March 12, 2026 HSB Regular Board Meeting

Meeting minutes are a summary of what was discussed during a meeting. They cover the questions asked by the board members, how each member voted, and any comments made by attendees.

The President can discuss important topics with the Board. This report may cover health topics, any concerns the Board should discuss, and/or remind Board members to finish their assigned tasks.

No written report.

The director’s report provides the Health Service Board with updates on current department projects and programs. The report may share healthcare news. The report will announce new staff at SFHSS.

The finance report gives updates on the department budget. The report tracks the monthly spending in the three accounts we manage. The department must have an auditor review how it uses money in the budgets. The report will list any reviews and when they are complete.

A request for proposal is a business document that announces a project, explains its purpose, and allows contractors to submit their proposals. This presentation announces the recommendation for a contractor.

Each year, we have something called the Rates and Benefits Cycle. In this process, SFHSS looks at our health plans and decides if any changes are needed, including how much they cost. This helps SFHSS set goals and figure out what we need to do to stick to the SFHSS Mission. The process happens in meetings that everyone can attend, from February to June each year. The calendar shows when all the presentations about health plan rates will be.

California’s top 10 counties share how much they paid spent on employee health benefits. This report provides the average increase in healthcare costs. San Francisco must pay the same amount toward its employee benefits.

Every time a person goes to the doctor or gets a prescription from their doctor, there is a bill that gets sent to the insurance company called a claim. This presentation is about all the medical and prescription drug claims for the people who had health insurance in 2025. There is information about what benefits employees used. Most of the details are about employees currently working and those who retired early. There is some information for retired employees. All of this data will be used to make decisions about 2027 health plan costs.

An insurance premium is the amount you pay for an insurance policy. Each year, SFHSS calculates how much the insurance premium will be. There is a reserve fund to spread out any extra money or not enough money from insurance premiums. This helps employers and members so the cost doesn’t change too much each year. This presentation gives ideas on how much money to use for the stabilization fund for the 2027 plan rates.

The report shares what SFHSS achieved in the previous year.

The yearly report gives us up-to-date info on the people enrolled in health benefits. This report breaks down info on our members by race, gender, age, employer, home neighborhood, and the health benefits they are enrolled in. 

Each year the Board reviews all the education and training from the last year. There is a report on how many hours Commissioners studied on their own and what training they completed. The Board also makes a plan for more education the next year. 

The Governance Committee will edit the evaluation questions for the Board and the employee performance evaluation. The schedule will be discussed on when to meet and make changes to the evaluation tools. 

Some topics are confidential and are not open to discuss with the public. These topics are in a closed session.

Each year, the Board evaluates the qualitative aspects of Executive Directors' performance for the past year. The Board looks at five areas of work. 

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 1:00 pm on March 12, 2026 (SFGovTV schedule)

Click the link to join the meeting - March 12, 2026 HSB Regular Meeting WebEx Link

Public Comment Call-In: 415-655-0001 / Access Code: 2660 255 1404

Providing Public Comment: 

Listening to the meeting via phone

1. Dial into 415-655-0001 and then enter access code 2660 255 1404#, then # again
2. 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.
3. You will be muted when your time to speak has expired.

Watching the meeting on WebEx

1. Join via hyperlink March 12, 2026 HSB Regular Meeting WebEx Link
2. Webinar Password: 1145
3. 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.
4. 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.
5. 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, March 11, 2026, 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