Speaker cards and documents to be included should be submitted to the clerk. And before we get started, can we have a motion to excuse supervisor walton . So moved. Without objection . Thank you. Without objection that motion passes. There clerk, please read item number one. Item number one is a hearing to considered the proposed ordinance by four more supervisors to the march 3, 2020 election to establish Mental Health sf to provide Mental Health services and psychiatric medication to all adult residents of San Francisco with Mental Illness and or Substance Abuse disorders, homeless, you uninsured or healthy sf. Thank you so much. I could not be more excited to be where we are here today. We just came from an incredible rally with over 600 people, healthcare workers, frontline social workers, conservatives and family members, psychiatrists, psychologists and, you know, everyone who has been dedicating their lives to addressing Mental Illness and Substance Use in our city and country. I could not be more excited that today is the day that we are finally moving forward, a major step to get our march 2020 ballot measure Mental Health sf to the people. Supervisor hainey and i, together with the cosponsorship with supervisor marr have worked with the true experts of the field. You could hold down signs at your chest level and you will be removed from the chambers if you hold them up and really i would love to see all of you stay because this is a very important, important discussion. Thank you so much. Supervisor hainey and worked with the true experts in the field to draft this legislation and were very, very proud of the outcome that is before us today. Mental health sf is a universal let me repeat, a universal access to Mental Health care for everyone suffering from Mental Health care and Substance Use disorders. Specifically, this means the city will be providing that care to everyone who is homeless, who is uninsured, unhealthy San Francisco or enrolled in medicale or who has a severe Mental Illness. Anyone who is leaving jail and hasnt been able to reapply for m emedicale. Its for all of San Francisco and if you are insured and have private Health Insurance and cannot access care, which we know happens every single day, Mental Health health sf is creating a new office of private accredittability and well will have advocates there, ready and willing to fight with you alongside you, with your Insurance Company for the care that you deserve and need. Anyone can walk in the centre theres crisis stabilizationandg centre and transportation to and from programmes, includes county jail and Hospital Psychiatric Emergency Services unit. Finally you wont be treated in a silo and go to every provider because you will have a case manager to coordinate that care and will give you a treatment plan and have you navigate up and down that treatment plan based on what youre experiencing today. If you are dealing with a lower moderate Mental Health, you can have a regular Case Management to help you when you need that help to get appointments. If you have homeless and have a lot of other barriers making it difficult for you to access services, youll get an intensive case manager. If you are on the street and you are not ready to trust people yet because you havent been given that reason to trust people into the system, we will have critical case managers that will come out and work with you and get to know you and build that trust with you. When you see people in psychosis and talking to themselves, you dont have to call the police anymore if thats scarry to you. You will have a ful number to cl of Mental Health professionals, to make sure that people are safe. That team is available 24 hours a day, seven days a week and Mental Health sf will meet a huge expansion of services. Right now we know that people are getting stuck in a level of care that they know if theyre able to get into care at all in the first place, they often get stuck at a hire level of care where they dont need to be. We know of people who have spent nine months in jail, waiting for a bed in the system and no longer, that is unacceptable and it is not going to happen in this city. We will help anyone who needs the care get the need. We are finally in in country realizing the diseases of the mind are as important as diseases of the body. When you are diagnosed with cancer or with a tumour, they dont tell you to wait two months and well see you when we can get you if is we may or may not have services to provide you and you can lanquish on the street in the meantime. Well, why are we telling that to people who have an illness of the mind . That makes no sense. And we finally have Mental Health parody in maine and guess what . In sanfrancisco, well have it in practise and in reality, as well. Thats what Mental Health sf is all about. Thank you. If you can instead of clapping do the spirit fingers, that would be much appreciated. We spent months and months and hundreds of drafts and what you have today is a labor of love and came from the minds of experts and Substance Abuse and workers. This has been with a lack of a functioning system and not with the workers itself and we want to make that incredibly clear beforclear. We are in discussione Mayors Office right now and the Mayors Office has not been opened topento a universal systl health care and they have wanted to focus on the 4,000 individuals in the street. I understand where theyre coming from but we want to go bigger and we are in those discusses right now and theyre going well and im very, very hopeful that we can come to you shortly and say, you know what . We dont need a ballot measure. We can implement it right now which would be amazing but we dont have that deal today but rest assured that matt and i together with the Mental Health sf committee, many in the room and ill talk to you about them in a second, we are doing that hard work of defate, discussion and compromise. But where we will not compromise, we need a universal program and thats where, if we cant reap acant reach an agrel go to the ballot. I appreciate the gph and Mayors Office have been engaging in the serious discussions. So with that, before i turn it over to matt and to to supervisor hainey and supervisor marr, i have to give a few extra special thank yous, start wiging with our staff. Our staff have been living and breathing Mental Health sf for a long time. A shoutout to catalinas morales who started us off and studying to become a social worker herself. So maybe shell be one of the social workers in sfgov. Carolyn gusen, i love her and cant thank her. Im sure matt will do this, abigail ribimontimesa, you are a brilliant ray of sunshine and were so lucky to have you in this battle with us. I need to thank particularly the people who have spent countless, countless hours serve on our Leadership Committee for Mental Health sf. There are individuals from ill say the organizations, sciu101, ifpte did i say 21 . And National Union of healthcare workers, nhw, as well am i missing anyone . I think thats theunions. The Assembly Member sil tin didnt has been with us from the beginning and the amazing mark chucklebang. And Labor Council represented by kim tavaloni, sciu101 by katelyn prendavel, jason kloom, local 21 represented by deborah grabel, Julia Harding and i think thats it and nuhw by paul kumar and ryan beaston, 2015 by lerma and Julia Harding. And then zach golden, sarah short from the demand coalition who was just, i think detained by hopefully will be joining us soon didnt then finally weve received amazing support this entire time by the incredible liam mcglofland and jackie kragr. Thank you for your incredible nonstop work on this measure and then finally, there was a little conflict before we came in here. Theres a lot of excitement and emotion but i will tell you the Deputy Sheriffs Association has been supportive of Mental Health sf. So lets just know that they have been supporting us from the getgo on this initiative, because they know what it means when Mental Illness goes un treated. So thank you to them and thank you to huey sf, 2121 and i said that the San FranciscoLabor Council, the consumers and the families, most recently Zach Williams who made a beautiful video and tribute to his father, robin williams, who battled and struggled with Mental Illness in his lifetime and has been a huge supporter of Mental Health sf. Weve had so much incredible imput from all of our communitybased organizations from the getgo, Community Housing partnerships, tenderloin development, coalition on homelessness, senior and disability action, Mental Health association of San Francisco, taxpayers for public safety, st. Anthonys glide, the support of Housing Providers network, Human Services network, Progress Foundation, the National Alliance of Mental Illness, the direct policy alliance and so many more. The reason weve had 100 drafts of this measure is because every time we shared it with the experts, they had new, excellent feedback for us and so we kept making it better and better until we got to the product you see today. So with that, i wanted to thank you all so much for this labor of love, this Community Labor of love that weve all created in Mental Health sf and whether we pass it here at the board of supervisors or at the ballot in march of 2020, were going to make damn sure this law is enacted because its time for change and time for solutions. Supervisor hainey. Thank you. Thank you. This would not have happened the way youve gone to the community and engaged them with respect and humility and its an honour to be a part of this process is a part of your staff in my first nine months of office. For everyone that works in our city, the tenders loin, this is an issue of human rights and people in our city who are in need, who are suffering and sometimes quietly. This is a huge step to make sure that people have care to access and treatment and that we actuallyize Mental Health as a human right and create a model that should be replicated across our country. San francisco has the capacity to do that. Before i go into a couple of things, i do want to make one thing clear that i think is important. This is the peoples house here in city hall and we want you all here. You all this place belongs to you and it is important that you feel safe and that this place is accessible to you. So i think were some things that happened out in the hallway in terms of people were treated that i found unacceptable and folks not in this room with us right now, you have our commitment to have their back because its important that all of you feel safe here and feel that this is your home and can be heard here. And in many ways, thats what this for us is about. Its hearing the people, what theyre experiencing and what their needs are, the patients, families and then making that real policy. So its important that you can find a path to do that, not just with us directly but here at city hal hall. For those fighting to be make substance treatment right, this has been a long journey and i want to recognise all of the people fighting for decades and decades, whether you work in a hospital and trying to fight to make sure theres adequate staffing and youre getting support for a patient on an individual level, whether youre part of the Mental Health association or the treatment ondemand coalition is working and showing up to these hearings for funding, this is not a new issue and Mental Health sf didnt come out of the sky. It was built on all of the fights and the struggles to get us to this point where we have said this is the model we want to see made a reality. And if we will have treatment on demand, how do we actualize that and build a system. Were done with the incrementalism, bureaucrats at the top telling us the need is met. Its not true and real you and you all have been saying that again and again and again and now its time that city hall recognises that and makes changes that reflects that, because we dont want to be here in five years having the same conversation about everything is fine and were taking these little steps. Were long passed that. So the Crisis Response team will respond to how crisis in the street. Far too arc too often i see thee used far too often and that can make things a lot worse. Instead, we need people who are trained to respond in never ways and in ways that we not only stabilize the situation but enter people into a system of care. It just cycles right back. Theres no responsibility for that person and their needs in an ongoing way and thats the commitment we want to make with Mental Health sf. The Office Insurance accountability, this is very important because no one in our city, whatever your insurance situation is should feel alone without someone they can go to fight for them and to make sure they get access to treatment and i want to shout out to the folks from kaisr and uhw fighting for Mental Health within the system at kaiser and many of us have kaiser and weve heard people going months without treatment. They need to get their appropriate care and when they fail, it hurts all of us and ultimately, they will in many cases become the citys responsibility. So we have a direct interest to fight for all residents. And integrating that is a huge fall mental sf will fix. This is separated from the system of housing and so we end up in this sort of round about where you say, well, why didnt the treatment work . Because they were released to the street. Or somebody goes into a Navigation Center or shelter and can you get this person access to care and thats not us, thats dph, thats not what we do. So the result is, of course, that peoples care is not treated with the urgency and the impressive approach thacomprehet desires. This will require us to Work Together to hold the system accountable to make this a reality. I do want to thank our staff one more time, your staff, carlina and carolyn for their extraordinary work. We have been spending, i think. Im thankful for the work of everyone on our committee, supervisor marr and so many others and i think were close to getting this done. Theres a few more steps to take, but ultimately, once it passes, well also have the responsibility to make it a reality because this is one more big step on the road to making sure Mental Health sf is not just a right in name but practise and i know thats what you have fought for in your lives and continue to do. So thank you again. Thank you supervisor ronan for your leadership and im excited to move this forward but im more excited when we start to see the impact it will have in our neighborhoods and residents and communities. Thank you. Supervisor marr . Thank you, chair ronan. I wanted to add my brief thank yous and thoughts before we hear Public Comment and so i just wanted to start by thanking supervisor ronan and hainey and staff for all of your incredible leadership in creating this proposal for universal access to Mental Health services and treatment addiction for everyone that needs it here in the city. Mental health sf is exactly the kind of bold, comprehensive solution needed to address the Behavioral Health cry vi crisisg our city, cutting across all districts, in the Mission District in the tenderloin to the sunset district. Thank you so much. I want to acknowledge all of the community organizations, the frontline nurses and clinicians and social workers and the patients and their families that have pushed us and pushed the city to really address this crisis in a more comprehensive and bolder way. I look forward to having this move forward on the ballot this march or legislatively, whatever is the best approach, and im happy to cosponsor it and support your efforts. Thank you so much and i just wanted to thank the C