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You have obviously the costly it is. So i would encourage you to really think this true, and possibly under the umbrella of the department. And i greatly appreciate that is in the alignment on it and it is in alignment with the chiefs that i have spoken to at San Francisco general great. Commissioner taylormcghee . Thank you. And clearly there was a paradigm shift in 2010 when medical cited that transgender surgery or sexual reassignment surgeries were medically necessary. So obviously that obviously helps to pave the way particularly that it relevant you lated the insurance commissioner and t...

Those criteria as evidence based and sensible as they could be. We have developed guidelines and trainings that we have been rolling out across the Healthcare Centers both the dph and the Health Centers and the jail Health Service and to help and providers understand what our criteria are and how do we access those services. And we are currently developing a and we will start this week, our first series of education and preparation sessions for the patients who are planning on under going transgender surgery within our system and specifically four, threehour sessions that we have developed in ...

People that have all three of those conditions and we have a lot more detail if you are interested and how many people are doing the diagnosis and so forth. But, as you can see, the percentage around women and certainly around transgender women are quite a bit over the general population. And i want to highlight some of our service and programs. And again, these for the homeless women, and the homeless families, and the Community Behavior Health Services and so that includes our Mental Health and our Substance Abuse programs, they fund quite a few programs specifically designed for homeless wo...

Their income, and how that relates as a percentage of area income and so right now, we are limited to 35 or 30 percent of the Median Income and a lot of the families who need our help are in the 40, 50 and 60 percent range and the resources are not sufficient to be able to handle that. And so, and at the end, in conclusion, i would like to say our goal is for families to be securely and safely housed with a stable source of income and a rent payment that is appropriate to the income and i think that if we are working together and can come together on those out comes we have a good list of opti...

Long term success for the familis that we are serving as well as the Community Agencies work with the city funded programs we advocate for a universal system to coordinate the services for the families and providers who aim to help to secure stable housing. So efficient and Creative Solutions are necessary to address the issue, and considering that we have significant challenges for individuals at all income levels in our Community Today and all of us speaking today are open to exploring way to engage the Technology Community and assisting us with a solution to more broadly coordinate the cruc...