Good morning. Today is september 9, 2015. Welcome to the rules committee of the San Francisco board of supervisors. My name is john avalos, chair of the committee and to my right is katy tang and to my left is president london breed who is here in place of supervisor cohen. Our clerk today is alisa somera and the meeting is brought by sfgtv. Madam clerk do we have any announcements . S yes, please silent all cell phones and documents should be submitted to the clerk. Items will be on the september 22 board of supervisors agenda unless otherwise stated. Great. Thank you. First could we have a motion to excuse supervisor cohen. So moved. And seconded by supervisor breed and take that without objection and item 1. Item 1 is a motion of reappointment to have bryant tan for the Successor Agency commiss Entertainment Commission. Hello and please introduce yourself what you hope to do with the reappointment. Thank you. I am bryant tan and seeking reappointment for another term on the Entertai
Caps or spreading of maximums throughout the year a person who wouldnt spend 0 more than a certain amount in one year or shift the burden there are two bills pending before the state legislation ab 39 prevents the copies from a tier and assemblyman bill requires the companies to report medications that costs more 10,000 just to conclude it is clear it matters in San Francisco but that helps to put a finer point on this is a chart showing element san franciscans living with hiv we dont have good numbers for multiply scleras and other disease but necessary need access to treatment that is why it is an important issue here in San Francisco thank you very much priscilla so mr. Chairman id like to ask as mentioned our assemblyman david chiu is sponsored legislation around this and aarons office is here i want to ask him to come up and speak on the assembly mans behalf. Thank you very much as the supervisor said im here im aaron on behalf of dude for the most part thank you, supervisor wiene
He showed up to get his monthly drug and he showed me a photo its beyond me why Insurance Companies financial incentives it strikes me it is illegal. I have a little bit of Additional Information that gets to that point here. Okay. So you laid out the speciality tiering as you stated supervisor wiener they may violate the Affordable Health care act provisions for protecting people that have preexisting conditions and maybe discriminatory and for patient it puts a substantial financial strain on people and the costs cannot can be unexpected may be a person needs a drug for a disease and its on a stoplight tier the health plan changed the policy and the cost increased dramatically as youve stated cost effects whether a person can afford their diner or medication theyll probably buy the food they need and this gets to your other point buyouts action of plan for plan the initiation of treatment with initiation of treatment for diseases coming sooner and in the stance of chronic deceased th
Insurance plan. This is important one conversation we were having in the community there are people that opt for the high digestible plans and find the dedublt are noted manageable were ask them to go to a silver plan were talking about spll silver plans having drugs that are effectively unaffordable for people thats a real problem. Absolutely and i didnt mention when i was talking about the unexpected nature of the health costs brauj plans you pay a lower amount but the minute you need health care it is far more expensive 2, 3, 4 a baggage plan the cost sharing for speciality plans can be 40 percent of the cost for drugs so what that table shows the proportion of the plans for all the drugs in a specified class into the tier for hiv medications they looked at medications broken covering medications for example 29 percent of the plans for all probable cause terrors and 60 percent of plans put the cancer medications into a stoplight column it is nationwide issue a study was done in spec
A drawing as a quote unquote specialist drugs instead of a a patient paying a typical copay of 1b or 25 or 50 conflict of interests a month the patient in addition must pay a significant percentage of the drug when means a copay insurance of 6,000 or more the explosion important drug costs our hiv and cancer and Rheumatoid Arthritis denies the folks the Insurance Benefits and remain on those medications that is clear here for many most people that havetions and need access to life saving drugs that requiring them to pay six or eight hundred or 6,000 a month is the same as saying they cant have the drug a denial of assess for hiv patient for example for many people that means going off our medications that results in serious ionize and death reducing the access to hiv medication in addition to harming the hiv positive people leads to increased infections because people on medication are less likely to pass on their ill in essence theyll be less healthy and get for sick and today and inc