Health Service Board Commissioners

The Health Service System Board consists of seven members. Three Commissioners are elected. Four appointed Commissioners are comprised of a San Francisco Supervisor, two selected by the Mayor and one selected by the City Controller. Health Service Board Commissioners also serve on one of two Committees: the Governance Committee or the Budget and Finance Committee. The Committee terms are adjusted on an annual basis.                                                   

  • Governance Committee Members: Follansbee (Chair), Scott,  and Zvanski
  • Finance and Budget Committee Member: Breslin (Chair), Canning, and Hao.



Commissioner Randy Scott

President, Randy Scott

Term: May 15, 2020 to May 15, 2025
(appointed by the Controller Office)

Currently a member of the Governance Committee, Term Length: August 2022- July 2023

Randy Scott is a senior level Human Resources Executive with over 30 plus years of experience in for profit, not for profit, non-profit corporations and was recently retired from Higher Education. Randy's expertise is in employee benefits, pension systems, labor relations, talent development and human capital strategic planning.  Recently Randy served as Vice President Human Resources for Institute on Aging. Randy is a retired member of UCOP HR Leadership Team for the University of California System. Randy began his corporate human resources career at Diamond Shamrock Corporation in Dallas, Texas. 

Randy transitioned to the healthcare business, first as Vice President Human Resources, Alliance Blue Cross Blue Shield in St Louis, Missouri and then as Area Vice President Human Resources for the Kaiser Permanente in San Francisco and then as Director, Employee Relations for the California Division of Kaiser Permanente in Oakland. 

Randy has served as a member and officer for numerous Boards of Directors for professional, civic, religious, arts and community organizations including the Fine Arts Museums of San Francisco, the Pacific Business Group on Health and the Northern California HR Management Association. Randy has a B.A. in Liberal Arts from West Virginia Wesleyan College and a Masters Degree in Educational Administration from West Virginia University.

Commissioner Hao

Vice President, Mary Hao

Term: April 11, 2019 to April 11, 2024
(appointed by Mayor London Breed)

Currently member of the Finance and Budget Committee, Term Length: August 2022- July 2023

Mary Hao has over 25 years of public sector human resources and labor relations experience. She is the Deputy Chief Peoples Officer for the Los Angeles County Metropolitan Transportation Authority. Mary began her career with the University of California, Office of the President in the Office of Labor Relations, and then joined the City and County of San Francisco in 1999 where she worked for fourteen years in labor and employee relations for the Department of Human Resources and then two years managing the human resources function at the Juvenile Probation Department. Mary has a B.A. in History and a minor in Asian American Studies from the University of California, Los Angeles.

Karen Breslin, President of the Board

Commissioner Karen Breslin

Term: May 15, 2019 - May 15, 2024
(elected by SFHSS Membership)

Currently the Chair of the Finance and Budget Committee, Term Length: August 2022- July 2023

Karen Breslin retired from The San Francisco Adult Probation Department in December of 1999. Upon her retirement, she joined the Retired Employees of CCSF and became an active member of Protect our Benefits. Karen has worked to help pass two San Francisco Charter Amendments that have improved SFHSS member health benefits (proposition E and C). Karen was elected to the Health Service System Board in June 2001. During her tenure on the Board, she has held all leadership positions on the Board and is currently serving her third term as President. Karen strives to control out of pocket expenses for all members while maintaining and improving the overall quality of member’s benefits. 

Commissioner Canning

Commissioner Chris Canning

Term: May 16, 2019 to May 16, 2024

(elected by SFHSS Membership)

Currently a member of the Finance and Budget Committee, Term Length: August 2022- July 2023

Chris Canning is an SFPD Captain with 12 years of service. He is also a former member of The San Francisco Police Officers' Association Board of Directors where he worked to protect the rights of the members and served on numerous labor committees. Chris has a Bachelor of Arts in Political Science with a minor in Business Management. He is an advocate for SFHSS members to ensure that they have access to quality health care options and minimal out-of-pocket expenses. He has family members that are both active and retired City employees and supports retired employees in their need to have affordable, quality health care options.

Commissioner Stephen Follansbee M.D.

Commissioner Stephen Follansbee M.D.

Term: May 16, 2020 to May 16, 2025
(appointed by Mayor London Breed)

Currently the Chair of the Governance Committee, Term Length: August 2022- July 2023

Dr. Follansbee is a retired physician who specialized in the areas of Infectious Diseases, HIV Medicine, and Internal Medicine.  He has been a resident of San Francisco since 1977.  He completed his training in Internal Medicine and Infectious Diseases in 1982 at UCSF.  He entered practice, joining the medical staff at several local hospitals. 

During this time, among other responsibilities, he served as Director of HIV Research and Care at Davies Medical Center (now the Davies campus of CPMC), Chief of Staff at Davies Medical Center, and was an Attending physician at Ward 86, the outpatient HIV Care Unit (now Positive Health Care Clinic) at San Francisco General Medical Center (now the Zuckerberg San Francisco General Hospital and Trauma Center). 

In 1998 he joined the Permanente Medical Group at Kaiser San Francisco.  He was the Associate Director of the Clinical Trials Unit and Director of HIV Prevention and Treatment Program at Kaiser San Francisco. 

During this time he held several positions at the San Francisco Medical Society (now the San Francisco Marin Medical Society), where he is an ex-President and served as Chair of the Delegation to the California Medical Association House of Delegates.

Before retiring in 2014, Dr. Follansbee published a number of articles in the areas of Infectious Diseases and HIV Medicine.  He was the recipient of numerous awards, most recently the Morris F. Collen Lifetime Research Award at Kaiser Permanente and the Special Recognition Award, Association of the Clinical Faculty, Department of Medicine, UCSF, where he had become a volunteer Professor of Clinical Medicine.

Commissioner Zvanski

Commissioner Claire Zvanski

Term: May 15, 2020 to May 15, 2025
(elected by SFHSS Membership)

Currently a member of the Governance Committee, Term Length: August 2022- July 2023

Claire Zvanski is a native San Franciscan and began her career as a teacher. She taught at El Camino High School in South San Francisco and Star of the Sea Grammar School in San Francisco. After teaching, she took a temporary job with the City and retired thirty-seven and a half years later. The experience of working at Retirement, DPW Sewer Services, Social Services (now HSA), Tax Collector, MUNI, PUC/Water, Community College, and finally the Parking Authority (MTA) provided her with an extensive background in how our great City works.

Claire’s previous service on the HSS board totaled 26 years. During her City career, she served on negotiating committees for SEIU 790 (now 1021) and IFPTE 21. She is active in FORUM (Federation of Retired Union Members), a trustee at the SF Labor Council as well as a former president of the Retired Employees of SF (RECCSF), and a member of the Protect Our Benefits (POB) board. She serves on the SF Leadership Council of the American Red Cross and has been a volunteer in both medical and disaster services since the late 1970s when Red Cross began training City workers to be disaster workers. Claire is also a recipient of the national Red Cross Samuel Gompers Award.

Claire’s service dog, Dexter, attends meetings with her both virtually and in person.

How to Apply for a Seat:

For seats that are filled by active/retired SFHSS membership, please contact the Health Service Board Secretary for upcoming election dates/information.

For seats appointed by the Mayor, interested persons may contact the Mayor’s office for more information:  All applicants must be residents of San Francisco unless otherwise stated.

For seats appointed by the Board of Supervisors, interested persons may obtain an application from the Board of Supervisors website at or from the Rules Committee Clerk, 1 Dr. Carlton B. Goodlett Place, Room 244, San Francisco, CA 94102-4689.  Completed applications should be submitted to the Clerk of the Board.  All applicants must be residents of San Francisco unless otherwise stated.

For seats appointed by other entities, or to confirm the appointing body for vacant seats, contact the commission contact person listed above.