Hard to choose a tier and we could not agree on would it be gold or would it be silver . And it was trying to get to the consensus that i cannot live with that moment, on both sides of the equation and we had to move on from that and what we decided to do, was then to just essentially tweak around the edges with the areas that have really seen the changes in the Health Insurance market which brings us to the recommendation of number five. And what we have here, then, is the out of pocket maximums that have really gone much higher than the average plan sort of for a couple of years ago and also, when they set the 4,000 two years ago, they had every reason to believe in the word on this the street was that the Affordable Care act and coverage california, i should say was really going to set their out of pocket maximum, maximums at 4,000, and it turned out that they set it at 6350 and so a lot of the plans have gone up to that amount and that made the 4,000 difficult to stick with. And so
And be fully employer funded. The next one is something that when we went in to the Advisory Group, i think that we thought a lot about tying it to a tier and we would say, well, maybe we will just say that the minimum standards are tied directly to the goal plan, or the silver plan and that was something that was talked about with the health commission, two years ago in a colleague of mine brought this report to the commissioners. And you know, we kind of actually realized pretty early on that with the group, that it was a lot more complex than we had sought given the fact that these plans rely on the actual value and, what the actual value does, and it says, kind of the, and it allows you to see that as the cost sharing, between the employee, and the insurance company, and in broad terms and it sort of put a number on that and in each tier has a actual value amount, and i am sure that have you heard about that in other contexts, but what we worry about that was that it could really p
Good afternoon. Welcome to the board of supervisors Land Use Economic Development committee. Im scott wiener the chairman of the committee to my right is supervisor jane kim the Committee Vice chair sea to my left is meaning our clerk is andrea thank you to sfgovtv specific Jennifer Lowe michltd and, yes please silence any diaz and items accountant on today will be on the september 16th agenda unless otherwise stated. Madam clerk item one. An ordinance for the earthquake performance evaluation of private School Structures. Colleagues, we have i along with the mayor and other supervisors are the cosponsors of this legislation and chaegz im sure youre aware of over the last few years the Mayors Office and board of supervisors has taken up issues for seismic safety including the legislation the board passed to have retrofits for soft story buildings. Im proud to be a cosponsor of those various pieces of legislation and look forward to work with the issues on the future preserving our buil
Held the secretary, held with china in december, this was one of the issues of very much on the agenda, and weve made some progress in moving ahead on the application of antimonopoly law that we think should be applied to deal with issues of competition, not issues of industrial policy. So we are engaged with them as are our competition authorities and the ftc to work to encourage them to apply the law as its intended to be applied. I know these are tough areas. Canadas creation of a heightened standard for patentability, for pharmaceutical patents is a serious problem for our u. S. Innovators. This standard to obtain and enforce patent rights in canada. Also inconsistent with the World Trade Organization and under the nafta. We have raised this concern directly and repeatedly with the canadian authorities. That issue is now being litigated, and i believe the canadian authorities are looking to see how it proceeds in litigation as we continue that dialogue with them. Ambassador, from o
This forum on u. S. Customs and Border Protection. And this event is being broadcast live by cspan. And as many of you may know customs and Border Protection is the largest federal Law Enforcement agency and also it provides the second largest revenue collecting source for the federal government. On a typical day, cbp seizes over 10,000 pounds of drugs, 650,000 dollars in undeclared or illicit currency, and 3. 4 million of products with intellectual property right violations. So needless to say this agency is working very hard to safeguard americas borders while also enhancing legitimate trade and commerce. Our feature speaker today is commissioner gil kerlikowske. Hes going to discuss his insights from his first year of leading this agency. Hes also going to look at some of the highlights in terms of his vision for moving forward. The agency has put out a new vision and strategy 2020 document that lays out what the agency would like to do in the future. The commissioner was nominated