►
Description
Docket #0918- Re: Health Care Provider Parking Permits in the City of Boston
A
Good
afternoon,
everybody
welcome
to
the
I
almost
said:
Christian
ala
jami'a,
but
we
are
in
the
full
monty
room
today,
as
the
Iowa
Chamber
is
being
reconstructed
to
be
completely
accessible
to
all.
This
is
the
Committee
on
City
neighborhood
services
and
Veterans
Affairs.
My
name
is
Tim
okati
I'm,
the
district
5
City
Council
in
the
chair
of
this
committee.
This
is
a
hearing
for
docket
number,
zero,
nine
one,
eight
in
order
for
hearing
and
regarding
the
health
care
provider
parking
permits
in
the
City
of
Austin.
A
This
matter
was
sponsored
by
my
colleague
counsel
Zakim
to
my
right,
and
it
was
referred
to
committee
on
June
21st,
2017
I'm,
also
joined
by
my
colleague
city
council,
Salomon,
Tina
and
city
councilor,
Michael
Flaherty.
We
are
also
joined
by
Commissioner
fee
and
akka
from
the
Boston
Transportation
Department
Commissioner
makak
from
the
disability,
Commission
and
Commissioner
Shea
and
the
Boston
elderly
Commission.
So
at
this
time,
I'd
like
to
turn
it
over
to
the
sponsor
and
my
colleague
councillors
Aiken.
B
Thank
You
mr.
chairman
I,
want
to
thank
my
colleagues
and
councillor
Flaherty,
who
is
also
a
co-sponsor
of
this
order
and
the
commissioners
for
being
here
today.
This
is
an
issue
that
you
know
is
really
just
bubbled
up
through
constituent
inquiries
to
my
office
and
to
me
personally
over
the
past
few
months,
and
particularly
in
light
of
the
increased
parking
meter
fees
in
Back
Bay
in
district
8,
where
I
also
represent.
B
This
has
become
an
increasing
issue
for
seniors
for
folks
who
obviously
rely
on
home
care
attendants
and
there's
really
not
they're
sort
of
lost
where
to
go.
So
we
want
to
convene
this
hearing
to
talk
to
the
relevant
departments,
obviously
hear
from
the
public
from
folks
who
are
working
in
this
space
about
what's
needed
and
what
we
can
do,
whether
that's
an
administrative
change,
whether
that's
legislation
from
this
body
or
whether
it's
about
getting
information
out
there,
as
is
often
the
case
about
existing
alternatives,
but
I,
do
think.
B
It's
incredibly
important
that
as
we
as
this
council
and
the
Walter
administration
embrace
and
put
forth
so
many
policies
trying
to
make
it
easier
for
folks
to
stay
in
their
homes
to
age
in
place
to
stay
in
our
neighborhoods.
We
have
to
be
looking
at
this
holistically.
It's
not
just
I
think
about
access
to
health
care,
which
obviously
Boston
was
a
great
place
for
that.
B
But
it's
about
some
of
the
smaller
things
that
we
may
not
always
be
thinking
about
the
impacts
day
to
day
where
the
balance
of
preserving
parking
for
residents,
but
also
making
sure
those
same
residents
are
able
to
get
the
care
they
need
every
day
and
from
home
health
care.
Workers
who
you
know
are
certainly
not
compensated
at
an
acceptable
level.
That's
a
whole
other
discussion,
but
we
should
not
be
putting
a
further
burden
on
them
through
parking,
fines
and
paying
for
private
parking,
etc,
etc.
B
It's
just
untenable,
so
I'm
really
here
to
learn
I'm
here,
to
explore
new
ideas,
obviously
for
my
colleagues
from
the
commissioners
here
and
from
anyone
who
has
a
view
on
this
and
I
think
it's
important
that
we
continue
moving
forward
and
taking
this
holistic
approach.
So
Thank
You
mr.
chairman,
for
arranging
this
and
I
want
to
thank
my
co-sponsor
accounts
of
Flaherty
as
well
for
his
partnership.
C
Clarity,
Thank
You
mr.
chairman
I'd,
like
to
take
this
opportunity
to
thank
our
colleague
city
councilor,
our
cecum,
for
taking
the
lead
and
for
including
me
as
well
as
you,
mr.
chair
for
taking
the
time
to
host
this
hearing,
as
well
as
our
three
commissioners
from
the
disability,
commission,
transportation
and
elderly
Affairs.
C
That's
that's
reasonable
and
compassionate
that
will
exonerate
the
individual
that
has
the
ticket
or
a
series
of
tickets,
because
you're
staying
with
the
loved
one,
who's
dying
or
you're,
taking
care
of
something.
So
with
that
said,
I
would
rather
hear
from
the
professionals
they
know
better
than
anybody,
so
Thank
You.
Mr.
chairman,
thank.
D
You
cheering
oh,
very
brief,
Oh
first
of
all,
I
commend,
not
council
is
a
given
program
for
this
resolution
is
long
overdue
and
so
happy
that
we
have
the
three
commissioners
here,
because,
particularly
in
the
neighborhood,
as
I
hear
a
lot
about
the
health
care
workers
who
get
tickets,
but
also
from
our
seniors,
and
when
we
put
up
president
pocket,
we
receive
a
lot
of
complaints.
Well
now
they
can't
have
the
kids
come
over
and
take
care
of
their
parents.
D
I
also
know
that
it
could
also
be
abuse
with
this,
particularly
people
get
in
the
packets
so
that
it
will
work.
So
I
think
that
we
really
should
look
at
this.
Maybe
they
would
have
to
get
a
dot.
This
note
in
age
they
have
to
like
eight
years
old
or
older,
those
visitor
passes
or
something
because
I
know
that
particularly
the
neighborhoods
that
I
represented
near
the
tea
line
that
there's
big
abuse,
but
the
health
care
work
is.
We
definitely
need
something.
A
So
at
the
end
it
says,
for
these
reasons,
we
strongly
support
health
care
provider,
parking
permits
for
workers
delivering
services
across
the
city,
including
personal
care,
attendants
working
through
MassHealth
program
and
agency
health
care
workers.
We
think
councils
a
command
council
flurry
for
bringing
this
issue
forward
in
the
entire
committee
for
taking
this
under
serious
consideration.
A
E
Thank
You
councillor
I
councillor
McCarthy
councillors.
They
come
other
councillors.
I
want
to
thank
you
all
and
think
councillors.
They
come
for
bringing
this
important
issue
before
the
council
today
on
behalf
of
Commissioner
fee
and
daca
and
Commissioner
Micajah
really
appreciate
the
opportunity
to
talk
about
this
issue.
As
you
know,
older
adults
are
Boston's
fastest-growing
age
group.
Eighty
eight
thousand
people
over
60
resided
in
Boston
in
2010
and
UMass
s.
Umass
estimates
that
today
we
have
close
to
103
thousand
people
over
60
and
by
2030,
we'll
have
close
to
one
hundred
and
thirty
thousand.
E
So
under
mayor
Walsh
were
building
an
age-friendly
Boston
working
to
make
Boston
the
best
place
to
live
in
two
H
part
of
Aging
well,
and
living
well
is
having
access
to
supports
that.
Allow
us
to
age
with
dignity,
including
the
essential
assistance.
Our
dedicated
home
health
workers
provide
to
seniors
assistance
with
personal
care
medications,
meal,
prep
and
other
important
home
supports
in
my
office.
We
hear
often
from
older
adults
who
are
having
trouble
accessing
the
care
they
need
due
to
parking
for
both
paid
and
unpaid
caregivers
so
similar
to
all
of
you
but
I
understand.
E
This
problem
doesn't
have
a
simple
solution:
I
live
in
Boston
and
I
know
the
challenges
that
come
with
resident
parking
for
all
residents
of
our
city.
I
think
we
need
to
think
creatively
together,
look
at
best
practices
from
other
cities
and
create
recommendations
that
fit
our
city
and
our
residents
needs.
As
the
elderly
Commission.
E
We
stand
ready
to
work
with
our
City
Hall
partners,
Commissioner
Murphy
and
docket,
and
the
Transportation
Department
commissioner
mccoshen
disabilities
Commission
you
on
the
City
Council
and
also
our
community
partners,
important
partners
in
this
effort,
so
the
Home
Care
Alliance
home
care,
aide
council,
Boston
Center
for
Independent
Living
are
a
facts,
ethos,
central
Boston
elder
services
in
Boston
senior,
home
care
and
others
to
find
a
solution
to
this
challenging
problem
to
make
Boston
a
truly
age-friendly
City.
We
need
to
address
parking
for
caregivers.
F
You
consultation
for
filing
this
important
order
and
councillor
McCarthy
for
convening
this
group.
The
Transportation
Department
works
closely
with
commissioner
macaws,
as
well
as
Commissioner
Shea
and
their
offices
in
identifying
what
the
needs
are
for
these
particular
populations.
We
know
that,
as
we
address
the
needs
of
parking
for
our
residents,
that
also
creates
a
dilemma
for
some
of
their
caregivers
and
we
understand
how
critically
important
it
is
that
we
provide
the
support
mechanisms
that
allow
people
to
remain
in
their
homes.
F
So
we
look
forward
to
continuing
the
conversation
with
Commissioner,
Shea
and
Commissioner
Micajah,
and
identifying
solutions
to
this
issue
convening
a
working
group
that
can
really
help
us
delve
into
exactly
whose
best
to
determine
the
needs
of
this
group
and
how
such
permits
or
placards
would
be
distributed
and
maintained
in
a
fair
and
equitable
manner.
So
that
we're
really
responding
to
the
needs
of
our
residents.
G
Thank
You
councillor
McCarthy
and
other
members
of
the
City
Council
for
having
me
testify
today.
My
office
works
a
lot
on
parking.
We
run
the
accessible
parking
program
for
the
city
and
a
majority
of
our
staff
time
is
spent
on
parking
issues,
so
we
know
the
challenges.
That
being
said,
we
also
spend
a
lot
of
time
listening
to
community
members.
Our
focus
is
mainly
on
people
with
disabilities,
younger
people,
as
well
as
older
people,
and
one
thing
that
we've
heard
from
them
for
a
long
time
is
parking
for
caregivers.
G
So
about
five
years
ago,
we
implemented
a
small
pilot
program
which
gives
a
placard
to
a
resident
who
has
a
severe
disability
and
the
requirements
for
this
program
that
the
disability
is
so
severe
that
the
person
needs
they
care
to
remain
in
the
home
and
not
be
institutionalized.
So
it's
a
very
small
group
of
people
that
we've
issued
placards
to
about.
Maybe
eight
people
at
the
most
we've
only
had
about
20
applications
and
what
this
program
does
is.
G
It
gives
a
person
with
a
disability,
a
placard
that
they
can
give
to
their
caregivers
to
park
in
resident
only
spaces,
and
they
actually
put
the
parking
license-plate
numbers
on
the
permit.
So
they're
allowed
up
to
two
license-plate
numbers
on
the
permit.
We
working
only
with
personal
care
attendants
and
not
other
home
care,
givers
and
not
family
members,
and
the
reason
we
did
that
was
basically
because
we
have
an
existing
relationship
with
bcal
who
oversees
the
PCAs,
and
we
have
a
very
small
staff
capacity.
So
it's
been
a
very
successful
program.
G
The
big
challenges
that
we
see
are
regulating
family
members
working
with
home
health
agencies.
It's
a
vast
pool
of
people
who
provide
care.
So
we
really
need
to
look
at
how
we
manage
the
program,
how
we
oversee
it
and
how
we
support
the
most
number
of
people,
while
preventing
abuse
by
people
who
are
going
to
use
the
placards
just
to
park
in
the
neighborhood.
A
B
You,
mr.
chairman,
thank
you
all
three
for
for
your
comments
and
for
relating
your
experiences
already
in
this
area.
I
guess,
there's
a
couple
approaches
I
mean
it
seems,
like
you
know,
a
placard
or
something
similar.
You
know
we
have
our
resident
permit
parking
program,
something
along
those
lines,
or
perhaps
this
occurs
to
me.
Given
the
potential
for
abuse
with
placards
which
I
know,
councillor
Flaherty
is
something
that
he's
focused
on
over
the
years,
and
perhaps
this
is
for
you,
commissioner,
free
andhaka.
B
What
about
just
providing
and
maybe
working
with
the
two
other
agencies
of
a
standard
of
documentation
that
could
get
a
ticket
cancelled
after
the
fact
I
think
that
probably
lends
itself
it
would
be
less
likely
for
abuse,
and
but
someone
could
submit
documentation.
You
know
within
the
three
weeks
after
getting
in
the
ticket
would
be
void.
Is
that
something
that
we
have
the
technical
capacity
for?
Do
you
see
issues
with
that?
We.
F
Do
work
with
some
of
our
partner
agencies
with
the
Visiting
Nurse
Association
and
through
our
enforcement
division.
Irene
Landry
is
is
terrific
and
we
know
that
there
are
occasionally
extreme
hardship
cases,
so
we
work
with
our
residents
and
their
family
members
to
show
them
some
consideration,
particularly
when
we
know
that
that
it's
a
short-term
event.
B
I
know
your
staff
has
often
been
very
helpful
in
those
situations,
but
I
think
if
there
was
a
way
we
could
set
up.
You
know
if
you
can
provide
XYZ
documentation
as
you're
employed
as
a
home
health
care
worker
and
then
the
resident
you
know
who
you're
seeing
as
well.
It's
a
doctor's
note
or
something
I'll
leave
that
to
the
experts
say
what
what
the
standard
should
be
and
just
as
a
matter
of
course
it
would
almost
be
like
what
happens
if
someone
has
a
resident
sticker
and
occasionally
they
still
get
a
ticket.
B
B
You
and
I
guess
now.
I
also
want
to
make
sure
in
this
discussion
that
we're
looking
at
two.
There
are
two
different
aspects
as
I
think
that
are
coming
up.
There's.
Obviously,
the
family
members
who
want
to
visit
whether
they're
someone
who's
sick
temporarily
or
someone
who's,
disabled
or
someone
who
is
you
know
in
their
final
time
and
I
think
that's
obviously
something
really
important
that
we
want
to
support.
B
But
it
is
also
going
to
be
much
more
challenging,
I
think
from
a
regulatory
standpoint
and
from
making
sure
that
that
is
not
abused
and
I
want
to
make
sure
we're
just
keeping
both
tracks
open
I
want
it.
I
want
to
solve
both
these
problems,
but
I
think
also,
you
know
from
a
regulatory
standpoint.
It
can
be
much
easier
to
regulate
a
home
health
care
worker
visiting
a
resident
on
an
ongoing
basis
versus
someone
who's
experiencing
a
temporary
sickness
or,
or
you
know,
on
their
way.
You
know
in
their
final
days
is
I.
Think
important.
B
C
C
G
C
G
To
the
resident,
so
the
resident
holds
it
and
when
their
health
care
worker
comes
in
first
shift,
they
take
the
placard
and
put
it
in
their
vehicle
and
again
I
said
there
were
only
two
license
plates
allowed
per
person,
so
they
go
license.
Plate
numbers
go
right
on
the
placard
and
I
have
a
sample.
If
you'd
like
to
see
it
I
can
it's.
C
Very
sad
and
then
because
we
had,
we
spoke
a
little
bit
about
the
pilot
program,
really
because
it
was
the
first
I
was
saving
of
it,
but
and
then
to
manage
that
sort
of
the
20
applications.
From
a
staffing
perspective.
If
you
were
to
expand
the
pilot
program
as
a
potential
opportunity
to
kind
of
look
at
a
couple,
different
potential
scenarios
would
that
in
terms
with
that
texture,
Department
we're
going
to
get
you
some
additional.
G
Oh
I
think
we'd
have
to
build
it
into
our
work
plan
for
the
year
and
again
it
would
depend
on
the
scope
of
the
program.
One
thing:
that's
different
between
people
with
disabilities
and
potentially
different
with
elderly
people
is
people
with
chronic
disabilities.
One
person
on
a
program
is
a
teenage
girl,
and
so
she
could
potentially
have
home
care
for
many
many
years
as
opposed
to
hospice
care,
which
is
very
usually
pretty
short
term.
So
it's
balancing.
G
We
do
a
yearly
renewal,
so
I
think
that
would
be
critical
to
make
sure
people
still
need
the
program
and
they're
still
using
it,
and
we
also
have
the
PCA
sign
in
agreement.
The
homecare
workers
sign
an
agreement
that
gluts
state
in
our
office
that,
if
they
violate
this
in
any
way
or
the
resident,
violates
it
that
the
plaque
out
will
be
removed.
Okay,.
C
And
then
Commissioner
pin
diagram
when
you
drive
around
the
city,
sometimes
you
see
like
reserve,
but
like
Consul,
General
or
reserve
for
like
MBTA
vehicles
like
how
does
that
program
work
by
which,
like
we
have
a
parking
space
in
the
Navy
and
city,
mostly
terminals
out
there
in
the
downtown,
but
it's
I
guess
pseudo
reserved
for
consul
generals
office
MBTA
I
can
go
through
the
list
of
it
and
then
whether
or
not
that
program
whatever
that
program
is,
if
that
could
be
expanded
to
include
maybe
help
home
health
care
workers.
Well.
F
F
They
don't
open
in
terms
of
parking
for
other
agencies.
You
might
see
parking
for
to
the
general
court
around
the
MBTA
data
processing
facility.
There
are
parking
spaces
there,
so
areas
where
some
individuals
may
need
to
have
access
to
the
facility
on
sort
of
an
emergency
basis.
Sometimes
we
do
allow
parking
spaces
there.
You
know.
F
Certainly
we
understand
that
providing
access
to
resident
parking
spaces
in
our
neighborhoods
for
home
care
providers,
whether
they're
providing
services
to
elderly
residents
or
disabled
residents-
or
you
know
it
just
general
homecare
health-
is
something
that
we
hear
all
the
time
as
well.
We
know
that
there
are
only
so
many
parking
spaces
to
go
around
in
the
city,
and
you
know,
as
it
was
indicated
by
councillor
Zakim
SEIU
as
56,000
homecare
workers
in
the
city.
F
We
want
to
make
sure
that
we
craft
a
program
that
really
addresses
the
needs
of
our
residents
and
provides
access
to
to
services
and
support
that
they
need
in
their
homes
without
diluting
the
program
as
well,
so
certainly
getting
the
expertise
from
councillor
Commissioner
Shea
and
from
Commissioner
Prakash
and
our
community
partners,
and
you
as
well
will
help
both
us
to
identify
exactly
what
the
criteria
needs
to
be,
so
that
we
can
implement
a
fair
and
equitable
program.
That
really
does
work
for
our
residents
and.
C
Then,
like
an
immediate
situation,
so
they
look
up
at
the
sign.
They
see
Consul
General,
they
say
reserved
for
the
MBTA,
but
in
the
situation
with
a
pilot
program
but
Christams
explain
it.
Media
maids
would
issue
the
ticket,
but
then
the
ticket
would
be
exonerated
because
that,
because
it's
in
the
pilot
program
or
like
what
would
what
would
the
signal
be
to
the
meter
maid
to
not
do
the
ticket
as
a
plaque
out
on
the
windshield?
Is
it
well.
F
We
could
have
a
placard
that
is
a
visible
indicator
to
the
enforcement
officer.
We
could
also
take
advantage
of
some
of
the
technology
and
our
handheld
applications
to
create
a
database
of
placards
and
permit
holders
so
that
it
would
be
similar
to
the
resident
permit
database
where
sometimes
the
permit
is
obscured
on
the
vehicle
for
whatever
reason,
but
when
the
license
plate
is
entered
into
the
handheld
there's
an
indicator.
A
visual
indicator
to
the
enforcement
officer
that
this
vehicle
does
in
fact
have
a
permit
for
that
location
and.
G
Have
we've
had
people
who've
received
tickets
and
my
staff's
usually
just
calls
the
parking
clerk
and
they
resolve
it.
But
what
we
do
now
is
we
update
the
parking
clerk's
office
on
a
monthly
basis
with
the
people
who
are
in
the
program
and
the
license-plate
numbers,
so
they
typically
know
which
license-plate
numbers
a
valid
and
they'll
read
the
plaque
out
in
the
windshield.
So
usually
they
don't
get
issued.
Tickets
and
I
should
also
add
to
that.
This
program
only
gives
the
homecare
worker
license
to
park
in
a
certain
neighborhood.
G
C
A
We
have
to
figure
out
how
we
can
track
people
so,
for
instance,
my
dad
got
his
knee
replaced.
He
had
a
homecare
person
coming
in
doing
PT.
You
know
four
times
a
week
for
a
couple
of
four
or
five
weeks.
We
have
street
parking,
so
it
didn't
matter
to
him,
but
I
could
see.
That
would
be
an
issue
so
that
would
go
through
his
health
insurance.
Is
there
a
way
operationally
that
we
can
track
PT
appointments
like,
for
instance,
a
Good
Shepherd
is
a
hospice
care.
We
unfortunately
had
to
use
them.
A
Last
year
again
we
have
street
parking,
but
the
people
who
were
coming
in
and
taking
care
of
my
mother-in-law
if
they
were.
If
we
were
in
the
north
end,
it
would've
been
problematic
for
them.
No
doubt
about
it.
Can
we
work
with
other
organizations
to
track
when
and
where
and
what
people,
because
they
have
an
appointment
schedule
as
well?
One.
G
Thing
that
we
do
on
the
applications
of
the
pilot
program,
we
have
the
resident
check
off
what
days
and
hours
they
receive
services.
So
we
have
a
check
boxes
Monday
through
Sunday
and
hours.
We
do
it
from
like
7:00
a.m.
to
noon,
noon
to
5
p.m.
and
24
hour
care.
Also
I
think
it
may
be
very
labor
intensive
to
actually
get
specific
schedules
from
people,
but
if
we
have
the
general,
if
they
attest
to
on
the
application
that
they
use
them
for
those
certain
hours,
that's
worked
well
for
the
pilot
program.
Ok,
so.
A
When
I'm,
what
I'm
envisioning
and
this
could
be
way
off
and
as
we
get
into
a
working
session
and
continue
on
with
it,
one
of
the
thoughts
that
I
would
had
as
I
was
prepping
for
this
meeting
was
if
residents
of
the
city
of
Boston
knew
about
an
application.
So,
for
instance,
I
have
somebody
in
my
house
my
dad
got
his
knee
replaced.
He
needs
help
we're
in
the
north
end.
We
have
resident
parking,
we
understand
this
could
be
an
issue.
A
We
could
apply
online
and
get
a
form
that
says
you
know
from
from
BTD
that
it's
a
temporary
placard.
These
are
the
these
are
the
hours
we've
set.
The
schedule
for
four
weeks
or,
and
god
forbid,
hospice
care.
You
know,
as
Josh
said
it's
generally,
not
a
long
period
of
time.
When
it
comes
to
that
period.
A
Could
we
begin
to
think
about
creating
an
online
application
where
we're
going
to
need
hospice
care
wherein
a
resident
parking
area
we
can
apply,
we
can
have
the
documentation
from
Good,
Shepherd
or
whatever
hospice
care
is
needed
for
a
short
window
of
time.
Get
that
and
then
hand
that,
to
you
know
the
hospice
care
provider,
something
like
that
and
then
where
it
has
a
beginning
and
an
end,
we
all
have
a
beginning
and
an
end.
Obviously
that's
what
we're
talking
about
there,
but
that's
a
whole
nother
issue.
A
Would
that
be
like
a
possibility
of
a
quick
handle
where
they
can
print
it
at
home
and
say
you
know,
I'm,
just
envisioning,
like
one
of
the
council's
drama
team,
is
people
from
the
North
End
saying
you
know
my
grandmother's
passing
away.
We
have
we're
going
to
be
hostas
kid
in
three
or
four
days.
It
could
be
a
quick
turnaround
where
you
apply
you
put
in
whatever,
as
Josh
said,
you
know
like
X,
Y
Z.
These
are
things
you
need.
This
is
the
two-week
period
we're
just
this
bar
code
is
alive
in
the
north
end.
A
F
There
certainly
is
the
technology
there
to
manage
something
like
that
through
the
parking
clerk's
office.
I
see
a
couple
of
issues
here,
and
one
is
that
there
are
there's
a
population
of
residents
that
need
home
care
support
and
then
there's
the
population
of
supporters
that
work
in
the
city
and
need
access
to
a
variety
of
neighborhoods
at
different
times.
F
So
I
think
one
of
the
objectives
of
the
working
group
would
be
to
identify
how
we
best
meet
the
needs
of
our
residents
through
such
a
program,
as
you
indicated
counselor
that
the
resident
would
apply
for
this
parking
permit
and
provide
it
to
their
individual
provider.
And
then
there
are
the
agencies
that
we
work
with,
whether
they're
the
homecare
Alliance
or
some
of
the
other
agencies
that
have
employees
that
request
access
to
a
number
of
our
neighborhoods
at
different
times.
F
A
I
agree:
I.
Think
council
is
a
game
hit
on
the
head,
where
you,
you
have
the
professionals,
the
hospice
care
providers,
the
PT
providers,
and
then
you
also
have
the
family.
We
certainly
don't
want
it
to
be
a
professionals
versus
family
issue
on
this,
but
you
know
we'll
probably
get
a
couple
bites
of
this
Apple,
but
I
think
that
the
professionals
we
can
we
can
come
up
with
a
solution
quick
quickly
on
that
I
would
think
so,
as
we
move
forward
I'm
looking
forward
to
working
with
all
three
as
always
so
casa,
la
máquina,
no.
D
I'm,
just
going
to
be
brief,
I
think
that
a
working
session
could
have
I,
don't
think
this
is
like
a
scientist
I
think
if
it
rights
or
health
care
workers
and
their
work
in
in
the
neighborhoods,
we
should
be
able
to
accommodate
them
with
placards
a
lot
of
times
in
these
residential
neighborhoods
with
resident
parking.
A
lot
of
folks
leave
anyways
in
the
mornings.
It
won't
work.
So
there's
spaces
available
just
like
I,
said
a
little
concern
about
seniors,
because
I
know
that
some
seniors
do
need
care
from
their
family
members.
D
I
also
understand
that
and
I
know
the
fact
that
is
room
to
fry.
So
I
think
that
the
health
care
issue
is
very
easy
for
us
to
solve.
But
I
also
know
that
we
need
to
look
at
something
for
our
seniors,
because
I
hear
that,
like
every
time
we
need
to
implement
a
new
resident
parking
program
in
the
neighborhoods.
We
can
continue
to
call
and
commission
you've
been
very
well
work
with
us
in
sports
and
some
musicians,
and
so
we're
going
to
do
that
of
the
neighborhood
stuck
I
look
forward
to
working
session.
I
Thank
You
chairman
and
thank
you
Thank
You
counselors.
They
come
for
bringing
this
to
us
for
this
work.
I
do
have
a
question
I'm
and
it
sort
of
extends
the
issue
to
conversations
that
have
happened.
I
think
if
the
council,
maybe
informally
or
during
other
transportation
hearings,
and
that
is
about
the
itinerant
worker
in
our
schools,
faced
a
similar
problem.
I
Carrie
may
be
large
and
cumbersome
pieces
of
equipment
to
give
that
care
and
how
proximity
to
whatever
the
location,
whether
it's
a
school
or
a
home,
is
important
for
us
for
estimator,
so
I
sort
of
want
to
add
that
add
that
to
it,
and
also
wonder
we're
talking
a
lot
about
I,
think
sort
of
an
older
generation.
When
we
discussed
this,
when
I
had
my
kids
prematurely,
they
early
on
received
early
intervention
speech,
pathology
and
physical
therapy
and
ot
as
well,
and
those
caregivers
on
sort
of
the
other
spectrum
of
life
also
requires
some
assisted.
I
So
I
think
this
is
quite
a
it's
an
important
conversation
for
us
to
have
it's
an
economy
within
our
city
that
we
need
to
be
able
to
support
and
not
sort
of
penalize
people
for
going
about
their
daily
business.
So
just
want
to
sort
of
add
that
to
the
mix
and
and
wonder
if
there's
a
place
where
that
conversation
could
also
happen
and
whether
they're
sort
of
set
sort
of
the
parameters
or
the
guidelines
for
that
extended
conversation,
but
wouldn't
put
that
on
the
table.
I
am
curious
as
to
what
other
cities
are
doing.
E
We
were
able
to
take
a
look
at
some
of
the
cities
that
were
listed
in
the
document
you
provided
so
I,
Washington
DC
I
does
have,
does
have
health
care
providers
driver
registration,
so
today
they
do
have
a
permit
for
healthcare
providers.
They
require
a
driver,
registration,
a
DC,
license,
insurance,
proof
of
residency
for
the
person
needing
healthcare
and
a
statement
for
the
doctor,
Chicago
I.
This
is
not
just
for
healthcare
workers,
but
really
for
anybody.
E
E
San
Francisco
I,
the
health
care
provider
needs
a
California
license
a
yearly
letter
from
the
doctor,
proof
of
residency
for
the
person
needing
health
care
and
they
charge
120
dollars
for
the
pass
for
the
year
and
then
Austin
was
listed.
We
had
a
little
bit
of
a
challenge.
We
did
call
down
there,
but
they
didn't
know
anything
about
their
program.
So
but
it's
16
dollars,
whatever
their
program,
may
be.
A
A
J
Thank
You,
council,
council
members
and
commissioners
for
holding
this
hearing
on
this
issue
of
health
care
provider
parking
permits.
My
name
is
Sidney
Axelrod
I'm
here
today,
representing
the
home
care
aide
Council
established
in
1967.
The
council
is
a
non-profit
trade
association
that
has
been
advocating
for
over
50
years
for
home
care
aides
for
the
people
we're
talking
about
here.
Those
are
the
frontline
professional
caregivers
employed
by
home
care
agencies.
They
provide
our
seniors
and
individuals
with
disabilities,
the
direct
care
services
they
need
to
remain
safely
in
their
homes.
J
Home
care
needs
are
the
fastest-growing
occupation
in
our
nation
or
one
of
the
fastest-growing.
A
recent
study
of
the
Massachusetts
workforce
data
commissioned
by
state
auditor
Suzanne
Baum,
found
that
personal
care
aides
will
be
the
largest
single
source
of
new
job
creation
in
the
nation
between
2014
and
2020
for
home
health
aides,
our
so
combined.
They
will
account
for
one
out
of
every
12
new
jobs
created
in
the
United
States,
so
continuously
growing
workforce.
J
Here
the
council
is
very
eager
to
work
with
the
city
to
think
about
strategies
to
address
the
problem
of
access
to
parking
for
home
care.
Aides.
We've
worked
closely
with
elderly
commissioner
Emily
shame
on
a
number
of
issues.
Throughout
the
years
we've
discussed
this
issue
on
several
occasions
that
sort
of
keeps
coming
up
for
us.
Our
colleague,
Hanna
Gleason,
through
her
role
at
UMass
Boston
worked
with
commissioner
Shea
and
the
Commission
to
implement
those
Age
Friendly
listening
sessions
last
year
that
were
held
by
the
city
on
many
many
occasions.
J
During
these
sessions,
seniors
living
in
Boston
raised
the
issue
of
how
their
home
care
aides
struggle
to
find
parking
when
visiting
their
homes
to
provide
care.
They
also
noted
that
their
care
can
be
interrupted
when
their
home
care
workers
need
to
leave
to
move
their
car
because
of
time
limited
parking,
so
it
is
having
a
real
impact
on
the
elderly
community
on
the
consumers.
J
Here
we
also
want
to
mention
that
our
council
has
partnered,
with
the
Boston
Housing
Authority,
on
a
recent
grant
to
Train
BHA
residents
to
work
at
home
health
aides,
a
study
that
was
conducted
as
a
part
of
this
project.
We
surveyed
home
care,
aides
and
travel,
which
included
dealing
with
parking
tickets
meters.
All
of
it
was
one
of
the
top
reported
challenges
of
working
as
a
home
care
aide.
So
this
is
a
really
significant
factor
in
their
quality
of
job
and
job
retention,
and
these
high
turnover
rates
we
keep
seeing.
J
So
we
you
know,
we
urge
you
to
consider
these
critical
issues
that
these
frontline
workers
are
facing.
As
we
work
to
address
this
issue,
the
home
care
aide
council
is
very
eager
to
serve
as
a
resource
to
you
as
you
move
forward
to
working
sessions.
If
you
have
any
questions
regarding
this
workforce
and
their
particular
needs
now
or
in
the
future,
we
can
also
provide
you
with
some
more
detailed
reports
of
any
of
those
projects
that
I
just
mentioned,
which
I
did
provide
a
packet
for
you.
J
K
Good
afternoon,
everyone
first
of
all,
I
like
to
thank
God
for
giving
us
a
chance
to
be
here.
My
name
is
Melissa
Exantus
and
I'm,
a
member
of
1199,
SEIU
and
I'm.
A
personal
captain
did
for
my
parents,
I,
take
my
parents
to
their
medical
appointments
to
church
and
where
they
needed
to
be
I,
clean
and
cook,
provide
service
for
them
and
keep
them
update
on
what
is
happening
publicly
and
travel
with
them
whenever
I
have
to.
K
In
essence,
when
it
comes
to
external
and
internal
affair,
I
have
to
be
with
my
parents
most
of
the
time
and
taking
care
of
my
parents.
The
biggest
difficulty
that
I've
had
to
encounter
in
the
City
of
Austin
is
always
party.
When
I
come
to
take
care
of
my
parents.
I
often
have
to
go
to
the
visitors
area,
and
if
the
visitors
area
is
fully
occupied,
I
have
to
pass
across
the
street
and
they
are
often
the
neighbors
are
not
happy
when
you
have
to
park
in
front
of
their
house.
K
Sometimes,
when
I
have
my
car
in
front
of
people's
home,
you
either
find
a
car
squat
or
sometimes
you
might
have
a
flat
tire
in
the
wintertime.
I
cannot
park
on
the
street
at
all,
because
neighbors
are
cleaning
their
own
spots
and
you
cannot
pop
if
you
find
the
spot
already
clean.
I
have
also
received
ticket
in
some
occasions
for
parking
on
the
street.
I
am
asking
this
committee
to
provide
some
type
of
visible
designation,
such
as
a
sticker
for
homecare
workers,
so
that
parking
and
access
to
take
care
of
our
consumers.
K
K
We
do
not
want
barrier
between
us
in
our
care,
especially
in
terms
of
parking
I
hope
that
this
committee
I
hope
this
committee
gave
my
testimony,
are
a
strong
consideration
and
I.
Thank
you
all
city
officials,
who
give
your
time
to
listen
to
us
another
for
us
to
provide
good
care
for
our
consumers.
Thank
you.
H
My
name
is
Patricia
Haven,
a
PCA
with
a
disability.
I
was
in
a
motorcycle
accident
in
2006,
so
I
have
a
rather
school
and
30
plates
in
my
right
leg.
So
I
was
in
the
wheelchair,
like
three
years.
I
didn't
know
how
to
walk
again
but
I'm,
a
PCA
for
a
friend
of
a
family
and
it's
hard
like
some
mornings,
I
can't.
H
Finally,
the
part-
and
you
know
it
was
hard
like
I-
will
she
worked.
She
lives
on
NASA,
but
I
have
to
park,
sometimes
almost
always
by
rebels
to
have
a
parking
space.
So
you
know
someone
is
just
hard
for
me
to
park
and
there's
only
residential
parking.
My
car
has
been
told
about
three
times.
The
cost
was
one
fifty
plus
seventy
dollars
a
day
which
I
work
four
hours
a
day,
so
I
really
can't
cover
the
150.
H
If
you
tell
me
what
I
make
compared
to
what
it
costs
to
get
a
car
sold,
so
I
understand
what
you
all
are
saying,
but
I
just
hope.
It's
like
a
quick
turnaround
process,
because
it's
hard,
you
know
as
I'm
a
PCA
and
I
have
a
disability,
so
I
know
from
both.
Then
it's
hard
for
us
to
park
and
I'm
kind
of
rambling
around
but
being
a
single
parent
is
hard
for
me.
That
paper
tole.
H
If
I
get
told
and
my
consume
I've,
been
with
her
for
like
six
years
and
she
doesn't
have
seasonal
well
chances.
She
doesn't
have
access
to
do
any
of
the
things
in
there.
If
you
leave
it
up
to
the
consumers
to
follow
through,
we
get
in
the
past
is
going.
It
never
happened
because
some
of
the
consumers
just
don't
have
the
ability
to
do
it.
So
I
don't
know
who
who
is
going
to
put
in
charge
to
do
it?
H
Thank
you,
I
appreciate
it
and
one
more
question.
So
what
if
we
have
to
consumers
in
different
areas?
I
heard
you
say
that
you
can
only
be
at
one
place
when
you
have
so
you
have
to
do
two
different
processes.
Or
can
you
extend
it
to
say
we
can
be
in
Dorchester
hand
stop-in
under
that
same
path
or
how
was
that
going
wait
so.
A
For
a
TCH
I
think
I
can
answer
this
where
we're
going
to
be
having
a
working
session.
So
a
lot
of
the
questions
that
came
up
will
be
answered.
We're
going
to
do
some
homework
on
what
other
communities
and
cities
are
doing
as
well
to
try
to
get
a
good
foundation
onto
the
project
and
the
program
will
at
some
point
move
forward
with.
So
there's
really
no
answer.
A
A
H
A
Last
but
certainly
not
least,
back
to
his
home
squad
down.
How
welcome
back
my
friend.
L
Counselors
Veterans
Affairs
and
Neighborhood
Services.
Thank
you
for
hosting
this
hearing
around
parking
permits
pleasure
to
be
back
in
City,
Hall
I'm
here
on
behalf
of
1199
SEIU,
where
we
have
over
5,000
PCAs,
just
in
the
Greater
Boston
area,
8,000
members
in
Boston,
total
and
56,000
statewide.
So
thank
you
for
having
this
hearing
and
I
like
to
commend
the
approach
around
parking
that
the
city
has
taken
in
the
last
four
years.
I
mean
there's
a
digital
program.
Is
an
application.
L
Just
like
with
the
parking
app
like
there's
a
certain
amount
of
time,
you
can
actually
have
it
on
so
I
was
thinking.
A
digital
approach
maybe
would
help
resolve
some
of
these
problems.
I
know
also,
as
it
relates
to
so
many
residential
areas
that
have
happened
in
the
last
four
years
that
are
not
just
parking
for
the
most
vulnerable
population,
but
just
in
general,
people
can't
afford
insurance,
so
their
car
can't
be
registered
at
their
address.
L
So
you're
going
to
come
up
with
these
concerns
in
other
areas
as
well,
so
thinking
the
digital
pro
probably
would
be
the
most
efficient
and
effective
approach
to
just
being
able
to
measure,
and
there
was
some
concerns
that
will
be
raised
around
fraud
and
who
has
actual
usage
to.
It
also
is
looking
at
on
looking
at
the
candy
clack
cards.
Unless
you
need
something
hard
and
tangible
to
put
in
a
vehicle
you
something
like
that,
there
is
a
facial
recognition
of
who
actually
is
on
that
plaque
card.
L
Who
can
use
it
so
making
sure
that
there's
some
type
of
connection
between
who
uses
whose
car
is
that
going
to
be
on
and
who
actually
is
the
reason
for
the
person
and
also
was
wondering
for
a
lot
of
these
residents?
They
might
not
have
cars,
but
they
live
in
residential
areas
for
parking.
So
are
they
not
issued
a
parking
pass
because
they
don't
have
access
to
a
car
like?
That
is
a
concern
that
you
know
came
up
while
people
were
sharing
them.
L
The
thoughts
behind
this
initiative
I
know
quite
often
people
this
population
don't
drive.
You
know,
that's
why
they
have
personal
care,
attendants
and
home
health
aide.
So
what
about
the
slot
that
would
be
issued
for
them
for
being
a
resident
of
that
neighborhood
I.
Think
that
should
be
taken
into
consideration
too,
and
thinking
about
how
you
roll
out
this
program,
but
1199
is
in
full
support.
L
The
members
just
shared
some
of
their
personal
stories
of
how
they
are
affected
by
not
having
access
to
parking
and
when
members
are
making
between
eleven
and
fifteen
dollars
an
hour
any
tickets,
especially
if
there's
multiple
tickets
can
become
a
financial
burden
not
only
on
that
individual
but
their
family
as
well.
So
thank
you
for
having
this
hearing
and
listen
to
my
testimony.
Thanks
thanks.
A
A
Okay,
on
behalf
of
the
City
Council
in
the
committee
of
City
Neighborhood
Services
of
Veterans
Affairs
I'd
like
to
thank
commissioners
fiend
I'ma
caution,
shape
or
joining
us
I'd
like
to
thank
councillors,
a
command
council
flattery,
for
bringing
this
very
important
issue
to
the
forefront.
This
has
been
docket
number
zero,
nine
one,
eight
in
order
for
a
hearing
to
regarding
health
care
provider,
parking
permits
in
the
city
of
Boston.
This
hearing
is
adjourned.