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Votes at a glance: SFHSS board actions, April 10, 2025
Summary
Summary of formal motions and roll-call outcomes at the San Francisco Health Service Board meeting on April 10, 2025, including approvals of minutes, annual reports, board evaluations, dental rates, stabilization reserve actions and a controller's nominee.
The San Francisco Health Service Board recorded the following formal actions on April 10, 2025. This article lists each motion, the recorded vote, and key details as presented to the board.
1) Approval of meeting minutes (03/10/2025 governance committee and 03/13/2025 regular meeting) Motion: Approve minutes for 03/10/2025 and 03/13/2025. Vote: Unanimous (5–0). Outcome: approved.
2) Acceptance of the SFHSS 2024 Annual Report Motion: Accept and receive the 2024 annual report for the Health Service System for filing with the mayor and clerk of the Board of Supervisors. Vote: Unanimous (5–0). Outcome: approved.
3) Approval of 2024 Annual Board Self‑Evaluation Report Motion: Approve the 2024 annual board self‑evaluation report. Vote: Unanimous (5–0). Outcome: approved.
4) Approval of 2024 Board Education Report and 2025 Education Plan Motion: Approve the 2024 board education report and education plan for 2025 (draft). Vote: Unanimous (5–0). Outcome: approved.
5) Approval of 2026 Delta Dental plan rates (active PPO, retiree PPO, HMOs) Motion: Approve 2026 Delta Dental rates including: maintain active PPO ASO administrative fee at $4.82 PEPM; apply a 12.4% increase to active PPO total cost rates (driven principally by reduced stabilization buy‑down); increase retiree fully insured PPO rates by 2%; no change to DeltaCare/UnitedHealthcare HMO insured rates; expand first-molar sealant coverage through age 15. Vote: Passed 4–1. Tally: President Howe (Aye), Vice President Zavansky (Aye), Commissioner Kremen (No), Supervisor Dorsey (Aye), Commissioner Howard (Aye). Outcome: approved.
6) Approval of 2026 stabilization reserve actions for self‑funded and flex‑funded health plans Motion: Approve use of one-third of stabilization fund balances (as of 12/31/2024) allocated proportionally between active employees and non‑Medicare retirees as follows: Blue Shield Access Plus/Trio HMOs—apply a deficit of $8,504,000 toward rate buy‑ups; Blue Shield non‑Medicare PPO—apply a surplus of $4,409,000 toward rate buy‑downs; Health Net Canopy Care HMO—apply a surplus of $710,000 toward rate buy‑downs. Vote: Unanimous (5–0). Outcome: approved.
7) Approval of controller’s nominee to the Health Service Board Motion: Approve the controller’s nomination, Diana Guevara, to the Health Service Board for a five‑year term (April 2025–May 2030). Vote: Unanimous (5–0). Outcome: approved.
8) Closed-session procedural votes Motions: (a) Move into closed session to review and approve hiring subcommittee recommendation for final candidate for Executive Director (pursuant to Government Code §54957.1); (b) Not to report or to disclose the closed session discussion at this time. Votes: Both motions approved unanimously (5–0).
Notes and context • Several items received unanimous support; the notable exception was the Delta Dental rates, which passed 4–1 after substantial public comment on network disruptions and out‑of‑pocket costs. • The board recorded roll-call votes with President Howe, Vice President Zavansky, Commissioner Kremen, Supervisor Dorsey and Commissioner Howard present and voting on all listed matters.
Why it matters: These approvals set rates and reserve uses that will take effect for plan year 2026, direct staff to pursue further analysis and procurement work on dental networks, and fill a board vacancy with a controller’s nominee. The stabilization funding decisions will be reflected in the employer and member premium calculations for the 2026 plan year.
