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Votes at a glance: San Francisco Health Service Board, April 10, 2025
Summary
A summary of formal actions taken by the San Francisco Health Service Board on April 10, 2025, including minutes, annual report acceptance, 2024 self‑evaluation, education plan, dental rates, stabilization reserve actions, and a confirmed appointment to the board.
The San Francisco Health Service Board recorded and voted on multiple agenda items on April 10, 2025. This roundup lists each formal action, the recorded vote where shown, and brief notes on outcomes and next steps. All actions below are taken from the board’s roll‑call votes during the meeting.
1) Approval of minutes (Governance Committee minutes 03/10/2025 and Regular Board minutes 03/13/2025) Outcome: Approved (roll call). Vote: President Howe: Aye; Vice President Zavansky: Aye; Commissioner Kremen: Aye; Supervisor Dorsey: Aye; Commissioner Howard: Aye. Notes: Minutes approved as presented.
2) Acceptance and filing of the SFHSS 2024 Annual Report Outcome: Approved (roll call). Vote: President Howe: Aye; Vice President Zavansky: Aye; Commissioner Kremen: Aye; Supervisor Dorsey: Aye; Commissioner Howard: Aye. Notes: Staff will file the report with the Mayor’s Office and the Clerk of the Board of Supervisors.
3) Approval of the 2024 Board Self‑Evaluation Report Outcome: Approved (roll call). Vote: President Howe: Aye; Vice President Zavansky: Aye; Commissioner Kremen: Aye; Supervisor Dorsey: Aye; Commissioner Howard: Aye. Notes: Governance committee will review evaluation questions for potential revision.
4) Approval of the 2024 Board Education Report and 2025 Education Plan Outcome: Approved (roll call). Vote: President Howe: Aye; Vice President Zavansky: Aye; Commissioner Kremen: Aye; Supervisor Dorsey: Aye; Commissioner Howard: Aye. Notes: Education topics and calendar to guide board learning in 2025.
5) Approval of 2026 dental plan rates (agenda item 14) Outcome: Approved. Vote: President Howe: Yes; Vice President Zavansky: Yes; Commissioner Kremen: No; Supervisor Dorsey: Yes; Commissioner Howard: Yes. Tally: 4 yes, 1 no. Notes: Active PPO total cost rates increase 12.4% driven largely by reduced rate stabilization buy‑down; extend child first‑molar sealants through age 15; retiree PPO insured rates +2%; HMOs unchanged. Staff to commission Aon pre‑analysis of dental networks for fall RFP planning.
6) Approval of 2026 stabilization reserve actions for self‑funded and flex‑funded health plans (agenda item 15) Outcome: Approved (roll call). Vote: President Howe: Aye; Vice President Zavansky: Aye; Commissioner Kremen: Aye; Supervisor Dorsey: Aye; Commissioner Howard: Aye. Notes: Per policy, one‑third of stabilization fund balances applied proportionally across plans; Blue Shield HMO plans receive a net buy‑up; Blue Shield non‑Medicare PPO and Health Net Canopy have surplus buy‑downs as described in staff materials.
7) Approval of the Controller’s nominee to the Health Service Board (Diana Guevara) Outcome: Confirmed (roll call, unanimous). Vote: President Howe: Aye; Vice President Zavansky: Aye; Commissioner Kremen: Aye; Supervisor Dorsey: Aye; Commissioner Howard: Aye. Notes: Diana Guevara was nominated by the Controller and sworn to a five‑year term.
8) Motion to hold closed session on hiring committee recommendation (agenda item 18) Outcome: Approved (roll call). Vote: President Howe: Aye; Vice President Zavansky: Aye; Commissioner Kremen: Aye; Supervisor Dorsey: Aye; Commissioner Howard: Aye. Notes: Board recessed to closed session for hiring deliberations; later voted not to disclose closed‑session discussion or action.
9) Votes in closed session: board elected not to report action taken in closed session and elected not to disclose closed session discussion Outcome: Both motions approved (roll call). Vote: President Howe: Aye; Vice President Zavansky: Aye; Commissioner Kremen: Aye; Supervisor Dorsey: Aye; Commissioner Howard: Aye. Notes: Motions under Government Code §54957.1 and San Francisco Administrative Code §67.12.
Procedural notes: roll‑call votes and public comment are recorded in the official meeting transcript. Where a mover/second was not audibly identified in the transcript, the entry above lists the action and recorded roll call outcome only. Staff follow‑ups and implementation owners are cited in the minutes and agenda exhibits.
