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Good afternoon, everybody and welcome to the San Francisco board of supervisors meeting of wednesday, january 20, 2016, madam clerk call the role. Supervisor avalos supervisor breed supervisor campos supervisor cowen supervisor farrell supervisor kim supervisor kim . Supervisor mar not present supervisor peskin commissioner hwang not present supervisor wiener scott wiener for the present supervisor yee we have quorum ladies and gentlemen, please join us in the pledge of allegiance and to the republic for which it stands, one nation under god, indivisible, with liberty and justice for all. Than...

Any comments no nope ill call for a vote. All in favor, say i. Thank you. Ill note no Public Comment for the item. The audience this is the first time ive chaired ill not get it right so. You have a skilled secretary here to help you laughter so we move on to item 3 the directors report. Good afternoon wanted to lead the issue on the waiver because we do have a couple of is to have staff people to address this so ill leave that alone and move on to the next item and right after my report well have a couple of Staff Members to report on that the San Francisco Health Commission has worked with t...

Well call the meeting to order role commissioner pating ill note to here commissioner singer commissioner chung commissioner sanchez and sxhashgs the second item on the agenda is the approval of the minutes for august 418, 2015. There a motion. Missouri any comments no nope ill call for a vote. All in favor, say i. Thank you. Ill note no Public Comment for the item. The audience this is the first time ive chaired ill not get it right so. You have a skilled secretary here to help you laughter so we move on to item 3 the directors report. Good afternoon wanted to lead the issue on the waiver bec...

There a motion. Missouri any comments no nope ill call for a vote. All in favor, say i. Thank you. Ill note no Public Comment for the item. The audience this is the first time ive chaired ill not get it right so. You have a skilled secretary here to help you laughter so we move on to item 3 the directors report. Good afternoon wanted to lead the issue on the waiver because we do have a couple of is to have staff people to address this so ill leave that alone and move on to the next item and right after my report well have a couple of Staff Members to report on that the San Francisco Health Com...

Like the Substance Abuse medical is the bridge to reform waiver as of 13 it is a demonstration waiver 1115 waiver called the organized Delivery System of medical waiver so the state amended the state plan and made a parole to cms approved this august to show it if they increased the Services Covered by drug medical that they could by organizing the system and having smooth trisz from levels of care and using evidence based practices they could improve the care and overall costs of medicaid would not go up you can opt in or not opt the community likes a demonstration waiver they should we we al...