Commissioner Louise Smith was appointed by Supervisor Sheila Kuehl of the Third District on June 20, 2017. Commissioner Smith is a post-polio survivor who is retired from Cedars-Sinai Medical Center. She worked at the medical center for 34 years in the capacity of Manager of the Division of Transfusion Medicine. She holds a BS degree from Arizona State University and a MPA from California State University Northridge. In her profession many State, National and International boards and committees pertaining to the field of Transfusion Medicine, blood labeling, blood collection and Immunohematology. Since retirement, Commissioner Smith serves on her Homeowner Association as a Board of Director and was appointed to the City of West Hollywood’s Disabilities Advisory Board. Her interests are in the availability of health care for the disabled community and encourage furthering education for people living with disabilities.

Commissioner Héctor Manuel Ramírez was appointed by Supervisor Lindsey P. Horvath of the Third District on September 26, 2023. Commissioner Héctor Manuel Ramírez (they/them) is a disability rights advocate who is Autistic, DV survivor, hard of hearing, psychiatric disability, and LongCOVID. They are Mexican & of Apache ancestry. Commissioner Ramírez works with county, state, and national organizations, as well as policy makers, to contribute to legislation that reduces health disparities and improves outcomes for equity seeking populations. Their advocacy work in this area has been instrumental in increasing access to mental health services for individuals with disabilities in California. Héctor is a commissioner with the California Commission on Disability and Access, and a member of the Inter-Tribal Disability Advocacy Council at the Native American Disability Law Center. Commissioner Ramírez is also a co-chair of the Los Angeles County Department of Mental Health Access For All MHSA subcommittee for people with disabilities, and national and state ABLE Ambassador. They is an emeritus board member with the National Disability Rights Network, Disability Rights California, and Governor Newson’s Behavioral Health Task Force. Commissioner Ramírez resides in the city of Chatsworth in the unceded ancestral lands of the Fernandeño Tataviam Band of Mission Indians.