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Minutes

Committee Hearing, May 14, 2008

Philadelphia City Council Committee HearingsMay 14, 2008

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COUNCIL OF THE CITY OF PHILADELPHIA PUBLIC HEARING BEFORE THE COMMITTEE OF THE WHOLE - - - Room 400, City Hall, Philadelphia, PA Wednesday, May 14, 2008, 10:25 a.m. - - - Bill 080022 - Re Business Privilege Tax. Bill 080154 - FY '09-'14 Capital Program. Bill 080155 - FY '09 Capital Budget. Bill 080156 - FY '09 Operating Budget. Bill 080157 - Re Business Privilege Tax. Bill 080158 - Re Real Estate Taxes. Bill 080159 - Re School Tax Authorization. Bill 080160 - Re Parking Tax. Bill 080161 - Re Parking Tax. Bill 080168 - Re Business Privilege Tax. Res. 080173 - Re Revised Five-Year Plan. Bill 080465 - Assessment of net operating revenue of general acute-care hospitals. (Full text of all of above attached hereto.) Committee Members Present: Anna C. Verna, Chair Jack Kelly Jannie L. Blackwell James F. Kenney Darrell L. Clarke Joan L. Krajewski Frank DiCicco Donna Reed Miller W. Wilson Goode, Jr. Brian J. O'Neill Bill Green Frank Rizzo William K. Greenlee Maria Quinones Sanchez Curtis Jones, Jr. Marian B. Tasco - - - V A R A L L O Incorporated Litigation Support Specialists 1835 Market Street, Suite 600 Philadelphia, Pennsylvania 19103 215.561.2220 215.567.2670 5/14/08 COMMITTEE OF THE WHOLE I N D E X WITNESS Bill No. 080465 Estelle Richman, Secretary, State DPW... M. Nardone, Office of Medical Assistance 22 Sue Rosenthal, Health Care Center 10.... 33 Dr. Walter Palmer, Health Care Center 2 39 Alisa Simon, PCCY....................... 43 Bills 080022-080168 and Res. 080173 Fire Commissioner Lloyd Ayers........... 66 Deputy Police Commissioner Jack Gaittens 84 John Elfrey, Acting L&I Commissioner..... 96 Rob Dubow, Director of Finance........... 99 Bill 080022 Ian Phillips, Philadelphia ACORN.........117 Sherry Cohen.............................130 Kathy Scott, AFSCME District Council 47 133 3 5/14/08 - WHOLE - BILL 080465

Council President Verna

Good morning, everyone. This is a public hearing of the Committee of the Whole. The first bill we will be considering will be Bill No. 080165. I would ask Mr. McPherson to please read the title of the bill. MR. McPHERSON: Bill No. 10 080465, an ordinance amending Title 19 of the Philadelphia Code, entitled "Finance, Taxes and Collections," by adding a new chapter imposing an assessment on certain net operating revenue of general acute-care hospitals, all under certain terms and conditions.

Council President Verna

Thank you. I believe our first witness is Estelle Richman, Secretary of the Pennsylvania Department of Public Welfare. (Witness comes forward.)

Council President Verna

Good 4 5/14/08 - WHOLE - BILL 080465 morning. Welcome again. It's so nice seeing you. SECRETARY RICHMAN: Good morning, and it's great to be back. I feel at home.

Council President Verna

Wonderful having you. Thank you. SECRETARY RICHMAN: Good morning, members of Council and staff. I am Estelle Richman, Secretary of the Department of Public Welfare. I am joined by Michael Nardone, Deputy Secretary for the Office of Medical Assistance, and Jim Hardy, consultant to the department, from Sellers Feinberg. I am pleased to be here in the city today to testify on Bill No. 20 080465. This bill would amend the Philadelphia Code to create a new hospital assessment that will raise revenues from certain general accute-care hospitals in the City of Philadelphia. The revenues generated 5 5/14/08 - WHOLE - BILL 080465 by the hospital assessment will create a very important new source of funds to provide health care for low-income children and families. Before going into details of the hospital assessment, I would like to give you some background about Pennsylvania's Medicaid program, including the populations it serves and the need to find new ways to control costs and generate in revenues. It can be easy to confuse Medicaid and Medicare, as both are large government-funded health-care programs. At the risk of oversimplifying the eligibility rules, Medicaid primarily serves poor people regardless of their age; Medicare, on the other hand, primarily serves persons over age 65 regardless of their income. There is some overlap in the populations these programs serve. But 6 5/14/08 - WHOLE - BILL 080465 I want to be clear that today, I am focusing on Medicaid. Medicaid or, as we call it in Pennsylvania, medical assistance, provides for health care for low-income families, persons with disabilities, and low-income senior citizens. 9 million Pennsylvanians get their health care through the Medical Assistance Program, or about 1 in every 6 Pennsylvanians. With 466,000 Philadelphians relying on Medicaid for their health care, the ratio for the City is closer to in every persons. Children make up almost half the caseload, and persons with disabilities and Pennsylvania seniors make up the two next largest groups. With so many children and families relying on Medicaid for their health care, it is not surprising that Medicaid accounts for a significant portion of the Pennsylvania State 7 5/14/08 - WHOLE - BILL 080465 budget. 2 billion, including federal dollars and funding from other sources. These are extremely large budgets to manage, and the task gets more and more challenging every year. The fact that Medicaid and health care spending are continuing to grow at two to three times the overall rate of inflation makes the challenge even harder. One thing that we're doing in response is to aggressively pursue opportunities to rein in medical assistance costs. Over the last three years, DPW has recorded savings of over $370 million in the Medical 8 5/14/08 - WHOLE - BILL 080465 Assistance Program, and we are proposing new initiatives that will save an additional 180 million in cost savings in Fiscal Year '08-'09. This is over a half billion dollars over the last three years We will continue to identify and implement innovative solutions that maximize the limited resources available to us to protect the health- care safety net for nearly 2 million Pennsylvanians who depend on Medicaid. We believe that enacting a hospital assessment is one such solution The hospital assessment is a proven approach that will allow the City to generate new revenue in a way that is good for the City's health- care system as a whole. By leveraging the revenues to generate more federal Medicaid dollars, we will be able to improve critical health care services for our citizens. This is an opportunity for a win/win solution 9 5/14/08 - WHOLE - BILL 080465 Hospital assessments are permitted by federal law as a proven means to draw down additional federal funds. Pennsylvania already has similar assessments in place for nursing home services, ICF/MR services, and medical-assistance managed-care services.

Council President Verna

We have taken this road before with these other systems and we know it can work. Let me start by explaining how a hospital assessment would work, including the flow of funds between the City, the State, and the hospitals. The first step is that the City of Philadelphia must impose a modest local assessment on some of the revenues earned by Philadelphia acute-care hospitals. Philadelphia transfers the revenues to the Commonwealth minus a local share that the City's allowed to retain under the agreement that the City will enter 10 5/14/08 - WHOLE - BILL 080465 into with the Commonwealth. The State uses the bulk of the assessment revenues to make supplemental payments to certain Philadelphia general accute hospitals through the Medicaid program. Most importantly, the Medicaid payments are matched with federal funds. As a result, the total payments made to the hospitals, as part of the hospital assessment program, are greater than the overall amount of assessment paid in by the hospitals as a whole. It is a fact that the assessment payments will result in additional federal matching funds that makes this a winning proposition. I want to make clear, however, that individual hospitals will be affected differently and there will not be any guarantee to hold a hospital harmless under this plan. The remaining assessment revenues are 11 5/14/08 - WHOLE - BILL 080465 able to the Commonwealth. In my current position as Secretary of the Department of Public Welfare, I can tell you that these dollars are critical to enable us to maintain eligibility and to provide health-care benefits to those individuals most in need. I have purposely not used a lot of numbness in this testimony thus far because we're still working out the final details of the financial model. I can tell you that the assessment will raise approximately $126 million in new revenue, which, with new federal funds, will result in an estimated $165 million in new payments to Philadelphia hospitals. In addition to the new payments for City hospitals, the City will gain approximately $8 million in new revenue on an annual basis for health-care services provided by the City. 12 5/14/08 - WHOLE - BILL 080465 The assessment also will be used to maintain and increase the current level of payments made to the hospitals through the State Medical Assistance Program. In total, the assessment will generate approximately $142 million in new federal revenue for the maintenance and enhancement of health-care services provided by the City hospitals. The assessment and payments intended to be made with the assessment revenue must first be approved by the federal government before they're implemented. Today, there are states 17 that already have hospital assessments 18 that have been approved by the federal 19 government. It is time that 20 Pennsylvania become the 21st state to enact this approach. In order for that to happen, the State must pass enabling legislation to allow this kind of a funding source to be created. The 13 5/14/08 - WHOLE - BILL 080465 legislation has been introduced in the State General Assembly as House Bill 4 2497 with Representative Dwight Evans as its prime sponsor. The other thing that must happen is that City Council must pass, and Mayor Nutter must sign into law, Bill No. 080465. This bill sets the terms and conditions of the assessment so that the interests of the hospitals, the City, and the Commonwealth are all protected. In addition to these steps by the City and the State, the federal government must also review and approve the hospital assessment. I know that this is a complicated proposal but I also know it is a good one. The hospital assessment will benefit consumers, hospitals, and the City of Philadelphia by bringing more federal Medicaid dollars back to Pennsylvania. I ask for your support for this 14 5/14/08 - WHOLE - BILL 080465 important legislation. I am ready to take your questions, and thank you very much.

Council President Verna

Thank you. Are there any questions from members of the committee? The Chair recognizes Councilwoman Tasco.

Councilwoman Tasco

Thank you very much. Good morning. SECRETARY RICHMAN: Good morning.

Councilwoman Tasco

Nice to see you back again. SECRETARY RICHMAN: Thank you.

Councilwoman Tasco

Certainly it is a complicated process, but at the end of the day, it sounds like a good deal for Philadelphia. Now, would this program, as proposed, be just for the City of Philadelphia? SECRETARY RICHMAN: This is 15 5/14/08 - WHOLE - BILL 080465 just for the -- it's just for the City, County of Philadelphia. And that -- we looked also at the County of Allegheny as the only two counties that have a Medicaid population high enough to actually make this work, and so we had determined that we could not continue to make it work in Allegheny. So right now, Philadelphia is the only county that's in this.

Councilwoman Tasco

What do you see as the timeline to fulfill this process? SECRETARY RICHMAN: If indeed we get the ordinance passed in Philadelphia and the enabling legislation is passed at the State level in our current budget process, then we can immediately submit it to the federal government. Our hope was to have it approved in time to see dollars flowing in January.

Councilwoman Tasco

Thank you, Madam President. 16 5/14/08 - WHOLE - BILL 080465 And thank you, Miss, Richman for your leadership. You did a good job in bringing CBH here, so I know this is a pretty good deal for Philadelphia. Thank you. SECRETARY RICHMAN: Thank you.

Council President Verna

The Chair recognizes Councilman Rizzo.

Councilman Rizzo

Thank you, Madam Chair. Madam Secretary, good morning. SECRETARY RICHMAN: Good morning.

Councilman Rizzo

Could you tell me -- you might have mentioned it in your testimony and I missed it. There's a significant amount of dollars that are being spent by some of our hospitals, the trauma units on un-- on non-reimbursed care. SECRETARY RICHMAN: Right.

Councilman Rizzo

Will this be helpful to that particular issue? SECRETARY RICHMAN: Yes. The 17 5/14/08 - WHOLE - BILL 080465 dollars that the hospitals get back this, they have their choice on how to use those dollars. They can use those dollars for uncompensated care, they can use those dollars for a purchase of equipment that they may need that there's not always -- they can use these dollars -- how they use these dollars is at their discretion and their choice. Our hope, of course, is that they use it for uncompensated care and for ways that will benefit the residents of Philadelphia.

Councilman Rizzo

'Cause I recollect a half a dozen years back where Temple was up against it and they were to the point where they were going to close. Something good happened, obviously, where the State stepped in and administered. Do we have a chart, or is there information available on how much money actually goes to our City 18 5/14/08 - WHOLE - BILL 080465 trauma units to help for that uncompensated care that these trauma units are providing? SECRETARY RICHMAN: There is a payment that goes from the State to the hospitals that is specifically designated for trauma, and we can get you the list of how much each hospital within the City gets on the trauma payment. Our hope is that -- there's a lot of pressure on the hospitals, and to be able to give them some relief, the hospitals all -- we have not worked out the final payment or the final assessment on how we return dollars to the hospital at this point. We're trying to -- our consultant, through Sellers Feinberg, is working with these numbers. We have ranges now, but we would be glad to share with you, as we are able to finalize this, what those numbers and ranges would be. 19 5/14/08 - WHOLE - BILL 080465

Councilman Rizzo

If you could provide that to the Chair, it would be good. Is there anywhere in this equation that we won't get that visit from the various hospitals, Temple, where they're not going to come and say, We've gotten to the point where we're not going to close our trauma unit. Is there any way we can require them to maintain that service if they accept these dollars? SECRETARY RICHMAN: I would have to look and get back to you. Being able to offer mandates is difficult even at the State level, but we certainly work hand in hand with many of the hospitals. Our goal is to -- from DPW and it's for Philadelphia and for a variety of places in the Commonwealth, is to keep our hospitals alive, functioning, and solvent. That's very difficult. As some of you may know, 20 5/14/08 - WHOLE - BILL 080465 the federal government is decreasing the amount of dollars available in the Medicaid program across the country. There are several bills in Congress now that we're hoping to get extended or delayed to another year just because the devastation they would have to the Medicaid program is fairly significant. Given all that to the future, it's hard to predict right now. As we're all aware, we will have a new administration coming in to Washington in January, and our hope is that health care will be a major item on their agenda and there will be some understanding of the need to maintain the Medicaid budget to be able to make sure that the very high and increasing number of people who are uninsured begins to get stabilized. And that is a primary concern of both the Governor, the Office of Health Care Reform, and the Department of Public 21 5/14/08 - WHOLE - BILL 080465 Welfare.

Councilman Rizzo

Thank you, Secretary. Thank you, Madam Chair.

Council President Verna

The Chair recognizes Councilwoman Blackwell.

Councilwoman Blackwell

Thank you. Good morning. SECRETARY RICHMAN: Good morning.

Councilwoman Blackwell

It's always, always a pleasure to see you and Mr. Nardone. Question: Would our hospitals receive more than they will be assessed? SECRETARY RICHMAN: We cannot hold any hospital harmless in this assessment. In other words, it is a knowledge throughout any of the assessments we have done that there are winners and losers. 22 5/14/08 - WHOLE - BILL 080465

Councilwoman Blackwell

So at this point, we don't know, you're saying. SECRETARY RICHMAN: We do have -- we have some ideas, but we're continuing to work with it, but the federal government requires that there is not any type of hold harmless within the arrangement.

Mr. Nardone

Generally --

Council President Verna

I'm sorry. Please identify yourself for the record.

Mr. Nardone

Sorry. Mike Nardone, Deputy Secretary for Medical Assistance. Even though we cannot hold individuals harmless, because of the federal match dollars, the amount coming back to City hospitals in the aggregate is larger than the amount that they pay in by about $40 million.

Councilwoman Blackwell

Well, in your opinion -- although I know 23 5/14/08 - WHOLE - BILL 080465 folks will testify, but why do you think the Health Care Council opposes it if they'll receive more than they give? SECRETARY RICHMAN: There are a variety of reasons, and I've had several conversations with the Hospital Association leadership and am well aware they're opposing this and in many ways truly understand. This is focused only on the Philadelphia hospitals and not on many of the other hospitals throughout the State that could use an infusion of revenue. There are many hospitals outside the City of Philadelphia that are in financial crisis, but this only looks at one group. I believe they have questions around the stability of the funding; in other words, at some point, will the federal government change their mind or do something unintended? which has not been the case in the past, and 24 5/14/08 - WHOLE - BILL 080465 it can't be anticipated in the future, but neither can anyone predict federal government behavior. And I also believe that nonprofits always get nervous when you talk about assessments and not knowing what kinds of exceptions can or would be made. So I think they are all issues they have. They do recognize that this one set of hospitals will get an increase, but they represent hundreds of hospitals across the Commonwealth, not just the hospitals that sit within the City of Philadelphia.

Councilwoman Blackwell

Thank you. Thank you, Madam President.

Council President Verna

You're welcome. The Chair recognizes Councilman Jones.

Councilman Jones

Welcome back to Philadelphia. 25 5/14/08 - WHOLE - BILL 080465 SECRETARY RICHMAN: Thank you.

Councilman Jones

It's always good to see you. SECRETARY RICHMAN: Well, it's good to live in the City of Philadelphia, even though they drag me up to Harrisburg. (Laughter.)

Councilman Jones

I can clearly understand why you say that. I understand there are going to be winners and losers, but I'm concerned about the entire county, but in particular my district, Roxborough Hospital is the only full -- SECRETARY RICHMAN: I'm sorry. I didn't --

Councilman Jones

Roxborough Hospital is the only fully operational emergency room and hospital in my district. We have osteopathic teaching colleges and universities in there. Are these assessments going to impact them? 5/14/08 - WHOLE - BILL 080465 SECRETARY RICHMAN: They are a winner.

Councilman Jones

They are winners? SECRETARY RICHMAN: They are a winner, that particular hospital.

Councilman Jones

All right, okay. And I want to know if, in fact, these kinds of incentives and if there are winners, is it going to encourage more emergency-room service in some parts of Philadelphia? Will it be enough financial incentive for us to expand the care that we currently have? SECRETARY RICHMAN: I think, if you look at the total amount of money being returned to the hospitals, which I think is about $42 million, our hope is that we're going to use this to enhance health care within the City, and those are the dollars that go directly back to the hospitals as opposed to the dollars that will come directly back to the City. 27 5/14/08 - WHOLE - BILL 080465 And, certainly, it will take -- hopefully, we can develop discussions between the City, the State, and the hospitals to be able to do some look at where's the greatest need, how do we work to make sure that the emergency rooms are not the primary source of care. One of the issues we know is very relevant in the City is the timeliness of OB care, and how do we make sure that's on everyone's radar screen as the hospital plan how they will use these dollars. So I think that, as we approach January and all of the necessary approvals are given between the City, the State, and the federal government that we actually do have some ideas on how people will not only use the dollars but how they will benefit the City.

Councilman Jones

Well, I'm excited as to the possibilities, and as 28 5/14/08 - WHOLE - BILL 080465 you may or may not be aware, the 4th Councilmatic District does not have a health center in the district, but we are happy that at least Roxborough Hospital has an opportunity to be stabilized and to be helped by this. Thank you very much. Madam President, thank you.

Council President Verna

Thank you. Any other questions from members of the committee? (No further questions.)

Council President Verna

Thank you again. SECRETARY RICHMAN: Thank you. Great to be back.

Council President Verna

Thank you. MR. McPHERSON: Our next witness is Dr. Schwarz. (Witness comes forward.)

Council President Verna

Good morning, Doctor. Welcome. 29 5/14/08 - WHOLE - BILL 080465

Dr. Schwarz

Good morning, Council President Verna and members of City Council. I am Donald Schwarz, Deputy Mayor for Health and Opportunity and the Health Commissioner of the City. Thank you for the opportunity to present testimony today on Bill No. 10 080465 that represents a critical first step in a partnership between the City and the Commonwealth to improve the quality of primary care we provide in our Philadelphia Department of Public Health, ambulatory health centers, and to help Philadelphia's hospitals better target care to those most in need. As you heard, the bill will levy an assessment on certain net operating revenue of general accute- care hospitals in Philadelphia, the revenue from which would be transferred to the Commonwealth of Pennsylvania Department of Public 30 5/14/08 - WHOLE - BILL 080465 Welfare to be matched with federal dollars that would augment Medicaid reimbursement for emergency-room care provided by Philadelphia hospitals. A fixed portion of the tax revenue collected would be retained by the City to help pay for care for Medicaid-eligible and uninsured patients using the Department of Public Health's ambulatory health-care centers. In my Fiscal Year '09 Operating Budget testimony before this Council, I spoke of several issues that were critical to our continuing to provide quality care and patient services at our eight primary-care health care centers. Increases in the Fiscal Year '09 budget will allow us to make substantial improvements in many areas of our operations, although reaching the two goals I mentioned in my testimony -- that is, reducing the time that new patients wait to get an 31 5/14/08 - WHOLE - BILL 080465 appointment and putting a state-of- the-art electronic medical-records system in place -- would require a substantial infusion of additional funding. We believe additional funding in the amounts specified in -- by Secretary Richman would provide us with the resources necessary to substantially reduce the clinic appointments, scheduling time, and bring us closer to the point where we can complete the institution of an electronic medical record that will include an interactive system for patient-registration, appointment- scheduling, laboratory testing and reporting, and prescription services at the health center pharmacies. By undertaking better-quality improvement paramounts, streamlining care, and reducing the use of paper records, the electronic medical- records system will also assist those 32 5/14/08 - WHOLE - BILL 080465 being released from prison or from the Youth Study Center when seeking care at the health centers, where their medical records would be available electronically. I feel strongly that this legislation provides us with a great opportunity to strengthen the health- care delivery system to uninsured and Medicaid-eligible Philadelphians, easing the burden on Philadelphia's hospital emergency-room services while supporting needed improvements in the Department of Public Health's ambulatory health-care centers will increase our capacity to provide a medical home for patients needing routine primary-care, which is in accordance with Governor Rendell's health-care plan to provide a medical home for all. It will also provide an increased ability to improve the quality of care provided by our 33 5/14/08 - WHOLE - BILL 080465 hospitals by shifting those needing primary care from emergency rooms to an appropriate health-care setting. Thank you for allowing me to present testimony on this critical issue. I'm happy to answer questions you may have on the proposed legislation.

Council President Verna

Thank you very much, Doctor. Are there any questions from meetings? (No questions or comments.)

Council President Verna

Thank you, Doctor. Our next witness, Sue Rosenthal, chairperson, Health Care Center 10.

Ms. Rosenthal

Madam President, could Walter Palmer, who chairs --

Council President Verna

I beg your pardon? I'm sorry. I can't hear you. Please approach the witness 34 5/14/08 - WHOLE - BILL 080465 table. (Witnesses come forward.)

Ms. Rosenthal

Could Walter Palmer, who chairs Health Center 2 also -- I think he's on the list. Could we testify together?

Council President Verna

Certainly.

Ms. Rosenthal

Thank you very much. Good morning, Council President Verna --

Council President Verna

Good morning.

Ms. Rosenthal

-- and members of City Council. My name is Sue Rosenthal. I chair the Health Center Community Board at Health Center 10. Thank you for the opportunity to present testimony today on Bill 080465. Health Center 10 is the busiest in the City. In 2007, there were more than 56,444 visits made; compare this to 2004, when there was 35 5/14/08 - WHOLE - BILL 080465 47,716 visits. These visits were for a wide range of preventive and curative health services: adult and pediatric care, prenatal, family planning, and dental services. In addition, each year, between October and March, more than 6,000 flu shots are given at Health Center 10. The demographics of the Northeast change and continue to change. The proportion of Health Center 10 patients who are of limited English proficiency doubled within a one-year period from 10 to 20 percent of the total persons served. New clients who have been released from hospital care often are directed to come to our health center by the hospital, with instructions to get continuing medical care. And more and more community residents need and seek out our services. Despite renovations to the center, there continues to be -- and 36 5/14/08 - WHOLE - BILL 080465 we've talked about this before -- a six-month delay for new-patient appointments at Health Center 10. The delay is caused by the lack of physicians who provide care to those in financial need in this section of the City but also because the health center has simply outgrown the need and the demand. We serve the highest number of working people who cannot afford insurance of any of the public health centers in Philadelphia. Additional funding is desperately needed to expand our facilities and increase staffing to ensure the availability of primary-care services in a reasonable time frame. This hospital assessment offers a creative and unique opportunity to substantially increase funding to our health centers. As City Council knows, the health center community boards have worked very hard to improve funding 37 5/14/08 - WHOLE - BILL 080465 for the health centers. I am here today to strongly encourage Council to pass this legislation. It will improve services to Philadelphians who rely on our health centers and will increase the capacity to provide care to additional people in need, because we know they are coming. You may remember, Madam President, that when I spoke to you the last time, I said if you find an extra $1.3 million, that would make everything perfect for us. Well --

Council President Verna

And I do believe we've found it.

Ms. Rosenthal

Well, you won't have to worry about that if you pass this legislation.

Council President Verna

Exactly.

Ms. Rosenthal

Thank you for offering me the opportunity to testify on behalf of our Philadelphia health centers and specifically for Health 38 5/14/08 - WHOLE - BILL 080465 Center 10.

Council President Verna

Thank you very much, Miss Rosenthal. I think this is wonderful. You testified that the waiting period had been six months for the first appointment, and Dr. Schwarz really worked very, very hard on this, and he said he was hoping to get it down to 30 days, if I recall.

Ms. Rosenthal

That would be fabulous.

Council President Verna

So I think with this bill, it would probably be less than 30 days.

Ms. Rosenthal

Thank you.

Council President Verna

And I think it's wonderful. It's something we've all been hoping for for many years. Thank you.

Ms. Rosenthal

Thank you.

Council President Verna

Good morning. 39 5/14/08 - WHOLE - BILL 080465

Dr. Palmer

Good morning, Council President Verna and also Chair of the Health Committee here, Councilwoman Tasco as well as members of Council. My name is Dr. Walter Palmer. I am the Chair of the Health Center Community Board at Health Center 2, which is located at 1720 South Broad Street -- that's Broad and Morris -- where I've been a patient there for 13 years and chair for ten. Thank you 14 for the opportunity to present 15 testimony today on Bill 080465. In 2007, there were more than 49,800 visits made to Health Center 2. More than 41,000 of these visits were made to adult medicine or pediatrics. The remaining 8100-plus visits were made by prenatal, family planning, and dental services. We are one of the busiest of the eight health centers offering daytime, evening, and Saturday hours. 40 5/14/08 - WHOLE - BILL 080465 The health center plays a vital role in the community as a one-stop shop ambulatory care center. It provides high-quality medical service, offering patients the opportunity to see a physician, get lab, X-ray, and even pharmacy services under one roof. In our neighborhood, we have seen health care sites close and services curtailed: Graduate Hospital, which had a medical clinic close; St. Agnes Hospital is no longer offering acute care; and Methodist Hospital closed their OB clinic. This has put an increasing burden on the health centers. The staff at the centers work hard to find provide high-quality care to the residents of Philadelphia. In a soon-to-be-released patient satisfaction surveys, 93 percent of the Health Center 2 patients were surveyed, and they said that they would refer a family member 41 5/14/08 - WHOLE - BILL 080465 or a friend to the centers. This is an excellent barometer. It's a barometer. It's a barometer that gives satisfaction with the care at the health centers. We need the health centers to be able to continue to provide quality care for all of Philadelphia. As we all know, the health center staff works very hard. Additional resources will be well utilized to serve the community and to decrease the waiting time for a new- patient appointment. The hospital assessment that is under consideration today offers a wonderful opportunity to increase funding to the health centers. This will allow the additional resources, which will help to reduce waiting time in the health centers and increase the capacity as well. Citizens of Philadelphia who lack financial resources rely on the 42 5/14/08 - WHOLE - BILL 080465 health centers. The legislation is a unique opportunity to enhance the ability of our health centers to provide excellent care to these citizens. In closing, I'd like to say I lived under the period of time when Philadelphia General Hospital really was the primary provider for poor people in this city. And I lived during that period of time when many hospitals discriminated against the poor. And in that time, the apothecaries and the pharmacies were really the primary caretakers of the poor. We lived that entire period seeing Philadelphia Hospital, no 20 longer exists, to a point where now the CVS and the Rite Aid and the Eckerd's have become the primary people who take care of our poor. I think that what's being offered today offers us a great opportunity to 43 5/14/08 - WHOLE - BILL 080465 really look at these centers. These centers are providing care to people who, for the most part, would be turned away, and I hope, Councilwoman Verna, that this Council will pass this legislation. Thank you.

Council President Verna

I think we totally agree with you. Thank you so much. Any questions from members of the committee of the witnesses? (No questions or comments.)

Council President Verna

Again, thank you for coming in. Our next witness? MR. McPHERSON: Alisa Simon? (Witness comes forward.)

Council President Verna

Good morning. Kindly identify yourself for the record.

Ms. Simon

My name is Alisa Simon, and I am the Health Policy Director at Public Citizens for 44 5/14/08 - WHOLE - BILL 080465 Children and Youth, PCCY. Thank you so much for allowing me to testify today. I am here to represent the many children and families in this region who struggle with access to health-care services. Over the last few years, Philadelphia has experienced increased waiting times at our City health centers as well as a decrease in health-care providers who are available for prenatal and obstetrical services. And every single year, we come together here and we try and talk about how we can strengthen the health centers for the City's most vulnerable children and citizens, and yet we are often left without the necessary resources to implement the real changes that are needed to improve services. PCCY hopes that the passage of the proposed ordinance will move our city forward in its ability to provide 45 5/14/08 - WHOLE - BILL 080465 high-quality, timely health-care services to low-income children and their families. We understand that the proposed ordinance, No. 080465, will benefit the City's health districts by helping to shorten the time patients have to wait to make appointments and to receive care. As you know, and as other people have already testified, the Health Department testified earlier this year that wait times in some centers for services need to be shortened in order to better meet the needs of patients. In addition, the City Controller has reported that the average wait time for an appointment in health centers is 55 days, and that the wait can be much, much longer in some centers, up to six months, as was mentioned, in the Northeast District Health Center. No Philadelphia resident should be forced to wait weeks for 46 5/14/08 - WHOLE - BILL 080465 health care, particularly when she is a pregnant woman in need of prenatal care. Tens of thousands of children in this city rely on the health centers for care, yet without additional resources going towards them, we expect the waiting time for services to continue and perhaps to even worsen. In addition to helping to reduce waiting times for health services, the funds generated by this proposal are also slated to support the implementation of electronic medical records, and this is a system that would be around all the health- care centers and help streamline patient visits, improve communication between clinicians, patients, and administrators. The electronic medical records will also, for the very first time, give the City the capacity to identify and quantify data across the all of 47 5/14/08 - WHOLE - BILL 080465 the health centers about prevalent health conditions, to better identify areas of need, improve the Health Department's ability to raise public awareness related to disease prevention, and potentially to stimulate more resources to reduce health-care problems. It is time for the City's health centers to join the rest of the medical community by moving towards electronic medical records. Finally, this ordinance will allow those Philadelphia hospitals which serve the largest number of low-income children and adults to strengthen and increase the capacity of their emergency departments to care for individuals with low incomes. Strengthening the health-care safety net in Philadelphia is more important than ever, given the economic downturn nationally and the increase in poverty among families in 48 5/14/08 - WHOLE - BILL 080465 this city, particularly among children. Between 2002 and 2006, nearly 12,000 more children in this city fell into poverty. In addition, states and cities must respond to the continuing barrage of policies issued at the federal level to dismantle our health-care safety net for children and families. This ordinance allows Philadelphia to identify new revenue sources to support families with low incomes to access vital health care services at the City's health centers and our emergency departments.

Ms. Simon

PCCY would like to be clear that we expect this revenue that is generated from this ordinance to be above funding allocated for the health centers in this year's budget, as additional support is needed right now again to address the issue of wait times for services as well as other difficulties experienced at the 49 5/14/08 - WHOLE - BILL 080465 centers while we wait for the ordinance to be passed and implemented. Ensuring that children and is families have access to affordable quality health care now means that kids will have a better chance to grow up health and avoid health care problems in the future. We cannot wait. We must find the resources for our city's health centers now, and we are lucky because we actually have a solution. Thank you so much for the opportunity to present testimony about this important ordinance, and we look forward to working with the City to improve health-care services for our children and families.

Council President Verna

Thank you very much. Any questions from members of the committee for this witness? (No questions.) 50 5/14/08 - WHOLE - BILL 080465

Council President Verna

Again, thank you.

Ms. Simon

Thank you.

Council President Verna

Our next witness? MR. McPHERSON: Kevin Braithwaite. (Witnesses come forward.)

Council President Verna

Good morning. Kindly identify yourself for the record and proceed with your testimony.

Mr. Braithwaite

Yes, ma'am. My name is Kenneth Braithwaite and I am the Regional Executive for the Delaware Valley Health Care Council and the Senior Vice President for the Hospital and Health System Association of Pennsylvania. ) to my left. Council Chair Verna and members of the City Council, as I've 51 5/14/08 - WHOLE - BILL 080465 identified myself, my name is Ken Braithwaite, and I'm here to represent our hospitals in the Greater Philadelphia Region this morning. As you know, the Hospital and Health System Association of Pennsylvania represents and advocates for nearly 250 acute and special-care hospitals across the great Commonwealth of Pennsylvania. We here in the Delaware Valley Health Care Council (DVAC) represents 100 general acute-care, psychiatric, rehabilitation, and other specialty health-care facilities in the greater five-county southeastern region of the Commonwealth. My remarks today will focus on questions and concerns that our regional hospitals have, raised by the recent proposals to establish a tax on general acute-care hospitals in Philadelphia County. I appreciate this opportunity to present the views 52 5/14/08 - WHOLE - BILL 080465 and concerns that Philadelphia hospitals have on this issue. 93 percent tax on the net patient revenue of general acute-care hospitals, excluding Medicare. This would apply to hospitals in 12 Philadelphia County. The day prior, 13 State Senator Vincent Hughes 14 introduced related legislation at the 15 State level authorizing the City ordinance to progress. The purpose of this task, as I understand it and as stated in the act and ordinance, is for generating additional revenues through federal matching funds for assuring medical assistance recipients access to hospital and emergency services. As you know, Medicaid, called "medical assistance" in Pennsylvania, 53 5/14/08 - WHOLE - BILL 080465 is the United States government's health-care program for individuals and families with low incomes and resources. It is an entitlement program that is jointly funded by the states and federal government and is managed by the state. Among the groups of people served by Medicaid are eligible low-income patients, children, seniors, and people with disabilities. Medicaid is the largest source of funding for medical and health-related services for people with limited income. In concept, as we understand this proposal, the City of Philadelphia would levy a tax on general acute-care hospitals, psychiatric, rehabilitation, children's, long-term care, cancer, Veterans Administration, and the Shriners Hospital would be exempt. In addition, this ordinance would exempt 54 5/14/08 - WHOLE - BILL 080465 hospitals that provide over 100,000 days of care to Medicaid patients per year; and, as we understand that, that applies to one hospital in Philadelphia County. Additionally, as we understand it, the City would keep a portion of these assessments and send the remainder to the State. The State would then aggregate these funds and retain a portion for State purposes. However, by targeting a portion of these funds for the Medical Assistance Program, the Commonwealth would be able to seek matching funds under the Medicaid program. This funding would then be returned to Philadelphia County hospitals as medical-assistance payments, including additional payments for services such as emergency care where certain hospitals would require such subsidies. According to Pennsylvania's Department of Public Welfare, this 55 5/14/08 - WHOLE - BILL 080465 funding mechanism would raise approximately $126 million. The Commonwealth is proposing to retain million of these monies, and the 6 City would retain 7 to 8 million. 7 DPW also proposes, as part of 8 this funding scheme, to implement a 9 hospital emergency-room payment to the 10 15 hospitals based on medical- 11 assistance outpatient revenue of each 12 acute-care hospital with an emergency 13 room.

Mr. Braithwaite

The legislation clearly 14 states -- and as Secretary Richman 15 reiterated this morning -- that there 16 will be no direct guarantee of 17 repayment to any hospital. 18 Also in accordance with DPW 19 calculations, as currently proposed, 20 12 hospitals may see a net gain. 21 However, we know for sure that three 22 hospitals would see a net loss. Keep in mind that this would also be a starting point for DPW's negotiations with the federal 56 5/14/08 - WHOLE - BILL 080465 government. There would likely be more net losers when this was resolved. And, again, the legislation clearly states that there will be no 6 direct guarantee of repayment to a hospital of its assessment. To clarify and expand on these broad questions, I have some specific questions that I would like to raise: Does the proposal set a dangerous precedent for the taxation of not-for-profit hospitals and organizations who already provide a great community benefit to Philadelphia? Does this ordinance become useful as a funding mechanism? This proposal would assume the receipt of matching federal dollars for some of the tax dollars received from hospitals, yet many aspects of this proposal make it highly questionable as to whether the federal government would approve these matching funds, 57 5/14/08 - WHOLE - BILL 080465 and especially as we as a federal government face such massive deficits. If the federal government does deny the matching funds or if the funding conditions deteriorate, will the tax be reevaluated or discontinued? Will hospitals continue to receive increased medical assistance support even if matching federal funds are greatly reduced or eliminated? The City ordinance and state legislation do not currently address this important issue. And, finally, the proposal raises many issues of fairness and transparency in regards to hospital payments. And I've also taken the liberty to put even more in-depth policy questions in my submitted testimony. So where does this leave us? As the Delaware Valley Health Care 58 5/14/08 - WHOLE - BILL 080465 Council, we have many issues, concerns, and a lot of questions. And as Secretary Richman indicated earlier, they do not have all of the answers to this proposal as of yet. So we at this time cannot fully support this proposal as it has been presented until we are in receipt of the answers to our questions. It's been a pleasure to be here this morning, and I stand by for your questions.

Council President Verna

Have you met with Miss Richman of late?

Mr. Braithwaite

Yes, ma'am, we have. At the State level, the President of the Pennsylvania Hospital Association, Carolyn Scanlon, has met with her.

Council President Verna

Okay. Any questions or comments from members of the committee of this witness? (No questions.)

Council President Verna

Thank 59 5/14/08 - WHOLE - BILL 080465 you very much.

Mr. Braithwaite

Thank you, ma'am.

Council President Verna

Do we have anyone else who would like to testify on this bill? (No response.)

Council President Verna

Do we have anyone else who would like to testify on this bill? (No response.)

Council President Verna

Seeing no one, this will conclude our public hearing. * * * 60 5/14/08 WHOLE - PUBLIC MEETING

Council President Verna

We will now go into our public meeting, and the Chair recognizes Councilwoman Tasco for a motion.

Councilwoman Tasco

Madam President, I move that Bill No. 080465 be reported out of committee with a favorable recommendation and that the rules of Council be suspended so that this bill can be heard at Council's next session. (Motion seconded.)

Council President Verna

It has been moved and properly seconded that Bill No. 080465 be reported out of committee with a favorable recommendation and further that the rules of Council be suspended so as to permit first reading at our next session of Council. All in favor will indicate by saying aye. Those opposed? The ayes have it, and the 61 5/14/08 WHOLE - PUBLIC MEETING motion carries. And that concludes our public meeting on Bill No. 080465. * * * 62 5/14/08 WHOLE - 080022-080168, Res. 080173

Council President Verna

The Committee of the Whole will now go back into a public hearing regarding the following bills which, Mr. McPherson will read. MR. McPHERSON: Bill No. 8 080022, an ordinance amending Section 9 19-2604 of the Philadelphia Code relating to tax rates, credits, and alternative tax computation for the business-privilege tax by reducing certain tax rates, all under certain terms and conditions. Bill No. 080154, an ordinance 16 to adopt a Capital Program for the six Fiscal Years 2009 to 2014, inclusive. Bill No. 080155, an ordinance 19 to adopt a Fiscal 2009 Capital Budget. Bill No. 080156, an ordinance 21 adopting the Operating Budget for Fiscal Year 2009. Bill No. 080157, an ordinance 24 amending Section 19-2604 of the Philadelphia Code relating to tax 63 5/14/08 WHOLE - 080022-080168, Res. 080173 rates, credits, and alternative tax computation for the business-privilege tax by reducing certain tax rates, under certain terms and conditions. Bill No. 080158, an ordinance 7 amending Section 19-1801 of the Philadelphia Code, entitled "Authorization of Tax," to further authorize the Board of Education of the School District of Philadelphia to impose a tax on real estate within the City of Philadelphia, all under certain terms and conditions. Bill No. 080159, an ordinance 16 amending Chapter 19-1800 of the Philadelphia Code, entitled "School Tax Authorization," by amending Section 19-1806, entitled "Authorization of Realty Use-and-Occupancy Tax" to further authorize the Board of Education of the School District of Philadelphia to impose a tax on the use or occupancy of real estate within the School 64 5/14/08 WHOLE - 080022-080168, Res. 080173 District of Philadelphia. Bill No. 080160, an ordinance 4 amending Chapter 19-1200 of the Philadelphia Code, entitled "Parking Tax," by establishing a rate of taxation on parking transactions for Fiscal Year 2009 and thereafter. Bill No. 080161, an ordinance 10 amending Chapter 19-1500 of the Philadelphia Code, entitled "Wage and Net-Profits Tax," by revising certain tax rates and making technical changes, all under certain terms and conditions. Bill No. 080168, an ordinance 17 amending Chapter 19-2600 of the Philadelphia Code, entitled "Business- Privilege Taxes," by revising certain types of business-privilege licenses, under certain terms and conditions. And resolution No. 080173, a resolution providing for the approval by the Council of the City of Philadelphia of a revised Five-Year 65 5/14/08 WHOLE - 080022-080168, Res. 080173 Financial Plan for the City of Philadelphia covering Fiscal Years 2009 through 2013.

Council President Verna

Thank you very much. Do any of the Councilpeople have any departments that they would like to question prior to our hearing from the Administration? The Chair recognizes Councilman Rizzo.

Councilman Rizzo

Madam President, during the proceedings, there were three departments that indicated their willingness to come back. And for the record it's the Fire, Police, and the Department of Licenses and Inspections. You can have them in any order you choose, Madam President.

Council President Verna

Thank you very much. Is the Fire Commissioner here? (Witness comes forward.) 66 5/14/08 WHOLE - 080022-080168, Res. 080173

Council President Verna

Good morning, Commissioner. COMMISSIONER AYERS: Good morning, Council President.

Council President Verna

Councilman Rizzo?

Councilman Rizzo

Thank you, Madam Chair. Good morning, Commissioner. Commissioner, last time we got together, there were some questions about staffing paramedics, et cetera. I'm sure you're prepared, knowing you, with the response to those questions. Could you tell us the status today of our emergency medical services? COMMISSIONER AYERS: Yes. On the staffing, we currently have 72 vacancies; that is, 28 in our current configuration, plus 44. That will bring our configuration up to 10 basic units and 40 full-staff units, which would bring all of the units that we 67 5/14/08 WHOLE - 080022-080168, Res. 080173 took down before the basic back to all advanced life units.

Councilman Rizzo

Commissioner, let's be real clear. I think the last time we were using some -- maybe not you, but it wasn't as clear as it could be. Commissioner, do you presently have personnel in the Fire Academy that will be graduating to become members of the Philadelphia Police Department? Are part of your numbers people that are in training outside of the Fire Department to become paramedics that aren't even on our radar yet? COMMISSIONER AYERS: That are not in the Fire Department, yes.

Councilman Rizzo

How many people of the 72 vacancies are employees of the City of Philadelphia, the Fire Department, that will be prepared to be paramedics? COMMISSIONER AYERS: The 68 5/14/08 WHOLE - 080022-080168, Res. 080173 students that are studying in schools, they're in three schools --

Councilman Rizzo

Commissioner, I don't want to hear about that right now. COMMISSIONER AYERS: Okay.

Councilman Rizzo

I want to know how many people you have in the Philadelphia Fire Academy prepared to be paramedics if they passed test or whatever you give 'em, that are currently in your immediately pipeline. COMMISSIONER AYERS: We do not have a paramedic class in school right now. We have a paramedic class on -- scheduled to go in on June 19th.

Councilman Rizzo

Of this year? COMMISSIONER AYERS: Of this year.

Councilman Rizzo

I've learned to ask years. COMMISSIONER AYERS: I beg your pardon? 69 5/14/08 WHOLE - 080022-080168, Res. 080173

Councilman Rizzo

I've learned to ask what year. So you're talking about this year, correct? COMMISSIONER AYERS: That is correct, sir.

Councilman Rizzo

So you have a class of how many? COMMISSIONER AYERS: That will be a class of 13.

Councilman Rizzo

Thirteen. And we have 72 vacancies. COMMISSIONER AYERS: Yes, sir.

Councilman Rizzo

And we have not considered -- or have you considered a residency waiver? COMMISSIONER AYERS: It has been considered, yes, absolutely.

Councilman Rizzo

So what are you doing?

Council President Verna

How many --

Councilman Rizzo

I mean, how can we have -- go ahead, Madam Chair.

Council President Verna

How 70 5/14/08 WHOLE - 080022-080168, Res. 080173 many of the have been given waivers? COMMISSIONER AYERS: These 13 are not on waivers. They are Philadelphia residents prepared to go in on June 19th.

Council President Verna

But, 8 Commissioner, I think I heard, and I 9 don't know in anybody else heard, the 10 same information, that there were 111 11 vacancies? And I think we're mainly 12 interested in the EMS unit. Now you're 13 saying there are only 72 vacancies? COMMISSIONER AYERS: Yes. In our current configuration, the way we run our units now, there are 28 vacancies. With the funding, the $4 million that you and the Mayor gave to us, we will now fill those vacancies to 40 full-time ALS units and 10 basic units. We're using that money to bring that configuration up to the four -- I mean 40 and 10.

Councilman Rizzo

Commissioner, Commissioner, let's talk 71 5/14/08 WHOLE - 080022-080168, Res. 080173 about -- you're hitting us with a new word today, "configuration, present configuration." The last time you testified -- we have the record, so save us from looking it up. How many vacancies did you say there were in the EMS organization, 111? COMMISSIONER AYERS: I did not. And if I said 111 --

Councilman Rizzo

Well, how many did you say? COMMISSIONER AYERS: I just said that there are 72 vacancies that we have.

Councilman Rizzo

I don't -- I -- that's not -- the number that we calculated the last time that you were here was greater than 100. Could somebody help us recollect this, or do we need to recess the hearing to get a copy of the testimony? Something's not jibing here today. 72 5/14/08 WHOLE - 080022-080168, Res. 080173 COMMISSIONER AYERS: I'm giving you the numbers that I have that are the current numbers.

Councilman Rizzo

Well, where did the numbers come from a month ago that we dealt with here? COMMISSIONER AYERS: Well, I don't have that testimony in front of me that said 111.

Councilman Rizzo

Point of information, Madam President.

Council President Verna

I think it was 31 plus the 80.

Councilman Rizzo

31 plus 80, that's 111.

Council President Verna

At the time of the budget hearing. MR. McPHERSON: Councilman Green has a point of information.

Council President Verna

Councilman Green?

Councilman Green

Thank you, Madam Chair. Just to clarify the point that 73 5/14/08 WHOLE - 080022-080168, Res. 080173 the Councilman was making, there are 72 vacancies is one number we're getting, and then the other number is, in your current configuration, there are only 28 positions to fill. And I don't understand the difference between those two numbers. Did you change the configuration to eliminate positions? And how many positions from EMS are budgeted for? COMMISSIONER AYERS: Yes, we did not change the configuration to eliminate positions. The configuration that we talked about before was a configuration that we were at due to the lack of full staffing for paramedics. Those positions were being filled by firefighters working overtime. And that is how they were being filled. But all of the medic units are still in the street. They are not staffed full -- all of the medic units are not staffed by paramedics. One of 74 5/14/08 WHOLE - 080022-080168, Res. 080173 our goals that we were going after is to recruit and hire more paramedics. Currently, in three schools, we have identified 86 paramedics that are Philadelphia firefighter residents, 50 who are nonresidents that will be applying. And we have actively recruited those paramedics, we are monitoring those --

Councilman Green

You know, I understand. I just -- there are 72 vacant paramedic positions; is that the number? COMMISSIONER AYERS: That is the number based on where we are taking our units.

Councilman Green

I didn't understand the difference between that number and 40 or -- and 28. COMMISSIONER AYERS: Well, the 28 vacancies would be the number of vacancies of paramedics that are needed to fully staff the way we currently configure. 75 5/14/08 WHOLE - 080022-080168, Res. 080173

Councilman Green

Let me just see if I can translate that. COMMISSIONER AYERS: Sure.

Councilman Green

That meets you have EMTs in paramedic positions currently in the ambulance units, and that is what is -- why you have 28 vacancies in your current configuration; is that correct? COMMISSIONER AYERS: That is correct, sir.

Councilman Green

Okay. I just wanted to understand that difference. Thank you, Madam Chair.

Councilman Rizzo

Madam President, thank you. Commissioner, about two weeks ago, I sent you some questions that we have not yet gotten answers to, so I would appreciate the answers to those questions eventually coming because this budget is not yet getting ready to pass. 76 5/14/08 WHOLE - 080022-080168, Res. 080173 Let's go back. Where did we come up with the -- your configuration that you're talking about is that you're using firefighters to serve as paramedics; is that correct? COMMISSIONER AYERS: Yes, sir.

Councilman Rizzo

And the word that you used is your current configuration of how you're doing business right now. The last time we met, we asked if -- COMMISSIONER AYERS: May I correct something?

Councilman Rizzo

Oh, sure. COMMISSIONER AYERS: We're using emergency medical technicians instead of paramedics. We are not using firefighters. They are firefighters but they're also emergency medical technicians.

Councilman Rizzo

Aren't all firefighters emergency technicians? COMMISSIONER AYERS: No, sir. 77 5/14/08 WHOLE - 080022-080168, Res. 080173

Councilman Rizzo

What's the difference between a firefighter and an emergency technician? COMMISSIONER AYERS: Firefighters that have their emergency medical technician certification with the State of Pennsylvania. Some of our firefighters do not have that certification.

Councilman Rizzo

That's some of the older firefighters? COMMISSIONER AYERS: That is correct.

Councilman Rizzo

So all of our current firefighters are in the category that they can serve as a paramedic. COMMISSIONER AYERS: That is -- no, not as a paramedic.

Councilman Rizzo

As an -- COMMISSIONER AYERS: As an emergency medical technician.

Councilman Rizzo

But you have them filling in as paramedics. 78 5/14/08 WHOLE - 080022-080168, Res. 080173 COMMISSIONER AYERS: No. I have them serving as emergency medical technicians.

Councilman Rizzo

Instead of a paramedic. COMMISSIONER AYERS: Instead of a paramedic.

Councilman Rizzo

So we don't necessarily agree with substituting technicians as paramedics. Don't you think that's the issue that we're really talking about here? COMMISSIONER AYERS: Yes. And we have classes scheduled up until the third quarter of the next fiscal year, and we will have entered a March -- I would say February, March, putting it that class that will give us a total of 103. A class in June, 13; a class in September, 30. We're actively recruiting a class in November of 30 and a class in February or March of 30 as well. 79 5/14/08 WHOLE - 080022-080168, Res. 080173

Councilman Rizzo

Is it safe to say that you are recruiting -- I think I heard you say that some of people that you're recruiting that are in the paramedic school, for lack of a better word, is -- there are some nonresidents in that? COMMISSIONER AYERS: Yes, residents and nonresidents alike.

Councilman Rizzo

So then for the record today, are you -- you are going to be hiring people that are in the school as nonresidents, but you have not reached out to people that are already qualified to come join your department, that work for other volunteer or other departments throughout the Commonwealth. COMMISSIONER AYERS: We have not actively -- a recruitment campaign of paramedics have not gone out and sought other townships to get their paramedics to come in.

Councilman Rizzo

Do you need 80 5/14/08 WHOLE - 080022-080168, Res. 080173 paramedics? COMMISSIONER AYERS: Yes, we need paramedics.

Councilman Rizzo

Then why aren't you doing that? COMMISSIONER AYERS: I believe that we will be doing that. The first thing that we wanted to do was to identify the paramedics that were in the schools that we had, and we will actively employ paramedics that apply to the City of Philadelphia, and we will employ them.

Councilman Rizzo

Well, I don't want to continue this any longer, but I'm still not satisfied, and I know that there are some of my colleagues that share my opinion that we are, in my words, dragging our feet in filling these positions. You have the money. It's not a matter of money, is it, Commissioner? COMMISSIONER AYERS: Sir, we 81 5/14/08 WHOLE - 080022-080168, Res. 080173 have the money and we will be actively recruiting those townships, like you just asked. We will be doing that. We have not done it yet. We are looking forward to going out and doing that recruitment.

Councilman Rizzo

So as of today, we're going to start recruiting for paramedics? COMMISSIONER AYERS: I can't say as of this moment.

Councilman Rizzo

Well, let's not split hairs. This week, next week, we're going to start a process to fill these positions with paramedics that are listening to this that have e-mailed me saying they'd love an opportunity to come work for you. COMMISSIONER AYERS: Well, all of those para -- if you'll send me those e-mails, I'll start that process.

Councilman Rizzo

You got it. COMMISSIONER AYERS: Thank you.

Councilman Rizzo

Thank you. 82 5/14/08 WHOLE - 080022-080168, Res. 080173 Thank you, Madam Chair. That's all I have --

Council President Verna

Thank you.

Councilman Rizzo

-- for the Fire Commissioner.

Council President Verna

Commissioner, I know you said you have many people. How many people will be staffed on overtime? Are you talking about the emergency medical technicians that are placed on overtime? Who's placed on the overtime? COMMISSIONER AYERS: The emergency medical technicians, yes.

Council President Verna

Okay. Well, I'll tell you, I am one who feels very, very disturbed about this. I think we're talking about a matter of a life and death. We have been talking about this now for a couple of years. This is the time that we're going to be addressing that problem. The Mayor 83 5/14/08 WHOLE - 080022-080168, Res. 080173 says "it's a new day and a new way." I am suggesting, sir, that you find a new way of doing this. I read in the paper that there are firefighters who -- in fact, there was a recent article in the Daily News where a firefighter in Jersey said he would love to come to Philadelphia and be a paramedic. Let's get on it. It's time, it's time. It's very frustrating. And we're going to deal with this problem sooner than later. And I'm going to stay on this because I think it's a disgrace that in a city of this size that we cannot address such an important issue. So, Commissioner, I hope we don't have to call you back midyear to find out what's going on. You're going to have to get one class after another if you have to. COMMISSIONER AYERS: That's what's scheduled, Council President. 84 5/14/08 WHOLE - 080022-080168, Res. 080173

Council President Verna

Well, let's meet that schedule, please. I'm urging you to do that. COMMISSIONER AYERS: Thank you.

Council President Verna

Thank you. Do we have someone here from the Police Department? Thank you, Commissioner. (Witnesses come forward.)

Council President Verna

Good morning. COMMISSIONER GAITTENS: Good morning, Madam President and Councilmembers. I'm Deputy Commissioner Jack Gaittens with the Police Department. And with me today is my administrative services director, Mr. Tom Dewall, and my budget officer, Scott (indiscernible).

Council President Verna

Good morning. COMMISSIONER GAITTENS: Good morning. 85 5/14/08 WHOLE - 080022-080168, Res. 080173

Council President Verna

The Chair recognizes Councilman Rizzo.

Councilman Rizzo

Thank you, Madam Chair. Good morning, Commissioner and staff. COMMISSIONER GAITTENS: Good morning.

Councilman Rizzo

There's three issues that I would like to discuss with you. When Commissioner Ramsey was here, Commissioner, you remember I asked a question about a program that got into a lot of trouble that was not managed very well, the police reimbursable overtime program, where police officers worked for the private sector, the police officers got paid, and millions of dollars of debt was written off because of the mismanagement of this program. I constantly get assurances that we're back on track, but I was told by a good source that there's 86 5/14/08 WHOLE - 080022-080168, Res. 080173 still some need for conversation in reference to this program. Could you bring us current on exactly what is going on with the police reimbursable program? COMMISSIONER GAITTENS: Yes, sir. In Fiscal '08, year-to-date for non-government billings, we've billed out approximately $17.4 million. Of that, 16.8 million has been collected, which leaves an outstanding balance in Fiscal '08 for non-government of about $635,000, so that equates to about a 91.5 collection rate. Of that 635,000, that's spread out between 30, 60, and 90 days delinquent. Anything that gets to 60 days delinquent, service is cut off for that particular person who's trying to get the service. At 90 days, it is sent to the Law Department for collection.

Councilman Rizzo

Go back. When you use the term "non- 87 5/14/08 WHOLE - 080022-080168, Res. 080173 governmental," what's that mean? COMMISSIONER GAITTENS: That means other than, say, the billing that we sent to the Pennsylvania State for our MPO and for our officers in the Police Academy.

Councilman Rizzo

Okay. How do you account for that, what is it, $600,000 that's still on the street? Why are we still doing business with these folks? COMMISSIONER GAITTENS: Well, that's between 30, 60, and 90 days. Everybody doesn't pay the next day. We have a process in place where, if it is a first-time user or a one-time user, they actually have to pay upfront. For people that we've done business with before, they will actually pay as we bill them, because we've done business with them before. Some people pay sooner than others. As I said, there are accounts that are either 30, 60, or 90 days 88 5/14/08 WHOLE - 080022-080168, Res. 080173 delinquent. So 60 days, they get cut off; 90 days, it goes to the Law Department.

Councilman Rizzo

So we have folks that on a weekly basis get cut off from this service? COMMISSIONER GAITTENS: Yes, sir.

Councilman Rizzo

Good. The last issue is the -- and I think this decision possibly wasn't made by you but it might be, but I would like to know why, after so many years of Philadelphia police patrolling the I-95 Vine Street Extension Schuylkill Expressway, that finally, the Commonwealth of Pennsylvania agreed to take over that patrol, and that saved the City of Philadelphia between 8 and $10 million a year. And recently, there was a decision made to put police officers, Philadelphia police officers, that 89 5/14/08 WHOLE - 080022-080168, Res. 080173 many people suggest that we desperately need in our neighborhoods back on the street -- back on the I-95 and back on the Schuylkill Expressway. Again, the comments that -- and even from the State police, they just can't believe that we would do something like that, putting Philadelphia police back on a road that is already patrolled well by the Pennsylvania State Police. Could you comment on that? COMMISSIONER GAITTENS: I was at an Unfair Labor Practice hearing with the Pennsylvania Labor Board at the time. As you're aware, the FOP opposed the Pennsylvania State Police taking over the highways at that time. On the day of the hearing, while I was there, I was informed that an agreement had been made with the FOP that three officers would go back onto the highways; whereas, in the past, we were -- we had a lot more per 90 5/14/08 WHOLE - 080022-080168, Res. 080173 tour on there. So there are three officers per tour back on the expressways now. The rest are still in the rest of the City.

Councilman Rizzo

That's a total of six, and the communication that I got that there's a fourth very soon to be assigned there? COMMISSIONER GAITTENS: My understanding is it's only three officers per tour, sir.

Councilman Rizzo

Three on the Delaware, three on the Schuylkill. COMMISSIONER GAITTENS: No, sir. Just three, three on I-95 per tour.

Councilman Rizzo

So none on the Schuylkill. COMMISSIONER GAITTENS: Not -- to the best of my knowledge, no, sir.

Councilman Rizzo

So could you get back to me if that's -- I was told from a good source that it's three on 91 5/14/08 WHOLE - 080022-080168, Res. 080173 each and one more soon to return. COMMISSIONER GAITTENS: I will check into that today and I will call you today.

Councilman Rizzo

Because, as you can imagine, that isn't -- just a -- I just can't imagine that we did that. COMMISSIONER GAITTENS: Mm-hmm.

Councilman Rizzo

There's a lot of unfair-labor complaints sent out that don't necessarily -- you know, we're assuming that that was going to be one, but I'll leave it at that until you get back to me on exactly how many officers we have out there. COMMISSIONER GAITTENS: Yes, sir.

Councilman Rizzo

And the last thing is -- I'll talk to you on this one privately. COMMISSIONER GAITTENS: Yes, sir.

Councilman Rizzo

Thank you, 92 5/14/08 WHOLE - 080022-080168, Res. 080173 Madam Chair.

Council President Verna

The Chair recognizes Councilman Jones.

Councilman Jones

How are you today? COMMISSIONER GAITTENS: Good morning.

Councilman Jones

Did I understand you to say that you have an outstanding receivable, I believe, from the State that exceeds sometimes $600,000? COMMISSIONER GAITTENS: No. 15 This is non-government with 600,000.

Councilman Jones

It's non-government. COMMISSIONER GAITTENS: Right. These are private companies, individuals, construction companies, whatever. That's non-government.

Councilman Jones

And how reliable are those receivables? You're saying in 90 days sometimes outstanding. 93 5/14/08 WHOLE - 080022-080168, Res. 080173 COMMISSIONER GAITTENS: That's correct, some of 'em.

Councilman Jones

So pretty much, what -- are they good receivables? Is it money that eventually does come? COMMISSIONER GAITTENS: Now, it is, yes. Going back to Fiscal Year '07, the collection rate was a lot worse than that; we were down around 65 percent. Now we're at 91-and-a-half percent. So it has been much improved. And that was because of the policy change where first-time or one-time users must pay upfront, and that's where we were running into a lot of problems before. You know, a lot of people were signing up for it and then they just never got around to paying us.

Councilman Jones

And when that money comes back, it goes back 94 5/14/08 WHOLE - 080022-080168, Res. 080173 where? COMMISSIONER GAITTENS: It goes into the General Fund.

Councilman Jones

So there's no way we can incentivize or even factor or finance through some institution that receivable so that we get the benefit of that money upfront and let them on the tail-end collect it? COMMISSIONER GAITTENS: That's something I believe the Law Department could discuss. You know, we have the contracts in place, and the Revenue Department does the billing, and we just provide the service.

Councilman Jones

Okay, thank you.

Council President Verna

Are there any other questions from members of the committee of the Police Department? (No response.)

Council President Verna

95 5/14/08 WHOLE - 080022-080168, Res. 080173 Seeing none, I thank you. COMMISSIONER GAITTENS: Thank you.

Council President Verna

Is the Commissioner of L&I here? (Witness comes forward.)

Council President Verna

Good morning. COMMISSIONER ELFREY: Good morning.

Council President Verna

The Chair recognizes Councilman Rizzo.

Councilman Rizzo

Commissioner? COMMISSIONER ELFREY: Good morning.

Councilman Rizzo

The last time you were here, we asked you to come back because I think President Verna was the one that really identified the fact that there were some positions, inspectors especially, that needed to be hired. So if you could just give us an update, Commissioner, on where we 96 5/14/08 WHOLE - 080022-080168, Res. 080173 are with that question. COMMISSIONER ELFREY: Sure. Actually, our hiring plans --

Council President Verna

Commissioner, please identify yourself for the record. COMMISSIONER ELFREY: I'm sorry. I'm John Elfrey, Acting Commissioner for Licenses and Inspections. Our hiring plan is going very well. We expect to have all on board, with the exception of two positions, by June 30th of this year. Interviews are ongoing, we have established lists for all positions except two, and we're pretty confident that one of those two we will have an established list for. So we're in pretty good shape right now.

Councilman Rizzo

So these hearings do serve a good purpose. COMMISSIONER ELFREY: 97 5/14/08 WHOLE - 080022-080168, Res. 080173 Absolutely. (Laughter.)

Councilman Rizzo

And we appreciate that, Commissioner. We appreciate the fact that you responded to the Council's interest in this issue. COMMISSIONER ELFREY: Thank you.

Councilman Rizzo

So right now, when we go back and check the notes of testimony from when you were here before, all of those vacancies are filled but two. What are the two that you're having a problem with? COMMISSIONER ELFREY: Actually, it's not a problem. One is a contract clerk. There needs to be a list established. The other is a graduate engineer. And that's a continuous testing system with Central Personnel, and we're confident that they can get that rolling for us in the next week 98 5/14/08 WHOLE - 080022-080168, Res. 080173 or two.

Councilman Rizzo

So you'll be again up to full complement except two positions by when again? COMMISSIONER ELFREY: June 30, 2008.

Council President Verna

Great.

Councilman Rizzo

Thank you. COMMISSIONER ELFREY: Thank you.

Councilman Rizzo

I'm sure that makes Madam President happy.

Council President Verna

That's wonderful. Thank you, Commissioner. COMMISSIONER ELFREY: Thank you.

Councilman Rizzo

That's it for me, Commissioner. COMMISSIONER ELFREY: All right.

Council President Verna

Thank you. Do any members have any other 99 5/14/08 WHOLE - 080022-080168, Res. 080173 departments that they would like to hear from? (No response.)

Council President Verna

Okay. Mr. Dubow? Mr. Dubow? (Witness comes forward.)

Council President Verna

Good morning.

Mr. Dubow

Good morning, Council President and members of the committee. We have a series of amendments to offer today. I'll start with amendments to the Operating Budget. We've made a number of changes here. I think everyone has copies --

Council President Verna

Excuse me, Mr. Dubow. Do we have copies of the amendments? MR. McPHERSON: Sharon has them and is bringing them in with her.

Council President Verna

Oh, okay. If you'll bear with us a moment, please. 100 5/14/08 WHOLE - 080022-080168, Res. 080173

Mr. Dubow

Sure. (Copies of amendments are circulated among Councilmembers.)

Council President Verna

Does everyone now have a copy of the amendments? Mr. Dubow, what bill are you going to be addressing first?

Mr. Dubow

Bill No. 080156.

Council President Verna

Very well.

Mr. Dubow

Which is the Operating Budget for Fiscal Year 2009.

Council President Verna

All right. Thank you. And before you do that, I'm going to ask Mr. McPherson to circulate a worksheet that he has worked on so that perhaps it will be a little easier, Mr. Dubow, to follow what it is you're -- the changes that you made.

Mr. Dubow

I have the worksheet in front of me, so I'll walk 101 5/14/08 WHOLE - 080022-080168, Res. 080173 through some of the highlights of the worksheet as we go through the amendments.

Council President Verna

Oh, that's fine. Great. Okay. Maybe we can now get started. Thank you.

Mr. Dubow

Okay. What I would like to do is walk through the major changes that are shown on this sheet, and I think what I'll do is try to highlight changes that are at least a million dollars. The first is adding a million dollars to the anti-gas-shutoff program. Then we moved $10 million from Finance to the Streets Department for pay-as-you-go improvements to streets, for capital improvements to streets. In Public Health, we added a million dollars for a Child-Care Facilities Fund. Moving down to Recreation, we 102 5/14/08 WHOLE - 080022-080168, Res. 080173 added a million dollars for maintenance positions. That's a Class 100 increase. In Fairmount Park, we shifted a million dollars to contracts for tree maintenance, but that was in their budget; it's just a shift in classes. In Human Services, we had another shift in class from contracts to personnel of 4.2 million. We added $2.5 million in the Finance Budget for Core Scholarships. And $2 million to the Housing Trust Fund to bring the total amount of the General Fund funding for the Trust Fund to 3 million for next year. We added $42 million in appropriation in the Fringe Benefits line, and that is as a result of our moving back projected savings from our Pension Obligation Bonds from '09 to beginning in 10, and that has the impact of reducing the fund balance we 103 5/14/08 WHOLE - 080022-080168, Res. 080173 originally projected, and I'll get to that as we get to the end of the list. We also added funding, you'll see on the second page, in the Water and Aviation Fund to Fringe Benefits, 2.4 and 1.7 million dollars. Those additions are also related to pushing back the projected savings from the Pension Obligation Bond by a year, so we had to add appropriations for them to make their pension payments in 2009. And then we established two new funds in this amendment. We proposed establishing two new funds. One is the Acute-Care Fund, and that is to take the proceeds of the hospital assessment that we had the hearing on earlier today. And the other is a Wage Tax Reduction Fund that would receive State proceeds from gaming that would go towards wage-tax reduction. The combined impact of those 104 5/14/08 WHOLE - 080022-080168, Res. 080173 changes would produce in '09 budget that ended with a fund balance of about $62 million. We'll get to proposed amendment to the plan in a couple of minutes, but you'll see it keeps the fund balance at at least $30 million in each year of the plan. And those are our proposed amendments in short.

Council President Verna

Thank you. Mr. Dubow, under the Acute Care Fund, I see here we have Philadelphia Prisons.

Council President Verna

Can you give us an explanation of that, please, just for the record.

Mr. Dubow

I believe that's for medical care for inmates.

Council President Verna

That's what we thought, but we thought we'd put it on the record. Thank you. Any questions from members of 105 5/14/08 WHOLE - 080022-080168, Res. 080173 the committee on the amendments? The Chair recognizes Councilman Green.

Councilman Green

Madam President, is this a question on this particular amendment you discussed or any amendments?

Council President Verna

No, this particular amendment. We're going to do one at a time.

Councilman Green

Okay.

Council President Verna

Otherwise, it would get very confusing. All right. Any questions on the amendments proposed regarding Bill 17 No. 080156? (No response.)

Council President Verna

Seeing none, Mr. Dubow, what are the next amendments you're proposing on what bill?

Mr. Dubow

Amendments to the Capital Budget and Capital Program. Bill No. 080154 and Bill No. 080155. 106 5/14/08 WHOLE - 080022-080168, Res. 080173 I believe the amendments here are technical in nature, with the exception of adding a million dollars: 900,000 to the Recreation ITEF line and 100,000 to the NDO line. And that is in both the budget and the program.

Council President Verna

Okay. Any questions from members of the committee? Councilman Green.

Councilman Green

Thank you, Madam Chair. Mr. Dubow, when you were, I guess, giving a press conference when it was announced that you would be Director of Finance, one of the major themes of that was investment in infrastructure and how important that is for the City's future and how investments in infrastructure actually save the City a lot of money in the long term rather than in the short term. And I just wondered if you 107 5/14/08 WHOLE - 080022-080168, Res. 080173 could comment on whether or not you're satisfied that this infrastructure investment contained in the Capital Program is sufficient, or perhaps we could look to adding more money in the out-years if we have savings from the Pension Obligation Bond in the out-years.

Mr. Dubow

I'll just make a couple of -- well, to directly answer your question, no. There's not sufficient funding for our capital. There is more funding than there has been in years. We also have taken a step for, you know, long-term help to the Capital Fund by putting $10 million of pay-as-you-go funding in. And we will continue, you know, in each year to look for ways to increase funding for the Capital Program. We have an enormous amount of facilities, and there are an enormous amounts of issues, and I'm not going 108 5/14/08 WHOLE - 080022-080168, Res. 080173 to sit here and, you know, tell you that this takes care of all of those issues.

Councilman Green

Thank you for your candor on that. I wonder if... Well, I look forward to working with you on that. Thank you.

Mr. Dubow

Thank you.

Council President Verna

Any other questions or comments from members of the committee? (No further questions or comments.)

Council President Verna

Thank you. Mr. Dubow?

Mr. Dubow

Next is proposed amendments to Bill No. 080161, which is the wage and net-profits tax bill. These amendments do two things. They slow down the pace of reductions for resident and nonresident wage tax -- well, 109 5/14/08 WHOLE - 080022-080168, Res. 080173 actually, let me step back. They do three things. They include the State gaming revenue, which allows us to increase the pace of our reductions. They slightly slow down the pace of City-funded reductions, so that by the last year of the plan, the nonresident wage-tax rate would be 3.25 percent, which is slightly higher than the 3.11 percent that we would have had at the old rate of reduction in the original version of the plan. And on the resident side, the rates go down to 3.6 percent; again, slightly higher than the 3.5 percent that were in the original version of the plan. The other major change is -- in the original version of our -- of this bill, we eliminated the low-income wage-tax credit. At the prodding of City Council and the compelling arguments City Council, 110 5/14/08 WHOLE - 080022-080168, Res. 080173 we've agreed to restore that credit beginning in Fiscal Year 2014 and for it to be phased in in 2014 and and 5 then to stay at the 2015 rate 6 thereafter. 7

Council President Verna

And 8 it's our understanding that the 9 Administration for the first time has 10 actually committed to doing just what 11 you said. 12

Mr. Dubow

That's correct. 13

Council President Verna

Thank 14 you. 15 The Chair recognizes Councilman Green.

Councilman Green

Thank you, Madam Chair. We had a brief offline discussion about this, Rob, and I just want to get it on the record, and that is, these two amendments lock into the law over ten years and a significant amount of time for the -- well, lock into law over a significant number of 111 5/14/08 WHOLE - 080022-080168, Res. 080173 years continuing tax cuts for the business-privilege tax and the wage tax. So what it projects is a declining at any rate over time while we've projected 4 to 4-and-a-half percent growth rate in revenues in the out-years, and to the extent we don't have the long-term or out-year revenue growth that's projected, what effect will that have on the City's finances with respect to a choice between cutting services, or what are our options in the out-years for short-term fixes to a lack of meeting our revenue targets?

Councilman Goode

Point of order.

Council President Verna

The Chair recognizes Councilman Goode for a point of order.

Councilman Goode

Councilman, I suggest that what we would do is what we're doing this year through the wage 112 5/14/08 WHOLE - 080022-080168, Res. 080173 tax bill: simply slow the schedule. And we're doing it this year for the same reason. And so, in the future, we can amend the tax bills in any given budget cycle.

Councilman Green

Thank you, Councilman Goode. I'm aware of that. I wanted to ask the Administration what their plans were.

Councilman Goode

Same as we're doing here.

Mr. Dubow

First, a couple of technical points. One, the amendment that we've offered is just on the wage-tax bill. I mean, your point will still be valid when we get to the BPT bill. It's the same question when we get to the BPT bill. It's just on the wage-tax bill. And the highest rate of growth we have is 4 percent. We also -- you know, we brought down the growth projection in the first year to 3-and-a-half from 113 5/14/08 WHOLE - 080022-080168, Res. 080173 the percent it had been last year. So when -- you know, if revenues come in lower than projection, you always have a number of options. One is just what the Councilman mentioned: You can slow down your rate of reduction. This is legislation that the Council is enacting and the Mayor would be signing, so it's locally controlled. It's not like in previous years where there was State-imposed rates; those are much harder to change. These we can change locally. And then, you know, the other thing that we are committed to doing as an administration is to look for ways to run the government more efficiently. We've had conversations with you about that. So that's another way that you can reduce your costs.

Councilman Green

Thank you.

Council President Verna

114 5/14/08 WHOLE - 080022-080168, Res. 080173 Mr. Dubow, the State reduction in wage taxes are included in your numbers, I'm assuming?

Mr. Dubow

That is correct.

Council President Verna

Thank you. And I think for the record, it should also indicate that the taxes will be reduced effective July 1.

Mr. Dubow

Correct. July 1 in -- July 1, '08. And then again January 1 in '09. There will be two reductions. And then each year after that, it will be January 1st.

Council President Verna

Thank you. Any other questions or comment from members of the committee regarding the amendments to Bill No. 21 080161? (No further questions or comments.)

Council President Verna

Seeing none, Mr. Dubow, next bill. 115 5/14/08 WHOLE - 080022-080168, Res. 080173

Mr. Dubow

We also have a proposed amendment to Resolution 4 080173, which is the Five-Year Plan, and that amendment incorporates the changes we discussed before, and I talked about where the fund balance goes in each one of those, so that just reflects those changes. And I think that's our last amendment.

Council President Verna

Can we give members just a minute to go over this. * * *

Council President Verna

Have members had a chance to review this, the amendment to Bill No. 080173? The resolution, I'm sorry. Do we need more time to look it over? (No response.)

Council President Verna

Hello?

Councilman Rizzo

Yes, we do.

Council President Verna

Okay, great. 116 5/14/08 WHOLE - 080022-080168, Res. 080173 If the Councilmembers would give me some indication if they're ready for Mr. Dubow to proceed, I'd appreciate it. Are we ready to proceed? Great. All right, Mr. Dubow.

Mr. Dubow

Okay. That was the last of our amendments.

Council President Verna

Fine. Any questions from members of the committee of Mr. Dubow? Okay. The Chair recognizes Councilman Goode.

Councilman Goode

There's an amendment to Bill No. 080022 that's been circulated. The bill's amendment would eliminate the gross-receipts portion of the business-privilege tax by the year 2017 and would reduce the net income rate from 6.5 to 6.0 by 2017. At the appropriate time, I'll make a motion on the amendment.

Council President Verna

Thank 117 5/14/08 - WHOLE - BILL 080022 you. All right. Gentlemen, thank you, thank you. We have a list of witnesses that would like to be heard regarding Bill No. 080022, and our first witness will be ACORN. Is someone from ACORN here? (Witness comes forward.)

Council President Verna

Good morning, sir. Kindly identify yourself for the record and proceed with your testimony.

Mr. Phillips

My name is Ian Phillips, and I'm here on behalf of Philadelphia ACORN. I'd also like to call up the other folks here that you see around with the signs.

Council President Verna

I beg your pardon?

Mr. Phillips

The other groups that are here, we all have basically the same message, so if they would join me, we may be able to speed up this 118 5/14/08 - WHOLE - BILL 080022 testimony. Otherwise, I'll just proceed with my comments.

Council President Verna

I would suggest you proceed with your comments.

Council President Verna

And if they want to testify later, they're more than welcome to. If they want to stand so that we can count how many they are, that will be noted for the record.

Mr. Phillips

Thank you, Madam President. You know, I don't have any submitted testimony here today. The basic premise is, we do not see it fit to delay the Cohen tax rebate one more year. It was originally supposed to take effect just a few years ago and we've already seen one delay. To delay this while, at the same time, enacting credits that will take place as soon as July doesn't make good 119 5/14/08 - WHOLE - BILL 080022 fiscal sense. We know that low-income Philadelphians who would benefit from this wage-tax reduction would spend a vast majority of that money in re -- you know, spend that back in the City of Philadelphia. The same cannot be said for, you know, the Wal-Marts and the Exxon Mobils who will be receiving tax credits at the same time. So the same school of thought that subscribes to cutting business- privilege taxes increases revenues should also subscribe to the fact that if we give low- and moderate-income Philadelphians back more of their money, they will spend it appropriately and they will spend it back in the City of Philadelphia. With the cost of food going up, with the cost of gasoline, energy going up, it makes sense to stimulate our economy by giving back to those who most need it. 120 5/14/08 - WHOLE - BILL 080022 So those are my comments. Thank you for inviting me up.

Council President Verna

Thank you. And I think you did hear testimony earlier that there was a possibility that this could have been eliminated entirely. Council, working with the Administration, came to this resolution, and we thought that it certainly was a wonderful compromise.

Mr. Phillips

Thank you, Madam President.

Council President Verna

You're welcome. Are there other witnesses? MR. McPHERSON: Action Alliance for Senior Citizens of Greater Philadelphia. Is there anyone? (Witness comes forward.)

Mr. Shapiro

I think there's some confusion, and the list that you're looking at is a list that One Philadelphia put together just as a 121 5/14/08 - WHOLE - BILL 080022 list of organizations that are supporting the continuance of the Cohen wage-tax cut. They're not all here. There are three of us that are here. So all -- should I just tell you who they are?

Council President Verna

Please.

Mr. Shapiro

All right. I'm representing One Philadelphia and Neighborhood Networks. Kathy Scott -- STENOGRAPHER: Could I get his name, please?

Council President Verna

The stenographer would like you to identify yourself for the record.

Mr. Shapiro

I'm Stanley Shapiro from Neighborhood Works and One Philadelphia. And also with me is Sherry Cohen who I would like to have come up, and Kathy Scott from District Council 47. And we're all speaking to this issue. There was a list of 122 5/14/08 - WHOLE - BILL 080022 organizations that was distributed that support the continuation of the Cohen wage-tax rebates on the current schedule. They're not all here present, but we just distributed that list for the purposes of information. So let me just say that we agree with what Mr. Phillips just said a moment ago. We understand that Council always has to negotiate various things with administrations when it comes to budgets, but we do think that given the fact that the latest estimates that we have were that the maintenance of the current schedule for the Cohen wage-tax rebate would have been $11 million in the 50 year, that that is really such a minute sum in a $20 billion five-year budget that it really is hard to imagine why it would have been necessary to move that another year, that if we maintained it this year on that current schedule, and indeed by 123 5/14/08 - WHOLE - BILL 080022 next year, when the second year of the Cohen rebate would have been in the Five-Year Plan, which would have perhaps involved more expense, that that would have been time enough to discuss a delay, but that there is just no financial reason within this Five-Year Plan, it makes no particular sense within the context of labor negotiations for a contract which will last four years prior to the year that the rebates will begin. We just disagree that that ought to have been on the table. We don't think that should have been on the table within the context of this Five-Year Plan. Furthermore, we think that there are ways to accommodate -- even if the 11 million were considered to be a significant sum, we think that there are ways to recover that 11 million by perhaps slowing the wage-tax cuts just a trifle more in 124 5/14/08 - WHOLE - BILL 080022 the fifth year for nonresidents or perhaps for -- by doing something with the business-privilege tax, which is different than what has been done, by either slowing the rate of reduction a bit more. It's been slowed to a ten-year abolition of the gross- receipts tax, it might have been stretched to an 11-year abolition to get on the books in a final way a real commitment to implement this little bit of tax equity, which is what the Cohen tax rebate represents. There have also been discussions that we're aware of about different ways of cutting the business-privilege tax, which would limit the benefits to Philadelphia companies. We're just beginning to learn, thanks to the efforts of various people that -- and I would name them but I'm not sure they want to be named. That, you know, there are certain taxpayers who are 125 5/14/08 - WHOLE - BILL 080022 completely evading the tax, and if we did something to collect the taxes that are due, the tax cuts perhaps would not have to be as sharp or we'd have additional revenue. There is apparently a real tax evasion problem with the business-privilege tax, which needs to be dealt with. It's also been discovered that there are many out-of-city businesses which pay substantial taxes to the City through the gross-receipts tax, and there might have been a way to keep that revenue stream without substantially impairing or slowing down tax relief for Philadelphia- located businesses. So there are a variety of ways that the business-privilege tax can be treated that would have saved money and nevertheless given benefits to a wide range of Philadelphia businesses. But Apple Computer, Exxon Mobil, a variety -- Budweiser, 126 5/14/08 - WHOLE - BILL 080022 Anheiser, a wide variety of Fortune 500 companies not located in the City of Philadelphia pay the gross-receipts tax, and that's a source of revenue that will be lost if we abolish that tax.

Mr. Shapiro

So putting all of that together, I think that there could have been another approach to taxes in the City this year, and it's disappointing that the approach that's been taken is just to further delay the one little bit of progressivity in the wage tax. Thank you.

Council President Verna

Councilman Goode, your light's on. Did you want to be recognized?

Councilman Goode

Thank you, Madam President. Mr. Shapiro, were you just offering testimony related to the amendment to Bill No. 080022?

Mr. Shapiro

I'm offering 127 5/14/08 - WHOLE - BILL 080022 testimony on, it turns out, I guess, a different bill, but it's --

Councilman Goode

Were you offering testimony related to the amendment to Bill No. 080022?

Mr. Shapiro

I don't have that bill in front of me. So, frankly, I came up because --

Councilman Goode

It's a question of whether you were offering testimony on the amendment. Yes or no?

Mr. Shapiro

Yes, I'm offering testimony on that bill as well as on Bill No. --

Councilman Goode

The question was not whether you were offering testimony on the bill but whether you were offering testimony on the amendment.

Councilman Goode

And so your testimony related to the amendment suggested we were not slowing the gross-receipts cuts around the time 128 5/14/08 - WHOLE - BILL 080022 that the Cohen wage-tax credit would be implemented, and that's simply not true.

Mr. Shapiro

I didn't -- I did not -- I did not say that.

Councilman Goode

You absolutely --

Mr. Shapiro

What I -- well, if I said it, I'll be happy to correct what I said.

Councilman Goode

What you suggested we do is slow the business- privilege tax cuts around the time of the implementation date for the Cohen wage-tax credit, and you suggested that we did not do that and use it as an alternative, and we absolutely did.

Mr. Shapiro

What I -- can I make the point that I would like to make, or -- (Indiscernible; parties talking over each other.)

Councilman Goode

If you actually read the amendment before you 129 5/14/08 - WHOLE - BILL 080022 testified on the amendment, you would know that.

Mr. Shapiro

Councilman, can I make the point that I'd like to make?

Councilman Goode

I'm just asking whether you're testifying on the amendment or not.

Mr. Shapiro

I said I am testifying on that, and I'd like to make -- you pointed out a possible error in my testimony, and I'd like to clarify my testimony.

Councilman Goode

Go ahead.

Mr. Shapiro

Thank you. I believe that if the stretching-out of the reduction in the business-privilege tax is insufficient to produce enough revenue to cover maintaining the Cohen tax rebate in the year 2013, then that reduction should be further slowed. I see that it has been slowed, and I'm saying that apparently --

Councilman Goode

Did you know 130 5/14/08 - WHOLE - BILL 080022 how much additional revenue has come from the sloping of the BPT bill?

Mr. Shapiro

I do not --

Councilman Goode

Okay.

Mr. Shapiro

-- because I just learned of this whole matter yesterday.

Councilman Goode

I don't know what you're testifying to then, if it's about $78 million.

Mr. Shapiro

Well, I'm giving my testimony, and I understand your point of view.

Councilman Goode

Okay, thank you.

Council President Verna

Miss Cohen?

Ms. Cohen

Yes, thank you. Thank you, Council President.

Council President Verna

You're welcome.

Ms. Cohen

I just want to add my comments that -- my comments do pertain more to --

Council President Verna

131 5/14/08 - WHOLE - BILL 080022 Please identify yourself for the record.

Ms. Cohen

Okay, I'm sorry. For the record, my name is Sherry Cohen. And my testimony pertains more so to Bill No. 080161, just that on the issue of the delay of the Cohen wage-tax credit bill, we certainly appreciate the efforts of all City Councilpeople here in stopping the repeal of this bill. But at the same time, in 2006, we had been told, when many people here voted to delay the bill, that it would not be delayed again. And so, here we are two years later, and the bill has been delayed again. So, again, we have no reason to believe that it may not be delayed again in the future. So I recall us saying in 2006 that a delay of the bill is tantamount to a denial of it, and that remains 132 5/14/08 - WHOLE - BILL 080022 our concern.

Council President Verna

Sherry, I will you very honestly that this is the first time that we have a commitment from the Administration that this will be implemented. We never had that before.

Ms. Cohen

Okay. Well --

Council President Verna

So I feel very confident that the Mayor has absolutely given his word, and I'm willing to go by what the Mayor is saying.

Ms. Cohen

Okay. Well, we're very happy to hear that and look forward to --

Council President Verna

But you will agree with me that there was never, never an agreement of implementation; we now have that, and I think that's very important. I mean, we could hold it back, we could not hold it back, and it wouldn't mean a thing; it would just 133 5/14/08 - WHOLE - BILL 080022 be on paper. But now we have a true commitment.

Ms. Cohen

Okay. Thank you. I'm very happy to hear that.

Council President Verna

You're welcome. Please identify yourself for the record and proceed with your testimony. MISS SCOTT: My name is Kathy Scott. I'm President of AFSCME District Council 47. And, President Verna, I'm very glad to hear the statement that you just made, because one of the reasons I was here, it was because of this constant pushing back that --

Council President Verna

We understand.

Mr. Nardone

That it becomes not real after a certain point.

Council President Verna

We understand. And I will tell you that several of my colleagues agonized over 134 5/14/08 - WHOLE - BILL 080022 this, and we thought that this was a wonderful, wonderful compromise, because it could have been eliminated completely. It was not only not eliminated; it was just set back for one year, with a commitment that it would be implemented. So I think, Stan, it's a real victory, believe me.

Mr. Shapiro

Well, we're counting on -- we hear you, and we're expecting and hoping that that will happen. And when that does happen, then absolutely it will be a victory. We appreciate that. We appreciate your work on that.

Council President Verna

I think that if we weren't comfortable with that, I think there would be a man down here testifying along your side. You know who I mean.

Mr. Shapiro

Okay. Thank you.

Council President Verna

Okay. Any other witnesses? 135 5/14/08 - WHOLE - BILL 080022 (No response.)

Council President Verna

Do we have anyone else here to testify on any of the bills that are before us? (No response.)

Council President Verna

Okay. This concludes our public hearing. We will now go into our public meeting. * * * 136 5/14/08 COMMITTEE OF THE WHOLE PUB. MEETING

Council President Verna

And the Chair recognizes Councilman Goode regarding Bill No. 080022.

Councilman Goode

Thank you, Madam President. An amendment to Bill No. 8 080022 has been circulated. To reiterate, the amendment changes a schedule. The legislation and the gross-receipts portion of business-privilege tax would be eliminated by the year 2017 rather than 2015, and then that portion would be reduced to 6 percent by the year 2016. And I move for the adoption of the amendment. (Motion seconded.)

Council President Verna

It has been moved and seconded that the amendment be adopted. All those in favor will say aye. Those opposed? 137 5/14/08 COMMITTEE OF THE WHOLE PUB. MEETING The ayes have it, and the amendment is adopted. Again, the Chair recognizes Councilman Goode.

Councilman Goode

Thank you, Madam President. I move that Bill No. 080022, as amended, be reported out of committee with a favorable recommendation and that the rules of Council be suspended so as to permit first reading at our next Council session. (Motion seconded.)

Council President Verna

It has been moved and seconded that Bill 18 No. 080022 be reported out of committee with a favorable recommendation as amended, and further, that the rules of Council be suspended so as to permit first reading at our next session of Council. All in favor will say aye. Those opposed? 138 5/14/08 COMMITTEE OF THE WHOLE PUB. MEETING The ayes have it, and the motion carries. The Chair recognizes Councilwoman Tasco regarding Bill No. 6 080154.

Councilwoman Tasco

Madam President, I move that Bill 080154, as amended -- I move that we accept the amendment on 080154. (Motion seconded.)

Council President Verna

It has been moved and seconded that the amendment, as proposed by Mr. Dubow, on Bill No. 080154, be adopted. All in favor will say aye. Those opposed? The ayes have it, and amendment is adopted. And, again, the Chair recognizes Councilwoman Tasco.

Councilwoman Tasco

Madam President, I move that Bill No. 080154 be reported out of committee as amended with a favorable recommendation and 139 5/14/08 COMMITTEE OF THE WHOLE PUB. MEETING that the rules of Council be suspended so that this bill can be read at the next session of Council. (Motion seconded.)

Council President Verna

It has been moved and seconded that Bill 8 No. 080154 be reported out of committee with a favorable recommendation as amended, and further, that the rules of Council be suspended so as to permit first reading at our next session of Council. All in favor will say aye. Those opposed? The ayes have it, and the motion carries. Again, the Chair recognizes Councilwoman Tasco.

Councilwoman Tasco

Madam President, I move for the adoption of the amendment to Bill No. 080155. (Motion seconded.)

Council President Verna

It has been moved and seconded that the 140 5/14/08 COMMITTEE OF THE WHOLE PUB. MEETING amendment to Bill No. 080155 be adopted. All those in favor will say aye. Those opposed? The ayes have it, and the amendment is adopted. And, again, the Chair recognizes Councilwoman Tasco.

Councilwoman Tasco

I move that Bill No. 080155, as amended, be reported out of committee with a favorable recommendation and that the rules of Council be suspended so as to have a reading of this bill on the next session of Council. (Motion seconded.)

Council President Verna

It has been moved and seconded that Bill 21 No. 080155 be reported out of committee with a favorable recommendation as amended, and further, that the rules of Council be suspended so as to permit first reading at our next Council 141 5/14/08 COMMITTEE OF THE WHOLE PUB. MEETING session. All those in favor will say aye. Those opposed? The ayes have it, and the motion carries. Again, the Chair recognizes Councilwoman Tasco regarding Bill 10 080156.

Councilwoman Tasco

Madam President, I move for the adoption of the amendment of Bill 080156. (Motion seconded.)

Council President Verna

It has been moved and seconded that the amendment to Bill 080156 be adopted. All in favor will say aye. Those opposed? The ayes have it, and the amendment is adopted. And the Chair recognizes Councilwoman Tasco again.

Councilwoman Tasco

Madam President I move that Bill 080156, as 142 5/14/08 COMMITTEE OF THE WHOLE PUB. MEETING amended, be reported out of committee with a favorable recommendation and that the rules of Council be suspended so that this bill can be heard on the next calendar session. (Motion seconded.)

Council President Verna

It has been moved and seconded that Bill 10 080156 be reported out of committee with a favorable recommendation as amended, and further, that the rules of Council be suspended so as to permit first reading at our next session of Council. All in favor will say aye. Those opposed? The ayes have it, and the potion carries. The Chair recognizes Councilwoman Tasco regarding Bill No. 22 080158.

Councilwoman Tasco

Madam President, I move that Bill 080158 be reported out of committee with a 143 5/14/08 COMMITTEE OF THE WHOLE PUB. MEETING favorable recommendation and that the rules of Council of Council be suspended so that this bill can have a first reading at the next session of Council.

Council President Verna

It has been moved and seconded that Bill 9 No. 080158 be reported out of committee with a favorable recommendation, and further, that the rules of Council be suspended so as to permit first reading at our next session of Council. All those in favor will say aye. Those opposed? The ayes have it, and the motion carries. The Chair again recognizes Councilwoman Tasco regarding Bill No. 21 080159.

Councilwoman Tasco

Madam President, I move that Bill 080159 be reported out of committee with a favorable recommendation and that the 144 5/14/08 COMMITTEE OF THE WHOLE PUB. MEETING rules of Council be suspended so as to have this bill read at the next session of Council. (Motion seconded.)

Council President Verna

It has been moved and seconded that Bill 8 No. 080159 be reported out of committee with a favorable recommendation, and further, that the rules of Council be suspended so as to permit first reading at our next session of Council. All those in favor will say aye. Those opposed? The ayes have it, and the motion carries. The Chair recognizes Councilwoman Tasco regarding Bill No. 20 080160.

Councilwoman Tasco

Madam President, I move that Bill No. 080160 be reported out of committee with a favorable recommendation and a recommendation that the rules be 145 5/14/08 COMMITTEE OF THE WHOLE PUB. MEETING suspended so that this bill can have a first reading at the next Council session. (Motion seconded.)

Council President Verna

It has been moved and seconded that Bill 8 No. 080160 be reported out of committee with a favorable recommendation, and further, that the rules of Council be suspended so as to permit first reading at our next session of Council. All those in favor will say aye. Those opposed? The ayes have it and the motion carries. We will now consider Bill No. 19 080161, and the Chair recognizes Councilwoman Tasco.

Councilwoman Tasco

Madam President, I move for the adoption of the amendment to Bill No. 080161. (Motion seconded.)

Council President Verna

It 146 5/14/08 COMMITTEE OF THE WHOLE PUB. MEETING has been moved and seconded that the amendment proposed to Bill No. 080161 be adopted. All those in favor will say aye. Those opposed? The ayes have it, and the amendment is adopted. The Chair recognizes Councilwoman Tasco.

Councilwoman Tasco

Madam President, I move that Bill No. 080161, as amended, be reported out of committee with a favorable recommendation and that the rules of Council be suspended so that this bill 18 can have a first reading at the next session of Council. (Motion seconded.)

Council President Verna

It has been moved and seconded that Bill 23 No. 080161 be reported out of committee with a favorable recommendation as amended, and further, that the rules of 147 5/14/08 COMMITTEE OF THE WHOLE PUB. MEETING Council be suspended so as to permit first reading at our next session of Council. All those in favor will say aye. Those opposed? The ayes have it, and the motion carries. MR. McPHERSON: Councilman Goode voted no. 12

Council President Verna

Oh, I'm sorry.

Councilman Goode

Nay.

Council President Verna

Okay. The record will indicate that Councilman Goode vote nay. Sorry. I didn't hear you. We will now consider Bill No. 20 080168.

Councilwoman Tasco

Madam President, I move that Bill No. 080168 be reported out of committee with a favorable recommendation and that the rules of Council be suspended so that 148 5/14/08 COMMITTEE OF THE WHOLE PUB. MEETING this bill can have first reading at the next session of Council. (Motion seconded.)

Council President Verna

It has been moved and seconded that Bill 7 No. 080168 be reported out of committee with a favorable recommendation, and further, that the rules of Council be suspended so as to permit first reading at our next Council session. All those in favor will say aye. Those opposed? The ayes have it, and the motion is adopted. We will now consider Resolution No. 080173. Again, the Chair recognizes Councilwoman Tasco.

Councilwoman Tasco

Madam President, I move that Resolution No. 22 --

Council President Verna

There's an amendment.

Councilwoman Tasco

Oh, that 149 5/14/08 COMMITTEE OF THE WHOLE PUB. MEETING we adopt the amendment to Resolution 3 080173. (Motion seconded.)

Council President Verna

It has been moved and seconded that the amendments be adopted regarding Resolution No. 080173. All in favor will say aye. Those opposed? The ayes have it, and the amendment is adopted. And, again, the Chair recognizes Councilwoman Tasco.

Councilwoman Tasco

Madam President, I move that Resolution 17 080173, as amended, be reported out of committee with a favorable recommendation and that the rules of Council be suspended --

Council President Verna

No 22 suspension. It's a resolution.

Councilwoman Tasco

Okay. (Motion seconded.)

Council President Verna

It 150 5/14/08 COMMITTEE OF THE WHOLE PUB. MEETING has been moved and seconded that Resolution No. 080173 be reported out of committee with a favorable recommendation, as amended. All those in favor will say aye. Those opposed? The ayes have it. And the record will indicate that Bill No. 080157 is being held. That concludes our public session meeting. What can I say. Thank you all very much. I think we've done a great job. Don't pat us on the back, but we've done a great job. (Proceedings end at 12:35 p.m.) * * * 151 C E R T I F I C A T E I HEREBY CERTIFY that the proceedings of the City of Philadelphia Council Committee of the Whole are contained fully and accurately in the stenographic notes taken by me on Wednesday, May 14, 2008, and that this is a true and correct statement of same. __________________________________ JOSEPHINE CARDILLO Registered Professional Reporter (The foregoing certification of this transcript does not apply to any reproduction of the same by any means, unless under the direct control and/or supervision of the certifying reporter.)