Pay for themselves and tickets. We dont know why you dont do enforcement. What is the sfmtas opposition to enforcing the regulations that are here to make traffic work rather than letting it be a free for all. If you want to snow slow streets suggestions talk to us, weve got ideas you could use right now in soma. We have no slow streets and we would love them. Thank you. Thank you. Next speaker, please. So speaker, if you can start talking. My name is brian and i walk San Francisco vision zero organizer and member of the senior and disability workgroup. We really appreciate all walk San Francisco all that you are doing to keep us moving safely, specifically thank you for this work to speed up muni service and the transit only lanes and so we can actually keep levels high and we know that this is critical not only for public and the pandemic but also for publichealth related to the citys vision zero goal and in terms of ways making it safe to walk we appreciate the slow Streets Programme and know its great for some areas and for many trips especially those to and from transit we need to make sure the high Entry Network actually becomes safe requiring some other tools likely cost safety zones and left turn and we hope the sfmta will be meant to use. One of the things in addition to the considering the expansion of bike share, i do want to encourage the sfmta to think about how the adaptive Bike Share Programme can return and be expanded especially considering slow Streets Programmes and places like the great highway that are now completely free of cars, i want to make sure we dont forget about Community Members who can enjoy these places if they are accessible options available. Thank you so much. Thank you. All right. Next speaker, if you can give us your name and start talking, we will set your two minutes. Good afternoon. Chair board and members, dupres here again. My pronouns are she and her for the record. Good plan, lots of good things, im going to take a fresh approach. All electronic towing is essential. We must continue with that work. I do support some kind of a congestion pricing. Cars are very expenses and they take up a lot of space so i support metring. I lived successfully without a car for 11 years and still havent found a need to rent one. I definitely support an expanded bike Share Network and more scooter options. All of these bikes, every bike in this network should be electric because you can use the clipper card. All cars that diverse the bridges should drive through them and pay using a website and all people who ride on buses and trains should be able to use clipper or an app to pay for things. Its time to move away from ways of doing business. Even the subway. Are there any additional speakers on the line . Hold on, madam chair. All right. Madam chair, it seems like we do not have we have two more speakers. All right. So please give us your name, speakers and well start your times. As soon as you start talking. Thank you. Hi, good afternoon, board of directors and chair boredden. This is cat carter with San Francisco transit riders. First, i want to thank you for the top of the meeting and starting that conversation about working to address the racist legacy of our city and of the agency. You are opening comments were very compelling and i lock forward to more reporting on and discussion about how we can Work Together to confront racism. Second, i want to elevate what we said in the letter we submitted we want to expedite transit across the city as soon as possible before our streets get choked again before covid19. Row liability is the access needed to help address racial inequity and its a race and justice issue and lets get relief from punishing transit delays. We need to ensure the people we know now are essential to the function of our society and get to jobs and their homes as quickly as possible as others have mentioned plenty of times, fast, reliability muni service is a publichealth issue and environmental issue and Public Safety issue. We have a rapid Rider Campaign to work for a crisscross the city connecting all comments. With 30 by 30 we discussed a functioning muni Network Rather than debating block by block. We collected over 1500 surveys and 1500 signatures. Supporting this. Were seeing what a real network could do when we didnt have any traffic. We transit to cover the city not stop at lines. From this sort of unnatural experiment during covid19, we have seen what can happen when muni is freed up from traffic and 30 minutes looks more possible. Last, i just really applaud all the hard work of sfmta staff to develop this Recovery Plan and you have been working on this the last few months. We support the fastest, boldest extension of the transit only lanes as soon as possible. Thank you. Next speaker. If theres anyone else on the line, or watching that would like to address the board, please call in now. We are towards the end of the cue. And want to be able to hear everyone who wishes to address the board. Please, dial the number and get in the cue. Thank you. Next speaker. This is michelle i am a Bernal Heights residents and i ride transit in the city and bikes. A previously caller mentioned enforcement in soma for bike lanes, protective bike lanes and the bus lanes. I second that call for added enforcement as well as for the expansion of the slow streets and protected bike lane network in the city otherwise those will get used for car storage, for uber pick up and drop off and Food Delivery Service the essential we enforce these things and reserve them for the uses that they are meant for. Especially as those are good uses in terms of Environmental Impact and reducing congestion. One thing that the sfmta switched towards head way management instead of sticking to schedules, which i think say great thing, it prevents you from finding out theres buses in 35 and 40 minutes. That doesnt make sense. I urge the implementation of any transit signal priority of possible on our bus lanes that well add whatever is possible with construction and the assisting system i understand that maybe there are difficulties there. One other thing is they hold a monopoly and i urge strong regulations that has pretty much the day the jump permit expired, lyft raised its prices and while jumps permit for bike share did get extended, the boost is there and for a lot of cases, its still leads to e bike trips more expense. We should enforce and subsidize the system such that ebike usage and i second the call for ebikes has an accessibility issue for folks with disabilities and the expanded pricing of bikes is an issue. Thank you. Thank you. All right. If the moderator can let us know if there are more people. Anymore people on the line . Well close Public Comment. This is not an action item. Informational we can adjourn. Adjourn in honour of blackout day and racial justice. All right, president breslin were good to go as long as youre ready. President breslin the San FranciscoHealth Services board will come to order. Commissioner secretary, will you give a presentation on the structure of this meeting. Clerk yes, very briefly. We would like to remind everyone who is livestreaming at home that this is a special meeting and it has limited agenda items so were not presenting the following items on our agenda. The general Public Comment. The approval of the may 14, 2020 meeting minutes. The directors report. The president s report. The financial report. Updates from the Health Plan Representatives overall. And agenda item requests. Additionally, we are going to begin Public Comment with three minutes in length. All Public Comment should be made concerning the current agenda item that has been presented. Again, any Public Comment made outside of the current agenda item presentation will be asked to hold their comment and remake their comment during the appropriate agenda item. Next slide, please. I will not review all of the instructions for Public Comment. But there will be a Public Comment slide at the end of each presentation for members to make Public Comment during that time. Thank you. President breslin all right. Item number 2, please. Clerk item 2 is the roll call. President karen breslin. President breslin here. Clerk Vice President stephen follansbee. Present. Clerk commissioner mary hao. Present. And commissioner randy scott. Present. Commissioner chris canning. Im here. And supervisor dean preston. Here. We have a quorum, president breslin. President breslin okay. Item number 3, please. Clerk item three is the approval of the addend an to planyear 2020, section 125 cafeteria plan and the 2020 Health Service systems membership rules regarding flexible spending accounts and the midyear health plan enrollment. This item is presented by mitchell grig fwrch s, the chief operating officer. And, mitchell, you may be muted. Yes. Im unmuted now. So, good morning. This is Mitchell Griggs with the chief operating officer. And good morning president breslin and members of the board. Last september i had the section plan and our member rules for your approval for 2020. And as you know these documents govern our compliance with section 125 of the Internal Revenue code. And in that governance there are certain restrictions that apply when an eligible member can make midyear changes to their Group Coverage elections and it is also our responsibility of the Health Service system and the Health Service boards responsibility to enforce these restrictions to protect the benefits pretax and nontaxable status. That being said, here we are in may 2020, and the i. R. S. Has provided in response to the 2019 covid crisis some guidance under a couple of notices 2029, and 2033, that is providing some flexibility with respect to midyear elections under the section 125 cafeteria plan. For the planned year 2020. Can we go back to the the first slide, please. Yeah. So under purpose. So this applies to our Health Coverage. Also our flexible spending accounts and our dependent care spending accounts. So what im doing here or what ive done is created an addendum to those rules and the cafeteria plan and the member rules as you approved back in september. Next slide. So what this addendum does is that it revises the member rules and cafeteria plan and this is based on the guidance from the i. R. S. Notices. It applies to employees and retirees eligible for benefits and it allows making midyear election changes once and to make them once during the calendar year 2020, without a qualifying event. Number one here, this is in respect to medical, dental and vision coverage. And an employee retiree can make a new election. Lets say they waived coverage for 2020, and they decide they want coverage now or need coverage now theyre able to make that election without any qualifying event. Or, b, if they currently are enrolled in the plan they can change plans. And they could also change the coverage level. In other words, they can add a dependent or delete a dependent without any type of qualifying event. And, lastly, under the medical and dental and vision, they can actually if they are enrolled for a 2020 plan they can waive that coverage for the rest of the planned year. If they want to do that they do have to test that they have other Health Coverage thats not sponsored by one of our employers. Number two here, this is 2 and 3 is in respect to our s. F. A. S with health care s. F. A. S, they can decide to cancel Going Forward for the rest of the plan year, cancel their election. They can make a new election if they had not enrolled in a flexible spending account before. Or they can increase or decrease their election. And this is Going Forward. And number three, applies to our dependent care flexible spending accounts. Again, they can cancel Going Forward in the plan year of their election and make a new election or increase or decrease the election they have made for the plan year 2020. Next slide. So the next one, which is based on i. R. S. Notice 2033, is specific to Health Care Flexible Spending accounts and this is our carryover provision that we currently have in our Health Care Flexible Spending accounts. Typically i would ask you to approve this, again, this september for the following 20202021 plan year but i wanted to include it in the addendum now so that members get notice that this is changing so they can better financially plan what theyre going to do with their Health Care Flexible Spending accounts. What this notice from the i. R. S. Does is increase the carryover limit from 500, for 2020, to 550. And to make sure that you all know that the carryover is the money that you have left over that you dont spend in one plan year. You can carry it over to the next year, up to 550 for 20202021. Just as a note here, the i. R. S. Is not requiring employer groups or those leading the group to make those changes. Its completely up to the employer and its on a go forward basis. And it does have to if you decide to do these you have to make sure to follow the nondiscrimination rules. That means that you cant just give it to one group to be eligible and not others. Next slide, please. We will be implementing this with a communication plan, mostly webbased meeting with the department, personnel officers within the city, emails and well be working with our other employer groups and the superior court so they can apply and send these notices out or a notice about this addendum through their communication channels. So basically h. S. S. s recommendation to the board is that you approve this event and that modifies the two plan documents, our section 125 cafeteria plan and the sfhss rules to make them consistent with the notices from the i. R. S. And those allow employees and retires who are eligible for benefits to make midyear election in the calendar year without a qualifying event. Any questions from the board . Vicepresident follansbee, m. D. this is commissioner follansbee. If this is approved today this is up for reapproval in september when we normally would approve the recommendations for the following 2021 years . So the guidance from the i. R. S. Is that this only applies for 2020. The only piece of this is the notice 202033, which raises the carryover from 500 to 550 for sfhss h. S. A. But the other 2029 is the medical plans and the vision and the Health Care Flexible Spending account elections only applies for 2020, and this would be amending the current documents that we had out there that you approved back in september. Commissioner scott this is commissioner scott and i move that we accept the staff recommendation. President breslin is there a second . Commissioner canning i second. President breslin okay. Is there any Public Comment on this item . Clerk at this time were going to go into the Public Comment section for this item. Were going to give the numbers at home a few minutes as there is quite a delay between this live event and the feed that is being given to members through sfgovtv. So ill pause for about 30 seconds to allow for people at home to catch up to the questions that were asked and for them to join the phone line at this time. Clerk moderator, can you please up the phone line for our first caller. You have two questions remaining. Hi, just want you to know this is commissioner zvanski and im only through Public Comment, i somehow cant connect through the computer. So i apologize. I have no questions and i support thests, so please record my vote as being supported and on the board. And i apologize again. I am reaching sfgov remotely and its the only time that i attend the Board Meeting at this time. Thank you. Clerk thank you. Moderator, can you please up the call line for the next caller . You have one question remaining. Good morning, commissioners. Thank you for everyones work to provide flexibility to all City Employees through this agenda item. My comment is related to addendum item 2 about the changes. As described on page 2 and page 5 of the attached notice 202029, the i. R. S. Now submits the cafeteria plans such as ours to apply unused balances to pay for or reimburse medical expenses near the end of the year, december 31, 2020. And how this would apply to the city is that the grace period for unused balances had already ended back in march. And i wanted this to ask to extend the grace period through the end of the 2020 calendar year because the grace period, again, had ended in march to provide additional to all employees and if theres future addendums to any future addendums planned for rollovers and balances of this calendar year 2020 as allowed by notice 202029. Thank you for your time, commissioners. Clerk thank you, sir. Moderator, are there any callers left in the queue . You have zero questions remaining. Clerk thank you. President breslin, this concludes Public Comment. President breslin okay, we have a motion on the table to approve addendum to section 125 cafeteria plan and sfhss membership rules. All those in favor signify by saying aye. Aye. Presi