To have a dedicated Pharmacy Service line that advocates and consumers can call to answer their questions and in addition colorado lien said standardized the tier definition so we know what drugs are in what tier i want to point out not all plans use the tier blue shield as a 1,200 threshold im not certain but it is definitely higher in california recommendations also is that if there are 3 or more Treatment Options for treatment at least one drug in that drug category has to be an tier 13 and this is specifically 5i78d and rheumatoid 5th reiterates and lupus for us it didnt go far enough only one drug is there people need different drugs to treat hiv and aids the board is asking to access the implementation of caps on the speciality tier the issue is that when Insurance Companies putting put caps on the speciality tier cost sharing that means a substantial increases for drugs so it is important for california to keep the formulas reasonable so i want to see the actuary process before
Reductions with the network which helped individuals to reduce the costs this hearing is timely in that this last week im helping a client for 14 months his individual copay was 35 a month until recently changed under the speciality tier which brought him up to 500 a month pharmacy bill this was factoring in the fact you have to pay for individual to the doctor as well as the lab during the pricing and gain access to medication through programs you such Medication Assistance Program and a copay card and assess network we reduced those costs for the individual is looking at 20,250 a month this is well outside of his financial bracket he came to us seeking proving lax assess because of the speciality tearing of the medication we provided him a pass and are actively helping him to continue for his access to life saving services. I want to acknowledge katherine dodge do you want to Say Something about this issue with our familiarity. Thank you katherine dodi want to highlight because we sp
2014 strategy after thirty years of stagnation our city is seeing its share of a regional and National Growth were having an opportunity for the full spectrum of san franciscans but theres a ton to do to make sure our economic boom continues for san franciscans of all strips and background there is a ton of work supporting the industry and our Small Business community as commercial rents is revising and office space scare reserve this will continue to serve as a guidepost as departments cross our city as they work to implement policies to strengthen our local economy thank you oewd and welcome todd to present. Thank you supervisor farrell for calling todays hearing in 2004 the voters approved proposition i did mandated the creation of apple Economic Development strategy in 2014 the city realized the cooperation with the office of Economic Analysis retailed that in 2007 proportion i talked about this were before you to present the 2014 update to the strategy that was done in collaborati
Just occurs to know how thats going. To my knowledge weve had pretty good conversations and collaborations with the Fire Department ive talked directly with the chief shes assigned an assistant chief to work with us the folks in the enter departmental committees that we staff are communications are better only thing ive heard of happening in a few recent issues around mcallister street and some instances individual members of the Fire Department have been going to Community Meetings not on behalf of the Fire Department saying many of the Pedestrian Safety will pled did fire access by the way weve gotten a written microorganism shotgun the Fire Department is supportive so your officer is circling us to make sure we continue that way. Ill encourage the agency to continue to hold firm, of course working with the Fire Department because as you stated there are companies that have Good Solutions so ill encourage them to stay strong in pursuing vision zero goals thank you. Okay. Colleagues q
Thousand plus we show 34 percent is 59 percent higher and sfmta labor rates for the engineer is hundred and 33 thousand plus and again, the 35 percent should be 53. 8 percent to use it new york no sense we make a recommendation to ask the controller to look at the mtas direct and indirect labor rates and make the elements prior to 9 next issuance of the transportation bonds anticipated in may 2016 we believe that is good legislation we recommend all of the two resolutions be approved. Thank you to the mta any questions or comments on the reserve and the recommendation of mr. Roses. On behalf of mta no comments. Okay thanks very much supervisor tang. Sorry to add on to harveys recommendations to items 11 12 and 13 if mta can provide clarity between the difference of public works and mta is calculating. Sure we is have the office of Public Finance to address you on the body as well warmed up to the rates we have third Party Entities that develops our cost plan as development by the state