January 8, 2026 HSB Regular Board 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.
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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Approval of Meeting Minutes
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.
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President's Report
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.
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Director's 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.
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SFHSS Financial Report as of November 30, 2025
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.
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Mayor’s Budget Instructions for the FYE 2027-2028 and Opportunity for Public Input
The Mayor tells departments about the budget requirements and when they are due each year. In January SFHSS shares the instructions.
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Rates and Benefits Calendar for Plan Year 2027
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.
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IBNR and Contingency Reserve Amounts as of June 30 2025
Incurred But Not Reported (IBNR)
This report estimates how much money is still owed for services done before a certain date but hasn’t been paid yet. It also shows money set aside to cover extra costs if the actual bills are higher than expected.
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Blue Shield Medicare PPO Skilled Nursing Overview
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SFHSS 2026 Gap Year Strategic Plan