That no lifetime limits are allowed under any plan thats licensed under the department of managed health care when it comes to any kind of gender reassignment benefits. So, the two plans we have that are administered through the department of managed health care blue shield and kaiser, this is a legislative change thats mandated. For the one plan that is not covered, it was the board decision to decide to make benefits equivalent across all of our products. So, the recommendation to the board is that we do maintain consistent benefits with our United Healthcare plan. And, again, this is just our active and early retiree plan not our ppt plan [speaker not understood]. And the lifetime that will be lifted on all three products. Commissioner scott. Im in favor of the concept of doing this, but i want to talk a little bit about the process. To have this come up, you know, it happens to be something that was legally mandated and weve gone through a whole discussion with the health plans and so forth. And now this is brought to our attention after some months and now were ready to close and getting ready to publish. So, i guess my question is do we have other regulatory issues that these plans need to be or that we need to screen for or the plans need to bring to our attention affirmatively. And if we dont have that kind of on our checklist, i would ask that we get it on there because it may be something of a larger consequence. And i know that your staff cant spend its time screening all of the stuff that comes from the department of managed care, but it seems like we had a hole here to get this done and id like to know how we plan to solve it. Thats a very good question. We did have one of our steps in preparing for the rates and benefits to have our consultants do a review of any federal or state changes that need to be brought to [speaker not understood] on the rates and benefits and this was missed. So, we have a process for it, we miss it had, and i think it wasnt until kaiser let us know this was occurring, really last week and saying this is now part of the rates benefits that we were alerted to the fact. I think its fair to say we should also be working as a doublecheck with our Health Care Benefits to make sure they arent aware of anything as well. Thank you. When did kaiser and blue shield remove it . The kaiser notice was it was removed essentially immediately because its a legislative mandate. So, it has to be done immediately. Any other comments . We have a motion. I move the adoption of the removal of the cap on transgender benefits. Second it. This is for plan 1. Plan 1. Okay, its been moved and seconded. Any Public Comment on this item . Seeing none, all those in favor. Aye. Opposed . Its unanimous. Madam secretary, item number 6. Item 6, discussion item, presentation of blue shield dashboard. President breslin. This item is not ready for this month, so, im assuming we want it on the september calendar. So, we will continue this matter to our september 12th Board Meeting. Regular Board Meeting. Thank you. Any Public Comment on this item . Seeing none, [speaker not understood]. Membership rules committee, item 7, action item, adopt and make editorial changes to the Health Service system membership rules and regulations including, but not limited to, the following. Add federal eligibility requirements per Patient Protection and affordability care act. Clarify eligibility requirements for retirees hired after january 10, 2009. Clarify eligibility rule for surviving dependents of safety officers killed in the line of duty. Allow hss to terminate benefits if member address and Contact Information are incorrect and hss has been unable to contact member for over one year. Clarify medicare enrollment requirements for dependents of active members. Clarify calcobra eligibility. And list benefit coverage periods for 2014. President breslin. I move that we adopt the changes to the Health MembershipServices Rules and regulations. Seconded. Any comments, any board comments . Any Public Comment . Its been moved and seconded. All those in favor. Aye. All those opposed . Its unanimous. Item number 8. Item 8, action item, approve revised section 125 cafeteria plan for 2014 calendar year, effective january 1, 2014. President breslin. I dont know that we approve the changes to section 125 of cafeteria plan. ~ i move that we second. Any discussion . Any Public Comment . All those in favor . Aye. Opposed . Okay, now were onto the regular board matters. Regular Board Meeting matters, item 9, action item, election of Health ServiceBoard Officers president and Vice President for fiscal year 20132014. President breslin. Nominations are open for the president and Vice President. I would like to make a nomination. Id like to nominate Karen Breslin as the president and [speaker not understood] as the Vice President. Second. All right. Any discussion . Any Public Comment on this item . The only discussion i have is since we dont have a full quorum today, other commissioners, sometimes they defer, but i dont know the process with this commission. Otherwise i move the second if theres no what do you mean we dont have a quorum . We have a quorum. We dont have a full board. Sorry. Fair enough. All right. Any Public Comment on this item . All those in all those in favor . Aye. Opposed . Okay, item number 10. Item 10, action item, appointment of chair and members of the following committees. President breslin. All right. The rates and benefits committee is a committee of the whole. Im appointing commissioner scott to be chair of that committee. And the finance and budget committee, im appointing supervisor farrell as chair. And commissioner limb and commissioner scott to be on that committee. And for the membership rules, commissioner [speaker not understood] as chair and commissioner breslin as members of the rules committee. And for the governance, commissioner limb as chair and dr. Shlain as a member and commissioner fraser as a member. So, these have to be approved by the board, so, ill need a motion to approve. Ill make a motion to approve that list. In its entirety. Okay. Second. Great. Is there any Public Comment on this item . Seeing none, all those in favor . Aye. Opposed . Unanimous. Okay, item number 11. Item 11, discussion item, report on network and health plan issues, if any. Anybody have anything to report today on this item . Item number 11 . Seeing none, any Public Comment . Oops, do we have somebody . Come forward, please. Thank you. My name is dianne olek and i have a question about something not covered by delta. [speaker not understood]. The academy of sleep dentistry recommends you be seen once a year to make sure the oral appliance isnt moving your jaw or teeth in any way because that can be a side effect of the oral appliance. Kaiser will cover you for a threemonth followup, but after that youre on your own. And i dont understand since the issue is aden tal issue why if i have money left on my delta dental plan why they will not cover that. ~ and id like the board to discuss that or find out from delta dental why. [speaker not understood]. Im sorry, well be happy to look into that. Thank you. Thank you. Any other Public Comment . No Public Comment. No other Public Comment. Item number 12. Item 12, discussion item, opportunity to place items on future agendas. We always have a full agenda. Commissioner scott. Madam president , i want to go back and reinforce the opportunity now that im serving as chair of this rates and benefits committee. I think that we all went through the heartache of the this past spring. And were on track to do the very same thing if indeed we are not proactive in terms of doing some preplanning. So, i note the very same groups that had a defined interest and that not only means those who are represented, but also other plan members as well will come forward and share with us very explicitly, not just in comments, but in writing their views about what they think we should be trying to do from an Overall Health plan standpoint. We all know that no matter how those things are framed, we cant do everything and im not as a new chair going to promise that. But we can indeed engage in a healthy internal discussion. And doing that on the front end can help to shape the outcome. Im happy to be very persuaded that just as we have start today engage with some of these health plans, not only kaiser, but i think its true for all of them, that we need to do that on a continuous and sustained basis so that we are neither surprised when they have to make the more formal recommendation about rates, everyone can then get very, very clear about what should have happened, why it didnt happen, and who wasnt there when it happened, and so on and so on. So, my great hope is we will take the time during this fall. I know were busy with open enrollment. But during this fall to meet formally, informally, and certainly during the course of these meetings to present the ideas and come to some broad based outcomes that we would like to see. I would welcome that as chair of the rates and benefits committee, but i also think that it has to be a Wide Partnership to get that done. So, i hope im not over committing for the staff or the board, but i hope that we will take that to heart. Thank you. In september we will have a specific agenda item to address this, which you might have to put some input on as to how you want to do that. That would be great. President breslin . I also wanted to add im sorry, i missed this in the directors report. We have started negotiations with kaiser for 2015. We started on august 1st, and we just had our second meeting. So, well be working, working with you going forward. Thank you. Any Public Comment on this item . Dennis [speaker not understood], actively [speaker not understood] retired firefighter. Id like to congratulate the new elected officers and i look forward to watching the year. And second of all, having sat through over a year of i guess presentations and actually negotiations that originally approved the gender my mind went blank there, but for the gender operations and so on. Its good now to see that that is recognized as any other procedure because at the time when they went through all that procedure, they tried to tell everybody that this is just another medical condition that has to be dealt with. So, its nice to see even 15, 18 years later from that time this is now recognized for what it really is. So, i applaud the board on that one. Thank you. Claire [speaker not understood], retired seiu. Again, i want to congratulate everyone on their positions as officers and also as chairs. And suggest that commissioner scott said a special letter go out to organizations, retiree organizations and the unions, the Public Employee council and the seiu inviting them to perhaps have a meeting with one or two commissioners so you have a quorum. You know how that goes. But that youre available to meet so that you can have some discussion either with the leadership or with the rank and file to determine what their concerns and issues are and to be able to bring those back because thats i think the only way were going to be able to keep this discussion and dialogue going, and to make sure that its a partnership. Put it on them to come forward and have that dialogue. So, again, congratulations and thank you all very much. And i want to second what dennis said about transgender. I went through that battle three times on the board and its nice to see you know, we worked out some centers of excellence and we worked outweighs to keep that benefit affordable. And its nice to see that its now being accepted as any other condition. I wish we had made that decision, but if it came from gmhc, im happy those guys did it. And i think part of the National Health care also eliminates a lot of discrimination. So, were getting there little by little. But thank you again and congratulations again. I just wanted to comment that we have to make sure we contact or include all members, not just unions or retirees, as i mentioned earlier. And that would mean we would have to send out a letter to every Single Member in the system, in my opinion, because not everybody is in unions. You can see in the past certain people show up and certain people dont. And, so, not everybody gets represented in a way. Thats something i think you have to look at when youre talking about contacting people. Any other discussion on this item . All right, item number 13. Item 13, discussion item, opportunity for the public to comment on any matters within the boards jurisdiction. My name is herbert wiener, im a retiree. Last month they had a conference on bullying at the work site. It was part of labor fest. And the address concerns bullying at the work site and the tremendous toll it takes on employees. There were heart attacks. There have been suicides. Now, unfortunately, San Francisco is not blameless in this. And i would like to see the employee vip program vap program, excuse me, you know, work on legislation or rules and regulations regarding bullying at the work site. It really takes a tremendous toll and, you know, [speaker not understood] occur all over the city. Bosses harassing workers, peers sometimes harassing workers and this really has to stop because it slows down production. We have a limited work force. We have a heavy work load. And placing employees under stress does not help this at all. So, i would like to see this addressed in the future. Thank you. Thank you. Any other Public Comment . Seeing no Public Comment, we will ill entertain a motion to adjourn. I move adjourn. In favor . Before i second that [gavel] this meeting is adjourned. Thanks. [adjourned] welcome to hamilton recreation and aquatics center. It is the only facility that has an integrated Swimming Pool and Recreation Center combined. We have to pools, the citys water slide, for little kids and those of you that are more daring and want to try the rockslide, we have a drop slide. Exercises for everybody. Hi have a great time. The ladies and guys that come, it is for the community and we really make it fun. People think it is only for those that play basketball or swim. I have been coming to the pool for a long time now. It is nice, they are sweet. In the aquatics center, they are very committed to combining for people in San Francisco. And also ensuring that they have public safety. There are a lot of different personalities that come through here and it makes it very exciting all the time. They, their family or teach their kids have a swim. Of the gem is fantastic, there is an Incredible Program going on there, both of my girls have learned to swim there. It is a fantastic place, check it out. It is an incredible indication of what bonn dollars can do with our hearts and facilities. It is as good as anything you will find out why mca. Parents come from all over. There are not too many pools that are still around, and this is onestop shopping for kids. You can bring your kid here and have a cool summer. If you want to see some of the youth and young men throughout San Francisco play some great pickup games, come wednesday night for midnight basketball. On saturdays, we have a senior lyons dance that has a great time getting exercise and a movement. We have all the music going, the generally have a good time. Whether it is awkward camp or junior guard. From more information, visit . Oo hi, im holly lee. I love cooking and you are watching quick bites. San francisco is a foodie town. We San Franciscoans love our food and desserts are no exceptions. There are places that specialize in any and every dessert your heart desires, from hand made ice cream to organic cakes, artisan chocolate and cupcakes galore, the options are endless. Anyone out there with a sweet tooth . Then i have a great stop for you. Ive been searching high and low for some great cookies and the buzz around town that anthonys are those cookies. With rave reviews like this i have to experience these cookies for myself and see what the fuss was all about. So lets see. While attending San FranciscoState University as an accountinging major, anthonys friend jokingly suggested he make cookies to make ends make. With no formal culinary training he opened his own bakery and is now the no. 1 producer of gourmet cookies in the biarea and thank you for joining us on quick bites. How do you feel . I feel great. So i want to get to the bottom of some very burning questions. Why cookies . It was a recommendation from a friend. Hard to believe thats how it all started. Why not pies and cakes . What do you have against pies and cakes, anthony. I have nothing against pies and cakes. However, that was the recommendation. You were on the road to be an account apblt. Actually, an engineer. Even better. And it led to making cookies. In delicious ways. Delicious ways. This is where the magic goes down and were going to be getting to the truth behind cookies and cream. This is what is behind cookies and cream. Where were you when the idea came to your mind. I was in my apartment eating ice cream, cookies and cream ice cream. How much fun, cookies and cream cookies. Their cookies and cream is not even it took a lot of time, a lot of fun. A lot of butter. A lot, a lot, a lot. But it was one of those things. All right, now behold. You know what that is . What is that