Transcripts For SFGTV BOS Special Budget And Finance Committ

SFGTV BOS Special Budget And Finance Committee July 13, 2024

One, and then zero. [inaudible] clerk speak clearly and slowly and turn down your television or radio. Alternatively, you may submit Public Comment in either of the following ways. Email me at linda. Wong sfgov. Org. Thats lindadotwong sfgo vdotorg. Chair fewer thank you very much, miss wong. So i want to say before we move into the agenda, i want to acknowledge the incredible work of the Clerks Office in coordinating three Committee Meetings today and for accommodating this special budget meeting. Colleagues, we have one hour for this meeting, and must conclude the meeting by 12 30 p. M. In order not to jeopardize the start of the Building Committee meeting. No matter where we are, we must stop at 12 30. Madam clerk, please call item 1. Clerk item 1, emergency ordinance to require the city to secure k8 250 private rooms by april 26, 2020, through Service Agreements with hotels and motels for use as temporary quarantine facilities for people currently experiencing homelessness, people released from hock will hospitals with covid19 exposure or exphex, and frontline workers in the covid19 crisis, waive the requirement under charter, section 9. 118, that the board of supervisors approve the Service Agreements for private rooms, require daily reporting to the board of supervisors on the citys progress in procuring and providing the needed room does, require congregate care facilities for the hockless to comply with social distancing practices and implement covid19 screening protocols, and direct the city to use best efforts to enable people from leaving congregate care facilities for temporary rooms provided by the city to subsequently return to congregate care facilities. Chair fewer thank you. Supervisor ronen . Supervisor ronen today, supervisor haney, peskin, walton, preston, and i are introducing an emergency ordinance requiring the city to secure 8,250 private hotel rooms by april 26, which is the anticipated peak of the pandemic in california that will serve as temporary quarter te quarantine facilities for people suffering from covid19, and frontline responders responding to the emergency. When we talk about people currently experiencing homelessness, that includes people that are doubled up in s. R. O. Hotel rooms and do not have a safe place to quarantine in place. San franciscans have been ordered to shelter in place since march 16. Nearly 3,000 people experiencing homelessness in congregate shelters. 5,000 individuals and 19,000 People Living in s. R. O. S across the city are still unable to selfisolate and face a much greater risk at contracting the virus. For weeks now, my colleagues and i have stood alongside medical professionals, community activists, and faith leaders in urging the mayor and City Departments to temporarily house residents of congregate shelters and the individuals living on our streets in hotel rooms where they could safely shelter in place. There are over 30,000 vacant hotel rooms in San Francisco right now, and Homeless Service providers have told us that they are ready and willing to staff up these facilities immediately. But instead, the city has held onto a backwards policy of waiting for individuals to first become infected before finally placing them in a private hotel. Last week, we reached a new level of urgency, when the city confirmed the first covid positive case in a homeless shelter. Once they are exposed, Homeless People have a much higher mortality risk due to community exposure. As members of the board, we have done everything in our power to move residents out of congregate shelters and into temporary housing as soon as possible, including supervisors preston, haney, and waltons efforts to secure private hospital rooms through private funds and securing every available resource to us as supervisors. Every hour we delay puts more Homeless People at risk and endangers our collective Public Health as a city. We have no moment to waste, and we will stop at nothing until every person that needs care is brought to a place where they can comfortably shelter in place. This city requires at least 8,250 hotel rooms for parents who do not require hospitalization, quarantine units for our First Responders and health care workers, and units where our infected homeless can safely quarantine. Finally, the legislation establishes standards of care at existing shelters, Navigation Centers, and other congregate care facilities for people experiencing homelessness that ensure proper social distancing, regular health screenings, and covid19 procedures pursuant to Public Health guidelines. If there is one thing that we have learned during this, is that it is our health is inextricablely link inextricably linked to all of our neighborhoods. So far, our City Government Public Health response has failed people in congregate settings, and people who are unsheltered and put all of us at risk. With this emergency ordinance, we will correct our course and move Homeless People into individual shelter like those of us that are blessed enough to have a home. I am happy to answer any questions. I can get into details, how we reached that number. I can compare that plan with what the city is currently doing, and i can talk about cost if you have those questions. But first, i wanted to turn it over to any of my other colleagues who had comments. Cha chair fewer i supervisor fewer, you are on mute. Chair fewer thank you. I want to turn it over to Severin Campbell for a b. L. A. Report before i hear anything else. Thank you, chair fewer. Severin campbell from the budget and legislative analysts office. We show the types of beds and people that would be covered under the ordinance in our report. Table 2 outlines the cost. We estimate a onemonth cost for rooms and services of 58. 6 million. This is actually based on existing contracts that the h. S. A. Has for these types of services. These numbers come from h. S. A. We do estimate there could be additional costs for onsite management per month of 1. 6 million to 1. 7 million. Those are some reports that weve done looking at onsite management for other types of facilities. There would almost certainly be some sort of fema or office of cal services reimbursement. We estimate that could be up to 93 of costs or eligible costs, but what is uncertain is what these two agencies would determine as reimbursable, so we did an equation in case fema and cal health did not include a lot of our needs in their criteria. Our guess would be that the number would call somewhere in between that in terms of monthly reimbursement. We do consider the legislation to be a policy matter for the board of supervisors. Chair fewer thank you very much, miss campbell. I believe we also have Kelly Kirkpatrick and Ben Rosenfeld available. Thats correct, madam chair. Chair fewer okay. I have a few questions for mr. Kirkpatrick and mr. Rosenfeld. [inaudible] chair fewer than what is reported in the b. L. A. Report. Either way, i think the question that comes up for me in terms of understanding this is that if we cannot get reimbursed for all of these funds, will these also be come interesting the genercome coming from the general funds . Madam chair, good morning. Ben rosenfield, controller. I think these funds would be drawn from the general fund. Whether that would be the general fund or general fund reserves, that would have to be determined or made, but i think whatever other sources after that would be a general fund cost. Chair fewer and when will we know what that impact will be to the general fund, either . I think it would be sometime as it relates to this portion of the response in part because the fema and cal Health Reimbursement process are likely to unfold over the coming weeks and months, and it will be directly related to who occupies these rooms, and what percentage of rooms are occupied at a given moment on a given day, and then, how femas advice evolves through this pandemic, so i think all of us can agree this will be a fluid Financial Impact for sometime. Chair fewer and then, supervisor ronen, in your legislation, i notice that this does not include patients that are at laguna honda, just a hot bed for outbreak across our nation, and that 100 of those residents are vulnerable. So i am wondering, does your legislation also include perhaps the moving of patients at laguna honda, which is probably the largest nursing facility in San Francisco. And then, also, does it include rooms for our patients who are in Nursing Homes . Supervisor ronen it doesnt include Nursing Homes because were focused on individuals that can selfcare, and at laguna honda and Nursing Homes, its not very common for individuals to be able to selfcare, and so the level of supervision and assistance is greater. Chair fewer would you be open to having it include some ihss patients and nursing home residents and also people at laguna honda because these are people in this age group, 70s, 80s, and 90s, that would need more acute medical care if they test positive . Supervisor ronen sure. I would want to ask d. P. H. About that, whether or not it is safe to move individuals in Nursing Homes and laguna honda into individual hotel rooms or whether or not they need a higher level of supervision and care, but i would be happy to add them if that is considered safe by d. P. H. Chair fewer well, i think there is a range, quite frankly, of individuals that do not need extended care. We could be offering care for these patients that need care, meaning, helping with feeding, helping with clothing or cleaning, while still in a setting where theyre not with many other patients that are vulnerable. Supervisor ronen okay. Chair fewer thank you very much. So i see people in queue, but first, i want to make some comments. And i know thats unusual because i normally wait until everyone has spoken. If my colleagues will allow me this one indulgence at this time. I wanted to share my thoughts about todays legislation, and i do believe that securing hotel rooms in the thousands to prevent unhoused residents from becoming ill and to prevent the preventible death of those we know are vulnerable to covid19 is a priority. I also wish that there was a way to move this priority in a way that did not fall into the trap of our tradition Political Division because in this moment, now more than ever, i believe that San Francisco needs to be united in our approach to save lives, meet peoples basic needs, and protect our most vulnerable residents. For the past week, i have been at the Emergency Operation center as has my whole office. I understand better now how this city is torn in its response to covid19 and have deeper appreciation for the tireless work that is being done by City Department staff. Has never been done perfectly . No, and truthfully, from the local to the state to the National Level and beyond, it has shown how unprepared our systems were for a pandemic, and how already vulnerable populations are at even higher levels of this now. I understand these Community Advocates who are fighting and cheering for these people. Unhoused, those in s. R. O. S, and those in shelter and care facilities. So many have been struggling for so long and now are at risk of major Health Impacts related to covid19. As a former community organizer, i understand the need for the city to be better and to move faster to address that. I want us to be both responsive to that push but also rise above the temptation to tear each other down during this crisis. We have to help our entire system to be a success, which is why my whole office has been helping out, and i call on every office to help out. In terms of this legislation, and im going to be forthright, this is an incredibly short timeline. And i agreed to hold this meeting only six days after this legislation was introduced, and i urge to pass this out of Committee Without recommendation as a Committee Report so that it can go to the full board for a vote tomorrow, allowing an additional opportunity for every member of this board to read the full legislation. So i make a motion to move this legislation as approved out of committee with no recommendation. With that, i turn it back over to supervisor ronen. [inaudible] chair fewer supervisor walton . Supervisor walton thank you. And i want to thank the Clerks Office for being so prepared and ready to conduct an emergency meeting and also chair fewer for being able to do this in an atypical manner. I do want to say that we are 100 in a pivotal time for us to be working together as city leadership, and that goes for our executive branch, our city branch, and our entire bureaucracy. In my opinion, it is a little disheartening that we are forming legislation that goes against our health department, who told us we could shelter in place. There are just three things i want to emphasize. I dont want to belabor the point and supervisor ronen did a good job of telling you why this legislation is in place and what the purpose is. One, we have a shelter in place order. It is confimperative we do everything we can. As weve seen within the last week recently, once we had one case at a particular shelter, it spread almost overnight dramatically in terms of when we were able to test and when we were able to find out the number of Homeless Individuals in that particular shelter who had contracted the virus. So as we know, as we look at all of our Navigation Centers, all of our s. R. O. S, the opportunity for spread is tremendous. Third, i just want to say as we work to be fiscally responsible during this crisis, im glad we got a b. L. A. Report on this, we do know there is a possibility we could be reimbursed up to 93 of costs, but our b. L. A. , as amazing as they are, they made sure that they gave us the most conservative numbers and figures in terms of what we think we could get for reimbursement, which still, in a time of emergency, is an advantage for us. This is a matter of life and death. And as we look at being in an opportunity to actually use resources to save lives and prevent the spread of the virus, that is something that we are fortunate number to be in a position to do that. I truly understand were going to have so many concerns and Economic Impacts and so many things that were going to have to mitigate as a result of this crisis. But the reality is this legislation, this focus does save lives, and thats what we want to do during this crisis is make sure that we keep people alive and keep people from contracting the virus. So in the spirit of working together and in the spirit of doing whats right, this is why we put this forward. And again, i want to thank chair fewer for allowing us to have this conversation so quickly because this legislation is something that needs to move forward immediately. Chair fewer thank you, supervisor walton. Thank you also for being available for this meeting. Supervisor haney, thank you for joining us. Supervisor haney thank you, chair fewer, and i also want to thank you for having this emergency meeting, and i want to thank supervisors ronen, walton, preston, mar, and ronen for authorizing this legislation. We delayed for weeks actually bringing forth legislation. We did a resolution. We, a month ago, had a hearing where we brought up our desire to see this happen and the urgency around it. Weve had dozens of calls with mayors leaders and d. H. C. , and we didnt feel like we had any other option as supervisors and make this a full legal requirement by the city. A month ago, we had a hearing, and director rhorer and others were there, and they made it clear that this was not part of their plan, to actually put the number of homeless in hotels to shelter in place. So over the past few weeks, we had tried to work in partnership. We had calls with them that said, let us know how we can help, yet during that time, there was a failure to move people quick enough, and the 70 people in my district who contracted it who are unable to shelter them in place, that is putting them at risk, and that is putting all of us at risk. So i would respectfully say that we did everything that we can work in partnership. This was never about politics, this was about saving peoples lives, and that is how we peoples lives, and that is how we approached it from the very beginning, and a lack of working together is what led to the biggest outbreak in a homeless shelter in the country last week. We have a duty as elected supervisor to protect the public and protect them from the spread of this virus, and that has not been done. We should have introduced this legislation weeks ago, and any further delay will put people in danger, and the idea that we havent try today Work Together with the mayor and tried to Work Together with the mayor and others is frankly not true. I am now representing a district where thousands of people are still on the streets, where thousands of people are still in shelters despite the fact that a month ago, we told them if they did not move the people from the shelters, and we would do everything we could do to help them, that did not happen. Every minute that we wait to fulfill our responsibility not just as a city but as the board of supervisors, we are failing San Francisco, and we are putting

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