Minutes of the Health Commission Meeting

Tuesday, March 6, 2001
3:00 p.m.
at
101 Grove Street, Room #300
San Francisco, CA 94102

1) CALL TO ORDER

The regular meeting of the Health Commission was called to order by President Roma P. Guy, MSW, at 3:05 p.m.

Present: 

  • Commissioner Edward A. Chow, M.D.
  • Commissioner Roma P. Guy, M.S.W.
  • Commissioner Arthur M. Jackson
  • Commissioner Lee Ann Monfredini
  • Commissioner Harrison Parker, Sr., D.D.S.
  • Commissioner David J. Sanchez, Jr., Ph.D.
  • Commissioner John I. Umekubo, M.D.

Commission Jackson called for a moment of silence for the recent violent incident in San Diego where two students were killed. He pointed out these incidences of violence in the schools show the need for more funds for mental health. Violence is a public health issue.

President Guy indicated today’s Commission meeting is the last full Commission meeting for Executive Secretary Sandy Mori. On behalf of the Commission, President Guy presented an Employee Recognition Program Certificate and a bouquet of flowers to Ms. Mori. Each Commissioner expressed appreciation and praise for her work and wished her well in her new position in the community.

2) APPROVAL OF MINUTES OF THE REGULAR MEETING OF FEBRUARY 20, 2001

Action Taken: The Commission adopted the minutes of February 20, 2001, with the correction of including Commissioner Jackson as present at the meeting.

3) APPROVAL OF THE CONSENT CALENDAR OF THE BUDGET COMMITTEE
(Commissioner David J. Sanchez, Jr., Ph.D.)

(3.1) BEHM - Request for approval of an amendment of the San Francisco Municipal Code, Business and Tax Regulations, to increase the fee schedule of the permit fee for businesses that prepare and/ or sell food, effective July 1, 2001.

(3.2) CHN-Revenue Management - Request for approval of a new contract with Health Advocates, LLP, to enhance Medi-Cal and other third-party reimbursements through an Uncompensated Care Reimbursement Recovery Program at San Francisco General Hospital, for the period of certification through December 31, 2002.

Chief Finance Officer Monique Zmuda reported this is the same contract approved by the Commission several months ago. The Finance Committee of the Board of Supervisors requested the Department to convene a new panel to review the proposals for this RFP. No reference checks would be done; and a specific support letter would be eliminated from the review process. After this second review process, the Department is again recommending awarding of the contract to Health Advocates.

Public Speakers:

  • Lock Holmes, SNR, described Paralign’s work with the Department; pointed out inequities in the process and how Health Advocates had advantages in the process. He feels Paralign followed the rules, and Health Advocates did not follow the rules.
  • Robert J. McCarthy, Paralign, thinks there is a real appearance of impropriety; repeated the recommendations from the Human Rights Commission; feels there was no effort to find a fair panel on the second review and questioned the wide difference in the two outcomes, with an 18-point difference on the second review, compared to a 3-point difference on the first review.

Commissioner Monfredini clarified that Paralign took the Department to Court after the completion of the administrative process. She voiced her support for the Department’s process.

Commissioner Sanchez indicated the process was followed by the Department, and there was no deviation from that process.

Commissioner Jackson concurred with his colleagues.

Ms. Zmuda pointed out the second review panel was created with impartiality and with a lot of thought. She also pointed out the Finance Committee did not send this to the Human Rights Commission for appearance of impropriety; and the HRC did not indicate this in its report.

Sheryl Bregman, Deputy City Attorney, reported that through a Court order, there is a Temporary Restraining Order (TRO) not to terminate the current contract. The Court could continue the injunction.

Commissioner Sanchez, on behalf of the Budget Committee, recommended approval of the Health Advocates contract to the full Commission.

(3.3) CHN-SFGH - Request for approval of a new contract with Toyon Associates, Inc. in the amount of $268,270, to provide reimbursement and revenue optimization services at San Francisco General Hospital, for the period of April 1, 2001 through March 31, 2002.

(3.4) AIDS Office - Request for approval of a new sole source contract with Bay Area Young Positives in the amount of $111,334, to provide linkages and outreach services to young San Franciscans, up to age 26, for the period of March 8, 2001 through December 31, 2001.

(3.5) PHP-CSAS - Request for approval to accept and expend a grant from Demand Treatment of the Join Together Organization in the amount of $60,000, for a social marketing campaign for the acceptance of substance abuse treatment, for the period of March 1, 2001 to February 28, 2002.

(3.6) PHP-CMHS - Request for approval of a new contract with Southeast Neighborhood Jobs Initiative Roundtable (SNJIR) in the amount of $44,928 to provide outreach services targeting African-American residents of Bayview Hunter’s Point, Potrero Hill and Visitacion Valley, for the period of February 1, 2001 through June 30, 2001.

(3.7) PHP-CMHS - Request for approval of a retroactive sole source contract renewal with San Francisco State University (SFSU) in the amount of $87,968 per year, for a four-year total of $351,872 to provide professional training services targeting mental health professionals under contract with the Department to provide mental health services to children and adolescents, for the period of July 1, 2000 through June 30, 2004. (DPH contracted with SFSU for services totaling $150,703 during FY 1999-2000).

(3.8) PHP-CMHS/CSAS - Request for approval of a retroactive contract modification with Westside Community Mental Health Center, Inc. (WCMHC) in the amount of $55,000 to provide critical incident response services targeting African-American residents of the Western Addition, for the period of February 1, 2001 through June 30, 2001. (DPH contracted with WCMHC for services totaling $9,784,090 during FY 1999-2000).

Public Speakers: (before the full Commission on #3.2)

  • Lock Holmes, SNR, appealed to the full Commission and Dr. Katz to hear out the issues again; believes Health Advocates has tilted the table; pointed out conflicts of interest; believes Health Advocates does not meet the 10 minimum requirements.
  • Robert J. McCarthy, Paralign, repeated his points from his testimony before the Budget Committee; believes Paralign did not get a fair shake; exercised his client’s rights to appeal to the Department, the Health Commission, the Finance Committee of the Board of Supervisors, giving an opportunity to right a wrong.

Action Taken: The Commission approved the Consent Calendar of the Budget Committee, with Commissioner Guy abstaining on #3.7.

4) DIRECTOR’S REPORT
(Mitchell H. Katz, M.D., Director of Health)

ADMINISTRATION

President Bush’s Federal Fiscal Year 2000 Budget Priorities

On February 28, 2001, President Bush released his proposed 2002 fiscal year budget priorities – Blueprint for New Beginnings.   The President’s major policy issues are to:

  • pay down the federal debt,
  • provide tax relief for American families,
  • strengthen and reform education,
  • modernize and reform Social Security,
  • modernize and reform Medicare,
  • revitalize national defense and
  • champion compassionate conservatism.

The President proposes to allocate the projected $5.6 trillion surplus over next 10 years in the following manner: (1) saves all of Social Security surplus ($2.6 trillion) for Social Security, (2) provides $1.6 trillion in tax relief over 10 years and (3) creates an unprecedented $1.4 trillion reserve for additional needs, debt service, and contingencies.   In the area of Health and Human Services, the President’s budget is categorized into three areas: (1) priority initiatives, (2)-redirected resources and (3) potential reforms.

The health priority initiatives are:

Doubling Resources for the National Institutes of Health (NIH): Continues the effort to double the National Institutes of Health (NIH's) 1998 funding level in five years by increasing NIH's funding by $2.8 billion over 2001, for a total of $23.1 billion in 2002.

Strengthening the Health Care Safety Net: To strengthen the health care safety net for those most in need, the budget recommends a $124 million increase for Community Health Centers. This increase is the first installment for a multi-year initiative to increase the number of community health center sites by 1,200.

Reforming the National Health Service Corps (NHSC): The NHSC management reform will examine such issues as the ratio of scholarships to loan repayments to provide maximum flexibility in placing NHSC providers. An amendment to the Health Professional Shortage Area definition will be sought to reflect other non-physician providers practicing in communities. The NHSC initiative will also encourage participation by making scholarship funds tax-free.

Increasing Access to Drug Treatment: The President recommends an additional $111 million to increase the availability of substance abuse treatment services. Included in this amount is $100 million for the Substance Abuse and Mental Health Services Administration ($60 million to help states finance treatment to those in need through the Substance Abuse Block Grant and $40 million will be made available through the Targeted Capacity Expansion grants).

Supporting the Healthy Communities Innovation Fund Initiative: HHS will allocate approximately $400 million in 2002 funding for existing grant activity for innovations at the local level, including programs to promote comprehensive care through integrated State health care delivery systems for women and children.

Providing an Immediate Helping Hand (IHH): The President will propose to enact the IHH prescription drug proposal which would provide immediate funding for States to allow for interim prescription drug coverage for Medicare beneficiaries who need it most. IHH is 100 percent federally funded, with flexibility in how States can choose to establish or enhance drug coverage. The IHH proposal will cover the full cost of drugs for individual Medicare beneficiaries with incomes up to $11,600 who are not eligible for Medicaid or a comprehensive private retiree benefit, and for married couples with incomes up to $15,700 who do not have access to coverage. These beneficiaries would receive comprehensive drug insurance for no premium, and would pay a nominal charge for prescriptions. The proposal also covers Medicare beneficiaries with incomes up to $15,000 and married couples with incomes up to $20,300. These beneficiaries would receive subsidies for at least 50 percent of the premium of high-quality drug coverage. The IHH proposal would also provide catastrophic drug coverage for all Medicare beneficiaries.

  • Doubling Resources for the National Institutes of Health (NIH): Continues the effort to double the National Institutes of Health (NIH's) 1998 funding level in five years by increasing NIH's funding by $2.8 billion over 2001, for a total of $23.1 billion in 2002.
  • Strengthening the Health Care Safety Net: To strengthen the health care safety net for those most in need, the budget recommends a $124 million increase for Community Health Centers. This increase is the first installment for a multi-year initiative to increase the number of community health center sites by 1,200.
  • Reforming the National Health Service Corps (NHSC): The NHSC management reform will examine such issues as the ratio of scholarships to loan repayments to provide maximum flexibility in placing NHSC providers. An amendment to the Health Professional Shortage Area definition will be sought to reflect other non-physician providers practicing in communities. The NHSC initiative will also encourage participation by making scholarship funds tax-free.
  • Increasing Access to Drug Treatment: The President recommends an additional $111 million to increase the availability of substance abuse treatment services. Included in this amount is $100 million for the Substance Abuse and Mental Health Services Administration ($60 million to help states finance treatment to those in need through the Substance Abuse Block Grant and $40 million will be made available through the Targeted Capacity Expansion grants).
  • Supporting the Healthy Communities Innovation Fund Initiative: HHS will allocate approximately $400 million in 2002 funding for existing grant activity for innovations at the local level, including programs to promote comprehensive care through integrated State health care delivery systems for women and children.
  • Providing an Immediate Helping Hand (IHH): The President will propose to enact the IHH prescription drug proposal which would provide immediate funding for States to allow for interim prescription drug coverage for Medicare beneficiaries who need it most. IHH is 100 percent federally funded, with flexibility in how States can choose to establish or enhance drug coverage. The IHH proposal will cover the full cost of drugs for individual Medicare beneficiaries with incomes up to $11,600 who are not eligible for Medicaid or a comprehensive private retiree benefit, and for married couples with incomes up to $15,700 who do not have access to coverage. These beneficiaries would receive comprehensive drug insurance for no premium, and would pay a nominal charge for prescriptions. The proposal also covers Medicare beneficiaries with incomes up to $15,000 and married couples with incomes up to $20,300. These beneficiaries would receive subsidies for at least 50 percent of the premium of high-quality drug coverage. The IHH proposal would also provide catastrophic drug coverage for all Medicare beneficiaries.
  • The human services priority areas are: (1) promoting safe and stable families, (2) creating after school certificates, (3) promoting responsible fatherhood, (4) supporting maternity group homes and encouraging compassion and charitable giving.

With respect to redirected resources (which could also be viewed as targeted reductions), the President proposes the following:

  • Health Professions: The budget recommends a reduction to Health Professions' funding, which provides training grants to institutions.   Today a physician shortage no longer exists.   In addition, the federal government’s role is questionable in this area given that these professions are well-paid and that market forces are much more influential in determining supply.   The budget will recommend focusing resources on the Health Professions' grants that address current health workforce supply challenges, such as the impending nursing shortage and improving diversity in the health professions.
  • Community Access Program: The budget recommends eliminating the $125 million relatively new, categorical Community Access Program.   Instead, the Administration supports policy initiatives such as Medicaid waivers, the State Children's Health Insurance Program (S-CHIP), and the Community Health Centers Integrated Services Delivery Initiative.
  • Medicaid Integrity: The Administration will take further steps to address the Medicaid "upper payment limit" loophole.   Last year, the federal government published regulations to curb potential abuse from States that obtained federal reimbursement for hospitals and nursing homes and may not have used those funds for their intended purpose.   Building on recent congressional and regulatory actions, the Administration proposes to prohibit new hospital loophole plans approved after December 31, 2000 from receiving the higher upper payment limit proposed in the final rule.

In the area of potential reforms in health (i.e., primarily organizational and operational changes), the President proposes the following:

  • Increasing State Flexibility in Public Health Grants: The Administration is considering increasing State flexibility to address its public health needs through expanded transfer authorities and other mechanisms to remove barriers to effective targeting of public health resources at the State and local level.

  • Rationalizing the HHS-Wide Research Agenda: HHS will examine these issues closely and develop recommendations for reforming the Department's health research activities. In particular, HHS will prioritize its research agenda to focus on activities where the Federal mission and interests are clear, and focus less on research that is more traditionally and appropriately supported by universities and other research institutions.

  • Reforming HCFA: HCFA will undertake a major effort to modernize and streamline its operations. The Administration intends to consider fundamental changes in HCFA's mission and structure and role in modernized Medicare program.

  • Reforming Medicaid and S-CHIP: The Administration will encourage the purchase of private health insurance through health care tax credits and other proposals. The Administration will also focus over the next few months on Medicaid and S-CHIP and recommend reforms that will improve the way these programs provide health care coverage to the poor and near-poor.

  • Strengthening Management to Improve Efficiency: The budget will propose steps to streamline HHS' decentralized approach to departmental management with the goal of enhancing coordination, eliminating costly duplication of efforts, and developing unified approaches to several of the key management challenges facing the agency.

POPULATION HEALTH AND PREVENTION

Robert Wood Johnson Grant

CSAS has been awarded a $60,000 "Demand Treatment" grant by the Join Together initiative of the Robert Wood Johnson Foundation.  Over 100 cities submitted letters of intent for the initiative, 90 cities sent in applications, and twelve cities received the awards. CSAS plans to use the funds to launch a social marketing campaign to increase neighborhood willingness to have substance abuse treatment programs open in their community.

Community Asthma Intervention

DPH and its collaborators have been selected as one of six counties to receive statewide Prop 10 funds awarded by SDHS for a Community Asthma Intervention, serving children less than five years of age with asthma and their families.   The award is $435,000, for a 16-month grant period covering March 1, 2001-June 30, 2002.   

Clinical interventions will be coordinated by the Yes We Can Urban Asthma Partnership, through the SFGH Pediatric Asthma Specialty Clinic, and expanding the model to the Mission Neighborhood Health Center's Pediatric unit. The American Lung Association of San Francisco/San Mateo Counties will coordinate community-specific interventions including patient education and assistance with controlling environmental asthma triggers. The asthma and environmental tobacco smoke educational campaign will target 500 childcare providers and 500 parents/guardian through SFUSD, Head Start, Wu Yee Children's Services and the Children's Council.   In addition, Children's Environmental Health Promotion (CEHP) and Environmental Health Services will convene an inter-agency working group on housing issues affecting children with asthma.

COMMUNITY HEALTH NETWORK

LHH Replacement Project Update

A contingency from Laguna Honda representing clinical leadership and the project architectural team conducted site visits to East Coast hospitals to learn about best practices in long term care programming and design.   The project team visited three facilities in the greater New York City area including the Sarah Neuman Center for Health Care and Rehabilitation in Westchester, the Jewish Home and Hospital for the Aged in the Bronx, and the Coler-Goldwater Specialty Hospital and Nursing Facility on Roosevelt Island.   The team brought back many valuable ideas on resident room design, clinical and support services programming which will be incorporated into the Laguna Honda project design.   The project is moving into schematic design immediately and is on schedule.

We invite the Commission to visit the resident room scaled mock-ups in Simon Auditorium on the Laguna Honda campus.   Feedback from those critiquing the mock-ups will be utilized in the final design process.

Interim Associate Administrator Primary Care

Gay Kaplan, RN, MSN, and GNP will serve as Acting Primary Care Associate Administrator until Jan Murphy’s replacement is hired.   Gay has been with the Department of Public Health since 1980 participating on many committees as well as extensive community work on behalf of geriatric care services.

Southeast Health Center Resignation

Freddie L. Smith, Health Center Director at Southeast Health Center, has resigned from his position effective March 9th.   Marcellina Ogbu, Ph.D., will serve as Interim Health Center Director for Southeast Health Center until a permanent replacement is hired.   Dr. Ogbu is currently the Health Center Director at Maxine Hall Health Center.   She brings her management experience and expertise to this interim role.

Appointment to Statewide Task Force

Dr. Melissa Welch has been appointed to the Statewide Task Force on Culturally and Linguistically Competent Physicians and Dentists, as established by AB 2394. Dr. Albert Gaw, Director of Mental Health Rehabilitation and Dr. Francis Lau were also appointed. The first meeting of the Task Force will be held in Sacramento on Thursday.

Integration of LTC Pilot Project Task Force with the Department of Aging and Adult Services

The LTC Pilot Project Task Force has been evaluating options for the administrative oversight of planned improvements in San Francisco’s long-term care service delivery system.   On January 19, 2001, the Task Force considered the potential integration of its activities with the new Department of Aging and Adult Services (AAS).   Dr. Sandra Nathan, AAS Executive Director, stated her intention to merge planning activities of the Task Force and AAS as one integrated effort. A transition plan to integrate all planning activities is now being developed.   AAS will expand the responsibility of the Commission on the Aging so it will become the Commission on Aging and Adult Services.   As existing Commissioner’s terms expire, the Commission will be reconfigured to include: 2 long-term care slots; 1 younger disabled adults slot; 1 veterans affairs slot; and 1 dependent adult slot.

The mission of AAS is to assist older and functionally impaired adults and their families to maximize self-sufficiency, safety, health, and independence, so that they can remain living in the community for as long as possible and maintain the highest quality of life.   AAS coordinates a range of social, mental health, and long-term care services.   AAS has already consolidated the following county services: Commission on the Aging; the Public Administrator/Public Guardian Department; and Mental Health Conservatorship Services (previously a program of DPH).   AAS intends to incorporate Adult Protective Services by July 1, 2001, and In-Home Supportive Services by July 1, 2002. Currently, these two programs are located in the Department of Human Services.

Continued Long-Term Care Planning

The Task Force will consider whether or not to continue planning to improve long-term care services under the State’s Long-Term Care Integration Pilot Program (AB 1040).   The State’s vision for long-term care integration under AB 1040 is capitated coverage for the continuum of medical, social, and supportive services needed by frail elderly and disabled adults who are eligible for Medi-Cal.   However, there is increasing concern among the provider community and the Task Force regarding the development of a fully-capitated, at-risk managed care system for long-term care consumers.   This concern is shared other counties.

San Francisco, along with other interested counties, is now exploring different models to improve long-term care service delivery that do not involve capitation.   This exploration is being accomplished with the support of the California HealthCare Foundation.   Since December 2000, a series of meetings has been conducted under the auspices of the Foundation.   San Francisco is represented at these multi-county meetings by Sandra Nathan, Executive Director of the Department of Aging and Adult Services; Tangerine Brigham, DPH Director of Policy and Planning; and Bill Haskell, the LTC project coordinator.

Mr. Wagner reported that the Long Term Care Pilot Project Task Force would like to present its recommendations to a Joint Commission meeting in April. This Joint Commission meeting would include the Health Commission, the Human Services Commission, and the Commission on the Aging and Adult Services. A possible site could be the Simon Auditorium at Laguna Honda Hospital.

5) CONSIDERATION OF THE NUISANCE CODE REVISION ORDINANCE

(Rajiv Bhatia, M.D., Director of Environmental Health and OSH)

Dr. Bhatia presented proposed revisions to the San Francisco Health Code consolidating various provisions that set forth conditions that constitute a public nuisance.

The revised nuisance provisions add new language to specifically declare the presence of mold and lead as public nuisances, thereby supporting the Department of Public Health efforts to reduce these potential health hazards for San Francisco residents. Furthermore, they establish an administrative enforcement process for the abatement of nuisances and authorize the Department of Public Health to recover administrative costs incurred as a result of enforcement.

Action Taken: The Commission approved the nuisance code revision ordinance adding language to specifically declare the presence of mold and lead as public nuisances.

6) UPDATE ON IMPLEMENTATION OF THE DEPARTMENT OF PUBLIC HEALTH COMPLIANCE PROGRAM
(Diane Keefer, Compliance Officer)

Ms. Keefer reminded the Commission that in June of 2000 the compliance efforts of the Community Health Network and Population Health and Prevention were to be combined as a Departmentwide endeavor. Highlights of the implementation include:

  • Development of the Compliance Organization Chart
  • Roles of Councils, Advisory Boards and Committees
  • Accomplishments
    • Compliance Training and Education
    • Development of a Department of Public Health Compliance Hotline
  • Expansion of the compliance web site to DPH homepage for full intranet access
  • Ongoing development of Compliance Plans for:
    • San Francisco General Hospital
    • Laguna Honda Hospital
    • Health at Home
    • Community Primary Care
    • Community Mental Health and Behavioral Health Services
  • Ongoing monitoring and auditing of activities related to claims development, billing and cost report filing
  • Ongoing review of encounter reporting and coding
  • Ongoing development of training and education, including Compliance as part of the CHN’s Computer Based Training system

Ms. Keefer also described the Department’s approach to HIPAA (Health Insurance Portability and Accountability Act of 1996). HIPAA includes several antifraud provisions and encourages beneficiaries to report fraud and abuse. The Department will create a HIPAA Task, a HIPAA Awareness Program, and Implementation and Action Plans. A Privacy Officer will need to be hired.

Ms. Keefer thanked the Commission for its ongoing support and commitment to these compliance efforts within the Department.

The Commission requested a progress report in six months (October 2001).

Dr. Katz pointed out the progress of the DPH Compliance Program is due to the work and leadership of Ms. Keefer.

7) UPDATE ON IMPLEMENTATION OF POLICY #24: CONTRACTORS’ COMPLIANCE WITH ANTI DISCRIMINATION PROTECTIONS AND CULTURAL COMPETENCY

Mr. Nickens provided an update on the Department’s implementation of Policy #24, and a copy of an Executive Summary of the National Standards for Culturally and Linguistically Appropriate Services in Health Care.

Commissioner Chow suggested a mechanism for input and collaboration with the community and patients/consumers on the implementation of Policy #24. He also expressed the following concerns on the Culturally and Linguistically Appropriate Standards (CLAS):

  • What standards will the Department adopt as the local standards?
  • How will the Department apply these standards?
  • Commission needs to know how contractors are in compliance with the standards
  • Avoidance of duplicative surveys of certain standards
  • Application of these standards to Civil Service (i.e., Department) programs
  • Some “non direct service” providers (i.e., media firms) need to comply with cultural competency.

Mr. Nickens will form a Task Force to include contractors and consumers in order to provide a forum for input and collaboration. He will be taking the Federal standards and integrating them into the local standards. An update to the Commissioners will be provided indicating which contractors are in compliance. There will be the issue of resources (i.e., training programs) to implement the policies.

President Guy emphasized the importance of avoiding duplication of work for the contractors when complying with Policy #24.

Commissioner Monfredini recommended a specific time period for this Task Force.

8) PUBLIC COMMENTS

Elizabeth Frantes thanked the Commission for the I.D. cards for medical marijuana usage; described her negative experience at SFGH; expressed concern on access to health care; advocated for health for all, not just to select groups.

9) PUBLIC COMMENT ON ALL MATTERS PERTAINING TO THE CLOSED SESSION

None.

A. VOTE ON WHETHER TO HOLD A CLOSED SESSION TO CONFER WITH LEGAL COUNSEL. (SAN FRANCISCO ADMINISTRATIVE CODE SECTION 67.11(a).)

Action Taken: The Commission voted to hold a closed session.

The Commission went into closed session at 5:10 p.m.

Individuals present were all seven Commissioners, Mitch Katz, Gene O’Connell, Hiro Tokubo, Alison Moed, Monica Wiley, Art Greenberg, and Sandy Mori.

B. CLOSED SESSION PURSUANT TO GOVERNMENT CODE SECTION 54956.9 AND SAN FRANCISCO ADMINISTRATIVE CODE SECTION 67.11(b).

CONFERENCE WITH LEGAL COUNSEL - EXISTING LITIGATION

PROPOSED SETTLEMENT OF $12,000 IN CLAUDE MOLLER V. CCSF ET AL, UNITED STATES DISTRICT COURT CASE NO. 1511SI

The Commission came out of closed session at 5:35 p.m.

C. RECONVENE IN OPEN SESSION:

1. POSSIBLE REPORT ON ACTION TAKEN IN CLOSED SESSION. (GOVERNMENT CODE SECTIONS 54957.1(a)(2) AND SAN FRANCISCO ADMINISTRATIVE CODE SECTION 67.14(b)(2).)

Action Taken: The Commission approved the $12,000 settlement in Claude Moller v. CCSF et al, United States District Court Case No. 1511SI.

2. VOTE TO ELECT WHETHER TO DISCLOSE ANY OR ALL DISCUSSIONS HELD IN CLOSED SESSION (SAN FRANCISCO ADMINISTRATIVE CODE SECTION 67.14(a).

Action Taken: The Commission voted not to disclose any discussions held in closed session.

The meeting was adjourned at 5:37 p.m.

Sandy Ouye Mori, Executive Secretary to the Health Commission