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K> / 1
'5
City and County of San Francisco
Meeting Minutes
Public Health and Environment Committee
Members: Supervisors Sue Merman, Amos Brown and Alicia Becerrii
Clerk: Greg Hobson
City Hall
1 Dr. Carlton B.
Goodlett Place
San Francisco, CA
94102^*689
Thursday, January 28, 1999
10:00 AM
City Hall, Room 263
2
Members Present: Sue Bierman, Mark Leno.
Members Absent: Amos Brown.
DOCUMENTS DEPT.
MEETING CONVENED
The meeting convened at 10:10 a.m.
REGULAR AGENDA
FEB 4 1999
SAN FRANCISCO
PUBLIC LIBRARY
990026 [Permit Regulation of Hazardous Wastes on Private Property]
Ordinance repealing the definition of "Hazardous Waste" in Section 1000, and Sections 1002, 1003, 1005,
1007, 1008, 1009, 1010, 101 1, 1013, and 1015 of Article 20 of the San Francisco Public WorksjCode; and
amending the San Francisco Health Code by reenacting the repealed provisions as new Article 22X; and
amending the remaining provisions of Article 20 of the San Francisco Public Works Code to reference new
Article 22A of the San Francisco Health Code. (Department of Public Health)
(Repeals Section 1000, and Sections 1002, 1003, 1005, 1007, 1008, 1009, 1010, 1011, 1013, and 1015 of
Article 20 of Public Works Code; amends the Health Code by reenacting the repealed provisions as new
Article 22A; amends the remaining provisions of Article 20 of the Public Works Code to reference new Article
22Aofthe Health Code.
1/1/99, RECEIVED AND ASSIGNED to Health, Family, and Environment Committee.
1/25/99, TRANSFERRED to Public Health and Environment Committee. New committee structure.
Heard in Committee: Speakers: Department Representative: Scott Natamo, Department of Public Health;
Ted Lakey, Deputy City Attorney. In Support: Jeff Ludlow, Treadwell and Rollo.
AMENDED, AN AMENDMENT OF THE WHOLE BEARING NEW TITLE.
Ordinance repealing the definition of "Hazardous Waste" in Section 1000, and Sections 1002, 1003, 1005,
1007, 1008, 1009, 1010, 1011, 1013, and 1015 of Article 20 of the San Francisco Public Works Code; and
amending the San Francisco Health Code by reenacting the repealed provisions as new Article 22A; amending
the remaining provisions of Article 20 of the San Francisco Public Works Code to reference new Article 22A
of the San Francisco Health Code; and providing the Department of Public Health with the authority to charge
fees to defray the cost of implementing this article. (Department of Public Health)
(Repeals Section 1000, and Sections 1002, 1003, 1005, 1007, 1008, 1009, 1010, 1011, 1013, and 1015 of
Article 20 of Public Works Code; amends the Health Code by reenacting the repealed provisions as new
Article 22A; amends the remaining provisions of Article 20 of the Public Works Code to reference new Article
22A of the Health Code.
1/28/99 - Recommended as amended by Public Health and Environment Committee (Supervisor Brown
absent). Referred to Finance and Labor Committee for fiscal consideration.
REFERRED to the Finance and Labor Committee by the following vote:
Ayes: 2 - Bierman, Leno
Absent: 1 - Brown
City and County of San Francisco
Printed at 4:39 PM on 1/28/99
Public Health and E~-'ironmfnt Committee
Meeting Minutes
January 28, 1999
990038 (Grant - Private)
Resolution authorizing the Department of Public Health, Division of Population Health and Prevention, to
accept and expend retroactively a grant of $96,658 from the Miriam and Peter Haas Fund, to create an
integrated model of targeted consultation by establishing an intensive consultant training program which will
prepare mental health practitioners to provide consultation, staff training, prevention and early intervention
services and support for constituents of licensed, center-based early childhood programs serving San
Francisco's low-income families; providing for ratification of action previously taken and waiving indirect
costs. (Department of Public Health)
1/8/99, RECEIVED AND ASSIGNED to Health, Family, and Environment Committee.
1/25/99, TRANSFERRED to Public Health and Environment Committee. New committee structure.
Heard in Committee. Speakers: Departmental Representative: Albert Eng, Community Mental Health,
Department of Public Health; Karen Kegg; Budget Analyst. In Support: None. Opposed: None.
AMENDED.
Resolution authorizing the Department of Public Health, Division of Population Health and Prevention, to
accept and expend retroactively a grant of $96,658 from the Miriam and Peter Haas Fund, to create an
integrated model of targeted consultation by establishing an intensive consultant training program which will
prepare mental health practitioners to provide consultation, staff training, prevention and early intervention
services and support for constituents of licensed, center-based early childhood programs serving San
Francisco's low-income families; and waiving indirect costs. (Department of Public Health)
RECOMMENDED., by the following vote:
Ayes: 2 - Bierman, Leno
Absent: 1 - Brown
990039 [Grant - Private]
Resolution authorizing the Department of Public Health, Central Administration, to accept retroactively and
expend a grant in the amount of $ 1 19,250 from the California HealthCare Foundation for planning an
innovative long-term care service delivery system for frail elderly and disabled adults in San Francisco and to
enter into an agreement which does not include patent infringement indemnification and false claims clauses;
providing for ratification of action previously taken. (Department of Public Health)
1/8/99, RECEIVED AND ASSIGNED to Health, Family, and Environment Committee.
1/25/99, TRANSFERRED to Public Health and Environment Committee. New committee structure.
Heard in Committee. Speakers: Departmental Representative: Tangerine Brigham, Department of Public
Health. In Support: None: Opposed: None.
RECOMMENDED., by the following vote:
Ayes: 2 - Bierman, Leno
Absent: 1 - Brown
City and County of San Francisco
Printed at 4:40 PM on 1/28/99
3 1223 06447 1445
Public Health and Environment Committee Meeting Minutes January 28, 1999
982051 [Ban on Gasoline Additive MTBE] Supervisors Bierman, Yaki, Katz,
Leno
Resolution urging Governor-Elect Gray Davis and the State Legislature to urge the Federal Government to act
with all due speed in immediately banning the use of the gasoline additive Methyl Tertiary Butyl-Ether
(MBTE).
12/7/98, REFERRED FOR ADOPTION WITHOUT COMMITTEE REFERENCE AGENDA AT THE NEXT
BOARD MEETING.
12/14/98, SEVERED FROM FOR ADOPTION WITHOUT COMMITTEE REFERENCE AGENDA.
Supervisor Kaufman requested this matter be severed for the purpose of referring it to committee.
12/14/98, REFERRED to Health, Family, and Environment Committee. Supervisors Katz, Leno requested to
be added as co-sponsors.
1/25/99, TRANSFERRED to Public Health and Environment Committee. New committee structure.
Heard in Committee. Speakers: None.
RECOMMENDED by the following vote:
Ayes: 2 - Bierman, Leno
Absent: 1 - Brown
ADJOURNMENT
The meeting adjourned at 10:28 a.m.
City and County of San Francisco 3 Printed at 4:40 PM on 1/28/99
J0.60
5
■th
CITY AND COUNTY
Public Library,Gov't Info. Ctr., 5 in Fir.
Attn: Susan Horn
ofsanfrancisEQCUMENTS DEPT.
BOARD OF SUPERVISORS
JAN 2 8 1999
SAN FRANCISCO
PUBLIC LIBRARY
BUDGET ANALYST
1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642
FAX (415) 252-0461
January 26, 1999
TO: ■< Public Health and Environment Committee
FROM: JBudget Analyst R***~**-^«i-.w -£>r *n«tV.^ -C
SUBJECT: January 28, 1999 Public Health and Environment Committee Meeting
Item 1 - File 99-0026
Department:
Item:
Description:
Department of Public Health
Ordinance (1) repealing the definition of "hazardous
waste" in Section 1000, as well as all of Sections 1002,
1003, 1005, 1007, 1008, 1009, 1010, 1011, 1013 and 1115
of Article 20 of the San Francisco Public Works Code
(Public Works Code); (2) amending the San Francisco
Public Health Code (Health Code) by reenacting the
above-noted repealed provisions of the Public Works Code
as Article 22A of the Health Code; (3) amending the
remaining provisions of Article 20 of the Public Works
Code to reference new Article 22A of the Health Code; and
(4) increasing the fees charged by the Department of
Public Health to defray the related costs of implementing
the substantive health protection requirements (see
Comment No. 1).
Currently, Article 20 of the Public Works Code contains
the substantive health protection requirements
concerning hazardous waste on private property in San
Francisco.
Memo to Public Health and Environment Committee
January 28, 1999 Public Health and Environment Committee Meeting
Under these substantive health protection requirements,
an applicant for a building permit must conduct a soil
sampling at the proposed construction site and mitigate
any hazardous waste found in such soil pursuant to a site
mitigation plan.
Mr. William Chan of the City Attorney's Office states that
although the substantive health protection requirements
are codified in the Public Works Code, the Environmental
Health Section of the DPH is currently responsible for
implementing them. Specifically, the DPH staff reviews
site history reports, soil analysis reports and site
mitigation plans, and based on such review, determines
whether applicants for building permits meet the
requirements for analyzing the soil for the presence of
hazardous waste. The Department of Building Inspection
subsequently issues the requested building permits upon
instruction by the DPH, according to Mr. Chan.
Therefore, this proposed ordinance would relocate the
substantive health protection requirements from Article
20 of the Public Works Code to a new Article 22A in the
Health Code.
Specifically, the proposed ordinance would authorize the
following actions:
(1) Repeal the definition of "hazardous waste" in Section
1000, as well as all of Sections 1002, 1003, 1005, 1007,
1008, 1009, 1010, 1011, 1013 and 1115 of Article 20 of the
Public Works Code.
(2) Reenact the subject, repealed provisions of the Public
Works Code as Article 22A of the Health Code.
(3) Amend the remaining provisions of Article 20 of the
Public Works Code to reference new Article 22A of the
Health Code.
(4) Increase the fees charged by the Department of Public
Health to defray the related costs of implementing the
substantive health protection requirements.
BOARD OF SUPERVISORS
BUDGET ANALYST
2
Memo to Public Health and Environment Committee
January 28, 1999 Public Health and Environment Committee Meeting
According to Mr. Chan, the purpose of the proposed
legislation is to promote greater efficiency in the
administration of the substantive health protection
requirements, by relocating such substantive health
protection requirements from the Public Works Code to
the Health Code.
Comments:
Recommendations:
1. According to Mr. Chan, presently the DPH charges fees
to applicants for building permits, which are subject to
the substantive health protection requirements, in order
to defray the DPH's related costs of implementing the
substantive health protection requirements. Such
defrayal fees are collected on a one-time basis by the
DPH. Mr. Chan advises that Article 22A of the Health
Code includes a provision which would increase the
above-noted defrayal fees charged by the DPH. However,
according to Mr. Chan, as currently written, the title of
the proposed ordinance does not state that this legislation
contains a provision which would increase the above-
noted defrayal fees charged by the DPH. Mr. Chan
explains that such a statement was inadvertently omitted
from the title of the proposed ordinance.
2. The attached memo, provided by Ms. Pamela Hollis of
the DPH, compares the current fees charged by the DPH
for defraying its related costs of implementing the
substantive health protection requirements with the
proposed, increased fees for such costs.
3. According to Ms. Hollis, the DPH collected $42,300 in
current fees in FY 1997-98, as shown in the attached
memo. Ms. Hollis advises that the proposed, increased
fees would generate additional revenues to the City of
$12,300 annually. As a result, the DPH would realize
total estimated annual fee revenues of $54,600.
1. Amend the title of the proposed ordinance to state that
this legislation contains a provision which would increase
the fees charged by the DPH for defraying the costs of
implementing the substantive health protection
requirements.
2. Approve the proposed ordinance, as amended.
BOARD OF SUPERVISORS
BUDGET ANALYST
3
JRN-25-1999 16=44
BEHM HftZ LJftSTE
P. 01
Attachment
Fee Comparison for
Relocation of Substantive Health Protection Requirements in the
Maher Ordinance
Present Fees:
$ 225.- Initial fee (covering 3 hours of work)
$ 75.- Hourly rate charged thereafter
Monies generated for fiscal year 1997-1998
$ 42,300.— 28 projects with average time spent of 15 hours each
Proposed Fees:
$ 390.— Initial fee (covering 3 hours of work)
$ 130.- Hourly rate charged thereafter
Projected monies to be generated for next fiscal year
$ 54.600. 92 - 28 projects with 15 hours each.
Projected increase in revenues generated
$ 12.300. 22
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Memo to Public Health and Environment Committee
July 21, 1999 Public Health and Environment Committee Meeting
Item 2 - File 99-0038
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Project:
Description:
Department of Public Health
Resolution authorizing the Department of Public Health,
Division of Population Health and Prevention,
Community Health Services Branch, Mental Health and
Substantive Abuse Services, to accept and expend
retroactively grant funds in the amount of $96,658 from
the Miriam and Peter Haas Fund to create an integrated
model of targeted consultation by establishing an
intensive consultant training program for licensed,
center-based early childhood programs in San Francisco;
providing for ratification of action previously taken; and
waiving indirect costs.
$96,658
April 1, 1998 through March 31, 1999 (12 months)
The Miriam and Peter Haas Fund
Early Childhood Mental Health Services Program
According to Mr. Philip Tse of the Department of Public
Health (DPH), the Early Childhood Mental Health
Services Program is a collaboration of (1) the Jewish
Family and Children's Services, a non-profit organization;
(2) the Infant Parent Program at the University of
California, San Francisco; and (3) the Mental Health and
Substance Abuse Services of the DPH.
Approval of the proposed resolution would authorize
DPH, Mental Health and Substance Abuse Services (see
Comment No. 1) to accept and expend retroactively grant
funds in the amount of $96,658 from the Miriam and
Peter Haas Fund to provide mental health consultation,
staff training, prevention and early intervention services,
and support for the constituents of 25 licensed, center-
based early childhood programs servicing low-income
families in San Francisco. Attachment I, provided by the
DPH, contains a list of the 25 licensed, center-based early
childhood programs.
BOARD OF SUPERVISORS
BUDGET ANALYST
Memo to Public Health and Environment Committee
July 21, 1999 Public Health and Environment Committee Meeting
According to Mr. Tse, the proposed grant funds would be
used to meet the three objectives of the Early Childhood
Mental Health Services Program as follows:
(1) Promote the well being and strengthen the
functionality of early childhood programs and staff.
(2) Improve the quality of childcare by integrating parent
involvement and a child-centered development approach
to positively affect children's emotional lives and social
abilities.
(3) Provide integrated, community-based, multi-leveled
childhood mental health services for children and their
families.
Mr. Tse advises that Westside Community Mental Health
Center and Instituto Familia de la Raza, two existing
contractors with the DPH, would be awarded the proposed
grant funds, totaling $96,658, on a sole source basis. Of
this $96,658, the DPH would grant $45,758 to Westside
Community Mental Health Center and $50,900 to
Instituto Familia de la Raza, because regarding early
childhood mental health services, both organizations have
(1) historical experience in project coordination with the
DPH and (2) proven their effectiveness in monitoring and
delivering services, based on their existing contracts with
the DPH.
According to Mr. Tse, as recipients of the proposed grant
funds, Westside Community Mental Health Center and
Instituto Familia de la Raza would share responsibility
for hiring the project staff and for the fiscal monitoring of
the project. Mr. Tse states that the DPH would be
responsible for monitoring the program services provided
under the project.
Mr. Tse advises that the Jewish Family and Children's
Services and the Infant Parent Program at the University
of California, San Francisco would not receive any of the
proposed grant funds. However, as collaborative partners
with the DPH in the Early Childhood Mental Health
Services Program, the Jewish Family and Children's
Services and the Infant Parent Program at the University
BOARD OF SUPERVISORS
BUDGET ANALYST
Memo to Public Health and Environment Committee
July 21, 1999 Public Health and Environment Committee Meeting
of California, San Francisco would also provide mental
health consultation, staff training, prevention and early
intervention services, and support for the constituents of
the 25 licensed, center-based early childhood programs
servicing low-income families in San Francisco.
Specifically, the Jewish Family and Children's Services
would be responsible for hiring additional project staff for
the program, while the Infant Parent Program at the
University of California, San Francisco would be
responsible for training such staff as well as the staff
hired with the proposed grant funds by Westside
Community Mental Health Center and Instituto Familia
de la Raza, according to Mr. Tse.
Budget:
Attachment II, provided by DPH, contains the budget
details for the proposed grant funds in the amount of
$96,658, including $45,758 for Westside Community
Mental Health Center and $50,900 for Instituto Familia
de la Raza.
Required Match:
Indirect Costs:
None.
The proposed resolution provides for the waiver of
indirect costs because, according to Mr. Tse, the Miriam
and Peter Haas Fund does not allow such costs.
Comments:
1. The proposed resolution incorrectly names the DPH's
Mental Health and Substance Abuse Services as the
recipient of the proposed grant funds. However, according
to Mr. Tse, the actual recipient is the DPH's Community
Mental Health Services. As such, the proposed resolution
should be amended to substitute reference to the DPH's
Mental Health and Substance Abuse Services with the
DPH's Community Mental Health Services.
2. Attachment III is a summary of the grant application
information, as prepared by DPH, for the proposed grant
funds.
3. As noted above, the proposed resolution provides for
retroactive acceptance and expenditure of the subject
grant funds. However, according to Mr. Tse, the DPH has
neither accepted nor expended these funds to date. As
such, the proposed resolution should be amended to delete
BOARD OF SUPERVISORS
BUDGET ANALYST
Memo to Public Health and Environment Committee
July 21, 1999 Public Health and Environment Committee Meeting
reference to "retroactively" with respect to acceptance and
expenditure of the subject grant funds.
4. The DPH has prepared a Disability Checklist for the
proposed grant funds, which is on file with the Clerk of
the Board of Supervisors.
Recommendations: 1. In accordance with Comment No. 1 above, amend the
proposed resolution to substitute reference to the DPH's
Mental Health and Substance Abuse Services with the
DPH's Community Mental Health Services as the
recipient of the proposed grant funds.
2. In accordance with Comment No. 3 above, amend the
proposed resolution to delete reference to "retroactively"
with respect to acceptance and expenditure of the subject
grant funds.
3. Approve the proposed resolution as amended.
BOARD OF SUPERVISORS
BUDGET ANALYST
8
Attachment I
Page 1 of 2
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Page 2 of 2
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Wd0T:S0 66, 12 NWf
Attachment II
Early Childhood Mental Health 1 (ECMH I)
Year 3 budget!
I _L
Peter & Miriam Haas Grant
I
Grant Period: April 1, 1998 • March 31, 1999i
Institute-
Budget Detail
r i i
| ir'amiiia
de la Raza
i i
PERSONNEL
Westside
(JFFh
Total
— J
FTE "1
contract
contract
Amount
44~30£
22.641 "
66.950
Salaries !
1.00
Clinician 1
23.424
10.779
20,8.85
11.862
Consultant
0.60
sub-total
34.203
32.747
1 Benefits
! 5,593
7,859
13,452
I
Total Personnel:
39.796
40,606
80.402
1
OPERATING EXPENSES:
I
| |
I Office Supplies
143
1,583
1,726
1 Insurance
- ■--■
1 ,41 6
" '24 5
1.500_
500
I 2,91 6_
I" "545
(Transportation
Staff training I
I
500
I Training Coordinator !
1,367
1.367
i
Total Operating Expenses:
1,804
._ jj.25.0.
„L054_
|
Total Direct Expenses:
i
41.600
45,856
87,456
Indirect Expenses:
1 1
4,159 5,044
9,203
l
! J_
I |
|
Grs
md Tc
>tal Expenses:
1 1
I 45,758 I 50,900
96,658
i
I I
|
1
1 1
I I
I
12/1/98
Philip Tse
11
Attachment III
Page 1 of 2
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1. Department: DPH-Community Mental Health Services
2. Contact Person: Philip Tse , Telephone: 255-3637
3. Project Title: Early Childhood Mental Health Services
4. Grant Source Agency: Miriam & Peter Haas Fund
5. Type of Funds: Federal Federal-State(Pass-through) State
Local X Private
6. Proposed (New/ Continuation ) Grant Project Summary:
The purpose of this grant is to provide consultation, staff training, prevention, and early
intervention services and support for constituents of licensed, center-based early childhood
programs serving San Francisco's low-income families.
a. To promote the well-being and functioning of early childhood programs and staff
b. To improve the quality of child care in San Francisco
c. To provide an integrated, community based-multi-level early childhood mental health
services
7. Amount of Grant Funding Applied for: 596,658
8. Maximum Funding Amount Available: $96,658
9. Required Matching Funds? Yes: No: X Cash or In-kind:
If yes, list dollar amount and identify source of Matching Funds in Department Budget:
10. Number of new positions created and funded: 1.6 FTE (contractual staff)
1 1 .If new positions are created , explain the disposition of employees once the grant ends?
Grant funded employees will not be retained after this grant terminates.
12. Are indirect costs eligible costs for this grant? Yes: No: X
7/27/98
12
Attachment III
Paee 2 of 2
If yes, please identify the amount of $ in indirect costs:
13. Amount to be spent on contractual services: $96,658
14.a)Will contractual services be put out to bid? Yes: No: X
15.1s this likely to be a one-time or ongoing request for contracting out?:
16. Term of Grant: Start Date: April 1, 1998 End-Date: March 31, 1999
1 7. Date Department Notified of Available Funds: August 1998
18. Grant Application Due Date:
19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or
appropriations legislation):
Selected from grant announcement
20. Department Head Approval: Mitchell Katz, M.D., Director of Health
Signature
7/27/98
13
Memo to Public Health and Environment Committee
January 28, 1999 Public Health and Environment Committee Meeting
Item 3 - File 99-0039
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Description:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health,
Central Administration, to accept retroactively and
expend a grant in the amount of $119,250 from the
California HealthCare Foundation for Planning an
innovative long-term care service delivery system for frail
elderly and disabled adults in San Francisco and to enter
into an agreement which does not include patent
infringement indemnification and false claims clauses;
providing for ratification of action previously taken.
$119,250
January 1, 1999 to December 31, 1999
California HealthCare Foundation
The DPH Central Administration has entered into an
agreement with and accepted grant funds from the
California HealthCare Foundation, a nonprofit agency, to
conduct a project entitled "San Francisco's Long Term
Care Integration Pilot Project." The purpose of this project
is to complete planning for an innovative long-term care
service delivery system for frail elderly and disabled
adults in San Francisco. Ms. Tangerine Brigham of DPH
states that this system will improve access to long-term
care services by stressing the importance of home and
community-based alternatives to institutionalization.
The detailed planning to be funded under this proposed
grant is designed to enable, specifically, (1) an evaluation
of all alternatives for initial governance structure and the
recommendation of a permanent and/or transitional long-
term care services agency; (2) the development of
administrative structures and functions required to
implement fee for service managed care; (3) the gathering
and analyzing of Medi-Cal and other data required to
develop a capitated long-term care service delivery
BOARD OF SUPERVISORS
BUDGET ANALYST
14
Memo to Public Health and Environment Committee
January 28, 1999 Public Health and Environment Committee Meeting
system; and (4) the determination of the waiver authority
needed for each phase of delivery 1 .
Budget:
The grant budget will support the following contractual
services: (1) a full-time project director; (2)
financial/data/actuarial consultation; (3) meeting
facilitation consultation; and (4) a consultant on issues
concerning capitated long-term care for the younger
disabled population. DPH selected the Haight Ashbury
Free Clinic on a sole-source basis to contract with the
Department to provide fiscal agent services to administer
the grant (see Comment No. 2). The Attachment, provided
by DPH, contains the budget details in the amount of
$119,250.
Required Match:
Indirect Costs:
None
$5,680
Comment:
1. According to Ms. Brigham, the proposed resolution
authorizes DPH to accept the grant retroactively since
DPH entered into this agreement with the California
HealthCare Foundation on November 30, 1998, and
accepted the grant funds on December 17, 1998, prior to
obtaining approval from the Board of Supervisors. None of
the subject grant funds have been expended, according to
Ms. Brigham.
2. Ms. Brigham advises that the Haight Ashbury Free
Clinic was selected on a sole source basis to provide fiscal
agent services to administer this grant and to provide
consultation services for this plan because the services
required are similar to services which were provided last
year by the Haight Ashbury Clinic under a grant from the
California Endowment Community Health Investment
Program and approved by the Board of Supervisors (File
No. 98-313).
1 Ms. Brigham states that a Federal Waiver is required when changes are made to the delivery of a
Federal program. This proposed planning project will develop ways to change Medi-Cal's delivery by
providing alternatives to the current service delivery system of institutionalization for frail elderly
and disabled adults. As part of this planning project and in preparation for the implementation of
these alternatives, the waiver authority required by the Federal government will be determined by
DPH and the State.
BOARD OF SUPERVISORS
BUDGET ANALYST
15
Memo to Public Health and Environment Committee
January 28, 1999 Public Health and Environment Committee Meeting
3. The proposed resolution would waive: (1) the
requirement contained in Sections 6.21 and 21.19 of the
City's Administrative Code that the agreement include an
indemnification of the City by the California HealthCare
Foundation for the infringement of patent rights; and (2)
the requirement contained in Section 6.57(c) of the City's
Administrative Code that the agreement include a
paragraph reciting the false claim provisions contained in
Section 6.57(a) of the City's Administrative Code.
According to Ms. Jean Fraser of the City Attorney's Office,
these requirements apply when the City purchases goods
or services, not when the City receives funds from a grant.
Therefore, the waivers in this case are standard and pose
minimal risk to the City, according to Ms. Fraser.
Recommendation:
4. The proposed resolution contains a provision that
authorizes the Director of Public Health to enter into
similar agreements with the California HealthCare
Foundation if the grant recurs or is renewed.
Approval of the proposed resolution is a policy matter for
the Board of Supervisors since this resolution authorizes
the Director of Public Health to enter into other future
agreements, similar to the subject Agreement, with the
California HealthCare Foundation if the grant recurs or is
renewed, without obtaining subsequent approval by the
Board of Supervisors.
[arvey M. Rose
cc: Supervisor Bierman
Supervisor Brown
Supervisor Leno
President Ammiano
Supervisor Becerril
Supervisor Katz
Supervisor Kaufman
Supervisor Newsom
Supervisor Teng
Supervisor Yaki
Supervisor Yee
Clerk of the Board
Controller
Gail Feldman
Matthew Hymel
Steven Kawa
Ted Lakey
BOARD OF SUPERVISORS
BUDGET ANALYST
16
Attachment
82/15/1995 01:01 A155542622
DPH PLANHINS
PAGE 62
17
City and County of San Francisco
Meeting^Iinutes
^Public Health and Environment Committee
Members: Supervisors Sue Bierman, Amos Brown and Michael Yaki
Clerk: Greg Hobson
City Hall
1 Dr. Carlton B.
Goodlett Place
San Francisco, CA
94102^689
Thursday, February 11, 1999
1:00 PM
-3s
City Hall, Room 263
2
Members Present: Sue Bierman, Amos Brown, Michael Yaki.
DOCUMENTS DEPT.
h
n
MEETING CONVENED
The meeting convened at 1:03. P.M.
REGULAR AGENDA
FEB 2 2 1999
SAN FRANCISCO
PUBLIC LIBRARY
990080 [Mental Health Services Agreement]
Resolution authorizing the Department of Public Health to enter into an agreement with the California Pacific
Medical Group, Inc., dba Brown & Toland Medical Group, which includes indemnification and binding
arbitration clauses and does not include patent infringement indemnification and false claims clauses.
(Department of Public Health)
1/12/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Departmental Representative: Louise Rogers, Assistant Director of Managed
Care, Department of Public Health. In Support: None. Opposed: None. Amended. On Page I, line 2 insert
"retroactively" before "authorizing". After "authorizing" add "from May I, 1998". On Page 1, line 22, insert
"retroactively" before "authorized". After "authorized" add "from May 1, 1998".
AMENDED.
Resolution retroactively authorizing from May 1, 1998, the Department of Public Health to enter into an
agreement with the California Pacific Medical Group, Inc., dba Brown & Toland Medical Group, which
includes indemnification and binding arbitration clauses and does not include patent infringement
indemnification and false claims clauses. (Department of Public Health)
RECOMMENDED AS AMENDED., by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
990081 [Mental Health Services Agreement]
Resolution authorizing the Department of Public Health to enter into an agreement with the San Francisco
Health Authority, dba the San Francisco Health Plan, which includes binding arbitration and payment disputes
clauses and does not include patent infringement indemnification and false claims clauses. (Department of
Public Health)
1/12/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Departmental Representative: Louise Rogers, Assistant Director, Managed
Care, Department of Public Health. In Support: None. Opposed: None. Amended. On Page 1, line 3 before
"authorizing" insert "retroactively". After "authorizing" add "from July I, 1998, ". On Page 2, line 7 after
"hereby" insert "retroactively" and after "authorized" insert "from July 1, 1998, ".
AMENDED.
City and County of San Francisco
Printed at 10:57 AM on 2H2W9
Public Health and Environment Committee
Meeting Minutes
February 11, 1999
Resolution retoactively authorizing from July 1, 1998, the Department of Public Health to enter into an
agreement with the San Francisco Health Authority, dba the San Francisco Health Plan, which includes
binding arbitration and payment disputes clauses and does not include patent infringement indemnification and
false' claims clauses. (Department of Public Health)
RECOMMENDED AS AMENDED., by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
9901 22 [DPH - State Dept of Mental Health Performance Contract, FY
1998-19991
Resolution authorizing the Department of Public Health, Public Health Division, Community Mental Health
Services, to enter into the fiscal year 1998-1999 performance contract with the State Department of Mental
Health, which includes indemnification clauses and does not include patent infringement indemnification and
false claims clauses. (Department of Public Health)
1/20/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Lucille Burlew-Lawler, Grants Manager, Department of Public Health. In
Support: None. Opposed: None.
RECOMMENDED., by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
981986 [Domestic Violence Task Force] Supervisor Kaufman
Resolution rescinding Resolutions No. 131-86 and 604-88, which established and extended the Domestic
Violence Task Force, thereby terminating the Domestic Violence Task Force; thanking the members of the
Domestic Violence Task Force for their efforts.
1 1/23/98, RECEIVED AND ASSIGNED to Health, Family, and Environment Committee.
1/25/99, TRANSFERRED to Public Health and Environment Committee. New committee structure.
Heard in Committee. Speakers: Departmental Representative: Gail Stein, representing Supervisor Barbara
Kaufman. In Support: None. Opposed: None.
RECOMMENDED., by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
981744 [Ammunition Sales Registration] Supervisors Yaki, Leno, Katz
Ordinance amending Police Code by amending Section 618, to require vendors to obtain the thumbprint or
fingerprint of persons purchasing firearm ammunition.
(Amends Section 618.)
10/19/98, ASSIGNED UNDER 30 DAY RULE to Housing and Neighborhood Services Committee, expires
on 11/18/1998.
11/9/98, SUBSTITUTED.
1 1/9/98, ASSIGNED to Housing and Neighborhood Services Committee. City Attorney approved as to form.
12/3/98, CONTINUED TO CALL OF THE CHAIR. Heard in Committee. In Support: None. Opposed:
Peter Buxton.
1/25/99, TRANSFERRED to Housing and Social Policy Committee.
2/3/99, TRANSFERRED to Public Health and Environment Committee.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
;
City and County of San Francisco
Printed at 10:57 AM on Z^1ZV9
Public Health and Environment Committee Meeting Minutes February 11,1 999
981755 [Ammunition Sale Prohibition] Supervisors Yaki, Leno, Katz,
Bierman
Ordinance amending Police Code by adding Section 613.10-2, to prohibit sales of firearm ammunition during
the weeks immediately preceding New Year's Eve and the Fourth of July.
(Adds Section 613.10-2.)
10/19/98, ASSIGNED UNDER 30 DAY RULE to Housing and Neighborhood Services Committee, expires
on 11/18/1998.
11/9/98, SUBSTITUTED.
1 1/9/98, ASSIGNED to Housing and Neighborhood Services Committee. City Attorney approved as to form.
12/3/98, CONTINUED TO CALL OF THE CHAIR. Heard in Committee. In Support: None. Opposed:
Peter Buxton.
1/25/99, TRANSFERRED to Housing and Social Policy Committee.
2/3/99, TRANSFERRED to Public Health and Environment Committee.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
ADJOURNMENT
The meeting adjourned at 1:20 P.M.
City and County of San Francisco 3 Printed at 10:57 AM on 2/12/99
(
F
?o.Po
5
Public Library,Gov't Info. Ctr., 5 th Fir.
Attn: Susan Horn
[TV \ND COUNTS ^ ^f J| OF SAN FRANCISCcOOCL/MENTQ n
FEB ' I 1999
BOARD OF SUPERVISORS f f" N F ^ANC/SCO
PL, SL/C L/BRARy
BUDGET ANALYST
1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642
FAX (415) 252-0461
TO:
FROM:
February 9, 1999
^Public Health and Environment Committee
^Budget Analyst Ae^m^t^Ja.o^? •&•- ^«^.oc a (
SUBJECT: ^February 11, 1999 Public Health and Environment Committee
Meeting
Item 1 - File 99-0080
Department:
Item:
Description:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health
to enter into an agreement with the California Pacific
Medical Group, Inc., d.b.a Brown & Toland Medical
Group, which includes indemnification and binding
arbitration clauses and which does not include patent
infringement indemnification and false claims clauses.
The proposed resolution authorizes the Department of
Public Health (DPH), Community Mental Health Services
to enter into an agreement with California Pacific Medical
Group, Inc., d.b.a Brown & Toland Medical Group
(BTMG) for DPH's Community Mental Health Services to
provide mental health services, including child crisis
services, to enrollees of the BTMG.
The BTMG operates a health care service plan, according
to Ms. Louise Rogers of the DPH. Ms. Rogers states that
Memo to Public Health and Environment Committee
February 11, 1999, Public Health and Environment Committee Meeting
the DPH's Community Mental Health Services would
provide enrollees of the BTMG with the following
services:
(a) Psychiatric Assessment & Treatment/Crisis
Intervention
(b) Individual Mental Health Therapy
The term of the proposed agreement is for a one-year
period from May 1, 1998 through April 30, 1999 (see
Comment No. 1).
Under the proposed agreement, the DPH would be
reimbursed by the BTMG at the following rates for
providing the above-noted services:
Service Hourly Rate
Psychiatric Assessment $147
& Treatment/Crisis Intervention
Individual Mental Health Therapy $94
Ms. Rogers estimates that the DPH will be reimbursed
approximately $50,000 by BTMG over the term of the
proposed agreement. The Attachment to this report,
provided by Ms. Rogers, explains the basis for this
estimated amount of $50,000.
Comments: 1. According to Ms. Rogers, the DPH has provided mental
health services to the enrollees of BTMG since May 1,
1998. Therefore, this resolution should be amended to
provide for retroactive approval of the proposed
agreement to May 1, 1998.
2. According to Ms. Jean Fraser of the City Attorney's
Office, as a condition of entering into the subject contract
agreement (the "Agreement") with the BTMG, the City
agreed to (1) indemnify the BTMG and (2) submit all
claims arising out of the Agreement to binding
arbitration. Ms. Fraser explains that indemnifying the
BTMG would not place the DPH and the City at undue
risk, and would only indemnify the BTMG in those cases
BOARD OF SUPERVISORS
BUDGET ANALYST
2
Memo to Public Health and Environment Committee
February 11, 1999, Public Health and Environment Committee Meeting
wherein an agent of the DPH or the City has been
' negligent or engaged in willful misconduct.
3. Ms. Fraser also advises that the Agreement would
require the City to waive (1) the requirement contained in
Sections 6.21 and 21.19 of the City's Administrative Code
that the Agreement include an indemnification of the City
by BTMG for the infringement of patent rights; and (2)
the requirement contained in Section 6.57(c) of the City's
Administrative Code that the Agreement include a
paragraph reciting the false claim provisions contained in
Section 6.57(a) of the City's Administrative Code.
According to Ms. Fraser, these requirements apply when
the City purchases goods or services, not when the City
receives funds from a contract agreement. Therefore, the
waivers in this case are standard and pose minimal risk
to the City, according to Ms. Fraser.
Recommendations: 1. In accordance with Comment No. 1 above, amend the
proposed resolution to provide for retroactive approval to
May 1, 1998 of the proposed agreement between the DPH
and the BTMG.
2. Approve the proposed resolution as amended.
BOARD OF SUPERVISORS
BUDGET ANALYST
3
City and County of San Francisco
Department of Public Health
POPULATION HEALTH AND PREVENTION
Attachment
Louise Rogers
Assistant Director, Community Mental Health Services
1380 Howard Street
San Francisco, CA 94103
(415) 255-3416
Date:
To:
From:
Subject:
February 8, 1999
Gabe Cabrera
Budget Analyst
^
Louise Rog
Rationale for Projected Revenue from Brown and Toland Agreement
The Department of Public Health expects to receive approximately $50,000 in FY 98-99
pursuant to the agreement with Brown and Toland Medical Group through which
Community Mental Health Services will provide crisis services to Brown and Toland
members on a fee-for-service basis. The Department expects to receive $46,305 for 315
units of crisis service at $147 a unit. In addition, the Department expects to receive
$3,760 for 40 units of outpatient service at $94 a unit. Thus, the total expected revenue
is $50,000, the sum of $46305 and $3,760.
Please let me know if you have any further questions.
Z/Z'd
WdS0:2T 65. 80 E23
Memo to Public Health and Environment Committee
February 11, 1999 Public Health and Environment Committee Meeting
Item 2 - File 99-0081
Department:
Item:
Description:
Department of Public Health (DPH) .
Resolution authorizing the Department of Public Health
to enter into an agreement with the San Francisco
Authority d.b.a. the San Francisco Health Plan, which
includes binding arbitration and payment disputes
clauses and which does not include patent infringement,
indemnification and false claims clauses.
The proposed resolution authorizes the Department of
Public Health (DPH), Community Mental Health System
to enter into an agreement with the San Francisco Health
Authority d.b.a. the San Francisco Health Plan (SFHP)
for DPH's Community Mental Health System to provide
or arrange for the provision of mental health and
substance abuse treatment services to enrollees of the
Healthy Families Program and employees of the In Home
Support Services (IHSS) Program.
According to Ms. Louise Rogers of the DPH, the SFHP,
which is a health management organization operated by
the local, public entity of the San Francisco Health
Authority 1 , has entered into (a) an agreement with the
Managed Risk Medical Insurance Board (MRMIB) 2 for the
SFHP to provide mental health and substance abuse
treatment services to the enrollees of the Healthy
Families Program, and (b) an agreement with the IHSS
Public Authority for the SFHP to provide mental health
and substance abuse treatment services to the employees
of the IHSS Program.
Ms. Rogers states that the DPH's Community Mental
Health System operates a mental health provider system,
which includes outpatient mental health facilities owned
and operated by the City, mental health professionals
employed by the City, and contracts with inpatient and
1 The San Francisco Health Authority was created by an amendment to the City's Administrative Code in November
of 1994, distinct from the City and County of San Francisco, to operate the SFHP.
2 The MRMIB was created in 1990 with a board mandate to advise the Governor and the Legislature on strategies
for reducing the number of medically uninsured persons in the State. The MRMIB administers four health care
programs, including the Healthy Families Program.
BOARD OF SUPERVISORS
BUDGET ANALYST
5
Memo to Public Health and Environment Committee
February 11, 1999 Public Health and Environment Committee Meeting
outpatient mental health and substance abuse treatment
facilities and licensed mental health professionals.
According to Ms. Rogers, the DPH's Community Mental
Health System would provide enrollees of the Healthy
Families Program and the IHSS Program with various
inpatient and outpatient mental health and substance
abuse treatment services. Attachment I, provided by Ms.
Rogers, contains a list of these inpatient and outpatient
mental health and substance abuse treatment services.
The term of the proposed agreement is for a one-year
period from July 1, 1998 through June 30, 1999 (see
Comment No. 1).
According to this resolution, unless terminated, the
proposed agreement (a) would be automatically renewed
each year, without approval from the Board of
Supervisors, and (b) would authorize the Director of
Public Health and/or the Health Commission to make
amendments to the proposed agreement without approval
from the Board of Supervisors.
Under the proposed resolution, the DPH would be
reimbursed by the SFHP at the following capitation rates 3
for providing the above-noted services:
Program Capitation Rate
Healthy Families Program $0.98
IHSS Program $4.80
According to Ms. Rogers, the capitation rate for the IHSS
Program is higher than that of the Healthy Families
Program because the enrollees of the Healthy Families
Program, who are children, require fewer mental health
and substance abuse treatment services than the
employees of the IHSS Program, who are adults. As a
result, according to Ms. Rogers, the per person cost of
providing mental health and substance abuse treatment
services to Healthy Family Program enrollees is less
expensive than that cost for IHSS Program employees.
A capitation rate is a uniform fee charged on a monthly basis for each person, according to Ms. Rogers.
BOARD OF SUPERVISORS
BUDGET ANALYST
6
Memo to Public Health and Environment Committee
February 11, 1999 Public Health and Environment Committee Meeting
Ms. Rogers advises that this cost differential in the
provision of services is reflected in the above-noted
capitation rates.
Ms. Rogers estimates that over the one-year term of the
proposed agreement, the DPH will be reimbursed
approximately $60,000 by the SFHP for the above-noted
mental health and substance abuse treatment services to
be rendered by the DPH for the enrollees of the Healthy
Families Program and employees of the IHSS Program.
Attachment II, provided by Ms. Rogers, explains the basis
for this estimated amount of $60,000.
Comments:
Recommendations:
1. According to Ms. Rogers, the DPH has offered mental
health and substance abuse treatment services to the
enrollees of the Healthy Families Program and the
employees of the IHSS Program since July 1, 1998.
Therefore, this resolution should be amended to provide
for retroactive approval of the proposed agreement to July
1. 1998.
2. According to Ms. Jean Fraser of the City Attorney's
Office, as a condition of entering into the proposed
agreement (the "Agreement") with the SFHP, the City
must agree to submit all claims arising out of the
Agreement to binding arbitration.
3. Ms. Fraser also advises that the Agreement would
require the City to waive (1) the requirement contained in
Sections 6.21 and 21.19 of the City's Administrative Code
that the Agreement include an indemnification of the City
by the SFHP for the infringement of patent rights; and (2)
the requirement contained in Section 6.57(c) of the City's
Administrative Code that the Agreement include a
paragraph reciting the false claim provisions contained in
Section 6.57(a) of the City's Administrative Code.
According to Ms. Fraser, these requirements apply when
the City purchases goods or services, not when the City
receives funds from a contract agreement. Therefore, the
waivers in this case are standard and pose minimal risk
to the City, according to Ms. Fraser.
1. In accordance with Comment No. 1 above, amend the
proposed resolution to provide for retroactive approval to
BOARD OF SUPERVISORS
BUDGET ANALYST
7
Memo to Public Health and Environment Committee
February 11, 1999 Public Health and Environment Committee Meeting
July 1, 1998 of the proposed agreement between the DPH
and the SFHP.
2. Approval of the proposed resolution, as amended, is a
policy matter for the Board of Supervisors since (1) the
proposed agreement would be automatically renewed each
j^ear without approval by the Board of Supervisors, and
(2) the Director of Public Health and/or the Health
Commission would be authorized to make amendments to
(a) the proposed agreement and (b) any future,
automatically-renewed agreements, without approval by
the Board of Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
8
Attachment I
Page 1 of 2
EXHIBIT A
CAPITATED PROVIDER SERVICES
San Francisco Health Plan
DIVISION OF FINANCIAL RESPONSIBILITY for Mental Health Services
SERVICES AND RESPONSIBILITIES UNDER THIS AGREEMENT, WHEN A CAPITATED
PROVIDER SERVICE UNDER THE MEMBER'S EOCINCLUDE:
SERVICES
OUTPATIENT | INPATIENT
Ambulance Transportation - initial (emergency)
referral
To Full Service Hospital
To Psychiatric Hospital
IP A/Hospital
Mental Health Network
EPA/Hospital
Mental Health Network
Ambulance Transportation - subsequent (non-
emergency) referral, includes interfacility transfers
To Full Service Hospital
To Psychiatric Hospital or Rehab Home
L? A/Hospital
Mental Health Network
IP A/Hospital
Mental Health Network
Biofeedback | Mental Health Network
Mental Health Network
Chemical Dependency, acute detoxification only
Professional
Facility
IP A/Hospital
EPA/Hospital
IP A/Hospital
IP A/Hospital
Chemical Dependency, rehabilitation
Professional
Facility
Mental Health Network
Mental Health Network
Mental Health Network
N/A
Counseling & Psychotherapy
Individual & Family
Group
Mental Health Network
Mental Health Network
Mental Health Network
Mental Health Network
Day Treatment
Mental Health Network
Mental Health Network
Diagnostic Testing and Interpretation (Scoring) of
Mental Health Diagnostic Tests
Mental Health Network
Mental Health Network
ECT
Mental Health Network | Mental Health Network
Emergency Department Services
Emergency Department Professional in Full
Service Hospital
Emergency Department Mental Health
Professional
Facility (includes ancillary tests) for initial
evaluation
IP A/Hospital
Mental Health Network
IP A/Hospital
N/A
N/A
N/A
Hospital Care, including room/board, nursing and
ancillary services for acute psych and sub-
acute/SNF psych beds
N/A
Mental Health Network
Hypnotherapy
Mental Health Network
Mental Health Network
Injections and injected substances
Office Based - administered by physician
Mental Health Network
N/A
■Laboratory**
'Ordered by Mental Health Professional
. Ordered by Medical Group Professional
Mental Health Network
IP A/Hospital
Mental Health Network
IP A/Hospital
SFHP Mental Health Services Agreement 1
10/26/98
Attachment I
Page 2 of 2
SERVICES | OUTPATIENT | INPATIENT
Medical Supplies dispensed in:
Mental Health Professional Office
Psychiatric Hospital
Mental Health Network
N/A
Mental Health Network
Mental Health Network
Out-of-Area or Out-of-Network Mental Health
Care (includes emergency room and emergency
admissions)
Professional
Facility
Mental Health Network
Mental Health Network
Mental Health Network
Mental Health Network
Pharmacologic Management
Mental Health Network | Mental Health Network
Pharmacy
SFHP
(prescription drugs only)
Mental Health Network
(includes inpatient and
discharge drugs)
Professional Services (Psychiatrist MD, PhD and
other mental health professionals)*
Office
Home
Other Outpatient (ER, SNE)
Inpatient Hospital
* office visits, attending and consulting
professional services
Mental Health Network
Mental Health Network
Mental Health Network
N/A
N/A
N/A
N/A
Mental Health Network
Radiology (Diagnostic Imaging)
Ordered by Mental Health Professional
Ordered by Medical Group Professional
Mental Health Network
IP A/Hospital
Mental Health Network
N/A
Any other Mental Health Service covered by the
applicable Evidence of Coverage not listed above
Professional
Facility
Mental Health Network
Mental Health Network
Mental Health Network
Mental Health Network
** = Pre-admission services performed on an outpatient basis by hospital (including, but not limited to the
technical component of laboratory, radiology/imaging and other diagnostic tests) which result in a hospital
admission are expressly considered to be the financial responsibility of the hospital under the applicable
per diem, case rate or capitation payment.
For Healthy Families, services that are carved out by MRMTJ3, such as vision care, dental
care, CCS services and mental health SED services, are Non Covered Services under this
Agreement.
Capitated Provider Services do not include the following services:
(i) Outpatient drugs and medications, except for take-home drugs customarily
provided, by a mental health facility upon patient discharge or drugs and medications
customarily dispensed without charge by Provider's outpatient treatment centers;
' (ii) MRJs or CT Scans for the purpose of diagnosis of organic or physical conditions;
■(iii) Acute detoxification of the type and nature customarily provided by acute care
hospitals.
SFHP Mental Health Services Agreement 1
23
10/26/98
10
Attachment II
City and County of San Francisco
Department of Public Health
POPULATION HEALTH AND PREVENTION
Louise Rogers
Assistant Director, Community Mental Health Services
1380 Howard Street
San Francisco, CA 94103
(415) 255-3416
Date:
To:
From:
Subject:
Agreement
February 8, 1999
Gabe Cabrera
Budget Analyst
Louise Roge
Rationale for Projected Revenue from San Francisco Health Plan
The Department of Public Health expects to receive approximately $60,000 in FY 98-99.
pursuant to the agreement with the San Francisco Health Plan through which
Community Mental Health Services will provide or arrange for the provision of
behavioral health services to the Health Plan's Healthy Families and IHSS Program
Members in exchange for a capitated rate. The Department expects to receive $0.98 per
member, per month for 2,000 Healthy Families members. This amounts to $23,520 for
12 months. In addition, the Department expects to receive $4.80 per member, per
month for approximately 1900 IHSS members. This amounts to $36,480 for 4 months,
since. IHSS members will not enroll until after March. Thus, the total expected revenue
is $60,000, the sum of $23,520 and $36,480.
Please let me know if you have any further questions.
11
E/E'd
Wd90:2T 66, 80 S3 J
Memo to Public Health and Environment Committee
February 11, 1999 Public Health and Environment Committee Meeting
Item 3 - File 99-0122
Department:
Item:
Description:
Comment:
Department of Public Health (DPH)
Community Mental Health Services
Resolution authorizing the Department of Public Health
(DPH), Community Mental Health Services, to enter into
the FY 1998-99 Performance Contract with the State
Department of Mental Health, which includes
indemnification clauses and does not include patent
infringement indemnification and false claims clauses.
State Assembly Bill 1288 established the annual County
Performance Contract as the basis for State allocations
for County mental health services. This Performance
Contract must be approved by the Board of Supervisors
prior to its submission to the State. The proposed
resolution would provide approval of the San Francisco
City and County Performance Contract for mental health
services provided during Fiscal Year 1998-99.
Mr. Bill McConnell of the Department of Public Health
(DPH), Community Mental Health Services, reports that
the State requires that the Performance Contract contain:
(a) general assurances of the City regarding maintenance
of effort; (b) administrative assurances regarding County
compliance with Federal and State regulations; (c) a
commitment to continue supplying selected client and cost
information data; (d) compliance with basic service
delivery principles; and (e) submission of documents
pertaining to various State regulations.
1. Mr. McConnell advises that for FY 1997-98, the DPH
Community Mental Health Services received a total
allocation of approximately $48,571,081 from the State
Department of Mental Health in State Realignment
Funds. In FY 1998-99, the DPH Community Mental
Health Services was allocated approximately $47,571,084
in State Realignment Funds, or a decrease of $999,997.
According to Mr. McConnell, the proposed Performance
Contract is consistent with the FY 1998-99 DPH
Community Mental Health Services budget, as approved
by the Board of Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
12
Memo to Public Health and Environment Committee
February 11, 1999 Public Health and Environment Committee Meeting
Recommendation:
2. Mr. McConnell reports that because of delays with the
State in receiving the contract document and extensive
negotiations regarding State approved hospital rates and
the final allocation to DHP Community Mental Health
Services, the Performance Contract for FY 1998-1999 is
being submitted for approval at this time.
3. The proposed resolution would waive: (1) the
requirement contained in Sections 6.21 and 21.9 of the
City's Administrative Code that the contract include an
indemnification of the City by the State Department of
Mental Health for the infringement of patent rights; and
(2) the requirement contained in Section 6.57(c) of the
City's Administrative Code that the contract include a
paragraph reciting the false claim provision contained in
Section 6.57(a) of the City's Administrative Code.
According to Ms. Jean Fraser of the City Attorney's Office,
these waivers are standard and pose minimal risk to the
City. In addition, the proposed resolution authorizes the
inclusion in the contract of an indemnification provision
by which the City would indemnify the State. Ms. Fraser
states that this provision would require the City to defend
and pay damages assessed against the State arising out of
negligence by the City in the performance of the proposed
contract. Ms. Fraser advises that the City has entered
into numerous contracts with the State which include
similar indemnification provisions and waivers and that
the risk of liability to the City is minimal.
Approve the proposed resolution.
BOARD OF SUPERVISORS
BUDGET ANALYST
13
Memo to Public Health and Environment Committee
February 11, 1999 Public Health and Environment Committee Meeting
Parvey M. Rose
cc: Supervisor Bierman
Supervisor Brown
Supervisor Becerril
President Ammiano
Supervisor Katz
Supervisor Kaufman
Supervisor Leno
Supervisor Newsom
Supervisor Teng
Supervisor Yaki
Supervisor Yee
Clerk of the Board
Controller
Gail Feldman
Matthew Hymel
Stephen Kawa
Ted Lakey
BOARD OF SUPERVISORS
BUDGET ANALYST
14
-th
CITY AND COUNTY
Public Library,Gov't Info. Ctr., 5 in Fir.
Attn: Susan Horn
of /S anfrancisc(docUMENTS DEPT.
^BOARD OF SUPERVISORS FEB 25 1999
SAN FRANCISCO
PUBLIC LIBRARY
1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642
FAX (415) 252-0461
BUDGET ANALYST
February 23, 1999
TO: ^Public Health and Environment Committee
FROM: ^Budget Analyst
SUBJECT: JFebruary 23, 1999 Public Health and Environment Committee Meeting
Item 1 - File 99-0202
Department:
Item:
Amount:
Contract Period:
Source of Funds:
Department of Public Health
Population and Prevention Division
Resolution authorizing the Department of Public Health
(DPH) to enter into a Memorandum of Understanding
(MOU) with the University of California San Francisco in
the amount of $73,487 to conduct a research study of
inadequate follow-up of mammography abnormalities,
retroactive to July 1, 1998. The Contract/MOU contains
an indemnification clause and patents and rights in data
clauses and does not include patent infringement
indemnification and false claims clauses.
$73,487
Retroactive to July 1, 1998 and extending to June 30,
1999 (See Comment No. 1)
University of California San Francisco (UCSF) Breast
Cancer Research Program
Memo to Public Health and Environment Committee
February 25, 1999 Public Health and Environment Committee Meeting
Description:
Budget:
The proposed resolution would authorize the DPH to
enter into a Memorandum of Understanding (MOU) with
the University of California, San Francisco (UCSF) for
DPH to conduct a study titled "Inadequate Follow-up of
Mammography Abnormalities," as part of the Breast
Cancer Research Program (BCRP). The amount of this
contract is $73,487, payable by UCSF to DPH.
The study seeks to investigate factors in the personal and
social environment of African American women in the
Bayview Hunters Point area and their health care
delivery system, which may be associated with
inadequate follow-up of mammography abnormalities.
This study is a collaborative effort between the City's
Department of Public Health's Community Epidemiology
and Disease Control Section, the Bayview Hunters Point
(BVHP) Health Task Force, and the University of
California's Breast Cancer Research Program.
The Attachment provided by DPH includes the proposed
budget for the study for which UCSF is to reimburse
DPH.
Required Match:
Indirect Costs:
Comments:
None
The proposed contract includes indirect costs in the
amount of $8,643 or 13.3 percent of direct costs of
$64,844.
1. The proposed contract would be effective retroactive to
July 1,1998. However, according to Ms. Lucille Burlew-
Lawler of DPH, due to several contract revisions by both
the DPH and USCF, the contract was not finalized until
January of 1999. According to Ms. Burlew-Lawler, no
expenditures have been incurred against the proposed
contract.
2. The proposed resolution would waive: (1) the
requirement contained in Sections 6.21 and 21.9 of the
City's Administrative Code that the contract include an
indemnification of the City UCSF for the infringement of
patent rights; and (2) the requirement contained in
Section 6.57(c) of the City's Administrative Code that the
contract include a paragraph reciting the false claim
BOARD OF SUPERVISORS
BUDGET ANALYST
2
Memo to Public Health and Environment Committee
February 25, 1999 Public Health and Environment Committee Meeting
provision contained in Section 6.57(a) of the City's
Administrative Code. According to Ms. Jean Fraser of the
City Attorney's Office, these waivers are standard and
pose minimal risk to the City. In addition, the proposed
resolution authorizes the inclusion in the contract of an
indemnification provision by which the City would
indemnify The Regents of the University of California.
Ms. Fraser states that this provision would require the
City to defend and pay damages assessed against The
Regents of "the University of California arising out of
negligence by the City in the performance of the proposed
contract. Ms. Fraser advises that the City has entered
into numerous contracts with The Regents of the
University of California, which include similar
indemnification provisions and waivers and that the risk
of liability to the City is minimal. Ms. Fraser also
indicates that the provision giving UCSF rights to the
data is a standard term in all grants and presents no risk
to the City.
Recommendation: Approve the proposed resolution.
BOARD OF SUPERVISORS
BUDGET ANALYST
3
19PM
FR 0M DISEASE CONTROL A, 5 *» 7029
Attachment
53-4-7 ^4-2-
Ple$se follow kistrucSorj Jb Ouplae 1 1,
Co-Pfadp*l ' lnvas8g*t&: Darasxala c&bral Evlns, D r'Pw
' Co-Prindpal Imzsfyatoc Arthur Coleman,' MP
FORM7A «ATion lee, PhD
This form Is required for all applications.
FROM July 1, 1993 through
June 30, 1999
PERSONNEL (Sprung organization n}y)
NAME
Cabr&l Evina/ D
Reiter, R.
ROLE IN PROJECT
Principal Invest
Soc. Epideoiolog 100
1
•/. F7H
Appl.
100
2 •
** FTH
on project
IS
5 Inkind
3
% FT5
salary request
15
DOLLAR AMOUNT REQUESTED
(Omit Cants)
SALARY
9762.00
FRINGE
BENEFITS
TOTALS
2440.50
12202. 5C
Porco, T.
Biostatistician .100
5 Inkinc
TEA
Project Coord.
T3A
tnterviever
50
35-
"50~
1515X700 ~T75oTDTJ
50
50
O
50
6323. 001582. 00
'910.00
TEA
Intervxewer
50
) 50
50
6328. 0d 1582.00
7910.00
SUBTOTALS^
37609.04 *9402 . 50.47011.50
SU8CONTRACTEO COLLABORATIVE PARTNERS, CONSULTANTS AN0 CONTRACTUAL COSTS (Itemize)
Coleman, A- "co-?rincioal Investigator: Salary at 10* effort {$10,732}
BCR? Meeting (Travel) (S500. 00)
Telephone Service for Project ($300.00)
11532. 0J
supplies and EXPENSES (Itemize by category) Stipends-, survey participants ($25x100) ;
focus group participants (S25x42) : Advisory Committee ($50x4x2 meetings).
Refreshments: focus groups and CAB meetings ($450.00)
Office Supplies .
Office Space (Coleman Clinic Building in Bayview Hunters Point)
Prioto copying ($350) Stamps ($150.00)
4400-00
100.00
Inxir.d
|- 500 -OO
Equipment (itemize)
Computer Equipment
Office Furniture
Tape .Recorder
TRAVEL
ANNUAL BCR? MsSTlNG
PROJECT-RElATcO TRAYSL
Inkind
Inxind
Inkind
SCIHNT1P1C MEETINC(S)
4
TOTAL DIRECT COSTS FOR YEAR 1
uTATTiMuiRLCl COS IS l-uk ifcAiTT
TOTAL COSTS FOR YEAR 1
P^ge 7a
igp^OO.
30O.00
6£33^50
^8643^00
73486^50
Memo to Public Health and Environment Committee
February 25, 1999 Public Health and Environment Committee Meeting
Item 2 - File 99-0198
Department:
Item:
Public Utilities Commission (PUC)
Resolution approving a water pump station relocation
agreement (Relocation Agreement) between the City and
County of San Francisco and the State of California
Department of Transportation (CalTrans), which would
provide for the construction of a new water pump station
and the option to purchase an easement for the new pump
station.
Amount:
Source of Funds:
Costs:
Description:
$6,032,384 in total
The current balance in Bay Bridge Pump Station Project
account is $6,036,982, according to Mr. Carlos Jacobo of
the PUC, which was the amount appropriated in the FY
1998-1999 budget.
The Attachment provided by Ms. Karen Kubick of the
Public Utilities Commission (PUC) contains the total
estimated costs of $6,032,384 associated with the new
water pump station. This amount is composed of
$3,836,620 for construction; $1,100,000 for the purchase
of an easement from the State for the use of the Main and
Bryant site for the new water pump station; $125,000 for
pipe retrofit construction; and $970,764 in additional
costs to the PUC for permits and construction
management.
The Public Utilities Commission owns and operates a
water pump station that is located in one of the piers
under the San Francisco- Oakland Bay Bridge. From this
location, the water pump station provides potable water
to Treasure Island and Yerba Buena Island and provides
fire protection on the western side of the Bay Bridge.
In 1937, the City and the State of California entered into
an agreement (the 1937 Agreement) under which the City
obtained the right to maintain water lines and the
existing pump station on the Bay Bridge. The 1937
Agreement provided that if the State is involved in repair
work on the Bay Bridge and if the City's facilities would
interfere with such repair work, the City's facilities must
BOARD OF SUPERVISORS
BUDGET ANALYST
5
Memo to Public Health and Environment Committee
February 25, 1999 Public Health and Environment Committee Meeting
be removed at the expense of the City. The State
Department of Transportation (CalTrans) is commencing
seismic safety retrofitting of the western side of the Bay
Bridge, and, according to Mr. Charles Sullivan of the City
Attorney's Office, the PUC's existing water pump station
must be removed.
Under the proposed Relocation Agreement, a new, larger
water pump station would be constructed on State
property located at the Main and Bryant site one block
away from the existing water pump station and not under
the Bay Bridge. Also under the proposed Relocation
Agreement, the PUC would have the option to purchase
an easement from the State for the permanent use of that
site by the PUC. The PUC currently estimates that the
easement will cost $1,100,000, according to Ms. Kubick.
Comments: 1. According to Ms. Kubick, the new water pump station
would be larger than the existing one, and would be
capable of meeting the needs of development on Treasure
Island and Yerba Buena Island. The existing water pump
station would not be able to meet these needs.
2. On February 2, 1998, the PUC and CalTrans entered
into a Letter of Intent, which, according to Mr. Sullivan,
reaffirms the PUC's obligations under the 1937
Agreement between the State and the PUC.
3. Ms. Kubick points out that two options are available to
the PUC. The preferred option for the PUC is the
proposed Relocation Agreement, which would cost
$6,032,384. The second option would cost $1,582,380
more than the proposed option, or a total of $7,614,764,
and would involve removing the existing water pump and
subsequently returning it to the current location in Bay
Bridge pier, after repairs to the Bay Bridge are completed
by the State. This second option would not provide the
City with the increased water pumping capacity needed to
serve the needs of development on Treasure Island and
Yerba Buena Island.
4. Mr. Sullivan explains that, under the proposed
Relocation Agreement, if the PUC decides to exercise the
option to purchase the easement located at the Main and
BOARD OF SUPERVISORS
BUDGET ANALYST
6
Memo to Public Health and Environment Committee
February 25, 1999 Public Health and Environment Committee Meeting
Bryant site, then the new water pump station would be
permanently located at the Main and Bryant site and
could be removed only if the State condemned the subject
property.
5. As noted above, the PUC currently estimates the
easement to cost $1,100,000. However, upon obtaining
Board of Supervisors approval of the proposed resolution,
the PUC and the State will each retain independent
appraisers to determine the Fair Market Value (FMV) of
the easement. Mr. Sullivan explains that although the
PUC will seek input from the Department of Real Estate,
the proposed Relocation Agreement requires the PUC and
the State to retain independent appraisers. According to
Mr. Gary Dowd of the PUC, the cost of retaining the
outside appraiser for the PUC is estimated to be at least
$25,000.
Recommendation:
Approve the proposed resolution.
Harvey M. Rose
cc: Supervisor Bierman
Supervisor Brown
Supervisor Yaki
President Ammiano
Supervisor Becerril
Supervisor Katz
Supervisor Kaufman
Supervisor Leno
Supervisor Newsom
Supervisor Teng
Supervisor Yee
Clerk of the Board
Controller
Gail Feldman
Matthew Hymel
Stephen Kawa
Ted Lakey
BOARD OF SUPERVISORS
BUDGET ANALYST
7
vci i."3/ j.^yy lb:23
4155584913
SAN FRANCISCO WATER
PAGE 02
Attachment
Construction
Pump Station Demolition
$ 113,870
Construct New Pump Station
$ 2,438,750
W1 Piping
$ 59,000
Pipeline Modification on Bridge
$ 1,100,000
Subtotal
$ 3,711,620
Impact to W-1 Retrofit Construction
$ 125,000
Total Construction Cost
$ 3,836,620
Land Cost
$ 1,100,000
TOTAL
$ 5,061,620
ADDITIONAL Cost SFPUC
Construction Management
$ 653,764.00
Environmental Monitoring, A/E Services
Art Commission
$ 17,000.00
Permits, Construction Support
$ 300,000.00
Total Additional
$ 970,764.00
TOTAL
6,032,384.00
Funding Source
Bay Bridge Pump Station
Project CUW203 SF PUC Capital Projects
1996 Bond Fund
Alternative Two
Temporary Station for Two Years
$1,860,000
Relocate New PS to W-1, Additional Land
$3,500,000
from C/T
W1 Piping
$ 59,000
Pipeline Modification on Bridge
$ 1,100,000
Subtotal
$ 6,519,000
Impact to W-1 Retrofit Construction
$ 125,000
Total Construction Cost
$ 6,644,000
ADDITIONAL Cost SFPUC
Construction Management
$ 653,764.00
Environmental Monitoring, A/E Services
Art Commission
$ 17,000.00
Permits, Construction Support
$ 300,000.00
Total Additional
$ 970,764.00
TOTAL
7,614,784.00
City and County of San Francisco
Meeting jVfinutes
^Public Health and Environment Committee
Members: Supervisors Sue Bierman, Amos Brown and Michael Yaki
Clerk: Greg Hobson
City Hall
1 Dr. Carlton B.
Goodie tt Place
San Francisco, CA
94102-4689
Thursday, February 25, 1999
1:00 PM
City Hall, Room 263
■ 2d
Members Present: Sue Bierman, Amos Brown, Michael Yaki.
*fa
Meeting Convened
The meeting convened at 1:02 P.M. Supervisor Brown was noted present at 1:15 P.M.
CONSENT AGENDA
990202 [Contract, DPH - University of California]
Resolution authorizing the Department of Public Health, Population Health and Prevention Division, to enter
retroactively into a subcontract in the amount of $73,487 with the University of California, the primary
contractor, to conduct a research study of inadequate follow-up of mammography abnormalities, which
includes an indemnification clause and patents and rights in data clauses and which does not include patent
infringement indemnification and false claims clauses; retroactive to July 1, 1998. (Department of Public
Health)
2/3/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
RECOMMENDED..
990198 (Water Pump Station Relocation]
Resolution approving a water pump station relocation agreement between the City and County of San
Francisco and the State of California Department of Transportation, which includes an option to purchase an
easement for the new pump station. (Public Utilities Commission)
2/3/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
RECOMMENDED..
The foregoing items were acted upon by the following vote:
Ayes: 2 - Bierman, Yaki
Absent: 1 - Brown
;
DOCUMENTS DEPT.
MAR 2 1999
SAN FRANCISCO
PUBLIC LIBRARY
City and County of San Francisco
Printed at 4:46 PM on V25/99
Public Health and Environment Committee
Meeting Minutes
February 25, 1999
REGULAR AGENDA
990048 (Catastrophic Sick Leave and Long-Term Disability Task Force] Supervisors Ammiano, Yaki,
Bierman, Brown, Katz
Resolution establishing a Catastrophic Sick Leave and Long-term Disability Task Force to review issues
related to the City's catastrophic sick leave and long-term disability insurance programs for city employees and
to make recommendations to the Board of Supervisors and setting forth the membership and duties of the task
force.
1/1 1/99, ASSIGNED to Health, Family, and Environment Committee.
1/25/99, TRANSFERRED to Public Health and Environment Committee. New committee structure.
Heard in Committee. Speakers: Supervisor Tom Ammiano; Bill Barnes, Mayor's Office; Ed Gazzano,
Department of Public Health. In Support: David Franks, San Francisco AIDS Foundation. Opposed: None.
Supervisors Yaki, Bierman and Brown requested to be added as co-sponsors. Supervisor Katz requested by
memorandum to be added as a co-sponsor. Amendment of the Whole bearing the same title presented in
Committee by Supervisor Ammiano.
AMENDED, AN AMENDMENT OF THE WHOLE BEARING SAME TITLE.
Resolution establishing a Catastrophic Sick Leave and Long-term Disability Task Force to review issues
related to the City's catastrophic sick leave and long-term disability insurance programs for city employees and
to make recommendations to the Board of Supervisors and seting forth the membership and duties of the task
force.
RECOMMENDED AS AMENDED by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
990137 [Lead Hazard Reduction Citizens Advisory Committee Membership] Supervisor Bierman
Ordinance amending Health Code Section 1608 to delete subparagraph 1608(b)(13); to correct the number of
committee members; renumbering subparagraphs 1608(b)(14) and (15); to clarify the intent of the Board that
ex officio members are non- voting members of the committee and whose number is not to be considered in
determining the quorum of the committee; and to make minor typographical corrections.
(Amends Section 1608.)
1/25/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: In Support: Abdalla Megahed. Opposed: None.
RECOMMENDED by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
ADJOURNMENT
The meeting adjourned at 1:24 P.M.
City and County of San Francisco
Printed at 4:47 PM on 2/25/99
City and County of £an Francisco
Meeting ^linutes
; Public Health and Environment Committee
Members: Supervisors Sue Merman, Amos Brown and Michael Yaki
City Hall
1 Dr. Carlton B.
Goodlett Place
San Francisco, CA
94102-4689
Clerk: Gregoire Hobson
Thursday, March 11, 1999
1:00 PM
City Hall, Room 263
Members Present:
Sue Bierman, Amos Brown, Michael Yaki.
M
Meeting Convened
The meeting convened at 1:05 P.M. Supervisor Bierman was noted present at 1:08 P.M.
CONSENT AGENDA
All matters listed hereunder constitute a Consent Agenda, are considered to be routine and will be acted upon
by a single roll call vote of the Committee. There will be no separate discussion of these items unless a
member of the Committee so requests, in which event the matter shall be removed from the Consent Agenda
and considered as a separate item.
Severed from Consent Agenda
990257 [Grant - Private]
Resolution authorizing the Department of Public Health, Population Health and Prevention, to accept
retroactively and expend a grant in the amount of $25,000 from the Open Society Institute, the Lindesmith
Center, for the "Bridging the Gap" Conference and to enter into an agreement which does not include patent
infringement indemnification and false claims clauses; providing for ratification of action previously taken.
(Department of Public Health)
2/1 1/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Monique DeJohn, Budget Analyst; Barbara Garcia, Department of Public
Health. In Support: None. Opposed: None. Amended. On Page 2, line 8 add a Further Resolved clause to
read: The Controller should be urged to designate the position created under the grant as an "L " or Limited-
Tenure position, which would terminate when the grant expires.
AMENDED.
990263
)
RECOMMENDED AS AMENDED., by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
[Grant - State]
Resolution authorizing the Department of Public Health, Population Health and Prevention, to accept
retroactively and expend a grant in the amount of $5,000 from the San Diego State University Foundation for
the Kids' Plates Bike Helmet Safety Program and to enter into an agreement which includes an indemnification
clause and which does not include patent infringement indemnification and false claims clauses; providing for
ratification of action previously taken. (Department of Public Health)
2/16/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: None. Amended. In the title on Page 1, line 3 and Page 2, line 18 replace
"to accept retroactively" with "to retroactively accept".
AMENDED.
DOCUMENTS DEPT.
MAR 1 8 1999
City and County of San Francisco
PUBLIC LIBRARY
Public Health aim Environment Committee
Meeting Minutes
March 11, 1999
Resolution authorizing the Department of Public Health, Population Health and Prevention, to retroactively
accept and expend a grant in the amount of $5,000 from the San Diego State University Foundation for the
Kids' Plates Bike Helmet Safety Program and to enter into an agreement which includes an indemnification
clause and which does not include patent infringement indemnification and false claims clauses; providing for
ratification of action previously taken. (Department of Public Health)
RECOMMENDED AS AMENDED., by the following vote:
»Ayes: 3 - Bierman, Brown, Yaki
REGULAR AGENDA
990315 [Pacific Bell Giants Ball Park Environmental Impact] Supervisors Ammiano, Katz
Hearing to consider the public health and environmental impact on the San Francisco Bay of 27,000 tons of
exposed dirt suspected to contain higher than normal levels of toxins located on the construction site of the
Pacific Bell Giants Ball Park on Third and King Streets.
2/17/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Supervisor Ammiano; Carol Bach, Environmental Health Director, Port of
San Francisco; Dr. Bob Stephens, Deputy Director, California Department of Toxic Substances Control; Jack
Bair, Vice President and General Counsel, S.F. Giants and China Basin Ballpark Company; Amanda Spencer,
Principal Hydrologist, Geomatrix Consultants, Inc.; Dr. Rajiv Bhatia, Medical Director, Environmental
Health Section, Department of Public Health; Vic Pal, Regional Water Quality Management Board; Chris
Gray, Chief of Staff, representing Supervisor Haggerty's Office, Oakland ; Steve Bloom, Sierra Club; Amy
Quirk, Alliance for Clean Water; Jennifer Clary, Alliance for Clean Water; Jeff Leibowitz; Mike Thomas,
Community for a Better Environment; Charles White, Waste Management, Alameda County; Brian Bateman,
Bay Area Air Management District; Ruth Gravanis, Alliance for a Clean Waterfront; Dennis Jordan.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 2 - Brown, Yaki
Absent: 1 - Bierman
981989 [Dioxin] Supervisors Newsom, Leno,
Bierman
Resolution establishing dioxin as a high priority for immediate action for the City and County of San
Francisco in order to restore water, air and total environment quality.
1 1/23/98, RECEIVED AND ASSIGNED to Health, Family, and Environment Committee.
1/25/99, TRANSFERRED to Public Health and Environment Committee. New committee structure.
2/1/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
2/1/99, SUBSTITUTED. By Supervisor Newsom in Board.
AMENDED, AN AMENDMENT OF THE WHOLE BEARING SAME TITLE.
Heard in Committee. Speakers: Supervisor Newson; Honorable Nancy Nadel, City of Oakland,
Councilmember; Francesco Vietor. Director, Department of Environment; Owen Webb; Virgil Thomas; David
Keith; John Marshall, Chlorine Chemistry; Dr. Jay Murray, Murray and Associates; Karen Susag,
Endometriosis Association; Jon Commack, Health Industry Manufacturers Association; Myrto Petreas,
California Environmental Protection Agency; Greg Karais; Ray Tomkins; Michael Green; Brad Angel,
Executive Director, Environmental Justice; Susan Chang; Hal Carroll; Dr. Brian Linsey; Henry Clark,
Executive Director, West County Toxics Coalition; Keith Trecker, Baxter Healthcare, Sabina Perez, Center for
Environmental Health; Davis Baltz, Commonweal: Tai Simconi, Center for Environmental Health. Amended.
On Page 3, line 19 after "free" insert "where appropriate alternative products composed of non-chlorinated
materials are available and where any substitution for a PVC product must provide a less toxic alternative
with concern for the full public health implications of the replacement, including infectious considerations. "
AMENDED.
City and County of San Francisco
Printed at 9:47 AM on 3/17/99
Public Health and Environment Committee Meeting Minutes March 11, 1999
RECOMMENDED AS AMENDED by the following vote:
Ayes: 2 - Brown, Yaki
Absent: 1 - Bierman
ADJOURNMENT
Meeting adjourned at 3:48 P.M.
City and County of San Francisco 3 Printed at 9:4 7 AM on 3/1 7/99
Public Library, Gov't Information Ctr.. 5 th Fir.
Attn: Susan Horn, Dept. 41
CITY AND COUNTY
oFSANFRANcis|g®cuMENTS DEPT.
•
BOARD OF SUPERVISORS
MAR 1 1999
BUDGET ANALYST
SAN FRANCISCO
PUBLIC LIBRARY
1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642
FAX (415) 252-0461
March 9, 1999
TO: ^Public Health and Environment Committee
FROM: ^Budget Analyst
SUBJECT: March 11, 1999 Public Health and Environment Committee Meeting
Item 1 - File 99-0257
Department:
Item:
Amount:
Grant Period:
Source of Funds:
Description:
Department of Public Health (DPH)
Resolution authorizing the Department of Pub He Health,
Population Health and Prevention, to accept retroactively
and expend a grant in the amount of $25,000 from the
Open Society Institute, the Lindesmith Center, for the
"Bridging the Gap" Conference and to enter into an
Agreement which does not include patent infringement
indemnification and false claims clauses; providing for
ratification of action previously taken.
$25,000
Retroactive to December 21, 1998 and extending to
December 20, 1999 (12 months)
Open Society Institute, The Lindesmith Center (a non-
profit organization)
The proposed funds will be used to partially fund the
conference titled, "Bridging the Gap: Integrating
Traditional Substance Abuse and Harm Reduction
Memo to Public Health and Environment Committee
March 11, 1999 Public Health and Environment Committee Meeting
Services." The conference will implement a central goal of
the Treatment on Demand Planning Council: integrating
harm reduction strategies into treatment services for
substance abuse. The conference will include workshops
and panel discussions with local, national and
international experts in the field. Participants will
include 400 substance abuse treatment providers and
those who provide services to individuals who use drug
and alcohol. The conference will take place on May 3 rd
and 4 th , 1999, in San Francisco.
Required Match:
Indirect Costs:
Budget:
Comments:
According to Mr. Jim Stillwell of DPH, the cost of the
conference is estimated to be $35,000. Of this $35,000,
$25,000 would be funded by the proposed grant. Of the
additional $10,000 needed for the conference, $5,000
would be paid by The Drug Policy Foundation, a non-
profit foundation, directly to a contractor, San Francisco
Suicide Prevention, Inc. for brochure printing and
mailings. The remaining $5,000 would be funded by
grants not yet identified.
None
The proposed resolution provides for indirect costs of
$2,273, or 10 percent of direct costs of $22,727.
Attachment I, provided by DPH, provides budget details
for the proposed grant funds.
i. The DPH has prepared a Disability Access Checklist,
which is on file with the Clerk of the Board's Office.
2. Attachment II, provided by DPH, is the Grant
Application Information Form.
3. The proposed resolution would waive: (1) the
requirement contained in Sections 6.21 and 21.19 of the
City's Administrative Code that the contract include an
indemnification of the City by The Linde smith Center for
the infringement of patent rights; and (2) the requirement
contained in Section 6.57(c) of the City's Administrative
Code that the contract include a paragraph reciting the
false claim provision contained in Section 6.57(a) of the
City's Administrative Code. According to Ms. Jean Fraser
BOARD OF SUPERVISORS
BUDGET ANALYST
2
Memo to Public Health and Environment Committee
March 11, 1999 Public Health and Environment Committee Meeting
of the City Attorney's Office, these waivers are standard
and pose minimal risk to the City.
4. In addition, the proposed resolution authorizes the
inclusion, in the contract, of an indemnification provision
by which the City would indemnify The Lindesmith
Center. Ms. Fraser states that this provision would
require the City to defend and pay damages assessed
against The Lindesmith Center arising out of negligence
by the City in the performance of the proposed contract.
Ms. Fraser advises that the risk of liability to the City of
the proposed indemnification is minimal.
5. The proposed resolution to accept and expend grant
funds would be retroactive to December 21, 1998. Mr.
Stillwell advises that, due to administrative delays, the
proposed resolution is now being submitted for approval.
According to Mr. Stillwell, no expenditures have been
incurred against the proposed grant.
6. As shown in Attachment I, the proposed grant would
fund one half-time position for the conference. According
to Mr. Stillwell, the new position would be a grant
position and would be terminated when the one-year
grant expires. The total personnel cost supported by the
grant is $5,684. The Budget Analyst recommends that
the proposed resolution be amended to designate the new
position as a "G" or Grant position so that the position
would expire upon the termination of the grant.
Recommendations: 1. Amend the proposed resolution to designate the new
position created under the grant as a "G" or Grant
position.
2. Approve the proposed resolution as amended.
BOARD OF SUPERVISORS
BUDGET ANALYST
3
JPM Z6 '99 G2 = 01Fri CSAS 415-^55-3529
Attachment I
Bridging the Cap; Integrating Traditional Substance
Rbuse and Harm Reduction Seruices
Conference Budget (12 Months)
TLC Grant
Conference Planning Assistant (.58 FTE) $5684
Speaker Fees $2208
EKPenses
Facility Rental
Equipment Rental
Trauel
Conference Uideo taping
Subtotal
Indirect costs at 18%
$4898
$2088
$6543
$23BB
$22,727
S 2.275
Total Requested
$25, BOB
Attachment II
File Number: Pa S e 1 ° f 2
Grant Application Information Form
• A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1. Department: Population Health and Prevention; Community Health Services, Community
Substance Abuse Services
2. Contact Person: Barbara Garcia, Director, Community Substance Abuse Services
Telephone: 255-3525
3. Project Title: Conference: "Bridging the Gap: Integrating Traditional Substance Abuse and
Harm Reduction Services"
4. Grant Source Agency: Open Society Institute, The Lindesmith Center, New York City
5 . Type of Funds: Federal Federal-State (Pass-Through) State Local X_Private
6. Proposed (New /Continuation) Grant Project Summary: The conference will implement a
central goal of the Treatment on Demand Planning Council: integrating harm reduction
strategies into treatment services. It will take place on May 3-4, 1999, in San Francisco,
featuring keynotes by Dr. Alan Marlatt and Dr. Pat Denning; workshops; and panel
discussions with local, national, and international experts in the field. Participants will
include 400 substance abuse treatment providers and those who provide services to
individuals who use drugs and alcohol.
7. Amount of Grant Funding Applied for. 525,000
8. Maximum Funding Amount Available: 525,000
9. Required Matching Funds? Yes: No: X Cash or In-kind:
If yes, list dollar amount and identify source of Matching Funds in Department Budget:
10. Number of new positions created and funded: .5 FTE
1 1. If new positions are created, explain the disposition of employees once the grant ends: The
part-time temporary position will end.
12. Are indirect costs eligible costs for this grant? Yes: X_ No:_
If yes, please identify the amount of $ in indirect costs: $2,273
2/3/99
Attachment II
^age 2 of 2
13. Amount to be spent on contractual services: $0
14. a.) Will contractual services be put out to bid?: Yes: No: Not applicable
b.) If so, will contract services help to further the goals of the department's MBE/WBE
requirements? : Not applicable
15. Is this likely to be a one-time or ongoing request for contracting out?: Not applicable
16. Term of Grant: Start-Date: December 21, 1998 End-Date: December 20,1999
17. Date Department Notified of Available Funds: 12/1/98
18. Grant Application Due Date: 12/16/98
19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or
appropriations legislation): Maintain adequate financial records consistent with generally
accepted accounting practices and to retain such records for at least four years after the
conclusion of the grant period; To return to OSI any portion of the funds granted and interest
thereon which are not used for the purpose of the grant as stated above.
20. Department Head Approval: Mitchell Katz, M.D., Director of Health
Signature )
2/3/99 2
6
Memo to Public Health and Environment Committee
March 11, 1999 Public Health and Environment Committee Meeting
Item 2 - File 99-0263
Department:
Item:
Amount:
Grant Period:
Source of Funds:
Description:
Required Match:
Indirect Costs:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health,
Population Health and Prevention, to accept retroactively
and expend a grant in the amount of $5,000 from the San
Diego State University Foundation for The Kids' Plates
Bike Helmet Safety Program, and to enter into an
Agreement which includes an indemnification clause and
which does not include patent infringement
indemnification and false claims clauses; providing for
ratification of action previously taken.
$5,000
September 1, 1998 through May 31, 1999 (9 months)
San Diego State University (SDSU) Foundation
The proposed resolution would authorize DPH to enter
into an Agreement with SDSU Foundation in order to
accept and expend grant funds in the amount of $5,000
for The Kids' Plates Bike Helmet Safety Program.
The program has two objectives: (1) to increase the
number of parents who bring their children in for routine
health check-ups at 14 San Francisco locations designated
by DPH (See Attachment I), and (2) increase bicycle
safety and training. According to Ms. Renee Cheney-
Cohen, up to 600 bicycle helmets will be distributed to
low-income parents enrolled with participating health
care providers when they bring their children in for
routine health check-ups. Also, community organizations
whose goal is to educate and train children in bicycle
safety will receive up to 200 helmets from DPH for
distribution to children. Thus, a total of 800 bicycle
helmets will be distributed through this program.
None
The funding agency does not allow for the inclusion of
indirect costs.
BOARD OF SUPERVISORS
BUDGET ANALYST
7
Memo to Public Health and Environment Committee
March 11, 1999 Public Health and Environment Committee Meeting
Budget:
Comments:
Attachment II, provided by DPH, provides budget details
for the proposed grant funds.
1. The DPH has prepared a Disability Access Checklist,
which is on file with the Clerk of the Board's Office.
2. Attachment III, provided by DPH, includes the Grant
Application Information Form.
3. The proposed resolution would waive: (1) the
requirement contained in Sections 6.21 and 21.19 of the
City's Administrative Code that the contract include an
indemnification of the City by SDSU Foundation for the
infringement of patent rights; and (2) the requirement
contained in Section 6.57(c) of the City's Administrative
Code that the contract include a paragraph reciting the
false claim provision contained in Section 6.57(a) of the
City's Administrative Code. According to Ms. Jean Fraser
of the City Attorney's Office, these waivers are standard
and pose minimal risk to the City.
4. In addition, the proposed resolution authorizes the
inclusion, in the contract, of an indemnification provision
by which the City would indemnify the SDSU Foundation.
Ms. Fraser states that this provision would require the
City to defend and pay damages assessed against SDSU
Foundation arising out of negligence by the City in the
performance of the proposed contract. Ms. Fraser advises
that the risk of liability to the City is minimal.
5. The proposed grant would be retroactive to September
I, 1998. Ms. Renee Cheney-Cohen of DPH, advises that,
due to several grant revisions by both the DPH and SDSU
Foundation, the grant was not finalized until December
II, 1998. According to Ms. Cheney-Cohen, expenditures
have been incurred against the proposed grant. As such,
the proposed resolution should be amended to provide for
retroactivity with respect to both the acceptance and
expenditure of grant funds.
6. As noted above, the program involves the distribution
of approximately 800 bicycle helmets. The proposed grant
would fund the cost of 220 of the 800 bicycle helmets.
According to Ms. Lucille Burlew-Lawler of DPH, the
BOARD OF SUPERVISORS
BUDGET ANALYST
8
Memo to Public Health and Environment Committee
March 11, 1999 Public Health and Environment Committee Meeting
remaining 580 helmets will be donated from various
sources.
Recommendation:
Amend the proposed resolution to provide for retroactivity
with respect to both the acceptance and expenditure of
grant funds, and approve the proposed resolution, as
amended.
S-
Harvey M. Rose
fZ
cc: Supervisor Bierman
Supervisor Brown
Supervisor Yaki
President Ammiano
Supervisor Becerril
Supervisor Katz
Supervisor Kaufman
Supervisor Leno
Supervisor Newsom
Supervisor Teng
Supervisor Yee
Clerk of the Board
Controller
Legislative Analyst
Matthew Hymel
Stephen Kawa
Ted Lakey
BOARD OF SUPERVISORS
BUDGET ANALYST
9
Mar-03-99 1 1 : OOA Rosemary Lee
415-437-4650
P.Ol
Attachment I
PROPOSED PROVIDERS FOR KIDS' PLATE GRANT
1) Agoria, Enrique MD
2) Chinese Community Hearth Care Association
3) Graves, Bobbie MD
4) Excelsior
5) Mission Neighborhood Health Center
6) Mt. Zion
7) NEMS (Northeast Medical Services)
8) Nguyenjin Huu MD
9) Quock ,Winchell MD
10)Ramer, Cyril MD
11) Silver Avenue Health Center
12) St. Luke's Pediatrics
13)St. Mary's Pediatrics/includes St. Mary's School based
14) UC Parnassus
03/03/99
Post-It " brand fax transmittal memo 7671
A> of page* *
Fnm
C«.
Co.
Dept.
Phone #
Fax # ^ t* •*. '■>■'»
Fax*
10
Attachment II
BUDGET JUSTIFICATION (revised 11/98)
Applicant Name: SF Department of Public Health; Child Health & Disability Prevention
Program
PERSONNEL COSTS: A ll staff will incorporate workfrom this program into their existing
duties. Their salaries/benefits will be assumed by their respective agencies.
OPERATING COSTS:
PRINTING/PHOTO COPIES
ITEM
1,000 incentive letters to children and their families
75 Laminated Provider modules for patient education
5,000 (total) helmet safety information for parents and children in
English, Chinese, Vietnamese and Spanish
600 Follow up survey to families receiving helmets from medical
provider
SUBTOTAL
SUPPLIES
20 Binders/flip charts for patient education module
Misc. training supplies (name tags, folders, markers, newsprint
pads, refreshments)
Portable bike and helmet safety exhibit
SUBTOTAL
POSTAGE/COMMUNICATIONS
PROMOTIONAL ITEMS/EDUCATIONAL MATERIALS
Water bottles
Bike helmets (220)
TOTAL
COST
$100.00
$150.00
$300.00
$150.00
S700.00
$150.00
$200.00
$300.00
S650.00
$600.00
$1,500
$1,550
S5,000
Dept.
Fax*
4-fTjr- X^S^
Post-It™ brand fax transmittal memo 7671 # of pages ► JL -
Phone #
r&^tlg?
Fax*
11
Attachment III
Page 1 of 2
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1. Department: Public Health; Population Health and Prevention; Community Health Services.
2. Contact Person: Renee Cheney-Cohen Telephone: 554-9958
3. Project Title: Kids' Plates: Bike Helmet Safety
4. Grant Source Agency: San Diego State University Foundation
5. Type of Funds: Federal Federal-State (Pass-Through) X_ State Local Private
6. Proposed (New/ Continuation) Grant Project Summary: Target group is CHDP eligible youth
5 to 12 years old. Working in collaboration with Blue Cross (Medi-Cal) and SFHP
managed care plans, CHDP will distribute properly fitted helmets and instruction about safe
bicycling to low-income boys and girls through CHDP and other community health provider
agencies as an incentive to come in for well child check-ups. Training will strengthen
individual knowledge and skills of parents and children, health care providers and
community agency staff. The project will foster networking and collaboration in the health
care system and in the community. In total about 800 helmets will be fitted and distributed.
7. Amount of Grant Funding Applied for: $5,000
8. Maximum Funding Amount Available: 55,000
9. Required Matching Funds? Yes: No: X Cash or In-kind:
If yes, list dollar amount and identify source of Matching Funds in Department Budget:
10. Number of new positions created and funded: None
1 1. If new positions are created, explain the disposition of employees once the grant ends?
12. Are indirect costs eligible costs for this grant? Yes: No: X
If yes, please identify the amount of $ in indirect costs:
13. Amount to be spent on contractual services:
1/22/99 1
12
Attachment III
^age 2 of 2
14. a.) Will contractual services be put out to bid?: Yes: .No: N/A
b.) If so, will contract services help to further the goals of the department's MBE/WBE
requirements? : N/A
15. Is this likely to be a one-time or ongoing request for contracting out?: N/A
16. Term of Grant: Start-Date: 9/1/98 End-Date: 5/31/99
17. Date Department Notified of Available Funds: July 1, 1998
18. Grant Application Due Date? July 31, 1998
19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or
appropriations legislation): Grantee is responsible for the proper expenditure of funds-provided
by the Grantor. The Grantee must keep adequate financial records that allow for readily
accessible monitoring of the use of grant funds. The Grantee shall return to the Grantor any
unexpended funds granted to it by the Grantor, at the end of the grant. Revenues" 'Or profit
generated via implementation of the project must be accounted for and used to support project
activities. Local travel and per diem at established rates can be reimbursed.
20. Department Head Approval: Mitchell Katz, M.D., Director of Health
/f)MMt c
Signature
1/22/99 2
13
)
City and County of^an Francisco
Meeting Minutes
^Public Health and Environment Committee
Members: Supervisors Sue Bierman, Amos Brown and Michael Yaki
Clerk: Gregoire Hobson
City Hall
1 Dr. Carlton B.
Goodlett Place
San Francisco, CA
94102-4689
Thursday, March 25, 1999
*.
1:00 PM
City Hall, Room 263
O.W
Members Present: Sue Bierman, Amos Brown, Michael Yaki.
DOCUMEN 1 8 UbH L
MAR 3 1 1999
SAN FRANCISCO
PUBLIC LIBRARY
990435 [Grant - Private)
Resolution authorizing the Department of Public Health, Community Health Network, Maxine Hall Health
Center, to accept retroactively and expend a grant in the amount of $25,000 from the Family Violence
Prevention Fund for the Domestic Violence Prevention Project and to enter into an agreement which does not
include patent infringement indemnification and false claims clauses. (Department of Public Health)
3/3/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
3/19/99, CLERICAL CORRECTION. Clerically corrected by Clerk. In the title, Page 1, line 6 replace "does
does" with "does".
Heard in Committee. Speakers: None.
RECOMMENDED., by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
990479 [Grant -State]
Resolution authorizing the Department of Human Services to accept and expend a grant in the amount of
$231,565 from the California State Department of Health Services for a targeted Medi-Cal outreach project.
(Department of Human Services)
3/10/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: None. Amended. On line 2 before "authorizing" insert "retroactively". On
line 1 1 after "Supervisors " insert "retroactively ". On line 1 7 add a Further Resolved clause to read: "The
Controller should be urged to designate the positions created under the grant as a "L " or Limited-Tenure
position, which would terminate when the grant expires. "
AMENDED.
Resolution retroactively authorizing the Department of Human Services to accept and expend a grant in the
amount of $231,565 from the California State Department of Health Services for a targeted Medi-Cal outreach
project. (Department of Human Services)
RECOMMENDED AS AMENDED., by the foHowing vote:
Ayes: 3 - Bierman, Brown, Yaki
<?h
Meeting Convened
The meeting convened at 1:06 P.M.
REGULAR AGENDA
City and County of San Francisco
Printed at 10:29 AM on 3/29/99
Public Health and Environment Committee Meeting Minutes March 25, 1999
990215 [Lands Legacy Initiative] Supervisors Bierman, Newsom,
Yaki, Katz /f
Resolution supporting President Clinton's "Lands Legacy Initiative" and urging Congress to pass.
2/8/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Jay Watson, Director, Wilderness Society. Supervisors Yaki and Katz
requested to be added as co-sponsors.
RECOMMENDED by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
990354 [Women's Health Services] Supervisor Katz
Hearing to consider the availability of women's health services.
2/22/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Supervisor Leslie Katz; Anne Kronenberg, Department of Public Health:
Kate Monico Klein, Coordinator Women Services, Department of Public Health; Belma Gonzales, Past
Director of the Women's Center; Sharon Johnson, Chief of Staff , Senator John Burton's Office; Kim
Hildebrant, Director, New Women's Clinic; Natalie Coombs, 16 year old student; Erica Batchler, Lyon
Martin Women 's Health Services; Kate McNichols; Judy Geer; Brenda Johnson; Eloise Madaheim; Jocelyn
Walker; Nancy Cole; Jessica Chandler.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 3 - Bierman, 3rown, Yaki
ADJOURNMENT
The meeting adjourned at 2:13 P.M.
C
City and County of San Francisco 2 Printed at 10:29 AM on 3/29/99
Public Library, Gov't Information Ctr.. 5 th Fir.
Attn: Susan Horn, Dept. 41
CITY AND COUNTY
of^anfrancisc9ocUMENTS DEPT.
MAR 2 5 1999
BOARD OF SUPERVISORS
SAN FRANCISCO
PUBLIC LIBRARY
1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642
FAX (415) 252-0461
BUDGET ANALYST
March 23, 1999
TO: > Public Health and Environment Committee
FROM: ^Budget Analyst
SUBJECT: JVtarch 25, 1999 Public Health and Environment Committee Meeting
Item 1 - File 99-0435
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Project:
Description:
Department of Public Health
Resolution authorizing the Department of Pubic Health,
Community Health Network - Maxine Hall Health Center
to accept retroactively and expend grant funds in the
amount of $25,000 from the Family Violence Prevention
Fund for the Domestic Violence Prevention Project; and to
enter into an agreement which does not include patent
infringement indemnification and false claims clauses.
$25,000
January 1, 1999 through December 31, 2000 (24 months)
See Comment No. 1.
Family Violence Prevention Fund (See Description)
Domestic Violence Prevention Project
The Family Violence Prevention Fund (the Fund) is a
non-profit agency that addresses domestic violence on an
institutional level. The Fund is not a foundation and does
Memo to the Public Health and Environment Committee
March 25, 1999 Public Health and Environment Committee Meeting
not provide direct services. Rather, the Fund works to
educate, train and support service providers that assist
domestic violence victims, such as the DPH Maxine Hall
Health Center.
Budget:
Required Match:
Indirect Costs:
Approval of the proposed resolution would authorize the
Department of Public Health - Maxine Hall Health
Center, located at 1301 Pierce Street, to accept
retroactively and expend grant funds in the amount of
$25,000 from the Fund and implement the DPH Domestic
Violence Prevention Project. The Maxine Hall Health
Center would design comprehensive domestic violence
prevention strategies which involve primary prevention
efforts designed to change the community's attitude and
behavior about domestic violence, and secondary
prevention programs which include screening, diagnosis,
intervention, and treatment of individual clients.
Under this grant, the Maxine Hall Health Center is
expected to develop a task force to oversee
implementation of the project, participate in clinical
trainings, participate in a Statewide leadership summit,
and report on activities every six months.
Attachment I, provided by the DPH, contains the budget
details for the proposed grant funds in the amount of
$25,000.
None.
None.
Comment:
1. Ms. Marcellina Ogbu of the Maxine Hall Health
Center explains that although the beginning of the grant
period is January 1, 1999, DPH has not expended any of
the subject grant funds. According to Ms. Ogbu, the
proposed resolution provides for retroactive authorization
to accept the funds because DPH was not notified that it
had been awarded the grant until December 21, 1998, not
allowing DPH enough time to obtain Board of Supervisors
approval prior to the commencement of the grant period
on January 1, 1999.
BOARD OF SUPERVISORS
BUDGET ANALYST
Memo to the Public Health and Environment Committee
March 25, 1999 Public Health and Environment Committee Meeting
2. Ms. Sheila Kerr of DPH states that the personnel
expenses are for the staff physician's time, billed to DPH
at $50 per hour. DPH anticipates 265 hours of the staff
physician's time over the two-year period, for a total of
$13,250 in salary expenses. Ms. Kerr also reports that
the consultant services, budgeted for $2,500 over the two-
year period, would be for a domestic violence education
and training specialist to assist with the development of
an outreach plan and education materials.
3. According to Ms. Kerr, the Family Violence Prevention
Fund, the grantor, does allow for the inclusion of indirect
costs, but DPH has requested that the indirect costs be
waived because these costs would reduce the total amount
of funds available under the $25,000 grant.
4. In addition to the proposed $25,000 cash grant, the
Fund would provide to the Maxine Hall Health Center
with public education materials and reimbursement for
lodging and travel expenses to trainings and conferences.
5. The proposed resolution would waive: (1) the
requirement contained in Sections 6.21 and 21.19 of the
City's Administrative Code that the contract include an
indemnification of the City for the infringement of patent
rights; and (2) the requirement contained in Section
6.57(c) of the City's Administrative Code that the contract
include a paragraph reciting the false claim provision
contained in Section 6.75(a) of the City's Administrative
Code. According to Ms. Jean Fraser of the City Attorney's
Office, these waivers are standard and pose minimal risk
to the City. In addition, the proposed resolution
authorizes the inclusion in the grant agreement of an
indemnification provision by which the City would
indemnify the Family Violence Prevention Fund. Ms.
Fraser states that this provision would require the City to
defend and pay damages assessed against the Fund
arising out of negligence by the City in the performance of
the proposed contract. Ms. Fraser advises that the City
has entered into numerous contracts which include
similar indemnification provisions and waivers and that
the risk of liability to the City is minimal.
BOARD OF SUPERVISORS
BUDGET ANALYST
Memo to the Public Health and Environment Committee
March 25, 1999 Public Health and Environment Committee Meeting
6. Attachment II, provided by DPH, is a summary of the
Grant Application Information Form, as prepared by
Community Health Network and the DPH.
7. DPH has prepared a Disability Access Checklist for
the proposed grant funds, which is on file with the Clerk
of the Board of Supervisors.
Recommendation: Approve the proposed resolution.
BOARD OF SUPERVISORS
BUDGET ANALYST
Attachment I
Preliminary Budget
for the Domestic Violence Prevention Project
Maxine Hall Health Center
1301 Pierce Street, San Francisco, CA 94115
line item
Stipends for participation
(up to $200.00 depending on level of service provided to
the project *
Personnel Expense
(estimated)
salary
25% fringe
Consultant services
JLi5S te.ni rate of $ 10Q,nn/hnnr
TOTALS
£6,625
$1,625
$1,250
$12,500
$6,625
$1,625
$1,250
Jan. --Dec. 99 jJan r Dec. 00 j TOTAL
$3,000 ! $3,000 I $6,000
! $13,250
! $ 3,250
I $ 2,500
$12,500 | $25,000
Attachment II
Page 1 of 2
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1. Department: Community Health Network Department of Public Health
2. Contact Person: Sheila P. Kerr Telephone: 415-292-1353
Acting Center Manager
3. Project Title: Domestic Violence Prevention Project
4. Grant Source Agency: Family Violence Prevention Fund
5. Type of Funds: Federal Federal- State (Pass-Through) State Local ^ Private
6. Proposed (New/Continuation) Grant Project Summary:
Improve Community Health Center response to domestic violence in our community i
implement comprehensive domestic violence prevention stategies for the
population we serve. The project will include the implementation of broad-
based primary prevention efforts designed to change attitudes and behaviors
concerning domestic violence, as well as secondary prevention programs that
include screening, diagnosis, and treatment for individual clients in
clinical settings.
7. Amount of Grant Funding Applied for: $25,000.00
8. Maximum Funding Amount Available: $25,000.00 over 2 year period
9. Required Matching Funds? Yes: No: x Cash or In-kind:
If yes, list dollar amount and identify source of Matching Funds in Department Budget:
7/27/98
ttachment II
age Z of 2
1 0. Number of new positions created and funded: none
11. If new positions are created, explain the disposition of employees once the grant ends?
12. Are indirect costs eligible costs for this grant? Yes: No: X
If yes, please identify the amount of $ in indirect costs:
13. Amount to be spent on contractual services: $25,000.00
14. a.) Will contractual services be put out to bid?: Yes: No:X
b.) If so, will contract services help to further the goals of the department's MBEAVBE
requirements? :
1 5. Is this likely to be a one-time or ongoing request for contracting out?:
16. Term of Grant: Start-Date: 1/1/99 End-Date: 12/31/GO
17. Date Department Notified of Available Funds: 12-21-98
1 S. Grant Application Due Date: Not applicable.
1 9. Grant Funding Guidelines and Options (selected from RFP, grant announcement or
appropriations legislation):
selected from RFP from Family Violence Prevention Fund
Three payments totaling $25,000 will be paid over a 2 year period starting 1/99.
Travel and housing costs for the attendance of meetings, the training conference,
and Statewide Leadership Summit will be reimbursed.
20. Department Head Approval: Mitchell Katz, M.D., Director of Health
Signature
7/27/98
Memo to Public Health and Environment Committee
March 25, 1999 Public Health and Environment Committee Meeting
Item 2 - File 99-0479
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Project:
Description:
Department of Human Services (DHS)
Resolution authorizing the Department of Human
Services to accept and expend a grant in the amount of
$231,565 from the California State Department of Health
Services for a targeted Medi-Cal Outreach Project.
$231,565
January 1, 1999 through September 30, 1999 (nine
months). See Comment No. 1.
California State Department of Health Services
Medi-Cal Outreach Project
The proposed grant would fund five community-based
organizations to provide targeted outreach to increase the
Medi-Cal enrollment during the period of January 1, 1999
through September 30, 1999. These five agencies are:
San Francisco Neighborhood Legal Assistance
Foundation, California Association of Health, Education,
Employment and Dignity, Inc. (CAHEED), Mission
Neighborhood Health Center, NICOS Chinese Health
Coalition, and Health Access Foundation.
Under the proposed resolution, two of the five agencies,
San Francisco Neighborhood Legal Assistance Foundation
and Health Access Foundation, would provide various
technical services, including clarifying eligibility
requirements, developing culturally sensitive and
language-appropriate informational materials, and
conducting trainings on health policy. The other three
agencies, NICOS, Mission Neighborhood, and CAHEED
would conduct the outreach by targeting low-income
individuals who may be Medi-Cal eligible in the
Chinatown and Tenderloin, Mission, and Bayview
Hunters Point areas, respectively. The strategy would be
carried out at schools, community-based agencies, child
care sites, places of worship, and small businesses.
BOARD OF SUPERVISORS
BUDGET ANALYST
8
Memo to Public Health and Environment Committee
March 25, 1999 Public Health and Environment Committee Meeting
Budget:
A summary budget for the proposed project costs of
$257,295, including the proposed grant funds in the
amount of $231,565 for the nine-month period retroactive
from January 1, 1999 is as follows:
Category
Salary
Fringe Benefits
Subtotal
Professional Services
Equipment and Supplies
Internet Web Site
Indirect Cost
Total
Amount
$73,592
10,729
$84,321
$120,000
26,318
3,500
23,156
$257,295
Attachment I, provided by DHS, details the project
staffing and proposed budget for the Medi-Cal Outreach
Project. Mr. Pauson of DHS reports that the balance of
the proposed project costs in the amount of $25,730 would
be from in-kind contributions previously budgeted in the
FY 1998-99 DHS budget.
As noted above, the Medi-Cal Outreach Project would be
implemented by five community-based organizations.
The amount of proposed project funds allocated to each
agency is listed below:
Aerencv
Amount
Health Access Foundation
$23,000
SF Neighborhood Legal Assist. Found.
19,000
NICOS Chinese Health Coalition
30,000
Mission Neighborhood Health Center
30,000
CAHEED
30.000
Total
$132,000
Required Match:
None.
Indirect Costs:
$23,156 (10% of the proposed grant)
Comment:
1. According to Mr. Yun of DHS, funds have already been
accepted and expended for the Medi-Cal Outreach Project.
Mr. Yun explains that DHS was notified on December 10,
1998 that the proposed grant funds of $231,565 were
BOARD OF SUPERVISORS
BUDGET ANALYST
Memo to Public Health and Environment Committee
March 25, 1999 Public Health and Environment Committee Meeting
awarded, not allowing DHS enough time to obtain Board
of Supervisors approval to accept and expend the
proposed grant prior to the commencement of the grant
period on January 1, 1999. Therefore, the resolution
should be amended to provide for retroactivity.
2. Mr. Yun reports that the five community-based
organizations were chosen through meetings with the
Medi-Cal Program and DHS. According to Mr. Yun, the
agencies were selected because of their past outreach
experience and current outreach efforts in the targeted
neighborhoods. Mr. Yun also advises that the two
agencies selected to provide technical assistance were
chosen because of their expertise in analyzing health care
policy and developing educational materials.
3. The legislation does not require that the grant-funded
positions be "L" or Limited-Tenure positions. Mr. Yun
states that it is the intent of DHS to make the grant-
funded City employees Limited-Tenure positions.
4. Attachment II, provided by DHS, is the Grant
Application Information Form.
5. DHS has prepared a Disability Access Checklist for
the proposed grant, which is on file with the Clerk of the
Board of Supervisors.
Recommendation: 1. In accordance with Comment No. 1, amend this
resolution to authorize DHS to retroactively accept and
expend the proposed grant funds.
2. In accordance with Comment No. 3, amend the
proposed resolution to require that all new positions
created under the grant be "L" or Limited-Tenure
positions in order that these positions do not
automatically continue to be funded when the grant
expires.
3. Approve the proposed resolution as amended.
BOARD OF SUPERVISORS
BUDGET ANALYST
10
Memo to Public Health and Environment Committee
March 25, 1999 Public Health and Environment Committee Meeting
'A
Harvey M. Rose
cc: Supervisor Bierman
Supervisor Brown
Supervisor Yaki
President Ammiano
Supervisor Becerril
Supervisor Katz
Supervisor Kaufman
Supervisor Leno
Supervisor Newsom
Supervisor Teng
Supervisor Yee
Clerk of the Board
Controller
Legislative Analyst
Matthew Hymel
Stephen Kawa
Ted Lakey
BOARD OF SUPERVISORS
BUDGET ANALYST
11
SAN FRANCISCO'S MED1-CAL OUTREACH PROJECT
PROPOSED BUDGET
January 1999 -June 1999
ATTACHMENT I
page 1 of 4
Grant In-Kind
Request Contrib.
Total
Allocation
RSONNEL
Project Coordinator- Community Outreach
(33% FTE for 6 months)
Peer Advocates (2) - Within SFDHS
($10/hrfor6 months)
Medi-Cal Program Manager (1)
(.08 FTE @ $26.69/hr for 6 months)
Program Liaison - Supervisor for Peer Advocates
(.5 FTE @ $26.69/hr for 6 months)
Health Access Staffing
Director (2.2% FTE)
Office Administrator (3.2% FTE)
Fringe Benefits
Sub-Total Personnel
$13,400
$13,400
$19,296
$19,296
$2,060
$2,060
$12,875
$12,875
$1,005
$570
$1,005
$670
$7,188
$7,188
$54,820
$7,675
556,495
HER PROFESSIONAL SERVICES - OUTREACH
Outreach Contract- NICOS Chinese
Health Coalition
Outreach Contract - CAHEED
Outreach Contact - Mission Neighborhood
Health Center
Material Development/Translation Contract
San Francisco Neighborhood Legal
Assistance Fund
Media/Public Service Announcement
Development of Outreach Strategies
San Francisco Health Plan
Sub-Total Other Professional Services
$20,100
$20,100
$20,100
$15,200
$20,100
$20,100
$20,100
$15,200
- $2,010 $2,010
$2,010 $2,010
$77,5*0 $2,010 $79,520
12
ATTACHMENT! I
OPERATIONS
Computer Equipment (SFDHS)
Materials and Office Supplies (SFDHS)
Postage (SFDHS)
Printing & Reproduction of Flyers and Brochures (SFDHS)
Telephone (SFDHS)
Sub-Total Operations
INTERNET WEB SITE (SFDHS)
CITY AND COUNTY INDIRECT RATE
Total Proposed Budget (Jan. 1999 - June 1999)
page
2 of 4
Grant In-Kind Total
Request Contrib. Allocation
$3,000
$3,000
$1,005
$1,005
$1,541
$1,541
$4,326
$1,809
$6,135
$3,839
$3,839
$4,326
. $11,194
$15,520
$2,345
$2,345
$15,515
$15,515
$154,516 $14,879 $169,395
13
SAN FRANCISCO'S MED1-CAL OUTREACH PROJECT
PROPOSED BUDGET
July 1999 - September 1999
ATTACHMENT I
. page 3 of 4
Grant In-Kind Total
Request Contrib. Allocation
RSONNEL
Project Coordinator - Community Outreach
(33% FTE for 3 months)
Peer Advocates (2) - Within SFDHS
($10/hr for 3 months)
Medi-Cal Program Manager (1)
(.08 FTE @ $26.69/hr for 3 months)
Program Liaison - Supervisor for Peer Advocates
(.5 FTE @ 526.69/hr for 3 months)
Health Access Staffing
Director (2.2% FTE)
Office Administrator (3.2% FTE)
Fringe Benefits
Sub-Total Personnel
$6,600
$6,600
$9,504
$9,504
$1,015
$1,015
$6,342
$6,342
$495
$495
$330 .
$330
$3,541
$3,541
$27,001
$825
$27,826
THER PROFESSIONAL SERVICES - OUTREACH
Outreach Contract - NICOS Chinese
Health Coalition
Outreach Contract - CAHEED
Outreach Contact - Mission Neighborhood
Health Center
Material Development/Translation Contract
San Francisco Neighborhood Legal
Assistance Fund
Media/Public Service Announcement
Development of Outreach Strategies
San Francisco Health Plan
Sub-Total Other Professional Services
$9,900
$9,900
$9,900
$9,900
$9,900
$9,900
$3,800 $5,000 $8,800
$990 . $990
$990 $990
$34,490 $5,990 $40,480
14
' ATTACHMENT I
Grant In-Kind? ag€ TotaI° f 4
Request Contrib. Allocation
OPERATIONS
Audit
Materials and Office Supplies (SFDHS)
Postage (SFDHS)
Printing & Reproduction of Flyers and Brochures (SFDHS)
Telephone (SFDHS)
Sub-Total Operations
NTERNET WEB SITE (SFDHS)
3ITY AND COUNTY INDIRECT RATE
Total Proposed Budget (July 1999 - Sept. 1999)
$4,631
$2,131
$495
$759
$891
$1,891
$4,631
$495
$759
$3,022
$1,891
$6,762
$4,036
$10,798
$1,155
$1,155
$7,641
$7,641
$77,049
$10,851
$87,900
15
ATTACHMENT I I
page 1 of 2
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1. Department: Human Services
2. Contact Person: Pauson Yun Telephone: (415)557-6523
3. Project Title: Targeted Medi-Cal Outreach Program
4. Grant Source Agency: California State Department of Health Services
5. Type of Fund: Fed __ Fed-State (Pass-through) _x_ State Local Private
6. Proposed Grant Project Summary: The project will fund five Community Based
Organizations for targeted outreach to eligible families to enroll
in the Medi-Cal program.
7. Amount of Grant Funding Applied for: $231,565.00
8. Maximum Funding Amount Available: $231,565.00
9. Required Matching Funds? $0
If yes, list dollar amount and identify source of Matching Funds in Department Budget:
1 0. Number of new positions created and funded:
11. If new positions are created, explain the disposition of employees once the grant ends?
If possible, employees will be integrated into other existing programs within the
organization.
16
ATTACHMENT II
page 2 of 2
12. Are indirect costs eligible costs for this grant? No
13. Amount to be spent on contractual services: $132,000
14. a.) Will Contracted Services be put out to bid? No
b.) If so, will contract services help to further the goals of the Department's MBE/WBE
requirements?
15. Is this likely to be a one-time or ongoing request for contracting out? One-time
16. Term of Grant: 1/1/99 - 9/30/99
17. Date Department Notified of Available Funds: July 1998
1 8. Grant Application Due Date: November 1998
19. Grant Funding Guidelines and Options (selected from RFP, Grant Announcement or
appropriations legislation): Selected from Request for Applications.
20. Department Head Approval: Will Lightbourne Executive Director
(Name) % . (Title)
(Signature)
17
'eft -
City and County of£an Francisco
Meeting JVIinutes
JPublic Health and Environment Committee
Members: Supervisors Sue Bierman, Tom Ammiano and Mark Leno
Clerk: Gregoire Hobson
City Hall
1 Dr. Carlton B.
Goodlett Place
San Francisco, CA
94102-4689
Tuesday, April 13, 1999
10:00 AM
Rescheduled Meeting
City Hall, Legislative Chamber
Members Present: Sue Bierman, Tom Ammiano.
Members Absent: Mark Leno.
DOCUMENTS DEPT.
APR 1 6 199.Q.
Meeting Convened
SAN FRANCISCO
PUBLIC LIBRARY
The meeting convened at 10:06 A.M.
President Tom Ammiano appointed himself and Supervisor Mark Leno to serve on the Committee for today's
meeting only.
Supervisor Mark Leno noted present at 10:28 A.M.
REGULAR AGENDA
990532 [Contract, DPH - University of Caiifornia (Berkeley)]
Resolution authorizing the Department of Public Health, Community Health Services, Community Mental
Health Services, to enter into an agreement in the amount of $7,844 with the University of California
(Berkeley), the primary contractor, to provide data and consultation for a study of the cultural appropriateness
of the instruments and approaches being used by community mental health services to measure performance
indicators, client outcomes, and satisfaction, which does not include patent infringement indemnification and
false claims clauses; waiving indirect costs. (Department of Public Health)
3/17/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speaker: Male Doctor, Community Mental Health, Department of Public Health.
Amended. On Page 1, line 3 replace "an agreement" to read "a subcontract agreement". On Page 2, line 4,
replace "an agreement" to read "a subcontract agreement".
AMENDED.
Resolution authorizing the Department of Public Health, Community Health Services, Community Mental
Health Services, to enter into a subcontract agreement in the amount of $7,844 with the University of
California (Berkeley), the primary contractor, to provide data and consultation for a study of the cultural
appropriateness of the instruments and approaches being used by community mental health services to
measure performance indicators, client outcomes, and satisfaction, which does not include patent infringement
indemnification and false claims clauses; waiving indirect costs. (Department of Public Health)
RECOMMENDED AS AMENDED by the following vote:
Ayes: 2 - Bierman, Ammiano
Absent: 1 - Leno
City and County of San Francisco
Printed at 10:30 AM on 4/14/99
Public Health and Environment Committee Meeting Minutes April 13, 1999
990211 [Commission on Animal Control and Welfare)
Supervisors Ammiano, Bierman
Ordinance amending Health Code Section 41.1 (Commission of Animal Control and Welfare) to designate that
only members appointed by the Board of Supervisors shall constitute voting members.
(Amends Section 41.1.)
2/8/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: None. Amended. On Page 2, line 6 after "representative" insert " the
Director of the Department of Public Health or his or her designated representative, the Chief of Police or his
or her designated representative, and the General Manager of the Recreation and Park Department or his or
her designated representative who"; replace "Department's" with "Departments'"; line 7 delete "a" and
replace "member" with "members".
AMENDED.
RECOMMENDED AS AMENDED by the following vote:
Ayes: 2 - Bierman, Ammiano
Absent: 1 - Leno
990411 [Alternatives to Institutional Care for Seniors/People with Disabilities]
Supervisors Bierman, Leno, Brown, Ammiano, Becerril
Resolution supporting the development of alternatives to institutional care for seniors and people with
disabilities.
3/1/99, RECEIVED AND ASSIGNED to Housing and Social Policy Committee.
3/25/99, TRANSFERRED to Public Health and Environment Committee.
Heard in Committee. Speakers: Anthony Wagner, Executive Administrator, Laguna Honda Hospital; David
Ishida, Executive Director, Commission on the Aging; Darrell Higashi, Acting Director, Mayor's Office of
Housing; Karen Sherr, Planning for Elders in the Central City-Introduction; Luis Calderon, Consumers in
Action for Personal Assistance; Abby Kovolsky, Jewish Family and Children's Services; Walter DeVaughn;
Caroline Washington, Bayview Hunters Point Network for Elders; Anthony Nacco, Department of Human
Services; Vera Haile, Planning for Elders in the Central City; Ricardo Leon, Senior Action Network; Peggy
Cosier; Ruth Miller; Benson Nadell, S.F. Long Term Care Ombudsman Program; Taffeta Lassen, Healthcare
Workers Local 250; Elizabeth Boardman; North and South of Market Adult Day Health, Mitch Jesserrich;
Lisa Hamburger, Corporation for Supportive Housing; Marie Jobling, Planning for Elders in the Central
City; Bruce Albert; Ressa Farley; Donna Calame, IHSS Public Authority. Amended. On Page 2, line 7
replace "2010 a projected 7000 people will need supportive housing" to read "2020 San Francisco will need
6,500 more supportive housing units".
AMENDED.
RECOMMENDED AS AMENDED by the following vote:
Ayes: 2 - Bierman, Leno
Absent: 1 - Ammiano
ADJOURNMENT
The meeting adjourned at 1 1:46 A.M.
City and County of San Francisco 2 Printed at 10:30 AM on 4/14M9
■th
Public Library,Gov't Info. Ctr., 5" Fir.
Attn: Susan Horn
CITY AND COUNTY
OF SAN FRANCISCO
BOARD OF SUPERVISORS
BUDGET ANALYST
1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642
FAX (415) 252-0461
DOCUMENTS DEP1
APR 1 6 1999 j
SAN FRANCISCO
PUBLIC LIBRARY
April 9, 1999
TO: ^Public Health and Environment Committee
FROM: ^Budget Analyst
SUBJECT: April 13, 1999 Public Health and Environment Committee Meeting
Item 1- File 99-0532
Department:
Item:
Contract Amount:
Source of Funds:
Contract Period:
Description:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health,
Community Mental Health Services to enter into a
subcontract in the amount of $7,844 with the University
of California at Berkeley, the primary contractor, to
provide data and consultation for a study of the cultural
appropriateness of the instruments and approaches being
used by Community Mental Health Services to measure
performance indicators, and client outcomes and
satisfaction, which does not include patent infringement
indemnification and false claims clauses; waiving indirect
costs.
$7,844
U.S. Department of Health and Human Services (DHHS)
July 1, 1998 through June 30, 1999 (12 months)
See Comment No. 1.
The University of California at Berkeley (the
"University") received funds from the U.S. Department of
Memo to Public Health and Environment Committee
April 13, 1999 Public Health and Environment Committee Meeting
Health and Human Services for a project entitled "Center
on Financing of Care for the Severely Mentally 111." This
project seeks to conduct a variety of multidisciplinary
studies on the organization and financing of mental
health services. The Regents of the University of
California at Berkeley, as primary contractor for the
DHHS grant, requested that the City's DPH, as
subcontractor to the University, provide consultation and
data on performance indicators, client outcomes, and
client satisfaction to the University's Center for Mental
Health Services Research (the "Center"). The Center
would use the information provided by DPH to evaluate
the cultural appropriateness of the instruments (client
self-report questionnaires) and methodology DPH uses to
measure Community Mental Health Services' (CMHS)
performance. DPH would also provide consultation and
technical assistance to the Center on other projects which
involve public mental health service delivery.
On February 2, 1998, the Board of Supervisors approved
this request and authorized the Director of the
Department of Public Health to enter into a subcontract
in the amount of $11,359 with the Regents of the
University of California at Berkeley (File No. 172-97-82).
The contract period of this agreement expired on June 30,
1998. The proposed resolution would authorize DPH to
provide the data and consultation for an additional year
through June 30, 1999, for an added $7,844 from the
University for the personnel costs and indirect costs
necessary to provide these services. Additionally, the
proposed resolution would authorize the Director of the
DPH, without approval by the Board of Supervisors, to
enter into similar agreements with the University if the
contract recurs or is renewed.
Budget: According to Mr. Bill McConnell of DPH, the contract
amount of $7,844 was based on an estimated total of 209
hours at the rate of $35.78 per hour over the 12-month
period for one DPH Research Psychologist to collect the
utilization data and provide consultation as follows:
Class No. Position Title FTE Total
2575 Research Psychologist 0.10 $7,470
BOARD OF SUPERVISORS
BUDGET ANALYST
2
Memo to Public Health and Environment Committee
April 13, 1999 Public Health and Environment Committee Meeting
In addition to the $7,470 for the 0.10 FTE 2575 Research
Psychologist, the Regents of the University of California
would pay for $374 in indirect costs for a total of $7,844.
According to Mr. McConnell, DPH would not spend more
than budgeted 209 hours on the project. Mr. McConnell
further advises that in addition to compensation for
personnel and indirect costs, the City will receive free
consultation from national and international mental
health experts during the one-year period of the project in
exchange for participation in the project.
Comments: 1. As previously noted, the contract period is for 12
months beginning on July 1, 1998 and concluding on June
30, 1999. Since the contract period has commenced and
75 percent, or 156.75 hours of the total 209 hours
allocated for the project during this contract period has
already been incurred, the proposed resolution should be
amended to provide for retroactivity to July 1, 1998.
2. As noted in the Description, the Regents of the
University of California at Berkeley, is the primary
contractor for the DHHS grant which is the source of
funds for this proposed agreement, and DPH is the
subcontractor. The body of the proposed resolution
stipulates that the agreement is a subcontract in the
amount of $7,844 with the University of California at
Berkeley, but the title does not state that the agreement
is, in fact, a subcontract. Therefore, the title of the
proposed resolution should be amended to specifically
state that the agreement is a subcontract.
3. The proposed resolution would waive: (1) the
requirement contained in Sections 6.21 and 21.19 of the
City's Administrative Code that the contract include an
indemnification of the City for the infringement of patent
rights; and (2) the requirement contained in Section
6.57(c) of the City's Administrative Code that the contract
include a paragraph reciting the false claim provision
contained in Section 6.75(a) of the City's Administrative
Code. According to Ms. Jean Fraser of the City Attorney's
Office, these waivers are standard and pose minimal risk
to the City. In addition, the proposed resolution
authorizes the inclusion in the grant agreement of an
BOARD OF SUPERVISORS
BUDGET ANALYST
3
Memo to Public Health and Environment Committee
April 13, 1999 Public Health and Environment Committee Meeting
indemnification provision by which the City would
indemnify the University of California at Berkeley. Ms.
Fraser states that this provision would require the City to
defend and pay damages assessed against the University
arising out of negligence by the City in the performance of
the proposed contract. Ms. Fraser advises that the City
has entered into numerous contracts which include
similar indemnification provisions and waivers and that
the risk of liability to the City is minimal.
Recommendations:
1. In accordance with Comment No. 2, amend the title of
the resolution to state that the agreement is a
subcontract.
cc: Supervisor Bierman
Supervisor Brown
Supervisor Yaki
President Ammiano
Supervisor Becerril
Supervisor Katz
Supervisor Kaufman
Supervisor Leno
Supervisor Newsom
Supervisor Teng
Supervisor Yee
Clerk of the Board
Controller
Legislative Analyst
Matthew Hymel
Stephen Kawa
Ted Lakey
2. Approval of the proposed resolution, as amended, is a
policy matter for the Board of Supervisors since (1) the
proposed agreement would be automatically renewed each
year without approval by the Board of Supervisors, and
(2) the Director of Public Health would be authorized to
enter into similar agreements with the University of
California at Berkeley without approval by the Board of
Supervisors.
Harvey M. Rose
BOARD OF SUPERVISORS
BUDGET ANALYST
City and County of^an Francisco
Meeting jyiinutes
^Public Health and Environment Committee
Members: Supervisors Sue Merman, Amos Brown and Michael Yaki
Clerk: Gregoire Hobson
City Hall
1 Dr. Carlton B.
Goodlett Place
San Francisco, CA
94102-4689
Thursday
1:00 PM
Regular Meeting
City Hall, Room 263
Members Present: Sue Bierman, Amos Brown.
Members Absent: Michael Yaki.
Meeting Convened
DOCUMENTS DEPT.
The meeting convened at 1:10 P.M.
REGULAR AGENDA
APR 2 8 1999
SAN FRANCISCO
PUBLIC LIBRARY
990620 [Grant - Federal]
Resolution authorizing the Department of Public Health, Population Health and Prevention, to accept
retroactively and expend a grant in the amount of $49,719 from Substance Abuse and Mental Health Services
for the "Bridging the Gap" conference and to enter into an agreement which does not include patent
infringement indemnification and false claims clauses; providing for ratification of action previously taken and
waiving indirect cost. (Department of Public Health)
4/5/99, RECEIVED AND ASSIGNED tc Public Health and Environment Committee.
Heard in Committee. Speakers: Jim Stillwill, Department of Public Health; Monique DeJohn, Budget
Analyst. Amended. On Page 2, line 10 add a Further Resolved clause to read: "The Controller should be
urged to designate the position created under the grant as a "G" or Grant-funded position, which would
terminate when the grant expires. "
AMENDED.
RECOMMENDED AS AMENDED., by the following vote:
Ayes: 2 - Bierman, Brown
Absent: 1 - Yaki
City and County of San Francisco
Printed at 3:41 PM on 4/26/99
Public Health and Environment Committee
Meeting Minutes
April 22, 1999
990405 [Environmentally Preferable Purchasing Ordinance]
Supervisor Katz
Ordinance amending Administrative Code by adding Chapter 21F (Sections 21F.1 through 21F.1 1) to establish
an environmentally preferable purchasing (EPP) program in the Department Aclministrative Services-Solid
Waste Management Program; establishing criteria for evaluating chemically-based custodial, fleet
maintenance, or facility maintenance products ("chemical products") used by City departments; assessing the
City's use of chemical products; establishing a pilot program to determine the effectiveness of using preferred
chemical products; and recommending to the Board of Supervisors whether to implement additional legislation
to require all departments to use preferred chemical products.
(Adds Chapter 21F, Sections 21F.1 thru 21F.11.)
3/1/99, ASSIGNED UNDER 30 DAY RULE to Public Health and Environment Committee, expires on 3/31/1999.
Heard in Committee. Speakers: Supervisor Katz; Ed Lee, Director, Purchasing Department; Kelley
Etherington, Solid Waste Management Program; Rajiv Bhatia, M.D., Occupational and Environmental
Health, Department of Public Health; Francesca Vitor, Director, Department of the Environment; Ted Lakey,
Deputy City Attorney; Ernestine Weiss. Amendment of the Whole bearing new title presented in Committee by
Supervisor Katz. Supervisors Bierman and Brown requested to be added as co-sponsors.
AMENDED, AN AMENDMENT OF THE WHOLE BEARING NEW TITLE.
Ordinance amending Administrative Code by adding Chapter 21F (Sections 21F.1 through 21F.1 1) to establish
an environmentally preferable purchasing (EPP) program in the Department of Administrative Services-Solid
Waste Management Program; establishing criteria for evaluating chemically-based custodial, fleet
maintenance, or facility maintenance products ("chemical products") used by City departments; assessmg the
City's use of chemical products; establishing a pilot program to determine the effectiveness of using preferred
chemical products; and recommending to the Board of Supervisors whether to implement additional legislation
to require all departments to use preferred chemical products.
(Adds Chapter 2 IF, Sections 2 IF. 1 thru 21F.1 1.)
RECOMMENDED AS AMENDED by the following vote:
Ayes: 2 - Bierman, Brown
Absent: 1 - Yaki
981750 [Disaster Debris Recycling]
Supervisor Katz
Resolution urging City departments to maximize disaster debris landfill diversion.
10/19/98, RECEIVED AND ASSIGNED to Health, Family, and Environment Committee.
1/25/99, TRANSFERRED to Public Health and Environment Committee.
Heard in Committee. Speakers: Supervisor Katz; Robert Haley, Recycling Program. Amendment of the
Whole bearing same title presented in Committee by Supervisor Katz.
AMENDED, AN AMENDMENT OF THE WHOLE BEARING SAME TITLE.
RECOMMENDED AS AMENDED by the following vote:
Ayes: 2 - Bierman, Brown
Absent: 1 - Yaki
City and County of San Francisco
Printed at 3:41 PM on 4/26^9
Public Health and Environment Committee Meeting Minutes April 22, 1999
990522 [Comprehensive Lead Poisoning Prevention Program]
Supervisors Bierman, Newsom, Katz
Hearing to consider the plans regarding implementation of the Comprehensive Lead Poisoning Prevention
Program from the following departments: Recreation and Park Department, Department of Building
Inspection, Public Library, Department of Public Works, Department of Real Estate, Department of Human
Services, Department of Public Health, Mayor's Offices of Community Development and Housing,
Department of Children, Youth and Families, the Tax Collector, Water Department, the Unified School
District, San Francisco Housing Authority and the Redevelopment Agency.
3/15/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Dr. Larry Meredith, Department of Public Health; Neil Gendel, Healthy
Children Organzing Project; Karen Cohn, Department Manager, Child Development, Department of Public
Health; Joel Robinson, Acting General Manager, Recreation and Park Department; Jeffrey Brannan, Safety
Officer, Recreation and Park Department; Tim Thoroson, S.F. Unified School District; Virgina Cole, S.F.
Unified School District; Stacy Herrera, Child Development Program, S.F. Unified School District; Sally
Kipper, Deputy Director, Department of Human Services; Ellen Datar, Director, Department of Children,
Youth and Families; Joel LaTorre, Mayor's Office of Housing; M. Harris, Mayor's Office of Housing; Peter
Burns, Department of Building Inspection; Richard McGuire, Lead Coordinator, Housing Authority; Bill
Natamura. Redevelopment Agency; Robin Bertstaller, Public Library; Phil Caeskey, Public Utilities
Commission; Norman Cole, Ground Support, Juvenile Probation Department; Steve Mullnicks, Department of
Public Works; Tony DeLucchi, Director of Property, Real Estate Department; Basheem Allah, Southeast
Alliance for Environmental Justice; Tan Chow, Chinatown Community Development Center; Narda Harrigan,
Bret Harte Elementary School; Rachel Herritt, Brett Harte Elementary School; Memo Tabuso, San Francisco
League of Urban Gardeners; Joseph Smooke, Bernal Heights Neighborhood Center; Carlo Furtado.
Supervisor Katz requested to be added as a co-sponsor.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 2 - Bierman, Brown
Absent: 1 - Yaki
ADJOURNMENT
The meeting adjourned at 3:44 P.M.
City and County of San Francisco 3 Printed at 3:41 PM on 4/26/99
Public Library, Gov't Information Ctr.. 5 th Fir.
Attn: Susan Horn, Dept. 41
CITY AND COUNTY
OF SAN FRANCISCO^
/
' I
^BOARD OF SUPERVISORS
BUDGET ANALYST
1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642
FAX (415) 252-0461
A: >- 2 1999
vc/sco
April 20, 1999
TO: * Public Health and Environment Committee
FROM: ^Budget Analyst
SUBJECT: ,April 22, 1999 Public Health and Environment Committee Meeting
Item 1 - File 99-0620
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Department of Public Health
Resolution authorizing the Department of Public Health,
Population Health and Prevention Division, Community
Health and Safety, to accept retroactively and expend
grant funds in the amount of $49,719 from the Federal
Substance Abuse and Mental Health Services Agency to
fund the "Bridging the Gap" Conference and to enter into
an agreement which does not include patent infringement
indemnification and false claims clauses; providing for
ratification of actions previously taken; waiving indirect
costs.
$49,719
Retroactive to March 15, 1999 and extending to March 15,
2000 (12 months)
U.S. Department of Health and Human Services,
Substance Abuse and Mental Health Services Agency
Memo to Public Health and Environment Committee
April 22, 1999 Public Health and Environment Committee Meeting
Description:
Approval of this proposed resolution would authorize the
Department of Public Health (DPH), Population Health
and Prevention Division, Community Health and Safety,
to accept retroactively and expend grant funds in the
amount of $49,719 from the Federal Substance Abuse and
Mental Health Services Agency to partially fund a
conference entitled "Bridging the Gap: Integrating
Traditional Substance Abuse and Harm Reduction
Services," to be held on May 3 & 4, 1999, in San
Francisco.
Budget:
Required Match:
Indirect Costs:
Comment:
Dr. Alice Gleghorn of DPH advises that this conference
will implement a central goal of the Treatment on
Demand Planning Council: integrating harm reduction
strategies into treatment services for substance abuse.
The conference will include workshops and panel
discussions with local, national and international experts
in the field. Participants will include 500 substance
abuse treatment providers from throughout the country,
including those who provide services to individuals who
use drugs and alcohol.
According to Dr. Gleghorn, the total estimated cost of the
conference is $66,949. Therefore, this conference will
require an additional $17,230 (total estimated cost of
$66,949 less the subject grant funds of $49,719). Dr.
Gleghorn advises that the funding source for the
additional 17,230 will be from previously approved grant
funds from the Open Society Institute, The Linde smith
Center (a non-profit organization) in DPH's 1998-99
budget. Attachment I, provided by DPH, contains the
budget details for this project.
None.
The proposed resolution provides for the waiver of
indirect costs because, according to Ms. Lucille Burlew-
Lawler of DPH, the Federal Substance Abuse and Health
Services Agency does not allow such costs.
1. According to Ms. Burlew-Lawler, the proposed
resolution to accept and expend the grant funds will be
retroactive to March 15, 1999. Ms. Burlew-Lawler
advises that due to a delay in notice of the availability of
BOARD OF SUPERVISORS
BUDGET ANALYST
Memo to Public Health and Environment Committee
April 22, 1999 Public Health and Environment Committee Meeting
the grant by the Substance Abuse and Mental Health
Services Agency, the proposed resolution is now being
submitted for Board of Supervisors approval. According
to Ms. Burlew-Lawler, no expenditures have been
incurred against the proposed grant.
2. Ms. Jean Fraser of the City Attorney's Office advises
that as a condition of receiving the subject grant funds,
DPH has agreed to enter into an agreement (the
"Agreement") with the Substance Abuse and Mental
Health Services Agency that would require the City to
waive (1) the requirement contained in Sections 6.21 and
21.19 of the City Administrative Code that the Agreement
include an indemnification of the City by the Substance
Abuse and Mental Health Services Agency for the
infringement of patent rights; and, (2) the requirement
contained in Section 6.57(c) of the City's Administrative
Code that the Agreement include a paragraph reciting the
false claim provisions contained in Section 6.57(a) of the
City's Administrative Code. Ms. Fraser advises that the
waivers in this case are standard and pose minimal risk
to the City.
3. According to Dr. Gleghorn, the proposed grant will
fund one part-time new position for the conference. Dr.
Gleghorn states that this position will be terminated
when the one-year grant expires on March 15, 1999. Dr.
Gleghorn advises that the total personnel cost is $5,684
(based on approximately 479 hours at an hourly rate of
$11.86 per hour, not including fringe benefits). This
position would not receive fringe benefits because,
according to Ms. Alice Villagomez of the Department of
Human Resources, temporary City employees must work
at least 1,040 hours per year to be eligible for such
benefits. The Budget Analyst recommends that the
proposed resolution be amended to designate the new
position as "G" or "Grant-funded" so that this position
would expire upon the termination of the grant.
4. Attachment II, provided by DPH, is the Grant
Application Information Form.
5. According to Dr. Gleghorn, the term of the grant period
is March 15, 1999 through March 15, 2000, rather than
BOARD OF SUPERVISORS
BUDGET ANALYST
Memo to Public Health and Environment Committee
April 22, 1999 Public Health and Environment Committee Meeting
March 15, 1998 through March 15, 2000, and the number
of new positions created is approximately .23 FTE,
instead of 0.5 FTE, as shown in Attachment II.
6. The DPH has prepared a Disability Checklist for the
proposed grant funds, which is on file with the Clerk of
the Board of Supervisors.
7. The proposed resolution contains a provision that
authorizes the Director of Public Health to enter into
other future agreements, similar to the subject Agreement
with the Substance Abuse and Mental Health Services
Agency if the grant recurs or is renewed, without
obtaining subsequent approval by the Board of
Supervisors.
Recommendations:
1. Amend the proposed resolution to designate the new
position created under the grant as "G" or "Grant-funded"
position.
2. Approval of the proposed resolution, as amended, is a
policy matter for the Board of Supervisors since this
resolution authorizes the Director of Public Health to
enter into other future agreements, similar to the subject
Agreement, with the U.S. Department of Health and
Human Services, Substance Abuse and Mental Health
Services Agency if the grant recurs or is renewed, without
obtaining subsequent approval by the Board of
Supervisors.
Harvey M. Rose
cc: Supervisor Bierman
Supervisor Brown
Supervisor Yaki
President Ammiano
Supervisor Becerril
Supervisor Katz
Supervisor Kaufman
Supervisor Leno
Supervisor Newsom
Supervisor Teng
Supervisor Yee
Clerk of the Board
Controller
Legislative Analyst
Matthew Hymel
Stephen Kawa
Ted Lakey
BOARD OF SUPERVISORS
BUDGET ANALYST
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File Number: r d &
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1 . Department: Population Health and Prevention; Community Health Services, Community
Substance Abuse Services
2. Contact Person: Barbara Garcia, Director, Community Substance Abuse Services
Telephone: 255-3525
3. Project Title: Conference: "Bridging the Gap: Integrating Traditional Substance Abuse and
Harm Reduction Services"
4. Grant Source Agency: Department of Health and Human Services, Substance Abuse and
Mental Health Services.
5. Type of Funds: X Federal Federal-State (Pass-Through) State Local Private
6. Proposed (New/Continuation) Grant Project Summary: The conference will implement a
central goal of the Treatment on Demand Planning Council: integrating harm reduction
strategies into treatment services. It will take place on May 3-4, 1999, in San Francisco,
featuring keynotes by Dr. Alan Marlatt and Dr. Pat Denning; workshops; and panel
discussions with local, national, and international experts in the field. Participants will
include 400 substance abuse treatment providers and those who provide services to
individuals who use drugs and alcohol.
7. Amount of Grant Funding Applied for: $50,000
8. Maximum Funding Amount Available: $50,000
9. Required Matching Funds? Yes: No: X Cash or In-kind:
Attachment II
Paee"l~of"'2"" rr "
If yes, list dollar amount and identify source of Matching Funds in Department Budget: N/A
10. Number of new positions created and funded: .50 FTE
11. If new positions are created, explain the disposition of employees once the grant ends: The
part-time temporary position will end.
12. Are indirect costs eligible costs for this grant? Yes: No: X
If yes, please identify the amount of $ in indirect costs: $0
3/23/99 1
HKK-20-1999 09: 15
DPH CONTRACTS
415 554 2555 P. 02
Attachment II
Page 2 of 2
13. Amount to be spent on contractual services: $0 . ".
14. a.) Will contractual services be put out to bid?: Yes: __No: Not applicable
b.) If so, will contract services help to further the goals of the department's MBE/WBE
requirements? : Not applicable
15. Is this likely to be a one-time or ongoing request for contracting out?: Not applicable
16. Term of Grant: Start-Date: March 15, 1998 End-Date: March 15, 2000
17. Date Department Notified of Available Funds: 12/1/98
18. Grant Application Due Date: 9/1 0/98
19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or
appropriations legislation): The grantee will be legally and financially responsible for all aspects
of this grant, including funds provided to sub-recipients. A Financial Status Report must be
submitted for each budget period no later than 90 days after the close of the budget period.
None of the funds under this award can be used to pay the salary of an individual funded under
this cooperative agreement at a rate in excess of SI 25,900 per year. Program income accrued
under this cooperative agreement award must be accounted for in accordance with 45CFR Part
74.24 or 45 CFR 92.25 as applicable.Indirect costs are not an allowable expenditure of
SAMHSA funds.
20. Department Head Approval:
Mitchell Katz, M.D., Director of Health
Signature
3/23/99
TOTAL P. 02
City and County of £an Francisco
Meeting JVlinutes
^Public Health and Environment Committee
Members: Supervisors Sue Bierman, Amos Brown and Michael Yaki
Clerk: Gregoire Hobson
City Hall
1 Dr. Carlton B.
Goodlett Place
San Francisco, CA
94102-4689
?0
Thursday, May 13, 1999
1:00 PM
Regular Meeting
City Hall, Room 263
'<??
Members Present: Sue Bierman, Michael Yaki.
Members Absent: Amos Brown.
Meeting Convened
The meeting convened at 1:08 P.M.
REGULAR AGENDA
DOCUMENTS DEPT.
MAY 1 8 1999
SAN FRANCISCO
PUBLIC LIBRARY
990734 [Grant - State]
Resolution authorizing the Department of Public Health, Population Health and Prevention, Emergency
Medical Services, to accept retroactively and expend a grant in the amount of $500,000 from the State Office
of Traffic Safety for the Child Passenger Safety Program and to enter into an agreement which does not
include patent infringement indemnification and false claims clauses; providing for ratification of action
previously taken. (Department of Public Health)
4/15/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speaker. Abbie Yant, Emergency Medical Services, Department of Public Health.
RECOMMENDED., by the following vote:
Ayes: 2 - Bierman, Yaki
Absent: 1 - Brown
990848 [Grant - State]
Resolution authorizing the Department of Public Health, Population Health and Prevention, to accept and
expend retroactively a grant in the amount of $5,000 from the California Department of Fish and Game, Office
of Oil Spill Prevention and Response, for providing input into an agreement which does not include patent
infringement indemnification and false claims clauses; providing for ratification of action previously taken.
(Department of Public Health)
4/27/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speaker: Richard Lee, Environmental Health Services, Department of Public Health.
RECOMMENDED., by the following vote:
Ayes: 2 - Bierman, Yaki
Absent: 1 - Brown
)
City and County of San Francisco
Printed at 5:34 PM on 5/13/99
Public Health and Environment Committee
Meeting Minutes
May 13, 1999
990808 [Contract, DPH/Department of Rehabilitation]
Resolution authorizing the Department of Public Health, Public Health Division, Community Mental Health
Services to enter into a Cooperative Program Agreement with the Department of Rehabilitation San Francisco
District, including a required match of $160,605, and which does not include patent infringement
indemnification and false claims clauses, to provide vocational services to mentally-ill psychiatric clients.
(Department of Public Health)
4/26/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speaker: Jack Rabin, Assistant Director, Community Mental Health, Department of
Public Health.
RECOMMENDED., by the following vote:
Ayes: 2 - Bierman, Yaki
Absent: 1 - Brown
990650 [National Center for Strategic Non-profit Planning and Community Leadership]
Supervisor Yaki
Hearing to consider the National Center for Strategic Non-profit Planning and Community Leadership's efforts
in San Francisco to strengthen fragile families and provide support networks for non-custodial fathers.
4/5/99, RECEIVED AND ASSIGNED to Housing and Social Policy Committee.
4/9/99, TRANSFERRED to Public Health and Environment Committee. President requests calendaring at Public Health and
Environment Committee meeting of May 13, 1999.
Heard in Committee. Speakers: Nigel Vann, National Center for Strategic Nonprofit Planning and
Community Leadership; Edwina Young, Family Support Bureau, District Attorney's Office; Hope Kamimoto,
Noncustodial Parent Project Coordinator, Department of Human Services.
FELED by the following vote:
Ayes: 2 - Bierman, Yaki
Absent: 1 - Brown
990749 [Mercury Pollution]
Supervisor Leno
Resolution urging City agencies and departments and all medical facilities within San Francisco to eliminate
their use of mercury and mercury containing products to prevent mercury pollution of air and water and to
protect food quality.
4/19/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speaker: Supervisor Leno.
CONTINUED TO CALL OF THE CHAD* by the following vote:
Ayes: 2 - Bierman, Yaki
Absent: 1 - Brown
City and County of San Francisco
Printed at 5:34 PM on 5/13/99
Public Health and Environment Committee
Meeting Minutes
May 13, 1999
990754 [Brown and Toland Medical Group]
Supervisors Leno, Ammiano, Katz, Bierman
Hearing to consider allegations of denial of admission of a group of gay and lesbian physicians with large
HIV/ ADDS practices to the Brown and Toland Medical Group.
4/19/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Supervisor Leno; Supervisor Katz; Dr. William Owen, Davies Medical
Group; Dr. Tom McAfee, Director, Brown and Toland Group; Lee Ann Monfredini, President, Health
Commission; Dr. George Lee, California Medical Center; Tomas Lee, Legislative Aide, representing
Supervisor Ammiano; Kathleen Wayman, Director, Davies Medical Center; Dr. Richard Cazen, Davies
Medical Campus; Brian Christianson; Frederick Hobson, S.F. Health Authority; Pam Cole; Bill Stibich;
Michael Greene; Bruce Fitting.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 2 - Bierman, Yaki
Absent: 1 - Brown
ADJOURNMENT
The meeting adjourned at 3:25 P.M.
)
City and County of San Francisco
Printed at 5:34 PM on 5/13/99
-th
Public Library,Gov't Info. Ctr., 5 l " Fir.
Attn: Susan Horn
CITY AND COUNTY
OF SAN FRANCISCO
/
BOARD OF SUPERVISORS
BUDGET ANALYST
DOCUMENTS DEPT.
MAY 1 h 1999
SAN FRANCISCO
PUBLIC LIBRARY
1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642
FAX (415) 252-0461
May 11, 1999
TO: .Public Health and Environment Committee
FROM: ^Budget Analyst
SUBJECT: May 13, 1999 Public Health and Environment Committee Meeting
Item 1- File 99-0734
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Description:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health,
Population Health and Prevention, Emergency Medical
Services to accept retroactively and expend a grant in the
amount of $500,000 from the State Office of Traffic Safety for
the Child Passenger Safety Program and to enter into an
agreement which does not include patent infringement
indemnification and false claims clauses; providing for
ratification of action previously taken.
$500,000
February 1, 1999 through September 30, 2001 (32 months)
California State Office of Traffic Safety
The proposed resolution would authorize DPH to accept
retroactively and expend the subject grant funds in the
amount of $500,000 to establish a Child Passenger Safety
Program. According to Ms. Abbie Yant of DPH, the goal of
the Child Passenger Safety Program would be to reduce
motor vehicle crash injuries and fatalities among children 0-
Memo to Housing and Neighborhood Services Committee
May 4, 1999 Housing and Neighborhood Services Committee Meeting
4 years of age resulting from the misuse and non-use of child
safety restraints. Ms. Yant further explains that the
Program would coordinate with community-based
organizations and with the San Francisco Police Department
to implement program goals, including education and
enforcement efforts, child passenger check-ups and the
distribution of child passenger safety seats, boosters and
related accessories. Ms. Yant also reports that DPH intends
to ensure the longevity of the Child Passenger Safety
Program by establishing strong community awareness and
support from community-based organizations that directly
serve the children of San Francisco.
No. of Persons
Served:
Budget:
Approximately 7,500 families
A summary budget provided by DPH is as follows:
Personnel 1
$185,039
Travel
7,500
Contractual Services
189,200
Equipment & Supplies
90,505
Indirect Costs (15% of Personnel Costs)
27.756
TOTAL
$500,000
Required Match:
Indirect Costs:
Comments:
Attachment I, provided by DPH, contains the budget details
to support this budget of $500,000.
None.
$27,756 (approximately 15% of program budget personnel
costs)
1. Ms. Jean Fraser of the City Attorney's Office advises that
as a condition of receiving grant funds, the DPH has agreed
to enter into an agreement (the "Agreement") with the
California State Office of Traffic Safety that would require
the City to waive (1) the requirement contained in Sections
6.21 and 21.19 of the City Administrative Code that the
Agreement include an indemnification of the City by the
California State Office of Traffic Safety for the infringement
of patent rights; and (2) the requirement contained in Section
1 Includes 1 Project Coordinator "G-position" FTE, 1 Project Assistant hired part-time on an as-
needed basis, and clerical support staff to be paid up to 20 hours per week on an as-needed basis.
BOARD OF SUPERVISORS
BUDGET ANALYST
2
Memo to Housing and Neighborhood Services Committee
May 4, 1999 Housing and Neighborhood Services Committee Meeting
6.57(c) of the City's Administrative Code that the Agreement
include a paragraph reciting the false claims provisions
contained in Section 6.57(a) of the City Administrative Code.
Ms. Fraser advises that the waivers in this case are standard
and pose minimal risk to the City.
2. Attachment II is the Grant Application Information Form
as prepared by the DA.
3. A Disability Access Checklist prepared by DPH for the
proposed grant program is on file with the Clerk of the
Board.
Recommendation: Approve the proposed resolution.
BOARD OF SUPERVISORS
BUDGET ANALYST
3
Attachment I
-bige__l o± 2
SCHEDULE B
PAGE1
DETAILED BUDGET ESTIMATE
PROJECT NO. OP9913
COST CATEGORY
A^RERSONN EgCO.STS:^^^^^^
Positions And Salaries
Permanent Salaries
Project Coordinator
0.8FTE @S29.97/hr
for 8 months FY1
@12mosFY2.
@ 12 mos plus 3% COLA in FY3
Project Assistant
as needed up to 20 hrs /wk
at$11.94/hr
Clerical Support
as needed up to 20 hrs /wk
atS15.00/hr
total:
FY-1
271-9/30/99
FISCAL YEAR ESTIMATES
FY-2
10/1-9/30/00
33,222.00
5.000.00
2,000.00
49,870.00
5.000.00
2.000.00
40,222.00
55,870.00
FY-3 .
10/1-9/30/01
51,355.00
5,000.00
2,000.00
58,355.00
FY-4
TOTAL COST
TO PROJECT
134,458.00
15,000.00
6,000.00
155.458.00
Employee Benefits @ 22%
Category Sub-Total
B:
n -State
Category Sub-Total
2,500.00
2,500.00
2,500.00
2.500.00
2.500.00
2,500.00
7,500.00
™* r^ .-v::z::r - g^^^^^^^^^^^^^^^^^^^ g^
7,500.00
CPS Consultant Contracts
Media Relations Consultant Contract
Volunteer Stipends
San Francisco Police Department
\ Category'
r Sub-Total
1,200.00
12,000.00
1,000.00
50,000.00
64,200.00
1,500.00
10,000.00
1,000.00
50,000.00
62,500.00
1,500.00
10,000.00
1,000.00
50,000.00
62,500.00
4,200.00
32,000.00
3.000.00
150,000.00
189,200.00
OTS-38d(Rev.10/97)
Attachmen t I
>aee 2 of 1
>P^NQK-E)^END ABLElPROPPPwgra~
SCHEDULE B
PAGE 2
DETAILED BUDGET ESTIMATE
PROJECT NO. OP9913
COST CATEGORY
Not applicable
FY-1
2/1-9/30/99
FISCAL YEAR ESTI MATES
FY-2
10/1-9/30/00
FY-3
10/1-9/30/01
FY^
TOTAL COST
TO PROJECT
Category Sub-Total
E.~OTH ERjDI RECTjCOSTS$gg «i
i Consumable Office Supllies
i Materials
Printing
Photocopying
translation
»'Phone
400 Car Seats. Boosters and Accessories
Membership/Subscription and other fees
Computer Hardware
Computer Software
2 phones
Category Sub-Tota!
300.00
2.000.00
5.000.00
1.000.00
1.000.00
1 .000.00
18.000.00
1 .800.00
2.000.00
500.00
200.00
300.00
300.00
2,000.00
1.605.43
5.000.00
5.000.00
1.000.00
1.000.00
1.000.00
1,000.00
1,000.00
1,000.00
18.000.00
18,000.00
250.00
250.00
500.00
500.00
32,800.00 | J 29,050.00
900.00
5,605.43
15,000.00
3.000.00
3.000.00
3.000.00
54.000.00
2,300.00
2.000.00
1,500.00
200.00
*" ~T -P--I | | ' ' * ^ 05R0 ° ' * 28 - 655 - 43 s
Category Sub-Total
PROJECT TOTAL
7,129.63
10.176.21
10.176.21
10,449.98
10.449.98 $
172,067.61 | $ 173,771.93~}T
27,755.81
27.755.81
500,000.00
CTS-3&d(Rev.1C<'£>7)
lUWlUflDHWflBni
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
Attachment II
Pap;e 1 of 2 ~
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1 . Department Division. & Branch: DPH/PHP/EMS Section
2. Contact Person: AbbieYant Telephone: 554-9970
3 . Project Title: Child Passenger Safety
4. Grant Source Agencv: California Office of Traffic Safety
5. Tvoe of Funds (Circle): Federal Federal - State (Pass Through) State Local Private
6. Proposed (New/Continuation) Grant Project Summary:
The goal of this project is to reduce injuries and fatalities among children 0-4 years of age resulting from
misuse and lack of use of child safety restraints due to motor vehicle crashes. This program will provide
for a coalition of community based organizations to develop and implement a comprehensive child
passenger safety program that includes: a low cost child passenger safety seat program, collaboration with
the San Francisco Police Department to increase education and enforcement efforts including frequent
child passenger check ups, community, police and hospital education and outreach using NHTSA certified
trainers, and promotion of the program through media outreach.
7. Amount of Grant Funding Applied For: $500,000
8. Maximum Funding Amount Available (at time of application): unknown
9. Required Matching Fund?? (Circle): Yes No Cash In-kind
If ves. list dollar amount and identify source of Matching Funds in Department Budget:
The City will provide adjunctive services for administration of this project In kind contribution
includes
office space and furnishings. The Department of Public Health, EMS Section will provide project
direction.
FY-1
FY-2
FY-3
Program Administrator 10%
7,616
7,616
7,616
Office Rental
( 150sq/ft at S1.19/sq ft/month)
2,142
2,142
2,142
Office Furnishings
(desk, chairs, lamps, heater, files, misc)
1,500
Indirect 7%
3.327
4.748
4.876
TOTAL
$14,585
514,506
514,634
2/9/99
Attachment II
Pa^P 7 nf 7
10. Number of new positions created and funded:
0.8 FTE Project Coordinator
as needed clerical and project assistants
Work order fund for SFPD overtime for traffic enforcement
11. If new positions are created, explain the disposition of emploveefs) once th e grant ends:
These positions are temporary and will no longer be funded after the grant funds are depleted.
12. Are indirect costs eligible costs for this grant? (Circle): Yes Noj.
If ves. please identify the amount of Ss in indirect costs: $27,755
.13. Amount to be spent on contractual services: $39,200
14. a.) Will contractual services be put out to bid? f Circle): Yes Noj.
b.) If so. will contract services help to further the goals of the department's Yes
MBE/WBE requirements? :
15. Is this request for contracting out likelv to be : CCircleOne) One Time Ongoing,
16. Term of Grant: Start-Date: 2/1/99 End-Date: 09/30/01
17. Date You Were Notified That This Funding Was Available: 11/98
18. Grant Application Due Date: 1/98
19. Grant Funding Guidelines and Options (selected from RFP. grant anno uncement or
appropriations legislation):
Occupant protection programs include child restraint and seat belt programs. Proposals should
address education, training, enforcement, public information, and may include personnel,
educational materials, and child restraint devices.
20. Department Head Approval: Mitchell Katz, MJD., Director of Health
(To be obtained by Grant Manager)
Signature
4/6/99
Memo to Public Health and Environment Committee
May 13, 1999 Public Health and Environment Committee Meeting
Item 2 - File 99-0848
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Description:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health,
Population Health and Prevention Division, Community
Health and Safety, to accept and expend retroactively
grant funds in the amount of $5,000 from the California
Department of Fish and Game, to participate in updating
(1) the Regional San Francisco Bay/San Joaquin Delta
Area Contingency Plan and (2) the San Francisco Oil Spill
Prevention and Response Plan and to enter into an
agreement which does not include patent infringement
indemnification and false claims clauses; providing for
ratification of action previously taken.
$5,000
January 1, 1999 through December 31, 1999
California Department of Fish and Game, Office of Oil
Spill Prevention and Response
In 1992, the Department of Public Health (DPH) applied
for and accepted a grant in the amount of $49,550 from
the California Department of Fish and Game to fund
DPH's development of the San Francisco Oil Spill
Prevention and Response Plan for the purposes of having
a local plan to prevent and respond to oil spills pursuant
to the Federal Oil Pollution Act of 1990. The grant also
funded San Francisco's participation in the development
of the Regional San Francisco Bay/San Joaquin Delta
Contingency Plan for oil spills. This Regional Plan was
developed for the purpose of meeting requirements of the
Federal Oil Pollution Act of 1990 for regional planning in
connection with the prevention of and response to oil
spills. The DPH's role in the development of the Regional
Plan involved providing information on San Francisco's
environmentally sensitive locations, economically
significant sites, resources available to mitigate oil spills,
potential staging locations, and contacts and procedures
in the event of an oil spill.
BOARD OF SUPERVISORS
BUDGET ANALYST
8
Memo to Public Health and Environment Committee
May 13, 1999 Public Health and Environment Committee Meeting
Mr. Richard Lee of the DPH advises that the Regional
San Francisco Bay/San Joaquin Delta Contingency Plan,
which was completed in June of 1993 and the San
Francisco Oil Spill Prevention and Response Plan, which
was completed in August of 1993, now both need to be
updated pursuant to Federal Oil Pollution Act guidelines.
Mr. Lee advises that such plans should be updated
annually, in order to ensure the overall effectiveness of
the plans.
The proposed grant funds would allow DPH to (1)
participate in updating the Regional San Francisco
Bay/San Joaquin Delta Area Contingency Plan and (2)
update the San Francisco Oil Spill Prevention and
Response Plan.
Budget:
Personal Services
Senior Industrial Hygienist
(80 hours @ $40.00 per hour)
Fringe Benefits @ 30%
Subtotal
Operating Expenses
Travel
Supplies
Subtotal
$3,200
960
4,160
400
240
640
Indirect Costs
200
TOTAL $5,000
Required Match:
Indirect Costs:
Comment:
None.
$200
1. The proposed resolution to accept and expend the grant
funds is retroactive to January 1, 1999. Mr. Lee advises
that because DPH received notice of the availability of the
grant on April 5, 1999, the proposed resolution is now
being submitted for the Board of Supervisors approval.
According to Mr. Lee, DPH has already expended
approximately $1,000 or 20 percent of the subject grant
funds on attending the 1999 meetings of the Regional San
BOARD OF SUPERVISORS
BUDGET ANALYST
9
Memo to Public Health and Environment Committee
May 13, 1999 Public Health and Environment Committee Meeting
Francisco Bay/San Joaquin Delta Contingency Plan
Committee.
2. Ms. Jean Fraser of the City Attorney's Office advises
that as a condition of receiving the grant funds, the DPH
has agreed to enter into an agreement (the "Agreement")
with the California Department of Fish and Game that
would require the City to waive (1) the requirement
contained in Sections 6.21 and 21.19 of the City
Administrative Code that the Agreement include an
indemnification of the City by the California Department
of Fish and Game for the infringement of patent rights;
and, (2) the requirement contained in Section 6.57(c) of
the City's Administrative Code that the Agreement
include a paragraph reciting the false claim provisions
contained in Section 6.57(a) of the City's Administrative
Code. Ms. Fraser advises that the waivers in this case
are standard and pose minimal risk to the City, according
to Ms. Fraser.
3. The Attachment is a summary of the grant application
information, as prepared by the DPH, for the proposed
grant funds.
4. The DPH has prepared a Disability Checklist for the
proposed grant funds, which is on file with the Clerk of
the Board of Supervisors.
5. The proposed resolution contains a provision that
authorizes the Director of Public Health to enter into
other future agreements, similar to the subject
Agreement, with the California Department of Fish and
Game if the grant recurs or is renewed, without obtaining
subsequent approval by the Board of Supervisors.
Recommendation: Approval of the proposed resolution is a policy matter for
the Board of Supervisors since this resolution authorizes
the Director of Public Health to enter into other future
agreements, similar to the subject Agreement, with the
California Department of Fish and Game if the grant
recurs or is renewed, without obtaining subsequent
approval by the Board of Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
10
Attachment
Page 1 of 2
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1 . Department. Division. & Branch: Population Health and Prevention, Community Health
and Safety Services, Environmental Health.
2. Contact Person: Richard Lee Telephone: 252-3992
3 . Project Title: Oil Spill Contingency Plan
4. Grant Source Aeencv: California Department of Fish & Game
5. Type of Funds (Circle): Federal Federal- State (Pass-Through) State Local Private
6. Proposed (New/Continuation) Grant Project Summary: Participate in the Coast Guard's
Area Planning process and thereby assist in the update of the Area Plan, participate in oil
spill exercises, and ensure consistency between the Federal, State and Local Contingency
Plans.
7. Amount of Grant Funding Applied For: $5,000
8. Maximum Funding Amount Available Cat time of application): $5,000
9. Required Matching Funds? (Circle): Yes No Cash In-kind
If ves. list dollar amount and identify source of Matching Funds in Department Budget:
N/A
10. Number of new positions created and funded: None
11. If new positions are created, explain the disposition of emplovee(s) once the grant ends:
N/A
12. Are indirect costs eligible costs for this grant? (Circle): Yes No
If ves. please identify the amount of $s in indirect costs: $200
13. Amount to be spent on contractual services: None
4/15/99
11
Attachment
Page 2 of 2
14. a.) Will contractual services be put out to bid? (Circle): Yes: No: N /A
b.) If so. will contract services help to further the goals of the department's MBE/WBE
requirements? : N /A
15. Is this request for contracting out likelv to be : One Time or Ongoing? (CircleOne) N /A
16. Term of Grant: Start-Date: 1/1/99 End-Date: 12/31/99
17. Date You Were Notified That This Funding Was Available: April 5, 1999
18. Grant Application Due Date: N/A
19. Grant Funding Guidelines and Options (selected from RFP. grant announcement or
appropriations legislation') : (1) This grant agreement is entered into pursuant to the
Kempert-Keene-Seastrand Oil Spill Prevention and Response Act. (2) Contractor agrees to
provide all personnel, space, labor, materials, tools, equipment, and incidentals necessary in
accordance with the attached Exhibit A entitled "City and County of San Francisco, Scope
of Work - Area Planning". (3) The County is aware that the area committee within the
local Marine Safety Office jurisdiction is responsible for establishing the schedule of
meetings and working sessions necessary to complete the Area Contingency Plan update. A
maximum degree of communication between the area committees and all participants will
be vital. Networking and sharing of information will be essential. The State will be
responsible for ensuring that for each subject area, the area plan includes input
representative of local government information.
20. Department Head Approval: Mitchell Katz, M.D., Director of Health
(To be obtained by Grant Manager)
/YUA/Ujdj(
Signature
4/15/99
12
Memo to Public Health and Environment Committee
Mayl3, 1999 Public Health and Environment Committee Meeting
Item 3 - File 99-0808
Department:
Item:
Department of Public Health
Public Health Division
Community Mental Health Services
Resolution authorizing the Department of Public Health
(DPH), Public Health Division, Community Mental
Health Services, to enter into a Cooperative Program
Agreement, which includes a required match of $160,605,
with the State Department of Rehabilitation to contract
with two non-profit organizations to provide vocational
services for mentally-ill psychiatric clients. This
resolution also authorizes DPH to enter into an
Agreement that does not include patent infringement
indemnification and false claims clauses.
Grant Amount:
Grant Period:
Source of Funds:
Description:
$478,618 (see Comment No. 1)
July 1, 1999 through June 30, 2000
State Department of Rehabilitation
The proposed resolution would authorize the DPH to
enter into a Cooperative Program Agreement with the
State Department of Rehabilitation that provides for
awards of Case Services Contracts to two non-profit
organizations, namely Community Vocational Enterprises
(CVE) and Richmond Area Multi-Services (RAMS). The
Case Service Contracts would, according to Mr. Jack
Rabin of the DPH, allow CVE and RAMS to provide
vocational assessment, job support, and benefits
counseling services for 85 and 100 mentally-ill psychiatric
clients, respectively. This is the sixth year that the City
has received grant funds from the State Department of
Rehabilitation for the provision of these services.
BOARD OF SUPERVISORS
BUDGET ANALYST
13
Memo to Public Health and Environment Committee
May 13, 1999 Public Health and Environment Committee Meeting
Budget:
Mr. Rabin has provided a budget for the total project costs
of $478,618 for the one-year period from July 1, 1999 to
June 30, 2000, as follows:
Contractual Services
Community Vocational Enterprises
Richmond Area Multi-Services
$236,367
242.251
TOTAL BUDGET
$478,618
Required Match:
Indirect Costs:
Comments:
Attachments 1 and 2, provided by DPH, contain
supporting budgets for the contractual services to be
provided by CVE and RAMS, respectively.
$160,605 to be included in DPrFs FY 1999-2000 budget.
None. The State Department of Rehabilitation does not
allow the inclusion of indirect costs in Cooperative
Program Agreements.
1. According to Ms. Anne Okubo of DPH, the State
Department of Rehabilitation requires DPH to commit a
local match of $160,605 in order to qualify for this grant.
As a result, the actual net amount that the City would
receive from this grant is $318,013 ($478,618 less the
required match of $160,605). Ms. Okubo states that the
DPH will request the $160,605 in matching funds in its
FY 1999-2000 budget.
2. According to Mr. Rabin, CVE and RAMS were selected
on a sole-source basis because of their experience in
providing vocational services to seriously emotionally
disturbed clients.
3. The proposed resolution would waive: (1) the
requirement contained in Sections 6.21 and 21.19 of the
City's Administrative Code that the Cooperative Program
Agreement include an indemnification of the City by the
State Department of Rehabilitation for the infringement
of patent rights; and (2) the requirement contained in
Section 6.57(c) of the City's Administrative Code that the
Cooperative Program Agreement include a paragraph
reciting the false claim provisions contained in Section
6.57(a) of the City's Administrative Code. According to
BOARD OF SUPERVISORS
BUDGET ANALYST
14
Memo to Public Health and Environment Committee
Mayl3, 1999 Public Health and Environment Committee Meeting
Ms. Jean Fraser of the City Attorney's Office, these
requirements apply to situations in which the City
purchases goods or services, not when the City receives or
passes through grant funds. Therefore, the waivers in
this case are standard and pose minimal risk to the City,
according to Ms. Fraser.
4. DPH has prepared a Disability Access Checklist for the
proposed grant program, which is on file with the Clerk of
the Board.
Recommendation: Approve the proposed resolution.
1
Harvey M. Rose
x £t~iX~
cc: Supervisor Bierman
Supervisor Brown
Supervisor Yaki
President Ammiano
Supervisor Becerril
Supervisor Katz
Supervisor Kaufman
Supervisor Leno
Supervisor Newsom
Supervisor Teng
Supervisor Yee
Clerk of the Board
Controller
Legislative Analyst
Matthew Hymel
Stephen Kawa
Ted Lakey
BOARD OF SUPERVISORS
BUDGET ANALYST
15
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City and County of £an Francisco
Meeting JMinutes
^Public Health and Environment Committee
Members: Supervisors Sue Merman, Amos Brown and Michael Yaki
Clerk: Gregoire Hobson
City Hall
1 D;. Carlton B.
Goodlett Place
San Francisco, CA
94102-4689
10. W
Thursday, May 27, 1999
1:00 PM
Regular Meeting
City Hall, Room 263
£7/77
Members Present: Sue Bierman, Amos Brown, Michael Yaki.
Meeting Convened
The meeting convened at 1:05 P.M.
REGULAR AGENDA
990707 [San Francisco General Hospital Pharmacy Closure]
Supervisor Katz
Hearing to consider the impact of the closure of the San Francisco General Hospital pharmacy.
4/12/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Supervisor Katz; Dr. Mitchell Katz, Director of Health, Department of Public
Health; Brad Benson, representing Supervisor Ammiano; Dr. Meg Newman, Emergency Coalition for Public
Health; Dr. Collen Thompson, Resident Physician, Portero Hill Clinic; Dr. Norma Joe Waxman; Rosalyne
Montgomery; Will Brady, Coalition to Save Public Health; Ed Kingsley, SEIU Local 790; Ignatus DeGroot,
Pastor, St. Anthony's Catholic Church; Sarah Shaker, Executive Director, Instituto Laboral De La Raza.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
ADJOURNMENT
The meeting adjourned at 2:24 P.M.
DOCUMENTS DEPT.
' "'; 0.3 1999
SAN -RANCISCO
PUBLIC LIBRARY
City and County of San Francisco
Printed at 12:26 PM on 6/1/99
e.
i
J\
90.30
City and County of^an Francisco
Meeting Minutes
, Public Health and Environment Committee
Members: Supervisors Sue Bierman, Amos Brown, Michael Yaki and Mark
Leno
Clerk: Gregoire Hobson
City Hall
1 Dr. Carlton B.
Goodlett Place
San Francisco, CA
94102-4689
Thursday, June 10, 1999
1:00 PM
Regular Meeting
City Hall, Room 263
Members Present: Amos Brown, Michael Yaki, Mark Leno.
Members Absent: Sue Bierman.
Note: Chairperson Bierman was absent for the entire meeting and due to the expected absence
of Supervisor Yaki for Item No. 3. President Ammiano appointed Supervisor Leno to be a
member of the Committee to maintain a quorum for the meeting.
Time Meeting Convened
The meeting was convened at 1:05 P.M.
REGULAR AGENDA
991020 [Contract - DPH/Health Management Systems, Inc.]
Resolution authorizing the Director of Public Health and the Purchaser to execute a contract between the City
and County of San Francisco and Health Management Systems, Inc. to provide electronic claims submission,
claiming of aged accounts and managed care consulting, claims and data processing services. (Department of
Public Health)
5/19/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speaker: Dianne Keefer, Director of Finance, Department of Public Health.
RECOMMENDED., by the following vote:
Ayes: 2 - Brown, Yaki
Absent: 2 - Bierman, Leno
DOCUMENTS DEPT.
JUN 1 6 £99
SAN FRANCISCO
PUBLIC LIBRARY
City and County of San Francisco
Printed at 2:33 PM on 6/14/99
Public Health and Environment Committee
Meeting Minutes
June 10, 1999
990353 [School-Based Health Services]
Supervisor Katz
Hearing to consider establishment of school-based health clinics in San Francisco high schools.
2/22/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Supervisor Katz; Deborah Alvarez-Rodriquez, Director, Department of
Children, Youth and Families; James Loyce, Deputy Director, Department of Public Health; Jill Wynns,
member, San Francisco Board of Education; Taj James, Coleman Advocates for Children and Youth; Trish
Bascome, Director, School Health Program, S.F. Unified School District; Berta Guillen, senior, Lowell High
School representing Youth for Access to Health Care Coalition; Janet Shalwitz, M.D., Medical Director,
Children, Youth and their Families Section, Department of Public Health; Susan Kim, Director, Youth
Commission; Maureen McCarthy, Balboa Teen Health Center; Albert Eng, Assistant Director, Children,
Youth and the Families Section, Department of Public Health; Tracy Flanagan, M. D., San Francisco Health
Plan; Barry Lawlor, Manger of Community Health, Catholic Health Care West/St. Mary's Medical Center; Dr.
Sherry Sherman, Director of Community Benefits for California Pacific Medical Center; Margaret Brokin,
Coleman Advocates; Jamie Motley, student, Wallenberg School; Ansy Hernandez; Marybeth Wallace, Parent
Advocates for Youth; Alice Hanson; Shineen Lee; Dr. Coco Auerswald, Division of Adolescent Medicine,
UCSF; Kim Carbuck; AH Weinhouse, Lincoln High School; Dr. Mary Ott, Peditrician; Dr. Alison Gallorath,
Department of Pediatrics, UCSF; Helynna Brooke, Chair, Mental Health Board; Roni Robertson, Nurse
Practitioner, Balboa Teen Health Center.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 2 - Brown, Yaki
Absent: 2 - Bierman, Leno
990749 [Mercury Pollution]
Supervisor Leno
Resolution urging City agencies and departments and all medical facilities within San Francisco to eliminate
their use of mercury and mercury containing products to prevent mercury pollution of air and water and to
protect food quality.
4/19/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
5/13/99, CONTINUED TO CALL OF THE CHAIR. Heard in Committee. Speaker: Supervisor Leno.
Heard in Committee. Speakers: Francesco Vietor, Executive Director, Department of the Environment; Dr.
Rajiv Bhatia, Medical Director, Occupational and Environmental Health, Department of Public Health;
Michael Carlin, Public Utilities Commission; Mike Green, Executive Director, Center for Environmental
Health; Greg Carras, Community for a Better Environment; Peter Buxton; Paul Ruzzi, Hazardous Waste
Program. Amendment of the Whole bearing new title presented in Committee by Supervisor Leno. Supervisor
Brown added as co-sponsor.
AMENDED, AN AMENDMENT OF THE WHOLE BEARING NEW TITLE.
Resolution urging City agencies and departments and all medical facilities within San Francisco to eliminate to
protect and preserve human and environmental health.
RECOMMENDED AS AMENDED by the following vote:
Ayes: 2 - Brown, Leno
Absent: 2 - Bierman, Yaki
ADJOURNMENT
The meeting adjourned at 3:33 P.M.
City and County of San Francisco
Printed at 2:33 PM on 6/14/99
-th
Public Library,Gov't Info. Ctr., 5 in Fir.
Attn: Susan Horn
?O-?0
CITY AND COUNTY
'0
M
OF SAN FRANCISC
Documents dept.
jun i o 1999
BOARD OF SUPERVISORS
SAN FRANCISCO
PUBLIC LIBRARY
BUDGET ANALYST
1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642
FAX (415) 252-0461
June 8, 1999
TO: ^Public Health and Environment Committee
FROM: ^Budget Analyst
SUBJECT: ^June 10, 1999 Public Health and Environment Committee Meeting
Item 1 - File 99-1020
Department:
Item:
Estimated Total
Amount of Contract:
Source of Funds:
Department of Public Health (DPH)
Purchaser
Resolution authorizing the Director of Public Health and
the Purchaser to execute a contract between the City and
Health Management Systems, Inc. to provide electronic
claims submission, retroactive claims reprocessing and
managed care consulting services.
$10,029,000 over four fiscal years commencing July 1,
1999 through June 30, 2003 (see Comment No. 1)
According to Ms. Diane Keefer of DPH, DPH will pay
HMS an estimated $2,507,250 for the first-year of the
proposed contract. According to Ms. Keefer, the funding
sources for this $2,507,250 is $1,650,000 which was
requested in DPH's FY 1999-2000 proposed budget and
the remaining $857,250 would be deducted from
anticipated revenues that accrue to the City as a result of
the proposed contract with HMS in accordance with
Memo to Public Health and Environment Committee
June 10, 1999 Public Health and Environment Committee Meeting
Section 5.5 (Collection Services) of the City's Annual
Appropriation Ordinance.
Description: The proposed resolution would authorize the Director of
Public Health and the Purchaser to renew an existing
contract with Health Management System (HMS), Inc. for
HMS to provide electronic claims submission, retroactive
claims reprocessing and managed care consulting services
for the four-year period of July 1, 1999 through June 30,
2003.
In October of 1994, the Board of Supervisors approved a
four-year contract (File No. 172-94-35) from November 1,
1994 through October 31, 1998 between the City and
County of San Francisco, Department of Public Health
(DPH) and HMS to: (1) provide Electronic Claims
Submission, whereby HMS reviews data contained in
Medi-Cal, Medicare and other types of claims to be
submitted to the State and Federal government for
reimbursement; (2) to provide Retroactive Claims
Reprocessing, whereby HMS identifies whether patients
whose bills have not been paid (delinquent accounts) may
be eligible for reimbursement under the Medi-Cal and
Medicare programs; and (3) to provide Managed Care
Consulting Services, whereby HMS processes data
contained in managed care claims submitted to the DPH's
Office of Managed Care. Attachment I, provided by DPH,
describes in further detail all three of the above-noted
services which are currently provided by HMS.
Ms. Keefer reports that, when the prior contract expired
on October 31, 1998, DPH subsequently extended the
term of this contract with HMS for the eight-month period
of November 1, 1998 through June 30, 1999, without
obtaining approval from the Board of Supervisors.
According to Ms. Monique Zmuda of DPH, DPH extended
the term of this contract on a month to month basis
without Board of Supervisors approval because the
selection process for a consultant to provide the subject
claims processing services under a proposed new contract
took longer than anticipated by DPH. As such, Ms.
Zmuda states that in order to ensure the provision of such
services without interruption, DPH extended the term of
the existing contract with HMS.
BOARD OF SUPERVISORS
BUDGET ANALYST
Memo to Public Health and Environment Committee
June 10, 1999 Public Health and Environment Committee Meeting
According to Ms. Keefer, DPH issued a Request for
Proposal (RFP) on October 10, 1998 for all services which
are currently provided by HMS. Ms. Keefer reports that
HMS was again selected as the consultant. DPH issued
the RFP to 31 firms. Attachment II, provided by DPH, is
a list of the four firms which responded to all or portions
of the RFP and a Rate Evaluation for each of the firms
which responded.
Comments: 1. Ms. Keefer advises that the total estimated cost of the
proposed four-year contract with HMS is based upon a
percentage of total revenues collected by HMS for the City
by its provision of the subject claims processing services.
Attachment III, provided by DPH, contains the current
and proposed percentages of revenues that would be paid
to HMS by the City under the proposed contract.
2. Attachment IV, provided by DPH, compares the
current annual payments and the proposed annual
payments to be made by DPH to HMS and contains the
estimated net revenues which would accrue to the City
under the proposed contract. A summary of the FY 1998-
99 payments, compared to the proposed FY 1999-2000
payments, and the related net revenues to the City, is as
follows:
BOARD OF SUPERVISORS
BUDGET ANALYST
3
Memo to Public Health and Environment Committee
June 10, 1999 Public Health and Environment Committee Meeting
Electronic
Claims Submission
Total Revenues
HMS Fees
Net Revenues to the City $57,203,952
FY 1998-99
(10 months)
$58,447,138
(1.243.186)
Retroactive
Claims Reprocessing
Total Revenues
HMS Fees
Net Revenues to the City
Managed Care
Consulting Services
HMS Fees
TOTAL HMS Fees $1,802,886
$631,359
(159.700)
$471,659
($400.000)
TOTAL Net Revenues $57,275,611
to the City
Recommendation: Approve the proposed resolution.
FY 1999-00
$69,000,000
(1.650.000)
$67,350,000
$787,500
(173.250)
$614,250
(S684.000)
$2,507,250
$67,280,250
Harvey M. Rose
rz
T
cc: Supervisor Bierman
Supervisor Brown
Supervisor Yaki
President Ammiano
Supervisor Becerril
Supervisor Katz
Supervisor Kaufman
Supervisor Leno
Supervisor Newsom
Supervisor Teng
Supervisor Yee
Clerk of the Board
Controller
Legislative Analyst
Matthew Hymel
Steve Kawa
Ted Lakey
BOARD OF SUPERVISORS
BUDGET ANALYST
Attachment I
ATTACHMENT I
Services to be Performed by Contractor Electronic Claims Submission, Retroactive
Claims Reprocessing, and Managed Care Consulting Services
I. Electronic Claims Submission
HMS will provide a complete and comprehensive package of accounts receivable
management and electronic claims submission functions for the CHN. This will include,
but is not limited to:
i) A LAN based system installed in the Business Office located at SFGH.
ii) Electronic billing software to produce claims for tape, electronic and/or
paper submission to:
1 . California Medi-Cal and Medi-Cal Managed Care
2. Medicare Part A and B including Psychiatric and
Prospective Payment
System (PPS) billing for Skilled Nursing.
3. Medicare Part B billing for Professional Component and FQHC
claims.
4. Family Planning Access Care &Treatment (FPACT).
5. All Commercial Insurance Payers
6. All other payers as required.
iii) Full time, on-site project management.
iv) Comprehensive claims tracking for all Federal and State funded
programs
v) Compliance with all Payer regulations.
vi) 'Year 2000' compliance no later than July 1 , 1999.
II Retroactive Claims Reprocessing
HMS will provide services to assist in the identification and billing of accounts eligible for
retroactive recoveries when recipient eligibility was not previously identified by the CHN.
Eligibility should include Medicare and Medi-Cal and their associated Managed Care
Plans, and private insurance where appropriate.
i) DESIGNATED PROGRAMS FOR SERVICES
Patient services identified by CITY as self-pay or Sliding Scale Eligibility, billed as
such by Director and determined by Director to have partially or fully uncollectable
unpaid balances due.
ii). Additionally, HMS will provide the CHN with updated eligibility, after the initial
identification and billing is complete, by an automated process, to amend the
CHN database with third party information.
III. Managed Care Consulting Services
HMS will provide overall management of the systems, processes and staff necessary for
efficient processing of claims and encounters, under the general direction of the Office of
Managed Care (OMC) and in the context of working alongside OMC employees.
Attachment II
.ATTACHMENT EL
RESULTS OF EVALUATION OF PROPOSALS
CATEGORY: ELECTRONIC CLAIMS SUBMISSION
As a result of the evaluation process, the Committee ranked the proposals for ELECTRONIC CLAIMS
SUBMISSION in order of preference as follows:
OVERALL PROPOSAL EVALUATION (includes rate)
AGENCY
1
SCORE
Health Management Svstems. Inc.
1
81.60
I
RATE EVALUATION
••■D: AGENCY
RATE
SCORE
Health Management Svstems. Inc.
125%/ 6%
20
I 1
CATEGORY: CLAIMING OF AGED ACCOUNTS
As a result of the evaluation process, the Committee ranked the proposals for CLAIMING OF AGED
ACCOUNTS in order of preference as follows:
OVERALL PROPOSAL EVALUATION (includes rate)
AGENCY
S SCORE
Health Management Svstems. Inc.
! 80.40
On-Line
1 25.06
RATE EVALUATION
AGENCY
! RATE | SCORE
Health Management Svstems. Inc.
1 15%/ 25% | 20
On-Line
1 30% . | 16.66
CATEGORY: MANAGED CARE CONSULTING AND DATA PROCESSING
As a result of the evaluation process, the Committee ranked the proposals for MANAGED CARE
CONSULTING AND DATA PROCESSING in order of preference as follows:
OVERALL PROPOSAL EVALUATION (includes
rate)
AGENCY !
SCORE
Genesis Medical Management, Inc
58.40
Health Management Svstems. Inc.
3820
Shared Medical Systems, Inc. |
37.40
RATE EVALUATION
AGENCY
I RATE |
SCORE
Health Management Svstems. Inc.
1 S2.40mnDm |
20
Shared Medical Svstems. Inc.
1 S3. 69 urnum I
13
Genesis Medical Management Inc
I S6.20 pmuin I
7.44
Attachment III
(1) Comprehensive Accounts Receivable Management
and Electronic Claims Submission Services (CAMS)
Under the current contract, HMS receives 125% of inpatient
revenues and 6_5% of outpatient revenues for SFGH, and
12% of outpatient revenues for the Community Oriented
Primary Care Health Centers within the DPR Tnese fees are
not to exceed SI, 800,000 per year (SI. 5 for SFGH services
and S300K for Health Clinics).
Under the proposed contract, HMS would receive 1 percent
of inpatient revenues and 6 percent of outpatient revenues,
throughout the CHN, not to exceed S 1,650,000 per year
against targeted revenue of S90 million annually. HMS
would then receive 1.5 percent of inpatient revenue and 6.5
percent of outpatient revenues collected above the baseline of
S90 million annually, without any maximum annual limit.
(2) Retroactive Claims Reprocessing (RCR) Services
Under the current contract, HMS receives 17.5 percent of
inpatient revenue and 25% of outpatient revenue collected bv
the CHN under the RCR program. There is no maximum
limit
Under the proposed contract, HMS would receive 15 percent
of inpatient revenue and 25 percent of outpatient revenue
collected by the CHN under the RCR program, without anv
annual maximum limit.
(3) Managed Care Consulting Services
Under the current contract, HMS receives 540,000 per month
for its provision of Managed Care Consulting Services.
Under the proposed contract, the scope of services is
expanded to include overall management of the Managed
Care computer system, Diamond 725, which is integral to
• claims and encounter processing for the Office of Managed
Care. In addition, staffing requirements are expanded.
Under this proposed contract HMS would receive S57,000
per month for the first two years and S60,000 per month for
the third and fourth years of the contract for the provision of
Managed Care Consulting services.
Attachment VI
COMPARATIVE ANALYSIS
CURRENT ANNUAL PAYMENTS TO PROPOSED ANNUAL PAYMENTS
CATEGORY: Electronic Claims
Processing
CAMS
FY94-95
FY95-96
FY96-97
FY97-98
FY 98-99
(10 months)
Projected
FY99-00
Total Revenue
HMS Fees
Net Revenue
to the City
$60,924,662
$1,690,245
559,234.417
$65,678,298
$1,006,365
$64,671,933
$53,670,006
$1,488,281
552.181.725
$63,293,623
$1,784,537
$61,509,086
$58,447,138
$1,243,186
$57,203,952
p|&69 j 000,000l
^^S67^5WdS
CATEGORY: Retroactive Claims Reprocessing
RCR
FY94-95
FY95-96
FY96-97
FY97-98
FY 98-99
(10 months')
Projected
FY99-00
Total Revenue
$6,660,189
$3,195,901
$2,022,838
$1,630,669
$ 631,359
Slllssl^
HMS Fees
$ 379,843
$ 355,998
$ 366,710
$ 375,538
$ 159,700
^^^173%l^|
Net Revenue
to the Citv
$ 6,280346
5 2,839,903
51.656.128
5 1.255.131
5 471.659
WBslsittmsoi
CATEGORY: Managed Care Consulting Services
FY97-98
FY 98-99
(10 months)
Projected
FY99-00
HMS Fees
$ 320,000
$ 400,000
HllllliP^
Total Revenue
Current Contract
Total HMS Fees
Current Contract
Total Net Revenue
Current Contract
$ 316,154,683
$ 8,850,403
S 307304.280
Contract
Period
Total Revenue
Proposed Contract
Total HMS Fees
Proposed Contract
Total Net Revenue
Proposed Contract
FY 99-00
FY 99-02*
$ 69,787,500
S 279,150.000
$ 2,507,250
$ 10,029.000
S 67,280,250
$ 269,121.000
assuming revenue targets are met.
re. 90
City and County of j>an Francisco
Meeting. Minutes
s Public Health and Environment Committee
Members: Supervisors Sue Merman, Amos Brown and Michael Yaki
Clerk: Gregoire Hobson
City Hall
1 Dr. Carlton B.
Goodlett Place
San Francisco, CA
94102-4689
Tuesday, June 29, 1999
10:00 AM
Rescheduled Meeting
City Hall, Room 263
Members Present: Sue Bierman, Amos Brown, Michael Yaki.
DOCUMENTS DEPT.
Meeting Convened
The meeting convened at 10:10 A.M.
Sup er\'is or Brown noted present at 10:12 A.M.
JUL 1 - 1999
SAN FRANCISCO
PUBLIC LIBRARY
07-01-99A10 : 33 RCVD
REGULAR AGENDA
990958 [Teen Pregnancy, Unprotected Sex, Sexually Transmitted Diseases]
Supervisor Leno
Hearing to investigate the issue of teen pregnancy, unprotected sex and transmission of sexually transmitted
diseases among youth in San Francisco.
5/10/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 2 - Bierman, Yaki
Absent: 1 - Brown
991009 [Presidio Development Environmental Impact Statement]
Supervisor Ammiano
Hearing to review the Presidio Trust's Environmental Impact Statement (EIS) and to request that Planning
Department begin assembling comments to the EIS from various City Departments and agencies including, but
not limited to, the Department of Parking and Traffic, the San Francisco County Transportation Authority, the
Department of Transportation and the Public Utilities Commission.
5/17/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Supervisor Ammiano; Joan Girardot, President, Homeowners Association;
Michael Paige, Marina Civic and Improvement Association; Steve Krefting; Mike Broslow; Johanna Wald;
Norma Springman; Laurie Fontatello, Marina Property Association; Patricia Vaughey; John Bardis,
President, Coalition for San Francisco Neighbors; Emeric Culman; Hilary Gitelman, Environmental Review
Officer, Planning Department. Continued to July 22, 1999.
CONTINUED by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
City and County of San Francisco
Printed at 11:10 AM on 6/30/99
Public Health and Environment Committee Meeting Minutes June 29, 1999
991 149 (Airport Expansion and Environmental Review]
Supervisor Ammiano
Resolution urging the San Francisco Planning Department's Office of Environment Review and the Federal
Aviation Administration to conduct an open, complete environmental review of the proposed Airport
expansion that encourages broad public participation and to hold early and open EIS/R scoping hearings;
urging a draft EIS/R that analyzes in detail all proposed impacts of the project; and urging the San Francisco
International Airport to provide all information and funding necessary to analyze a runway configuration plan
that uses the minimum necessary bay fill.
6/7/99, RECEIVED AND ASSIGNED to Transportation and Land Use Committee.
6/15/99, TRANSFERRED to Public Health and Environment Committee.
Heard in Committee. Speakers: Supervisor Ammiano; Peter Nardoza, Deputy Director, Public Affairs, San
Francisco Airport; Hilary Gitelman, Environmental Review Officer, Planning Department; Mike Luzzo, San
Francisco Baykeeper; Phillip Babcock, San Francisco Tomorrow; Mr. Lewis; John Pizzo, Sierra Club;
Johanna Wald; Steven Krefting, San Francisco League of Conservation Voters. Amendment of the Whole
bearing the same title presented in Committee by Supervisor Ammiano.
AMENDED, AN AMENDMENT OF THE WHOLE BEARING SAME TITLE.
RECOMMENDED AS AMENDED by the following vote:
Ayes: 2 - Bierman, Yaki
Absent: 1 - Brown
991 196 [Possible Closing of Mount Zion Hospital]
Supervisors Ammiano, Katz
Hearing to inquire into the possible closing of Mount Zion Hospital.
6/14/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Supervisor Ammiano, Supervisor Katz; Peter Van Etten, CEO, UCSF
Stanford Health Care; Dr. John Brown, Emergency Medical Care Section, Department of Public Health;
Anthony Wagner, Chief Community Network in San Francisco; Eric Potashner, representing Assemblywoman
Carole Midgen; Corey Menotti, AFSCME 829; Orville Lester, Executive Director, Youth for Service; Michael
Lightly, CNA; Dan Daniels, NAACP Executive Committee; Fred Becker, San Francisco Labor Council; Julie
Jones, RN, Mt. Zion Emergnecy Room; Dr. Laurel Hodgson, Mt. Zion Emergency Department; Paul Espera;
Nick Buick, Russian/American Services; Bill Price; Selena Keene, Ella Hill Hutch Community Center; Shirley
Bierly, Senior Power; Dr. Warren Gold, UCSF Faculty; Mary Lynch, UCSF Nursing School; Jane Morrison,
San Francisco Human Services Commission; Frederick Hobson; Kay McVay, Vice President, California
Nurses Union; Francisco Ugarte, California Nurses Association; John Blumlein, President, Mt. Zion Health
Fund; Dr. Robert Mendel; Doris Vincent; Fred Seavey, SEIU, Local 250; Patrica Vaughey; Spike Kahn,
AFSCME; Don Padilla, AFSCME; Mary Higgins; Fred Mayer.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 2 - Bierman, Brown
Absent: 1 - Yaki
ADJOURNMENT
The meeting adjourned at 1:40 P.M.
City and County of San Francisco 2 Printed at 11:10 AM on 6A0/99
h.&
City and County of San Francisco
Meeting Minutes
Public Health and Environment Committee
Members: Supervisors Sue Merman, Amos Brown and Michael Yaki
Clerk: Gregoire Hobson
City Hall
1 Dr. Carlton B.
Goodlett Place
San Francisco, CA
94102-4689
Thursday, July 08, 1999
w
1:00 PM
Regular Meeting
City Hall, Room 263
Members Present: Sue Bierman, Amos Brown, Michael Yaki.
Meeting Convened
The meeting convened at 1:09 P.M.
REGULAR AGENDA
990958 [Teen Pregnancy, Unprotected Sex, Sexually Transmitted Diseases]
Supervisor Leno
Hearing to investigate the issue of teen pregnancy, unprotected sex and transmission of sexually transmitted
diseases among youth in San Francisco.
5/10/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
6/29/99, CONTINUED TO CALL OF THE CHAIR.
Heard in Committee. Speakers: Supervisor Leno; Professor Claire Brindis, Department of Pediatrics, UCSF;
Dr. Jeffrey D. Klausner, Director, STD Prevention and Control Services, Department of Public Health;
Mildred Kreer, Director, Children, Youth and Families, Department of Public Health; Dr. Janet Shalwitz,
Medical Director, Children, Youth and Families, Department of Public Health; Neyla Ruwin, Program
Administrator, Health Services, S.F. Unified School District; Lark Thomas, Program Supervisor, Teenage
Pregnancy and Parenting Project; Wave Geber, Program Director, Teen Resource to Achieve Pregnancy
Prevention; Amelda; Selvia; Tracy Brown, Director, Mission Girls Services; Margaret Brokin, Coleman
Advocates for Children; Aaron Clewis; Berta Guillen.
FILED.
ADJOURNMENT
The meeting adjourned at 2:26 P.M.
DOCUMENTS DEPT.
JUL 1 3 1999
SAN FRANCISCO
PUBLIC LIBRARY
City and County of San Francisco
Printed at 3:08 PM on 7/9/99
City and County of£an Francisco
MeetingJMinutes
,. Public Health and Environment Committee
Members: Supervisors Sue Bierman, Amos Brown and Michael Yaki
Clerk: Gregoire Hobson
City Hall
1 Dr. Carlton B.
Goodlett Place
San Francisco, CA
94102-4689
Thursday, July 22, 1999
1:00 PM
Regular Meeting
City Hall, Room 263
Members Present: Sue Bierman, Amos Brown, Michael Yaki.
Meeting Convened
The meeting convened at 1:14 P.M.
Supervisor Brown was noted present at 1:20 P.M.
REGULAR AGENDA
DOCUMENTS DEPT.
JUL 2 7 1993
SAN FRANCISCO
PUBLIC LIBRARY
991305 [Agreement with the University of California Institute of Health Policy Studies to evaluate the impact of
drug abuse treatment on demand in San Francisco]
Resolution authorizing the Department of Public Health, Population Health and Prevention Division, to enter
retroactively into a subcontract in the amount of $87,864 with the University of California Institute of Health
Policy Studies, the primary contractor, to support research activities to evaluate the impact of treatment on
demand policies, which does not include patent infringement indemnificarion and false claims clauses;
providing for ratification of action previously taken. (Department of Public Health)
6/30/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Jim Stillwell, Department of Public Health. Amended to add a Further
Resolved clause to read as follows: The Controller should be urged to designate the position created under
the grant as a "G" or grant-funded position, which would terminate when the grant expires.
AMENDED.
RECOMMENDED AS AMENDED., by the following vote:
Ayes: 2 - Bierman, Yaki
Absent: 1 - Brown
991313 [Grant from the California Youth Authority to fund the Second Chance Tattoo Removal Program
which is designed to serve high-risk youth in San Francisco]
Resolution authorizing the Department of Public Health, Community Health Network, to accept retroactively
and expend grant funds in the amount of $71,000 from the California Youth Authority for the Second Chance
Tattoo Removal Program and to enter into an agreement which does not include patent infringement
indemnification and false claims clauses; waiving indirect costs and providing for ratification of action
previously taken. (Department of Public Health)
7/6/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Alan Gibson, Budget Analyst: Monique Zmuda, Department of Public Health.
RECOMMENDED., by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
City and County of San Francisco
Printed at 10:55 AM on 7/26W9
Public Health and Environment Committee
Meeting Minutes
July 22, 1999
991009 (Presidio Development Environmental Impact Statement]
Supervisor Ammiano
Hearing to review the Presidio Trust's Environmental Impact Statement (EIS) and to request that Planning
Department begin assembling comments to the EIS from various City Departments and agencies including, but
not limited to, the Department of Parking and Traffic, the San Francisco County Transportation Authority, the
Department of Transportation and the Public Utilities Commission.
5/17/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
6/29/99, CONTINUED. Heard in Committee. Speakers: Supervisor Ammiano; Joan Girardot, President, Homeowners Association;
Michael Paige, Marina Civic and Improvement Association; Steve Krefting; Mike Broslow; Johanna Wald; Norma Springman; Laurie
Fontatello, Marina Property Association; Patricia Vaughey; John Bardis, President, Coalition for San Francisco Neighbors; Emeric
Culman; Hilary Gitelman, Environmental Review Officer, Planning Department. Continued to July 22, 1999.
Heard in Commttee. Speakers: Supervisor Ammiano, President of the Board; Hilary Gitelman,
Environmental Review Office, Planning Department; Anna Aguirre; Joan Girardot, President of Coalition for
San Francisco Neighborhoods; Bryan Foster; Emeric Kulman; Jessie Mason.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
991246 [Integrated Pest Management Ordinance]
Mayor
Ordinance amending Administrative Code (The Integrated Pest Management Ordinance) Sections 39.5 and
39.6 to transfer the duties of the Agricultural Commissioner to the Department of the Environment.
(Amends Sections 39.5 and 39.6.)
6/21/99, ASSIGNED UNDER 30 DAY RULE to Public Health and Environment Committee, expires on 7/21/1999.
Heard in Committee. Speakers: Francesco Vietor, Executive Director, Department of the Environment; David
Frieders, Director of Compliance, Department of Agricultural/Weights and Measures.
RECOMMENDED by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
991051 [Asthma Problem]
Supervisor Becerril
Hearing to consider the asthma problem in San Francisco, to gather input from experts and community
members on the prevalence of the problem and its effects on city residents.
5/25/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Supervisor Becerril; Tremell Birch; Gladys Fine; Dr. Janet Tynan, S.F.
General Hospital; Nancy Warren; Vickie Legion, Program Director, Community Health Training and
Development Center; Gladys Sandlin; Deborah Alvarez, Director, Department of Children, Youth and their
Families; Marie Hinnki, nurse, San Francisco Unified School District; Veronica Lightfood, School Counselor,
Dr. George W. Carver School; Neil Gendel; Dr. Sharon Sherman, California Pacific Medical Center; Dr.
Larry Meredith, Department of Public Health; Jennifer Mann, Community Health, Department of Public
Health; Karen Cone, Program Manager, Department of Public Health; Francesco Vietor, Executive Director,
Department of the Environment; Commissioner Shelly Radford Bell, Commission on the Environment;
Raymond Tomkins; Gabriel Mass, representing Assemblywoman, Carole Midgen; Bonnie Tyson; Anna
Aguirre.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 2 - Bierman, Brown
Absent: 1 - Yaki
City and County of San Francisco
Printed at 10:55 AM on 7/26M9
Public Health and Environment Committee Meeting Minutes July 22, 1999
ADJOURNMENT
The meeting adjourned at 3:30 P.M.
City and County of San Francisco 3 Printed at 10:55 AM on 7/26/99
■th
Public Library ,Gov't Info. Ctr., 5 in Fir.
Attn: Susan Horn
5
S90.90
CITY AND COUNTY
2A/*7
OF SAN FRANCISCO
/
BOARD OF SUPERVISORS
BUDGET ANALYST
1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642
FAX (415) 252-0461
DOCUMENTS DEPT.
TO:
FROM:
July 20, 1999
^Public Health and Environment Committee
Budget Analyst
JUL 2 1 1999
SAN FRANCISCO
PUBLIC LIBRARY
J
SUBJECT:^ July 22, 1999 Public Health and Environment Committee Meeting
Item 1 - File 99-1305
Department: Department of Public Health (DPH)
Item: Resolution authorizing the Department of Public Health,
Population Health and Prevention Division, to enter
retroactively into a subcontract in the amount of $87,864
with the University of California Institute of Health
Policy Studies, the primary contractor, to support
research activities to evaluate the impact of treatment on
demand policies, which does not include patent
infringement indemnification and false claims clauses;
providing for ratification of action previously taken.
$87,864
January 1, 1999 through December 31, 1999
The Department of Public Health, Community Substance
Abuse Services (CSAS), is collaborating with the
University of California Institute for Health Policy
Studies (IHPS), the primary recipient of a grant from the
National Institute of Drug Abuse of the National
Institutes of Health, in a research project titled, Drug
Abuse Treatment on Demand Impacts in San Francisco.
Contract Amount:
Contract Period:
Description:
Memo to Public Health and Environment Committee
July 22, 1999 Public Health and Environment Committee Meeting
The purpose of the research project is to study the impact
of substance abuse treatment programs that provide
treatment on demand to injection drug users.
This resolution proposes a subcontract in the amount of
$87,864 with the IHPS for DPH to provide CSAS data to
the University of California IHPS Research Team for
analysis. Dr. Alice Gleghorn of DPH states that DPH will
provide to IHPS approximately 12,000 CSAS substance
abuse treatment files annually which contain data both
on substance abuse treatment programs and on
individuals who have participated in DPH substance
abuse treatment programs since FY 1995-96. No patient
identification information will be contained in these files.
Dr. Gleghorn will be responsible for assisting the IHPS
Research Team in accessing CSAS data. In addition,
CSAS will be responsible for identifying and hiring an
Epidemiologist I who will access CSAS data sets and
transfer the data to IHPS.
Budget: The budget details for the $87,864 subcontract, payable
by the University of California to the Department of
Public Health, are as follows:
2803 Epidemiologist II
0.2 FTE @ $69,000 $13,800
Fringe benefits 3.450
Subtotal $17,250
2802 Epidemiologist I
1.0 FTE @ $44,213 $44,213
Fringe benefits 8.287
Subtotal 52,500
Software licensing fee for Statistical
Analysis System (SAS) software 1,200
BOARD OF SUPERVISORS
BUDGET ANALYST
2
Memo to Public Health and Environment Committee
July 22, 1999 Public Health and Environment Committee Meeting
Computer statistical workstation,
Includes hard drive and software with upgrades
required for use of special statistical software
Indirect Costs
7,500
9.414
Total
$87,864
Comment:
1. Although Dr. Gleghorn advises that the 2802
Epidemiologist I position is to be coded "G", or grant-
funded, so that the position would terminate when the
grant funds expire, this subject legislation does not
provide for the position to be designated as a "G" position.
2. The subcontract agreement requires that the City-
waive (1) the requirement contained in Sections 6.21 and
21.19 of the Administrative Code for indemnification of
the City by UCSF for the infringement of patent rights;
and, (2) the requirement contained in Section 6.57(c) of
the City's Administrative Code reciting false claim
provisions contained in 6.57(a) of the City's
Administrative Code. Ms. Jean Fraser, Deputy City
Attorney, advises that waiving such provisions in this
contract appear to pose minimal risk to the City.
3. The Attachment is a summary of the grant application
information form, as prepared by the DPH, for the
proposed subcontract.
4. The DPH has prepared a Disability Checklist for the
proposed grant funds, which is on file with the Clerk of
the Board of Supervisors.
5. The proposed resolution contains a provision that
authorizes the Director of Public Health to enter into
similar agreements with the University of California if
the contract recurs or is renewed.
Recommendations:
1. Amend the proposed resolution to designate the 2802
Epidemiologist I position as a "G" or "Grant-funded"
position.
BOARD OF SUPERVISORS
BUDGET ANALYST
Memo to Public Health and Environment Committee
July 22, 1999 Public Health and Environment Committee Meeting
2. Approval of the proposed resolution, as amended, is a
policy matter for the Board of Supervisors since this
resolution authorizes the Director of Public Health to
enter into similar future subcontracts with the University
of California without obtaining prior approval of the
Board of Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
4
r\ u uauj.uut.ii u
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept &. Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1 . Department: Public Health; Population Health and Prevention; Community Substance Abuse -
Services.
2. Contact Person: Alice Gleghom Telephone: 255-3722
3. Project Title: Drug Abuse Treatment on Demand Impacts in San Francisco
4. Grant Source Agency: UCSF, Institute for Health Policy Studies
5. Type of Funds: X Federal Federal-State (Pass-Through) State Local X_Private
6. Proposed (New/ Continuation^ Grant Project Summary:
The Department of Public Health, Community Substance Abuse Services, is collaborating
with UCSF, Institute for Health Policy Studies, the prime recipient of a grant from DHHS,
NIH, National Institute on Drug Abuse. The title of the project is Drug Abuse Treatment on
Demand Impacts in San Francisco . A subcontract in the amount of $87,864, will support the
activities of the designated Project Director of the grant, Alice Gleghom, Ph.D., who will be
responsible for the scientific conduct of the project, and a full-time temporary programmer.
The purpose of the project is to evaluate the impact of treatment on demand policies.
7. Amount of Grant Funding Applied for: $87,864
8. Maximum Funding Amount Available: Not applicable.
9. Required Matching Funds? Yes: No: X Cash or In-kind: $0
If yes, list dollar amount and identify source of Matching Funds in Department Budget:
10. Number of new positions created and funded: One, temporary, for the term of the subcontract
only.
1 1. If new positions are created, explain the disposition of employees once the grant ends: The
position is funded for the duration of the study only.
12. Are indirect costs eligible costs for this grant? Yes: X No:
If yes, please identify;the amount of $ in indirect costs: $9,414
6/3/99
13. Amount to be spent on contractual services: None ,:
14. a.) Will contractual services be put out to bid?: Yes: No: :N ot applicable
b.) If so, will contract services help to further the goals of the department's MBE/WBE
requirements? : Not applicable
15. Is this likely to be a one-time or ongoing request for contracting out?: One time
16. Term of Grant: Start-Date: January 1, 1999 End-Date: December 31,1999
17. Date Department Notified of Available Funds: Not applicable.
18. Grant Application Due Date: 5/12/99
19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or
appropriations legislation): This is a cost-reimbursement type contract through which the DPH
will be provided with monthly payments in receipt of the University's Subcontractor Invoice. "
All costs must be based on actual costs, with substantiating documentation. Title to equipment
acquired under this Agreement will reside with the DPH, subject to HHS right to require
transfer. Mutual indemnification is required.
20. Department Head Approval: Mitchell Katz, M.D., Director of Health
nature ^7
Signature
6/3/99
5a
Memo to Public Health and Environment Committee
July 22, 1999 Public Health and Environment Committee Meeting
;
Item 2 -File 99-1313
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Project:
Indirect Costs:
Description:
Department of Public Health (DPH)
San Francisco General Hospital (SFGH)
Resolution authorizing the Department of Public Health,
Community Health Network, to accept retroactively and
expend grant funds in the amount of $71,000 from the
California Youth Authority (CYA) for the Second Chance
Tattoo Removal Program and to enter into an Agreement
which does not include patent infringement
indemnification and false claims clauses, and waiving
indirect costs and providing for ratification of action
previously taken
$71,000
January 1, 1999 through December 31, 2001
California Youth Authority
Second Chance Tattoo Removal Program
Indirect costs are not eligible for this grant.
The Second Chance Tattoo Removal Program of San
Francisco is designed to serve youth from San Francisco
who are at risk to become involved in violent or gang-
related activity. Tattoos are often used by youth gang
members to identify gang-affiliation, and the presence of
tattoos can be used to instigate conflict between rival
gangs. The Second Chance Tattoo Removal Program is
targeted at youth who want to leave gang life but are
hampered from entering mainstream lives by the
presence of the tattoo.
The Second Chance Tattoo Removal Program makes laser
surgery available to youth, ages 13 to 24, who request
tattoo removal to leave gang-related lifestyles. In
exchange for receiving the tattoo removal services, the
youth participating in the program are required to
perform 50 hours of community service. The Program is a
partnership between San Francisco General Hospital and
the Central American Resource Center (CARECEN), a
BOARD OF SUPERVISORS
BUDGET ANALYST
6
Memo to Public Health and Environment Committee
July 22, 1999 Public Health and Environment Committee Meeting
non-profit community-based organization. SFGH will be
responsible for coordinating medical laser surgery tattoo
removal services. CARECEN will be responsible for (a)
coordinating referrals of youth to the program from
community organizations and the juvenile justice system,
and (b) supervision of the community service component
of the program.
Second Chance Tattoo Removal Program
SFGH Ambulatory Care Clinic has two four-hour laser
tattoo removal clinics per month, for a total of eight
hours. The goal of the program is to have removed, or be
in the process of removing tattoos for 455 youths by
January 31, 2000. SFGH provides $40,434 of medical
services and supplies annually to support the program.
Community Service Program
CARECEN is the lead agency for coordinating referrals to
the Second Chance Tattoo Removal Program from
community-based organizations and the juvenile justice
system. CARECEN also oversees the community service
component of the program. Youth participating in the
Tattoo Removal Program are required to perform 50
hours of community service with community-based
organizations in such areas as mentoring and/or tutoring
younger youth, and providing tattoo prevention education.
CARECEN monitors compliance with the community
service requirement.
This resolution would authorize DPH to retroactively
accept and expend funds in the amount of $71,000 from
the California Youth Authority for the Second Chance
Tattoo Removal Program. The grant funds are in the
form of equipment, consisting of one laser machine and a
two-year maintenance contract to service the machine.
Budget: 1 Laser Machine $59,000
2 Years Maintenance 12.000
Total $71,000
Required Match: None
BOARD OF SUPERVISORS
BUDGET ANALYST
7
Memo to Public Health and Environment Committee
July 22, 1999 Public Health and Environment Committee Meeting
Comments: 1. According to Ms. Gayling Gee of SFGH, SFGH has been
providing laser tattoo removal services since 1996. Prior
to receiving the subject grant in which CYA would provide
a laser machine to SFGH for use in the Second Chance
Tattoo Removal Program, SFGH rented a laser machine,
using funds donated by the San Francisco General
Hospital Foundation, a non-profit foundation dedicated to
fund-raising for Hospital projects.
Between 1996 and 1998 SFGH held approximately one
four-hour clinic each month to remove tattoos. The SFGH
Foundation provided funds for the rental cost of the laser
machine, and physicians at SFGH provided medical
services to remove the tattoos free-of-charge.
The Second Chance Tattoo Removal Program differs from
the original SFGH tattoo removal clinic that existed
between 1996 and 1998 in that (a) SFGH would incur
additional costs both for work performed by the
Registered Nurses and for materials and supplies, and (b)
the DPH would provide funds to CARECEN to coordinate
both referrals of youth and the community-service
program. (See Comment 2).
Ms. Gee advises that SFGH provides medical services and
supplies, with a value of $40,434, to the Second Chance
Tattoo Removal program as follows:
Surgeons (192 hours @ $100/hour)* $19,200
Registered Nurses (296 hours @ $35/hour) 10,360
Eligibility Worker (48 hours @ $22.50/hour)** 1,083
Medical Records Clerk
(48 hours @ $20.23/hour)** 971
Materials and Supplies ($3.50 x 2,550 visits) 8.820
Total $40,434
* Although the value of the service performed by the
surgeons is $19,200, the surgeons perform this work free-
of-charge, and SFGH incurs no additional costs.
** Ms. Gee states that the work of the Eligibility Worker
and the Medical Records Clerk to support the program
can be done with existing staff, and SFGH incurs no
additional costs.
BOARD OF SUPERVISORS
BUDGET ANALYST
8
Memo to Public Health and Environment Committee
July 22, 1999 Public Health and Environment Committee Meeting
According to Ms. Gee, SFGH does incur additional costs
for the Registered Nurses and for materials and supplies
to support the program, totaling $19,180. Such funds
have been included in the DPH FY 1999-2000 budget.
2. The Department of Public Health allocated $30,000 in
FY 1998-99 and FY 1999-2000 to CARECEN to provide
referral and community-service coordination for the
Second Chance Tattoo Removal Program. The budget for
the contract with CARECEN is as follows:
Outreach and recruitment of
community-based organizations $4,000
Outreach and recruitment of youth 9, 750
Case management services for youth 9,750
Creation of individual community
service plans for youth 6.500
Total $30,000
Ms. Monique Zmuda of DPH advises that funds for the
contract with CARECEN have been included in the
Community Health Network FY 1999-2000 budget.
3. The maintenance agreement for $12,000 is paid directly
to the maintenance vendor by the California Youth
Authority and is effective for FY 1999-2000 and FY 2000-
01. According to Ms. Gee, when the maintenance
agreement expires, the laser machine will be returned to
the CYA unless other grant funding for maintenance costs
is available.
4. Ms. Gee advises that the proposed resolution provides
for retroactivity because DPH accepted the grant award
in the form of a laser machine prior to obtaining approval
from the Board of Supervisors. According to Ms. Gee,
DPH received the award letter for the subject grant in
June of 1998 and received the laser machine on August
30, 1998. The first Second Chance Tattoo Removal
Program clinic at San Francisco General Hospital was on
September 18, 1998. Ms. Gee states that the Health
Commission Budget Committee approved acceptance and
expenditure of the award in December of 1998 and the full
Health Commission approved acceptance and expenditure
of the award in February of 1999. Ms. Gee states that
BOARD OF SUPERVISORS
BUDGET ANALYST
in
Memo to Public Health and Environment Committee
July 22, 1999 Public Health and Environment Committee Meeting
DPH was delayed in bringing the proposed resolution to
the Board of Supervisors because San Francisco General
Hospital was preparing for hospital accreditation in May
of 1999.
5. The grant agreement requires that the City waive (1)
the requirement contained in Sections 6.21 and 21.19 of
the City Administrative Code for indemnification of the
City by UCSF for the infringement of patent rights; and,
(2) the requirement contained in Section 6.57(c) of the
City's Administrative Code reciting false claim provisions
contained in 6.57(a) of the City's Administrative Code.
Ms. Jean Fraser, Deputy City Attorney, advises that
waiving such provisions in this contract appear to pose
minimal risk to the City.
6. The proposed resolution contains a provision that
authorizes the Director of Public Health to enter into
similar agreements with the California Youth Authority if
the grant recurs or is renewed.
7. The Attachment is the Grant Application Information
Form, prepared by DPH.
Recommendation: Approval of this resolution is a policy matter for the
Board of Supervisors because the resolution authorizes
the Director of Public Health to enter into similar future
agreements with the California Youth Authority without
obtaining prior approval of the Board of Supervisors.
f-/ 7 ^
Harvey M. Rose
cc: Supervisor Bierman Supervisor Teng
Supervisor Brown Supervisor Yee
Supervisor Yaki Clerk of the Board
President Ammiano Controller
Supervisor Becerril Legislative Analyst
Supervisor Katz Matthew Hymel
Supervisor Kaufman Stephen Kawa
Supervisor Leno Ted Lakey
Supervisor Newsom
BOARD OF SUPERVISORS
BUDGET ANALYST
10
Attachment
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To:The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1 . Department: Department of Public Health, Community Health Network, Specialty and
Diagnostic Services
2. Contact Person: Gayling Gee Telephone: 206-3528
3. Project Title: Second Chance Tattoo Removal Program
4. Grant Source Agency: California Youth Authority, Office of Prevention and Victims Services
5. Type of Funds:_ Federal __ Federal-State (Pass-Through) X_State Local Private
6. Proposed (New/Continuation) Grant Project Summary: The Second Chance Tattoo Removal
Program of San Francisco is designed to serve high-risk youth from San Francisco through the
network of Partner Agencies who work with the ethnically diverse youth of our communities.
These Partner Agencies will be coordinated by the CARECEN (Central American Youth
Center), on behalf of the Mission District Community Peace Initiative which is dedicated to
preventing youth violence and to helping youth move out of gang-related lifestyles and into
mainstream society. San Francisco General Hospital Medical Center has opted to contribute all
health professional services, clinic support services, supplies and clinic space for this effort.
7. Amount of Grant Funding Applied for. S7 1.000
8. Maximum Funding Amount Available: $71.000
9. Required Matching Funds? Yes: No: X Cash or In-kind:
If yes, list dollar amount and identify source of Matching Funds in Department Budget:
10. Number of new positions created and funded:
1 1. If new positions are created, explain the disposition of employees once the grant ends: ? N/A
12. Are indirect costs eligible costs for this grant? Yes: No:JX
If yes, please identify the amount of $ in indirect costs: ?
13. Amount to be spent on contractual services: SO
1/29/99
grtapplicform
11
14. a.) Will contractual services be put out to bid? N/A
b.) If so, will contract services help to further the goals of the department's MBE/WBE
requirements? : N/A
15. Is this likely to be a one-time or ongoing request for contracting out?: N/A
16. Term of Grant: Start-Date: 1/1/99 End-Date: 12/31/01
17. Date Department Notified of Available Funds: 2/23/98
18. Grant Application Due Date: 4/3/98
19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or
appropriations legislation): The SFGHMC shall have no obligation to pay Youth Authority
any rental payments or any other payments for the use of the Equipment At all times title to
Equipment shall remain solely in the Youth Authority. The Youth Authority shall be
responsible for normal maintenance and service of the Equipment. The Youth Authority
shall also be responsible for all costs and initial installation and removal of Equipment upon
termination of this agreement
20. Department Head Approval:
Mitchell Katz, M.D., Director of Health
Signature
1/29/99
grtapplicform
12
(
c
City and County of San Francisco
Meeting Minutes
Public Health and Environment Committee
Members: Supervisors Sue Merman, Amos Brown and Michael Yaki
Clerk: Gregoire Hobson
City Hall
1 Dr. Carlton B.
Goodlett Place
San Francisco, CA
94102^689
Thursday, August 12, 1999
1:00 PM
Regular Meeting
City Hall, Room 263
Members Present: Sue Bierman, Amos Brown, Michael Yaki.
Meeting Convened
The meeting convened at 1:18 P.M.
REGULAR AGENDA
DOCUMENTS DEPT.
AUG 1 9 1999
SAN FRANCISCO
PUBLIC LIBRARY
991451 [State Grant: Funds to be used for recycling cans and bottles at San Francisco's public and private
schools to comply with Assembly Bill 939.]
Resolution authorizing the Solid Waste Management Program to accept and expend $41,650 from the
California Department of Conservation; waiving indirect costs. (Administrative Services Department)
7/21/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speaker: Cythina Teng, Senior Administrator, Solid Waste Mangement.
RECOMMENDED., by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
991530 [State grant funds to reimburse the Public Health Department for indigent health care services to San
Francisco residents]
Resolution authorizing the Department of Public Health to accept and expend retroactively a grant allocation
of up to $4,910,208 for fiscal year 1999-2000 funding from the State Department of Health Services for
California Healthcare for Indigents Program (CHIP) funds for medical services to indigent persons,
professional services, medical services contracts, materials and supplies, facilities rental, personal services and
indirect costs in the amount of $60,541, based on 1 1.3% of administrative and fiscal intermediary costs.
(Department of Public Health)
8/4/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared for
the August 12, 1999 meeting.
Heard in Committee. Speakers: Jeffery Leong, Department of Public Health: Debra Campbell, Budget
analyst. Amended. Replace "$4,910,208" wherever it appears with "$4,860,674.
AMENDED.
City and County of San Francisco
Printed at 11:22 AM on 8/18/99
Public Health and Environment Committee Meeting Minutes August 12, 1999
Resolution authorizing the Department of Public Health to accept and expend retroactively a grant allocation
of up to $4,860,674 for fiscal year 1999-2000 funding from the State Department of Health Services for
California Healthcare for Indigents Program (CHIP) funds for medical services to indigent persons,
professional services, medical services contracts, materials and supplies, facilities rental, personal services and
indirect costs in the amount of $60,541, based on 1 1.3% of administrative and fiscal intermediary costs.
(Department of Public Health)
RECOMMENDED AS AMENDED., by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
991 109 [Massage Establishments and Massage Services]
Supervisors Ammiano, Yee, Leno
Ordinance amending Police Code by repealing Article 27, Section 2700 to 2737, inclusive, authorizing the
Chief of Police to regulate massage establishments and massage services; and amending Health Code by
adding Article 28, Sections 1800 to 1828, inclusive, authorizing the Director of Public Health to regulate
massage establishments and massage services, setting new criteria for the issuance and revocation of massage
permits, changing certain operating requirements of massage establishments, setting new penalties for
violation of massage provisions, and continuing an application fee, an identification card fee and a permit fee.
(Repeals Police Code, Article 27, Section 2700 to 2737; Adds Health Code, Article 28, Sections 1800 to 1828.)
6/1/99, ASSIGNED UNDER 30 DAY RULE to Housing and Social Policy Committee, expires on 7/1/1999.
7/7/99, TRANSFERRED to Public Health and Environment Committee. Sponsor requests this item be scheduled at the August 12, 1999
meeting.
7/9/99 - Supervisor Leno requested to be added as a co-sponsor.
Heard in Committee. Speakers: Dr. Mitchell Katz, Director of Health, Department of Public Health; Dr. Jeff
Klausner, Director, STD, Department of Public Health; Dr. Rajiv Bhatia, Medical Director, Occupational and
Environmental Health, Department of Public Health; Captain John Erlich, Police Department; Johnna Beyer;
Maxine Duggan; Leroy Leftcourt; Dawn Pisar, Health Educator; Dr. Carl Gilligan; Tamara Ching; Allison
Ross, Ad Hoc Coalition for Therapeutic Masssage and Bodywork; Michelle Aldrich; Rod Cotton, California
Inter-Fitness; Stephen Chang, Ad Hoc Coalition for Therapeutic Masssage and Bodywork; Frederick Hobson;
Terri Goodson; Lance Bayer; Mike Ege, City Democratic Club; Daisey; Isabelle Currtin; Stacy DeGooyer, Ad
Hoc Coalition for Therapeutic Masssage and Bodywork; Kevin Minney, Ad Hoc Coalition for Therapeutic
Masssage and Bodywork; Kerian Kay; Colin Hagerstrand; David Palmer, Co-Chair, Ad Hoc Coalition for
Therapeutic Masssage and Bodywork; Ethan Willard; Mann Mannix; Erik Beavers; Irene Diamond.
Amendment of the Whole bearing the same title presented and adopted in Committee.
AMENDED, AN AMENDMENT OF THE WHOLE BEARING SAME TITLE.
Ordinance amending Police Code by repealing Article 27, Section 2700 to 2737, inclusive, authorizing the
Chief of Police to regulate massage establishments and massage services; and amending Health Code by
adding Article 28, Sections 1800 to 1828, inclusive, authorzing the Director of Public Helath to regulate
massage establishments and massage services, setting new criteria for the issuance and revocation of massage
permits, changing certain operating requirements of massage establshments, setting new penalties for violation
of massage provisions, and continuing an application fee, an identification card fee and a permit fee.
(Repeals Police Code, Article 27, Section 2700 to 2737; Adds Health Code, Article 28, Sections 1800 to 1828.)
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 2 - Bierman, Yaki
Absent: 1 - Brown
City and County of San Francisco 2 Printed at 11:22 AM on 8/18/99
Public Health and Environment Committee
Meeting Minutes
August 12, 1999
981222 [Methadone Access Waiver]
Supervisor Newsom
Hearing to consider the status of the City's efforts to establish a methadone access waiver, to examine progress
and to identify and formulate next steps.
7/20/98, RECEIVED AND ASSIGNED to Health, Family, and Environment Committee.
1/19/99, FILED PURSUANT TO RULE 5.37.
6/21/99, REACTIVATED PURSUANT TO RULE 5.25.
6/21/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Barbara Hersey, Department of Public Health; Hermina Blaloseon,
Department of Public Health, Redy Somke, M.D.; Steve Highly, San Francisco Medical Society; Daniel
Abrahamson; Sylvester Flowers; Michelle Aldrich; Frederick Hobson; Tracy Helton, SAGE Project; Dr.
David Hirst; Ellen Klump.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
990217 [Hepatitis C Prevention, Education, Testing]
Supervisor Newsom
Resolution directing the Department of Public Health to develop a plan of action to expand and coordinate
efforts for Hepatitis C prevention, education and testing and to provide a status update to the Board withinin
three months.
2/8/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Tomas Aragon, Department of Public Health; Alan Francisus, Hepatitis C
Support Project; Daniel Abrahamson; Brian Klein, Hepatitis C Action and Advocacy Coalition; Dr. Reda
Sobsky; Rachel McLean, Haight Ashbury Youth Outreach Team; Larry Dow; Steve Highly, San Francisco
Medical Society. Amendment of the whole bearing new title presented in Committee and adopted.
AMENDED.
Resolution directing the Department of Public Health to coordinate with local, state, and federal efforts for
Hepatitis C prevention, eduction, and testing and to provide a status update to the Board of Supervisors within
three months.
RECOMMENDED AS AMENDED by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
991114 [Y2K Needs Assessment]
Supervisor Yaki
Hearing to consider a basic needs assessment for the residents of the City and County of San Francisco for
Y2K; specifically water, electricity, gas, supermarket supplies and bank readiness, among others.
6/1/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Continued to September 23, 1999.
CONTINUED by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
ADJOURNMENT
Meeting adjourned at 4:39 P.M.
City and County of San Francisco
Printed at 11:22 AM on 8/18/99
■th
f
3
Public Library,Gov't Info. Ctr., 5 in Fir.
Attn: Susan Horn
CITY AND COUNTY
Si OF SAN FRANCISCO
s
.BOARD OF SUPERVISORS
BUDGET ANALYST
1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642
FAX (415) 252-0461
August 10, 1999
TO: ^Public Health and Environment Committee
FROM: JSudget Analyst
SUBJECT: August 12, 1999 Public Health and Environment Committee Meeting
Item 1- File 99-1451
Department:
Item:
Grant Amount:
Source of Funds:
Grant Period:
Indirect Costs:
Description:
DOCUMENTS DEPT.
AUG 1 1 1999
SAN FRANCISCO
PUBLIC LIBRARY
Solid Waste Management Program
Resolution authorizing the Solid Waste Management
Program to accept and expend $41,650 from the
California Department of Conservation to be used for
recycling cans and bottles at public arid private schools.
$41,650
California Department of Conservation
June 1, 1999 through September 30, 2000
The Department of Conservation does not allow for the
inclusion of indirect costs
The San Francisco Recycling Program (SFRP) was
established by the Solid Waste Management Program
(SWMP) in 1991 to promote the recycling efforts of San
Francisco residents. The recycling program was set up in
response to the Integrated Waste Management Act
(Assembly Bill 939), enacted by the California State
Legislature in 1989, requiring that, by the year 2000,
Memo to Public Health and Environment Committee
August 12, 1999 Public Health and Environment Committee Meeting
California counties reduce fifty percent of their solid
waste that would be sent to landfills by implementing
recycling and waste reduction programs.
San Francisco produces 7.5 pounds of waste and
recyclables per person per day, compared to a national
average of five pounds per person per day. Furthermore,
San Francisco has no municipal landfill space within the
City limits and relies upon landfill space at Altamont
Landfill in Alameda County to meet the City's solid waste
disposal needs. The current long-term landfill contract
with Waste Management, Inc., the landfill operator,
requires that San Francisco maintain a higher rate of
recycling than Alameda County. To meet this objective
and to preserve and extend landfill capacity, the San
Francisco Recycling Program has implemented policies
and programs to reduce waste disposal.
The Sustainability Plan for San Francisco, a plan for San
Francisco's long-term environmental sustainability
drafted by a collaboration between the City and
community organizations and approved by the Board of
Supervisors in July of 1997, proposed increasing the use
of hands-on environmental education in schools to
promote the value of natural resources and the need for
waste prevention and recycling. SFRP has worked with
the San Francisco Unified School District for the past ten
years to promote recycling efforts in the schools, by
providing free recycling bins, class presentations, school
assembly programs, and field trips. Nearly all of the 255
schools in San Francisco now have paper recycling
programs, and a few schools have programs to recycle
beverage containers. The San Francisco Unified School
District estimates that the District's nutrition services
sell 684,000 single-serve beverage containers each school
year and an additional number of containers are
purchased in school soda machines or brought to school
from off-campus.
The proposed resolution would authorize the San
Francisco Recycling Program to accept a $41,650 grant
from the California Department of Conservation to be
used to promote recycling of beverage cans and bottles in
all San Francisco middle and high schools.
BOARD OF SUPERVISORS
BUDGET ANALYST
2
Memo to Public Health and Environment Committee
August 12, 1999 Public Health and Environment Committee Meeting
Budget:
Required Match:
Source of Matching
Funds:
Comments:
The proposed budget for the subject grant funds is as
follows:
Technical Assistant
(1000 hours @ $20/hour)
Recycling bins (256 bins @ $62.50/bin)
Bin labels
Promotional materials (posters, tee-shirts
and awards to schools that promote
recycling)
Total
$50,800
$20,000
16,000
150
5.500
$41,650
FY 1999-2000 Solid Waste Management Program budget,
as approved by the Board of Supervisors
1. Ms. Natasha Stillman of SFRP states that the
Technical Assistant would coordinate the development
and implementation of the school-based beverage
container recycling project. According to Ms. Stillman, in
June of 1998 SFRP used grant funds provided by the
Goldman Foundation to hire a Technical Assistant for the
purpose of offering technical assistance to the schools to
promote increased paper recycling in the schools. At that
time SFRP issued a formal announcement for recruitment
of the Technical Assistant, who was hired as a
subcontractor by a private firm, Barnes-Clark, which had
a professional services contract with the SFRP to provide
outreach and educational support for neighborhood
promote recycling. SFRP reimbursed
using the Goldman Foundation grant
services of the Technical Assistant in
and developing the paper recycling
program in the schools. Ms. Stillman reports that SFRP
intends to hire the same Technical Assistant to coordinate
the implementation and development of the school-based
beverage container recycling project, using the subject
grant funds, and that the Technical Assistant would be
hired as a subcontractor by Davis and Associates, the
private firm which has been awarded a three-year
professional services contract, effective July of 1999, by
the Solid Waste Management Program, following a
BOARD OF SUPERVISORS
BUDGET ANALYST
3
campaigns to
Barnes-Clark,
funds, for the
implementing
Memo to Public Health and Environment Committee
August 12, 1999 Public Health and Environment Committee Meeting
competitive bid selection process, for the purpose of
assisting the SWMP Public Outreach Coordinator in the
design and implementation of promotional and
educational campaigns to promote solid waste recycling,
and other forms of waste reduction and management. The
Technical Assistant would be directly supervised by the
SFKP School Education Recycling Coordinator, and Davis
and Associates would be reimbursed on a work-order
basis by SFRP, using the subject grant funds, for tasks
performed for SFRP by the Technical Assistant to support
the school-based beverage container recycling program.
2. According to Ms. Stillman, the California Department
of Conservation notified SFRP of the grant award in July
of 1999. Ms. Stillman advises that no funds have been
expended.
3. The budget for the SFRP matching funds is as follows:
Technical Assistant travel expenses
(reimbursement for mileage and parking) $ 800
Earth Corps program 5,000
School Education Recycling Coordinator
(231.67 hours @ $25.9 per hour) 6,000
Assembly programs 20,000
Field trips 7,500
Promotional materials 11.500
Total $50,800
Attachment I is a memorandum, provided by the SFRP,
summarizing the budget for the required match of
$50,800. Ms. Stillman states that the matching funds
detailed in the table above have been included in the FY
1999-2000 SWMP budget.
4. Attachment II is the Grant Application Information
Form, prepared by the Department.
5. The Department has prepared a Disability Access
Checklist, which is on file with the Clerk of the Board of
Supervisors.
Recommendation: Approve the proposed resolution.
BOARD OF SUPERVISORS
BUDGET ANALYST
4
'~COLa~
I— / •«- '— — ^ tr.
/Si. \f\
Paee 1 or 2
SOLID WASTE MANAGEMENT PROGRAM
RECYCLING PROGRAM • HAZARDOUS WASTE MANAGEMENT PROGRAM
WILLIE L. BROWN, JR.
Mayor
PAUL V. HORCHER
Director
DATE:
TO:
FROM:
RE:
MEMORANDUM
August 4, 1999
Harvey Rose, Budget Analyst
Natasha Stillman, Recycling Program
Matching Funds Budget- School
Recycling Grant
The California Department of Conservation awarded a $41,650 grant to the Solid Waste
Management Program to improve waste reduction efforts in San Francisco schools. The
following is a detailed description of the budget for the proposed matching funds.
Contractor travel expenses (reimbursement for mileage and parking)
S800
Earth Corps program
$5,000
School Education Recycling Coordinator
(231.67 hours @ S25.9 per hour)
S6,000
Assembly programs
S20,000
Field trips
S7.500
Promotional materials
SI 1.500
Total
S50.800
1 . Earth corps is a high school leadership training program. The Recycling Program will
be working with several of these students this school year. Some of their time will be
spent promoting the "Join the Challenge, Recycle More" campaign and contest that are
part of this grant agreement.
1 145 Market Street, Suite 401, San Francisco, CA 94103 - www.sfrecycle.org www.sfhazwaste.org
Phone: (415) 554-3400 Fax: (415) 554-3434 - email: sfrecycle@ci.sf.ca.us
Printed on Recycled Paper
fage Z or 2
2. We currently have a professional sendees contract to conduct 50 informative and
entertaining elementary school assembly programs each year. We would be willing to
dedicate another S20,000 toward the development of a new assembly program for
middle and high schools. This program could offer an estimated 40 performances at
these schools.
3. We already sponsor a field trip program for which we will dedicate S7.500 to include
middle and high schools. These educational field trips take students on a trip through
the transfer station to see what happens to their garbage and recyclables, and to
emphasize the importance of waste reduction.
4. Budset for Promotional Materials
Shoe laces made from recycled plastics S2,000
Pencils made from recycled newspapers SI. 200
Promotional stickers S2,500
Promotional banners S2.300
Space in SFRP's school newsletter S2.000
Award ceremony to honor contest winners $1,500
Total SI 1.500
I hope that this information is clear and sufficient. If you have any questions, or require
any additional materials, please feel free to contact me at 554-3422.
CC: Severin Campbell, Budget Analyst
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept &. Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1 . Department: Solid Waste Management Program
2. Contact Person: Karasha sr-nwr) Telephone: 554-3422
3. Project Title: School Recycling
4. Grant Source Agency: California Department of Conservation
5. Type uf Funds: Federal Federal-State (Pass-Through) _f_ State Local Private
6. Proposed (New / Continuation) Grant Project Summary:
The grant provides funds for labor and supplies to help increase diversion of
plastic, glass, and aluminum from school waste streams, vith an emphasis on
San Francisco's public and private middle and high schools.
7. Amount of Grant Funding Applied for: ?66,650
8. Maximum Funding .Amount Available: Offered $41,650
9. Required Matching Funds? Yes: _f_ No: / Cash or In-kind? Ip - kind
(Implicitly)
If yes, list dollar amount and identify source of Matching Funds in Department Budget:
$6,000- administration; $44,800- professional services/materials and serv ices
10. Number of new positions created and funded:
1 1. If new positions are created, explain the disposition of employees once the grant ends?
Memo to Public Health and Environment Committee
August 12, 1999 Public Health and Environment Committee Meeting
Item 2 - File 99-1530
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Description:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health
to accept and expend retroactively a grant allocation of up
to $4,910,208 for Fiscal Year 1999-2000 funding from the
State Department of Health Services for California
Healthcare for Indigents Program (CHIP) funds for
medical services to indigent persons, professional
services, medical services contracts, materials and
supplies, facilities rental, personal services, and indirect
costs in the amount of $60,541, based on 11.3% of
administrative and fiscal intermediary costs.
Up to $4,910,208
July 1, 1999 though June 30, 2000
State Department of Health Service, California
Healthcare for Indigents Program
The California Healthcare for Indigents Program (CHIP)
was established by the State Department of Health
Services (DBS) in 1989 to provide funds to the counties to
pay for medical sendees for indigent persons, who are not
eligible for other private or public healthcare programs.
CHIP is funded by Proposition 99 (Tobacco Tax) money.
The counties are able to use CHIP funds to reimburse
both county and non-county providers for uncompensated
services for indigent persons who can not otherwise pay
for the cost of care.
CHIP funds are used to reimburse (a) participating
county and non-county hospitals for inpatient, outpatient
and emergency services, and (b) participating private
physicians for emergency, obstetric and pediatric services
provided to indigent persons. San Francisco is one of
twenty-four counties that annually receive CHIP funds to
administer directfy. To receive CHIP funds from DHS,
the City and County of San Francisco must agree to:
(a) maintain its own level of funding for healthcare
services,
BOARD OF SUPERVISORS
BUDGET ANALYST
8
Memo to Public Health and Environment Committee
August 12, 1999 Public Health and Environment Committee Meeting
(b) provide DHS data on the amount and type of medical
services used by medically indigent persons and on
the amount of reimbursement payments to providers
who care for the medically indigent, and
(c) provide to children any follow-up medical treatment,
including prescription drugs and dental care, that is
determined to be medically-necessary by a public or
private healthcare provider who has been certified by
the State to provide medical screening to children as
part of the State's Child Health and Disability
Prevention program.
The proposed resolution would allow the Department of
Public Health to retroactively accept and expend
California Healthcare for Indigents Program grant funds
up to $4,910,208 for Fiscal Year 1999-2000 from the State
Department of Health Services.
However, as explained in Comment 6, the FY 1999-2000
DPH budget includes CHIP funding in the amount of
$7,961,916, or $3,101,242 more than the actual allocation
of $4,860,674, which has been revised downward by the
State from the original amount of $4,910,208 (Comment
1).
Budget: A summary budget for the revised grant amount of
$4,860,674 is as follows:
Professional Services
$ 143,797
Medical Service Contract
534,568
Revenue Transfer to San Francisco
General Hospital
3,730,599
Revenue Transfer for City
Administrative Costs
391,169
Revenue Transfer for City
Overhead
60.541
Total $4,860,674
Indirect Costs: Indirect costs of $60,541, or 11.3 percent of administrative
and fiscal intermediary costs totaling $534,966 (comprised
of $391,169 for City administrative costs and $143,797 for
Professional Services paid to Lifemark, Inc. for fiscal
BOARD OF SUPERVISORS
BUDGET ANALYST
9
Memo to Public Health and Environment Committee
August 12, 1999 Public Health and Environment Committee Meeting
intermediary services) will be funded by the granting
agency.
Comment: 1. A detailed budget is shown in Attachment I. According
to Mr. Jeffrey Leong of DPH, the numerical value of
$4,860,674 in the attached budget differs from the
numerical value of $4,910,208 submitted in the proposed
resolution, because the State has revised the amount of
the allocation to be given to the City and County of San
Francisco, based on a change in the actual amount of
Tobacco Tax revenues to be allocated to the counties.
Therefore, the proposed resolution should be amended to
reflect the revised amount of CHIP funding.
2. Mr. Leong states that DHS requires that the County
have authority from the Board of Supervisors to accept
and expend the grant funds as part of the grant
application process. DHS also requires that the County
present a Description of Proposed Expenditure of
California Healthcare for Indigents Program (CHIP)
Funds for FY 1999-2000 by December 15, 1999, which will
be submitted for Board of Supervisors' approval prior to
December 15, 1999.
3. The revised amount of CHIP funds allocated to San
Francisco for FY 1999-2000 of $4,860,674 (see Comment
1), are $3,361,875, or 41 percent less, than the FY 1998-99
CHIP funds allocated to San Francisco in the amount of
$8,222,549. According to DHS, two factors contributing to
the decrease in CHIP funding are (a) reductions in the
estimated Tobacco Tax revenue to be collected by the
State from $539,000,000 to $390,000,000, and (b) changes
in the California FY 1999-2000 budget that diverts
Tobacco Tax funds away from the CHIP-funded county
services to fund other State health programs.
4. Mr. Leong reports that $143,797 is budgeted for
Professional Services and is paid to Lifemark,
Incorporated, for a professional services contract to
process medical claims for reimbursement from private
hospitals and plrysicians, using CHIP funds. Mr. Leong
states that the amount budgeted in FY 1999-2000 for
Professional Services is unchanged from the FY 1998-99
budget because the number of medical claims from
BOARD OF SUPERVISORS
BUDGET ANALYST
10
Memo to Public Health and Environment Committee
August 12, 1999 Public Health and Environment Committee Meeting
private hospitals and physicians is not expected to
decrease even though the amount of CHIP funding is
reduced, and that each claim will be paid, but at a lower
reimbursement rate.
5. Attachment II, provided by DPH, contains the
Department's explanation that the FY 1999-2000 budget
for administrative costs, which total $451,710 and are
shown in the budget as revenue transfers for City
administrative costs and overhead, remains unchanged
from FY 1998-99, although the County's allocation of
CHIP funds received from the State in FY 1999-2000 is
reduced from the County's CHIP allocation in FY 1998-99.
6. Ms. Monique Zmuda of DPH reports that the
Department budgeted $7,961,916 in the FY 1999-2000
DPH budget, based on an anticipated State allocation of
CHIP funds to the County in that amount. However, the
actual State allocation of CHIP funds to the County in FY
1999-2000, in the amount of $4,860,674, is $3,101,242 less
than the budgeted amount of $7,961,916. Therefore,
according to Ms. Zmuda, the Department of Public Health
will experience a $3.1 million shortfall in its FY 1999-
2000 budget, $2.7 million of which has been allocated to
San Francisco General Hospital. Ms. Ann Carey of the
Controller's Office reports that the City expects an
additional estimated $4,000,000 to $5,000,000 in funds
will become available from the State's County Assistance
Program and other State funding sources that can be used
to offset the shortfall created by the decreased allocation
of CHIP funds.
BOARD OF SUPERVISORS
BUDGET ANALYST
11
Memo to Public Health and Environment Committee
August 12, 1999 Public Health and Environment Committee Meeting
Recommendations:
1. Amend the proposed resolution to reflect the actual
State allocation of CHIP funds for FY 1999-2000 in the
amount of $4,860,674, in accordance with Comment 1.
2. Approve the resolution as amended.
/Harvey M. Rose
cc: Supervisor Bierman
Supervisor Brown
Supervisor Yaki
President Ammiano
Supervisor Becerril
Supervisor Katz
Supervisor Kaufman
Supervisor Leno
Supervisor Newsom
Supervisor Teng
Supervisor Yee
Clerk of the Board
Controller
Legislative Analyst
Matthew Hymel
Stephen Kawa
Ted Lakey
BOARD OF SUPERVISORS
BUDGET ANALYST
1Z
City and County of San Francisco
p£Ei~T~or~T~
Department of Public Health
Au2ust6. 1999
Ms. Gloria L. Young
Clerk of the Board of Supervisors
401 Van Ness Avenue, Room 308
San Francisco, CA 94102
Dear Ms. Young:
Attached are replacement budget tables for the FY 1999-00 CHIP application packet. The
Department of Public Health is requesting authorization from the Board of Supervisors to accept
and expend a grant allocation from the State Department of Health Services, through its California
Healthcare for Indigents Program (CHIP), to provide indigent health care services to residents of
San Francisco. The authorization resolution has been calendared for the Thursday, August 12
meeting of the Public Health and Environment Committee, File No. 991530.
The replacement budget tables have been prepared according to the final FY 1999-00 CHIP
allocation figures, made available by the State on Monday, August 2. The original CHIP
application packet contained tables based upon estimated amounts, prior to receiving the final CHIP
allocation.
If you have any questions, please call Jeff Leong of my staff at: (415) 554-9162.
Sincerely,
flytM &
Mitch H. Katz, M.D.
Director of Health
cc: Controller's Office
Mayor's Office
DPH Grants
Board of Supervisors Budget Analysts
AB 75 Project
1540 Market Street - Suite 220
13
San Francisco, CA 94102
^age 2 or 3
FY 1999-00 AB 75/CHIP REVENUES I EXPENDITURES
AB 75 Project, SF Dept. of Public Health
(Phase D, Revised as per State Allocation)
AS 75/cn:
P Funas
i
. Sub" :
: ; s; County
■Non-County-: ■
:-:;Non-County-v;
■piiys - Svcs .
Phys. 5vcs.
Other Cry.
Wtt$M£m-::\
object':
Description
Hospital
Hosp.-Form.
Hosd. -Access
EMS Fund
Uetf Cont-
Hlth. Svcs.
Total j
Revenues:
AB 75
4,068,673
127.435
127,435
163,176
163,176
210,579
4,860,674
Expenditures:
1001
Professional Services
14,018
16,318
16,318
97,143
143,797
1010
Medical Service Contract
127.435
113,417
146,858
146,858
534,568
4900
Revenue Transfer to SFGH
3,620,142
110,457
3,730,599
4900
Rev. Trans, to CO-Arinrin.
391,169
391,169
4900
Rev. Trans, to CO-Over.
Total:
57,562
2,979
60,541
4,068,873
127.435
127,435
163,176
163.176
210,579
4,860,674
Direct Services Share
0.890
1.000
0.890
0.900
0.900
0.525
0.877
Notes:
1) Share of revenues allocated to direct services is different from FY 9B-99: County Hospital - .8897162,
Other County Health Services - .5245395, Non-County Hospital Access - .89, and Physician Services EMS Fund
and New Contracts
.90.
2) Share of revenues allocated to administrative costs is different from FY 98-99.
3) Revenue transfer to CO-Overhead calculated at rate of 0.0141469 of County Hospital and Other County Health
Services revenues, which is different from rate used in FY 9B-99.
4) Sources for payment of CHDP Treatment Mandate services are
may not be used to pay for CHDP Treatment Mandate services.
monies reserved to pay for CHDP Treatment Mandate services, nunm ..«.. ~^..< -». r ~, .-. .. ~- -.„,.....
Mandate services may be used to pay for any other physician services offered by the CHIP Physician Program.
as follows: Physician Services EMS Fund
Physician Services New Contracts -
Monies not spent to pay for CHDP Treatment
F:CHPB99-6
2B-Jul-99
14
FY 1999-00 AE 75 PROJECT BUDGET
AB 75 Project, SF Dept. of Public health
(Pnese D, Original Board-Approved)
Attachment I
i^age 3 or 3
Annuat .
m>Wim
OE CS
C Class £ Title
DescriDtion
Salary
■ FTE
pppy
Amount
00100
PERMANENT SALARIES
1426
Sr. Clerk Typist
Clerk Typist-AB 75
39,621
1.00
1.00
39,621
1632
Sr. Account Clerk
Account Clerk-Fiscal
39,621
1.00
1.00
39,620
1654
Prin. Accountant
Accountant
59,965
1.00
1.00
59,965
1824
Prin. Admin. Analyst
Project Coordinator
75,438
1.00
1.00
75,438
1823
Sr. Admin. Analyst
Project Analyst
64,551
1.00
1.00
64,551
258B
Health Uorker IV
CHDP Case Manager
50,564
0.50
1.00
25,282
2992
Cont. Comp. Offer. 1
Step Adjustment
Attri tion
Contracts Analyst
63,288
0.25
-0.17
1.00
15,822
(27,989)
(8,846)
Note
01301
01371
01401
014C2
01501
C1571
01601
01701
01912
Net Perm. Salaries:
5.58
MANDATORY FRINGE BENEFITS
Retirement City Miscellaneous
Retirement Pick Up
FICA Tax S 6.20% of Permanent Salaries Max S60,600
FICA Medicare a 1.45X of Permanent Salaries Max $125,000
health Service S 52,096.00 per Employee
Health Service Pick Up-Miscellaneous
Dental Coverage 2 S860.52 per Employee
Unemployment Insurance 2 0.175*/. of Permanent Salaries
Lone Term Disability Insurance S 0.42 of Permanent Salaries
283,464
23,294
17,198
4,124
12,053
7,533
4,948
481
1,244
Assigned PT (Katrina Ramirez, AB 75)
TX'd 1426 (Anna Cosmides, Fiscal)
Assigned (Rudy Solis, Fiscal)
Assigned (Jeffrey Leong, AB 75)
Assigned (Michele Sampogna, AB 75)
TX'd 2587 HU III (Sandra Gomez, AB 75)
Assigned (Judy Matranga, Contracts)
(1426(6, 474)/1623(11,098)/25B7(3, 523))
(1426(7,924)71823(922))
Mand. Fringe Benefits:
70,675 Total Personnel:
354,339
G2019 DEPARTMENT OVERHEAD
C2100 TRAVEL - BUDGET
D2200 TRAINING - BUDGET
02300 EMPLOYEE FIELD EXPENSES - BUDGET
02900 MAI NT SVCS - EQUIPMENT - BUDGET
03000 RENTS/LEASES - BUILDINGS & STRUCTURES
03500 OTHER CURRENT EXPENSES - BUDGET
04000 MATERIALS £ SUPPLIES - BUDGET
0B1ET Gr-DET-TELEPHONE (AAO)
60,541
300
500
100
15,625
GET
10,000
4,410
3,395
2,500
Operating Costs:
97,371
Total Expenditures:
$451,710
Overhead to City Hall-60,541
Travel -300
Staff Develpt. & Training-500
Mileage-80; Tolls & Parking-20
Computer Prog. Support from MlS-15,625
Rent Contribution for 1540 Market-10,000
Postage-500; Printing-500; Copy Machine-
3,000; Office Equipment-410
Off Sppls- 1,775; Dat P res - 725 ;F urn- 895
Telephone Services for 1540 Market-2,500
F:PRJB99
21-Jul-99
15
Attachment II
"ity and County of San Francisco Department of Public Health
MEMORANDUM
DATE: August 6, 1999
TO: Harvey Rose, Board of Supervisors Budget Analyst
FROM: Jeffrey Leong, AB 75 Coordinator
RE: Administrative Costs for FY 1999-00 CHIP Program
The Department of Public Health (DPH) expects a significant reduction in its California Healthcare
for Indigents Program (CHIP) funds for FY 1999-00. The estimated reduction in overall CHIP
funds as compared with budgeted FY 1999-00 figures is approximately $3.1 million. These
reductions apply to funding for programs at San Francisco General Hospital and eight private
hospitals and with private physicians who serve the indigent population of San Francisco. The
Department anticipates that alternative State funds will be used in FY 1999-00 to back fill the loss
of CHIP funding.
DPH has carefully reviewed its administrative program in light of the above situation. Please note
that the State has not eliminated nor reduced any of its grant administrative requirements, including
quarterly and annual Medically Indigent Care Reporting System (M1CRS) data reports and the
CHDP Treatment Mandate. Also that claims processing for private hospitals and physicians will
remain at the same volume for FY 1999-00, as providers, who bill 6 months in arrears, will not
realize the impact of reduced claims payments until later in the fiscal year. As such, the overall
administrative workload for FY 1999-00 will remain the same as in the prior year.
We are actively planning for the FY 2000-01 program, looking at opportunities to restructure both
the program's services delivery and administrative components. Towards this end, we will be:
1) researching the feasibility of conducting claims processing and adjudication activities in-
house, without the use of an outside fiscal intermediary.
2) reviewing State and local policies for the CHIP Hospital and Physician programs to
simplify claims processing and payment, and pursuing State changes to reporting
requirements.
3) reviewing all personnel roles and responsibilities to consolidate assignments, if State
reporting requirements are reduced, and areas not directly related to core program
functions.
We believe that, if successful in implementing these changes, with the completion of FY 2000-01,
we can provide more cost effective administrative services for the CHIP program without disrupting
services to the indigent population of San Francisco.
\B 75 Project 1540 Market Street - Suite 220 San Francisco, CA 94102
16
D.&O
3/11
City and County of £an Francisco
Meeting Minutes
Public Health and Environment Committee
Members: Supervisors Sue Bierman, Amos Brown and Michael Yaki
Clerk: Gregoire Hobson
City Hall
1 Dr. Carlton B.
Goodlett Place
San Francisco, CA
94102^689
Thursday, September 23, 1999
1:00 PM
Regular Meeting
City Hall, Room 263
Members Present: Sue Bierman, Amos Brown, Michael Yaki.
DOCUMENTS DEPT.
Meeting Convened
SEP 2 7
SAN FRANCISCO
PUBLIC LIBRARY
The meeting convened at 1:06 P.M.
991528 [State grant funds for Public Health's long-term care services for frail elderly and disabled adults in San
Francisco]
Resolution authorizing the Department of Public Health, Central Administration, to accept retroactively and
expend a grant in the amount of $50,000 from the State Office of Long Term Care for the Long Term Care
Integration Project and to enter into an agreement which includes an indemnification clause and rights in data
clauses, and does not include patent infringement indemnification and false claims clauses. (Department of
Public Health)
8/4/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared for the
September 23, 1999 meeting.
Heard in Committee. Speakers: Sovern Camb, Budget Analyst Office; Tangeria Ritter, Dept. of Health
Services.
RECOMMENDED by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
991 1 14 [Y2K Needs Assessment]
Supervisor Yaki
Hearing to consider a basic needs assessment for the residents of the City and County of San Francisco for
Y2K; specifically water, electricity, gas, supermarket supplies and bank readiness, among others.
6/1/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
8/12/99, CONTINUED. Continued to September 23, 1999.
Heard in Committee. Speakers: Lester Olmstead-Rose, Government Relations Representative, P.G.&E.; Todd
Wolf, Member of 911 Team, Pacific Bell; Pamela Sadbury, Senior Vice-President and General Manager, Year
2000 Project Office, Bank of America; David Medina, Vice-President of Operations, Wells Fargo Bank; Ed
Harrington, Controller; Andy Ranch Public Utility Commission; Monic Sumoda, Dept. of Public Health; Julia
Friedlander, DTIS; Lisa Lowry, DTIS; Mike Clark, DTIS; male; Collie Grossburg, Neighborhood Group
Association Market District.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
City and County of San Francisco
Printed at 11:19 AM on 9/24/99
Public Health and Environment Committee Meeting Minutes September 23, 1999
990578 |Sutro Tower)
Supervisor Bierman
Hearing to consider the results of the Dynamic Analysis of Sutro Tower conducted by the Department of
Building Inspection.
3/29/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Hanson Tom, Dept. of Building Inspection; Debra Stein, Sutro Tower, Inc.;
Ron Hamburger, Sutro Tower, Inc.; Carolyn Small, Midtown Terrace Residence Association; Tomas Lee,
speaking on behalf of Supervisor Ammiano.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 2 - Bierman, Yaki
Absent: 1 - Brown
991649 [Lead hazard notification requirements extended to allow time to determine whether the notifications
performed are effective in educating the landlords and tenants of the dangers of lead hazards in the
environment]
Supervisor Bierman
Ordinance amending Health Code (lead hazard notification) Sections 1615 (Tax Collector) and 1616 (building
owners) by extending the sunset provision from January 1, 2000 to January 1, 2003.
(Amends Sections 30.01 and 30.03.)
8/23/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Neil Gendel, Lead Poisoning Prevention Citizens Advisory Committee;
Jamon Neu, SF Apartment Association; Joe Walson, Childrens Environmental Health Program.
RECOMMENDED by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
991615 [Lead Paint Exterior Work Practices Disciplinary Process]
Supervisor Bierman
Hearing to consider the Department of Building Inspection's progress in establishing a disciplinary process for
violators of the 1997 lead paint exterior work practices ordinance (Ordinance No. 446-97).
8/16/99, RECEIVED AND ASSIGNED to Housing and Social Policy Committee.
9/14/99, TRANSFERRED to Public Health and Environment Committee. Transferred at the direction of the President.
Heard in Committee. Speakers: Neil Gendel, Lead Poisoning Prevention Citizens Advisory Committee;
William Wong, Dept. of Building Inspection; Joe Walseth, Dept. of Public Health; Bosa Boham.
CONTINUED TO CALL OF THE CHAD* by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
City and County of San Francisco 2 Printed at 11:19 AM on 9/24/99
Public Health and Environment Committee Meeting Minutes September 23, 1999
991462 [Medical Marijuana]
Supervisors Leno, Ammiano, Bierman, Katz, Newsom
Ordinance amending Health Code Section 1009.22 which prohibits smoking, to allow smoking of medical
marijuana in non-profit medical marijuana buyers clubs.
(Amends Article 19F, Section 1009.22.)
7/26/99, ASSIGNED UNDER 30 DAY RULE to Public Health and Environment Committee, expires on 8/25/1999.
8/2/99, SUBSTITUTED. SUBSTITUTED by Supervisor Leno in Board, bearing new title.
8/2/99, ASSIGNED UNDER 30 DAY RULE to Public Health and Environment Committee, expires on 8/25/1999.
Heard in Committee. Speakers: Supervisor Leno; Ken Haze; Wayne Jusman, SF Patient Resource Center.
RECOMMENDED by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
ADJOURNMENT
The meeting adjourned at 3:30 P.M.
City and County of San Francisco 3 Printed at 11:19 AM on 9/24/99
o.sc
S3
M
CITY AND COUNTY
Public Library, Gov't Information Ctr.. 5 th Fir.
Attn: Susan Horn, Dept. 41
oF^ANFRANcisceOCUMENTS DEPT.
SEP 2 4 19S9
.BOARD OF SUPERVISORS
BUDGET ANALYST
SAN FRANCISCO
PUBLIC LIBRARY
TO:
FROM:
1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642
FAX (415) 252-0461
September 21, 1999
, Public Health and Environment Committee
-.Budget Analyst
SUBJECT:^ September 23, 1999 Public Health and Environment Committee
Meeting
Item 1 - File 99-1528
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Description:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health,
Central Administration, (a) to accept retroactively and
expend grant funds in the amount of $50,000 from the
State Office of Long Term Care for the Long Term Care
Integration Project and (b) to enter into an agreement
with the State Office of Long Term Care. Such agreement
includes indemnification and rights in data clauses.
$50,000
June 15, 1999 through June 30, 2000
Office of Long Term Care, California Department of
Health Services
The Department of Public Health is undertaking detailed
planning for the Long Term Care Integration Pilot Project
to develop an innovative long term care service delivery
system for frail elderly and disabled adult residents of
San Francisco. The goal of the project is to develop a plan
Memo to Public Health and Environment Committee
September 23, 1999 Public Health and Environment Committee Meeting
to provide home-based and community-based services to
frail elderly and disabled adult residents as an alternative
to institutional long term care, while recognizing the
continuing value of institutional care when necessary.
The Long Term Care Pilot Project Task Force, which is a
27 member task force comprised of representatives from
community and provider organizations appointed by the
Mayor and the Board of Supervisors and representatives
from public agencies, was established in November of
1996 for the purpose of developing the Long Term Care
Integration Pilot Project. The Task Force has previously
(a) defined the full scope of long term care services to be
provided, (b) developed the model for the service delivery
system, and (c) advanced a consumer bill of rights to
ensure that the long term care service delivery system
will be consumer-centered and provide improved
consumer access to information.
The Task Force is now in the process of: (a) planning for
the establishment of a Long Term Care Services Agency 1
for the purpose of coordinating long term care services; (b)
developing administrative structures and functions
required to implement fee-for-service managed care; and
(c) gathering and analyzing Medi-Cal service utilization
and expenditure data for the initial target population,
which includes Medi-Cal eligible adults, 18 years or older,
who either require assistance with daily activities or are
cognitively-impaired. The comprehensive plan for the
provision of home-based and community-based long term
care as an alternative to institutional care for frail elderly
and disabled residents of San Francisco will be finalized
when a recommendation is made by the Task Force on the
permanent and/or transitional long term care services
agency. Subsequently, the plan will be submitted to the
State Department of Health Services as San Francisco's
Proposal for a Long Term Care Integration Pilot Project.
1 State Assembly Bill 1040, which created the Long Term Care Integration Pilot Program in 1995 to
improve the delivery system for long term care services for frail elderly and disabled residents in the
State, requires that a local public or private nonprofit entity be identified as a long term care
services agency. Sources of funding for the long term care service agency will be part of the financial
feasibility study to be funded by the subject grant funds.
BOARD OF SUPERVISORS
BUDGET ANALYST
Memo to Public Health and Environment Committee
September 23, 1999 Public Health and Environment Committee Meeting
DPH proposes to use the subject grant funds to:
(a) Retain an outside consultant to conduct a financial
feasibility analysis of the Long Term Care Integration
Pilot Project, with an emphasis on the new costs
identified in start-up and implementation of the Pilot
Project, including the Long Term Care Services
Agency, and sources of funding to cover these costs;
and
(b) To retain an outside consultant to conduct a study of
existing long-term care case management programs
and the funding that supports case management
programs in San Francisco. The purpose of this study
will be to determine both the feasibility of creating a
centralized case management system to coordinate
long term care services for elderly frail and disabled
adults, and of integrating case management and
service authorization functions for long-term care
recipients.
Approval of the proposed resolution would allow DPH to
retroactively accept and to expend the subject grant funds
in the amount of $50,000 to support the Long Term Care
Integration Pilot Project.
Budget:
Fiscal Consultant
Case Management Consultant
Fiscal Agent Services
Total
$30,000
15,000
5.000
$50,000
Required Match:
Comments:
Attachment I, provided by DPH, contains budget details
for the subject grant funds.
$10,000 in required matching funds will be provided by a
grant to the Department of Public Health from the
California Healthcare Foundation in the amount of
$119,250, which was approved by the Board of
Supervisors, in January of 1999, covering a grant period
from January 1, 1999 through December 31, 1999.
1. According to Ms. Tangerine Brigham of DPH, DPH
issued a Request for Proposal (RFP) for the Fiscal
Consultant on June 29, 1999 and proposes to award the
BOARD OF SUPERVISORS
BUDGET ANALYST
Memo to Public Health and Environment Committee
September 23, 1999 Public Health and Environment Committee Meeting
Fiscal Consultant contract to Deloitte and Touche
contingent on the Board of Supervisors approval of the
proposed resolution. Ms. Brigham reports that an RFP
for the Case Management Consultant was issued on July
30, 1999, but a contractor has not yet been selected.
2. Ms. Brigham advises that $5,000 allocated for Fiscal
Agent Services, which is 10 percent of the subject grant
funds designated for administrative costs, will be used to
reimburse the Haight Ashbury Free Clinic, an agency
which was previously selected by DPH in 1998 on a sole
source basis to provide fiscal agent services. The Haight
Ashbury Free Clinic has been administering the
California Healthcare Foundation grant that was used to
fund the earlier stages of the Long Term Care Integration
Pilot Project. The Haight Ashbury Free Clinic, as a DPH
contractor, will administer the contracts awarded to the
Fiscal Consultant and the Case Management Consultant.
3. The proposed resolution would waive: (1) the
requirement contained in Sections 6.21 and 21.19 of the
City's Administrative Code that the agreement include an
indemnification of the City by the California Department
of Health Services for the infringement of patent rights;
and (2) the requirement contained in Section 6.57(c) of the
City's Administrative Code that the agreement include a
paragraph reciting the false claim provisions contained in
Section 6.57(a) of the City's Administrative Code.
According to Ms. Jean Fraser of the City Attorney's Office,
these requirements apply when the City purchases goods
or services, not when the City receives funds from a grant.
Therefore, Ms. Fraser advises that the waivers in this
case are standard and pose minimal risk to the City.
4. The proposed resolution contains a provision that
authorizes the Director of Pub he Health to enter into
similar agreements with the State Office of Long Term
Care if the grant recurs or is renewed.
5. Attachment II is the Grant Application Information
Form, provided by DPH.
6. DPH has prepared a Disability Access Checklist, which
is on file with the Clerk of the Board's Office.
BOARD OF SUPERVISORS
BUDGET ANALYST
Memo to Public Health and Environment Committee
September 23, 1999 Public Health and Environment Committee Meeting
Recommendation:
Approval of the proposed resolution is a policy matter for
the Board of supervisors since this resolution authorizes
the Director of Public Health to enter into future
agreements, similar to the subject Agreement, with the
State Office of Long Term Care if the grant recurs or is
renewed, without obtaining subsequent approval by the
Board of Supervisors.
'h -"V
Harvey M. Rose
cc: Supervisor Bierman
Supervisor Brown
Supervisor Yaki
President Ammiano
Supervisor Becerril
Supervisor Katz
Supervisor Kaufman
Supervisor Leno
Supervisor Newsom
Supervisor Teng
Supervisor Yee
Clerk of the Board
Controller
Legislative Analyst
Matthew Hymel
Stephen Kawa
Ted Lakey
BOARD OF SUPERVISORS
BUDGET ANALYST
J.1L I— CJ. \— LUliUll I— -1-
Haight-Ashbury Free Clinics, Inc. Exhibit A-1
Grant Funds Page 3
9/1/99 to 6/30/00
E. Unit of Service
One unit of service = one deliverable.
Financial Feasibility Analysis
Consultant services . Activities to be provided as "services" include, but are not limited to:
• Meetings with DPH staff and other DPH consultants.
• Research and analysis.
• Development of written report.
• Presentation to Task Force.
Financial Feasbilitv Analysis deliverables : Approx. Dates Payment
Deliverable 1 : Design of survey instrument & agreement of 3 states for survey. 10/01/99 $10,000
Agreement on consultant's assumptions and methodology.
Deliverable 2: Progress report, including outline of preliminary findings of 11/01/99 $5,000
survey and assumptions.
Deliverable 3: Final report (1 1/30/99) and Task Force presentation (12/10/99). 12/10/99 $5,000
Deliverable 4: Additions and corrections resulting from the evaluation and
acceptance of consultant's findings and recommendations. 12/30/99 $10,000
Case Management Studv
Consultant services . Activities to be provided as "services" include, but are not limited to:
• Meetings with DPH staff and other DPH consultants.
• Research and analysis.
• Development of written report.
• Presentation to Task Force.
Case Management Studv deliverables :
Deliverable 1: Design of study (including structure, process & timeline).
Agreement on consultant's assumptions and methodology.
Deliverable 2: Progress report, including outline of preliminary findings.
Deliverable 3: Final report (12/30/99) and Task Force Presentation (1/14/00)
Deliverable 4: Additions and corrections resulting from the evaluation and
acceptance of consultant's findings and recommendations.
Approx. Dates
Pavment
11/01/99
$4,000
12/01/99
$3,000
)). 1/14/00
$3,000
1/31/99
$5,000
Attachment II
^age 1 of 2
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1. Department: Public Health; Central Administration, Policy and Planning.
2. Contact Person: Tangerine Brigham. Telephone: 554-263 1
3. Project Title: San Francisco's Long Term Care Integration Pilot Project
4. Grant Source Agency: Office of Long-Term Care, California Department of Health Services
5. Type of Funds: Federal Federal-State (Pass-Through) X State Local Private
6. Proposed (New /Continuation) Grant Project Summary:
The Department of Public Health and the Long-Term Care Pilot Project Task Force are
developing an innovative long-term care service delivery system for frail elderly and
disabled residents. This system will improve access to long-term care services by stressing
the importance of home and community-based alternatives to institutionalization. Significant
components of the initial planning defined the full scope of long-term care services to be
provided; developed the model service delivery system; and advanced a consumer bill of
rights.
Detailed planning is now in progress that includes: (1) research options for governance
structure and designating a long-term care services agency; (2) developing administrative
structures and functions required to implement fee-for-service managed care; and (3)
gathering and analyzing Medi-Cal service utilization and expenditure data for the initial
target population. The comprehensive plan will be finalized when a recommendation is made
on the permanent and/or transitional long-term care services agency. Subsequently, the plan
will be submitted to the State Department of Health Services as San Francisco's proposal for
a Long-Term Care Integration Pilot Project.
The scope of work presented in the grant application focuses on two specific issues: (1) a
financial feasibility analysis of the new model of long-term care service delivery; and (2) the
formation of network case management as the foundation of the new service delivery
system.
The grant budget will support: (1) a fiscal consultant, budgeted at 530,000; and (2) a case
management consultant, budgeted at $15,000. The Haight Ashbury Free Clinic is
contracting with the Department to provide fiscal agent services to administer the grant.
6/3/99
Attachment II
Page 2 of 2
7. Amount of Grant Funding Applied for: $50,000
8. Maximum Funding Amount Available: $50,000.
9. Required Matching Funds? Yes: X No: Cash or In-kind: $10,000
If yes, list dollar amount and identify source of Matching Funds in Department Budget: 20%
Match will be met by a grant to DPH from the California Healthcare Foundation in the amount
of $ 1 1 9,250 which is currently in" place. It was approved as File No. 99-0039. The term is
1/1/99-12/31/99.
10. Number of new positions created and funded: None
11. If new positions are created, explain the disposition of employees once the grant ends: Not
applicable.
12. Are indirect costs eligible costs for this grant? Yes: X_No:
If yes, please identify the amount of $ in indirect costs: $5,000
13. Amount to be spent on contractual services: $45,000
14. a.) Will contractual services be put out to bid?: Yes: X No: ( The Financial Feasibility
Analysis consultant and the case management consultant services will be put out to bid. The
administration of the grant by the Haight Ashbury Free Clinic will not be put out to bid.)
b.) If so, will contract services help to further the goals of the department's MBE/WBE
requirements? : Yes .
15. Is this likely to be a one-time or ongoing request for contracting out?: One-time.
16. Term of Grant: Start-Date: June 15, 1999 End-Date: June 30, 2000
17. Date Department Notified of Available Funds: March 1, 1999
1 8. Grant Application Due Date: April 14, 1999
19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or
appropriations legislation): Grantees are required to provide invoices for any or all budgeted
items and/or services and complete and submit monthly expenditure reports. The line item
budget and narrative will become a part of the contract document. Grantees are required to
provide a 20% match to the grant awarded. One progress report and a final report must be
submitted. The State owns all rights, title and interest in, but not limited to, the copyright to any
and all Works created, provided or developed under this grant award.
20. Department Head Approval: Mitchell Katz, M.D., Director of Health
Signature
6/30/99
9o.%0
/*hi
City and County of £an Francisco
Meeting Minutes
Public Health and Environment Committee
Members: Supervisors Sue Bierman, Amos Brown and Michael Yaki
Clerk: Gregoire Hobson
City Hall
1 Dr. Carlton B.
Goodlett Place
San Francisco, CA
94102-4689
Thursday, October 14, 1999
1:00 PM
Regular Meeting
City Hall, Room 263
Members Present: Sue Bierman, Amos Brown, Michael Yaki.
The meeting convened at 1:08 P.M.
991759 [State Grant: AIDS Drug Assistance Program]
Resolution authorizing the Department of Public Health, Population Health and Prevention Division, to accept
retroactively and expend a grant in the amount of $171,002 from the State Office of AIDS, for the AIDS Drug
Assistance Program and to enter into an agreement which does not include patent infringement
indemnification and false claims clauses; waiving indirect costs and providing for ratification of action
previously taken. (Department of Public Health)
9/21/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speaker: Herman Levias, Department of Public Health.
RECOMMENDED., by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
991765 [State Grant: Y2K Hazardous Materials Project]
Resolution authorizing the Department of Public Health, Population Health and Prevention Division, to accept
retroactively and expend grant funds in the amount of $46,816 from the Office of Emergency Services for the
Y2K Hazardous Materials Project and to enter into an agreement which does not include patent infringement
indemnification and false claims clauses; waiving indirect costs and providing for ratification of action
previously taken. (Department of Public Health)
9/21/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Gabe Cabrera, Budget Analyst; Ben Gale, Director, Environmental Health,
Department of Public Health. Amend after "accept" by deleting "retroactively " and inserting after "expend".
AMENDED.
Resolution authorizing the Department of Public Health, Population Health and Prevention Division, to accept
and expend retroactively grant funds in the amount of $46,816 from the Office of Emergency Services for the
Y2K Hazardous Materials Project and to enter into an agreement which does not include patent infringement
indemnification and false claims clauses; waiving indirect costs and providing for ratification of action
previously taken. (Department of Public Health)
RECOMMENDED AS AMENDED., by the following vote: DOCUMENTS DEPT.
Ayes: 3 - Bierman, Brown, Yaki
OCT 1 9 1S99
SAN FRANCISCO
PUBLIC LIBRARY
City and County of San Francisco
Printed at 4:44 PM on 10/14/99
Public Health and Environment Committee
Meeting Minutes
October 14, 1999
991767 |Private Grant: Universitywide AIDS Research Program]
Resolution authorizing the Department of Public Health, Population Health and Prevention Division, to accept
retroactively and expend a grant in the amount of $145,421 from the University of California Universitywide
AIDS Research Program (UARP) and to enter into an agreement which includes rights in data clauses and
does not include patent infringement indemnification and false claims clauses; providing for ratification of
action previously taken. (Department of Public Health)
9/21/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speaker: Dr. Larry Meredith, Department of Public Health.
RECOMMENDED., by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
991873 [Landmark designation of the Madame C. J. Walker Home for Girls and Women, located at 2066 Pine
Street in Lot 8 of Assessor's Block 651, as City Landmark No. 211]
Supervisors Becerril, Bierman, Brown, Yaki
Ordinance designating the Madame C. J. Walker Home for Girls and Women, as Landmark No. 21 1 pursuant
to Article 10, Sections 1004 and 100.4 of the Planning Code.
(Planning Commission Resolution No. 14880, which approved the landmark designation at its meeting of
Sept. 9, 1999; Landmark Preservation Advisory Board Resolution No. 14880 adopted June 16, 1999, initiating
the landmark designation of the property and recommending Planning Commission approval; Landmark
Designation Report dated June 1999.)
10/4/99, RECEIVED AND ASSIGNED to Transportation and Land Use Committee.
10/5/99, TRANSFERRED to Public Health and Environment Committee. Co-sponsor requestst that this item be calendared for the
October 14, 1999 meeting.
Heard in Committee. Speakers: Scott McDonald, representing Supervisor Becerril. Supervisors Brown and
Yaki requested to be added as co-sponsors.
RECOMMENDED by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
ADJOURNMENT
The meeting adjourned at 1:23 P.M.
City and County of San Francisco
Printed at 4:44 PM on 10/14/99
to. 00
3
Public Library,Gov't Info. Ctr., 5 th Fir.
Attn: Susan Horn
CITY AND COUNTY
OF SAN FRANCISCO
s
BOARD OF SUPERVISORS
DOCUMENTS DEPT.
OCT j h 1999
BUDGET ANALYST SAN FRANCISCO
1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 D UBLIC LIBRARY
FAX (415) 252-0461
October 11, 1999
TO: JPublic Health and Environment Committee
FROM: ^Budget Analyst
SUBJECT: October 14, 1999 Public Health and Environment Committee Meeting
\
Item 1- File 99-1759
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Project:
Description:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health,
Population Health and Prevention Division to accept
retroactively and expend a grant in the amount of
$171,002 from the State Office of AIDS to partially fund
the administration of the AIDS Drug Assistance Program
and to enter into an agreement which does not include
patent infringement indemnification and false claims
clauses; waiving indirect costs; and providing for
ratification of action previously taken.
$171,002
July 1, 1999 through June 30, 2000
State Office of AIDS
AIDS Drug Assistance Program (ADAP)
The proposed resolution would authorize the Department
of Public Health (DPH), Population Health and
Prevention Division to accept retroactively and expend a
Memo to Public Health and Environment Committee
October 14, 1999 Public Health and Environment Committee Meeting
grant in the amount of $171,002 from the State Office of
AIDS to partially fund the administration of the AIDS
Drug Assistance Program for the one-year period of July
1, 1999 through June 30, 2000.
The AIDS Drug Assistance Program (ADAP) provides
AIDS prescription drugs to non-MediCal eligible, low-
income individuals with a valid prescription from a
licensed physician. Under the current terms of ADAP,
individuals with an annual Federal Adjusted Gross
Income below $32,960 in 1999 receive the subject AIDS
prescription drugs free of charge. Individuals are subject
to a co-payment plan (based on their taxable State
income) for such drugs if their annual Federal Adjusted
Gross Income is between $32,960 and $50,000 in 1999.
Individuals with an annual Federal Adjusted Gross
Income greater than $50,000 in 1999 are not eligible to
participate in ADAP.
Mr. Herman Levias of the DPH reports that the State
Office of AIDS funds all of the costs related to providing
the subject AIDS prescription drugs under ADAP.
However, according to Mr. Levias, the costs of
administering ADAP have previously been solely borne by
the DPH General Fund budget since ADAP's inception in
1988. Mr. Levias states that the proposed grant funds of
$171,002 would be the first time that grant monies from
the State Office of AIDS have ever been awarded to the
DPH for DPH's administration of ADAP.
Currently, ADAP is staffed by the following City
personnel, totaling approximately 6.0 FTEs:
• One Class 2917 Program Support Analyst (ADAP
Coordinator) (0.75 FTE)
• Nineteen (19) Class 2908 Hospital Eligibility Workers
(4.25 FTEs)
• One Class 1426 Senior Clerk Typist (0.50 FTE)
• Four (4) Class 2920 Medical Social Workers
• One Class 2930 Psychiatric Social Worker
• One Class 2586 Health Worker II
The above-noted four Medical Social Workers, one
Psychiatric Social Worker and one Health Worker II
BOARD OF SUPERVISORS
BUDGET ANALYST
2
Memo to Public Health and Environment Committee
October 14, 1999 Public Health and Environment Committee Meeting
devote a total of approximately 0.50 FTEs time for ADAP,
according to Mr. Levias.
The personnel costs for the positions listed above, which
are funded in the City's 1999-2000 General Fund budget,
are shown in Attachment I.
According to Mr. Levias, the ADAP Coordinator generally
coordinates the activities related to the administration of
ADAP and serves as the DPH's liaison to the State Office
of AIDS. The Class 2908 Hospital Eligibility Workers are
responsible for screening individuals to determine their
eligibility for ADAP. Mr. Levias states that although the
primary duties of the four Medical Social Workers, one
Psychiatric Social Worker and one Health Worker II are
not related to ADAP, these City employees are trained to
screen individuals to determine their eligibility for ADAP.
Mr. Levias reports that $151,155 of the proposed grant
funds of $171,002 would be used to partially fund the
salaries and fringe benefits of the existing nineteen Class
2908 Hospital Eligibility Workers (4.25 FTEs for ADAP
Administration) and the existing Class 1426 Senior Clerk
Typist (0.50 FTE for ADAP Clerical Support) for the one-
year period of July 1, 1999 through June 30, 2000. The
salaries and fringe benefits for these positions total
$287,502. Therefore, $151,155 of the total of $171,002 in
grant funds would support 52.6 percent of these costs.
In addition, according to Mr. Levias, the remaining
$19,847 of the $171,002 in proposed grant funds would
also be used to cover the costs of the following items:
1. Telephone Svstem (S7.000) - A telephone system to
provide callers with information about ADAP,
including ADAP eligibility and enrollment
requirements, on a 24-hour, 7-day per week basis.
2. Awareness Campaign (S3.000) - Development and
implementation of an advertising/informational
campaign about ADAP.
3. Computer Equipment (S7.000) - Two (2) computer
workstations, including CPUs, monitors, software and
keyboards, for use by the existing Class 2908 Hospital
Eligibility Worker positions dedicated to ADAP.
BOARD OF SUPERVISORS
BUDGET ANALYST
3
Memo to Public Health and Environment Committee
October 14, 1999 Public Health and Environment Committee Meeting
4. Materials & Supplies (S2.847) - General office supplies
such as pens, paper, etc.
Budget:
Attachment II, provided by the DPH, contains the budget
to support the expenditure of $171,002 in grant funds for
ADAP.
Required Match:
Indirect Costs:
Comments:
None.
The proposed resolution provides for the waiver of
indirect costs because such costs are not allowed by the
granting agency.
1. Mr. Levias states that acceptance deadline for this
grant was August 31, 1999 and as such, the DPH has
already accepted the subject grant funds. However, Mr.
Levias states that the DPH has not expended such grant
funds.
2. According to the proposed resolution, as a condition of
receiving the subject grant funds, the DPH has agreed to
enter into an agreement (the "Agreement") with the State
Office of AIDS that would require the City to waive (1)
the requirement contained in Sections 6.21 and 21.19 of
the City's Administrative Code that the Agreement
include an indemnification of the City by the State Office
of AIDS for the infringement of patent rights and (2) the
requirement contained in Section 6.57(c) of the City's
Administrative Code that the Agreement include a
paragraph reciting the false claim provisions contained in
Section 6.57(a) of the City's Administrative Code. Ms.
Jean Fraser of the City Attorney's Office advises that
these requirements apply when the City purchases goods
or services, not when the City receives grant funds.
Therefore, the waivers in this case are standard and pose
minimal risk to the City, according to Ms. Fraser.
3. Attachment III is the Grant Application Information
Form, as prepared by the DPH.
4. The DPH has prepared a Disabilit}' Checklist for the
proposed grant funds, which is on file with the Clerk of
the Board of Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
4
Memo to Public Health and Environment Committee
October 14, 1999 Public Health and Environment Committee Meeting
5. The proposed resolution contains a provision that
states that the Controller should be urged to designate
the new positions created under the subject grant as "G"
or "Grant-funded" positions so that such positions would
terminate when the grant expires.
6. The proposed resolution also contains a provision that
authorizes the Director of Public Health to enter into
other future agreements, similar to the subject
Agreement, with the State Office of AIDS if the grant
recurs or is renewed, without obtaining subsequent
approval by the Board of Supervisors.
Recommendation: Approval of the proposed resolution is a policy matter for
the Board of Supervisors since this resolution authorizes
the Director of Public Health to enter into other future
agreements, similar to the subject Agreement, with the
State Office of AIDS if the grant recurs or is renewed,
without obtaining subsequent approval by the Board of
Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
5
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Attachment II
AIDS DRUG ASSISTANCE PROGRAM
BUDGET SUMMARY
1 PERSONNEL
a) Salaries
2908 - Hospital Eligibility Workers
1426 - Senior Clerk Typist
b) Fringe Benefits (25%)
Subtotal Salaries/FB
FTE
AMOUNT
2.0
5
100,764
20,160
30,231
2.5
151,155
2 OTHER
a) Telephone/Telecommunications
b) Advertisement
c) Equipment
d) Materials and Supplies
Subtotal Other
7,000
3,000
7,000
2,847
19,847
TOTAL BUDGET
171,002
AEtacnment ill
Page 1 of 2
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1 . Department. Division. & Branch: Public Health, PHP, HIV Services
2. Contact Person: Michelle Dixon Telephone: 554-9002
3. Project Title: AIDS Drug Assistance Program
4. Grant Source Agency: State of California Department of Health Services
5. Tvpe of Funds (Circle): Federal Federal - State (Pass Through) State Local Private
6. Proposed (New/Continuation) Grant Project Summary:
Funds will be used solely for costs associated with the administration of the ADAP enrollment
screening/recertification process provided by the local health jurisdiction and/or its
subcontractors.
7. Amount of Grant Funding Applied For: $171,002
8. Maximum Funding Amount Available (at time of application): $171,002
9. Required Matching Funds? (Circle): Yes No Cash In-kind
If ves. list dollar amount and identify source of Matching Funds in Department Budget:
N/A
10. Number of new positions created and funded: 2.5
1 1. If new positions are created, explain the disposition of emplovee(s) once the grant ends:
Positions will be hired on an as-needed basis.
12. Are indirect costs eligible costs for this grant? (Circle): Yes: No:
If yes, please identify the amount of $s in indirect costs:
2/9/99
tt.i_ud.t_;! mien L lll
Page 2 of 2
13. Amount to be spent on contractual services: -0-
14. a.) Will contractual services be put out to bid? fCircleV Yes: No:
b.) If so. will contract services help to further the goals of the department's N/A
MBE/WBE requirements? :
15. Is this request for contracting out likelv to be : (CircleOne) One Time Ongoing
N/A
16. Term of Grant: Start-Date: 7/1/99 End-Date: 6/30/00
17. Date You Were Notified That This Funding Was Available: 7/19/99
18. Grant Application Due Date: 8/30/99
19. Grant Funding Guidelines and Options (selected from RFP. grant announcement or
appropriations legislation'):
Upon receipt of the quarterly ADAP invoice, the DHS will reimburse the local jurisdiction for
administrative costs associated with the provision of ADAP enrollment services in the local
jurisdiction, not to exceed the maximum amount reimbursable under this Agreement.
20. Department Head Approval: Mitchell Katz, M.D., Director of Health
(To be obtained by Grant Manager)
Aa^/L^\ /
Signature
8/18/99
Memo to Public Health and Environment Committee
October 14, 1999 Public Health and Environment Committee Meeting
Item 2 - File 99-1765
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Project:
Description:
Department of Public Health
Resolution authorizing the Department of Public Health,
Population Health and Prevention Division to accept
retroactively and expend a grant in the amount of $46,816
from the Governor's Office of Emergency Services to fund
a project entitled the YK2 Hazardous Materials Project
and to enter into an agreement which does not include
patent infringement indemnification and false claims
clauses; waiving indirect costs; and providing for
ratification of action previously taken.
$46,816
August 2, 1999 through March 31, 2000 (8 months)
Governor's Office of Emergency Services
YK2 Hazardous Materials Project
The proposed resolution would authorize the Department
of Public Health (DPH), Population Health and
Prevention Division to accept retroactively and expend a
grant in the amount of $46,816 to fund a project entitled
the YK2 Hazardous Materials Project. The Project seeks
to assess the readiness of both the City's hazardous
materials personnel and privately operated hazardous
materials facilities within the Citj r in order to protect the
public health and safety of persons in San Francisco from
accidental releases of hazardous materials due to Y2K
computer failures. The Governor's Office of Emergency
Services requested that the DPH perform this project and
prepare a summary project report as part of a Statewide
Y2K preparedness project.
According to Ms. Sue Cone of the DPH, currently there
are approximately 2,100 private businesses and
organizations throughout the City that store hazardous
materials within their facilities. Ms. Cone advises that
an unidentified portion of these 2,100 businesses and
organizations are operated and maintained with the aide
BOARD OF SUPERVISORS
BUDGET ANALYST
10
Memo to Public Health and Environment Committee
October 14, 1999 Public Health and Environment Committee Meeting
of a computer system and/or other technology. As such,
according to Ms. Cone, the proposed Project will include:
• Identifying and assessing the preparedness of the
portion of the subject 2,100 private businesses and
organizations that operate and maintain their
facilities with the aide of a computer system and/or
other technology;
• Conducting a follow-up analysis of a sub-group of the
subject 2,100 private businesses and organizations,
which pose a risk for accidental releases of hazardous
materials due to Y2K computer failures; and
• Assessing the readiness of the City's hazardous
materials personnel in the event of accidental releases
of hazardous materials due to Y2K computer failures.
Ms. Cone states that $45,570 of the proposed grant funds
of $46,816 would be used to partially fund the salaries
and fringe benefits of 11 existing DPH staff to perform the
subject Y2K Hazardous Materials Project.
In addition, the remaining $1,246 of the $46,816 in
proposed grant funds would be used to fund reproduction,
postage and office supply costs associated with the DPH's
summary project report to the Governor's Office of
Emergency Services.
Budget:
Required Match:
Indirect Costs:
Comments:
Attachment I, provided by Ms. Cone, contains the budget
details to support the expenditure of $46,816 in grant
funds for the proposed Project.
None
The proposed resolution provides for the waiver of
indirect costs because such costs are not allowed by the
granting agency.
1. As noted above, the proposed resolution provides for
retroactive acceptance of the subject grant. However,
according to Ms. Cone, the DPH has not accepted the
proposed grant funds. Therefore, the proposed resolution
should be amended to delete reference to retroactivity
BOARD OF SUPERVISORS
BUDGET ANALYST
11
Memo to Public Health and Environment Committee
October 14, 1999 Public Health and Environment Committee Meeting
with respect to the acceptance of the subject grant. In
addition. Ms. Cone states that because the granting
agency required the DPH to prepare a preliminary-
assessment of the Y2K preparedness of hazardous
materials facilities and personnel in the City prior to
DPH's acceptance of the subject grant, the Department
incurred expenses against the proposed grant funds prior
to obtaining approval from the Board of Supervisors.
Therefore, the proposed resolution should be amended to
provide for retroactivity with respect to the expenditure of
the subject grant.
2. According to the proposed resolution, as a condition of
receiving the subject grant funds, the DPH has agreed to
enter into an agreement (the "Agreement") with the
Governor's Office of Emergency Services that would
require the City to waive (1) the requirement contained in
Sections 6.21 and 21.19 of the City's Administrative Code
that the Agreement include an indemnification of the City
by the Governor's Office of Emergency Services for the
infringement of patent rights and (2) the requirement
contained in Section 6.57(c) of the City's Administrative
Code that the Agreement include a paragraph reciting the
false claim provisions contained in Section 6.57(a) of the
City's Administrative Code. Ms. Jean Fraser of the City
Attorney's Office advises that these requirements apply
when the City purchases goods or services, not when the
City receives grant funds. Therefore, the waivers in this
case are standard and pose minimal risk to the City,
according to Ms. Fraser.
3. Attachment II is the Grant Application Information
Form, as prepared by the DPH.
4. The DPH has prepared a Disability Checklist for the
proposed grant funds, which is on file with the Clerk of
the Board of Supervisors.
5. The proposed resolution contains a provision that
authorizes the Director of Public Health to enter into
other future agreements, similar to the subject
Agreement, with the Governor's Office of Emergency
Services if the grant recurs or is renewed, without
BOARD OF SUPERVISORS
BUDGET ANALYST
12
Memo to Public Health and Environment Committee
October 14, 1999 Public Health and Environment Committee Meeting
obtaining subsequent approval by the Board of
Supervisors.
Recommendations: 1. In accordance with Comment No. 1 above, amend the
proposed resolution to (a) delete reference to retroactivity
with respect to the acceptance of the proposed grant funds
and (a) provide for retroactivity with respect to the
expenditure of the proposed grant funds.
2. Approval of the proposed resolution, as amended, is a
policy matter for the Board of Supervisors since this
resolution authorizes the Director of Public Health to
enter into other future agreements, similar to the subject
Agreement, with the Governor's Office of Emergency
Services if the grant recurs or is renewed, without
obtaining subsequent approval by the Board of
Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
13
u'_ i -\c (-i^^y i r- 44
DPH
415 252 3910 p.ei
Attachment I
Local Y2K Hazardous Materials Project
Revised Budget
October 7, 1999
Reproduction
Postage
Office Supplies (Envelopes, Labels)
Staff Time*
1 - 6139 Sr. Industrial Hygienist
5 - 6122 Sr. Env. Health Inspectors
2 - 6138 Industrial Hygienists
3 - 6120 Env. Health Inspectors
TOTAL
45 hrs @ S98/hr
210 hrs@S98/hr
84 hrs @ S98/hr
126 hrs @ S98/hr
246
900
4,410
20,580
8^32
12^48
S46,816
* Rates for all job classifications are the same because terms of the contract
stipidate that we bill at the prevailing hourly rate which is S98 per hour for all
Zl^^T™*™ thC Hazardons ^terials Program. This hourly rate b
established in Article 21 of the San Francisco Health Code. ^
Post-It" brand fax transmittal
memo
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*~*1±£
"*¥£/
Ptx#
TOTAL P. 01
14
Page I of 2
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1 . Department. Division. & Branch: Population Health and Prevention, Community Health
and Safety Services, Environmental Health.
2. Contact Person: Sue Cone Telephone: 252-3991
3 . Project Title: Y2K Hazardous Materials Project
4. Grant Source Agencv: Governor's Office of Emergency Services
5. Tvpe of Funds (Circle): Federal Federal-State CPass-Through) State Local Private
6. Proposed (New/Continuation) Grant Project Summary: Participate in the assessment of the
Y2K readiness of hazardous materials facilities and handlers in order to protect public
health and safety from potential Y2K related accidental hazardous materials releases.
7. Amount of Grant Funding Applied For: S46,8 1 6
8. Maximum Funding Amount Available fat time of application - ): $46,8 1 6
9. Required Matching Funds? (Circle): Yes No Cash In-kind
If ves. list dollar amount and identify source of Matching Funds in Department Budget: Not
Applicable
10. Number of new positions created and funded: None
1 1 . If new positions are created, explain the disposition of emploveefs) once the grant ends: Not
applicable
12. Are indirect costs eligible costs for this grant? ('Circle'): Yes No
If ves. please identify the amount of Ss in indirect costs: Not applicable
13. Amount to be spent on contractual services: None
9/15/99
15
Attachment II
Page 2 of 2
14. a..") Will contractual services be put out to bid? CCircleV Yes: No: Not applicable
b.) If so. will contract services help to further the goals of the department's MBEAVBE
requirements? : Not applicable
15. Is this request for contracting out likelv to be : One Time or Ongoing? (CircleOne): Not
applicable
16. Term of Grant: Start-Date: 8/2/99
End-Date: 3/31/00
17. Date You Were Notified That This Funding Was Available: 8/24/99
1 8. Grant Application Due Date: 10/15/99 (Date on which initial report is due; see Attachment
A: Scope of Work, C.3.)
19. Grant Funding Guidelines and Options ("selected from RPP. grant announcement or
appropriations legislation! : (1) A report on Contractor's activities to prevent Y2K related
accidental releases of hazardous materials in its jurisdiction is due to the State by 10/15/99
(2) Reimbursement will be made to Contractor for actual personal services costs incurred in
performing the identified activities and direct expenses including printing and postage;
travel and per diem except for required meetings and equipment costs which are not eligible
for reimbursement
20. Department Head Approval:
(To be obtained by Grant Manager)
Mitchell Katz, M.D., Director of Health
Signature ^-nf
9/15/99
16
Memo to Public Health and Environment Committee
October 14, 1999 Public Health and Environment Committee Meeting
Item 3 - File 99 - 1767
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Description:
Department of Public Health
Resolution authorizing the Department of Public Health
(DPH), Population Health and Prevention Division to
accept retroactively and expend a grant in the amount of
$145,421 from the University of California's
Universitwide AIDS Research Program (UARP) to
conduct a study entitled "HIV Prevention Policy: The Role
of Community Planning Groups." The proposed resolution
also authorizes DPH to enter into an agreement which
includes rights in data clauses and which does not include
patent infringement indemnification and false claims
clauses; waiving indirect costs; and providing for
ratification of action previously taken.
$145,421
July 1, 1999 through June 30, 2001 (2 years)
University of California's Universitwide AIDS Research
Program (UARP)
The Department of Public Health (DPH), Population
Health and Prevention Division has accepted grant funds
from the University of California's Universitwide AIDS
Research Program (UARP) to conduct the two-year study
entitled "HIV Prevention Polic3" The Role of Community
Planning Groups." According to Ms. Valerie Kegebein
Rose of the DPH, Community Planning Groups (CPGs)
are groups of local public health officials and community-
based health care professionals, which are assembled in
various jurisdictions throughout the State to develop
strategies for treating persons with HTWAIDS and
establish interventions against the contraction of
HIV/AIDS. Ms. Rose states that the proposed Study is a
collaborative project between the DPH and the UCSF
Center for AIDS Prevention Studies, which seeks to
examine the influence of CPGs on health care policy-
making at the local, State and Federal levels of
government. Ms. Rose states that the proposed Study will
include:
BOARD OF SUPERVISORS
BUDGET ANALYST
17
Memo to Public Health and Environment Committee
October 14, 1999 Public Health and Environment Committee Meeting
• Administering a survey of approximately 500 members
from among 57 CPGs throughout the State;
• Conducting a follow-up analysis of a sub-group of the
subject 500 CPG members; and
• Reviewing current documents produced by CPGs in
order to determine their influence upon AIDS related
health care policy and legislative initiatives.
Ms. Rose reports that a portion of the proposed grant
funds will be used to hire one to three new Class 9924
Public Service Aide - Health Services positions, totaling
0.20 FTEs, to administer the subject survey of the 500
CPG members approximately in January of 2000 until the
grant expires on June 30, 2001. According to Ms. Rose,
the employment period of each new position will not
exceed 3 months or a total of 480 hours. Ms. Rose advises
that the new Class 9924 Public Service Aide - Health
Services positions will not receive any fringe benefits
because, according to Ms. Alice Villagomez of the
Department of Human Resources, temporary City
employees must work at least 1,040 hours per year to be
eligible for such benefits.
Budget: A summary budget for the proposed Stud}* for each of the
two years of the grant period through June 30, 2001, is as
follows:
Year 1 - Julv 1. 1999 through June 30. 2000
Personnel (0.20 FTE)
Supplies and Expenses
Travel
Indirect Costs
Year 1, Subtotal
Year 2 - Julv 1. 2000 throu<
$53,295
4,275
1,580
14.788
73,938
rh June 30. 2001
$73,938
Personnel (0.20 FTE) $54,161
Supplies and Expenses 1,180
Travel 1,845
Indirect Costs 14.297
Year 2, Subtotal 71,483
Grand Total
BOARD OF SUPERVISORS
71.483
$145,421
BUDGET ANALYST
18
Memo to Public Health and Environment Committee
October 14, 1999 Public Health and Environment Committee Meeting
Required Match:
Indirect Costs:
Comment:
None
$29,085
1. Ms. Lucille Burlew-Lawler of the DPH states that the
acceptance deadline for the subject grant was August 31,
1999 and as such, the DPH previously accepted the grant
funds. Ms. Burlew-Lawler states that the DPH has
already received grant funds of $73,938 from UARP for
the first year of the proposed Study. However, Ms.
Burlew-Lawler states that the DPH has not expended any
of the grant funds. According to Ms. Burlew-Lawler,
funding for the second year in the amount of $71,483 is
contingent upon satisfactory scientific progress during the
first year of the proposed Study as demonstrated through
a progress report by the DPH. Ms. Burlew-Lawler states
that if such satisfactory scientific progress is not achieved,
the proposed Study would be terminated unless other
funds are obtained.
2. According to the proposed resolution, as a condition of
receiving the subject grant funds, the DPH has agreed to
enter into an agreement (the "Agreement") with UARP
that would require the City to grant UARP the royalty-
free and nonexclusive right to use the data collected
under the contract.
3. The Agreement also requires that the City waive (1)
the requirement contained in Sections 6.21 and 21.19 of
the City Administrative Code that the Agreement include
an indemnification of the City by the California
Department of Health Sendees for the infringement of
patent rights; and, (2) the requirement contained in
Section 6.57(c) of the City's Administrative Code that the
Agreement include a paragraph reciting the false claim
provisions contained in Section 6.57(a) of the City's
Administrative Code. Ms. Jean Fraser of the City
Attorney's Office advises that these requirements apply
when the City purchases goods or services, not when the
City receives grant funds. Therefore, the w r aivers in this
case are standard and pose minimal risk to the City,
according to Ms. Fraser.
BOARD OF SUPERVISORS
BUDGET ANALYST
19
Memo to Public Health and Environment Committee
October 14, 1999 Public Health and Environment Committee Meeting
4. The Attachment is the Grant Application Information
Form, as prepared by the DPH.
5. As shown in the Attachment to this report, the DPH
applied for a total of $115,911 in grant funds for the
proposed two-year Study. However, Ms. Burlew-Lawler
reports that UARP awarded the Department a grant of
$145,421, or $29,510 more than the requested amount of
$115,911.
6. The DPH has prepared a Disability Checklist for the
proposed grant funds, which is on file with the Clerk of
the Board of Supervisors.
7. The proposed resolution contains a provision that
states that the Controller should be urged to designate
the new positions created under the subject grant as "G"
or "Grant-funded" positions so that such positions would
terminate when the grant expires.
8. The proposed resolution also contains a provision that
authorizes the Director of Public Health to enter into
other future agreements, similar to the subject
Agreement, with UARP if the grant recurs or is renewed,
without obtaining subsequent approval by the Board of
Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
20
Memo to Public Health and Environment Committee
October 14, 1999 Public Health and Environment Committee Meeting
Recommendation:
Approval of the proposed resolution is a policy matter for
the Board of Supervisors since this resolution authorizes
the Director of Public Health to enter into other future
agreements, similar to the subject Agreement, with UARP
if the grant recurs or is renewed, without obtaining
subsequent approval by the Board of Supervisors.
Harve3 r M. Rose
cc: Supervisor Bierman
Supervisor Brown
Supervisor Yaki
President Ammiano
Supervisor Becerril
Supervisor Katz
Supervisor Kaufman
Supervisor Leno
Supervisor Newsom
Supervisor Teng
Supervisor Yee
Clerk of the Board
Controller
Legislative Analyst
Matthew Hymel
Stephen Kawa
Ted Lakey
BOARD OF SUPERVISORS
BUDGET ANALYST
21
Attachment
Page 1 of 2
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1 . Department Division. & Branch: Public Health, PHP, CHP&P, HIV Prevention Section
2. Contact Person: Valerie Kegebein Rose, Co- Telephone: 415-554-9023
Principle Investigator
3. Project Title: HIV Prevention Policy: The Role of Community Planning Groups
4. Grant Source Agencv: University of California Universitywide AIDS Research
Program (UARP)
5. Tvpe of Funds ( Circle): Federal Federal - State (Pass Through - ) State Local Private
6. Proposed (New/Continuation) :
Grant Project Summary: This grant is a collaborative project between the San Francisco
Department of Health and the UCSF Center for AIDS Prevention Studies. The study is a
descriptive analysis of CPG members' perceptions, actions, roles, responsibilities, and
intentions related to health policy making. The study will also examine the actual
influence of CPGs on policy at the local, state, or federal level. Participants will consist of
the 500 California CPG members from among the 57 CPGs, including San Francisco.
Participants will be asked to complete a semi-strucrured, self-administered survey. A
subset of CPG members will also be asked to provide key informant interviews for more
in-depth qualitative analysis. A systematic document and legislative review will be
conducted to identify HIV-related health policy and legislative initiatives.
7. Amount of Grant Funding Applied For
$59,125: year one; 556,786: year two. Total: SI 15,91 1
8. Maximum Funding Amount Available fat time of SlOO.OOO/yr.
application):
9. Required Matching Funds? Yes No Cash In-kind
fCircle):
If ves. list dollar amount and identify source of Matching Funds in Department Budget : Not
Applicable
22
2/9/99
10 - Number of n
fe No;
£§£ No .
J6 " ^SO^lofGrant. Cf
— Start-Date- r . ,
- December, 19 98
J une30,200]
19.
a renevva, oo^?™** 8 re P°"- AwLl CO,,abo ™ive invest^ ^ scie "Wc
20 - ^oanrneru Head a
eab y Grant Manager)
Mit cbeIJKat 2 M n tv
2 ' M ^ Erector of Health
8/18/99
s 'gnature
23
City and County of San Francisco atyHaii
J J * 1 Dr Car ton
1 Dr. Carlton B.
H JJs# \V\ ^Meeting Minutes Goodlett place
sLm^CTrl r) San Francisco, CA
9)0 ^^KsSW*) Public Health and Environment Committee 94102^689
x^fsTj^^ Members: Supervisors Sue Merman, Amos Brown and Michael Yaki
i/n
Clerk: Deborah Muccino
Thursday, October 28, 1 999 1 :00 PM City Hall, Room 263
Regular Meeting
Members Present: Sue Bierman, Amos Brown, Michael Yaki.
DOOUMENlSUbP T,
Meeting Convened •'"N 2 4
SAN FRANCISCO
The meeting convened at 1 : 08 P. M. PUBLIC I I R R A D V
CONSENT AGENDA
All matters listed hereunder constitute a Consent Agenda, are considered to be routine and will be acted upon
by a single roll call vote of the Committee. There will be no separate discussion of these items unless a
member of the Committee so requests, in which event the matter shall be removed from the Consent Agenda
and considered as a separate item.
991911 | Accept and expend 36 recurring State grants to the Department of Public Health]
Resolution authorizing acceptance and expenditure of State grant funds by the San Francisco Department of
Public Health for 1999-2000. (Public Health Department)
10/6/99. RECEIVED AND ASSIGNED to Public Health and Environment Committee.
RECOMMENDED..
991945 [Agreement with State Department of Rehabilitation to provide vocational services to HIV/AIDS clients
who are San Francisco residents)
Resolution authorizing the Department of Public Health, Community Health Services, to enter into a
Cooperative Program Agreement with the State Department of Rehabilitation San Francisco District, including
a required match of $100,000, to provide vocational services to HIV/AIDS clients, which does not include
patent infringement indemnification and false claims clauses. (Public Health Department)
10/13/99. RECEIVED AND ASSIGNED to Housing and Social Policy Committee.
10/18/99. TRANSFERRED to Public Health and Environment Committee.
Amended title page 1 line 3 of the Title, after the word "authorizing" by inserting ", RETROACTIVE TO
OCTOBER 1, 1999" and page 1 line 24 after the word authorized add ", retroactive to October 1, 1999, ".
AMENDED.
Resolution authorizing, retroactive to October 1, 1999, the Department of Public Health, Community Health
Services, to enter into a Cooperative Program Agreement with the State Department of Rehabilitation San
Francisco District, including a required match of $100,000, to provide vocational services to HIV/AIDS clients,
which does not include patent infringement indemnification and false claims clauses. (Public Health
Department)
RECOMMENDED AS AMENDED..
City and County of San Francisco 1 Printed at 11:50 AM on 1/9/01
Public Health and Environment Committee
Meeting Minutes
October 28, 1999
The foregoing items were acted upon by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
REGULAR AGENDA
991668 [Recreational Drugsl
Supervisors Leno, Newsom
Hearing to consider ways to respond to rising social use of the drug gamma hydroxy butyrate (GHB) and
copycat drugs such as Blue Nitro including assess current research on medical and social dangers and assess
outreach and educational efforts by public agencies and community-based organizations that encourage harm
reduction among communities which use this drug.
8/23/99. RECEIVED AND ASSIGNED to Public Health and Environment Committee.
10/12/99. SUBSTITUTED. Submitted by Supervisor Leno in Board, bearing new title.
10/12/99. RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Supervisor Leno; Jim Stillwell, San Francisco Dept. of Public Health; Al
Abramowitz, San Francisco Dept. of Public Health, CSAS; Dr. Jo Ellen Dyer, Poison Control Center; Dr.
Chris Carrington, Harmony/SFSU; Glenn Raswyck, Haight Ashbury Rock Medicine; Craig Waldo, UCSF;
Emanual Sferio, Dance Safe; Theo Rsenfeld, Mind Body Love; Steven Ellen.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
991560 [Suicide Among San Franciscans]
Supervisor Leno
Hearing to consider the public policy implications and prevention efforts to reduce suicide among San
Franciscans.
8/9/99. RECEIVED AND ASSIGNED to Housing and Social Policy Committee.
10/13/99. TRANSFERRED to Public Health and Environment Committee.
Heard in Committee. Speakers: Supervisor Leno; Maria Martinez; Dr. Peter Foerster, Medical Director San
Francisco Community Health Services; Dr. Larry Meredith, Health Promotion and Prevention Center; Eve
Meyer, Executive Director, San Francisco Suicide Prevention; Evelyn Lee, Executive Director, Richmond
Area Multi-Services Center; Anne Tamar-Mattis, LYRIC Youth Talkline Director; Diana Bogard, Haight
Ashbury Free Clinic, President of Substance Abuse Providers Association; Jennifer Friedenbach, Homeless
Coalition; Lieutenant Dirk Beijen, Police Department; Sgt. Joe Kennedy, Police Department; Sgt. Forrest
Fulton, Police Department; Lauren Swiger, San Francisco Suicide Prevention Volunteer Coordinator; Dr.
Ervin J. Jindrich, Goldengate Suicide Barrier Coalition; James LaPoint, Coalition on Homelessness; Tom
Gomez, Coalition on the Homeless.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 2 - Bierman, Brown
Absent: 1 - Yaki
ADJOURNMENT
The meeting adjourned at 4:15 P.M.
City and County of San Francisco
Printed at 11:50 AM on 1/9/01
Public Library, Gov't Information Ctr.. 5 th Fir.
Attn: Susan Horn, Dept. 41
CIO
Itity
CITY AND COUNTY
OF §AN FRANCISCO
JBOARD OF SUPERVISORS
BUDGET ANALYST
1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642
FAX (415) 252-0461
DOCUMENTS DEPT,
OCT 2 9 1999
October 26, 1999
TO: '^Public Health and Environment Committee
FROM: ^Budget Analyst
'v
SUBJECT: ^October 28, 1999 Public Health and Environment Committee Meeting
4L4
SAN FRANCISCO
PUBLIC LIBRARY
•^
Item 1- File 99-1911
Department:
Item:
Description:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health
to accept and expend State grant funds in the total
amount of $16,469,070.
According to Section 11.1 of the Administrative Provisions
of the Fiscal Year 1999-2000 Annual Appropriations
Ordinance, recurring grants, included in the
Department's annual budget submission, that were
previously approved by the Board of Supervisors in the
annual budget, do not require separate authorization by
resolution of the Board of Supervisors for the acceptance
and expenditure of such grants. However, the agencies of
the State of California that provide grant funds to the
DPH require the Department to provide documentation of
the Board's approval of their grant funds (State
Administrative Manual Section 1208.2(a)). The proposed
resolution would authorize the DPH to accept and expend
State funding for 36 recurring grants, totaling
$16,469,070 (see Comment 1). These grants were
previously approved by the Board of Supervisors in the
FY 1999-2000 DPH budget.
Memo to Public Health and Environment Committee
October 28, 1999 Public Health and Environment Committee Meeting
Comments:
1. The Attachment, provided by DPH, contains a list of
the State grants provided to DPH for FY 1999-2000.
According to Ms. Monique Zmuda of DPH, of the
$16,469,070 in State funds, $15,576,786 of the grant
funds were for direct program costs and $892,284 were to
pay for the City's indirect costs.
2. As noted above, approval of this proposed resolution
would be consistent with the FY 1999-2000
Administrative Provisions of the Annual Appropriation
Ordinance previously approved by the Board of
Supervisors.
Recommendation:
Approve the proposed resolution.
BOARD OF SUPERVISORS
BUDGET ANALYST
2
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Memo to Public Health and Environment Committee
October 28, 1999 Public Health and Environment Committee Meeting
Item 2 - File 99-1945
Department:
Item:
Department of Public Health
Community Health Services
Resolution authorizing the Department of Public Health
(DPH), Community Health Services, to enter into a
Cooperative Program Agreement with the State
Department of Rehabilitation. This Agreement requires
the DPH to provide a local cash match of $100,000 that
will enable the State Department of Rehabilitation to
leverage grant funds of $414,766 from the Federal
Rehabilitation Services Administration for HIV/AIDS
clients in San Francisco. The subject resolution states
that this Agreement does not include patent infringement
indemnification and false claims clauses.
Description:
The proposed resolution would authorize the Department
of Public Health (DPH), Community Health Services to
enter into a Cooperative Program Agreement with the
State Department of Rehabilitation. This Agreement
requires the DPH to provide a local cash match of
$100,000 that will enable the State Department of
Rehabilitation to leverage grant funds of $414,766 from
the Federal Rehabilitation Services Administration for
the provision of vocational services to HIV/AIDS clients in
San Francisco. Together, the required cash match of
$100,000 and the grant funds of $414,766 would be used
to cover the total costs of $514,766 for this project,
according to Mr. Eric Ciasullo of the DPH (see Budget
section of this report).
Mr. Ciasullo states that this Agreement does not provide
funding directly to the City. However, as a result of this
Cooperative Program Agreement, the State Department
of Rehabilitation would award Case Services Contracts to
the following four non-profit organizations for the delivery
of vocational services to HIV/AID clients:
• Positive Resources Center
• Jewish Vocational Services
• IAM CARES
• Catholic Charities
BOARD OF SUPERVISORS
BUDGET ANALYST
8
Memo to Public Health and Environment Committee
October 28, 1999 Public Health and Environment Committee Meeting
According to Mr. Ciasullo, the State Department of
Rehabilitation would be solely responsible for entering
into the contracts with the four non-profit organizations.
However, Mr. Ciasullo states that the DPH Employment
Development Unit would use existing departmental staff
to coordinate with the State Department of Rehabilitation
to develop collaborative linkages between existing DPH
vocational services to HIV/AIDS clients and the proposed
services to be funded under this Agreement.
The term of this Agreement is for a 9-month period from
October 1, 1999 through June 30, 2000 (see Comment #1).
Mr. Ciasullo states that the Case Services Contracts
would allow the subject four non-profit organizations to
provide comprehensive benefits counseling and
assessment, vocational assessment and career counseling,
and a wide range of employment services for
approximately 240 HIV/AIDS clients residing in San
Francisco.
Budget: Mr. Ciasullo has provided a budget for the total project
costs of $514,766 for the 9-month period from October 1,
1999 to June 30, 2000, as follows:
State Department of Rehabilitation
Counseling and Case Services $131,209
Contractual Services
Positive Resources Center 123,624
Jewish Vocational Services 94,427
IAM CARES 102,701
Catholic Charities 62.805
TOTAL BUDGET $514,766
The Attachment, provided by DPH, contains supporting
budgets for the contractual services to be provided by
each of the subject four non-profit organizations.
Required Match: $100,000 included in DPH's FY 1999-2000 budget.
Comments: 1. According to Mr. Ciasullo, the subject four non-profit
organizations have been contracted by the State
Department of Rehabilitation to provide vocational
BOARD OF SUPERVISORS
BUDGET ANALYST
Memo to Public Health and Environment Committee
October 28, 1999 Public Health and Environment Committee Meeting
services to HIV/AIDS clients since October 1, 1999.
Therefore, this resolution should be amended to provide
for retroactive approval of the proposed agreement to
October 1, 1999.
2. The proposed resolution would waive: (1) the
requirement contained in Sections 6.21 and 21.19 of the
City's Administrative Code that the Cooperative Program
Agreement include an indemnification of the City by the
State Department of Rehabilitation for the infringement
of patent rights; and (2) the requirement contained in
Section 6.57(c) of the City's Administrative Code that the
Cooperative Program Agreement include a paragraph
reciting the false claim provisions contained in Section
6.57(a) of the City's Administrative Code. According to
Ms. Jean Fraser of the City Attorney's Office, these
requirements apply to situations in which the City
purchases goods or services, not when the City enters into
Cooperative Program Agreements. Therefore, the waivers
in this case are standard and pose minimal risk to the
City, according to Ms. Fraser.
BOARD OF SUPERVISORS
BUDGET ANALYST
10
Memo to Public Health and Environment Committee
October 28, 1999 Public Health and Environment Committee Meeting
Recommendations:
1. In accordance with Comment No. 1 above, amend the
proposed resolution to provide for retroactive approval of
the proposed agreement between the DPH and the State
Department of Rehabilitation.
2. Approve the proposed resolution as amended.
Harvey M. Rose
cc: Supervisor Bierman
Supervisor Brown
Supervisor Yaki
President Ammiano
Supervisor Becerril
Supervisor Katz
Supervisor Kaufman
Supervisor Leno
Supervisor Newsom
Supervisor Teng
Supervisor Yee
Clerk of the Board
Controller
Legislative Analyst
Matthew Hymel
Stephen Kawa
Ted Lakey
BOARD OF SUPERVISORS
BUDGET ANALYST
11
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'/*/*?
City and County of §an Francisco
Meeting ^Minutes
JPublic Health and Environment Committee
Members: Supervisors Sue Merman, Amos Brown and Michael Yaki
Clerk: Gregoire Hobson
City Hall
1 Dr. Carlton B.
Goodlett Place
San Francisco, CA
94102-4689
Thursday, November 18, 1999
1:00 PM
Rescheduled Meeting
City Hall, Room 263
Members Present: Sue Bierman, Amos Brown, Michael Yaki.
Meeting Convened
991855
The meeting convened at 1:02 P.M.
[Grant from the Corporation for Supportive Housing to partially fund service and operating expenses at
the Pacific Bay Inn and the Windsor Hotel (Single Room Occupancy hotels) serving chronically
homeless persons]
Resolution authorizing the Department of Public Health, Population Health and Prevention Division, to accept
retroactively and expend a grant in the amount of $625,000 from the Corporation for Supportive Housing and
to enter into an agreement which does not include patent infringement indemnification and false claims
clauses; providing for ratification of action previously taken and waiving indirect costs. (Department of Public
Health)
9/28/99, RECEIVED AND ASSIGNED to Housing and Social Policy Committee.
10/6/99, TRANSFERRED to Public Health and Environment Committee.
Heard in Committee. Speakers: Mark Tracent, Department of Public Health; Ernestine Weiss.
RECOMMENDED AS COMMITTEE REPORT by the following vote:
Ayes: 2 - Brown, Yaki
Absent: 1 - Bierman
991988 [Authorizing DPH to enter into an agreement with the Regents of the University of California,
Univesitywide AIDS research program]
Resolution authorizing the Department of Public Health, Community Health Promotion and Prevention, to
enter retroactively into a subcontract agreement in the amount of $31,950 with the Regents of the University
of California San Francisco, the primary contractor, to provide evaluation of the Youth United Through Health
Education (Yuthe) Program, which includes a rights in data clause and which does not include patent
infringement indemnification and false claims clauses; providing for ratification of action previously taken.
(Department of Public Health)
10/19/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speaker: Jackie McLite, Dept. of Public Health.
RECOMMENDED AS COMMITTEE REPORT by the following vote:
Ayes: 2 - Brown, Yaki
Absent: 1 - Bierman
DOCUMENTS DEPT.
NOV 2 4 1939
SAM FRANCISCO
p UBLIC LIBRARY
City and County of San Francisco
Printed at 9:15 AM on 11/22M9
Public Health and Environment Committee
Meeting Minutes
November 18, 1999
991993 |Federal Grant to fund a feasibility study of physician prescription of methadone]
Supervisor Nevvsom
Resolution authorizing the Department of Public Health, Population Health and Prevention, Community
Substance Abuse Services, to accept retroactively and expend a grant in the amount of $100,000 from the
Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health Services (SAMHSA), for
a methadone by physician prescription feasibility study and to enter into an agreement which does not include
patent infringement indemnification and false claims clauses; providing for ratification of action previously
taken. (Department of Public Health)
10/20/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Supervisor Newsom; Amillio Palacio, Dept. of Public Health.
RECOMMENDED AS COMMITTEE REPORT by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
991994 [Authorizing DPH to enter into a subcontract agreement with the Regents of the University of
California to provide home safety services to San Francisco seniors]
Resolution authorizing the Department of Public Health, Community Health Promotion and Prevention, to
enter retroactively into a subcontract agreement in the amount of $66,134 with the Regents of the University
of California, the primary contractor, to provide home safety services to San Francisco seniors, which does not
include patent infringement indemnification and false claims clauses; providing for ratification of action
previously taken. (Department of Public Health)
10/20/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speaker: Michael Randinski, Dept. of Public Health.
RECOMMENDED AS COMMITTEE REPORT by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
992023 [Federal Grant to fund the Raise African American Infant Survival Program]
Resolution authorizing the Department of Public Health, Population Health and Prevention, Community
Health Promotion and Prevention, to accept retroactively and expend a grant in the amount of $272,846 from
the Centers for Disease Control and Prevention for the Raise African American Infant Survival Program and to
enter into an agreement which does not include patent infringement indemnification and false claims clauses;
providing for ratification of action previously taken. (Department of Public Health)
10/27/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speaker: Larry Merideth, Dept. of Public Health. Amended title page 1 line 5 of the
Title, delete the word "RETROACTIVELY" and page 1 line 21 delete the word "retroactively".
AMENDED by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
Resolution authorizing the Department of Public Health, Population Health and Prevention, Community
Health Promotion and Prevention, to accept and expend a grant in the amount of $272,846 from the Centers
for Disease Control and Prevention for the Raise African American Infant Survival Program and to enter into
an agreement which does not include patent infringement indemnification and false claims clauses; providing
for ratification of action previously taken. (Department of Public Health)
RECOMMENDED AS COMMITTEE REPORT by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
City and County of San Francisco
Printed at 9:15 AM on U/22M9
Public Health and Environment Committee
Meeting Minutes
November 18, 1999
992077 [Authorizing grant for a Trauma System Evaluation Project to strengthen and possibly formalize the
relationship between San Francisco and San Mateo counties trauma care systems}
Resolution authorizing the Department of Public Health, Community Health and Safety Services, to accept
retroactively and expend a grant in the amount of $49,826 from the State Emergency Medical Services
Authority for trauma system evaluation and to enter into an agreement which includes rights in data clauses
and does not include patent infringement indemnification and false claims clauses; providing for ratification of
action previously taken. (Department of Public Health)
1 1/5/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speaker: Abby Yit, Dept. of Public Health.
RECOMMENDED AS COMMITTEE REPORT by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
991831 [Coca Cola Recycled Plastics)
Supervisors Newsom, Bierman
Resolution urging the Coca-Cola Corporation and its subsidiaries to use recycled plastics in its products.
9/27/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Super-visor Newsom; Francesco Vitor, Director of the Dept. of the
Environment; David Ausman; Vero Micoladi; Rick Besh; Kevin Drew, SF Community Center; Ann Kockrin,
SF Conservation Corp. Amended page 1 line 19 after the word "year" by replacing "200" with "2000" and
page 1 line 25 after the word "and" add "WHEREAS, The Coca-Cola Company presently uses 25% recycled
content in its bottles in Australia, Sweden, and Switze-land; and, ".
AMENDED.
RECOMMENDED AS AMENDED by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
ADJOURNMENT
The meeting adjourned at 2:00 P.M.
City and County of San Francisco
Printed at 9:1 5 AM on 11/22/99
•th
Public Library,Gov't Info. Ctr., 5 in Fir.
Attn: Susan Horn
CITY AND COUNTY
OF SAN FRANCISCO
BOARD OF SUPERVISORS
BUDGET ANALYST
1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642
FAX (415) 252-0461
DOCUMENTS DEPT
NOV 1 7 1999
SAN FRANCISCO
PUBLIC LIBRARY
November 16, 1999
TO: ..Public Health and Environment Committee
FROM: .Budget Analyst
SUBJECT: ^November 18, 1999 Public Health and Environment Committee
Meeting
Item 1 - File 99-1855
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Project:
Department of Public Health
Resolution authorizing the Department of Public Health
(DPH), Population Health and Prevention Division to
accept retroactively and expend a grant of $625,000 from
the Corporation for Supportive Housing to partially fund
the Direct Access to Housing Program and to enter into
an agreement which does not include patent infringement
indemnification and false claims clauses; providing for
ratification of action previously taken and waiving
indirect costs.
$625,000
July 12, 1999 through June 30, 2002 (approximately 3
years)
Corporation for Supportive Housing
Direct Access to Housing Program
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
Description: The proposed resolution would authorize the Department
of Public Health (DPH), Population Health and
Prevention Division to accept retroactively and expend a
grant of $625,000 from the Corporation for Supportive
Housing to partially fund the Direct Access to Housing
Program from July 12, 1999 through June 30, 2002.
According to Mr. Marc Trotz of DPH, as part of this
Program, presently DPH provides 169 units of housing to
indigent and homeless individuals at reduced rental rates
for a period of up to two years, with time extensions that
are granted by DPH program staff on a case by case basis.
The 169 units include:
• 75 Single Room Occupancy (SRO) units at the Pacific
Bay Inn, which are located at 520 Jones Street and
leased by Episcopal Community Services, a non-profit
organization, under contract with DPH.
• 94 SRO units at the Windsor Hotel, which are located
at 238 Eddy Street and leased directly by DPH.
Mr. Trotz states that on-site support services, including
mental health services, life skills development, and access
to medical care services to improve the health of the
program participants, are provided by DPH at the
Windsor Hotel and by Episcopal Community Services at
the Pacific Bay Inn. According to Mr. Trotz, DPH also
contracts with Episcopal Community Services for the
delivery of on-site support services at the Pacific Bay Inn.
Attachment I, provided by Mr. Trotz, contains a budget
and all funding sources for the $2,500,264 total project
costs to operate the Direct Access to Housing Program in
FY 1999-2000.
As noted in Attachment I, $208,000 of the proposed grant
funds of $625,000 would be used to fund a portion of costs
totaling $2,500,264 for FY 1999-2000. According to Mr.
Trotz, DPH intends to use the remaining $417,000 of the
$625,000 in proposed grant funds to partially fund all of
the Program's costs in FY 2000-2001 and FY 2001-2002.
BOARD OF SUPERVISORS
BUDGET ANALYST
2
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
Budget:
Required Match:
Indirect Costs:
Comments:
Attachment II, provided by the DPH, is a budget
summarizing the Department's estimated expenditure of
$625,000 in grant funds for the Program for fiscal years
1999-2000, 2000-2001 and 2001-2002.
None.
According to Mr. Trotz, the proposed resolution provides
for a waiver of indirect costs because such costs are not
allowed by the granting agency.
1. Mr. Trotz advises that the acceptance deadline for this
grant was July 12, 1999 and as such, DPH has already
accepted the subject grant funds. However, Mr. Trotz
states that DPH has not expended such grant funds.
2. According to the proposed resolution, as a condition of
receiving the subject grant funds, DPH has agreed to
enter into an agreement ("Agreement") with the
Corporation for Supportive Housing that would require
the City to waive (1) the requirement contained in
Sections 6.21 and 21.19 of the City's Administrative Code
that the Cooperative Program Agreement include an
indemnification of the City by the State Department of
Rehabilitation for the infringement of patent rights; and
(2) the requirement contained in Section 6.57(c) of the
City's Administrative Code that the Cooperative Program
Agreement include a paragraph reciting the false claim
provisions contained in Section 6.57(a) of the City's
Administrative Code. According to Ms. Jean Fraser of the
City Attorney's Office, these requirements apply to
situations in which the City purchases goods or services,
not when the City receives grant funds. Therefore, the
waivers in this case are standard and pose minimal risk
to the City, according to Ms. Fraser.
3. Attachment III is the Grant Application Information
Form.
4. DPH has prepared a Disability Access Checklist for the
proposed grant program, which is on file with the Clerk of
the Board of Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
3
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
5. The proposed resolution also contains a provision that
authorizes the Director of Public Health to enter into
other future agreements, similar to the subject
Agreement, with the Corporation for Supportive Housing
if the grant recurs or is renewed, without obtaining
subsequent approval by the Board of Supervisors.
Recommendation: Approval of the proposed resolution is a policy matter for
the Board of Supervisors since this resolution authorizes
the Director of Public Health to enter into other future
agreements, similar to the subject Agreement, with the
Corporation for Supportive Housing if the grant recurs or
is renewed, without obtaining subsequent approval by the
Board of Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
4
NDU-01-1999 05:44
Attachment 1
DPH HOUSING
415 5^4 2704 P. 02
Attachment I
EXPENSES
Lease Amount
Operating Costs
Services Cost
Total
Windsor Hotel
$374,400
$526,516
$427,755
51.428,771
Pacific Bay Inn
S323.568
$180,219
5567.706
$1,071,493
Total
$697,968
$806,835
5995,461
$2,500,264
REVENUE
General Fund
CSH/Hilton Grant
Rental Income
Total
51,062,109
5115,000
5251,662
$713,164
$93,000
S265.329
51,428,771
$1,071,493
$1,775,273
$208,000
$516,991
$2,500,264
TOTAL P. 02
Attachment II
HILTON FOUNDATION GRANT BUDGET
FOR THE
DIRECT ACCESS TO HOUSING PROGRAM
PACIFIC BAY WINDSOR TOTAL
INN HOTEL
FY 99-00
Support Services/Operations $ 93,000 $ 115,000 $ 208,000
FY 00-01
Support Services/Operations $ 93,000 $ 115,000 $ 208,000
FY 01-02
Support Services/Operations $ 93,500 $ 115,500 $ 209,000
TOTAL $ 279,500 $ 345,500 $ 625,000
Attachment III
Page 1 of 2
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept &. Expend Grant Funds
to: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1. Department. Division. & Branch: Department of Public Health,
Population Health and Prevention,
Community Health Services
(Housing Services)
2. Contact Person: Marc H. Trotz, Telephone: 554-2565
Director of Housing Dvlpmt.
3. Project Title: Direct Access to Housing
4. Grant Source Agency: Corporation for Supportive Housing
5. Tvpe of Funds [Circle): Federal Federal - State fPass Through) State Local ( Priv ate
6. ProposedY NewyContinuation) Grant Project Summary:
The DAH program is a housing initiative first funded by the Department in FY 1998-99. To
date, the program consists of the following two Single Room Occupancy hotels: the Pacific Bay
Inn, located at 520 Jones Street, providing 75 units of housing; and the Windsor Hotel, located at
238 Eddy Street, providing 94 units of housing. Both buildings offer comprehensive on-site
support services designed to meet the needs of chronically homeless persons with and without
disabilities. The Department has contracted with Episcopal Community Services to lease and
run the Pacifica Bay Inn. The Windsor Hotel has been leased directly by the Health Department
with services delivered by staff hired through TWHC.
Tne funds made available by the Corporation for Supportive Housing are part of a larger grant
that CSH received from the Hilton Foundation specifically earmarked for supportive housing.
The S625.000 three-year grant will be used to partially fund the service and operating expenses at
both hotels.
7. Amount of Grant Funding Applied For: S625,000
S. Maximum Funding Amount Available fat time of application): S625,000
9. Required Matching Funds? CCircleV. Yes QigJ Cash In-kind
If ves. list dollar amount and identify source of Matching Funds in Department Budget: N/A
2/9/99
Attachmen t III
rage 2 of 2
10. Number of new positions created and funded: N/A
1 1 . If new positions are created, explain the disposition of emplovee(s) once the grant ends: N/A
Yes: (fiop
12. Are indirect costs eligible costs for this grant? (Circle):
If ves. please identify the amount of Ss in indirect costs:
13. Amount to be spent on contractual services: S625,000
14. a.) Will contractual services be put out to bid? (Circle): -fYes:) No:
b.) If so. will contract services help to further the goals of the department's
MBEAVBE requirements? : Yes (Contracts have been awarded and
approved by the Health Commission already)
15. Is this request for contracting out likeiv to be : (CircleOne) One Time (Ongoini
16. Term of Grant: Start-Date: 7/12/99 End-Date: 6/20/2002
7/12/99-
6/^0/2002
17. Date You Were Notified That This Funding Was Available:
9/98
Funding
was
awarded
6/25/99)
18. Grant Application Due Date: 6/14/99
S/3/99
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
Item 2 -File 99-1988
Department:
Department of Public Health (DPH)
Community Health Promotion and Prevention
Item:
Resolution authorizing the Department of Public Health,
Community Health Promotion and Prevention, to enter
retroactive^ into a subcontract agreement in the amount
of $31,950 with the Regents of the University of
California San Francisco, the primary contractor, to
provide evaluation of the Youth United Through Health
Education (YUTHE) program. The subject resolution
states that this subcontract includes a rights in data
clause, and does not include patent infringement
indemnification and false claims clauses.
Subcontract Periods
and Amounts:
July 1, 1999 through June 30, 2000
July 1, 2000 through June 30, 2001
July 1, 2001 through June 30, 2002
Total
$11,200
10,375
10.375
$31,950
Primary Contractor: University of California at San Francisco (UCSF)
Budget:
The budget for the first year of the subcontract payable to
DPH by UCSF, from July 1, 1999 through June 30, 2000,
is as follows:
0.2 FTE 1424 Clerk Typist
Benefits
Total salary and benefits
Travel
Indirect costs
$6,402
1.911
$8,313
1,225
1.662
Description:
Total
$11,200
The proposed resolution would authorize DPH to enter
into a subcontract with UCSF to provide evaluation of the
Youth United through Health Education (YUTHE)
Program. YUTHE is a community-based, peer-led
education program for the prevention of sexually
transmitted diseases (STD) and of HIV infection,
conducted by the DPH STD Prevention and Control
Services. The YUTHE Program targets adolescents, from
BOARD OF SUPERVISORS
BUDGET ANALYST
9
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
ages 12 through 22, residing in the Bayview-Hunters
Point community. The goal of the program is to reduce the
rates of sexually-transmitted diseases and HIV infections
among African American adolescents in Bayview-Hunters
Point. A primary objective of the program is to increase
utilization of STD preventive services, including screening
and treatment of asymptomatic STD infections, through
peer-led street outreach, one-on-one client centered
interventions, small media marketing campaigns, and
community mobilization.
Approval of the proposed resolution would authorize DPH
to enter into a subcontract with UCSF to provide support
to UCSF for the evaluation of YUTHE. The primary goal
of the evaluation is to determine the effectiveness of the
YUTHE Program.
Comment: 1. According to Ms. Jacqueline McCright of DPH, under
the subcontract, DPH would hire a 0.2 FTE 1424 Clerk
Typist to provide clerical support for the evaluation. In
addition, Ms. McCright would provide in-kind services as
Co-principal Investigator, equal to 10 percent of her time.
3. The resolution urges the Controller to designate 0.2
FTE created under the grant as "G" or grant-funded
positions, which would terminate when the grant expires.
4. Ms. McCright states that the proposed resolution is
retroactive because the Department of Public Health
received the subcontract document in early September,
not permitting sufficient time to present the resolution for
review by the Board of Supervisors prior to entering into
the agreement. Ms. McCright reports that no funds have
been expended.
5. The proposed resolution would waive: (1) the
requirement contained in Sections 6.21 and 21.19 of the
City's Administrative Code that the agreement include an
indemnification of the City by UCSF for the infringement
of patent rights; and (2) the requirement contained in
Section 6.57(c) of the City's Administrative Code that the
agreement include a paragraph reciting the false claim
provisions contained in Section 6.57(a) of the City's
Administrative Code. According to Ms. Jean Fraser of the
BOARD OF SUPERVISORS
BUDGET ANALYST
10
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
City Attorney's Office, these requirements apply when the
City purchases goods or services, not when the City
receives funds from a grant. Therefore, Ms. Fraser
advises that the waivers in this case are standard and
pose minimal risk to the City.
6. According to the proposed resolution, as a condition of
receiving the subject subcontract, the DPH has agreed to
enter into an agreement with UCSF that would require
the City to grant UCSF the royalty-free and nonexclusive
right to use the data collected under the contract.
7. The proposed resolution contains a provision that
authorizes the Director of Health to enter into similar
agreements with UCSF if the subcontract recurs or is
renewed.
Recommendation: Approval of the proposed resolution is a policy matter for
the Board of Supervisors since this resolution authorizes
the Director of Health to enter into future agreements,
similar to the subject Agreement, with UCSF if the
subcontract recurs or is renewed, without obtaining
subsequent approval by the Board of Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
11
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
Item 3 - File 99-1993
Department:
Item:
Department of Public Health (DPH)
Population Health and Prevention
Community Substance Abuse Services (CSAS)
Resolution authorizing the Department of Public Health,
Population Health and Prevention, Community Substance
Abuse Services, to accept retroactively and expend a grant
in the amount of $100,000 from the Center for Substance
Abuse Treatment, Substance Abuse and Mental Health
Services, for a Methadone by Physician Prescription
Feasibility Study. The subject resolution states that this
grant agreement does not include patent infringement
indemnification and false claims clauses.
Grant Amount:
Grant Period:
Source of
Funds:
Matching Funds:
Indirect Costs:
Budget:
Description:
$100,000
September 30, 1999 through September 30, 2000
Federal Department of Health and Human Services,
Center for Substance Abuse Treatment (CSAT),
Substance Abuse and Mental Health Services (SAMHSA)
None
$4,762
Salaries and benefits
Consultants
Operations and equipment
Indirect costs (@ 5 percent)
Total
$71,292
10,000
13,946
4.762
$100,000
Attachment I, provided by DPH, contains details of the
proposed budget.
In February of 1998, the Board of Supervisors requested
the Department of Public Health (DPH) to create a
program to permit physicians to prescribe methadone for
patients addicted to opiates, as an alternative to
providing methadone solely in methadone clinics
(Resolution 56-98). An interdisciplinary planning group,
BOARD OF SUPERVISORS
BUDGET ANALYST
12
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
comprised of providers, community groups and DPH
programs, developed a model program to permit
physicians to prescribe methadone as a treatment to
individuals addicted to opiates. In accordance with the
Board's original resolution, DPH is now planning to
conduct a feasibility study for the implementation of the
proposed program.
Approval of the proposed resolution would authorize the
DPH to accept a $100,000 Federal grant from the Center
for Substance Abuse Treatment, Substance Abuse and
Mental Health Services, for a feasibility study, to be
conducted by DPH, to determine (a) provider interest in
participating in the program and (b) the potential cost of
the program.
Comment: 1. According to Dr. Alice Gleghorn of DPH, the proposed
feasibility study would (a) determine physician, counselor,
and pharmacy interest in participation in the physician
prescription of methadone program, (b) conduct training
sessions for providers to participate in the program, (c)
develop a centralized data base, (d) develop quality
control and evaluation protocols, and (e) conduct a fiscal
analysis of the program.
2. Dr. Gleghorn states that the grant resolution is
retroactive to accept these funds because the award notice
was received in early September of 1999. According to Dr.
Gleghorn, no funds have been expended.
3. According to Dr. Gleghorn, DPH would use the grant
funds to hire 1.0 FTE 2802 Epidemiologist and 0.5 FTE
9924 Project Assistant to conduct the feasibility study.
The proposed resolution urges the Controller to designate
two positions created under the grant as "G" or grant-
funded positions, which would terminate when the grant
expires.
In addition, Dr. Gleghorn states that DPH would use
$7,000 of the subject grant funds to hire an outside
consultant through a Request for Proposal (RFP) to
develop and provide training to providers. Dr. Gleghorn
states that DPH would also use $3,000 to hire an outside
BOARD OF SUPERVISORS
BUDGET ANALYST
13
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
consultant through an RFP to develop a database, for a
total of $10,000.
4. The proposed resolution would waive: (1) the
requirement contained in Sections 6.21 and 21.19 of the
City's Administrative Code that the agreement include an
indemnification of the City by the Federal Department of
Health and Human Services for the infringement of
patent rights; and (2) the requirement contained in
Section 6.57(c) of the City's Administrative Code that the
agreement include a paragraph reciting the false claim
provisions contained in Section 6.57(a) of the City's
Administrative Code. According to Ms. Jean Fraser of the
City Attorney's Office, these requirements apply when the
City purchases goods or services, not when the City
receives funds from a grant. Therefore, Ms. Fraser
advises that the waivers in this case are standard and
pose minimal risk to the City.
5. The proposed resolution contains a provision that
authorizes the Director of Health to enter into similar
agreements with CSAT if the grant recurs or is renewed.
6. Attachment II is the Grant Application Information
Form, provided by DPH.
7. DPH has prepared a Disability Access Checklist, which
is on file with the Clerk of the Board's Office.
Recommendation: Approval of the proposed resolution is a policy matter for
the Board of Supervisors since this resolution authorizes
the Director of Health to enter into future agreements,
similar to the subject Agreement, with the CSAT if the
grant recurs or is renewed, without obtaining subsequent
approval by the Board of Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
Attachment I
Effort
Annualized
Salary
Category
Colli
I
tEpidcrniologtstl - Class 2802
Total Costs ! Hourly Rate
S47.154
S47.164
Senefm fg .25
S1 1.791
Broiee) Assistant - Class 992-i
Operations:
Eouipment
0.5
S24.S74
S 12.237
Subtotal Personnel
S71.292
i ngiree; (g SS
S22.SE
S3.5S5
SII.Bi
Total Personnel
S74.e57
37
Desktop Persona! Computer
S3.CC0
**5*
Operating and Office Software
S1.000
SAS License Fee
S1.2CO
S5CO
Dtal rouipment
S5.EC0
Consultants
Cumculum Development/Qn-sile Traincna
S7.0CO
Ce ntralized Database Development
"oial Consultants
S3 .CCO
SI 0.000
Supplies
Office Supplies
S2SS
Postace
S20O
Express Mail
S20O
otal Supplies
SS36 I
raining Costs
Space Rental
S1.4C0
Audio Visual
S1.CC0
Manuals
S2.0CO
Meeting Expense
S500
"otal Training
S4.S0O
Duplication
Copying of Materials for Committee Dis^bution
S200
otal Duplication
S2C0
Local Travel and Parking
S3C0
Travel to CSAT Conference
S1.400
otal Travel
SI. 700
eleonone
Telephone Line Installation » Usage
S3C0
Long Distance
S350
otal Telephone
Subtotal Operations
S23.945
Operations Indirect @ ..05
SI. 197
otal Operations
Total Personnel and Operations
S25.K3
S100.0CC
15
Attachment II
„., KT . Page 1 of 2
File Number: °
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors.
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1 . Department: Public Health; Population Health and Prevention; Community Substance Abuse
Services.
2. Contact Person: Alice Gleghorn, Ph.D. Telephone: 255-3722
3. Project Title: Methadone by Physician Prescription Feasibility Study
4. Grant Source Agency: Center for Substance Abuse Treatment (CSAT) Substance Abuse and Mental
Health Services (SAMHSA)
5. Type of Funds: X Federal Federal-State (Pass-Through) State Local XJPrivate
6. Proposed (New /Continuation) Grant Project Summary:
On February 6, 1998, the San Francisco Board of Supervisors passed plesolution No. 56-98 directing the
Department of Public Health to create a program to "allow physicians full discretion to treat addiction
through prescription methadone." Pursuant to the Board's Resolution, Dr. Mitchell H. Katz, Director of
the San Francisco Department of Public Health, directed Barbara Garcia, head of the Community
Substance Abuse division of DPH, to convene an interdisciplinary Working Group to design a program
for physician prescription of methadone (PPM) to treat opiate dependence in San Francisco. In an" eight
month planning process, the PPM working group developed a model for the physician prescription of
methadone program. The Department of Public Health's next task in responding to the Board of
Supervisor's Resolution is to conduct a feasibility study for implementation of the PPM program. This
study will determine physician, counselor and pharmacy interest in participation in the PPM, conduct
trainings, develop a centralized data base, quality control and evaluation protocols, and conduct a fiscal
analysis of the program.
7. Amount of Grant Funding Applied for: $100,000
8. Maximum Funding Amount Available: SI 00,000
9. Required Matching Funds? Yes: No: X Cash or In-kind:
If yes, list dollar amount and identify source of Matching Funds in Department Budget:
10. Number of new positions created and funded: Two
1 1. If new positions are created, explain the disposition of employees once the grant ends?
Position will terminate with the funding.
1
9/21/99
16
Attachment II
Page 2 of 2
12. Are indirect costs eligible costs for this grant? Yes: X No:
I f yes, please identify the amount of S in indirect costs: S4,762
13. Amount to be spent on contractual services: S10,000
14. a.) Will contractual services be put out to bid?: Yes: X No:
b.) If so, will contract services help to further the goals of the department's MBE/WBE
requirements? : Yes
15. Is this likely-to be a one-time or ongoing request for contracting out?: One-time
16. Term of Grant: Start-Date: September 15, 1999 End-Date: September 30, 2000
17. Date Department Notified of Available Funds: August 13. 1999
18. Grant Application Due Date: N/A
19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or
appropriations legislation): According to standards as set forth in the Agreement, the BCRP Grant
Administration Manual, and Office of Management and Budget Circulars Nos. A-122 or A-21, as
applicable, and A-l 10.
20. Department Head Approval: Mitchell Katz, M.D., Director of Health
Signature
2
9/21/99
17
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
Item 4 - File 99-1994
Department:
Item:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health,
Community Health Promotion and Prevention, to enter
retroactively into a subcontract agreement in the amount
of $66,134 with the Regents of the University of
California, the primary contractor, to provide home safety
services to San Francisco Seniors. The subject resolution
states that this subcontract does not include patent
infringement indemnification and false claims clauses.
Subcontract
Amount:
$66,134
Contractor:
Subcontract
Period:
Budget:
University of California at San Francisco (UCSF)
September 1, 1999 through February 29, 2000 (six
months)
The summary budget for the proposed subcontract is, as
follows:
Personnel
0.8 FTE 2819 Assistant
Health Educator
$28,413
0.25 FTE 9924 Public
Service Aide
4,215
Fringe benefits @ 27 percent
8,861
Subtotal
Operations
Equipment
$ 3,000
Supplies
4,600
Travel
945
Other
7.802
Subtotal
$41,489
16.347
Subtotal personnel and operations
Indirect costs (20% of personnel costs)
Total personnel and operations
$57,836
8.297
$66,133
BOARD OF SUPERVISORS
BUDGET ANALYST
18
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
Attachment I, provided by DPH, contains additional
details of the operating budget for the proposed
subcontract.
Description:
The proposed resolution would authorize DPH to enter
into a subcontract with UCSF to provide home safety
modification information and assistance services to senior
citizens. UCSF has received a grant from the National
Institutes of Health (NIH) to (a) provide home safety
modification information and assistance to senior citizens
in San Francisco and (b) assess how senior citizens utilize
such home safety modification information and
assistance. As part of the NIH grant, UCSF would
subcontract with DPH to provide the home safety
modification information and assistance services.
Comment:
The Community Home Injury Prevention Program for
Seniors (CHIPPS) is a program of DPH Community
Health Promotion and Prevention, which provides
education services for senior citizens regarding
modifications they can make in their homes to improve
their safety. The subcontract with UCSF would permit
CHIPPS to (a) enhance their home safety modification
education services to senior citizens and (b) assist senior
citizens in implementing minor home safety
modifications. UCSF would provide an assessment of the
CHIPPS home safety modification education and
assistance program to evaluate why senior citizens make
the home safety choices that they make.
1. According to Mr. Michael Radetsky of DPH, the NIH
grant to UCSF provides for a four-year subcontract with
DPH to provide home safety modification education and
assistance services.
2. In addition to the subject six-month period from
September 1, 1999 through February 29, 2000, Mr.
Radetsky reports that UCSF proposes to subcontract with
DPH for three additional one-year periods, and for one
additional six-month period, for a total period of four
years for the subcontract, from September 1, 1999
through August 31, 2003.
BOARD OF SUPERVISORS
BUDGET ANALYST
19
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
3. The proposed resolution contains a provision that
authorizes the Director of Health to enter into similar
agreements with UCSF if the grant recurs or is renewed.
4. The resolution urges the Controller to designate two
positions created under the grant as "G" or grant-funded
positions, which would terminate when the grant expires.
5. Mr. Radetsky states that the proposed resolution is
retroactive because the fully executed contract was
received in late September of 1999, not permitting
sufficient time to present the resolution for review by the
Board of Supervisors prior to entering into the agreement.
Mr. Radetsky reports that no funds have been expended.
6. The proposed resolution would waive: (1) the
requirement contained in Sections 6.21 and 21.19 of the
City's Administrative Code that the agreement include an
indemnification of the City by the UCSF for the
infringement of patent rights; and (2) the requirement
contained in Section 6.57(c) of the City's Administrative
Code that the agreement include a paragraph reciting the
false claim provisions contained in Section 6.57(a) of the
City's Administrative Code. According to Ms. Jean Fraser
of the City Attorney's Office, these requirements apply
when the City purchases goods or services, not when the
City receives funds from a grant. Therefore, Ms. Fraser
advises that the waivers in this case are standard and
pose minimal risk to the City.
7. According to the proposed resolution, as a condition of
receiving the subject subcontract, the DPH has agreed to
enter into an agreement with UCSF that would require
the City to grant UCSF the royalty-free and nonexclusive
right to use the data collected under the contract.
8. Attachment II is the Grant Application Information
Form, provided by DPH.
9. DPH has prepared a Disability Access Checklist, which
is on file with the Clerk of the Board's Office.
Recommendation: Approval of the proposed resolution is a policy matter for
the Board of Supervisors since this resolution authorizes
BOARD OF SUPERVISORS
BUDGET^NALYST
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
the Director of Health to enter into future agreements,
similar to the subject Agreement, with UCSF if the grant
recurs or is renewed, without obtaining subsequent
approval by the Board of Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
21
Attachment 1
City and County of San Francisco
DEPARTMENT OF PUBLIC HEALTH
Willie L. Brown, Jr., Mayor
Mitchell H. Katz, M.D.
Director of Health
POPULATION HEALTH AND PREVENTION
COMMUNITY HEALTH PROMOTION AND PREVENTION BRANCH
November 8, 1999
TO: Budget Analyst
FROM: , Michael Radetsky
RE: Detail of Operations portion of UCSF sub-contract for the NTH grant
Equipment:
1 computer and printer
$3,000.
$3,000.
Supplies:
Training Materials
Printing of Health Ed Materials
Incentives for Program Participants
Safety/Repair Supplies
for Home Modifications
333.
3,000.
500.
767.
$4,600.
Travel:
MUNI passes
945.
S945.
Other:
Installation of Grab Bars at S60
Space Expenses - office space for
Coordinator and Manager (6 mos)
Stipends for Volunteers
2,700.
3,463.
1.639.
S7.802.
TOTAL Operations costs
$16,347.
Health Promotion Section
101 Grove Street, Rm.118
San Francisco, CA 94102
22
Fax (415) 554-2746
Attachment II
Page 1 of 2
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1. Department, Division, & Branch: Public Health, CHP&P
2. Contact Person: Michael Radetsky Telephone: 554-2924
3. Project Title: Safe Houses: Home Modification as Self Care
4. Grant Source Agency: UCSF sub-contract on National Institutes of Health (NTH) grant
5. Type of Funds (Circle): Federal Federal - State (Pass Through) State Local
6. Proposed (New/Continuation) Grant Project Summary:
Under the "Safe Houses: Home Modification as Self Care" grant from the NIH, the CHTPPS
program in the Health Department will provide, and UCSF researchers from the Division of
Medical Anthropology will assess senior utilization of, home safety modification information and
assistance to seniors in San Francisco. Targeting seniors in low-income neighborhoods, CHIPPS
will offer educational presentations, home safety assessments and assistance with implementing
minor home safety modifications, intended to help San Francisco seniors maintain their
independence and continued residence in the community.
7. Amount of Grant Funding Applied For: 5755,865 for4!/2 years
8. Maximum Funding Amount Available (at time of application): Not specified
9. Required Matching Funds? (Circle): Yes /fio) Cash In-kind
If yes, list dollar amount and identify source of Matching Funds in Department Budget:
The actual grant award to UCSF from NIH is for 4 1/2 years.
UCSF will use a portion of the NIH grant to subcontract with
DPH to provide the home safety services to seniors. The total
length of the proposed subcontract would be 4 years. •' The first
six months of the subcontract would be for $66,134. This six-month
subcontract is the subject of the proposed resolution.
2/9/99/ • 1
23
Attachment II
10. Number of new positions created and funded: Page Z O
i Assistant Health Educator 2819 (.80 FTE)
1 Public Service Aide 9924 (.25 FTE)
1 1. If new positions are created, expla-in the disposition of employee(s) once the grant ends:
These are grant-funded positions which would terrminate at the end of the grant. Additionally,
the 9924 position is an as-needed position for community outreach, and is expected to be hired on
an annual basis, to facilitate outreach into different communities.
12. Are indirect costs eligible costs for this grant? (Circle): (Yes:/ No:
If yes, please identify the amount of Ss in indirect costs: $8,297 in 1 st 6 mos
13. Amount to be spent on contractual services: S810 in 1 st 6 mos.
14. a.) Will contractual services be put out to bid? (Circle): Yes:
b.) If so, will contract services help to further the goals of the department's
MBE/WBE requirements? :
15. Is this request for contracting out likely to be : (CircleOne) One Time ( Ongoing,
16. Term of Grant: Start-Date: 9/1/99 End-Date: 2/29/04
17. Date You Were Notified That This Funding Was Available: 9/15/98
18. Grant Application Due Date: 11/1/98
19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or
appropriations legislation):
This Agreement shall become effective September 1, 1999 through February 29, 2000. The
Collaborating Institution shall submit a continuation application to the University in the form and
time designated by the University. ^Collaborating Institution shall be deemed at all times to be
an independent contractor and shall be wholly responsible for the manner in which it performs
the services required of it by the terms of this Agreement. *The Collaborating Institution will be
provided with monthly payments, upon receipt from the Collaborating Institution, in triplicate, of
the UniveYsity's Subcontractor Invoice (Exhibit A).
20. Department Head Approval: Mitchell Katz, M.D., Director of Health
(To be obtained by Grant Manager)
Signature
9/22/99
24
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
Item 5 - File 99-2023
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health,
Population Health and Prevention Division, Community
Health Promotion and Prevention, to accept retroactively
and expend grant funds in the amount of $272,846 from
the Federal Centers for Disease Control and Prevention
for a project entitled Raise African American Infant
Survival: Erase Disparity (RAISE) and to enter into an
agreement which does not include patent infringement
indemnification and false claims clauses; providing for
ratification of action previously taken.
$272,846
September 29, 1999 through September 28, 2000 (12
months)
Federal Centers for Disease Control and Prevention
Description
The proposed resolution would authorize the Department
of Public Health (DPH), Population Health and
Prevention Division, Community Health Promotion and
Prevention, to accept retroactively and expend grant
funds in the amount of $272,846 from the Federal Centers
for Disease Control and Prevention for a project entitled
Raise African American Infant Survival: Erase Disparity
(RAISE).
Ms. Virginia Smyly of the DPH states that RAISE is a
collaborative effort among the DPHs Community Health
Promotion and Prevention, various community-based
organizations, academic institutions and foundations to
(a) collect and analyze data on infant mortality among the
African American population in San Francisco and (b)
develop a Community Action Plan to identify potential
strategies to reduce African American infant mortality in
San Francisco.
According to Ms. Smyly, the DPH intends to use $98,982
of the proposed grant funds of $272,846 to fund the
salaries and fringe benefits of one new FTE Class 2591
BOARD OF SUPERVISORS
BUDGET ANALYST
25
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
Health Program Coordinator II to coordinate the
activities of the DPH and the various organizations
participating in the project and one new FTE Class 1424
Clerk Typist to provide clerical support to the project.
Ms. Smyly states that the two new positions will be hired
approximately in mid-December of 1999 and be
terminated when the grant expires on September 28,
2000, unless the subject grant is renewed or other funds
are obtained. The Budget Analyst recommends that the
proposed resolution be amended to designate the two new
positions as "G" or "Grant-funded" so that these positions
would expire upon termination of the grant.
Ms. Smyly states that Booker T. Washington Community-
Service Center and University of California, San
Francisco's Family Outcomes Project, two non-profit
organizations, and Uribe & Associates, a private
consultant, would be awarded $137,034 of the $272,846 in
grant funds on a sole source basis. Of this amount of
$137,034, the DPH would grant $85,893 to Booker T.
Washington Community Service Center to recruit
community participants to provide data for RAISE,
$36,141 to the University of California, San Francisco's
Family Outcomes Project to develop an evaluation design
for the proposed project and $15,000 to Uribe &
Associates to facilitate project planning meetings because
(1) all three organizations have unique expertise in their
respective fields of work and (2) the granting agency
required the DPH to identify a project recruiter, evaluator
and facilitator in the grant application prior to the award
of the subject grant, according to Ms. Smyly. Attachment
I, provided by Ms. Smyly, describes in further detail these
contractual services for the proposed project.
Ms. Smyly states that of the remaining $36,830 in
proposed grant funds of $272,846, the DPH would use
$17,820 for equipment, supplies and travel expenses
associated with RAISE and $19,010 to fund the City's
indirect costs associated with administering the subject
grant, according to Ms. Smyly.
Budget: Attachment II, provided by Ms. Smyly of the DPH,
contains a budget in the amount of $253,836 (which does
BOARD OF SUPERVISORS
BUDGET ANALYST
26
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
not include the City's indirect costs of $19,010) to support
the expenditure of the proposed grant funds for RAISE.
Required Match:
Indirect Costs:
Comments:
None
$19,010
1. As noted above, the proposed resolution provides for
retroactive acceptance of the proposed grant funds.
However, according to Ms. Smyly, the DPH has not
accepted the subject grant. Therefore, the proposed
resolution should be amended to delete reference to
retroactivity with respect to acceptance of the proposed
grant funds.
2. Ms. Jean Fraser of the City Attorney's Office advises
that as a condition of receiving the grant funds, the DPH
has agreed to enter into an agreement (the "Agreement")
with the Federal Centers for Disease Control that would
require the City to waive (1) the requirement contained in
Sections 6.21 and 21.19 of the City Administrative Code
that the Agreement include an indemnification of the City
by the Federal Centers for Disease Control for the
infringement of patent rights; and, (2) the requirement
contained in Section 6.57(c) of the City's Administrative
Code that the Agreement include a paragraph reciting the
false claim provisions contained in Section 6.57(a) of the
City's Administrative Code. Ms. Fraser advises that the
waivers in this case are standard and pose minimal risk
to the City, according to Ms. Fraser.
3. As shown in Attachment II, the amount to be spent on
fringe benefits for the one new FTE Class 1424 Clerk
Typist position created under the grant is $3,508.
However, according to Ms. Smyly, the actual amount to be
spent on such fringe benefits is $3,435 or $73 less than
the reported amount of $3,508.
4. Attachment III is the Grant Application Information
Form, as prepared by the DPH.
5. As shown in Attachment III, one new position would be
created under the grant and $122,024 of the grant would
be spent on contractual services for the proposed project.
BOARD OF SUPERVISORS
BUDGET ANALYST
27
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
However, as noted above, the DPH intends to create two
new positions under the grant and the amount to be spent
on contractual services is $137,034 or $15,000 more than
the reported amount of $122,034.
6. The DPH has prepared a Disability Checklist for the
proposed grant funds, which is on file with the Clerk of
the Board of Supervisors.
7. The proposed resolution contains a provision that
authorizes the Director of Public Health to enter into
other future agreements, similar to the subject
Agreement, with the Federal Centers for Disease Control
if the grant recurs or is renewed, without obtaining
subsequent approval by the Board of Supervisors.
Recommendations: 1. Amend the proposed resolution to designate the two
new positions created under the grant as "G" or "Grant-
funded" positions.
2. Amend the proposed resolution to delete reference to
retroactivity with respect to acceptance of the proposed
grant funds.
3. Approval of the proposed resolution, as amended, is a
policy matter for the Board of Supervisors since this
resolution authorizes the Director of Public Health to
enter into other future agreements, similar to the subject
Agreement, with the Federal Centers for Disease Control
if the grant recurs or is renewed, without obtaining
subsequent approval by the Board of Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
28
Attachment I
Date: 11/10/99
Sender: Ginger Smyly
To: Gabriel Cabrera
Priority: Normal
Subject: Description of contractor services
Gabe -,
Here is the information:
Booker T. Washington Community Service Center; $85,893;
Hire/coordinate community based planners/outreach workers; provide an
office and meeting space, childcare, honorairums and incentives for
participants; participate in the community planning.
FHOP/UCSF; $3 6,141; Evaluate the planning grant activities; train and
provide technical assistance to the community outreach/planners and
other project participants; prepare evaluation plan for PHASE 2
implementation .
This is the consultant line:
Uribe & Associates: up to $15,000; Provide facilitation services for
the Phase 1 planning of meetings of the project team, coalition and
community planners/citizens; provide training in planning processes
and facilitation skills for community outreach/planners and other
project participants.
let me know if you need more .
ginger -
29
NOU-09-1999 15:05
DPH CHPEP
415 554 2861 P. 03
DETAILED BUDGET FOR INITIAL BUDGET PERIOD
DIRECT COSTS ONLY
FROM
09/01/99
THROUGH
08/31/2000
PERSONNEL (AppGcant organization ody)
NAME
Virginia Smyly
ROLE ON
PROJECT
Principal
Investigator
TYPE
APPT.
(months)
12
EFFORT
ON
PROJ.
.05
INST.
BASE
SALARY
;69' f 269
DOLLAR AMOUNT REQUESTED (omit cents)
SALARY
REQUESTED
FRINGE
BENEFfTS
TOTALS
to be identified
Trainer/
Coordin.
12
100 55071
55071
15420
70491
to be identified
Program
Assist.
12
100 25056
25056
3508
28564
SUBTOTALS •
80127
18928
98982
CONSULTANT COSTS
Joanna Dribe, Uribe and Mena Associates
15000
EQUIPMENT (Itemize)
Digital camera
Computer and printer
4700
SUPPLIES (Itamiza by category)
Office and educational supplies
reproduction and printing
office furniture
Trocal
In state/ out of state
6000
TRAVEL
4220
PATIENT CARE COSTS
INPATlBsfT
OUTPATIENT
ALTERATIONS AND RENOVATIONS (Itemize by category)
OTHER EXPENSES (Itemize by category)
Software
registration fees for training /conferences
occasional space rental
2900
SUBTOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD
S 131,802
J
CONSORTIUM7CONTRACTUAL j DIRECT COSTS t
1108,326
COSTS 122,034 j FACILITIES AND ADMINISTRATION COSTS
I 13.708
$253,836
I
TOTAL ulhfcu 1 L-Ub 1 b rOn INITIAL dUDGELT ptnluD (item 7a, race rage) —
)
_1
PHS 39B (Rev. 4/9B)
Number p*q*i consecutively «i me bottom nvougnout the tspBcitfon. Do cot use suffixes such cs 3a. 3b..
(Form Page «) Page .
DD
000C4
pr
30
Attachment III
Page 1 of 2
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1. Department: Public Health; Population Health and Prevention; Community Health Promotion
and Prevention z
2. Contact Person: Virginia Smyly, MPH, CHES. Telephone: 554-2742
3. Project Title: Raise African American Infant Survival: Erase Disparities (RAISE)
4. Grant Source Agency: Federal Centers for Disease Control and Prevention
5. Type of Funds: X Federal Federal-State (Pass-Through) State Local Private
6. Proposed ( "New /Continuation) Grant Project Summary:
The "Raise African American Infant Mortality: Erase Disparities" (RAISE) project is a broad
based community-public health collaborative to analyze the problem of infant mortality, identify
promising interventions feasible and culturally appropriate for San Francisco, and develop a
Community Action Plan and evaluation to be considered for further funding by CDC. The
Action Plan will be considered for future implementation funding for 2 to 3 years.
7. Amount of Grant Funding Applied for: 5274,924
8. Maximum Funding Amount Available: Not available.
9. Required Matching' Funds? Yes: _No: X Cash or In-kind: ^^
If yes, list dollar amount and identify source of Matching Funds in Department Budget:
10. Number of new positions created and funded: 1
1 1 . If new positions are created, explain the disposition of employees once the grant ends?
Once this grant period ends, there may be a continuation grant for up to three years. If not,
employees may be retained if other funding is available.
12. Are indirect costs eligible costs for this grant?. Yes: X_No:
If yes, please identify the amount of S in indirect costs: $19,010
13. Amount to be spent on contractual services: 5122,034
9/22/99 '. "- 1
31
Attachment III
Page 1 of 2
14. a.) Will contractual services be put out to bid?: Yes: No: X
b.) If so, will contract services help to further the goals of the department's MBEAVBE
requirements? : N/A
15. Is this likely to be a one-time or ongoing request for contracting out?
If the continuation grant is secured this will be a continuing request.
16. Term of Grant: Start-Date: September 29, 1999 End-Date: September 28, 2000
17. Date Department Notified of Available Funds:
1 8. Grant Application Due Date: June 30. 1999
19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or
appropriations legislation): Grant Announcement 99064, Racial and Ethnic Approaches to
Community Health 2010, Centers for Disease Control, Department of Health and Human
Services
20. Department Head Approval: Mitchell Katz, M.D., Director of Health
Signature
9/22/99 '■ 2
32
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
Item 6 - File 99-2077
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Matching Funds:
Indirect Costs:
Budget:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health
to accept retroactively and expend a grant in the amount
of $49,826 from the State Emergency Medical Services
Authority for trauma system evaluation and to enter into
an agreement with the State Emergency Medical Services
Authority which includes rights in data clauses and does
not include patent infringement indemnification and false
claims clauses.
$49,826
July 1, 1999 to June 30, 2000
State Emergency Medical Services Authority
None
$3,666
The budget is summarized as follows:
Catefforv of Expenditure
Funds
Part-time Trauma Specialist (registered nurse at
$25,366
$32.52/hr x 780 hours)
As-needed Clerical/Intern Assistance
3,729
Fringe Benefits
7,565
Travel
1,000
Supplies
3,500
Consultant Services
5.000
Total Direct Costs:
$46,160
Indirect Costs
3.666
TOTAL:
$49,826
Description:
The subject grant would fund an Enhanced Regional
Trauma Systems Plan which has four goals:
BOARD OF SUPERVISORS
BUDGET ANALYST
33
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
• To enhance the performance of San Francisco General
Hospital's Trauma Center.
• To close gaps in the trauma system operated by the
San Francisco and San Mateo counties by
strengthening the relationship between the two
counties' trauma care systems and including
community hospitals.
• To evaluate San Francisco's need for emergency
medical services delivered by helicopter.
• To develop a Regional Trauma Center Quality
Assurance Program for San Francisco and San Mateo
counties.
Comments: 1. Ms. Abbie Yant of the DPH states that the grant
resolution is retroactive to accept these funds because the
award notice was received on October 6, 1999. According
to Ms. Yant, no funds have been expended.
2. The resolution urges the Controller to designate one
part-time position created under the grant as a "G" or
grant-funded position, which would terminate when the
grant expires. According to Ms. Yant, this grant-funded
Trauma Specialist position would be responsible for
reviewing and evaluating the current trauma system,
developing a revised trauma systems plan, and working
with trauma care experts in San Francisco and San Mateo
counties.
3. Ms. Yant states that a consultant will be retained to
conduct a feasibility study to determine the optimal
location for a helipad for emergency medical services
delivered by helicopter in San Francisco. The DPH
intends to award the consultant contract on the basis of a
Request for Proposal process at an estimated cost of
$5,000.
4. The proposed resolution would waive: (1) the
requirement contained in Sections 6.21 and 21.19 of the
City's A dmini strative Code that the agreement include an
indemnification of the City by the California Department
of Health Services for the infringement of patent rights;
and (2) the requirement contained in Section 6.57(c) of the
City's Administrative Code that the agreement include a
paragraph reciting the false claim provisions contained in
BOARD OF SUPERVISORS
BUDGET ANALYST
34
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
the Section 6.57(a) of the City's Administrative Code.
According to Ms. Jean Fraser of the City Attorney's Office,
these requirements apply when the City purchases goods
or services, not when the City receives funds from a grant.
Therefore, Ms. Fraser advises that the waivers in this
case are standard and pose minimal risk to the City.
5. According to the proposed resolution, as a condition of
receiving the subject grant, the DPH has agreed to enter
into an agreement with the State Emergency Medical
Services Authority which would require the City to grant
the State Emergency Medical Services Authority the
royalty-free, nonexclusive, and irrevocable right to use the
data developed under the grant agreement.
6. The proposed resolution contains a provision that
authorizes the Director of Health to enter into similar
agreements with the State Emergency Medical Services
Authority if the grant recurs or is renewed.
7. A Grant Application Information Form prepared by
the DPH is attached.
8. The DPH has prepared a Disability Access Checklist, a
copy of which is on file with the Clerk of the Board of
Supervisors.
Recommendation: Approval of the proposed resolution is a policy matter for
the Board of Supervisors since this resolution authorizes
the Director of Health to enter into future agreements,
similar to the subject grant agreement, with the State
Emergency Medical Services Authority if the grant recurs
or is renewed, without obtaining subsequent approval by
the Board of Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
35
Memo to Public Health and Environment Committee
November 18, 1999 Public Health and Environment Committee Meeting
cc: Supervisor Bierman
Supervisor Brown
Supervisor Yaki
President Ammiano
Supervisor- Becerril
Supervisor Katz
Supervisor Kaufman
Supervisor Leno
Supervisor Newsom
Supervisor Teng
Supervisor Yee
Clerk of the Board
Controller
Legislative Analyst
Matthew Hymel
Stephen Kawa
Ted Lakey
BOARD OF SUPERVISORS
BUDGET ANALYST
36
Attachment
Page 1 of 2
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1. Department: Public Health
2. Contact Person: Abbie Yant Telephone: 554-9970
3. Project Title: Trauma Systems Plan
4. Grant Source Agency: State EMS Authority
5. Type of Funds: Federal Federal-State (Pass-Through) X_ State Local Private
6. Proposed (New /Continuation) Grant Project Summary:
The Enhanced Regional Trauma System Project is designed to address a number of current
issues facing an established trauma care center and system in the City and County of San
Francisco. Project staff will work with trauma care experts in San Francisco and San Mateo
counties to strengthen and possibly formalize the relationship between the two counties trauma
care systems. A number of ad hoc and advisor)' committees will oversee the project and provide
guidance. In addition, the community hospitals will have an opportunity to participate in trauma
care review of the patients they occasionally receive.
7. Amount of Grant Funding Applied for: $,50,000
Awarded $49,826
8. Maximum Funding Amount Available: $50,000
9. Required Matching Funds? Yes: No: _X_ Cash or In-kind:
If yes, list dollar amount and identify source of Matching Funds in Department Budget:
10. Number of new positions created and funded: PT per diem RN
1 1 . If new positions are created, explain the disposition of employees once the grant ends?
Part-time employment will be terminated.
M:\GRNTDATA\~ME2707.DOC
Revised 9/28/99
37
Attachment
Page 2 of 2
12. Are indirect costs eligible costs for this grant? Yes: _X_No:
If yes, please identify the amount of $ in indirect costs: $3,665.97
13. Amount to be spent on contractual services: $5,000
14. a.) Will contractual services be put out to bid? Yes: No: _J<_NA:
b.) If so, will contract services help to further the goals of the department's MBEAVBE
requirements? :
15. Is this likely to be a one-time or ongoing request for contracting out? One time
1 6. Term of Grant: Start-Date: July 1 , 1999 End-Date: June 30, 2000
17. Date Department Notified of Available Funds: Award letter received June 2. 1999. Signed
contract received pending.
1 8. Grant Application Due Date: February 26. 1999
19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or
appropriations legislation): Selected through competitive RFP process.
20. Department Head Approval: Mitchell Katz, M.D., Director of Health
Signature
M:\GRNTDATA\~ME2707.DOC
Revised 9/28/99
38
City and County of£an Francisco
JYleeting Minutes
^Public Health and Environment Committee
Members: Supervisors Sue Bierman, Amos Brown and Michael Yaki
Clerk: Gregoire Hobson
City Hall
1 Dr. Carlton B.
Goodlett Place
San Francisco, CA
94102^689
Thursday, December 09, 1999
1:00 PM
Regular Meeting
City Hall, Room 263
Members Present: Sue Bierman, Amos Brown, Michael Yaki.
DOCUMENTS DEPT
JAN 2 h 23C1
SAN FRANCISCO
PUBLIC LIBRARY
MEETING CONVENED
The meeting convened at 1:09 p.m.
CONSENT AGENDA
All matters listed hereunder constitute a Consent Agenda, are considered to be routine and will be acted upon
by a single roll call vote of the Committee. There will be no separate discussion of these items unless a
member of the Committee so requests, in which event the matter shall be removed from the Consent Agenda
and considered as a separate item.
992037 [Authorizing an agreement with Delta Dental Plan of California to provide dental care to clients
enrolled in the Delta Dental Healthy Families insurance program]
Resolution authorizing the Department of Public Health, Community Health Network, to enter into a
participating provider agreement with the Delta Dental Plan of California to provide dental treatment services
to clients enrolled in the Delta Dental Healthy Families insurance program, which includes a binding
arbitration clause and which does not include patent infringement indemnification and false claims clauses;
providing for ratification of action previously taken. (Department of Public Health)
' 1 1/2/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
RECOMMENDED..
992078 [Authorizing grant for the evaluation of screening males for Chlamydia Trachomatis infection]
Resolution authorizing the Department of Public Health, Population Health and Prevention, to accept
retroactively and expend a grant in the amount of $257,053 from the Centers for Disease Control and
Prevention for the evaluation of screening males for Chlamydia Trachomatis and to enter into an agreement
which does not include patent infringement indemnification and false claims clauses; providing for ratification
of action previously taken. (Department of Public Health)
1 1/8/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
RECOMMENDED..
City and County of San Francisco
Printed at 5:24 PM on 12/13/99
Public Health and Environment Committee
Meeting Minutes
December 9, 1999
992102 [Approving a subcontract with the University of California to designate the Project Director of the HIV
Drug Access Study]
Resolution authorizing the Department of Public Health, the collaborating institution responsible for the
scientific conduct of the "HIV Drug Access Study" to enter into a subcontract in the amount of $14,149 with
the University of California, the primary contractor, which does not include patent infringement
indemnification and false claims clauses; retroactive to February 24, 1999. (Department of Public Health)
1 1/10/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
RECOMMENDED..
992175 [Grant funds to be used for family strengthening project for Pilipino community, to deliver best
practices in effective parenting and family programs in order to reduce/prevent substance abuse]
Resolution authorizing the Department of Public Health, Population Health and Prevention, Community
Mental Health Services, to accept retroactively and expend a grant in the amount of $96,123 from the
Department of Health and Human Services, SAMHSA, for a family strengthening project and to enter into an
agreement which does not include patent infringement indemnification and false claims clauses; providing for
ratification, of action previously taken; waiving indirect costs. (Department of Public Health)
1 1/23/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
RECOMMENDED..
992189 [Continuing grant for Metropolitan Medical Response System, to develop plans directed at early
recognition of mass immunization/prevent spread of disease, mass patient care, fatality management and
environmental surety]
Resolution authorizing the Department of Public Health, Community Health and Safety Services, Emergency
Medical Services, to accept retroactively and expend a grant in the amount of $200,000 from the Department
of Health and Human Services to continue the development of the Metropolitan Medical Response System and
to enter into an agreement which does not include patent infringement indemnification and false claims
clauses; providing for ratification of action previously taken; waiving indirect costs. (Department of Public
Health)
1 1/23/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
RECOMMENDED..
The foregoing items were acted upon by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
SEVERED FROM CONSENT AGENDA
992105 [Accepting a grant to be used for education materials for "Save Money and the Environment Too"
waste prevention campaign]
Resolution authorizing the City Administrator of the City and County of San Francisco to accept and expend
$5,000.00 from the California Integrated Waste Management Board. (Administrative Services Department)
11/10/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Speakers: None. Amended on lines 2 and 12, after "accept, " by adding "retroactively. "
AMENDED.
City and County of San Francisco
Printed at 5:24 PM on 12/13/99
Public Health and Environment Committee
Meeting Minutes
December 9, 1999
Resolution authorizing the City Administrator of the City and County of San Francisco to accept, retroactively,
and expend $5,000.00 from the California Integrated Waste Management Board. (Administrative Services
Department)
RECOMMENDED AS AMENDED., by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
REGULAR AGENDA
992187 [Lead Abatement Program]
Supervisor Bierman
Hearing to consider the status of the Department of Recreation and Park lead abatement program.
12/6/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. With request it be considered at the December 9,
1999 meeting.
Heard in Committee. Speakers: Jeffrey Bramlett, Safety Officer, Occupational Environment, Health and
Safety Program, Recreation and Park Department; Neil Gendel, Healthy Children Organizing Project.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
992000 [Integrated Pest Management Program]
Supervisor Katz
Ordinance amending Administrative Code Sections 39.2, 39.5, 39.6, 39.7 and 39.8 which established the
Integrated Pest Management program to exclude antimicrobial agents from coverage under the chapter; to
revise posting, notification, record keeping and reporting requirements; and to clarify exemptions, including
exemptions for reduced risk pesticides and to add exemptions.
(Amends Sections 39.2, 39.5, 39.6, 39.7 and 39.8.)
10/25/99, ASSIGNED UNDER 30 DAY RULE to Public Health and Environment Committee, expires on 1 1/24/1999.
Heard in Committee. Speakers: Billy Blattner, Legislative Aide to Supervisor Katz; Debbie Raphael,
Department of the Environment.
RECOMMENDED by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
992062 [Recycling and reuse of computers, monitors, televisions and other electronic equipment]
Supervisor Becerril
Hearing to consider ways to increase the recycling and reuse of computers, monitors, televisions and other
electronic equipment; to assess current City programs and successful programs in other cities and counties that
divert electronic waste products; to assess the role of non-profits and the private sector in recycling; to increase
public awareness of City recycling programs; and to address public outreach and education.
11/1/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee.
Heard in Committee. Speakers: Supervisor Becerril; David Assmann, City of San Francisco Recycling
Program; Kevin Drew, San Francisco Community Recyclers; Emily Miggins, Sunset Scavenger Program;
Warren Puckett, HMR; Roland Willis, Community Computer Center; Terry Fitzpatrick, Goodwill Industries;
Doug Jones, Executive Director, Community Computer Center.
CONTINUED TO CALL OF THE CHAIR by the following vote:
Ayes: 3 - Bierman, Brown, Yaki
City and County of San Francisco
Printed at 5:24 PM on 12/13/99
Public Health and Environment Committee Meeting Minutes December 9, 1999
ADJOURNMENT
The meeting adjourned at 2:36 p.m.
City and County of San Francisco 4 Printed at 5:24 PM on 12/13/99
■th
Public Library,Gov't Info. Ctr., 5 in Fir.
Attn: Susan Horn
0-90
iM
CITY AND COUNTY
OF SAN FRANCISCO
TO:
FROM:
^OARD OF SUPERVISORS
BUDGET ANALYST
1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642
FAX (415) 252-0461
December 7, 1999
^Public Health and Environment Committee
^Budget Analyst
DOCUMENTS DEPT.
DEC - 8 1999 |
SAN FRANCISCO
PUBLIC LIBRARY
SUBJECT: jDecember 9, 1999 Public Health and Environment Committee Meeting
Item 1-99-2037
Department:
Item:
Department of Public Health
Resolution authorizing the Department of Public Health
(DPH), Community Health Network to enter into a
Participating Provider Agreement with the Delta Dental
Plan of California to provide dental treatment services to
individuals enrolled in the Delta Dental Healthy Families
Insurance Program, which includes a binding arbitration
clause and which does not include patent infringement
indemnification and false claims clauses; providing for
ratification of action previously taken.
Ms. Samantha Stephen of the DPH states that the Delta,
Dental Plan of California operates the Delta Dental
Healthy Families Insurance Program. Under the
proposed agreement with the Delta Dental Plan of
California, the DPH's Community Health Network would
provide enrollees of the Delta Dental Healthy Families
Insurance Program with dental treatment services.
Enrollees of the Delta Dental Healthy Families Insurance
Program are not required to be DPH clients, according to
Ms. Stephen.
Memo to Public Health and Environment Committee
December 9, 1999 Public Health and Environment Committee Meeting
Description: The proposed resolution authorizes the Department of
Public Health (DPH), Community Health Network to
enter into a Participating Provider Agreement with the
Delta Dental Plan of California, a non-profit organization,
for DPH's Community Health Network to provide dental
treatment services to enrollees of the Delta Dental
Healthy Families Insurance Program.
As noted above, the Delta Dental Plan of California
operates the Delta Dental Healthy Families Insurance
Program and under the proposed agreement with Delta
Dental of California, the DPH's Community Health
Network would provide enrollees of the Delta Dental
Healthy Families Insurance Program with dental
treatment services. The DPH's Community Health
Network would in turn charge the Delta Dental Plan of
California for the DPH's Community Health Network's
costs to provide such dental treatment services to
enrollees of the Delta Dental Healthy Families Insurance
Program.
Attachment I, provided by Ms. Stephen, contains a list of
the dental treatment services and the fees charged by the
DPH's Community Health Network to the Delta Dental
Plan of California. According to Ms. Stephen, such fees
recover all of DPH's Community Health Network costs.
If this legislation is approved by the Board of Supervisors,
the proposed agreement would continue indefinitely
unless terminated by the DPH or the Delta Dental Plan of
California.
Ms. Anne Okubo of the DPH advised the Budget Analyst
that the DPH's Community Health Network began
offering such dental treatment services to enrollees of the
Delta Dental Healthy Families Insurance Program since
November of 1998.
Attachment II is a memorandum, provided by Ms. Okubo,
which explains why the DPH's Community Health
Network has provided, but has not yet billed, the Delta
Dental Plan of California for dental treatment services to
enrollees of the Delta Dental Healthy Families Insurance
since November of 1998. The Budget Analyst notes that
BOARD OF SUPERVISORS
BUDGET ANALYST
2
Memo to Public Health and Environment Committee
December 9, 1999 Public Health and Environment Committee Meeting
the DPH entered into this action without first obtaining
approval from the Board of Supervisors of the subject
proposed resolution authorizing the required
Participating Provider Agreement between the DPH and
the Delta Dental Plan of California.
Ms. Stephen states that the DPH's Community Health
Network's actual costs to provide such dental treatment
services to enrollees of the Delta Dental Healthy Families
Insurance Program since November of 1998 are not
readily available. Attachment III is a memorandum from
Ms. Stephen stating that the estimated costs to provide
the dental treatment services for the 12 month-period
from November of 1998 through November of 1999 total
$100,000 (based on approximately 1,000 billings at
approximately $100 per invoice). Ms. Stephen further
states that when the DPH enters into the subject
proposed Participating Provider Agreement with the
Delta Dental Plan of California upon approval of this
resolution by the Board of Supervisors, the DPH's
Community Health Network will retroactively bill the
Delta Dental Plan of California for its actual costs owed
by the Delta Dental Plan of California to DPH.
Comments: 1 Ms. Anne Okubo of the DPH anticipates that
approximately $100,000 in back fees will be charged to
and collected from the Delta Dental Plan of California for
the provision of dental treatment services to the enrollees
of the Delta Dental Healthy Families Insurance Program
for the 12 month-period period from November of 1998
through November of 1999. In addition, Ms. Okubo
anticipates that approximately $58,300 will be collected
from the Delta Dental Plan of California for the provision
of such services during the seven-month period from
December of 1999 through June of 2000. Ms. Okubo
states that both the back fees of $100,000 and anticipated
fees of $58,300 will be accounted for in the DPH's Other
Patient Revenues account in FY 1999-2000.
2. According to Ms. Kathy Murphy of the City Attorney's
Office, as a condition of entering into the subject
Participating Provider Agreement (the "Agreement") with
the Delta Dental Plan of California, the City agreed to
BOARD OF SUPERVISORS
BUDGET ANALYST
3
Memo to Public Health and Environment Committee
December 9, 1999 Public Health and Environment Committee Meeting
submit all claims (i.e. disputes) arising out of the
Agreement to binding arbitration.
3. Ms. Murphy also advises that the Agreement would
require the City to waive (1) the requirement contained in
Sections 6.21 and 21.19 of the City's Administrative Code
that the Agreement include an indemnification of the City
by the Delta Dental Plan of California for the
infringement of patent rights; and (2) the requirement
contained in Section 6.57(c) of the City's Administrative
Code that the Agreement include a paragraph reciting the
false claim provisions contained in Section 6.57(a) of the
City's Administrative Code. According to Ms. Murphy,
these requirements apply when the City purchases goods
or services, not when the City receives funds from a
contract agreement. Therefore, the waivers in this case
are standard and pose minimal risk to the City, according
to Ms. Murphy.
4. The proposed resolution contains a provision that
authorizes the Director of Public Health to enter into
other future agreements, similar to the subject
agreement, with the Delta Dental Plan of California
without obtaining subsequent approval by the Board of
Supervisors.
Recommendation: Approval of the proposed resolution is a policy matter for
the Board of Supervisors since the Director of Public
Health would be authorized to enter into other future
agreements, similar to the subject agreement, with the
Delta Dental Plan of California, without obtaining
subsequent approval by the Board of Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
4
NGU-0S-1933 14:49
DPH CHP&P
415 5
Section A
Page 4-42
Post-it" Fax Note
7671
To
nj^uj^jMi^
Data
Attachment I
Pase 1 of 5
FfOcn
**** 2fX-*l4t P ;
DENTl-CAL SCHEDULE
OF MAXIMUM ALLOWANCES
Effective April 10, 1998
1 . Fees payable to providers by Derrfr-CaJ for covered services shall be LESSER of.
a. the fee charged by the provider
b. the charaes for dentoi services shad be reimbursed in accordance with the
Department of Health Services maximum reimbursement rates as follows
c. the maximum allowance set forth in the schedule below
2. Procedures limited to children (under age 18) are indicated by an astenskD.
3. Refer to your DenG-Cal Handbook for specific procedure instructions and program
limitations.
Procedure ttaoritaiBB
Number Procedure Allowance r£]
Visits • Diagnostic (000*199]
01 D Examination, initial episode of treatment only .25.00
01S Examination, periodic (annual) S.35
020 Office visit during regular office hours for
treatment and observation of injuries to the
teeth and supporting structures 11-62
C30 PrafessJonat visil after regular office hours.
or to bedside 17.50
025 Hospital Care , 35.02
MO Spedaliste Consultation ,. 17.50
I 045 PH and Fissure Oerrtal Sealanb for Permanent
First Motars, te age twenty-orte pi) 15.00
; 046 Pit and Fssure Dental Sealants tor Permanent
Second Molars, to age twenty-one (2i) 15.00
0*9" PraohySaxis, seneficanes through age 12 JO.OO
050 Propftytaxiz, naneflctar'ies sg; 13 ye«rs ant! older A0.Q0
o€1* Prophylaxis, including tnotcal application e-f fluoride—
beneficaries age 5 and under .30.00
052* Prophylaxis, including tocical application of fluoride—
benefisanes age 6 through 17 40.00
030 Emergency Treatment, palliative 45.00
110 Intraoral periapical, single, first film 10.00
111 Intraoral periapical, eecn additional film
(maximum 1 films) 3.00
112 Intraoral, complete serias consisting of
at least 14 periapical films plus bitowings 45:00
113 Intraoral occlusal, each film 7 JO
114 Extra oral, single, head cr lateral jaw 20.19
115 Exraoral, each additional, head or lateral jaw 4.07
116 BUewings. two films 10X0
H7 Bitewines, four films 1 g JO
113 SirsMv^ng. anterior, one film 1.50
119 Phetograon o." slide, firs: S.B5
Procedure . ■ Maximum
Kumbar Procedure Allowa nce (S)
12A Photograph or side, each additional (maximum 5) 1.50
125 Panographlo-typt film, single am 11,94
150 Biopsy of oral tissue .29-ia
1 50 Gross and microscopic histopsthotagical report 23-34
Oral Surgery (200-229)
200 Removal of erupted ttoth. unccmpBcafeC first tootn .... 45.00
201 Removal of erupted tooth. imasrrpicaled.
each additional tooth 33.00
202 Removal of •ruptad tooth, surgical B5.0C
203 Removal of root or root tip,
cemplefaly covered by bone 40.53
204 Removal of root or root Dp,
not completely covered by bone 29.16
220 Postoperative visit, ccmpficaliocs (e.g. osteitis) 7.C0
230 Remowe! of impaesed tooth— tstt tissue 1 00.00
231 Removal of Impacted tooth— pa nelly bony 115.00
222 Ramoval of Impacted teolb— completely bony 165.00
250 AJvBolopiasry per Quadrant, edentulous 40.86
252 AlvftOtcplaaty per quadrant.
In conjunction with extractions 23.34
255 Vesttoutaplasty. submucosal resection
(not to Indue* grafts) 312.76
25S Arveolcplasfy with ridge extension.
secsndsry epHheliaicatEm (per arch) 56.37
257 Removal of palatal exostosis (torus) 5a .37
252 Removal of mandibular exostosis dom:) per quadrant . . 4SJ54
2SB excision of hyperplastic tissue (per arch) 46.70
250 Incision and srainacs of abscess, intraoral 17.50
251 Incision and drainage of aoscess, extraorel 23.18
252 Excision pericsronal gingiva, operculectamy . . .17.50
253 Sialolithotomy intraoral S8.27
264 Sialolithotomy ext-aoral .233.47
2S5 Closure of sauvary fisruU 67.56
N0U-3S-19S9 14:49
DPH CHPS.P
413 534 2S61 P. 02
Attachment I
Page 2 of 5
Rev 7/S8
Section 4
Page 4^3
Proc*djur» Maximora
Ninnbar Procedure Allowance- fS)
266 Dilation of salh/ary duct 29.18
257 Reduction of tuberosity, unilateral 2S.1S
259 Excision of benign tumor, up to 1.25 em , 29. "53
270 Exdslon of benign tumor, larger than 1.25 cm 5B.37
271 Sxc'sion of malignant tumor 116.73
273 Reimplantation and/or stabilization of
accidentally evulsed or displaced
permanent teatti ancVcf el^clus 140.08
27S" Transplantation a( tooth or toolh bud 116.73
Z76 Removal of foreign body from bon*
(Independent procedure) 52^2
277 Radical resection of bone for tumor witn bone graft 90437
278 Maxillary sinusotomy fur removal of
tooth fragment or foreign body 116.73
279 Oral— antral faula ctasiire 99.23
2B0 Excision of cyst up to 1.25 cm ■*&&
231 Szcrsion of cyst. over 1 .25 cm 87.55
282 Sequestrectomy 46.70
255 Condylectomy of mandifila. unttaierei 703.71
233 Menrsectomy of temporomandibular joint, unilateral . . . .703.71
290 Exclston of foreign body, soft tissue 2334
2S1 Frenectomy, or frenobrny. separate procedure ,40.86
292 Suture of soft tissue wound or injury 2432
294 injection of sclerosing agent into
temporomandibular joint 35.02
235 Injection of trigeminal rwsrve branches for destruction . . . .53.37
256 Surgical exposure of impacted cr uncrupted
tooth to aid eruption, soft tissues 23.34
297 Surgical sxpesura of impacted of unenjpted
tooth to aid eruption, partially bony 25.02
2S3 Surgical exposure of impacted or urserupied
tooth to aid eruption, completely bony
gr ectopic emotion 3232
299 UnXsteC surgical service or procedure 3y Report
Drugs and Anesthesia (300-fiOO)
3C0 Injectable drugs s - &3
301 Conscious sedation relative analgesia
(nitrous cride) per visit 1 *" 68
400 General anesthesia 23.1s
Periodontics (450-499}
451 Emergency treatment (periodontal aoscess.
acuto pcricdonCtis, etc) .55.00
452 Subgingival cuntttag* and root planing
per treatment 20C.M
453 Occlusal adjustment {limfcad") per quadrant
(minor) spot grinding) 23.34
472 GinghrecTBmy or gingtvoplasty psr quadrant 81.70
*73 Osseous and mucogingival surgery per suadrant 55.23
474 Girvfl'rvectomy, or ginojvcplasry, treatment
per tooth (fewer than sre teetn) 17.50
Endodontics (5O0-539)
501 Therapeutic pulpotomy 17.50
Procedure tAaaiaam
Number Procedure Allowance (S)
502 vaal puipotomy 17.50
503 Recaicrficatlon, Includes temporary restoration.
certoow 16.34
511 Anterior rose canal therapy 215,00
512 Bicuspid root canal therapy 250.00
513 Molar mot canal therapy 230.00
530 Apiccectomy—surgicaJ procedure In conjunction
with root canal filling 134.25
531 Apicoectomy (separate surgical pracadure),
per tooth 72.23
534 ApexiflcatJon/spexogenesis (therapeutic
apical desure), p&t treatment 1 3.55
Restorative Dentistry (S00-S79)
Aiaal5*Ri RastaraBons
600* One surface, primary tooth 33.00
501" Two surfaces, primary tooth 41.00
602" Three sjriscas-, primary tooth 42.00
603* Four or more surfaces, primary tooth (maximum) 55.00
611 One surface, permanent loath 39.D0
612 Two surfaces, permanent tooth aa.oo
613 Three surfaces, permanent tooth 57.0O
614 Four ar more surfaces, permanent loom (naaefmum) SQ.QO
Silicate, Ccmpcoties PtoaOc Restorstjorrs
540 Silicate cement restorabon 0.00
641 silicate restorations, r*to or more In
a singie tooth tmxdmum) 0.00
645 Composite or plastic restoration 55.30
646 Composte a: plastic restorations ^w or mo^g
In 3 single tooth (maximum) 80.00
648 Pin retention (per pin) maximum three pins
pertoolh 31.00
Crowns
650 Crown, plastic (laboratory processed) 105.06
651 Crown, plastic will metal ilt.25
652 Oewn, porcelain 14C.CS
653 Crown, porcelain fused to metal 330.00
660 Crown. CMt full 340.00
653 Crown, cast, three quarters 116.73
670" Crown, stainless steel (primary) 75.00
671 Crown, stainless steel (permanent} 90.00
672 Cast metal dowel post 75.00
Prosthetics CSBO-799)
Pontics
560 Faed brifige penic, east metal 105.Q6
S81 Fixed endee pontic slotted facing 105.06
682 Fixed bridee pontic, slotted pontic 11OJ0
632 Fixed bridge contic, porcelair fused to rratsl 157.58
593 Fixed bridee pontic, plastic processed to metal 122^7
Rscsmetriatlap
685 Recement intay, facing, pontic 3C.0O
NQU-0a-i9°9 14:50
DPH CHP&P
415 554 2861 P. 03
Attachment
Page 3 of 5
section 4
p£ge4-44
Rev. 7/sa
Procedure Maximum
Muwiber Procedure Allowance (S)
686 RAcament crown 30.00
687 Recement bridge 50.00
R*pai«-a, Crown and Bridge
SSO Repair fixed bridge -By Report
554 Replace broken tru-ponuc 17-50
ES5 Replace broken facing, pest Intact 14-01
696 Replace orcKen facing, pes: bscxJng woken 23-3*
Hcxnowatot* PrcsttiodenUcs
700 Complete maxRiary denture 400.00
701 Complete mandibular dentuxe 400JW
702 Partial upper or lower denture with two
assembled chrome cobalt wrought or cast
chrome cobalt clasps with occlusal rests and
necessary teeth, acryEe base 191.25
703 Partial upper or lower demure with cast
chrome cobalt skeleton, two cast crisps,
and necessary teeth 400.00
704 C&acs, third and e3cn additional,
clasp for Procedure 703 25.00
705 Stress breakers, extra 23.18
706 Partial upper or lower stayplata. acrylic—
base fee, teeth and dascs extra . 150.00
708 Partial upper or lower denture, all acrylic
with two assembled chrome cobalt wrought
clasps having two clasp arms, but no rests, and
necessary teeth • .175.11
70S Clasp, third and each acditional
for Procedure 703 14-01
712 Clasp, third and each additional
for Procedure 702 17.50
716 C4asp or teeth, each for Procedure 70S 22.00
720 QentuTB adjustment, per visit 11.68
721 Rein«_office, cold cure 44.24
722 Reins— laboratory processed 140.00
720 Tissue conditioning, per denturo 35.02
724 Denture duplication ( ^ump.' * reconstruction" )
denture base including necessary tooth
replacement, per Centura 1S0.0C
Repairs, Daotnrss, Acryflc
750 Repair broken denture base only (complete or partial) . . . .45.00
751 Repair broken denture and replace
one broken denture tooth 65.00
752 Each additional denture tooth replaced
on 751 repair (maximum two) 15.00
753 Replace one broken denture tocth
only (complete or parfor) 50.00
754 Each additional denture tocsrt replaced
on 753 repair (maximum two) 15.00
755 Adding first tooth ta partal denture to replace
newly extracted natural tooth 4is6
756 Each additional natural tsotn replaced on
755 repair (maximum two) 1 5.17
Procedure
Number
Procedure
Maximum
Allowance (ST)
75*/ Add 3 nevr or replace a broken chrome ess an
assembled wrought clasp with two clasp arrra
and no rest to an exashg 702 partial denture 48 JB
758 Each additional new or replacement clasp for
repair 757 (maximum two) 4BJa
759 Add a new or replace a broken crucme cobalt
assembled wrought clasp with two aasp arms
and no rest to an existing 708 partial denture 38.28
750 Each additional new or replacement crasp far
repair 759 (rrtaxtmurn two) 38J5
751 Reattaching dasp on partial denture, clasp intact,
each (maximum two) 29.1 8
762 Add a new or replace a broken cast chrome
cobalt dasp wrtn two c&so arms and rest to an
existing 703 partial denture 52.52
753 Each addiConal new or replacement dasp for
repair 752 (maximum two) 52.52
Space Maintainers (S00-833)
800 Fosd. unilateral band type (Including band) 56-37
801 Removable, plastic, with two stainless steel
round wire clasps or rests 64.20
802 Each additional clasp or rest (for 801 onty) 11 .62
811 rbred, unilateral stainless steel crown type
(including crown. Procedure 570 or 671) 81.70
812 fixed, bilateral, Sngual or palatal bar type 145.93
832 Fixed or removable appliance ta cantrcl
harmful habit 70 .05
Fractures and Dislocations (SOC-94S)
(Includes ueua/ fb/fow-up care)
BOO Maxilla, open reduction, simple .'. 469.14.
901 Maxilla, closed reduction, simple .273.56
902 Mandible, open reduction, simple 625.53
903 Mendicte. dosed reducbem, simple 312.76
&OA Maxtia. dosed reduction, compound ^71.40
305 Maxilla, open reduction, compound 625.53
908 Mandible, dosed reduction, compound 371.A0
907 Mandible, open redudion. compound 625.53
913 Reduction of dislocation of
temporamarxfiiutar joint 62.55
91 5 Treatment of malar iracture.simple-,
dosed reduction 195.1S
S16 Treatment of malar fracture, simple or
compound depressed, open reduction .371.4G
Unlisted Procedures
S99-
. to be determined by R*port
NOU-QS-1999 14:50
DPH CHP&P
415 554 2361 P. 04
Attachment I
Page 4 of 5
Rev. 7/98
Section 4
Page 4-45
DENTI-CAL SCHEDULE
OF MAXILLOFACIAL DENTAL SERVICES
Effective August 1, 1939
1. Fees payable to providers by DenfrCal for covered services shall be the LESSER of.
a. the fee charged by the provider
b. maximum allowances or
c. the maximum allowance set fcrth in the schedule below
Procedure Uajdmuzn
Number Procedur e Allowance fg j
Diagnostic Services
950 CJincal examination end consultation,
including 3tudy models 51.59
9S2 Prosthetic evaluation and treatment plan,
including study models 74.23
555 Tmj series radiographs SiJM
556 Caphalometric head film, single,
first film, including tracing .22.*8
957 Cephaiometric head film. each additional Sim,
incvd'wg tracing ASS
Maxillofacial Prosthetic Services
360 Speech appl'ianea, -transitional, wfth or
without pharyngeal extension 523.76
952 Speech appliance. permanerrt, edentulous,
with or without pharyngeaiextBrtsion 1115.78
954 Speech appliance, permanent. partially
edentulous, cast framework. with or
witMout pharyngeal' extension 1190.11
9€E Palatal Eft, interim 595.07
953 Palatal Eft permanent, cast framework 1115.78
970 Obturator, immediate surgical routine 669.52
971 Obturator, immediate surgical camples 892.SS
972 Obturalcr, permanent, complex 113Q.11
273 Resection prosthesis, permanent,
edentulous, complex 1190.11
974 Resection prosthesis, per ma nent,
edentulous, routine 1041/46
Procedure KOcdmian
Number Procedure AJiovuanoe (SO
975 Resection prosthesis, permanent,
partially edentulous, complex 1338.32
976 RepcsMoner, manafeuiar, tmo piece 17*5-33
577 Removable facial prosthesis . . By Report
97fl Splints and stents By Report
973 Radiation therapy fluoriae earner -53.00
980 Repairs, maxitofacal prosthasls By Raport
981 Rebase laboratory processed.
maxillcfacial prosthesis By Report
932 Balancing (opposing) maxillofacial prsehssls By Report
Maxillofacial Surgical Procedures
98S Maxillofacial surgical procedures By Report
Temporomandibular Joint
Dysfunction Management
990 Occlusal irarysis, including report and/or models 89.81
992 Occlusal adjustments, limited centric and excursive
adjus5neflts,induding records anoVor models .44.96
394 Ocdusal balancing, altering centric relation,
including records and/or meaets 238.53
995 Orthopedic stabilising appliance,
disocdualon splint 21 0/49
398 Postoperative visits, symptomatic care and counseling . . .36.52
998 Unlisted trterapeutic service By Report
NOU-08-1S99 14:51
DPH CHP3.P
415 554 2861 P. 05
Attachment I
Page 5 of 5
Section A
Rev. 7/SS
Page 4-45
DENTI-CAL SCHEDULE OF CLEFT PALATE
ORTHODONTIC SERVICES
Effective January 1, 1994
1. Reimbursement for orthodontic dental services in the treatment cf handicapping
malocdt'sjon and deft palate deformities shall be trie usual charge to the general public,
not to exceed the maximum reimbursement rate listed.
2. Maximum allowances:
Procedure Maximum
Wmcbr Procedure Allowance (S)
Malocclusion Cases
551 Initial Orthodontic Examination/Handicapping
Lahio-Lingusl Deviation Index 9.35
££2 Banding and materials 438.38
554 Per treatment visit— 24 months mzximum.
One visit maximum per calendar month .5B.S1
£56 Quarterly— observation— 6 quarters maximum 38.39
557 Diagnostic work-up and photographs 41 .37
5SB Study models 26.00
Cleft Palate Cases
Primary DenKUon
560 Diagnostic work-up. photographs and study models
(complete mouth series radiographs, procedure csc2
112. and csonalometric head films, procedure codes
S56 and 957 including tracing, are seoarateiy payable
at State let jch*dui«) 77 37
562 Banding ana matenaa 1*6 .32
564 Per treatment vis&-i visis maomum. One visit
maximum per calenC*- month 23 J7
VOxad DenHBon
S7Q Banding and materials .244.18
572 Per treatment visit— 1 A visits maximum. One visit
maximum per calendar month 3S-99
Permanent Dentition
580 Banding and materials 3SC.2S
£82 Pw treatment visit— 30 v'tsfa maximum. One visit
maximum per calendar month sa.61
Procedure Maximum
NqpCT ProceCiHre Allowance (SI
Facial Growth Management
590 Diagnostic wcrx-up, photographs ord stidy models
(complete mouth senes radiographs, procedure ccce
112. and csphatametric head films, prccsdura codes
S56 and 957 Including tracing, are separatEiy payable
at State fee schedule) 77.97
E32 Quarterly observation, maximum S quarters 13>tS
554 Progress records prior to treatment 77.97
536 Bonding and materials 488.38
538 Par treatment visit— 24 visits maximum. One visit
maximum p«r calendar month 56. B1
Malocclusion, Cleft Palate and Facial Growth
Management Cases - Retention
555 Quarterly— observation— S quarters maximum 38.93
539 Retainer, removapie, tcr each upper and lower 14C.34
TOTAL P.0:
City and County of San Francisco
Department of Public Health
Attachment II
MEMORANDUM
Date: November 22, 1999
To: Harvey Rose
Budget Analyst
From: Anne Okubo
Budget Manager
Subject: Participating Provider Agreement with Delta Dental
This memo is in response to your request for information explaining why the Department of
Public Health, Community Health Network (CHN) has provided dental treatment services to
enrollees of the Healthy Families program through Delta Dental.
Beginning in July 1998, the State of California introduced a new health insurance proeram for
children in families that are not eligible for Medi-Cal. This program, Healthy Families, provides
both health and dental benefits. Delta Dental Plan of California is the healthcare service plan
designated by the State to reimburse for eligible dental services under the Healthy Families
program. In November 1998, the CHN began providing dental services to patients enrolled in the
Healthy Families program with the understanding that reimbursement for these services would
be retroactive upon approval of a provider agreement. The CHN is now requesting approval of
the proposed agreement with Delta Dental to be a participating provider and to be reimbursed for
eligible dental services. Reimbursement will be retroactive to November 1998. The CHN is
currently a participating provider for health services under the Healthy Families program.
The Community Health Network has provided dental services in four primary care health centers
for a number of years. These services are provided to patients that have government-sponsored
health insurance such as Medi-Cal, as well as uninsured and indigent patients. Creation of the
Healthy Families program has extended health insurance to eligible children, most of whom were
previously uninsured. Approval of the Delta Dental provider agreement will allow the CHN to
received reimbursement for dental services that were previously unreimbursed.
Finance
10
101 Grove Street
San Francisco, CA 9410:
N0U-1S-1SS9 15:52 DPH C-P&P A '^ 5d4 2S61 P. 02
Attachment III
MEMORANDUM
DATE: November 18, 1SS9
TO: Budget Analyst
FROM: Samantha Stephen, Dental Director
RE: Delta Dental Healthy Families Contract
The approximation of annual revenues for the Department of Public Health
providing dental services to low-income children under this Healthy Families
Dental contract is determined to be 5100,000. This estimate was am'ved at by
determining that approximately 1,000 invoices were generated from November
1S98 until November 1999 at about S100 per invoice. This amount will be billed
retroactively and this information is also used to estimate each future year's
biliing. However, as this program grows and outreach efforts revenues may
continue to increase.
For further information please contact me at 554-2573.
11
TOTAL P. 02
Memo to Public Health and Environment Committee
December 9. 1999 Public Health and Environment Committee Meeting
Item 2 - File 99-2078
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Matching Funds:
Indirect Costs:
Budget:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health.
Population Health and Prevention, to accept retroactively
and expend a grant in the amount of S257.053 from the
Federal Centers for Disease Control and Prevention to
support a study, evaluating the screening of males for
chlamydia trachomatis. The subject resolution stares
that this grant agreement does not include patent
infringement iiidernnification and false claims clauses.
$257,035
September 30. 1999 through September 29, 2000
Federal Centers for Disease Control and Prevention
(CDC)
None
$20,944
The summary budget for the proposed grant is as follows:
Description:
Salaries
S104.719
Eer_e:::i
27.227
Total Salaries and Benen: =
131.946
Supplies
33.700
Travel
5.784
Other
64.679
Subtotal
236.109
Indirect Costs
20.944
Total
S257.053
Attachment I, provided by DPH. contains further budget
details.
The Department of Pub he Health (DPH) was awarded a
grant by the Centers for Disease Control and Prevention
(CDC) to support a two-year study to evaluate men with
chlamydia infection. DPH is currently conducting a
demonstration project to determine if screening men for
BOARD OF SUPERVISORS
BUDGET ANALYST
::
Memo to Public Health and Environment Committee
December 9, 1999 Public Health and Environment Committee Meeting
chlamydia infection is a cost-effective method to prevent
chlamydia infection in their female partners. The subject
grant funds would be used to (a) expand the
demonstration screening project, and (b) conduct a follow-
up study of the demonstration project to determine men's
risk factors for chlamydia infection and behavioral
changes to prevent infection.
Approval of the proposed resolution would authorize DPH
to retroactively accept and expend Federal grant funds
from CDC in the amount of $257,053 to conduct the
subject study.
Comment: 1. According to Ms. Charlotte Kent of DPH, the subject
grant is for one year of a two-year grant period. Ms. Kent
states that second year funding is contingent upon
satisfactory scientific progress during the first year.
2. As explained in Attachment I, the proposed grant
would fund 2.5 new positions. In addition, Attachment I
shows that in-kind services would be performed by six
existing City positions. Of the six existing positions, three
positions (Principal Investigator, Co-Investigator, and
Community Based Services Coordinator) are permanent
City positions and the remaining three (Interviewer,
Supervisor, and Epidemiologist) are funded by other
grants.
3. The resolution urges the Controller to designate the
2.5 new positions created under the subject grant as "G"
or grant-funded positions, in order that such positions are
terminated when the grant expires.
4. According to Ms. Kent, the grant resolution is
retroactive to accept these funds because the award notice
was received on October 5, 1999. Ms. Kent states that,
because the term of the grant is from September 30, 1999,
through September 29, 2000, DPH was unable to obtain
Board of Supervisors approval to accept the funds until
after the receipt of the award and the start of the grant
term. Ms. Kent advises that no funds have been
expended.
BOARD OF SUPERVISORS
BUDGET ANALYST
13
Memo to Public Health and Environment Committee
December 9, 1999 Public Health and Environment Committee Meeting
5. The proposed resolution would waive: (1) the
requirement contained in Sections 6.21 and 21.19 of the
City's Administrative Code that the agreement include an
indemnification of the City by the CDC for the
infringement of patent rights; and (2) the requirement
contained in Section 6.57(c) of the City's Administrative
Code that the agreement include a paragraph reciting the
false claim provisions contained in Section 6.57(a) of the
City's Administrative Code. According to Ms. Jean Fraser
of the City Attorney's Office, these requirements apply
when the City purchases goods or services, not when the
City receives funds from a grant. Therefore, Ms. Fraser
advises that the waivers in this case are standard and
pose minimal risk to the City.
6. The proposed resolution contains a provision that
authorizes the Director of Health to enter into similar
agreements with CDC if the grant recurs or is renewed.
7. Attachment II is the Grant Application Information
Form, provided by DPH.
8. DPH has prepared a Disability Access Checklist, which
is on file with the Clerk of the Board's Office.
Recommendation: Approval of the proposed resolution is a policy matter for
the Board of Supervisors since this resolution authorizes
the Director of Health to enter into future agreements,
similar to the subject grant Agreement, with CDC if the
grant recurs or is renewed, without obtaining subsequent
approval by the Board of Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
14
Attachment I
Page 1 of 3
Asymptomatic Chlamydia Grant Budget Justification
Yearl
A. PERSONNEL $131,946
Salaries $1 04,71 9
1.0 Principal Investigator (Jeff Klausner, MD„ MPH) 5% effort
This position will be responsible for ensuring that the goals and objectives
of the Project are met. He will plan all study activities, provide the scientific
leadership necessary to ensure the success of the project and have overall
responsibility for data analysis and publication.
1.0 Co-Investigator (Charlotte Kent, MPH) 15% effort
This position will be responsible for overseeing and coordinating the day to
day activities of the study. She will design the study questionnaire and all
related forms, supervise the study worker and data entry clerk, act as the
liaison between the STD Program and the DPH Lab, assist in program
evaluation and data analysis and publication and present study findings at
community meetings.
1.0 Interviewer (Sharon Penn) 50% effort
This position will be responsible for interviewing asymptomatic males
diagnosed with chlamydia at study sites and investigating their sexual
partners. She will also be responsible for working closely with the Study
Coordinator to ensure that they are aware of these clients so that they can
approach them about enrollment into the longitudinal research project.
1.0 Supervisor (Christine Geoghegan)- 15% effort
This position will be responsible for supervising the Study Interviewer,
reviewing their interviews and investigations and working closely with
the Co-Investigator and Study Coordinator to maximize study enrollment.
1.0 Epidemiologist (Robert Kohn)— 5% effort
Tnis position will be responsible for developing the data entry screens and
generating the data sets for the screening and partner management project.
1.0 Community Based Services Coordinator (Jacque McCright) 5% effort
This position will establish liaisons with community based testing sites and
identifying non clinical sites where chlamydia screening of high risk
asymptomatic males can be done.
9/23/99 -CT Grant Budget
15
Attachment I
Page 2 of 3
Study Coordinator (To Be Hired) $25,512
(Step I @$949 biweekly x 26.1, plus 3% COLA x .50 = 525,512)
This position will be responsible for coordinating the longitudinal research
study, for recruiting and enrolling study participants, for contacting
participants to remind them of their appointments, for performing follow up
interviews of study participants and for collecting required study data.
.50 Data Entry Clerk (Florence Yu) $19,500
(Step VI @ $1,517 biweekly x 26.1, plus 3% COLA x .50 = $19,500)
This position will be responsible for entering all study data into the
computerized database and for performing quality assurance checks
to ensure that the data entered into the database is accurate and complete.
1.0 Microbiologist (To Be Hired) $59,707
(Step V @ $2,221 biweekly x 26.1, plus 3% COLA = $59,707)
Tnis position will be responsible for performing all of the laboratory
testing and quality assurance of study specimens submitted to the
Department of Public Health Microbiology Laboratory and for providing
study staff with monthly reports of lab testing and lab results by study site.
Fringe Benefits (26% of salaries) $27,227
B. SUPPLIES $ 33,700
Office Supplies $1,500
Funds are requested to purchase pens, paper, pads, photocopier
paper, etc. for study staff.
Clinical/Lab Supplies S12.000
Funds are requested to purchase 5,000 chlamydia urine tests at $6.00
per test, swabs, urine containers, lab slips, transport racks, etc.
Computer Supplies $20,000
Funds are requested to purchase nine desk top computers which will
be located in of the study sites to enable data entry of test results and
related study data into the shared computerized data base, computer
paper, ribbons, toner, etc.
C. TRAVEL $5,784
1. Request funds in support of four out of state trips by the Principal
Investigator, Co-Investigator or the Study Coordinator to attend study
meetings. These trips are projected to be of 3 days duration. San Francisco
city government provides per diem at the rate of $35.00 per day plus hotel
or actual expenses of trips. Tne actual expenses are estimated to be $125.00
9/23/99 -CT Gram Budget
16
Attachment I
Page 3 of 3
per day, round trip air fare of $925, plus 550.00 per participant for incidentals.
(3 x S 125 = $375 + $925 + $50 = $1,350 x 4 = $5,400.
2. Request funds in support of mileage for the Study Interviewer and Study
Coordinator. The City and County of San Francisco reimburses staff at a
rate of $0.32 per mile. We estimate that study staff will accrue an estimated
$100 miles per month for a total of $32 x 12 =S3S4.
D. OTHER $64,679
1. Stipends $17,440
Funds are requested to support the cost of stipends for study
participants.
Case Participants:
- $20 x 135 baseline visits = S2.700
- $20 x 122 one month follow up visits = $2,440
- $20 x 144 four month follow up visits = $2,300
TOTAL $7,440
Non Case Participants:
- $20 x 270 baseline visits = $5,400
- S20 x 230 4 month follow ud visits = S4.600
TOTAL 510,000
2. Rental Space $5,239
Funds are requested for two offices x 150 sq. ft. = 300 sq. ft.
x $ 1 .45 sq. ft./month = $437 month x 12 months = $5,239.
3. Laboratory Testing - UCSF Chlamydia (CT) Laboratory $42,000
Funds are requested to support the cost of specialized CT lab testing which
can only be performed at the UCSF Chlamydia Laboratory including:
150 CHSP60 CT antibody tests @ $100/test x 150 tests = $15,000
270 OMPL CT genotyping tests @ $100/assay x 270 tests = $27,000
E. SUBTOTAL DIRECT COSTS $236,109
F. INDIRECT COSTS (20% of salaries) $ 20,944
G. TOTAL $257,053
9/23/99 -CT Grant Bud-et
17
Attachment II
Page 1 of 2
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1 . Department. Division. & Branch: Public Health, PHP, Health & Safety, STD Services . .
2. Contact Person : Charlotte Kent Telephone: 415-554-8473
3. Project Title: Evaluation of Screening Males for Chlamydia Trachomatis
4. Grant Source Agencv : Centers for Disease Control and Prevention
5. Type of Funds (Circle) : (Federal) Federal-State (Pass-Through') State Local Private
6. Proposed (New/Continuation) Grant Project Summary: This is a two year grant to study men
with chlamydia. The primary objectives of the study are 1) to determine what approaches to
male screening for chlamydia are the most acceptable and feasible, 2) to evaluate whether
screening of men is an effective means of reducing disease in women and 3) to characterize
factors relating to transmission of chlamydia infection. These objectives will be
accomplished by a) screening asymptomatic men in ten different types of settings, including
the STD Clinic, adult and youth detention facilities, community health centers, teen clinics
and a student health clinic; b) providing partner counseling and management for men found
to have chlamydia infection and c) by performing a longitudinal follow up study of infected
and non-infected men.
7. Amount of Grant Funding Applied For:
Year 1: $257,053; Year 2: $257,053
8. Maximum Funding Amount Available (at time of application): S257.053
9. Reouired Matching Funds? (Circle): Yes (No) Cash In- Kind
If ves. list dollar amount and identify source of Matching Funds in Department Budget:
10. Number of New Positions created and funded: 2.5 t ihs
11. If new positions are created, explain the disposition of emploveefs) once the grant ends: All
staff will be told that these positions are short term and for a period not be exceed the
funding period of the grant. All efforts will be made to transition interested and qualified
staff into similar existing, positions.
18
Attachment II
Page 2 of 2
12. Are indirect costs eligible costs for this grant? (Circle): (Yes) No
If ves. please identify the amount of $s in indirect costs:
Year 1: $20,944; Year 2: $20,944
13. Amount to be Soent on Concractual Services: None
14. a.) Will contractual services be put out to bid? (Circle! Not Applicable
b.) If so, will contract services help to further the goals of the departments MBE/WBE
requirements? Not Applicable
15. Is this request for contracting out likelv to be: One Time or Ongoing? Not Applicable
16. Term of Grant: Start-Date: 9/30/99 End-Date: 9/29/01
17. Date You Were Notified That This Funding Was Available: 9/23/99
18. Grant Application Due Date: 8/2/ 99
19. Grant Funding Guidelines and Options (selected from REP, grant announcement or
appropriations
legislation): The San Francisco Department of Health, STD Services Program, responded to a
Program Announcement from the Centers for Disease Control and was awarded funds to
support a two year study to evaluate men with chlamydia infection. SFDPH was the sole
agency apply for funds, and, as such, will receive a grant award from the CDC for Year one.
Second year funding is contingent upon satisfactory scientific progress during the first year
as demonstrated through a semi-annual progress report. Awards are restricted to a maximum
of two years. Upon termination of the project, all materials and equipment purchased with
award funds in excess of $5,000 become the property of the Centers for Disease Control, if
they so desire.
20. Department Head Approval: Mitchell Katz, MD., Director of Health
(To be obtained by Grant Manager)
Signature
2/8/99
19
Memo to Public Health and Environment Committee
December 9, Public Health and Environment Committee Meeting
Item 3 - File 99-2102
Department:
Item:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health,
the collaborating institution responsible for the scientific
conduct of the "HIV Drug Access Study", to enter into a
subcontract in the amount of $14,149 with the University
of California, the primary contractor, retroactive to
February 24, 1999. The subject resolution does not
include patent infringement indemnification and false
claims clauses.
Subcontract Amount: $14,149
Subcontract Period: February 24, 1999 through February 23, 2000
University of California at San Francisco (UCSF)
Primary Contractor
Indirect Costs:
Description:
Budget:
$1,024
UCSF has received a Federal Department of Health and
Human Services grant to conduct a study, entitled "HIV
Drug Access". The purpose of the study is to determine
through case studies if individuals of color with HIV
disease are more, less, or as likely to have access to
publicly funded HIV/AIDS pharmaceuticals than
Caucasians.
Approval of the proposed resolution would authorize DPH
to enter into a subcontract with UCSF, the primary
contractor, in the amount of $14,149, to reimburse DPH
for providing a Project Director to be responsible for the
scientific conduct of the proposed project, on behalf of
UCSF.
The proposed budget, for the subcontract, to be financed
by UCSF and reimbursed to DPH, is as follows:
0.10 FTE 2232 Senior
Physician Specialist
Fringe Benefits
Indirect Costs
Total
BOARD OF SUPERVISORS
BUDGET ANALYST
$11,513
1,612
1.024
$14,149
20
Memo to Public Health and Environment Committee
December 9, Public Health and Environment Committee Meeting
Comment:
1. According to Dr. Herminia Palacio of DPH, the
subcontract with UCSF would reimburse 10 percent of
her time to serve as Project Director of the HIV Drug
xA.ccess Project.
2. Dr. Palacio states that the resolution is retroactive
because DPH entered into the subcontract on October 22,
1999, immediately after receipt of the subcontract but
prior to Board of Supervisors authorization. The start
date for the subcontract was February 24, 1999.
3. The proposed resolution would waive: (1) the
requirement contained in Sections 6.21 and 21.19 of the
City's Administrative Code that the agreement include an
indemnification of the City by UCSFs for the
infringement of patent rights; and (2) the requirement
contained in Section 6.57(c) of the City's Administrative
Code that the agreement include a paragraph reciting the
false claim provisions contained in Section 6.57 (a) of the
City's Administrative Code. According to Ms. Jean Fraser
of the City Attorney's Office, these requirements apply
when the City purchases goods or services, not when the
City receives funds from a grant. Therefore, Ms. Fraser
advises that the waivers in this case are standard and
pose minimal risk to the City.
4. The proposed resolution contains a provision that
authorizes the Director of Health to enter into similar
agreements with UCSF if the subcontract recurs or is
renewed.
Recommendation:
Approval of the proposed resolution is a policy matter for
the Board of Supervisors since this resolution authorizes
the Director of Health to enter into future agreements,
similar to the subject agreement, with UCSF if the
subcontract recurs or is renewed, without obtaining
subsequent approval by the Board of Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
21
Memo to Public Health and Environment Committee
December 9, 1999 Public Health and Environment Committee Meeting
Item 4- File 99-2105"
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Required Match:
Indirect Costs:
City Administrator
Solid Waste Management Program (SWMP)
Resolution authorizing the City Administrato 1 " to accept
and expend a $5,000 grant from the California Integrated
Waste Management Board.
$5,000
November 15, 1999 through January 31, 2000
California Integrated Waste Management Board
None
According to Mr. David Assmann of the Solid Waste
Management Program, the proposed resolution provides
for a waiver of indirect costs because the granting agency
does not allow such costs.
Description:
The City and County of San Francisco will participate
with Bay Area cities and counties in a public education
campaign, "Save Money and the Environment, Too", for
three weeks in January of 2000. The campaign will
emphasize waste reduction by educating the public about
buying products in larger sizes and quantities and
products with less packaging. "Save Money and the
Environment, Too" is part of the City's effort to meet the
State-mandated Year 2000 goal to cut solid waste by 50
percent.
Approval of the proposed resolution would authorize the
SWMP to accept and expend a $5,000 grant from the
California Integrated Waste Management Board to
support the campaign.
Budget:
Comment:
Media Campaign
$5,000
1. According to Mr. Assmann, the total "Save Money and
the Environment Too" campaign amount, paid by 33 Bay
Area cities and counties, is $197,600. San Francisco will
contribute $40,000 toward the campaign, of which
BOARD OF SUPERVISORS
BUDGET ANALYST
22
Memo to Public Health and Environment Committee
December 9, 1999 Public Health and Environment Committee Meeting
$35,000 was budgeted in the FY 1999-2000 SWMP budget
and the additional $5,000 would come from the subject
grant. Attachment I, provided by SWMP, shows the
amount each participating city and county has
contributed to the campaign.
2. Mr. Assmann reports that the $5,000 grant would be
used to purchase advertising on radio and television
stations, develop promotional messages on shopping bags
and milk cartons, place messages in BART stations, and
provide printed materials for public distribution.
3. Mr. Assmann states that the grant was awarded in
May of 1999, and therefore, the resolution should be
amended to provide for the retroactive acceptance of the
grant. According to Mr. Assmann, no grant funds have
been expended.
4. Attachment II, provided by SWMP, is the Grant
Application Information Form.
5. The Disability Access Checklist is on file with the Clerk
of the Board of Supervisors.
Recommendations: 1. Amend the resolution to provide for retroactive
acceptance of the grant.
2. Approve the proposed resolution as amended.
BOARD OF SUPERVISORS
BUDGET ANALYST
23
Page I oT _T~
SOLID WASTE MANAGEMENT PROGRAM
RECYCLING PROGRAM • HAZARDOUS WASTE MANAGEMENT PROGRAM
WILLIE L. BROWN, JR. PAliL V ' HORCHER
MAYOR DIRECTOR.
ATTACHMENT I - SAVE MONEY AND THE ENVIRONMENT TOO CAMPAIGN
County, City 2000 donation
Alameda, County $ 40,000.00
Alameda, Alameda S 750.00
Alameda, Albany $ 500.00
Alameda, Berkeley $ 2,500.00
Alameda, Castro Valley S 500.00
Alameda, Dublin S 500.00
Alameda, f remont S 5,000.00
Alameda, Hayward $ 2,500.00
Alameda, Newark S 500.00
Alameda, Oakland S 5,000.00
Alameda, San Leandro S 750.00
TOTALS/ALAMEDA S 58-500.00
Contra Costa County S 8,000.00
Contra Costa, CCCSWA S 2,000.00
Contra Costa, WCCTWMA S 2,750.00
Contra Costa, Concord • $ 500.00
Contra Costa, Pittsburg S 500.00
Contra Costa, San Ramon $ 500.00
TOTALS/CONTRA COSTA S 14,250.00
Napa, Napa S 500.00
TOTALS/NAPA S 500.00
San Francisco City/County S 35,000.00
(From a grant by the C1WMB) $ 5,000.00
TOTALS/SAN FRANCTSCO S 40,000.00
San Mateo County " ~ $ 25,000.00
SBTSA • S 7,250.00
San Mateo, Millbrae $ 250.00
San Mateo, Pacifica S 100.00
TOTALS/SAN MATEO S 32,600.00
1 145 Market Street, Sltte 401, San .-rancisco. Ca 94103 -w ww._frccycl_._r_.
Phone: (415) 554-3400 Fax; (415) 554-3434 -E-mail: s_recydc@ci.sf.ca.us =
24
Nuu-^y-itr^y 17:35
SOLID WASTE MGT PROGRAM
415 534 3434 P. 02/02
Attachment I
Page 2 of 2
Santa Clara County
Santa Clara, Cupertino
Santa Clara, Gilroy
Santa Clara, Milpitas
Santa Clara, San Jose
Santa Clara, Sunnyvale
Santa Clara Unincorporated
TOTALS/SANTA CLARA
25,000.00
500.00
750.00
1,000.00
10,000.00
500.00
2,500.00
40,250.00
Solano County
Solano, Vacaville
TOTALS/SOLANO
S 6,000.00
$ 500.00
S 6300.00
Sonoma County
TOTALS/SONOMA
S 5,000.00
S 5,000.00
TOTALS
S 197,600.00
25
TOTfiL P. 02
rtxuacnment 11
Page JL of 2
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorization a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1. Department: San Francisco Solid Waste Management Program
2. Contact Person: David Assmann Telephone: (415) 554-3409
3. Project Title: Save Money and the Environment Too __^
4. Grant Source Agency: California Integrated Waste Management Board
5. Type of Funds: Federal Federal-StatefPass-Through) X State Local Private
6. Proposed (New / Continuation) Grant Project Summary:
To support waste prevention media campaign.
7. Amount of Grant Funding Applied for: S5.000 ^^
8. Maximum Funding Amount Available: 55,000
9. Required Matching Funds? Yes: No: X / Cash or In-kind?
If ves, list dollar amount and identify source of Matching Funds in Denartment Budget:
10. Number of new position created and funded:
1 1 . If new position are created, explain the disposition of employees once the grant ends?
12. Are indirect costs eligible cost for this grant? Yes: No: X
If yes, please identify the amount of S in indirect costs?
26
Attachment II
Page 2 of 2
13. Amount to be SDent on contractual services: S5,000
14. a.) Will contractual services be put out to bid? Contractor was selected through RFP process.
b.) If so will contract services help to further the goals of the department's MBE/WBE requirements?
Yes
15. Is this likely to be a one time or ongoing request for contracting out? N/A
16. Term of Grant: Start-Date: November 15, 1999 End-Date: February 1,2000
17. Date Department Notified of Available Funds: May 25, 1999
18. Grant Application Due Date: N/A
19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or appropriation
legislation):
Grant was awarded by the California Integrated Waste Management Board at the May 25, 1999 board meeting.
20. Department Head Approval: Paul Horcher Director
(Name) (Title)
\_7 Si mature
s:admin/grants/gra ntapp.doc
27
Memo to Public Health and Environment Committee
December 9, 1999 Public Health and Environment Committee Meeting
Item 5 - File 99-2175
Department:
Item:
Grant Amount:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health,
Population Health and Prevention, Community Mental
Health Services, to accept retroactively and expend a
grant in the amount of $96,123 from the Federal
Department of Health and Human Services, Substance
Abuse and Mental Health Services Administration
(SAMSHA), for a Family Strengthening Project, and to
enter into an agreement which does not include patent
infringement indemnification and false claims clauses;
providing for ratification of action previously taken;
waiving indirect costs.
$96,123
Grant Period:
Source of Funds:
September 30, 1999 through September 29, 2001 (two
years)
Federal Department of Health and Human Services
Required Match:
None
In kind Services:
$58,274 from existing DPH budgeted funds.
Indirect Costs:
Budget:
According to Dr. Tina Yee of DPH, DPH requests that
indirect costs be waived to permit the grant funds to be
used for direct program costs.
The summary budget for the proposed grant is as follows:
Salary and Fringe Benefits
Operating Costs
Administrative Costs
Total
$44,946
46.371
4.806
$96,123
Attachment I, provided by DPH, contains further budget
details.
Description:
The Federal Department of Health and Human Services
(DHHS) awarded the Department of Public Health (DPH)
a two-year grant to identify, develop, and implement an
BOARD OF SUPERVISORS
BUDGET ANALYST
28
Memo to Public Health and Environment Committee
December 9, 1999 Public Health and Environment Committee Meeting
effective, culturally-specific intervention model for
Filipino families to reduce substance abuse and increase
community capacity to assist such families. The proposed
$96,123 grant would fund the first year of the two-year
pilot program. In the first year, a community advisory
committee would be established to work with the Filipino
community to create a consensus for the type of
intervention model to be used. Once the model was
selected, fifteen families at risk for substance abuse would
receive services, based on the proposed intervention
model. Outcome measures would be developed to
evaluate the intervention model for its effectiveness.
Approval of the proposed resolution would authorize DPH
to accept retroactively and expend the subject grant
funds.
Comment: 1. According to Dr. Yee, DPH would provide inkind
services as follows:
0.05 FTE Assistant Director of
Clinical Services $ 3,808
0.80 FTE Assistant Health
Educator 43.201
Subtotal 47,009
Fringe Benefits 11.265
Total $58,274
2. Dr. Yee states that DPH would award a contract to the
Filipino American Council, a nonprofit organization which
coordinates various Filipino organizations in San
Francisco, on a sole source basis, to implement the
proposed project. According to Dr. Yee, DPH would work
collaboratively with the Filipino American Council to
develop, implement, and evaluate this project.
3. According to Dr. Yee, the grant resolution is retroactive
to accept these funds because the award notice was
received in October of 1999. Dr. Yee states that no funds
have been expended.
4. The proposed resolution would waive: (a) the
requirement contained in Sections 6.21 and 21.19 of the
City's Administrative Code that the agreement include an
BOARD OF SUPERVISORS
BUDGET ANALYST
29
Memo to Public Health and Environment Committee
December 9, 1999 Public Health and Environment Committee Meeting
indemnification of the City by the Federal DHHS for the
infringement of patent rights; and (b) the requirement
contained in Section 6.57(c) of the City's Administrative
Code that the agreement include a paragraph reciting the
false claim provisions contained in Section 6.57 (a) of the
City's Administrative Code. According to Ms. Jean Fraser
of the City Attorney's Office, these requirements apply
when the City purchases goods or services, not when the
City receives funds from a grant. Therefore, Ms. Fraser
advises that the waivers in this case are standard and
pose minimal risk to the City.
5. The proposed resolution contains a provision that
authorizes the Director of Health to enter into similar
agreements with CDC if the grant recurs or is renewed.
6. Attachment II is the Grant Application Information
Form, provided by DPH.
7. DPH has prepared a Disability Access Checklist, which
is on file with the Clerk of the Board's Office.
Recommendation: Approval of the proposed resolution is a policy matter for
the Board of Supervisors since this resolution authorizes
the Director of Health to enter into future agreements,
similar to the subject grant Agreement, with the Federal
DHHS if the grant recurs or is renewed, without
obtaining subsequent approval by the Board of
Supervisors.
BOARD OF SUPERVISORS
BUDGET ANALYST
30
Attachment I
Worksheetl.TINA
KINABUKASAN (Family Strengthening) i
GRANT PERIOD: OCT. 1,1999 -SEPT. 30, 2000
FUNDING: SAMHSA |
! I I ! I
I PERSONNEL |FTE [Title iRate/month |N. of month |Total
IStafH 1 [Health Educate 1,750| 11| 19,250
iStaff2 1 [Outreach Work' 1,250[ 11 1 13,750
|Staff3 jClerical Suppor 480 11| 5,280
l ' i !
I I I ! i
iSalary 1| 38,280-
[Fringe Oj \ 6,666
[Total Salary & Frinqe ! 44,946
i I I : I
TOTAL PERSONNEL | I 44,946
I I I i I
II. [OPERATING EXPENSES
I ■':-■ I
[Telephone/Postage 1J88
[Space Rental 5,980
iFood ! ! 2,775
[incentives [ 2,250
[Transportation; j 1,350
[Educational Materials ; i 1,750
[Equipment i ! 4,450
|Travel [ I i | 6,784
[Consultant Research/Eval I 8,400
[Consultant I [Cultural Consultant 5,040
[Consultant Videographer ! 2,400
Consultant Childcare/Cultural Artist 2,804
[Consultant [Facilitator j 1,200
I I ! i . I
TOTAL OPERATING EXPENSES j 46,371
I | ! i
[TOTAL DIRECT COST \ 91,317
I I ! ! I
ill. [INDIRECTCOST (Administrative f.nstO l \ 4,806
III' II
TOTAL CONTRACT AMOUNT ! I 9 6,123
31
Attachment II
Page 1 of 2
File Number:
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1 • Department. Division. & Branch: Population Health and Prevention, Community Mental
Health Services.
2. Contact Person: Tina Tong Yee. Ph.D. Telephone: 255-3422
3 . Project Title: "Kinabukasan"
4. Grant Source Asencv: DHHS, Substance Abuse and Mental Health Services Admin.
5. Tvpe of Funds (Circle): Federal Federal-State (Pass-Through) State Local Private
6. Proposed (New/Continuation) Grant Project Summary "Kinabukason" is a family
strengthening project whichjwill develop, pre-test and implement a culturally adapted
program for Pilipino families through the involvement and participation of a broad
spectrum of the Pilipino community in San Francisco. The name of the project refers to the
hope for the future in Tagalog. The purpose of the project is to increase the capacity of local
communities to deliver best practices in effective parenting and family programs in order to
reduce or prevent substance abuse.
7. Amount of Grant Funding Applied For: S96,123
8. Maximum Funding Amount Available (at time of application): Not known.
9. Required Matching Funds? (Circle): Yes No Cash In-kind
If ves. list dollar amount and identify source of Matching Funds in Department Budget:
N/A
10. Number of new positions created and funded: None
1 I. If new positions are created, explain the disposition of emplovee(s) once the grant ends:
N/A
12. Are indirect costs eligible costs for this grant? (Circle): Yes No
9/23/99
32
Attachment II
Page 2 of 2
If ves. please identify' the amount of Ss in indirect costs: None. In order to increase the amount
of available funds for the implementation of this project, it was agreed that both partners in this
endeavor would contribute to the indirect costs. The Filipino American Council agreed to
decrease their indirect cost rate for administering this Project to 5% (normally 12%) and the City
will be requested to waive indirect costs. The increased dollars towards the direct costs of the
Project resulted in a more competitive program design.
1 3 . Amount to be spent on contractual services: None
14. a.) Will contractual services be put out to bid? (Circle): Yes: No: N /A
b.) If so. will contract services help to further the goals of the department's MBE/WBE
requirements? : N/A
15. Is this request for contracting out likelv to be : One Time or Ongoing;? (CircleOne) N /A
16. Term of Grant: Start-Date: 10/1/99 End-Date: 9/30/00
17. Date You Were Notified That This Funding Was Available:
18. Grant Application Due Date:
19. Grant Funding Guidelines and Options (selected from RFP. grant announcement or
appropriations legislation ): Awards of S80,000 to $ 1 00,000 in total costs per yer were made
available for training and technical assistance to build capacity for selecting, modifying and
piloting effective family strengthening models to be more culturally appropriate. A second
year of funding can be requested for implementation of the model tested. Funds may be :
used for travel and staff time to attend a SAMHSA/CSAP new grantee conference, a
national family strengthening conference and one 2-3 day training workshop in the model
selected. Funds may also be used for consultants and consensus building meetings to select
and modify the curriculum.
Funds may also be used for recruitment and retention costs as well as for staff, materials,
and facilities costs to graduate at least 30 families in the selected intervention, and for
evaluation support for process and outcome data collection and analysis.
20. Department Head Approval: Mitchell Katz, M.D., Director of Health
(To be obtained by Grant Manager)
Signature
9/23 '9 9
33
Memo to Public Health and Environment Committee
December 9, 1999 Public Health and Environment Committee Meeting
Item 6 -File 99-2189
Department:
Item:
Grant Amount:
Grant Period:
Source of Funds:
Matching Funds:
Indirect Costs:
Budget:
Description:
Department of Public Health (DPH)
Resolution authorizing the Department of Public Health,
Community Health and Safety Services, Emergency
Medical Services, to accept retroactively and expend a
grant in the amount of $200,000 from the Federal
Department of Health and Human Services to continue
the development of the Metropolitan Medical Response
System and to enter into an agreement which does not
include patent infringement indemnification and false
claims clauses; providing for ratification of action
previously taken; and waiving indirect costs.
$200,000
April 1, 1999 through April 30, 2000
Federal Department of Health and Human Services
None
The funding agency does not allow for indirect costs.
The summary budget for the proposed grant is as follows:
0.35 FTE 2230 Physician
Specialist $33,000
0.5 FTE 1063 IS
Programmer 31.000
Total Salary
Fringe Benefits
Equipment
Supplies
Printing
Contractual Services
Total
$ 64,000
16,000
18,000
70,000
2,000
30.000
$200,000
Attachment I, provided by DPH, contains further budget
details.
The Federal Department of Health and Human Services
(DHHS) originally funded the Metropolitan Medical
BOARD OF SUPERVISORS
BUDGET ANALYST
34
Memo to Public Health and Environment Committee
December 9, 1999 Public Health and Environment Committee Meeting
Response System program in 1997. San Francisco was
selected by DHHS to participate in the program to
prepare major urban areas to respond to the threat of
bioterrorism and biological warfare. The Emergency
Communications, Police, and Fire Departments have
worked with DPH to create a plan to respond in the event
of a bioterrorist attack.
The proposed $200,000 grant would be used to develop a
plan for surveillance and immediate response to the
threat of biological warfare.
Comment: 1. According to Ms. Abbie Yant of DPH, DPH was notified
of the grant award in May of 1999, and therefore, the
subject resolution is retroactive. Ms. Yant advises that no
funds have been expended and that such funds would be
available to DPH through December 31, 2000.
2. As shown in Attachment I, the subject grant would
fund two new part-time positions. The proposed
resolution urges the Controller to designate the two part-
time positions created under the grant as "G" or grant-
funded positions, which would terminate when the grant
expires.
3. Ms. Yant advises that $20,000 in grant funds would be
used to modify an existing contract with American
Medical Response, Inc., which was selected as a sole
source contractor to provide an on-line monitoring system
of the region's hospital emergency rooms. Additionally,
$10,000 in grant funds would be used to modify an
existing contract between the Emergency
Communications Department and TRW, Inc. to provide
programming for computer-generated dispatch services.
4. The proposed resolution would waive: (a) the
requirement contained in Sections 6.21 and 21.19 of the
City's Administrative Code that the agreement include an
indemnification of the City by the DHHS for the
infringement of patent rights; and (b) the requirement
contained in Section 6.57(c) of the City's Administrative
Code that the agreement include a paragraph reciting the
false claim provisions contained in Section 6.57 (a) of the
City's Administrative Code. According to Ms. Jean Fraser
BOARD OF SUPERVISORS
BUDGET ANALYST
35
Memo to Public Health and Environment Committee
December 9, 1999 Public Health and Environment Committee Meeting
of the City Attorney's Office, these requirements apply
when the City purchases goods or services, not when the
City receives funds from a grant. Therefore, Ms. Fraser
advises that the waivers in this case are standard and
pose minimal risk to the City.
5. The proposed resolution contains a provision that
authorizes the Director of Health to enter into similar
agreements with Federal DHHS if the grant recurs or is
renewed.
6. Attachment II is the Grant Application Information
Form, provided by DPH.
7. DPH has prepared a Disability Access Checklist, which
is on file with the Clerk of the Board's Office.
Recommendation:
Approval of the proposed resolution is a policy matter for
the Board of Supervisors since this resolution authorizes
the Director of Health to enter into future agreements,
similar to the subject grant Agreement, with the Federal
DHHS if the grant recurs or is renewed, without
obtaining subsequent approval by the Board of
Supervisors.
*7>
'Harvey M. Rose
cc: Supervisor Bierman
Supervisor Brown
Supervisor Yaki
President Ammiano
Supervisor Becerril
Supervisor Katz
Supervisor Kaufman
Supervisor Leno
Supervisor Newsom
Supervisor Teng
Supervisor Yee
Clerk of the Board
Controller
Legislative Analyst
Matthew Hymel
Stephen Kawa
Ted Lakey
BOARD OF SUPERVISORS
BUDGET ANALYST
36
12/83/1999 14:48 415-241-0519
AB 75 ems agency Attachment I
MMRS Modification
Budget 1999-00
Budget Categories
Budget
Personnel
364,000
Fringe Benefits
$16,000
Travel - In State
so
Travel Out of State
$0
Equipment
$18,000
Supplies
$70,000
Printing
$2,000
Contractual
$30,000
Other
$0
Total direct costs
$200,000
Indirect
$0
TOTALS
$200,000
Budget Detail
Personnel
0.35 FTE 2230
0.5 FTE 1063
Fringe Benefits
@25% salaries
Contractual
AMR/HUSK Mod
wo081DEC(ctmod)
Materials and Supplies
Protective equipment
Protective clothing
lab media, glassware
AV equipment
lap top computer
immunization supplies
airguns (15*$500/each
refrigerators
coolers
Equipment
Lab cabinet
FA Scope
Reproduction
10000 forms
33000
31000
16000
37
Attachment II
File Number: i^age I of 2
Grant Application Information Form
A document required to accompany a proposed resolution
Authorizing a Department to Accept & Expend Grant Funds
To: The Board of Supervisors
Attn. Clerk of the Board
The following describes the grant referred to in the accompanying resolution:
1. Department: Public Health
2. Contact Person: Abbie Yant Telephone: 554-9970
3. Project Title: Metropolitan Medical Response System
4. Grant Source Agency: Department of Health and Human Services
5. Type of Funds: X_ Federal Federal-State (Pass-Through) State Local Private
6. Proposed (New/ Continuation ) Grant Project Summary:
This grant modification is to assist our existing Metropolitan Medical Response System
(MMRS) (formerly known as MMST systems) in initiating an appropriate health system
response to a bioterrorist attack. This grant modification provides support for San
Francisco to develop plans directed at the early recognition of a biological event, mass
immunization/prophylaxis, mass care, mass fatality management, and environmental
surety. San Francisco shall engage appropriate State officials in the planning process.
7. Amount of Grant Funding Applied for: S200.000
Awarded 5200,000
8. Maximum Funding Amount Available: S200,000
9. Required Matching Funds? Yes: _ No: _X_ Cash or In-kind: _____
If yes, list dollar amount and identify source of Matching Funds in Department Budget: Not
Applicable
10. Number of new positions created and funded: 2 PT
1 1. If new positions are created, explain the disposition of employees once the grant ends?
Part-time employment will be terminated.
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38
Attachment I|
PaieT~5f~2
12. Are indirect costs eligible costs for this grant? Yes: No: _X_
If yes, please identify the amount of $s in indirect costs: Not applicable.
13. Amount to be spent on contractual services: S 30.000
14. a.) Will contractual services be put out to bid? Yes: No: : Not applicable.
b.) If so, will contract services help to further the goals of the department's MBEAVBE
requirements? : Not applicable.
1 5. Is this likely to be a one-time or ongoing request for contracting out?: Not applicable
16. Term of Grant: Start-Date: April 1, 1999 End-Date: April 30, 2000 .
17. Date Department Notified of Available Funds: Award letter received Mav. 1999. Signed
contract received September 1999.
1 8. Grant Application Due Date: April. 1999
19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or
appropriations legislation): Application was selected through competitive RFP process.
Payment is made upon presentation of proper vouchers and receipt and acceptance by the
Government of the services specified in the schedule.
20. Department Head Approval: Mitchell Katz, M.D., Director of Health
Signature
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39
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BOARD of SUPERVISORS
4155547714;
Dec-16-99 4:32PM;
Page 1/2
City Hall
up\ 1 Dr. Carlton B. Goodlett Place, Room 244
San Francisco 94102-4689
Tel. No. 554-5184
Fax No- 554-5163
TDiJ/TTY No. 554-5227
11^
NOTICE OF<^ANCELLED>IEETING
PUBLIC HEALTH AND ENVIRONMENT COMMITTEE
SAN FRANCISCO BOARD OF SUPERVISORS
NOTICE IS HEREBY GIVEN That the regularly scheduled meeting of the
Public Health and Environment Committee for Thursday, December 23, 1 999 ) at
1:00 p.m., has been cancelled,.
Cierk of the Board
DOCUMENTS DEPT.
DEC 1 6 1999 .
SAN FRANCISCO
PUBLIC LIBRARY
Posted: December 16, 1999
38 2
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