President follansbee this is House ServicesBoard Meeting for the Public Awareness follansbee was connected and is having technical issues and call the meeting to order. We will await his arrival. Madam secretary, please call roll. [roll call] Vice President canning, you have a quorum. Vice president canning pleas e call the next item on the agenda. My apologies, given the fact that we are virtual, if you would please review the details for the publics awareness for participating in our virtual meeting. Due to covid19 Health Emergency and to protect our Board MembersCity Employees and the public, the board of supervisors legislative chamber and Community Room are closed. However members will be participating in the meeting remotely. This precaution is taken prestudent to the local state and federal orders. Community members will attend the meeting through Video Conference and participate in the meeting. We have a few courtesy reminders. You can see on the screen now. All Public Comment will be three minutes in length unless the board or the chair of the board deems new Public Comment time limits during the Board Meeting. It is your right to address the commission about agenda items on the public section of the meeting. Public comments are to be made concerning the agenda item that just has been presented. My Public Comment made by a member of the public that is outside the current agenda presentation will be asked to hold their comments for the appropriate agenda item called. Providing your name and other identifying information is optional. You can choose to remain anonymous. To review our Public Comment procedure, it will be veil on the agenda. Both sfgov tv are streaming the meeting. Each speaker will be allowed three minutes to speak. Comments during the Public Comment video are via phone by dialing 4084189388. You will enter the meeting as an attend attendee. You will hear a beep. Stop and listen, wait for the Public Comment to be announced. When the president or myself call for Public Comment, dial star 3 to be added to the speaker line. You will hear, you have raised your hand to ask a question. Please wait to speak until the host calls on you. Callers will hear silence when waiting for your turn to speak. Be sure to be in a quiet location before you speak. Mute the sound of your equipment including television, computers or radios it is especially important that you mute your computer if youre watching via web link. Please speak slowly and clearly. When the system message says your line has been unmuted, this is your time to speak. When the commission secretary, myself, states welcome caller, you are encouraged to state your name clearly. As soon as you speak, you have three minutes to provide the comment. Once your three minutes expired you will be moved out of the speaker line and back as a participant. You will hear your line has been muted. Participants who wish to speak on the other Public Comments can stay on the meeting line and listen for Public Comment opportunity. Vice president canning, we can now move on. Vice president canning pleas e call the next item on the agenda. Agenda number three. [agenda item read]. Vice president canning thank you so much. Fellow commissioners, the meeting and minutes for june 11, 2020 meeting was distributed. Are there any modifications any commissioner wishes to make to the june 11, 2020 Meeting Minutes . Commissioner scott i move that the minutes be approved as distributed. Commissioner breslin second. Vice president canning there s a motion that has been properly seconded. We will go ahead and vote on the item all in favor please say aye. Mr. President. There needs to be an opportunity for Public Comment. Vice president canning thank you very much. There has been a motion that has been seconded. Is there any Public Comment on the item . General reminder, the opportunity to speak is now by dialing 4084189388. Before we begin the Public Comment, let wait about 30 seconds for a pause to allow those callers to start dialing in. Waiting for the moderator. No callers in the queue at this time. Thank you. Seeing theres no Public Comment, Vice President canning, Public Comment is closed. Vice president canning thank you so much. Motion has been seconded. Ill entertain a vote. Aye. Vice president canning its unanimous. Please call the next item on the agenda. [agenda item read] that might be dr. Follansbee calling in. Vice president canning if we can pause for a second. Can i confirm the call in number thats on the invite . Yes. 4084189388. He lost his internet. Vice president canning, shall we move on to item 4 . Vice president canning yes, please. [agenda item read] thank you for being patient while were waiting for callers to call in. Any callers at this moment . There are no callers in the queue at this time. Thank you. Vice president canning, hearing no callers, Public Comment is now closed. Vice president canning thank you so much. May we pause momentarily to get a status check on president follansbee. Next couple of items deal with matters most appropriate for him to handle if hes available. I have given him the numbers. I confirmed it. Hes trying to dial in. Ill check in with him and let you know what i hear. Vice president canning while were doing that, may i also just check mr. City attorney, if its appropriate continue to have issues with president follansbee connecting if we items of the agenda out of order . Particularly moving item 7, directors report to be handled next. Is that something that requires a motion or commission vote. Can we modify those agenda items that are not actionable without a vote of the commission . Commissioner scott is the muted. Commissioner scott, can you hear us now . Commissioner scott presiding officer, you can take items out of order if so choose. Calling for the directors report at this time will be appropriate unless theres an objection by a member of the board. Vice president canning i understand the technical difficulty. Thank you commissioner scott for your help. With that in mind, were continuing to wait for president follansbee to connect. I would propose that we take item 7 off on the agenda, which is executive director yants report. Unless theres any objection by my fellow commissioners. Thank you so much. If we may note for the record, i see commissioner zvanksi has joined us. If we can note that for the record please. Please call item 7 on the agenda madam secretary. [agenda item read] good afternoon commissioners, i will tell on a technical level, president follansbee is on his way over. We will connect in person. I will be walking out front to answer the door. Vice president canning it will cause more confusion if its appropriate to call a brief recess while we reconvene. Probably be the most appropriate. I dont know if theres a way to maneuver the screen. I can start now. Vice president canning very good. Im going to share my screen. Are you seeing my screen now . Yes, we can see the screen. Thank you very much. I wanted to talk about the directors report thats in the packet for everyone and its posted online. Obviously we are in virtual environment, which is far from perfect. Our staff continues to be really remarkable in adjusting to this world. I want to remind the commissioners and the public at large that were all in this together and our staff has been really remarkable in learning how to work online in a virtual environment. It is working. Also, the next item on the directors report, reiterate what we talked about numerous times over the last two years, competitive bid or the r. F. P. S. We are in the final days of preparing this bid to go public in september. As a reminder, this is a competitive bid as medical plan for the active employees and early retirees. The goal of the r. F. P. Is really to support the strategic goals that have been in our strategic plan. Thats a heavy lift for the department to conduct an r. F. P. Hats off to our contract manager whos leading us through the many myriads doing competitive bids in a public environment. We have many rules to abide by in order to do this properly. Hes keeping up from project management, on target as well as adequately informed about the process and how we must abide by it. In relation to that as a reminder to the board, theres a blackout period that continues. The notice is in the packet on page 41 of the directors report as a reminder. Many of you aware that Racial Equity planning is under way through the office of Racial Equity, we to respond to requirements they have issued that were aligned with our budget submission. Our budget submission to the board of supervisors today did include comments about our alignment of our budget with the Racial Equity initiatives that are mandated through the office of Racial Equity. We do have an internal Advisory Committee has than really looking at how we want to approach im going to pause. I hope thats director follansbee at the door. You can mute me please. Thank you. Okay, here we are. Thank you. Welcome president follansbee. President follansbee my internet went down. I was going through the directors report and speaking to the Racial Equity thing weve been doing. Weve done a good staff assessment of peoples knowledge around Racial Equity issues to determine what our occasional plan needs to be going forward. Weve initiated that staff bidding to begin this conversation around race. We are putting together a more indepth and longer plan for addressing the educational need. At the same time, were considering what structural things initiatives we can undertake to improve or reduce Structural Racism that we maybe contributing to in our construct. More to come on that. Its very deep and difficult work and very important our staff is very engaged. Which is terrific. Commissioner scott was able to speak with our staff earlier this week. I dont know if you wanted to add any comments at this time commissioner scott . Commissioner scott just briefly, i did have an opportunity to visit with abbie and members of her staff regarding this initiative. It seems as if we are in a leading position based on the work that has been done to date. While this first what i understand to be the first phase is more of an internal look at this issue and how we are trying to meet this from a policy standpoint and staffing and that sort of thing, within our staff and the department that certainly as we look at other aspects of this, i call it the phase two step once this is done, all of the issues that weve been looking at as a board under the social determinants of health. Should come in play as we deal with our Health Plan Partners as we go through the r. F. P. Process and so forth. I think that we are very well positioned to begin to address this issue in an ongoing way as weve been doing thus far through some of our reviews and Educational Forums around social determinants of health and longer term strategy that weve laid out. Thank you for taking the time to talk with our staff. Very dedicated to work on this issue. Were looking at the construct of that working group and how we can appropriately involve others over time. I want to move into the operational report. We did have an additional retirement, Elizabeth Salazar retired after working in hhs for a number of years. She will be sorely missed. We are in the process of replacing her and that announcement should be coming shortly. We have several other positions open that we are aggressively recruiting for. The Operations Manager board Member Services is a key position that we struggled with finding qualified candidates for this position. We are in the process of engaging our recruiting firm to help us find qualified candidates. We have several senior benefit analysts that were recruiting for. As you know, we continue to work in a virtual environment. Im going highlight some more things as we go forward. The finance report, i will highlight as we go forward. There are a number of initiatives that have had great impacts on our ability to serve our members in this virtual environment. Weve also been able to bring online enrollment to new employees and to employees that have life qualifying events throughout the year. Thats been a big leap for us to go forward in that way and to be able to have that accomplished with our Partner Agencies in San Francisco. Its been really great. We are rolling out new Electronic HealthRecords Software for our staff who is very busy as well as looking at some Additional Resources for Mental Health through a Company Called credible mind. I will scroll through this quickly, i want to highlight this particular slide where we looked at the uptick of the loading of software for Public Safety. I want to point out that in these departments on the left hand side of the slide you can see the size of the department, the size of the towers as you go across the page, they are all were a little bit comparing apples and oranges here. The Police Department has the highest uptick because they have the highest number of folks. All in all, were very pleased with the fact that enterprise distribution of this application or individuals have uploaded it. We know its out there. Were now in the stage of figuring out what the cadence is for encouraging interaction with the app. End game here is that folks that may be on a trajectory to requiring Mental Health services have ready access to those services through an application that theyre familiar with. Thats been a great effort on the part of our workforce and our partnership with all four Public Safety departments. Well being has really done a great job of adapting from primarily on site kind of services that theyve provided to doing a lot more virtually and supporting New Enterprise in the city which is the covid command center. Our city converted from all Emergency Operation center model to a very specific command center. We all realize that this pandemic is going to be with us for some time. They needed to put a structure in place. Its still highly dependent on city workers to staff it. Our staff continues to contribute to the staffing needs of the covid command center. Were all required to be available for such enterprises in this one being so big and so longterm, its really taxing. But its working for now. Wellbeing at work just continue to adapt and look at different ways and department continue to contribute best practices in this environment and trying to figure out how we reach each other to do Healthy Behaviors where the stress is being in this environment is mounting. We need to continue to support the workforce and continue to go through these various stages of the pandemic. I included in the directors report, some detailed information to questions that were raised about the dental benefit and some of the procedural issues that dr. Follansbee brought up. He adequately addressed those clinical questions. There were questions raised about the ppe. Its our understanding inNetwork Providers are not passing on the cost of ppe to the member, rather they are reimbursed by the carrier. For folks who are out of network, theres charging range from 10 to 25 per visit for that ppe. We also had discussed several months ago heads up on this concern. I think it was in england where there was some concerns about some of the products that have been contaminated with other substance. Apparently this has hit some of the u. S. Market as well. All of our carriers have been very diligent in identifying their memberses that are on any of these drugs and being certain they have adequate notice to transition off those drugs. Thats what our members have been advised of. We have counts on the members that are included in this. They are very small. I think each carrier only identified like three to five individuals. Theyre in pretty good shape as it comes to addressing this particular move. The Financial Report is included in the packet. We do continue to see the trust fund balance increasing at this point. It is up to 112 million. Which is on the high end for a trust fund. There are details in the report as to what is contributing to that. We did see some utilization decrease. Therefore, the number of claims that came in april and may. We are seeing everything is indicating utilization is coming up again. We dont know what the new normal will be. We are watching this very carefully. Vice president canning uhc on the slide said projected increase, thats confusing to me. Usual in favorable, we see decrease. Is it increase due to favorable increase because of utilization . Is it decrease due to favorable claims . [