November 6, 2025 HSB Governance Committee Meeting
The Health Service Board meetings will be held on the second Thursday of each month at 1:00 pm in City Hall Room 416.
This meeting is open to the public. This meeting will be held in person at the location listed above and can be viewed live on SFGovTV. SFGovTV records the meeting with video, audio, and caption notes. For a complete archive of past Health Service Board Regular meeting broadcasts, please visit SFGovTV here.
Remote Meeting Access (WebEx)
Watch at 2:00 pm on November 6, 2025
Click the link to join the meeting - November 6, 2025 HSB Governance Committee Meeting WebEx Link
Public Comment Call-In: 415-655-0001 / Access Code: 2663 746 9305
Providing Public Comment:
Listening to the meeting via phone
- Dial into 415-655-0001 and then enter access code 2663 746 9305#, then # again
- Press *3 to enter the Public Comment queue, and you will hear the prompt, “You have raised your hand to ask a question; please wait to speak until the host calls on you.” When the system message says, “Your line has been unmuted,” - THIS IS YOUR TIME TO SPEAK.
- You will be muted when your time to speak has expired.
Watching the meeting on WebEx
- Join via hyperlink November 6, 2025 HSB Governance Committee Meeting WebEx link
- Webinar Password: 1145
- Click on the Raise Hand Icon to be placed in the queue to speak. A raised hand will appear next to your name. When you are unmuted in the system, a request to unmute will appear on your screen, please select unmute to speak.
- When you are unmuted in the system, a request to unmute will appear on your screen, please select unmute to speak. Once you hear me say “Welcome Caller,” you can begin speaking.
- When your time has expired, you will be muted. Please click on the Raise Hand Icon to lower your hand.
Members of the public are encouraged to state their name clearly, although you may remain anonymous. You will hear an audible warning when you have 30 seconds remaining. When your 3 minutes have ended, you will be placed back on mute.
Best Practices when calling in for Public Comment:
• Call from a quiet location
• Speak slowly and clearly
• Turn down any televisions or radios around you
• Address the Commission as a whole, do not address individual Commissioners
Written Public Comment
Persons unable to attend the meeting may submit written public comments regarding an agenda item. These comments will be made part of the official public record and shall be brought to the attention of the Health Service Board. Written public comments expected to be part of the official record should be submitted to the Board email, health.service.board@sfgov.org and received by 4 p.m. on Wednesday, November 5, 2025, before the meeting. Members can also call 628-652-4646 with any questions.
All comments received by the deadline will be forwarded to Board members, and the Board Secretary will note on the record during the specific agenda item that the Board received written public comment on that item and will include that note in the meeting minutes. In the body of your email, indicate the meeting date and the particular agenda item number. If you do not specify an agenda item, your emailed public comment will be read under general comment.
Questions or comments regarding this meeting or board materials should be directed to:
Board Secretary
c/o San Francisco Health Service System
1145 Market Street, 3rd Floor
San Francisco, CA 94103
email: health.service.board@sfgov.org
phone: 628-652-4646
Generative AI was used to write the presentation descriptions below.
Agenda Items
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SFHSS Member Rules and Cafeteria Plan and Section 125 Cafeteria Plan PY2026 Revisions
SFHSS Member Rules
The San Francisco Health Service System Rules (SFHSS Rules) provide guidelines for managing health benefits for eligible members and their families. These rules, based on local, state, and federal laws, explain who can get benefits, how to enroll, and what coverage is offered. They also include steps for handling appeals and ensuring the rules are followed. The goal is to make health benefits fair, clear, and easy to manage.
SFHSS Section 125 Cafeteria Plan
A Cafeteria plan is a benefit program under IRS Coder Section 125. It lets employees choose between getting their paycheck or using part of it for certain benefits before taxes are taken out. This helps employees save money by reducing their taxable income. The Health Service Board reviews and approves the changes for next year.
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Initiate Public Employee Evaluation of SFHSS Executive Director 2025
Each year, the Board evaluates the qualitative aspects of Executive Directors' performance for the past year. The Board looks at five areas of work. Before giving the evaluation, the board can edit or add to it.
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Initiate Annual Health Service Board Self-Evaluation
Each year, the Board reviews its performance. Board members can look at how the Board worked over the past year and suggest ways to improve. Before giving the evaluation, the board can edit or add to it.
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Intiate Governance Policies and Terms of Reference 2025 Review Process and Timeline
The Health Service Board has clear roles and responsibilities. The Board policies outline what the Board is responsible for and are based on the City Charter and Administrative Code. Policies are reviewed at least once every three years to ensure the Governance Policies and Terms of Reference remain relevant and appropriate. The attached document presents the timeline for the review process and final approval for 2025.