Kickoff in the bayview on saturday as we continue to build passive equitable soda tax in San Francisco. Thank you. The rest ill submit. Thank you, supervisor mar. Supervisor wiener. , madam clerk. ~ thank you, madam clerk. I had the pleasure over the last number of months to work with supervisor mar and cohen and avalos and a growing coalition in the community to move this measure forward. I think today is a very, very important day that we have, one, unified measure that i think is going to have ~ Significant Health benefits for this city. I think its important, colleagues, as we engage in this dialogue at the board over the coming months, to really keep the big picture in mind, and that is the explosion, particularly of diabetes in this city and around the country. We are moving to the point whereas many as one in three americans will have type 2 diabetes. Kids are getting diabetes. It used to be called adult onset type 2 diabetes. Now kids are getting it ~. Large numbers of kids and
Program, the shanti project, positive research center, applied aquatics institute, San Francisco publicity club, and we also appointed him as a board to the lgbt aging task force where he was a very productive member. Stu was extremely active in shanti and served four terms as board chair. He helped keep that organization strong. Shanti was a key, key part of his life. Recently he he chaired the executive council at the San Francisco para transit coordinating council. He was also serving as the executive director of tin pan alley productions and he wrote a column for the bay times. He hosted several shows including the drag show and the face to face on s. F. Common. He was also very active in the Recovery Community and served on the Advisory Board of the Castro Country Club ~ which was silver space in the castro. Stu had a lot of energy. I think probably more energy than a lot of us. It was just unbelievable how many Different Things he was involved with. I would never its just always
Fourth year and the future years, they can actually utilize what is already being used in a local property tax or sales tax for these low income people. For these low income people. So, what i would ask, if the state chooses not to expand , what wouldto 138 you think the department would plan to handle be states rick states request to continue with business as usual . Senator, with regards to the specifics of the discussions thaten hhs and the state, is something in my current role i am not familiar with. What i can talk about is the philosophy of how to think about these issues in terms of medicaid and medicaid waivers. There are a couple principles. I think it is important starting the conversation to be clear about what the fundamental Core Principles that are essential to implementing our, whether that is the Affordable Care act or state waivers other states may be applying for. I think the second thing that is an important principle is flexibility. Differentates have situations an
Delivered to people in ways that they can access it and use it in ways that prevent the kind of problems you described with the 12yearold that actually extend through adulthood for many. Absolutely. I look forward to working with you. Thank you. Thank you. Senator isakson is next. Congratulations on your nomination. Congratulations to your family or condolences to your family one way or another. Hearing before the Health Committee, i brought up an issue i already discussed with the chairman. In that meeting i told you i had no more responsibility as a member of the United States your noluding more pressing responsibility as a member of the United States senate, including your the harborthan project. I wanted to bring clarity before you were gone from omb to make sure we had a road forward to make that reality. To confirm what dr. Coburn said about responsiveness, without in an hour that hearing, your arranged a meeting with your chief legal counsel, your deputy director, and your chief
Diseases for those who have run out of other options. It includes the National Institute of health, the fda, the center for medicare and medicaid. Cms is the Largest Health insurer with an annual budget of 800 billion dollars. I believe you have the qualifications to do the job, but there is much that you will need to do in order to assure members of the committee that hhs is heading in the right direction. It is a turbulent time that lies ahead. One of the greatest challenges shoring up the exchanges and making sure that they are operating efficiently. Recent reports of the numerous issues faced by the state exchanges at something to implement the law have been cause for great concern. States are required to have a Healthcare Exchange where citizens can go and shop for Health Insurance. They have the option of starting their own exchange, using the exchange provided by the federal government, or in hybrid will stop they are determining what type of exchange to implement. Were given in