues to move forward. It is a very big moving target for the active employees who are very were fairly confident that things will move forward. There could be delays in rolling it out to more of our retirees and some of the School District employees, with that is not our intention at this point. As we look at things may not meet the timeline, those are the areas that are more vulnerable. But we are optimistic that we will have a significantly different experience this year with the selfservice benefits. That concludes my directors reports report. I can take any questions. I have two questions. One, you may not be able to answer and has to do with this commission being established with a singlepayer, although it is early, do you know what the composition will be . Will it be representation from the Public Sector so that we know that we have a voice, and in one sense or the other in this commission, assuming there will be transparency. Im not sure. Pamela do you recall i think that was part i think it is a bit of a mystery now at this moment as to how that will be divvied up, but we will follow this closely and let you know as soon as we do. I think we have a vested interest in seeing how these discussions go and i would hope that the Health Service board would be behind a recommendation to make sure that the Public Sector is represented on this one way or the other. Whether it has to