Permanent positions enumerated in their respective sections could only be appointed if approved by the Controller, and if changes occurred to the classification, compensation, or duties of a position, the appointment would need approval from the Department of Human Resources. Also, inter-departmental employment required working within the financial limits of certified inter-departmental work orders and compensation be distributed accordingly.

The specifics of the proposed changes are not explicitly stated within the text provided. However, the overall document pertains to the establishment, creation, and continuation of positions for the fiscal years 20232-243 and 20243-254, the procedures for appointments and filling vacancies, the authorization process for various types of employment, and adjustments that can be made by the Human Resources Director. For detailed changes, more context from the document is required.

The impact of these changes is not directly addressed in the excerpts provided. Additional context from the document would be needed to summarize the impact of the proposed legislative changes.

The rationale behind the changes is not directly stated in the text. The document explains procedural details regarding appointments, vacancies, and employment authorizations without explicitly stating the reasons for the changes.

Approval processes for appointments and filling vacancies involve the Controller, the Mayor, the Department of Human Resources, and in some cases, emergency appointments can be made to prevent the stoppage of essential services. There are also special provisions for departments led by elected officials, allowing them to appeal rejected requests to fill positions. Additionally, the Human Resources Director has the authority to make administrative adjustments within certain limits, such as classifying positions and adjusting compensation per approved agreements.

Accountability measures include the requirement for appointing officers to gain approval before filling positions, certification of funds by the Controller, and approval processes involving the Mayor and the Department of Human Resources. There are also provisions for reporting and notification involving multiple city departments, oversight by the Board of Supervisors for certain appeals, and an approval process for adjustments to the ordinance made by the Human Resources Director.