Do you have announcements . Yes due to the Health Emergency City Employees and the public the board of Supervisors Chamber and Committee Room are closed. However, members will be participating in the meeting remotely at the same extent as if physically present. Public comment is available for each item on the agenda both channel 26 and sfgovtv are streaming the number across the screen. Each speaker is allowed two minutes. Comments to speak during the Public Comment are available by calling 8882045984. The access code is 3501008. Then press pound and plowed again. When you are connected dial 1 and zero to speak. You will beelined up in the order you dialed. The system will be silent when you are waiting. They will notify you when you are in line. Callers will remain on mute. Account for time delays between live coverage and streaming. Best practices call from a quiet location and turndown your television or radio. You may submit comment in the following ways. Email me. If you submit vi
Good morning everybody thank you for coming. The executive director of the bigcity Health Coalition want to say a special thank you to Representative Office for securing the space for us and while i know the congresswoman could not be here today i want to thank her for being a true champion for Public Health also the American Academy of pediatrics for being such a great partner as we planned this event. The Health Coalition started in 2002 is a forum for leaders of the largest metropolitan Health Department for strategies to jointly address issues to promote and protect the health and safety of the residents we have those jurisdictions whose Health Department serves nearly 62 million or one out of five americans well have two jurisdictions here today. You have bios in front of you i will not take up time i want to introduce the panel that i will turn it over to them. The order in which they are presenting doctor kraft is the immediate precedent of aat the commissioner of health in new
So, good morning, everybody, thank you for coming. Im the executive director of the big Cities Health coalition. I want to start by saying a special thank you to representative roy allards office for securing this for us. While i know that the congresswoman couldnt be here today. I want to thank you her for being a true champion for Public Health and thank the American Academy of pediatrics for being such a great partner to us as we started this event, planned this event. So, the big Cities Health coalition was founded in 2002 and is a forum for leaders of americas largest metropolitan Health Departments who have changed strategies and jointly address issues to promote and protect the health and safety of their residents. We have nearly 30 we have 30 members whose Health Department serve 62 million or one in five americans and we luckily have two of our member jurisdictions here today. So you all have bios in front of you so im not going to take up too much time, but i want to introduc
Foerng, everybody. Thank you so much for coming. Im Chrissie Julian ob the executive director of big citys Health Coalition. I want to say a thank you to representative roy allards office for hosting us. While she captor be here today i want to thank her for being a champion of Public Health. I want to thank the American Academy of pediatrics for being such a great partner in planning the event. The big citys Health Coalition was founded in 2002 and is forum for leaders of americas largest metropolitan Health Departments to Exchange Strategies and jointly address issues to promote and protect the health and safety of their residents. We have nearly 30 we have 30 member jurisdictions whose Health Departments serve nearly 62 million, or one in five americans. And were lucky to have two member jurisdictions here today. You all have bioss in front of you. Im not taking you have too much time for me but i want to introduce the panel and then turn it over to them. So in the order which theyl
This is two hours and 40 minutes. [inaudible conversations] [inaudible conversations] [inaudible conversations] the meeting will come to order. Senator whitehouse is next followed by senator young. Senator whitehouse. Thank you, chairman. Lets me ask first to put into the record a letter from our governor in rhode island, which says in rhode island im quoting here we have actually seen exchange premiums decrease in two out of the last three years. Ended that this has saved consumers nearly 220 million since 2012. So, the story on the Affordable Care act in rhode island is a good one. I would also like to put this little graphic into the record, which to explain briefly, the red line along the top is the cbo estimate of where our healthcare costs were going to go back when they were making the estimate in 2010. Then, at this time 2016, after the aca was in place they took a look at the Actual Experience up to that point ended a new new projection Going Forward based on the Affordable Ca