[{"_1":2,"_110":-5,"_111":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,86,98],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6529818,"mediaKeyId","3789621-84efc44cf503eddf3b5f2257375b6a6b","parentId",3789621,"title","Votes at a glance: SFHSS actions on minutes, officers, budgets and 2026 rates (June 12, 2025)","audioSeconds",7989,"startMs",736000,"endMs",8725000,"viewUrl","/Search/View?dp=1&key=3789621-84efc44cf503eddf3b5f2257375b6a6b&start=736&end=8725","thumbnailUrl","https://assets.pipeline.soar.com/3789621-84efc44cf503eddf3b5f2257375b6a6b/thumbnail_736000.jpg","articleUrl","/articles/6529818/San-Francisco-City/San-Francisco-County/California/Votes-at-a-glance-SFHSS-actions-on-minutes-officers-budgets-and-2026-rates-June-12-2025","mediaUrl","https://secure.pipeline.soar.com/6529818-130ec9abe4a564f94cb8dcb14fb1f176/orig.mp4?Expires=1771136968&Signature=HGlcKei3SUnMV6CxMhqGkeYLZzFmzOPoPdvaK1s8iWgHkEWisSHm35ixoTEJI-YwdOf-RVJsh1j2wgT~y27zvOcPu9hcijHNQaCW0bVB-82Tc0sFEIPoedcLKM33XovmJnuPSJxJ9S77wub1yGoePHjlQjyO8XTUvleaOqQdBDvqySAPfZtyWwDroDAddNVs57vsdXfvtt-EWIcpagyPESOyg7Y9y3nN5HrqP~dQfaLy6kLILwwX9SBCz09o~DynYDvQPTeqUSGzQvOPSHSgCS1NCWdw-TVNrTAv0AC1elYhMYpvghOHc~fxnOgCdwDzOIHRIF6mT4~78jZFxy2TDA__&Key-Pair-Id=KUT5TJCACFTXG","author","City of San Francisco","date","2025-06-12T00:00:00Z","article","This summary lists formal motions and roll-call outcomes taken by the San Francisco Health Service Board on June 12, 2025. It includes motions the board approved and those that failed.

Approved by roll call
- Approval of May 8, 2025 meeting minutes (Agenda item 4): unanimous roll call recorded as all ayes.
- Adoption of resolution for Claire Zavansky into the record (Agenda item 5): unanimous ayes.
- Election of Health Service Board officers for FY2025'FY2026 (Agenda item 6): unanimous ayes; President and Vice President elected as recorded in the minutes.
- Revised SFHSS Healthcare Sustainability Fund budget, FY2026'FY2027 (Agenda item 11): approved by roll call (6-0-0); staff moved some expenses into the trust and preserved a multi-year solvency projection.
- Blue Shield of California MAPD (Medicare Advantage Prescription Drug PPO) retiree rate card for plan year 2026 (Agenda item 14): approved by roll call (6-0-0); Blue Shield presented a 4.5% insured premium increase under the three-year RFP commitment.
- Kaiser Permanente California HMO 2026 rates and contributions (Agenda item 15): approved by roll call (6-0-0); staff recommended and the board accepted a 9.88% increase for active/non-Medicare retirees and 9.33% for Medicare retirees.
- Kaiser Permanente multi-region (Washington, Oregon, Hawaii) retiree HMO 2026 rate cards (Agenda item 17): approved by roll call (6-0-0) after the board declined a prior motion to discontinue those plans.
- Cancellation of the July 2025 Health Service Board regular meeting (Agenda item 19): approved by roll call (6-0-0).

Failed motions
- Recommendation to discontinue Kaiser multi-region retiree HMOs after 12/31/2025 (Agenda item 16): motion failed on roll call (2 yes, 4 no). Because the discontinuation motion failed, the board then approved the multi-region rate cards for 2026.

Notes on procedure and next steps
- Where the board approved insurer rate cards (Blue Shield MAPD, Kaiser California, Kaiser multi-region), staff said those actions will be submitted to the Board of Supervisors as part of the rates-and-benefits budget package the week of June 24 for committee scheduling and possible first reading in July. SFHSS staff and the actuary presented supporting exhibits and rate cards during the meeting.
- Several approved items (rate approvals and the sustainability fund budget) require follow-up communications and plan documents for open enrollment and member notification.

If you need full roll-call detail for any single agenda item (member-by-member votes), those votes were recorded in the meeting transcript and minutes and are available in the SFHSS meeting packet.","mediaType","Video","parentTitle","City of San Francisco - Video Open Video Only in Windows Media Player - Jun 12, 2025","oneSentenceSummary","The Health Service Board approved meeting minutes, elected officers, adopted a resolution into the record, approved multiple budget and rate actions (including Blue Shield MAPD, Kaiser California, Kaiser multi-region) and approved the FY26-27 healthcare sustainability fund budget.","taxTitle","San Francisco City, San Francisco County, California","taxId",5751,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":46,"_47":80,"_49":81,"_51":82,"_53":83,"_55":56,"_57":58,"_59":84,"_61":62,"_63":64,"_65":85,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6529823,"Board approves Kaiser California and multi-region 2026 rates after debate; move to discontinue multi-region plans fails",3202,5523000,"/Search/View?dp=1&key=3789621-84efc44cf503eddf3b5f2257375b6a6b&start=5523&end=8725","https://assets.pipeline.soar.com/3789621-84efc44cf503eddf3b5f2257375b6a6b/thumbnail_5523000.jpg","/articles/6529823/San-Francisco-City/San-Francisco-County/California/Board-approves-Kaiser-California-and-multi-region-2026-rates-after-debate-move-to-discontinue-multi-region-plans-fails","https://secure.pipeline.soar.com/6529823-641c08328fe4df7ce1bf8d2761f5d5bf/orig.mp4?Expires=1771136968&Signature=H-30o4nWFqDxMwKDEXYPn2gqBB~PbtvGwd2Srhco-71y6RcawS3D3~5l5Anlr7ZlkWU4hCBK8NQ1519gcdd4ZSkbruo099mbHernUn1J87fyqif7oz-TYTB5GoVZVkz-5AbCvCmcgivtbN9KQ3jS-mP7UUlRXSqMQYimE28XRC2VH5tZV31z8EyzyFRL7AOAqF88CRROIHjNmPMHDLpYRYU4Wp~09uPXPvybMnWuLXrCLLwNrH3VF4u9XssbQv~NV-~82gUCJte~OM~BvZJHog~F9VXJ091nleF8ziZueuwtLHI~Iq8zRwmBc-g6yIpRftPGEnPKMVvwvhx-64XVYg__&Key-Pair-Id=KUT5TJCACFTXG","The San Francisco Health Service Board on June 12 approved Kaiser Permanente plan renewals for plan year 2026, including rate increases for active employees and retirees, and after a contested vote rejected a staff recommendation to discontinue Kaiser multi-region retiree HMOs for members living in Washington, Oregon and Hawaii. The board then approved the multi-region 2026 rate cards.

What the board approved
- Kaiser California HMO (actives and non-Medicare retirees): staff recommended a 9.88% insured premium increase from 2025 to 2026; the board approved the 2026 rate cards as presented.
- Kaiser California Medicare retirees (Kaiser Permanente Senior Advantage, KPSA): staff recommended a 9.33% insured premium increase from 2025 to 2026; the board approved the KPSA 2026 rate cards as presented.
- Kaiser multi-region retiree HMOs (Washington, Oregon, Hawaii): the board voted down a staff recommendation to discontinue the multi-region plans after 2025 (the motion to discontinue failed by roll call). Because the board rejected discontinuation, the board then reviewed and approved the 2026 rate cards for the Kaiser multi-region HMOs.

Why the board debated the multi-region plans
- Staff rationale to discontinue: SFHSS staff and their actuary (Aon) said the multi-region plans have persistently low enrollment, add administrative complexity and fragmentation, and prevent development of a blended rate. Staff noted the administrative cost to administer multi-region plans was materially higher per member than the larger Kaiser California block and that staffing constraints made continued administration costly.
- Public commenters and retiree groups pushed back, saying the multi-region plans provide an earned benefit and better local access in some areas (commenters noted gym/wellness access and local provider networks) and urged the board to keep the options available to retirees who moved out of state after living and working in San Francisco.

Votes and outcomes (summary)
- Motion to discontinue Kaiser multi-region HMOs (staff recommendation): motion failed on roll call. Reopened vote recorded 4 no / 2 yes (President Howe and Commissioner Wilson voted yes; the remaining four commissioners voted no). Because discontinuation failed, item 17 (the multi-region 2026 rate cards) was brought forward and approved by roll call (unanimous ayes recorded).
- Kaiser California HMO and KPSA rate approvals: motions to approve the respective 2026 rate cards passed on roll call.

Member impact and outreach
- Staff and the actuary described the non-Medicare national PPO plan and the MAPD PPO plan (Blue Shield) that are available to retirees living outside Kaiser service areas. Staff emphasized they would use postcards, letters, outbound calls and a dedicated SFHSS phone-queue to help affected members if plans were discontinued; after the board decided to retain the multi-region plans, staff nevertheless committed to continued outreach and support for members in those regions.

Authorities and technical notes
- The staff and actuary cited the city charter's framework for retiree employer contributions and the 10-county survey used to set retiree contribution baselines. The actuary also noted a small projected cost component (about 0.5%) tied to compliance with state infertility coverage requirements (SB 729), which plays a small role in the overall Kaiser renewal.

Ending note
The board's decision preserves the multi-region Kaiser options for 2026 while approving rate increases across Kaiser products that SFHSS staff said are driven by national health cost trends and Kaiser's plan experience. The board directed staff to continue active member outreach and to provide clear communications about how the changes affect retirees in and outside California.
","The Health Service Board approved Kaiser Permanente California HMO rate increases for plan year 2026 and, after rejecting a staff recommendation to discontinue Kaiser multi-region retiree HMOs, approved multi-region 2026 rate cards. The board debated member impacts, administrative costs and outreach for affected retirees.",{"_33":87,"_35":36,"_37":38,"_39":88,"_41":89,"_43":90,"_45":91,"_47":92,"_49":93,"_51":94,"_53":95,"_55":56,"_57":58,"_59":96,"_61":62,"_63":64,"_65":97,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6529828,"SFHSS reports $5.8M in sustainability fund, interest gains; general fund and staffing remain constrained",392,2290000,2682000,"/Search/View?dp=1&key=3789621-84efc44cf503eddf3b5f2257375b6a6b&start=2290&end=2682","https://assets.pipeline.soar.com/3789621-84efc44cf503eddf3b5f2257375b6a6b/thumbnail_2290000.jpg","/articles/6529828/San-Francisco-City/San-Francisco-County/California/SFHSS-reports-58M-in-sustainability-fund-interest-gains-general-fund-and-staffing-remain-constrained","https://secure.pipeline.soar.com/6529828-a2c3b2e2b5e98259758f01e4214fce49/orig.mp4?Expires=1771136968&Signature=QR9nfnPjQZuhONx~WvCoAeIcoRjzw02wj-hzOqhr-5zpFblEsfCH-eovr7R6oXgeI6Z7iv-qt-D5jMSjn2lzBXohPPv6Nsy-UdkXD7tq~nsJP~p387xRXR1p2VNdknltbsVX3g51cPO~~NBl5F0R10yPoXsumneTMZTtRX1huyIo45fbgmyE7qs1gMiCUc-Hn~NN9911mGEOAeIY5pq1YbNyV3EU647RC5r77xBWg8rLCmshGN33oh2gKHO3Vh23MRwEdZfOVAyWkNPeM3y~11StOEp-fzlsj0b45pD0WPZZRy83rdk7pKLS84j8L6to94MW6LeS-HU5yA4AOkWh0Q__&Key-Pair-Id=KUT5TJCACFTXG","San Francisco's Health Service System presented financial results and staffing updates at the June 12 Health Service Board meeting, with Chief Financial Officer Iftikhar Hussain outlining the system's three trust funds and recent budget activity.

Hussain said the benefit trust fund is projected to decrease by $5.1 million in the current year but called that outcome \"favorable\" because recent rate-setting used prior-year stabilization balances to limit rate increases. He reported a higher-than-expected interest income of about $6 million and said pharmacy rebates are included within the claims experience forecast.

Key figures and changes
- Benefit trust fund: projected year decline of about $5.1 million; rate-setting used $9 million in stabilization surpluses to limit premium increases.
- Health sustainability fund: roughly $5.8'6M to $6'M balance reported; SFHSS plans to use the fund for communications, affordability work and wellness initiatives over coming years.
- General fund (city-funded administrative budget): reported around $12.2 million (figure discussed during public Q&A); vacancies drove favorable variance but also reduced capacity.
- Interest and investment income: approximately $6 million, higher than last year because of elevated interest rates.

Staffing and organizational updates
- SFHSS is operating lean: reductions over recent years and specific cuts required by the mayor in the budget process left the department with fewer staff while membership increased.
- General fund FTEs: the board was told the general fund now reflects 39 budgeted FTEs; the SFHSS health sustainability trust has 13 FTEs (presentation noted these counts will be detailed in a later slide).
- Personnel changes: Henry Cornejo joined SFHSS on May 27 as a benefits technician; recruitment is open for an additional benefits technician and for a replacement for the chief operations and experience officer (advertised to close July 3, interviews mid-July).
- Job-title changes: SFHSS will rename roles to better reflect responsibilities: the chief operating officer will be titled \"Chief Operations and Experience Officer (COXO)\" and the chief financial officer role will be titled \"Chief Financial and Affordability Officer (CFAO).\" The department said the city job classifications and deputy director expectations remain unchanged.

Budget process and outlook
- Hussain summarized that SFHSS met the mayor's budget targets after two rounds of cuts; two of the four general-fund positions eliminated in the first round were moved into the sustainability trust. The FY26 and FY27 budgets include additional modest reductions and re-allocations between the general fund and the sustainability trust.
- The external audit of the benefit trust fund and the health sustainability fund is underway; auditors will present findings to the board in November.

Board discussion and public comment
Board members and public commenters asked about the effect of citywide budget cuts on SFHSS operations and asked for clarity on staffing levels and service impacts. SFHSS leaders said they are pursuing process automation and a consultant review to find efficiency gains but acknowledged the combination of growing membership and staff reductions creates service risk.

Ending note
SFHSS leaders said they will present detailed staffing counts and the multi-year financial forecast in subsequent budget materials and that the sustainability fund was adjusted and approved later in the meeting for FY26'FY27 uses related to communications, affordability, and wellness work.","SFHSS CFO reported a projected $5.1M decrease in the benefit trust and about $5.8'6M'6 in the health sustainability fund balance; general fund administrative budget is subject to mayoral approval and staffing remains lean with two recruitments underway.",{"_33":99,"_35":36,"_37":38,"_39":100,"_41":101,"_43":102,"_45":103,"_47":104,"_49":105,"_51":106,"_53":107,"_55":56,"_57":58,"_59":108,"_61":62,"_63":64,"_65":109,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6529833,"Blue Shield warns UC contract could go out-of-network July 10; HSS, Blue Shield outline member options",558,1445000,2003000,"/Search/View?dp=1&key=3789621-84efc44cf503eddf3b5f2257375b6a6b&start=1445&end=2003","https://assets.pipeline.soar.com/3789621-84efc44cf503eddf3b5f2257375b6a6b/thumbnail_1445000.jpg","/articles/6529833/San-Francisco-City/San-Francisco-County/California/Blue-Shield-warns-UC-contract-could-go-out-of-network-July-10-HSS-Blue-Shield-outline-member-options","https://secure.pipeline.soar.com/6529833-69252a8bb5e419e040b3523ef661a35f/orig.mp4?Expires=1771136968&Signature=L~YkywJ2x6R8O5uyczZHg4TZb0LssX4ZPIeaCiVlldHGiqmB6ZFyuMVJSs6v6F9~lUE2Uomk6uzQVs4A50x66RHMOtkXdIxNmcZwjM8YqIJw4QLr0coCiisIFeWGj08FuYfCAtZpmOLxTLEoeaXbxjpp0NSxdcTzqds5E2VTyUAR9Not~POQMrNonAgEZNmbuHPaQI-DnGf0CtKHDO14pDHdaUkXwvoXWezzyrnM3UPe2QIYwd7smJncGj9cPAWblXN3UiZ3jz9idCNtalcktbV9E64ZM0cagjnSXvokixV395a7JkMbRkc9BXNedRMMhmbv9Mj0bFMkyiApEiHsMw__&Key-Pair-Id=KUT5TJCACFTXG","Blue Shield of California told the Health Service Board on June 12 that the University of California health system has given notice it will end its contract on July 10 if the parties do not reach a new agreement, potentially putting UC hospitals and specialists out of network for some SFHSS members.

The head of Blue Shield's regional operations told commissioners the insurer is negotiating in good faith and that, under the current agreement, SFHSS members will retain in-network access to UC providers through July 9. The company urged members to call the customer service number on their ID cards and said Blue Shield will assist members with continuity-of-care applications or with locating alternative in-network providers.

Why it matters: UC health facilities, including UCSF Medical Center and UCSF Benioff Children's Hospitals in San Francisco and Oakland, are major providers for city employees and retirees. A contract lapse could change cost-sharing or access for specialty care for some plans and cause disruption for scheduled care.

What Blue Shield and SFHSS said at the meeting
- Amy DeHart, area vice president for Blue Shield of California, told the board negotiations have not produced a new contract and UC could end the agreement effective July 10 unless reimbursement terms change. She said the insurer hopes to reach a deal that preserves access at sustainable cost.
- DeHart said all Blue Shield members remain in-network with UC under the current contract through July 9. For HMO members whose primary care is arranged through Hill Physicians Medical Group (the Access Plus and Trio HMOs), PCP visits should remain unaffected, she said, but referrals to UCSF specialists and inpatient services could become out-of-network after July 9.
- DeHart said UCSF Medical Center and UCSF Benioff Children's Hospitals would be out-of-network for hospital services after July 9 if no agreement is reached, but St. Francis and St. Mary's hospitals would remain in-network.
- DeHart said the Medicare Advantage PPO (the MAPD plan) offered through Blue Shield is expected to be unaffected because that plan charges the same cost-share for in- and out-of-network providers; Blue Shield's statement said that in general Medicare providers that continue to bill Blue Shield would maintain access under Medicare rules.
- Ray Guillen, SFHSS executive director, said his staff is preparing a member FAQ and communications; staff committed to an FAQ posted on the SFHSS website and to close coordination with Blue Shield.

What members should check and do
- Confirm plan type: impacts differ by plan (Access Plus/Trio HMOs, non-Medicare PPO, Medicare Advantage PPO). HMO members with Hill Physicians PCPs were told their PCP access should be maintained, but specialist referrals may be affected.
- Check referrals: members who need UCSF specialty or hospital services after July 9 should contact their primary care provider and Blue Shield to verify referral status.
- Consider continuity of care: Blue Shield described a continuity-of-care process for ongoing courses of treatment (examples include ongoing pregnancy care, inpatient stays, or chronic serious conditions). Members who believe they qualify should submit a continuity-of-care request to Blue Shield customer service.
- Use the ID-card phone number: Blue Shield said the concierge/customer-service line on members' ID cards can help resolve provider or billing issues.

Board and public reaction
- Commissioners and public commenters urged timely, clear member communications and earlier FAQs to reduce confusion. SFHSS communications staff said they aimed to publish vetted FAQ materials by the end of the week following the meeting.

Limits and uncertainties
- Blue Shield's presentation described the parties' positions and the insurer's offer to continue negotiating; it did not announce a new agreement. The board did not take formal action on the contract at the meeting.

Ending note
SFHSS members should monitor official SFHSS notices and Blue Shield communications and call the number on their ID card for case-specific guidance. SFHSS staff said it will post a member FAQ and provide dedicated phone-line support for affected members.
","Blue Shield of California told the San Francisco Health Service Board that the University of California health system may end its contract on July 10 unless a new agreement is reached. Blue Shield said in-network access to UC facilities continues through July 9; impacts vary by HSS plan and members should check referrals and continuity-of-care.","actionData","errors"]

Article not found

Votes at a glance: SFHSS actions on minutes, officers, budgets and 2026 rates (June 12, 2025)

Board approves Kaiser California and multi-region 2026 rates after debate; move to discontinue multi-region plans fails

SFHSS reports $5.8M in sustainability fund, interest gains; general fund and staffing remain constrained

Blue Shield warns UC contract could go out-of-network July 10; HSS, Blue Shield outline member options