Clerk we have a quorum. Item 4 the approval with modifications of the minutes of the meeting set fourth below. This is the regular Meeting Minutes from february 15th, 2020. Are there any corrections to the minutes . Seeing none, ill ask for a motion. I make a motion that we approve the minutes from the february meeting. Second. Any Public Comment on this item . Seeing none. All those if favor say aye. Aye. Any opposed. It has passed unanimously. Item 5, general Public Comment from matters of the boards jurisdiction. Please come forward. I have a comment on the assistance dealing with this coronavirus and the healthcare and they have already got someone that had already got it and would not allow them to even be any lessons because the school and i went to in 200 200r this issue and what they did is that they bribed me and tried to make it work where everything was off base that other things that trying to teach me i was really upset about that because of the healthcare issue and they were towing it and because of the example that i am here we get through the coronavirus and this is serious and people, you know, see that. This is something ive always been through. To show an example, if the healing care issue and i shouldnt be ignored or anything in this matter. Thank you, very much. Next speaker, please. Hello, my name is alice mosley and im a retired teacher, although theyve asked me to come back parttime to help out. As of last july. Ive had a serious difficulties with getting my healthcare because i was not told i it not have when i went to sign up for the Social Security and i didnt know about medicare because i never had it before, that i required part a and part b and then i was told after i already signed up that i did not require part a because i it not qualify for premiumfr premium. I think the fshhs should tell all teachers because increasingly, you are going to find teachers who have not accumulated 40 quarters if theyve worked for sfusd because sfusd does not pay into Social Security, who are not eligible for premium free part a. Because i had signed up for it not knowing that, i was billed by medicare forever and ever and i was considered ta lin delinqud when i withdrew i dis enrolled from Medicare Advantage which are sfhhs has us to. Ive got 5,000 worth of bills because i it not find out until months after the fact so id love it if someone could advise me exactly of what the situation is. There is someone at sfhhs who is looking into it but i havent heard and ive got this i dont want my Credit Rating to go down many of its now been rectified but i still have bills for a period of time and i would never have gone to the doctor if i had known. I have medical supplies ordered on october the 31st when my new coverage kicked in on november 1st. I just didnt know. They need to inform teachers as we not paid into part a or part the 40 quarters for Social Security. Someone look in that, please. Thank you. Good afternoon, commissioners. Richard rothman, row tired city worker. Two items about delta dental. It says the maximum of dying knows and Prevention Services to not count towards the maximum. And then on the smile program, which my wife and i signs up for, i just paid my wifes premium but delta dental needs to put out a new flyer. Is this 100 coverage before . Is that included in the diagnostic coverage or is that except from the 1250 calender year all these that are listed on the page here . So maybe they could clarify this with a new flyer because i certainly dont understand it. Then i want to talk about kaiser. When you email kaiser, or their Member Services they come back with answers that really, i dont know, insult my intelligence. The last time i was here, i talked about why when they have contract nurses, they cant electronically communicate with kaiser and the doctors and i got an answer saying they cant answer the question. What kind of an answer is this . You know. And my doctor changed my wifes medication but how is the contract nurses supposed to know if they come out. But i want to talk about Saint Francis pavilion. This place, you should never send anybody, even your worst enemy there. There should be a provision when you negotiate the contract with kaiser, that no City Employee or retiree or any member of the Healing Services system should be sent to that location. That place was dirty, understaffed. He wont go into the details of what happened. Mitch can send you the letter. I just dont feel like it should be publicized. It was one of the most horrible experiences in my wifes and our, you know, years. It was terrible. And im still bothered by it. Why kaiser sends anybody there in the discharge nurse wouldnt eand talk to us and it was filthy. The bed was old style. When you put in the for a st. Johns fran pavilion. Ansanfrancisco pavilion. Clerk this report is given by president breslin. I wanted to mention i received a phony post regarding the coronavirus. Be aware of that. Its going to a lot of people. Instructions seem to be the same, wash your hands and stay out of large gatherings and stay home if well its very important. Our distric director said the ws up tated frequently regarding the virus so thats a go ahead place to lock for Accurate Information regarding the virus. Thats all i have to report. Any Public Comment on this item . Can i just comment, i think that you make really a good point about the information. Were all getting inundated and i think a lot of it is well meaning. I dont think poem are out there to enhance the risk but a lot of the recommen recommendations why look logical at face value are not really shown to have been effective as anti viral mechanisms avoiding ice and water, for example, which was in the message that you got. It was not shown to decrease ones risk of acquiring colds or influenza or coronavirus. And so, i to think the other side of this is that i think the advice that you can get by going to a websites that are monitored and screened and updated regular low, and often refer to so san flare says this. Sanford university doesnt provide healthcare, individuals do, doctors do. They are scientists and theyre physicians and nurses and all so to say stanford is saying this and organization should be suspect and it does to some extent when you start seeing all these different recommendations it doesnt undermine the good information that we can access and the good information because the message sub limb alley is well, why arent they telling us to avoid ice cubes . Why arent we doing told this from our own public Healing Department or the state or center of disease control. I want to reinforce your comment. Its well taken and i think we have a responsibility to help our family and friends and colleagues and under how to access information. Its really trying to cope with a very stressful information for every Single Person in this room and lots of people outside this romijroom, including in the wor. If i could echo some of that, obvious will he we wanobviouslye information. The updated friday directive from department of publicheal h Health Officer just to take it seriously. The recommendations around social distancing avoiding larger gatherings and less essential at the board of supervisors meetings, for example, weve the recommendations are around folks, you know, trying to be throthree or feet from other fos to prevent spread and weve an active in our district, things that bring people together, if theyre vulnerable populations, seniors, folks with Underlying Health conditions to be encouraging folks not to have those sort of Group Gatherings unless those are essential. I just think at every opportunity including for folks in the room or folks watching this on tv, its important for all of us to be making sure those recommendations are getting out there. Thank you. All right. Item number 7, please. Clerk item 7 is the directors report. This report is given by abby yant, the executive director. Good afternoon, commissioners. Thank you all for being here to the. And my directors report i comment on the covid19 19 and our citys Emergency Operation center has been up and running for eight weeks now. We have a department low low a. We are working to keep our members informed by updating the website regularly as chairperson breslin has commented, we have coordinated from the onset with our venders to be sure those micro sites, if you go on a general site you will see one thing and if you go on our site you might see something different. Those companies that we work with cover geographical areas different than San Francisco. We do direct links to our local department of publichealth. We dont do distric direct linky department. We advise those who live outside of San Francisco to connect with their local department of publichealth for local guidance. As far as operations go, at Health Service systems, we are preparing to telecomute where it makes steph and were preparing staffing models do you to the social distances directive or whether we have illness or exposure within our workforce so we have all of those plans under way. And are being very aggressive about working through all of that. Were very active on the covid19 and should any of the commissioners have any questions at any time please, let me know. Moving off of that, we are in a vendor blackout period. We are at the table with all of our major vendors right now and just an admonishment to all of us on the board that those kind of conversations should not take place outside of those renewal meetings. The Health ServiceBoard Election for this year, we did have one very qualified candidate who has submitted all the paperwork and was the soul nominee and she met all the qualifications, we have declared her the newest member of the Health Service board that takes effect in june and between now and then, we will orchestrate the wearing in ceremonies. So thank you and welcome, claire. I will say shes been very helpful in making sure our website is uptodate. [laughter] which i appreciate, its good to have that perspective from outside the organization. I did put in a small paragraph about the Infertility Services update. Were anticipating having on the agenda in april update to the board as we work diligently with blue shield to see we can address the questions brought before the board. Also the next item is the supper antitrust case as i put in here as the update from the Pacific Group on health. That care is still pending Additional Court action and so it is not finalized at this time and we will advise you when it is. We have continued to work on this Mental HealthProgram Expansion budget to the submitted to the Mayors Office and that will be completed some time within the next two weeks. The operation report i just wanted to call out a few things, one is jessica, she who wasnt able to come today is our new communications director, she just started this week, last week. And it seems like shes been there a while. She jumped in and is not shy about asking questions. Its a great addition to the team. And i it want to add to this that we did receive reluctantly the notice from sha von oconner who is in the audience and has been our Members Services manager for the last throw and a half years has rentered her renr resignation april 6th. With the modernization of sales force and the ecm and its just been outstanding. We will miss you and we thank you for your service. [applause] just a few other things to highlight as we continue conversations with the School District on how we can continue to partner with them offering benefits is pretty complicate and mitchell can describe it better but its a project that were interested in finding modernizing and helping and working with their newly modernized system in a way that doesnt disrupt the relationship that we have. The new telephone system is on our desk, turned on and well complete the conversion, i believe, were scheduled to awe over again and there was a question about met foreman. The doctor did find a very useful reference we have dig contributed that talks about the question of whether theres a cancercausing ingredient. This article states the fda has been involved in researching this question and at this time they have not determined if there is it doesnt contain it does not contain Dangerous Levels of this chemical and they have an Ongoing Investigation and its certainly a challenging question for them and because it is such an effective drug and theyre really arent alternatives for it its still theyre not recommending any re call here in the United States so i thank our member who brought that to our attention and its an interesting story. Well continue to follow it but at this time, we are following fda recommendations or our practitioners are following fda recommendations. So with that, i think im finished. My Public Comment on this item. Im sorry to hear that shavon is leaving and its the first number i have to help with our reccff members so i wish shavon well but i hope that we can find someone to fill her shoes, shes been invaluable during the time that she has been here and shes been very helpful and abby you cant leave either. Thank you, very much. I think shavon should stay and help us get more even with our healing care and you know, in the healthcare events and it could be more glad if you approve to make sure that lives will get too far in society with our to to whatever and this is worldwide and this already thousands and thousands of people, you know, that is going on and stuff. Better healthcare and in the age we can were putting things off and which we shouldnt have to for our healthcare. For our babies too. Item 8, i believe its Denise Rodriguez, the director of strategic accounts and the Public Sector presenting . Good afternoon. Denise rodriguez with kaiser perm ant tee and its a quiet room today. I wanted to come back this quarter to give you an update and ive committed to doing that every quarter. I know you are very interested in seeing how it progresses in terms of usage and as well as where were at with adding and wheelchair ban and coverage. Im excited to report that weve had 27 transportation requests and successful requests in the month of january alone and that was just with moderate communication. Ive got julie brady here with me, shes one of our medicare consultants that will talk about our plan to make sure people are using the benefit that you are paying for. I will have february numbers by the 16th so as soon as we have updated numbers for february usage, well share that with executive director yant and her team. In terms of the wheelchair van and gurney van, we recognize this is important we recognize the importance to this population we want to serve them. I shared with you the challenges with ragged this benefit so quickly this year and it had to do with cms compliance issues. Were still working towards adding it for january 1st, 2021. No further updates on where were at for adding it mid cycle. I did want to remind you all that you are not paying for that benefit that would include gurney van or wheelchair transportation. You are paying for it which is just the said an wheelchair transportation. Any questions or comments about that beforehanded off to julie to just over the Communications Plan . Thank you. Thank you. Hi, im julie brady. Executive Retiree Solutions manager with kaiser. I wanted to give you an update on the communication plan that we have in place to include out bound phone calls alerting them to the new transportation benefit and we also took that opportunity to remind them about the silver and fit benefit as well. We added the transportation. We created a transportation benefit flyer to outline exactly how they needed to go about seeking this service. That has been added to the kaiser site. We have shared with hss that same flyer so i would work with them it figure out where we can share that flyer if we post that on their website or if there are any upcoming news letters that we can send out to your members so they have the flyer there as well. We are in the process rit now of mailing out a letter to all of your retirees, all of your kaiser senior advantage retirees that will include both the transportation flyer as well as the silver and fit flyer designed to have stepbystep exactly what they need to do so they can get these benefits. We know many people dont necessarily lock at email or respond to phone calls so we wanted o mak to make sure we han a variety of methods. Were also we send aging kits when your members are turning 65 and weve added that transportation flyer to that kit so when they get that kit in the mail, it tells me about the senior advantage plan. It will also have the transportation anier. Also, the open enrollment kits so that will be later in the year. Are there any questions . Since weve coronavirus as come up several times but this is a population that should see itself at particular risk for the complications. Weve been getting lots of emails from bakery and all kinds of what theyre doing. So, does kaiser have a paragraph or a sentence or something that might reassure our members who would like to use this benefit about the sort of methods that are being used to show that these are clean vans or whatever . I would have to get back to you on that. Im sure our vendor has something and maybe we could potentially the letter hasnt gone out. I dont know if theres s