San Francisco Chronicle - Tuesday, November 25, 1997 - Page A18
Carla Marinucci, Chronicle Staff Writer
"If you get city money, you need to play by the same rules," said Ammiano, who held a City Hall press conference and was joined by Supervisor Leslie Katz in demanding a hearing on the matter at yesterday's meeting of the Board of Supervisors. "We have to provide for due process of clients of nonprofits."
The city's open meeting law, also known as the Sunshine Ordinance, requires public access to all meetings of any policy group, committee, or advisory group of city government, and also requires that all documentation and information regarding the group be accessible to the public. Presently, those rules do not apply to nonprofits that receive city funds -- but Ammiano suggested that it may be time to change that.
The proposal was prompted by allegations that some AIDS patients have been turned away by nonprofit AIDS health organizations without proper explanation -- and sometimes due to political motivations, according to Jeff Sheehy of the Harvey Milk Lesbian/Gay/Bisexual Democratic Club.
"Nonprofits that provide health care on behalf of the city are wearing the city hat, and provide essential services that people need to live," said Sheehy, who accused the San Francisco AIDS Foundation, Shanti and the San Francisco AIDS health clinic of unfairly terminating clients from AIDS treatment. "They ought to have to follow the same process of the city."
But the accusations were swiftly and vehemently denied by representatives of nonprofits, who said Ammiano's proposal would divert both crucial funding and attention away from their first mission -- saving lives.
"The purpose of the foundation is very clear and sweeping -- to end the HIV epidemic and human suffering," said Pat Christen, executive director of the San Francisco AIDS Foundation. "I do not believe lengthy discussions around the sunshine ordinance will further that mission."
While public and private institutions must work in partnership, forcing nonprofit groups "to mimic the government" would reduce their ability to respond swiftly to events, Christen said.
She also said the proposal would force the agencies to take fewer risks in dealing with the public health crisis, and require them to divert funding to deal with bureaucratic responses instead of care. "That would be literally deadly," she said.
But Ammiano said his proposal would not entail spending more money on bureaucracy. "It doesn't mean an increase in bureaucracy. It means an increase in accountability." Bob Rybicki, executive director of Shanti, said his organization is already taking steps to be responsive to public needs. "Our board meetings are open, and we love to have public participation," said Rybicki. Shanti held a town hall meeting last night in the Castro district -- one of three recent forums in city neighborhoods designed to increase public input into Shanti's policies and procedures, he said.
Both organizations said they rarely deny care and only terminate clients in the rarest of circumstances, and that there are well-organized grievance procedures in place to deal with those measures when they occur.
Several AIDS activists joined Ammiano yesterday in calling for the move, saying they hope to start with the estimated 85 nonprofit agencies that deal with AIDS and HIV services.
"I want them to be accountable," said Peggy Taylor Campbell, a single mother with AIDS who said she unsuccessfully tried to get care at the San Francisco AIDS Foundation. "I want to know exactly what I can expect."
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