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And commissioner chow the ramaytush unceded ancestral homeland of the ramaytush rahmytoosh ohlone olonee who are the original inhabitants of the San Francisco peninsula. Irresponsibilities as the caretakers of this place, as well as for all peoples who reside in their traditional territory. Elders, and relatives of the Ramaytush Ohlone community and by affirming their sovereign rights as first peoples. Okay. 2. Proposed action approval of the minutes of the Health Commission meeting of september 5, 2023. Commissioners you had the minutes upon reviewing them, no amendments make a motion. Make a...

Sitting in and note this director baptiste will be absent due to scheduling conflict. Directors,il call roll. Director emeltansy. Forbes. Present. Director lipkin. Why present. Director ruiz. Present. Director seyed. Present. Vice chair mandelman. Present. Next item. Item 3 is communication. We would like to note the process for the public. Members of the public may comment on the meeting during Comment Period in person or remote the line is a courtesy and availability may be disrupted due to technical difficulties or otherwise. In person comment first. Remote comment taken after. The public c...

Revenues of those are the revenues the mayor and the board of supervisors have to allocate and this is the projection from the citys fiveyear Financial Plan and you can see i have circled down here that over the four years of this projection theres an average growth rate of about 3. 5 and so we can change that or tweak that in terms of our growth assumption but if we use that number we should be growing our support by no more than about 3. 5 if were not going to continue to exacerbate the citys deficit. So what that translates to is you take this 813 which is where we should end this budget pr...

Pay for general city responsibilities which is things like Retiree Health subsidiaries , Health Service Administration Costs and those dollars that we must spend keep City Services running and were obligated do not have a policy choice to make to reduce them without other action and that leaves about 2. 5 billion that is available that is truly a matter of policy addition correction so in that light our 715 million is much larger share puts us at about 30 of the total discretionary dollars that are available to allocate and so that is a big portion its a much bigger portion than when you look ...

Share puts us at about 30 of the total discretionary dollars that are available to allocate and so that is a big portion its a much bigger portion than when you look at the higher level numbers and that is one of the reasons that our budget is a major factor for the citys general Fund Balancing plan and vice versa when the general fund is in trouble were in trouble and when were in trouble the general fund is in trouble so thats why were always working very carefully to coordinate with Mayors Office and Controllers Office on our Financial Planning so that it alliance with the citys approach. S...