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SF Health Service Board adopts audit, extends procurement blackout and approves governance items in unanimous votes
Summary
At its Nov. 13 meeting, the San Francisco Health Service Board unanimously approved the FY2025 Benefit Trust Fund audit, added a procurement blackout through June 2026 for an upcoming dental RFP, and approved several governance items including cafeteria plan edits and revised evaluation procedures.
The San Francisco Health Service Board unanimously adopted its annual audit, approved an additional procurement blackout tied to an upcoming active PPO dental RFP, and advanced a set of governance items during its Nov. 13 meeting.
Board members voted to approve the audited financial statements for the Benefit Trust Fund for the year ended June 30, 2025, following a presentation by engagement partner Craig Harner of MGO. Harner told the board the audit, issued Oct. 15, 2025, resulted in a clean opinion, with no control deficiencies rising to the level of a material weakness and no reportable noncompliance. The audit team also reviewed actuarial claims reserves produced by Aon and found the methodologies and assumptions reasonable.
President Howe moved the adoption of the audit report; after public comment the board took a roll‑call vote and passed the measure unanimously. President Howe said the board appreciated the auditors and staff for producing "clean" results.
Separately, the board approved a blackout notice that will restrict certain communications during the SFHSS rates and benefits process and throughout the dental RFP period, extending the blackout through June 2026. Contracts Administration Manager Michael Visconti explained the blackout is intended to preserve transparency and require that any RFP questions be submitted in writing and posted on the SFHSS RFP page. The motion to approve the blackout passed by roll‑call vote.
The board also moved several governance matters by unanimous votes: minor date and wording edits to the SFHSS Section 125 cafeteria plan for plan year 2026; initiation of the SFHSS executive director evaluation for 2025 (with the governance committee’s recommendation to include the next managerial layer in the internal evaluation pool); and small wording edits to the board self‑evaluation (changing the verb "establish" to "provide feedback" in two questions). Each item was presented by the governance committee and approved after brief discussion.
Outcomes and procedural next steps: the audit will be finalized as presented to the board; the blackout period takes effect immediately and extends through June 2026; and the governance committee will administer the evaluation timelines and survey collection as approved. The board adjourned at 2:52 p.m.
