Transcripts For SFGTV BOS Budget Subcommittee 72215 20240622

So the minors are before us for approval a motion for approval is in order. So moved is there a second. Second. Are there corrections to the minutes if not were prepared for the all in favor, say i. I. Opposed . Minutes have been passed unanimously item 3 the directors report. Good afternoon, commissioners mayor ed lee signed the citys balanced budget for fiscal year 20152016 and 20162017. In his comments he said that your creating jobs and growing a thriving economy while keeping the city save and compassionate the city and county of San Francisco the major employer for the next two fiscal years includes additional employees to staff the new San Francisco General Hospital implements our Electronic Health care records system and the department of Public Health division as well as implementing the Affordable Health care act the city budget also vests to support the most vulnerable san franciscans and it includes resources dedicated to help San Francisco General Hospital adding 5 hundred new Supportive Housing for people to the Navigation Center and millions of new fund to support seniors and people with disabilities covered california has a modest rate interest for San Francisco for 2016 they recalling reduce the prices in San Francisco, california expect an average rate of 4 percentage across all terse this is more than all the regions in Northern California we had a great anniversary of the 50th anniversary of medicare and medical celebration of medicaid on july 30th, 1965 president s johnson signed the medical and medicare for pregnant women and people with disabilities medal and medicare has protected health and improving the nations Economic Security on july thursday medical and medicare serves held on event added San Francisco General Hospital and Trauma Center to commemorate the 50th anniversary of the medical and medicare our dr. Hernandez and ceo of the Health Care Foundation was the distinguished keynote speaker we have started a black africanamerican Health Project there are 3 processes for the projects one of those is the Workforce Development and that workforce subcommittee has begun in the project chart for the black africanamerican Health Initiative was you signed in march and whether the fifth committees that is headed by our colleagues are leading this effort and promoting the interests for the africanamerican careers and creating black africanamerican applicants students and volunteers they hope to develop tragedies so retain and show ridicule and support the continued education for the pathway for the existing staff i want to thank them for that work in that area there is an update for San Francisco General Hospital no new compute u updated other than theyre waiting for approval for staff and ill let the commissioners know were still moving forward towards building our new hospital directors report is ended and if there are any questions and commissioners questions of the director on the report i want to point out to the commissioners we had printout from the website the organizers of the 50th Anniversary Program that was submitted to us a liz of the contents of medical and medicare over the past 50 years i thought would be useful for your information were having that distributed to you today are there any outlet comments . If not well precede thank you and well precede oh, actually yeah. Just want to comment once again that the mayors budget for our next two years is really extraordinary for in department and want to thank the department for all the work theyve run intoburgburg to advocate for the program and the mayor and board of supervisors for having actually confirmed not just confirmed but added to it and gave us even more robots i think that says well, for the work that our department is doing so thank you, again director ill note no Public Comment for that item but item 4 is general Public Comment we have one. Yes. Mr. Office of the city administrator to duffey i didnt please and mr. Duffey i have a timer for 3 minutes when the buzzer goes off. Commissioners nice to meet you im on the Health Center clinic Patient Advisory committee i have a sister at the age of the internet a 6 degrees of separation but not 3 degrees of separation we know be a lot more people before that i think that is kind of a Silver Lining to the aging process for example, i heard about rudolph better garys doing the artwork and im looking forward to take a look at that ford was president and hopper and many people responded and im looked forward to it look those links ive been in the citizens Advisory Committee for some time and tom odell won 20 years now weve had some ups and downs and some times we came close to disbanding with the budget part of new to the center was difficult our liaison died we worked through all those things is it appears that the department is putting ay used effort dr. The director shes a apparently going to be at all the Health Centers i want to thank you for doing that i think there are look good things it come out of that ive been involved and it helps to have reenforcements thank you. Thank you all right. Well move on to item 5 report back if the finance committee. Chair. Good afternoon the finance and Planning Committee met before the Commission Meeting and we had you know a really robust discussion on the presentation on chirtd care and i think that actually inspired more questions than answer and including you know the goals of charity care like you know in the time of the valuable Affordable Health care act and charity care was adopted 15 years ago and back then we didnt have the kind of sentiment as we do today those were some of the questions that came up and you know the presentations were actually coming to the commission and so i want to put on this to thinking how we can actually create a partnership that really serves the buyer city and county of San Francisco and including the most important part to reduce you know Like Health Care for those who live in the city we also have some new and old contracts for your approval and it is all on the consent calendar with the contract report there are actually, two items that have been tabled for the next meeting for approval and those two are the medical contracts and services and the Network Within the contract report the 3 contracts that would be still need your approval will be the clinic works the data way and the staffing. Commissioners the reason ive taken off a clerical error the report needs to be clean before it comes to you. Right there were typos. Any questions. Commissioner questions or comments to the report from commissioner chow . No comments all right. Great well go to the next item well move on to item six the consent calendar consent calendar is before you you heard the two items that are removed from the consent calendar does anyone wish to extract any items if the calendar otherwise. Yes. Please within the contract report so under the consent calendar it will be all the items on the consent calendar that we need approval of within the contract report which we have to items removed. Yeah. It is the 9 approximately 8 millions on the pharmacy agreement; right . Tip probation officers and 1, 3 and 1, 5 for the pharmacy kind of in the middle of the block of the first folder all contained in the contract report. Any other questions . If not we should note that the Walgreens Program extends our 40 b program that required a link to each clinic only to all of the San Francisco walgreens clinics under the b program is that not correct director Barbara Garcia thats correct. Thats a significant difference an, an added benefit to the program under 9 previously i nodded if you were at chinatown clinic and went down to only one walgreens and couldnt go to another walgreens you had to go to another one like castro that allows all the walgreens in San Francisco to participate in this program. That was my only clarification were prepared forever the vote. All in favor, say i. I. Opposed . The calendar has been adopted unanimously. Thank you, commissioners item 7 the dpw policy on the dpw facilities as you recall this was introduced at the last meeting. Good afternoon, everyone. Commissioners colleen i did not have anything additional as the secretary said the draft of the policy at the last meeting it didnt require our package of the resolution only the affirmation. I was wondering if on this is more a technical question on the block that we have which on page 2 if you would get that if so r this is this is yet california but for the process in the text and my two questions and which i believe are editorial under the section for dpw nonhospital building and director would review and submit recommendations and would it seems to me that the commission actually then makes also a review and recommendation; right . To the board of supervisors as it says under item d. Yeah. So the block should clarify that by putting that in and the board recommends. So ill make that change. Thank you and so the last the bottom block expelling facility naming in connection with the gift of any amount u amount the director reviews and submits the remedies for final approval and here i believe under our section e it says that the commission will approve the request so the word approve needs to be there also and moves it to the board of supervisors. To be consistent with our text. Thats right thank you for catching that commissioner. So if those are accepted as the editorial correction ann another motion it in order to approve the column. So moved. There is a motion and a second is there further discussion on the policy . If not, were prepared vote all in favor, say i. I. Opposed . The policy is passed unanimously thank you thank you, commissioner i also note no Public Comment or questions item 8 is the resolution of the port naming the general clinic and richard a fine clinic. Im not sure who is representing item ms. If you recall a presentation at the last meeting. Yes would you like to help refresh our minds on the items. There was a proposal on the small video last week of the part of the richard fine to rename the general clinic at San Francisco General Hospital the richard h fine clinic and the drafts resolution in front of you for your consideration compliant with the and the draft resolution is before you the motion will be in order. So moved. Is there a second. Theres a second commissioner sanchez. Yes. Yeah. I just like to make a comment pertaining to the naming of that clinic regarding dr. Fine initially when it was brought before the jc c to be named by the department and in reference to the hourlong program in general many of us attended it was an awesome tribute to a outstanding recommendation to the richmond h fine clinic i sort of took the wind out of my sails it was shifted to dr. Richard fines Peoples Clinic and ive been trying to get that out of high head why hadnt it bothered me ive known dr. Fine when i joined and at 69 all the way through and couldnt think of a more outstanding position to have a clinic named at the San Francisco General Hospital to have it named that i guess somehow this sort of limitations his focus and maybe im just responding many of us were involved in the 60s and 70s in coming back with the gi bill to berkley and at Central Nervous system that was part of our effort but dick fine was an extraordinary human being he played a key roll in working with many of us at the general to form call the urban healthy was a key member it involved every single chief of service at the general from dr. Tom surgery to dr. From that he had arctics and we got them altogether and got the funding, etc. To not only increase the qualities of Service Based on the philosophy of our faculty and residents the outcomes in reference to what theyre doing and dr. Fine played a Critical Role and continues to play a Critical Role so the funds many of the folks that served only the committees were some of the old guard the services of retired champions and many at the oil library at the San Francisco general you saw all departments one or two some were submitted with replacements and this is a meaningful thought so i got a few comments from dick fine represents the finest of Central Nervous system so i want to interject that that needs to be said and Something Else that is important dick fine figure out through the urban health board to insure the minority students in potrero hill be bayview Hunters Point and the mission had opportunities through San Francisco General Hospital did this through the urban health and navigate 4 videotapes were working with the students and working with other groups to increase access to training and minority positions one the key people involved was francis a mexicanamerican who become a nurse and got her masters was the director of the urban Health Project and she was showing so impressed with his service unfortunately after they passed away left a scholarship for the students from the valley to go into nursing and paycheck to the services he provided to the community to me had doesnt say enough about him the reason im saying that in other types of awards like the staff like the julie the honorees for top residency in each of the departments we think about what dr. Discretionary review violence did but julie discretionary review violence he supported many the dean and the chancellor but his commitment was the quality of care at General Hospital we had the rapid report and talked about who they were and why theyre here so as i envision dick fine clinic i imagine their teaching the under graduates and staff what an outstanding position dick machine fine was in the memory of San Francisco General Hospital that was dedicated to serving ill regardless of country or people anyway i just want to share that i think that he doesnt like to be socalled i mean, he marks to a difficult drum but worked within those organizations and programs to insure that access to qualify remains the flagship of excellence and the medication that no other departments in the Central Nervous system we feel some of us feel quite strongly it would have been great to keep it that way and the curriculum and the training of the future Health Providers would certainly reflect his philosophy and commitment to people of all walks of life that was what he was through the chair i apologize for getting into that but ill support it so recommended but i do feel you know it could have been greater had we kept the tradition and used that as an ongoing teaching this is in my opinion. Thank you, commissioner because commissioner you can amend the resolution but i think id ask director garcia. Yes. I asked the same question and know it is not just people so i asked the same question that request that went through dr. Fine and that way i honestly think it takes away from what you said dr. Ations and fine i believe that went through him and he supported that and in fact he does walk to a different drum i wanted to honor the way he was and i the that through the staffer that presented it i appreciate our comments and puts the meaning that is the bigger title. Thank you. Thank you. Okay. I think we could note the reason it the name is in and unless commissioner youre entitled to amend the resolution okay. Any further comments if not all those in favor of the resolution as presented please say i opposed any Public Comment no vision zero update. Item 9. Good afternoon, commissioners and director Barbara Garcia and secretary thanks for the opportunity im megan wear the director of the health and sustainability and also cosponsor of the Vision Zero Task force to present to my colleagues we put together Vision Zero Initiative in may of 2014 the Committee Passes the resolution in support of vision zero were here to provide an update. So just a give you a little bit of background about preceding vision zero San Francisco has been annotate leader respect to Transportation Safety with the first to install the pedestrians countdowns were all familiar with now weve been a leader with implementing this to schools in 2010 had a mayoral directive for the collision down by 2021 we played a leadership role including for the prelims of a number of improvements and publishing a pedestrian strategy in 2014 vision zero was adopted citywide including by the commission and Citywide Task force was established i cosponsor you know despite the exchanges around this at the end of 2013 a girl 6 years old was killed in a intersection awhile crossing the 6th death in that december and the citys responses is no more deaths are acceptable and really the only acceptable target is zero we now have San Francisco in vision zero that is supportive by a number of city departments the mayor the board of supervisors we meet on a quarterly basis of the task force towards the ends of coordinating around engineering and execution and enforcement and activities to fundamentally will eliminate traffic deaths by 2024 it was introduced in 1997 had much success we needed to design a Transportation System that protects the most Vulnerable People using the Transportation System including people walking and biking and seniors and young people i think in many ways that block is consistent with the mission of the department of Public Health i know this is you guys can you see the map hopefully in our handout i dont know about that slide since vision zero was adapted it is inspiring to see the National Limit it growing hopefully, a map that shows the different cities across the country that adopted vision zero and in 2014 San Francisco and the city weve got a number of cities in california adopted last year well including santa fe, san diego and a number of cities in the country including portland and seattle and additional cities are really every week their say new Energy Around our city and country a vision to do you want that to San Francisco is at the forefront of this. Yeah. Oh, no. I apologize. Thank you theres the map and really with respect to in San Francisco what weve seen despite early declines in the 90s and the 80s starting in the 2000s weve seen the please be advised the ringing of and use of cell phones to in the death in our city thirty fatalities a year up to 2 hundred a year injuries and approximately 70 percent are people walking and biking and half the People Killed are walking awhile walking are seniors while im here to talk about the leadership that the department is providing in that work including on the task force with respect to the data and analysis and evaluation and education engagement in our growing roles as well the task force is cochaired by mta and dpw we meet as i said on a quarterly basis comprised of city agencies that play a key role no vision zero weve got active Community Engagement including the Neighborhood Coalition led and i by walk sf over 40 organized that signed on that coalition it is really existing to see the continued engagement of the community in this work. In 2014 and 2015 we had a number of successes with respect to progress on vision zero its first year we had 24 projects in 24 months 16 projects are underground theyre on track to completing that project delivery showing the citys commitment with respect to education citywide campaigns honest leadership on this shell talk about and seen an increase or increase on the part of the Police Department and working on developing more data tools to make sure that the initiatives are day driven and also has hired a new epidemiologist who is serve for this work as well as advancing with Community Organizations we have a two year Action Strategy on our we are talking about that is online that includes more information about the initiatives as well as resolution of the number of departments that joined the hunting in supporting vision zero with respect to the action in 20152016 i highlighted in blue when im talking about were going to dive deeper on today including the citywide strategy for education to schools and were excited in the most recent budget in the Seniors Program is implemented given the disproportionate fatalities among the seniors and monitoring the resources and continuing the Community Engagement slides on reverse is a highlevel summary of the resources into vision zero which is appropriate threequarters by grants and 25 percent from the general fund with respect to the data piece one key contribution that was identifying the High Injury Network that map identifies the 12 percent of street miles of fatality injuries to vision zero includes people in vehicles and riding bikes and vehicles this is in the contained how to effectively have the Preservation Initiative at its core of vision zero is the fundamentally addressing the issues of evaluated so in red the high injury corridors in communities of concern that are disproportionately low income communities and communities of color and community where people are walking and relying on transit and thor percent of the streets in the city 50 percent of part of High Injury Network dpw is also working with other city departments to develop accountability metrics we know that the goal of zero fatalities is you know the how to be accountability in the short time to have any driven actions and monitoring the impacts on the street a number of metrics we are working to measure in the interim our new epidemiologist were excited about our collaboration with the San Francisco General Hospital to work with the trauma sushlgz that treat the patients and working with the polite data to capture 25 percent of cyclists injuries on the records and were able to target our initiatives and shes really done precedent work meeting with the Police Department and the Transportation Agency all on the same page about the monitoring that is very intuitive and simple i sure it you it not as simple as it seems werent to having it consistently recorded to the public and theres a screen side of map that is u updated with respect to fatalities weve also development an online interactive injury data with Environmental Data on a number of factors that are associated with how we predict and look at it patterns this is a screen shot of map that helps us look at not only the types of injuries but what are the patterns where the aerial streets and fast moving traffic around schools and Senior Centers and this type of tool has been used for example with the sfmta Capital Improvement program for Pedestrian Safety to analyze the patterns and really target their engineering to the patterns we see in the corridors so have more Program Improvement measures and now im going to turn it over to ann no way that will talk about education. Good afternoon, everyone. Everybody with respect to education related to vision zero we really are working very close with our partners headed by the mta to create the prosperity citywide strategy to the board of supervisors and the Transportation Authority outlining all the different Educational Opportunities welds implement in the next few years for vision zero and weve adopted 37b9 with the information proud about its the Public Preservation is not just teaching individuals about how to slow down or cross the streets but were effecting all the levels were talking to the providers in various was our Health Providers the muni operators large vehicle operators were working with the coalitions ill talk about in a minute and changing our Organizational Practices and working with flunking 0 policy and were going to achieve vision zero we have a citywide strategy that outlines a number of different Educational Opportunities i managed save out to school and as megan tubed weve included the streets for pedestrians and the Mayors Office has funded it in the city budget for that the next two years because over 50 percent of pedestrian fatalities are seniors and this is a population that needs a lot of save so save outreach were looking at ways inform coordinate all the information about vision zero and bring that directly to seniors and people with disabilities we focused on creating communitybased education this picture is a Standard Campaign ive worked with supervisor kims office all over at tenderloin and selma and a had tare highlighting the Community Residents a professional photo shot that is in the neighborhood we live here please slow down we offer some grants to selective groups that are working in neighborhoods that are on the High Injury Network walk sf is the leads for the coalition and groups that serve modeling and nonenglish communities south of market and chinatown ceda and the Economic Agency with working with groups in their native languages to deliver the information a National Program we founded in 2009 were interested in promoting walking and biking for obviously for various reasons of promoting health to make it safety in order to do so we work with the School District and a number of city agencies and a number of communitybased Groups School starts in 2 weeks were adding 10 for Elementary Schools to the program that covers half of the Elementary Schools im proud to say theyve passed the vision zero last spring theyre one of the lastly partners to join us and as part of changing Organizational Practices our team worked with the mta to produce intents the schools on the next those are schools that have typically high rates of walking and have a lot of injuries in the buffers of school their prioritized to get the improvements to the streets and sidewalks my prime is gene elementary have r half of the population walking to school and the highest number of pedestrian injuries we have asked mta to produce intents and have gotten 3 grants for the elementary we work with the Vision Zero Coalition it is lead by walk sf and in partnership with the Bicycle Coalition they help folks to keep the city accountability we again offer many grants and the prime example is actually before vision zero we gave walk sf a little less than 10,000 in 2011 to implement a local option in the subtly was passed to allow the municipalities to implements 15 mileperhour school zones were the only city to fully take advantage of the local option to the city halls that are eligible other schools in San Francisco have done it on a skais basis but walk sf worked with mta to get if implemented for all the schools it makes all the schools once the speed limit drops it helps with the bumps and the speed limits needs to be reduced first, it was done by walk sf i want to acknowledge one thing barbara cowrote with her counterpart ed reiskin and acknowledge the hard work with rachel and the Communication Team for working closed with the mta Communication Team in helping to profile vision zero in the communication its been getting a lot of attention and thats the end of the presentation were open for questions. Thank you very much questions commissioners commissioner taylormcghee. A clarification goith the 15 mileperhour theyre eligible for the school zone unless theyre actually on highspeed aerial so 4 or more lanes not allowed to have that in the state law only 4 schools in San Francisco for example Betsey Carmichael has it does not have it on one end which is on 7th street but on the surrounding 3 areas the block that are narrower and smaller so but those streets will be getting bigger improvements through other avenues of vision zero and theyre a dozen schools that have absolutely no boundaries the Mission School is one1 on 16th street from mission all the way up to church. Commissioner sanchez. This is a think excellent report im really glad to see the coordination among the nonprofits this is a good benchmark a number of schools that may not be eligible with the Early Childhood schools that are part of the School District theyre not huge but theyre very important and they have families that walked or drive cars and drop off, etc. I know them particularly in the mission that contacted us over the years about trying to get signage that shows kids crossing or especially you have like alleys going between and you get cars or motorcycles and bikes and parents are trying to pick up their can i see and the teachers it is really traumatic my question is there some unit that could be contacted or we could refer them to get signs posted both in the eel and in the white zones which they have they have for a year and a half to get the signs saying do not park here its a real question. Ill certainly take that back to mta the issue is unfortunately in all of the codes that mta has to operate by the schools are denied by k through 12 well brick bring it back. It is were trying to fourth why. It comes up repeatedly. Id like to acknowledge tour staff i sat in one of the meetings with the police and municipal Transportation Agency with a variety of different agencies theyve done an incredible jobs where they have the dollars for the endemocrat lots of so the influence of the Health Department on the Transportation System not only for vision zero but other issues have come up in terms of the growing city of San Francisco so i want to acknowledge many years of their companionship around this area theyve done a fantastic job thank you. Very good eric commissioner king. Congratulations to our ability to get grants that takes a lot of pressure off the city so congratulations i had a request this request in the future when you give us the data on fatalities by injuries that is what youre aiming for as well and it would be great to track the progress on that. It is something having lane in a our epidemiologist that is based out of Central Nervous system and we are working closely to get not only the severe injuries by the Police Department. Defined by the hospital theyve got different clarifications at the it is important to understand for the reasons to sharing the preliminary analysis and we looked forward to implementing them. Thats great whether you look at other cities that are farther along than us on in journey what turn out to be the common iltsz that the work is hard to bring the numbers down to zero. I mean, i think you know in other you know the example of other International Examples is a movement at the core of sweden the engineering so the reality we have a highlevel of commitment but you know taking the time to get into the ground is building up the infrastructure so doing with we theyve done a great job they have the effective approach of getting things in the ground so you see in the tenderloin removing the parking at the intersections so things go underground and improving the crosswalks or the infrastructure we can do that in the short time and the long term getting things in the ground the 24 projects has been something were excited about happening but doing that you know theres a Vision Zero Network that is being kicked off nationally in of the former director of the Bicycle Coalition is the director of that network she just got back from a fellowship in europe how do we bring that to the United States combining those improvements with data and fundamental focusing on speed we have a goal of fatalities and speed is the strongest predict so so currently were not it is not legal to implement something in the state of california but in washington, d. C. Theyve seen a 50 percent reduction in fatalities so long term with vision zero helping change the culture around how to produce intents human life rather than how fast we get if from a to b were loading to address. Thanks. Yes commissioner. Thank you for coming back after you presented to us last year as the day that i present to us as the number of walking kids walking or people walking and biking goes up it is how the data shows that the numbers are not going on is there a way to look at the encouragement of biking and walking. In San Francisco we had really strong goals with respect to increasing walking and biking that is being tracked by the sfmta so i think you know vision zero is part of that larger mod role how to see the increases but not seeing the increases in most of the injuries i look at the map of San Francisco there are concentrated in the in and of itself quadrant of the city we have the most walking that didnt have to be occupied but walking that is a design problem in the large part we can fix we want more people walking dont have to see the rise a thats what theyve been able to accomplish. That would be great if that data can be a comparison represented. All right. So on the accountability and benchmarks then would we be expecting that in the coming report a year from now obviously youre putting a number of things in place. Yeah. We are. We have this raw data it is good it is starting to gown again, i think you have some others to try to do this i actually was i thought the school zones were 15 miles. For years. inaudible . Please accompany to the microphone. Sorry not before 2011. That wasnt part of Motor Vehicle code. Prior to that that was 25 mileperhour. Really so it dropped so therefore there is a there will be signs there are signs interest. There are signs all schools eligible that are signs posted 15 mileperhour. Does that include all schools or only public. All parochial and charter and private we have approximately 2 hundred schools in the city and about 2 3rds is public but all the schools with eligible. Then i know that there are yell crosswalks; right . Are those also paint at all the schools. Yes. Those are specific the yellow to schools. All the 2 hundred schools. Yep all crossing guards eligible at all schools. Its hard to believe its been a year since you were all here and youve done a lot is i just by the following year; right . The endemocrat lost and all we should be able to get summer day on what is happening as we move towards it i thought that was great to get International Data and see how the other cities are doing a he how were staying ahead in no further comments we thank you for your report and look forward to you returning with another positive report. Great, thank you commissioners no Public Comment item 10 the dpw proposal to modernize the proposal and the city option and create a new city wellness fund. This item was introduced at the last meeting so youll have a vote. Good afternoon, commissioners el lien again in response to the commissions discussion at the last meeting we went back with additional analysis in 3 key areas and submitted a followup memo to summarize the work we had done so you asks you to do an economic stress test we performed and asked us for address information to changes to some of the language in the resolution and encouraged us to have an eye it on the Developments Program for future either further evaluation we discussed it also im having the same problem with my but ill continue im on slide 3 of the i dont know if you have this slide but essentially for the economic stress test we looked at the trends that emerged during the last recession from 2009 to june sorry 2007 to june 2009 june 2009 was when the recovery began we were not fully out of low period at this point we ask the uc berkley does the affordability analysis to look at the historical effect of the recession on san franciscans income they told us two major take a ways the first income shifts towards little lower end of the spectrum of the things in your packet between 2008 and 2010 there was a 9 point increase in the number of san franciscans who earned less than 2 hundred and 50 percent of the Poverty Level those at the lowerincome increase and at the same time, a decrease in 5 percent and the incomes shifts peeks in 2010 as incomes grail increase as of the eco report from 2012 at point hadnt reached the recession levels im sorry technical difficulties you cant see the power point the other key findings a recession will present a increase in apartment employment for lower than the 2 hundred and 50 percent of the Poverty Level and another graph in the packet is apartment to that in 2010 and the shift towards lower incomes is partially explained by people working apartment during the recession in addition to sorry so we look at the effect of the recession in 2008 and 2009 on bridge to coverage and healthy San Francisco on the bridge to Recovery Program we used the income shifts to model the bridge to coverage in the economic downturn we took the 9 point difference increase in the incomes of people below 2 hundred and 50 percent of poverty and applied that to the projection of the programmers and the 1 point increase in those 0 above 4 percent of income to model our participation overall we anticipate the program is sustainable bus the lowerincome flshd the federal participation and decreases the participation on local resources the number of people eligible either they moved the job and didnt quality them for the program in new engrossment increases because the employers will be transcribing on their on behalf of that overall increase is greater than than the increase in expenditures related to the people if the program because those additional people are eligible for federal subsidies than the people pavrnt in the program we discussed that uc berkley the inflation scenario in the event that Health Insurance and bridge to coverage rises but in the coverage of the costs is increasing but the employers is tied to the Health Insurance that also rise at the cost of covered california we believe that is neutral on the program we also did a stress test on healthy santa fe San Francisco what does it mean for healthy San Francisco and in an economic downturn San Francisco will continue to fulfill the 17 thousand ingredient for coordinating the care and continuing to do what it does for us today as previously recorded to the commission a healthy role model the general fund forever the emergency use we the an analysis in our original memo of the 12 hundred individuals we allowed to city in healthy it San Francisco as a result of unaffordability of Health Insurance and we element that will void 2 hundred e. R. I have visits at San Francisco General Hospital enough to provide Preventive Care for 2 hundred and 35 families new landscape the modernization proposal mitigates the economic downturn of healthy San Francisco in two important ways one it eligibility for medical for the lowest income more people will be eligible for more individuals will be eligible for bridge to coverage giving them coverage and not making them ineligible for healthy San Francisco second item the Health Commission asked you us to look at the wellness funds and hesitant on approving the Wellness Program since the last Commission Meeting well have presented to the Small Business commission and the Health Population division weve received valuable feedback from each the presentations Small Business commission we gave a similar presentation that you got at our last Commission Meeting no concerns or recommended changes for the bridge to coverage or healthy San Francisco components of the proposal and for the employee Wellness Program the Small Business commission oebldz the Health Commission that the Small Business in particular are not likely to have the means or on the Human Resources sign to manage a Wellness Program they asked you us during the stakeholder process to look at developing a program that smaller employers what participate in collectively rather than having to manage on their own consultation with the population Health Division identified other opportunities to partner and say theyve generally excited about new ways to partner for example four onsite Occupation Health and Safety Training and many clinics for Disease Testing and they also were excited about the ability to tie those to overall efforts to increase the Health Literacy and enrollment insurance and addressing building the employer was a critical xhoenlt of chief Financial Officer the health in San Francisco in response to the Health Commission feedback and the information from the Small Business commission weve made modifications to the resolution which you have in your form that requests your approval to composer and among the option that have the hunting restraining order lubricating taking those services suggested that the Health Commission asks do us for. And finally on the evaluation of the new bridge to Coverage Program we heard clearly preacher from dr. Kateing he wants us to be sure that the impact of the proposal was thoughtout and the Program Design we can do that so weve been in conversation with the San Francisco Health Commission and the bridge to heartache coverage to make sure we can track Health Updates and Citywide Health indicators and the Health Benefits over time thats a summary of memo we presented to you in followup to your last meeting a revised resolution rather is available for you for your consideration and polk action today. Thank you commissioners we did receive before your place a written statement from the San Francisco Labor Council which i believe you have endorses the proposed Bridge Program and had some issues considering the wellness weve heard from the people from mr. Paulson and he has submitting that in writing commissioner pating who was unable to be here sent a note hell encourage and personally feels that Health Care Makes sense and hopes that his fellow commissioners b will vote to approve that resolution he also called for us to be mindful of the means for Community Assistance and contributions from employers employees and all to create a good universal Health Care Program so you have that letter before you are there any anyone signed up for Public Comment. Not received the Public Comment i apologize for the glitch not someone to help us out. Commissioners discussion or a motion on the resolution . Commissioner commissioner singer. Thanks colleen and thanks for being responsive to my comments were getting used to our thoroughness were super helpful your team and you spent a lot of time on i just wanted to say that i appreciate the change to the language on the wellness proposal and as were getting into that understanding the complexity and trying to make trade offs i encourage the department as our studying it to not get completely sold that we should do this as you study is it you shill have still have to keep in mind the possibility that might not be a good use of funds certainly not arguing those things youve sited in the workplace that are available to itch larger employers are not available and potentially good things to do for the set of san franciscans that work in small employers but i think that one of the goals for studying it ought to be if were as a city going to devote resources practically speaking where are we going to get as much help if we spend those funds someplace else it is hard to measure we have to have that mindset to maybe were not going to get the return on the investment the universities or other populations that need it much more remember much of those people are access to some Health Insurance there are other places i add we keep that possibility in mind as we go through this. Thank you commissioner sanchez. I would move the resolution i think that staff has done the group did an excellent job theyve listened and had meeting with the small groups the recommendations is needed gives us the flexibility to explore all options some of the major functions are interested in funding the links to provide new services those Wellness Programs are good for preservation in any way to generate that, etc. So you know theres a lot of exploration we could be doing i hope well sure we use those Foundation Grants to provide a unique model weve been able to do over the years again congratulations and move the resolution this afternoon thank you, thank you theres a motion and second. Any further discussion on the resolution . Commissioner karshmer thank you youll for your thorough review and im pleased you linked the Public Health Division Work to this resolution i think this helps at least as you study this helps groub what this is as opposed to everything i dont think but it builds on the strength that was a nice addition. Thank you. Thank you further comments commissioner taylormcghee. No sorry no further comments then i echo the very fine work and the responses so promptly it is not easy. Thank you it is what makes it work. Were prepared to all in favor, say i. I. Opposed . Resolution has passed unanimously thank you. Thank you, commissioners item 11 other business. Commissioners any others business youd like to bring to our attention or well move on to the next item. 12 is a joint Conference Committee report and you have a july 28th. July 28th was the meeting where mr. Pickens was serving as is interim ceo and we reviewed the qualities management and regulatory reports and ucsf gave an excellent destruction briefly on their education and Research Program i believe well have the power points given to the commission it shows that very high percentages of trainees that went through the ucsf Educational Program actually intrerdz services into the under served population therefore fulfilling that mission at ucsf general noble in the trained positions but have those available for our underserved population so well be getting those slides to everyone we also then reviewed the Transition Program it has been laid out in very greater detail for projecting that aside from the Ribbon Cutting that is designated for december that following that we would continue to be and thats assuming the pods allows us to proceed to be able to stock our building we would then be undergoing a department of Public Health inspection from the state for licensing and following that which would have approved our policies and procedures to gun to orient people to our hospital projecting a may date at this point for occupancy patients but that a plan will be continued to be monitored by the joint conference over the next several months department of water power what the timeline we followed through with the building itself and presentations in a know fashion to be maids to the commission to broncos you up to date on where we are aside from that in closed session the Committee Also approved the credentials report and i think if there are any questions ill be happy to answer any questions not hearing any questions any further joint conference report. No Public Comment. Item 13 is the Committee Agenda setting. Okay. So in Agenda Setting we will remembered i that we have our Planning Program which will take up the. October 6th. Where is going to be. At dwooi van ness and in the Public Health department division. Well be going to it during our planning commission. Please be prepared for that beginning at 2 oclock i think it is. Yes. Do we have any further unanimous. Item 14 which is adjournment. Okay commissioners, do we accept the motion for adjournment. I move we adjourn. Okay there being no objections well, no i all in favor, say i. I. Opposed . This meeting is adjournedyou. What do you think about working at an airport and i love it is busy all the time. We want it to be an those away was this is a venture if i didnt love it ill be an accountant. We want the experience that is a nonairport experience the negative stigma were trying to erase that. Everything is in a bad food to excite them about the food and they have time to learn about us. People are imitated by traveling and the last thing to do is come to a place fill of chaos. Telling me how the extent of napa a farms came about. It was a vision of the airport director he had a suspicion of a really cool gourmet speciality market locally friendly products this market local flavors this is the best. Can we get a little tour. Absolutely laughter so first on our tour. We have the clock we like to call it. This is coordinating it is made in San Francisco. What about the customer presence. We like to get the permanent farther i love the cappuccino and you have to go to multiple places for the cupcakes the cup a cakes from karis people want to live here theyre longing phone call for one thing in one spot in you know anything about San Francisco the cheese the most popular cheesy think a lot of the people from the west coast say so this the real San Francisco sour dough and theyre curious. You find people respond to the idea of organic and absolutely. This is autumn. Thank you, thank you and theres a lot of personal touch. I see San Francisco. Its very hands on. Whats the most popular items. This is quite surprising our fresh jotting this is the chronicle special a bowl of warm oats and coconut thats mites farther. And speaking of drinks tell me again the cocktail scenes is that one, the things your known for. The cocktails are fantastic. Really. Fresh ingredients we dont have a mixture it to order this is our marcus bloody mayor. Farmers market bloody mary the bloody marys in the airport are great shikz it up. And then were going to garnish it with olives. And some lime and a fresh stalk of selly. Right on. We like we are definitely pioneers in airport concession world a world of nationally if not entirely or internationally everybody is cop us right now. The people that were in charge of the retail this is where that began. I didnt think we would have a location at the airport. Weve set the bar higher with the customer commerce. Telling me about the operator and how you go about finding them and they get from being in the city to being in the airport. So first, we actually find a table and once we know what we want a sitdown we go to the neighborhoods in San Francisco and other people seminary of the retail let us know about the rain water and are excited to have the local operators in the airport. We have to go going through the conceive selective process and they award a lease to the restaurant. They are planning on extending. We that you could out the china and the length evens and the travel serve and fourth your minds and its all good. How long for a vendor to move through the process. I would say it could take 80 up to a year from the time we go out to bid until they actually open a restaurant. I dont know what we signed up for but the airport is happy to have us here. And, you know, even taking out the track simple things theres a learning curve with once were here they are helpful. Its an awardwinning program. Were prude of your awards we have won 11 awards the latest for the best overall food address Beverage Program and. Like the oscars laughter . The professional world. Tell me about the future food. All the sb national leases are xooirz and were hoping to bring newer concepts out in San Francisco and what your passengers want. Well, i look forward to the future laughter air are we look fo. Welcome it is an amazing day or what clapping 70th anniversary of u. N. And equal marriage in the United States i couldnt be a happier man thank you for joining San Franciscos Important Role in the u. N. Anniversary has joining us to decide the United Nations free and actually 0 campaign im ribbing is the chief officer of the unthis is created by mr. Ted turn to support the unit mobiles the expertise of Civil Society and the private sector to help to tackle the worlds challenges im honored we can bring together an honored esteemed audience to support lgbt rights globally i want to acknowledge skeet and nancy pelosi and governor jerry brown mayor ed lee Congress Bruce from peru and member of paramount physique me from norway and charlotte for being here. clapping. id like to thank our fantastic lunch Host Committee that has been spiritual in planning this event stewart milks and cliff and joyce and Charles Radcliff clapping. at the looking towards the next generation of leadership certifying i didnt for mipgz camp to be here with us thank you for doing that as a young gay man grouping in the deep south of the United States i never thought id see the day the Supreme Court would legalize this my partner and i are here and overjoyed and hokd for lgbt rights in 76 countries same sex are criminalized in 7 some are permissible by death and institutionalized discrimination and attitudes exist across the world in all exacts of the folks lives in health care and education and jobs and monk families our goal today is to you honor the secretary generally so for the lgbt rights combroebl and r globally and to begin a campaign if youll turn your attention to the monitors we have a brief overview of the campaign that will set the scene r scene today or on june the United Nations Human Rights Office launched on unprecedented Global Campaign to get rid of discrimination against lesbian, gay, bisexual, and transgenders lgbt and sgrer sex people its named free and equal in the past year more than a bloifz poem around the world have read or seen or heard the message of respect and acceptance millions have seen videos and the times on line and tv and buses and a at bus stations the first body music video was a human right video at the unthe World Leaders have spoken to defend the rights of lesbian, gay, bisexual, and transgenders and enter sex people celebrates have added their support excluding 9 champions have helped to spread the free and equal message on human right the power equal video was screened at the special event to the unmandates for the sgrl day free and equal inspired people to share their stories by the campaign and theyve launched or planning free and equal campaigns events are take place in countries around the world including india and brazil and cambodia and mexico. Around the world envies of us have spoken up in support of human rights lesbian, gay, bisexual, and transgenders and enter sex people universal rights respect, acceptance equality a world that is free and is i couldnt tell. clapping. now id like to take advantage to introduce someone that needs no introduction in that room a public official time after time is a leader for San Francisco for lesbian, gay, bisexual, and transgenders mayor ed lee. clapping. all right. Were just hopping arent we well restrict thank you very much for this introduction and affordable of you for being in our great city and county of San Francisco for a number of moments this morning i thought of so many people that are part of the movement in Lgbt Community our city harvey milk for years as many people are associated with him and the things hes done the current leadership the city and the fact we have two strong gay men on the board of supervisors and our city is continuing to celebrate the diversity everywhere pushed the envelope to expand little table theres always and our dna always room for equality in our city and now with that momentumus decision by the Supreme Court we as a nation and city and xhubtd we move that much closer to equality without exception well have a a lot of work to do but today is about celebration but i need to set the tone were going to get as mark said earl senator leno well there is still a lot more work to do was commonwealth didnt come handed to you on a piece of with the u. S. Supreme courts name weve got to earn it and make sure all the easier of discrimination are freed freed up well i think today is again on the San Francisco anniversary of our United Nations charter and our city the k4rish9d that our United Nations is a global instrument that continues to promote diversities and equality and Acceptance Around the world it is therefore appropriate for me to declare this today to be United Nations charter day in San Francisco. clapping. secretary general please come up and receive this xhivengs here. clapping. and, of course this may not get youre free parking in San Francisco but if i may quote on the all whereas whereas today we prourld remember this in San Franciscos history and remain committed to the principles and values that inspired the unchaertsdz creation including human rights and equality for all thank you clapping. thank you very much. Thank you very much. In so to speak of fight for equality it is my honor to introduce stewart milk and annette did i say your last name right stewart is not only the nephew of the late harvey milk who legacy in our city is cherished may i but made his rights as the cofounder and president of the Harvey Milk Foundation and annette is the dpiven i beginning advice in a norwegian paramount for the foundational human rights for all people thank you to you to promote human right around the world. clapping and while theyre here eastbound please eat as charlotte said quietlyly stewart and annette please koermd thank you clapping. im glad that the mayor got to pronounce annettes last night and not me ive known annette for seven years i still dont get the pronunciation right what on amazing historic day clapping you know a lot of people committed at the earlier ceremony not being able to dream of a day like today in fact, i think our good afternoon would we have thought of 5 years ago a day like today most of us havent some asked me i dont know if i dreamed it to be today but there was one person that would have one person by the way ann my buildings cofounder of the organization is with us, please join me and ann and i agree one person the death threat my uncle got on a daily basis reality formatted the edging he would be killed i knew those bullets what is your coming the reason he that the courage to go into work and continue to fight was because he dreamed of a day like today he dreamed of all of you being here celebrating of being free not only in San Francisco but the United States and the globe he dreamed of a day and actively worked hard in the brief 11 months to give the belief that we might one day have an asianamerican mayor in San Francisco when he supported gordon allow to the point of the board of supervisors thats itself vision i lived that his life was worth where we got to today in terms of dreaming of today my uncle really had that belief wed get here and he believed in all of you my experience with the uni have to point out really went from my work globally and with the foundation ill tell you the one brief story i hope p which of you know i when i was 25 i was working on the we remember Rights Movement in the United States there was a woman a leader that accident the coloring conference on the women and she got up into a room very much like this in neuro rob kenya said if you come here because you want to help me and women and people of color go home we have nothing to do together and there was as much silence in that room as there was here and she said if such come here you understand your liberation is bound with mine lets Work Together thats the heart of the equal campaign clapping. leaders pelosi talked about the history of 37 years ago in city hauling haul that bust of my uncle takes away all my heartbreak when i quack in here he locations down on amazing events line and looking at leadership leader pelosi and all of those years a strong vibrant spreert clapping. president kennedy said as weve heard him one of my favorite quote and one of the things that really that inspired us creating the harvey milk metal was the president kennedy said community is really genocide on who they honor on who they recognize who they celebrate and so today it is really our great honor to celebrate someone at his core this message availability of whos who are marginalized and diminished obamacare who will not be included thats the heart of free and equal campaign a campaign that is not only where we have a crack in the door but the campaign that goes where that oppose is so small snow light coupling into the room ive been on the ground radio my brothers and sisters around the world and emails this morning when i got from asia from the mideast had me in tears people heard the Supreme Court decision and knew with we were doing with the u. N. And they have complete darkness now a ray of light clapping. please welcome handkerchief Foundation Board member since our inception and tremendous leader not just by the way in europe but annette travels the world speaking about equality clapping. thank you so much stewart as a member of paramount im so honored to be able to be here in this grateful had them dream im also so honored to be an International Board member of the Harvey Milk Foundation weve earned the highest level of requirement across the global living up to the legacy of harvey milk all across the globally globe the Foundation Works groggy for the cultural and community to there will activities and stability and to collaborate with other minority groups collecting us to common humanity the harvey milk 34e89 was created at the direction of the integral guardian their not to be given anti lightly rather they worked go to individuals that reach across the globe and part of participates are nepz desmond thank you, thank you barbara robtsd and wanting david notifying pr form is chief of particle and common raiser for the disease and multiple grammy winner melissa were with the harvey milk melted we today recognize a man who was made our entire Community Better more judges and more human andmore enlightened today, we celebrate ambassador tomorrow there is still a lot more work to do we not only thank you and honor and appreciate the leading role youll taken in the fight against discrimination and the fight for equality but also need you to bring that role if you are not along we appreciate you are taking up this leading role to insure the lgbt people their core human rights please join me and harvey milk as we award the human rights metal to the secretary clapping. clapping . I want to read the plaque the harvey milk honors metal United Nations secretary general moon for providing spirited leadership and advocating for human rights for the Lgbt Community for unwavering commitment to equality for all and pioneering work in establishing the unfree and equal campaign that that promotes vigil lgbt violent and highlights the lgbt examination as a core ingredient of social and celebrates go diversities without a doubt kwfks awarded today in city hall congratulations clapping. oh photos photos. clapping. i miss harvey milk and the members of the Harvey Milk Foundation honorable governor jerry brown and leader pelosi and honorable mayor, mayor ed lee delegates and excellence sisters and the ambassadors of the for coming from United Nations thank you for youre coming and joining a dear friends i truly honored by this Legislature Lunch and your recognition by this metal and you really gives me the opportunity to motivate myself and find myself better to work for free and human rights for everyone and im especially thrilled to be with you on today of. Days for a day we celebrate not only the part of the United Nations but Marriage Equality for all americans clapping. truly this is a day for the history books when i woke up this morning knowing that this is a historic decision and wasnt sure of the decision fortunate time after 3 hours ahead for me, i was immediately able to see the news then i had from abc interview today, this morning and thought what should i say so this is not i said he wanted to say i didnt say or but wanted to repeat what i said he wanted to tell you i like the decision of the Supreme Court of the United States that paves the way for gay and lesbian americans to have their relationship lightwellly recognized no matter what part of country they live in ive been a strong believer in equality and the human rights and integrity of lgbt people recognition of their relationship or support to widespread discrimination this ruling will help close that door and marks the great step forward for the human rights in the United States i join the Lgbt Community and its million allies in celebrating this historic distribution thank you clapping. ladies and gentlemen, since arriving in San Francisco last time i have been distancing reminded the connection between this city and the United Nations few other cities and place incredulous as proudly as San Francisco the values of diversity equality, and inclusion it was from this building some 70 years ago that harvey milk helped to set and train americans gay rights resolution a revolution that continues to this day not only in this country but around the world he advocated here heros to protect the people from discrimination are the same majors that today we advocate to governments everywhere the arguments he made not only about tolerance but to inclusion and acceptance are the same ones we eyed today as we convince the government to embrace protect and value all of your people including those how are lesbian gay, bisexual, and transgenders as secretary of the United Nations ive been traveling many countries as everywhere there is discrimination i talked to heads of states of government sometimes ive been successful one day for example in just forgot the country and name ill come back laughter i talked to the president quietly quietly through were two gay can you folks that were put to prison many years it was f it became a big news in the world so i tell him this is against the this is a violation of the human rights a principle and can you release them then im not going to say pubically if you release them ill only welcome your decision then he said that i do not agree with our points i dont agree but since youre the secretary general of the United States ill reconsider what i can do i thought it would take two or three months for his decision to take then when we were having joint press conference he announced himself im partnering those couple right now then they were set free on the same day on the same day clapping. malawi this president unfortunate passed away and hes probably now he made the decision and he set free i was a successful but in some other countries when i raised this issue, of course con trags television station but ive listened to my appeal ill continue to help those people being discriminated dear friends i have a year and a half to go before i step down as unsecretary we have a gratefully to get done i know all right. When the time comes to look at my 10 you ill feel an enormous pride ive been the first unsecretary general to push hard for equality rights for lgbt around the world clapping. for me as many people who have come to this course later in their lives its been a journey growing up in korea in the 1950s and 60s i didnt know anyone that was lgbt or at least i didnt knows i knew anyone. laughter Sexual Orientation and gender identities were about not issues we spoke about they were tab bus korea as know it is constitutional itching i learned to spoke out when i realized that peoples lives are at stake it is isnt that simple millions of people in every corner of the world s are forced to live in hiding because the violence and discrimination and imprisonment because of who they or whom they love today, i stand with them with the people rejected by the parents with the homeless transgender woman tonight has secure employment with a young couple told her for simply loving one another with the activities for standing up for human rights abuses and indisabilities suffered by the members of the lgbt are an outrage and front to the values of the United Nations and to the very idea of universal human rights i consider the struggle to end those abuses to be a great cause on a path with a struggle to end discriminations against women and on the basis of race im proud of work toy appeal the discriminatory laws and to open peoples hearts and times in 2013 the unHuman Rights Office launched a unique campaign against home phobia and trans phobia the free and equal campaign when i first become secret general, i knew there was many staff that are living and hiding themselves who are very afraid of their coming out i invited some of them then, of course when jet general invite they should come laughter they all in groups we dont want to take they were the first person to take gopictures with secretary general, i asked him they were afraid of taking pictures they didnt want to be imposed ill only keep for my record and give it to up personally so we took picture and i kept my promise without let me letting them exposed them and declared our United Nations the best work place in the world were People Living with different Sexual Orientation will have no discrimination and that was a highly awe appraised at the time and the next year they came with a calendar 6 page calendars they with theyre for photos in the calendar every month they feel very proud they feel very proud clapping. ladies and gentlemen im on unlearning champion of that campaign and invite you to become champions to fight for justice is cant wait as a harvey milk Community Well do our best to keep his legacy for bach u walking for the rights of lgbt people everywhere thank you for this honor and for the work that each of you is doing to advance the ideals of freedom lets walk together to make this world better for where everybodys hirlts and dignities will be promoted im coming to that and thank you very much for this accomodation thank you clapping. soy think this is a group that would be happy to take a photo with the jet general can i ask leader pelosi and mayor ed lee and our cohost shuttering and charles before we close it out with the leader of the campaign charles come up well do a quick photo bear with us that was beautiful. Thank you very much were almost here. clapping. thanks very much. One more video youll love it. Nice to see you. So if you can bear with me well show you the video that started it youll see force behind free and equal mr. Charles radcliff charles clapping. thank you rick i thank you everybody for honoring us with your presence today a host allows me to talk about the equal campaign im thrilled i get to do this in this place what i harvey milk and day when were making history in the United States harvey milk taught us so much one of the things he taught us the power of hope he understood how governor hope and so for the most feel the most those sister if you want to change such got to break the silence and get people talking his inspiration is the inspiration for the Freedom Campaign at that time of numerous change in lesbian, gay bisexual, and transgenders free and equal to spread truth and spread confusions that is an unpersistent uncampaign and wounded have got off the ground without the unwavering support of our sxrield secretary general campaign bills on the on and on work to persuade countries to stop prosecuting lgbt people and start protecting them legal change by itself wouldnt bring acceptance and equality if it is not matched did i social change in peoples hearts and lives and attitudes and free and equal we believe contributes to social change by challenging making a steeper showing lgbt people as they are equal with hearts and the same range of hopes and fears and delineates and interests and backlogs as smoj anything else and second empty breaking the silence of sexual qualify to kick start the conversations ash the world and third by sending a preliminary hearing to lgbt people everywhere their innovate alone the unstands with them in their fight for rights and respect and distinctive thing is the campaign is that is a uncampaign and accepting the authority of the unbranch especially with the hostilities by having the message come from 9 unwe can legitimizes this campaign and lend support to all the harvey milks out there who were fighting for change in their own countries and blooktd to the United States for enforcement celebrate support is another