Comments or questions of the public . Hearing none, all the question. All in favor . Any opposed . Thank you. The motion carries. Youre on, shireen. Okay. Good afternoon, commissioners. So im going to start my report talking a little bit about the federal the president the president s budget proposed budget. Just to i know that its basically intent in policy, but i want to talk through some of the detail about what the administration is suggesting just to give you an idea of where theyre going. So eddyesterday, the president sent his vision of the 2019 budget. It does layout priorities for discretionary programs and the trajectory of mandatory programs over ten years. Much like last year, the budget request includes steep increases for defense discretionary programs and deep cuts to nondefense discretionary programs. It funds those programs at 60 billion below what congress intends to spend. Also, the president would cut Discretionary Spending by 2 over the next decade, which would slash current domestic spending to 42 below current spending levels by 2028. He also proposed deep cuts to medicaid, medicare, snap and food stamps programs. It includes a 6 million boost for lunch programs. Unfortunately, his program proposes to eliminate the state insurance assistance program, which we call ship, and request significant cuts to several acl disability programs, administration for Community Living programs. The budget includes a proposal to eliminate the Senior Community Services Employment program, which is run by salton institute in San Francisco, and other programs on the chopping block include senior core programs such as faster grant programs, the social Services Block grant, and Community Services block grant, which provide Wraparound Services in a Legal Services corporation which administers some elder justice programs. The budget would eliminate funding within the department of housing and urban development within the Community Block grant which many states and communities use to shore up programs such as home delivered meals, and also section 202, Senior Housing would take a 10 cut. Obviously, we know the budget is far from complete, but i just wanted to give you an idea of what the administration is thinking and about the kind of way theyre proposing to essentially make the budget work, so. I know its not very up lifting, but i think its really important that we as a city Pay Attention to this and really think about how we use this information in how we might advocate for adults and people with disabilities. So on february 22nd, the California Association on ageing will be holding an opportunity for us as triple 5s, as agencies on adults and ageing, to hear from others about what theyre thinking about the budgets and opportunities with respect to older adults, and cindy cough man, Deputy Director of programs and i will be attending, so well bring back information from there. Its also a chance for us to visit scour own representatives, so bridgets helping us, and were working to schedule visits with them as well that day. So locally, i just wanted to talk a well, just mention that the reframing ageing presentation that we had last in january hopefully some of you were able to be there. It was really well received. I think the presentation was short, and people wanted more, but it really i think really does give us a good framework for talking about ageing, how were all ageing, using different framework to make sure were getting our message out about ageing and about the i guess looking at it in a more positive light, getting away from things like, you know, demographic cliffs, for instance, or silver tsunami and making this everyones issue, so how do we age gracefully and help others to do so gracefully. Im continuing to work with the medi fund and working with others to try to figure out how to start using this information in you believe approximate, how do we start letting people know about our services, and also doing something around a positive ageing campaign, so youll hear more about that soon. I think turning a moment to our internal programming, we have a new Inhome Supportive Services director, do you want to standup fore a moment . For a moment. Its been since june, when Megan Elliott left, and were happy krista has left. Shes worked with ageing and disabled people for 15 years. Most recently, she was the chief officer for home bridge, to provide contract Mode Services for ihss clients. She was responsible for overseeing the operations and growth of all of the programs and the client services, and prior to joining home bridge, she primarily worked in the area of Supportive Housing with multidiagnosed formerly homeless adults. She served as the Deputy Director of tenderloin housing clinic, and shes got a masters in social work from San Francisco state. So were really happy to have you, krista. I wanted to talk a little bit about the home bridge tiered wage pilot, because this was something that was in the mayors budget for this year, and its just taken us a little while to roll it out. Basically, what it means home bridge serves our clients under contract mode, and theyre people who are unable to manage their own worker, generally speaking, so theyre considered hardest to serve people in that program, and one of the things thats happenied is were still in a good economy right now, and one of the things thats happened, its been really, really hard to recruit workers. And again, because we need workers for this population, home bridge came to us and said hey, you know, is there something we could do to really incentivize this kind of work . Its really tough work and minimum wage isnt quite cutting it, even though the minimum wage is relatively high here, compared to other places. So the implementation was this week, and theyre calling it steps, which is skills to employment, home, and pathways. All providers were classified as Home Care Provider one, and theyll receive a 2 increase across the board. In july, all home bridge care providers will receive an additional 1 increase, from 16 to 17, and then, over the next 18 months, home bridge will identify and promote, kind of based on performance and seniority, and provide upscale training to approximately 70 of the workforce, providing the home care tier two and three tiers. So i just wanted to let you know thats happening. Obviously, fair wages for these really important workers is an important issue. When you think about the longterm care workforce, and so itll be really interesting to see how this works. So the home bridge will be conducting an evaluation of the programs impact, and theyll be reporting back to us on how that works, so were excited that thats finally launching. Want to im sure that hopefully, all of you saw the articles in the chronicle there was one on sunday in the chronicle on conservatorship, and i think you know the conservators office sits within the office of ageing and adult services, and while we werent specifically called out in that article, i think were listed as a partner. But really, this is senator weiner has taken the lead in frying to expand the powers conservatorship, and i think hes been really careful to note that were really talking about a very, very, very small percentage of the Homeless Population in this case. Were talking and i think the issue is that, i think not just San Francisco but other cities are really grappling with how do you work with somebody who is decompensating on the street and really thinking about a combination of Mental Health issues, trauma, lifetime trauma, drug addiction, and those kinds of things, and theyre trying to strengthen the language around conservatorship, so that when people go in and out of psych emergency, there could be a law that could compel them to seek treatment even if they dont want to. So its going to be a long time, its going to be a lot of work, but theres scott weiners bill, and then there are some others that are coming out. I guess the thought is these bills will finally come together into one or two bills that might give counties some more tools to work with our hardest to serve populations on the street. So youll be hearing more about that. Again, i think its really important to say that this is focused on a really small percentage of the population. Its really people who are continually using our Emergency Services and not getting any better, and people who are at risk of diing on the street or who are diing on the street. So because the conservators office sits in the department of ageing, youll continue to hear about that. Then on monday, there was an article about the support at home program, which you probably remember from our discussions around the budget, that this is a program thats aimed at more middle income people with disabilities and older people. And the thought was that if people need some home care to stay at home safely, but not hours and hours, not people who need many, many hours, but people who need some home care and are able to contribute if money of their own to that home care, then maybe that helps them stay at home and helps them keep from using other services that are more expensive. So institute on ageing is actually running that program, and they are working with ucsf to evaluate the program, so we should get some really good information how this is working and whether it does save in other areas. I think the key to the article and the key for us right now is we really need to reach out to more people with disabilities who might use those services. Those numbers are fairly low. Were getting a good Response Rate from older adults, but wed really like to see more people with disabilities who are not older adults utilizing this program. So one thing you could do to help is let people know in your network, if people are San Francisco residents and want to get information, they can all our dos intake hotline or they can Call Institute on ageing. And then, i just wanted to mention the Dignity Fund Needs Assessment process, you know, weve been involved working with rda, our consultant, to develop a community Needs Assessment, and the report is going to be done and released in draft form on march 1st. So it includes the Community Engagement work that theyve been doing, the Equity Analysis that they are finalizing now, and a gaps analysis thatll look at need for services versus how many you know, who services are really available. And im really looking forward to it. Its been a lot of work on their part, a lot of work on many of our staffs part, as well as community partners, and i think itll be a really good product. I think weve learned a lot in this process that well be able to take and keep for four years from now when well have to do this again. I think given this is our first time embarking on this process, that its looking pretty good. And then in april, we will have a hearing, and i think bridget, did we decide its going to be the same day as the Commission Meeting . Yes . No [ inaudible ] okay. Well, in april, theres a joint hearing, and this is legislative. Theres a joint hearing between the commission and the oversight and Advisory Committee of the dignity fund, and so thats when well be hearing of the report and recommendations, so thats a really important meeting. Hopefully, everyone will be here for that. I think thats the end of my report. Thank you. Any comments or questions from shireen from the commission . Yes, i have a question. Commissioner lang. Was there a compendium bill at the local level that commissioner farrell was yes. I left that out of my talk. So mayor farrell and london breed president breed i think today president breed was going to introduce legislation to move the representation the legal representation for conservatorship from the District Attorneys Office to the City Attorneys office. And essentially thats because its her feeling that you know, and rightfully so that people who are facing conservatorship or on conservatorship are doing so because its not a criminal thing. Its not a crime, its a civil proceeding, so it just seems to make hence to mo makes sense to move it to City Attorney and changes the whole flavor for her. In addition, it could codify a multidisciplinary, multidepartmental, i should say, group thats working on, kind of working on trying to figure out how to work with our hardest to solve cases, meaning, people who are really kind of failing in the system and this is just a codifying departments together to Work Together to coordinate so that people dont continually cycle out and fall out of the system and fail. Thank you. Commissioner pappas . Commissioner pappas i hadnt intended to say this, but listening to your first rendition of the federal budget, it might be something we want to keep an eye on. You know that in march, the City Attorney in conjunction with Santa Clara County brought a case on sanctuary and was successful in the Northern District court. I know that the federal government is appealing that, and filed a brief yesterday. Im just curious, if for some strange reason, the federal government prevails, and money is at risk for agencies that we do work with, because we are a sanctuary city, has any analysis on that been done and is that something that maybe we should take a look at as were looking at all these different issues . Yeah. Its certainly something to keep in mind, and as we get more information, we can bring that to. Theres been a lot of conversations about what it means to be a sanctuary city and how we handle certain situations, and so im glad you brought that up. Thanks. Thanks certain certain thank y you skbl if you. Any other comments or questions from the public . [ inaudible ] will recognizely ain a petrosyan, and mark veter from dass independent Assistance Services center, ipac division. [applause] hey, you guys. Hi. How are you . So im guessing there are a lot of people from Inhome Supportive Services here, is that right . [applause]. Okay. You guys, i think you should standup. So after this, its going to get really quiet in here. So i just wanted to say a little about ihss as a whole. We hear about it a lot, and we hear about it a lot because its doss biggest program, so we have a lot of Different Things staff is doing to make things work for 25,000 people annually who are receiving inhome services. Its pretty amazing. Were here to recognize our independent provider Assistance Center officers because theyre the people who are really focused on making things work for the providers, so we often hear about the clients, but theyre here to make things work for the providers. One of the things they have to do often is adapt to change, because the state always, always, always changes the rules and changes the way that they have to do things and sends us new just, what do you call those things . Regulations, okay. So theyre always having to adapt to that, and i think one of the great things that i continually hear about these four is they Work Together so well as a team, and it takes a team to be able to react to these like, these really detailed regulations, because a really detailed regulation might just read one way on paper, but when you have to put it on practice, and you have to let providers and clients know, and then you have to deal with things that maybe come out of it, like a provider overpayment or something that you didnt think would happen, they have to figure out how to do all of that, so these guys are rock stars, and were really, really, really, really, really thankful and unfortunate to have each of you surprising ipac, so i just want to thank all of you, and im going to give you what somebody wrote. One of you can take it and go make copies. This goes into a lot more detail, and youll understand but some of these people in this room might not, so i want to make sure you have it because its how great you are. So thank you so much. Appreciate it. [applause] oh, and we have to make sure oh, mark, she put them in order. Awesome. Ken. Saba. Sure its right. Liana. Thanks so much. Sure. Go ahead. So i dont want to miss the opportunity to say a few words of gratitude. Id shireen mentioned, the independent living Assistance Center, we provide services to seniors, disabilities, and we are Public Servants with a very noble cause, and this acknowledgement is actually a testimony to the work we do and also to the services we provide to our consumers. So on behalf of myself, my colleagues, and the people we serve, id like to say thank you for this award and im kind of a little nervous. The thing is we live in a world thats where people work extremely hard without the benefit of being recognized, so having received this opportunity, id like to honor those, but also the people who led me to this point. First, id like to thank my supervisor, miss Brenda Mcgregor for [applause] for noticing the work that we do and also for being supportive. Were so privileged to have very supportive management. They really provide us with good guidance. They listen to our cares and concerns, but also, they ask for our feedback to improve services and also to handle any challenge that come in the way of doing our job. So this provides the encouragement and incentive to become who we are. Around the office, we have very, very diligent staff no know what theyre doing, care about the people they serve, and do their daily activities with compassion and respect. Therefore, id like to say thank you to our staff, to our management, and to our colleagues who are here to support that, so thank you very much, everyone. Thank you. And the next item on the agenda is Advisory Council report, leon schmidt. On january [ inaudible ] on january 17th, and at that meeting, we had two presentations. Director mcspadden came and gave a brief overview of the upcoming budget, and we also had a presentation of executive director mcspadden and rose donn. We also had a presentation from mta, and they are going to come back. We had a time constraint, and theyre going to come back to finish doing that. I had the privilege, along with other Council Members, to attend the changing language narrative that was at the library, and that was excellent. And id like to thank miss mcspadden for allowing us and inviting the Council Members to come. It was very interesting. I also had the privilege to attend the next day, which was very informative, also. The Upcoming Event from our daas community training, which will take place on friday, february 23rd, at the institute on ageing. The presentation will be suicide and depression, what we need to know, and our presenter will be patrick arbor. We didnt have any other business because of the length of the two presentations, and thats my report. Any questions . Thank you very much. Any comments or questions . Thank you. Any comments or questions from the public . Thank you very much, leon. Thank you. Next item is the joint legislative committee report, diane laurent. Good afternoon, commissioners. We did not have a joint legislative Committee Meeting in january. Were lacking a few members, so but i wanted to give you an update. I had two action items to take back, and there are about seven bills that have, i guess, died, to be perfectly blunt, and will not be moving forward that we have been tracking, so i wanted to give you an update on those while we had a bit of time. Commission commission commissioner, you had a question on this. The actual statement is they sent the bill back because the bill lowered the standard of proof for claims of elder abuse and neglect, and we didnt feel it was strong enough. And then, commissioner pappas, you asked about the president s scaling back of regulations. Basically, what theyre doing is theyre scaling back the use of fines for populations against Nursing Homes that harm residents, and thats according to a New York Times article at the time. Protocols are medicare protocols, but what they basically wanted to do was scale back the fines, and that had been requested by the nursing home industry. So february february 16th, rather, was the last day to introduce bills, and the following rules died in various committees, and thats because anyones in appropriations if they had not been carried over by the end of january , theyre sent back and basically are dead, according to appropriations. So the im going to go a bit out of order. The bicycle bill for yielding has been pulled. It is no longer moving forward. I just thought id point that out since many of us are happy about that. Another bill thats been pulled back is income tax credits for low Income Housing for farm workers, thats been pulled back. That would have changed how deductions were done on second homes. The Public Service social services for ssi and ssd was pulled back. Thats something weve tracked for a couple of sessions now. Personal income tax credit for family caregivers was also pulled back. That would have allowed up to 1,000 deduction for expenses for family caregiving, which would be about half of the expenses. There was a bond measure that was proposed for el ders living with dignity, empathy, respect and support. That would have been a 200 million bond effort. That was pulled back. Caregiver Resource Centers was died and then, the medical beneficiary maintenance needs personal needs allowance, which proposed raising the personal needs allowance from 35 a month, which is what its been since 1985, up to 80, that was pulled back again. So next month, i will have a much more robust report because well have a lot more information. Thank you, diane. Two questions that i have. One, it doesnt necessarily we dont know the immediate effect on our services, but the president s the new tax bill adversely affects high tax states by limiting deductions. Mmhmm. And its been proposed, both in new york and california, that donations can be made to some form of nonprofit so that people can still claim the tax deduction. Do we know where that stands . No, but we can well check on that one. Okay. Thank you. And then secondly, director mcspadden referred to the bill that state senator scott weiner is working on giving more flexibility with skefsh to h e conservatorship issues. Ive already noted that. Okay. Thank you, are there any questions . President , i have a copy an electronic form of the powerpoint that was presented, in laymans terms, and im happy to make that available. Thank you very much. Thank you very much. Just a quick question. Do you have a sense, diane, of the politics were some of these were pulled in terms of personal care tax credit, the personal needs, the dignity living with dignity bonds . Are these being tabled for potential hearing at a later date this session for a spot bill or [ inaudible ] according to the rule. I went and looked up the rule because i thought this might be asked. Yeah. If you havent if a bill thats introduced during the first year and is not passed on or before january 31st of the following year as a carryover bill, then, it dies, and they didnt vote to carry it over. Okay. Thank you. Any other comments or questions from the public . Okay. Tacc report,athy russo. Havet seen cathy in a while. Case report. Okay. Hearing none, seeing none. Okay. Is there any other general Public Comment at this point . Hearing none, any o busineld b . New business . Informational amendment of amendment 12 cbd hicap contract, and corresponding funding levels for the Health Insurance counseling advocacy program, icap, this is informational only, no action is required. Good morning, commissioners or good afternoon, commissioners, rather. Yes, this is an informational item. As this hicap contract predates im here to update the commission as to the amendment to this contract we received from the California Department of ageing. As this contract predates many of the commissioners, i thought this would be an opportunity to talk briefly about what the Hicap Program does and what this update means from the California Department of ageing. Briefly, our Hicap Program, it stands for. [ inaudible ] its a medicare focus program, providing community education, one to one counseling and advocacy to Medicare Beneficiaries as well as people soon to be Medicare Beneficiaries. Services within that are explanation of medicare benefits, explanation of Health Care Insurance terminology, a review of insurances available to consumers such as medigap pals and medicare pals, health with claims and procedures, as well as counseling around longterm care insurance. I want to note that the work that the counselors does is just above and beyond education. Its also helping people make educated decisions about their services. They will work people around what their decisions are and help them make the best decisions related to medicare benefits. We subcontract or funds to selfhelp for the elderly who administers hicap. They then serve the community through the use of 27 counselors, 21 of whom are volunteers. The counselors go through extensive training, originally 31 training hours and seven counseloring hours before they reach that status. Then once they reach that status, theyre asked to have 12 hours of continuing education right now. Right now they have counseloricounselors on staff with several languages. In just fiscal year 1617, we saw this program serve over 2,000 clients with one to one counseling services. They also do a series of advocacy on behalf of clients, which results in financial savings, as as medical bills are reduced or medicare agrees to pay for medical services for clients. So that brings us to our hicap contract. A majority of the funding for this Program Comes through the California Department of ageing. Within that chunk of money, two thirds is from the state, onethird is from the federal government. The administration of Community Living is a federal agency who provides that funding to the state, which is then passed on. They have announced that they are reducing funding available over the next three years. This is something that has been in the works for a little while. The new news that executive director mc135den had about questioning the entire federal existence of this program is still kind of up in the air, so were not sure of what we have, just the facts in fron of us. Were looking at a cut right now of about 13,000 for this fiscal year. Daas was able to find funding to cover that, so there will be no impact on services this year. The services next year, its interesting. The budget kind of actually increases, but then has a cut in it, so the impact, were still looking at. The big impact is going to be in fiscal year 1819, when those cumulative cuts really hit. So thats the bad news. The good news is that we have a little bit of time to try to see what may happen between between now and then. This is certainly a program that is very important to daas. Its something were going to keep an eye on, and well do our best to try to maintain services for folks in San Francisco. With that, this item will this contract will come before the commission again in a couple of months as we renew it with our subcontractor. Ill provide an updatas that point as well as other update at that point, as well as any other things that come up on down the line. Thank you. Commissioners, any questions . Commissioner, thank you speak into the mic. Yeah, theres some hipaa, hicap adjacent programs, so theyll kind of Work Together. Ill talk about that during that presentation, but hence the reason i wanted to give a more robust review of this item. Thank you. Any other comments or questions . Commissioner wallenberg . You essentially answered all of my questions in the sense of looking to potentially backfill what the projects might cost us the next few years. I guess id then put emphasis on 1819. Im sure the diligent staff and you are looking at it were working on it. What the best priorities would be. California department of ageing immediately reduced their operations budget, which pays for training and other things for that Hicap Program in order to move those dollars into what goes into the local aaas to try to reduce the impact of the federal cut, so theyre a partner in this, as well. Thank you. Thank you. Any other comments or questions from the commission . Any comments or questions from the public . Thank you. Hearing none, thank you so much, michael. Excuse me, but i neglected to ask for the coordinating care longterm council report. Thank you. Hi. My name is bern adid hadette. Hi, can you use that mic . Sure. I am a member of the longterm coordinating council representing behavioral health, and as part of our the longterm Care Planning council met last thursday . And we have basically talked about updates from the dignity fund, the study thats happening in terms of the Needs Assessment to make sure that the levels are representation and the needs will be discussed. We also talked about which is part of the biggest discussion, is the creation of employment policy, specifically for seniors who still want to work but no have ability to come back, the level of workplaces that will be hiring, and so we are looking at what policy can we recommend so that people who are willing to work and want to work will able to find work. So thats basically the highlights of our meeting last last week. Thank you very much. Any comments or questions . Any comments or questions from the public . Hearing none, thank you very much. Okay. Item d, review and approval of daas, fiscal year 1819 and fiscal year 1920 budget. Welcome, dan kaplan. Thank you, commissioners. Im here to give an overview of the Budget Proposal as it stands today, and as you remember, we go through a process of working internally then making a proposal to the Mayors Office, which we are set to do on february 21st, and then, well go into a period of time where the Mayors Office will be asking us questions, and we will be answering and discussing various other people will be talking to the Mayors Office, as well, and ultimately, that that will all result in the mayor proposing a budget, which will happen on june 1st of this year, and then, the budget process will move to the legislative phase, and the budget and legislative analysts will prepare reported and analysises related to the mayors proposal, and that will be discussed with the board and hearings will be held and well ultimately get to the place where the board makes some changes possibly but then ultimately votes on and approves the budget for the city, and that will happen right at the beginning of july. So were at the phase where were still in the agency process. We havent yet gotten to the mayoral process, and what we need to do at this point is to present to the mayor a Budget Proposal. So as i said, we will do that next week. So what im describing today is a bit of a comparison between the 1718, the current fiscal year, and the 1819, the budget year budget at a very high level. Youve received notebooks which have a bit more detail in them, and we will be seeking your approval to make this submission next week. So i guess just in a general sort of way, id like to say that this is a very stable budget. As shireen mentioned [ inaudible ] we are still in the revenue situation within the city is relatively strong there we go. And we are a little bit out of balance in total, so agencies have been asked to make very small reductions in general funds. And we have, on the state level, a revenue picture, which is also fairly stable, and so it its a kind of kind of a stable environment i guess is what i would say. So theres really several major items in here, and well talk about them in a little bit. One is the ism moe, and well talk about that, and because of that, the citys ihss maintenance of effort payment goes up substantially in the budget year. There is scheduled growth in the dignity fund, and as shireen mentioned, theres a whole process of allocating the dignity fund money, so weve only reflected that in this Budget Proposal, not tied it to particular uses. And then, there is a proposal for a Residential Care for the elderly Pilot Program which is sort of an early foray in that area. I had mentioned earlier to the commissioners separately that there is also a correction that i want to make to this document. There is a particular category of expenditure which is labelled in the presentation documents as ihss consortium, and that number on that slide needs to go up by about 4. 5 million to about 27. 2 million, and what happens is we inadvertently included our projection of what spending would be in the current fiscal year. There have been a number of programatic changes, and shireen actually mentioned these, as well, because they relate to the tiered wage project in the ihss consortium or home bridge, and we have anticipated in making that change that we will be able to deliver considerably more hours of service in that program, which is what the cost increase is associated with. So im going to move forward and go through this presentation quickly with you and certainly take any questions that you may have along the way. The first slide relates to a question that commissioner loo raised it raised at the earlier budget hearing, and the question related to how do we look at the daas budget and the asa budget in the context of the whole city budget. So what you see on this side of the chart is a representation of the city budget, and its broken up into slices of a pie that represent the major areas of expenditure, and then, on the right side is the hsa budget, of which you can see daas represents roughly a third. I should tell you that when we talk about the city budget, we tend to talk about a number of 10. 2 million. The other thing, though, that happens whenever we look at an Agency Budget is we include, sometimes in many agencies, a lot of money, sometimes smaller amounts that are called interagency transfers. So, for example, in the daas budget, we receive from the department of Public Health about 19 million which goes into providing Health Benefits for ihss workers, just as an example. And so the 10. 2 million does not include transfers of that sort, so if you added up all of the dollar amounts on the left side of this chart, you would actually get to a number of about 12. 1 million, so the individual slices include the interagency transfers, the total number of 10. 2 billion does not include the interagency transfers, and if you think about that, that does make sense, because if the city is just moving ony from one Agency Budget to the other,s from the perspective of the total amount spent, its not additional money. So we also had a question about citywide revenue projections this was commissioner loos question, and you know, basically, the city went through a process that assumed that city revenues would continue to grow, that business and property tax returns would continue to be strong, that the economy would remain healthy throughout the budget year, that unemployment would be very tight and that the Housing Market would be very tight, and that would actually restrict growth over what it might otherwise would have been because there arent more people to come into the workforce. Thats a huge factor in an economy growing rapidly, and of course in San Francisco its very difficult for people to find housing here if they get jobs here and that dampens employment, as well. So this process, then, was used for what was making the revenue projections. On the expense side, there was an analysis that really looked at labor contracts and applied some standard inflation factors and then called out particular departmental costs that might be growing at a rate different from inflation. I think i had mepgsntioned in last meeting that we had was one of the very significant ones is the growth in the ihss Program Costs due to changes in the state law, which i will mention again later. There is a website that is attached to this slide, and that is the slide for the details Financial Report that led to this. So as you know, we look at the budget in terms of sources or revenues, in terms of expenses in types of expenses, expenses of programs and expenses by character, which are types of expenses. You can see on this sheet, the daas budget is meant to grow by about 23 million, as i said before. We will add about 4. 5 million in the final budget submission for the ihss consortium item, so it will be about 27. 5 million of growth. The big area, you can see on the sources chart is what weve labeled as general fund aid. General fund aid is money that supports, to a large extent, the ihss program or the ih ihss moe, so thats a very substantial area of growth. With the dignity fund slice, which is 48 million on the 2018 chart, and 46 million on the proposed budget chart, a word of explanation is needed. I think as everyone knows, the dignity fund started off at 38 million. It grew in the first year by 6 million, to 44 million, and then in this second year, it should grow again by 3 million, which should get it to 47, and so we have higher numbers there. So what happens is that in addition to the items within the dignity fund itself, there were there were add backs in the legislative process last year, many of which were things that would fit into the categories of expenditures in the dignity fund. So for purposes, what weve done is weve added these expenditures in. So instead of 44 million in 1718, we have 44. 83 million. Some of that money was onetime only money, some of it was ongoing. The one time money doesnt move forward into the next fiscal year, so the difference between 1718 and 1819 is plus 3 million and 1. 7 million. Theres a little bit of comparing peaches and pears here because we are comparing the approved budget which has gone through the legislative process and the add back process for 1718 with the proposed budget for 1819 which doesnt include any future add backs. We dont know if there is going to be any necessarily, but if this year is like past years, there may be, so that would increase the number that is here reported at 49. 6 million, but 49. 6 should be the base number. Would you like questions now or just a general longterm trend question . It is clear from the information you provided that the gap between growth in revenues that the city is projecting and growth in expenses is widening. The expenses are growing much faster than revenue, and i understand very well how ihss is an Entitlement Program and must be funded, and those increases that changes in a way that the state is compensating counties ihss, were funding much more out of the general fund for ihss, and how long can we continue to do that without other departments in the city being adversely affected . So i you know, i think what happens in a budget making process is that we make reductions. Money moves around. The city seeks additional revenues, and then, theres also Political Action thats happened, so with regard to the changes in the ihss program, this was a very complicated dance that occurred at the state level, and what came out of the state legislative process last year was a compromise between counties and the state and labor unions representing ihss workers that was meant to do a number of things. It was meant to shift cost to counties. It was meant to increase wages for workers. And it was meant you know, and i say this with a little bit of cynicism, but it was meant to get us to the next administration. If you look at the legislation itself, senate bill 90, it actually mentions a reopener after the second year of the implement indication of the new ihss moe law. The ihss moe has some revenue that comes with it in addition to the additional costs, and those revenues hold together in most counties and in San Francisco for the first two years, and then, they start to break apart. And when i get to the ihss moe slide, ill speak a little bit more about that, but there will be a great political effort on the part of counties koostarti next year to rework a lot of the funding around that program. [ please stand by ]. So those have increased significantly, and thats really due to the to the
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