The diagnosis can be changed. So if someone does not need a permit diagnosis of infertility from now until ever, and i asked specifically, what about if a woman came in and had had one successful pregnancy through whatever means, and was now desiring pregnancy again for the same kind of circumstances of having had one pregnancy, would she be considered fertile or infertile . And given the circumstances would be considered infertile at that point, even though she had had because this is a new encounter. It is a new time. I think that this covers the situations that might arise that would be again, it is not a permanent diagnosis of infertility by any diagnostic criteria. It is a situational situational diagnosis. We would cover two episodes. But apparently not the third. But it would cover because we wouldnt know at the beginning it would be infertile. Whether it is the first pregnancy or the second. That is my understanding. I have assurances of that. And obviously if that is not the case, we would hear about that quickly and have to amend the policy as we needed to to make it clear. We have all kinds of avenues to gather these problems as they occur. I am comfortable with this in the situation that has been outlined. Thank you. All right. It has been approved. It has been moved and seconded to approve the info tenant infertility benefit clarification. All those in favor . Aye. Any opposed . It is unanimous. All right. Item number 13 please. Item 13 is reports and updates from contracted health plan representatives. Hello. I am with blue shield of california. I just wanted to provide a Network Update for our access plus trio networks here in San Francisco. On october 1st, we sent a letter to 1500 members of our access plus plan to let them know that 48 primary care would be leaving the medical Group Effective december 31st for in and forming a new i. P. A. Under sutter. So we were not notified of this change, but in order to comply with our department of managed healthcare compliance for 60 day notification, we went ahead and sent letters out to all of those members who were impacted on november 1st. At this time was still have not been formally notified that these positions will in fact, be leaving. We are assuming that it will, in fact, take place, which is in violation of their contract with us. So what we have asked them to do is to provide a current capacity for their panels to give us a Strategic Plan on recruitment and retainment efforts of their existing or remaining physicians so by the next board, i should have for you and overview of the physicians that have left the primary care that are there and what their capacity is to accept new patients and maintain their current panel. I just wanted to provide that quick update. How many was that . Fortyeight physicians, primary care. Fortyeight. So if members are in access plus, it doesnt really change things for them. They will move with sutter. They dont have to do anything. They can keep there dr. The doctor even after the change. There were about 48 trio members who sector is not part of the trio product, so those members, we have our Customer Service teams outreaching, even though they received a letter, the letter is kind of vague because it is mandated. We are doing outreach to those members to let them know that this has occurred and what their options are as well. In trio then they would no longer have their doctor. Yes. They would have to pick a new doctor to stay in trio. In and this is in the middle of the timing is suspect. At any rate, i wanted to make you aware of it. You will be hearing in the media that the new i. P. A. Is going to be formed by sutter in the city. We are doing our best to ensure that members understand their options. Even those that can move to the new centre i. P. A. , so they want to stay, they can, they just have to knew choose a new primary care. Any questions . Thank you. Any Public Comment on the item . Seeing none, item number 14. Item 14 is opportunity for the public to comment on matters within the boards jurisdiction. No Public Comment. Moving on to number 16. Item 15. Opportunity to place items at the boards jurisdiction on future agendas. Okay. I think we will have a full agenda for next meeting, too. No problems there. Any Public Comment on this item . All right. If there isnt any objections we have an objection. No, not an objection. I have a question. Go ahead. I saw there was no Financial Report in the boards agenda and i would like to know from our chief Financial Officer that we can say affirmatively that we are in good shape. I am chief Financial Officer. We are in good shape. The audit that is being done will not be issued before after the next meeting in and and what is holding it up is a lot of data that they need to have and they need to get the Enterprise Department that have bonds resting on getting their financials out. In terms of this fiscal year, there is no anomalies i see so i would affirm we are in good shape. Thank you. I just wanted to say on the record for this meeting. Yes. If that is if there is no objection, this meeting is adjourned. Shop and dine in the 49 promotes local businesses and challenges residents to do their shopping and dining within the 49 square miles of San Francisco. By supporting local Services Within our neighborhoods, we help San Francisco remain unique, successful, and vibrant. So where will you shop and dine in the 49 . My name is ray behr. I am the owner of chief plus. Its a destination Specialty Foods store, and its also a Corner Grocery store, as well. We call it cheese plus because theres a lot of additions in addition to cheese here. From fresh flowers, to wine, past a, chocolate, our dining area and espresso bar. You can have a casual meeting if you want to. Its a Real Community gathering place. What makes little polk unique, i think, first of all, its a great pedestrian street. Theres people out and about all day, meeting this neighbor and coming out and supporting the businesses. The businesses here are almost all exclusively independent owned Small Businesses. It harkens back to supporting local. Polk street doesnt look like anywhere u. S. A. It has its own businesses and personality. We have Clothing Stores to gallerys, to personal service stores, where you can get your hsus repaired, luggage repaired. Theres a music studio across the street. Its raily a diverse and unique offering on this really great street. I think san franciscans should shop local as much as they can because they can discover things that they may not be familiar with. Again, the marketplace is changing, and, you know, you look at a screen, and you click a mouse, and you order something, and it shows up, but to have a tangible experience, to be able to come in to taste things, to see things, to smell things, all those things, its very important that you do so. Good morning, everyone. What an exciting day in the city of San Francisco right here on jefferson street. I want to thank you all for coming out like they say. It takes a village to really come up with a great project and this project is a great project that involved many people from many city departments, many years ago. It started with the fishermans worth plan and there were many agencies that were involved. I see john brown from the Planning Department is here. Harlan kelly from p. U. C. , our friends from the port are here. The San FranciscoTransportation Authority is over there, and many agencies, of course, public works. They are part of this project. And when this project first started, it was a five block project and we could only find funding to do the first part in the first part was from hyde to jones. But we also had to do it in quick time, in under six months we were able to build the only the first part of jefferson street before the americas cup and i can tell you that project has been a fantastic project. So this phase two is also going to be done in record time, under a year, starting today after this groundbreaking. With that said, i would like to introduce someone that has been a champion for Pedestrian Safety , implementing vision zero , and really making our safety the beautiful city that it is, im making sure that well work together. Lets welcome our mayor london buried. [cheers and applause] london buried. Thank you to all the Community Members who are here today to celebrate phase two of four phases of really changing the future and the landscape of fishermans worth in this area, which is not only visited by people from all around the world , theres actually an Incredible Community of merchants, of people who live here and who walk these streets every single day. We want to make sure that it is safe, it is walkable, it is enjoyable and people have incredible experiences when they come to visit San Francisco. Today we ordered the sun to shine so that people can happen even better experience. This project is an example of how when city departments come together for a common goal, with Community Members and the fishermans worth, Community Business district in the San Francisco chamber, thank you, rodney, for being here today, that we can make incredible things happen. Im excited that public works and the port and the Planning Department and so many of our agencies have made this a priority. We know that money generated from tourism actually helps to support so many incredible things that we do in San Francisco so we want the experiences to be that much better. And looking at how we are taking a street that used to be a oneway, turning into a two away , widening the sidewalks, making it more clean and more green, and at the same time, thank you to harlan kelly, the director of p. U. C. For digging into the ground, and we are taking around the fiberoptic cables that all the things that we need to do to make sure that the pipes and infrastructure is working so that we dont have to go back into the ground is absolutely how we should be working on public projects like this. Im excited. It took a lot of money, yes from a lot of different resources, and i want to say a special thank you to david chiu for his work in providing resources, working along with supervisor aaron peskin and supervising estate resources to make this project a reality. It does take a village. It does take a lot of money and here we are at the end of what is phase two to make something incredible happening for this particular neighborhood. Thank you do all the folks involved and im excited that mohammed has promised to do this in record time and within budget we will be watching very closely because that is what i care about the most. I know that one of the most fiscally conservative persons on the board of supervisors cares about that as well. Ladies and gentlemen, your supervisor, aaron peskin. [applause] thank you. Good things come to people who are patient. As down from the port to knows, this goes back to 2003 when the community gathered with the port and started a community plan. Some years later, the Planning Department stepped in even before the days of john ram and graham and that led to phase i. Lets be real, there was a little concern. Rodney will remember, back in the days when he had the wax museum, widening of the sidewalks was going to inhibit vehicular transportation here even though we all knew it was going to actually make fisherman s worth wharf keep up. Years ago they brought the f. Line in here and that was a boom to Fishermans Wharf and it is beloved around San Francisco and around the world. After that, we expanded the sidewalks. Fishermans worth is the goose that lays the golden egg for San Francisco. Year in and year out. It is high time that San FranciscoCity Government reinvest so that Fishermans Wharf will continue to be the envy of the world. 600 million in retail sales, 250 million related to hotels, millions and millions, 16 Million People come here every year. Thirtynine is the number one tourist attraction in the city and county of San Francisco. Investing 16 million of city and state funds makes perfect sense for this fiscally prudent supervisor, including, and i am wearing now my hat as chair of the San Francisco county Transportation Authority, not only 1. 2 million of your half cent sales tax, but each of the members of that body get 200,000 to invest. I put my 200,000 into this project. It is just a little bit, but it helped make it go. Congratulations to all the departments and particularly the community that made this happen. Thank you so much. [applause] next, from the port of San Francisco, we are on port property until you get in the middle of that street, then youre on mohammeds property, but we are on the lands of the port of San Francisco. Its executive director, elaine forbes. [applause]. Thank you so much supervisor peskin. Thank you to mayor breed for prioritizing safety and Economic Development and helping this neighborhood thrive. You have heard from the other speakers about this area being the goose that lays the golden egg, which is completely true. 85 of visitors to San Francisco come here and they come back again because it is such a wonderful experience that we have to continue to invest in, but i want to talk for a second about the community that is here we have 500 businesses. Many Small Businesses can eat, many multigenerational businesses that make this place thrive. We have an amazing Fishermans Wharf community. We have the fisherman and women who are the reason for this place you have been fishing and making their life off the bay for generations and Fishermans Wharf is about the Fishing Community and about the small communities Small Businesses in the community. That is why it is a special place to come and visit. I want to acknowledge all the community did to get to this place today, to have our groundbreaking. It is a real celebration to all of you. Thank you for making Fishermans Wharf such an amazing experience for all the people local and visiting that come and again that come again and again. I want to acknowledge my commissioner who is here today. Now id like to turn it over to randall scott. He is the c. E. O. Of the Fishermans Wharf c. B. D. Thank you. [applause] thank you very much. Thank you to all of you. I came here last december to Fishermans Wharf and fell in love with it all over again. I want to encourage each and everyone of you to come down and visit and see what is going on. The pedestrian developments of jefferson street, wider sidewalks, easier to walk through, all around the world, people have been doing this to their cities and the foot traffic and the visitation that comes down with that and the boost of businesses is absolutely fantastic. I cant wait for this to finish. Thank you very much for only promising for one year. As mentioned, we are the tourist heart of the city. People come down here, they have fun, they go back to their homes , they bring back more people. I just want to say, you know, to the city, thank you for reinvesting and Fishermans Wharf. We promised to take very good care of it and we look forward to those people walking down the street. To those of you in the bay area, i would highly encourage you to come down and visit. This place has something for everyone. We have a Treasure Hunt do you can go from bar to bar, attraction to attraction and enjoy an entire full day down here. Again, thank you to the city and county of San Francisco, thank you all for coming. [applause] all right. In fact, this very spot that we are standing will become a brandnew plaza. As everyone knows, it is a parking lot now but we will redo it and it will have nice paving patterns. Those architects at public works , they have had fun with it everybody is okay with it. Okay. Lets go and break ground. We have some shovels. Lets get busy here. All right, come on in. Ready . Squeeze in. Squeeze, we dont have to touch. All right. Are you guys ready . Five, four, three, two, one. There we go. [cheering]. All right. All right. Thank you. What are you going to use it for . [laughter] for joining us here today. We all know that our Public Transportation system in San Francisco is important to our present and it is definitely critical to the future of our city. As our city grows, as our economy grows, as we build more housing, as more people work here, we know that we cant continue to grow in those areas without thinking about imp