. >> so those have increased significantly, and that's really due to the -- to the ihss moe going up. the -- the health benefits piece is fairly -- oh, excuse me, i've jumped to the wrong one. pardon me. so if we look at this one, what we'll see is we've got a large growth of the maintenance of effort, there we go, from 94.6 to 117.8, and then, we have a small increase in the office of ageing. this is due to additional dignity fund. we have a fairly stable ihss public authority payment. this is the health benefits payment, which has stayed fairly steady. and then, the other areas of the budget are really pretty much staying roughly where they are, just kind of basic inflation that adds little bits here and there. >> commissioner loo? >> commissioner loo: i have a question. the question is the ihss consortium, the program in 18-19 compared with 17-18 is reduced by 25%. >> yes, and so this is the item that was the error that i mentioned, so we would add $4.5 million to the 18-19 number. and just to say it again, and what happens when we put this together, was we projected -- we included the 17-18 projection. now what's going to happen between now and 18-19 is we will be implementing the tiered wage concept within home bridge, and that will increase the wage for the home care workers. what's happened within contract mode and shireen spoke to this before in her opening remarks, was that as we -- as the gap between the home bridge wage and the minimum wage went to zero, it became harder and harder for home bridge to attract and retain workers, and the number of workers started to decline on the home bridge staff, and therefore, the no number of hours of home bridge needed to provide began to decline. i don't mean to oversimplify it because it involves training, it involves other things to professionalalize t professionalize the job, but it's to make it easier for home bridge to attract and retain workers. we believe it will succeed, and as it succeeds, the size of the workforce will become larger, and home bridge will come closer to deliver the number of hours that the ihss asks it to deliver. so as that happens, the costs will go up. if the -- if the 22.7 is a good estimate of where we are this fiscal year, which we think it is, the higher number of 27.2 is our estimate of what will happen at we raise the wages of the home care workers and as we begin to have more home care workers and can deliver more hours of service. so the number in the current fiscal year, 29.2, is a number that was developed before the labor problem started really manifesting themselves, and so we are, obviously, dramatically underspending that budget in the current year. does that answer the question? >> commissioner loo: not really. i have to think about it. >> okay. i mean, i think the key is we had budgeted in 17-18 at a level of service we had hoped to be able to buy from home bridge. because of home bridge's labor difficulties -- difficulties in the sense of not being able to attract and retain workers, we have made changes, changes in a way that we hope will significantly allow them to provide more hours, so instead of allowing them to provide this many hours of service, we're allowing them to provide $27.2 million hours of services. [ inaudible ] >> they, like most of our contractors are reimbursed for actual costs up to a not to exceed amount. you know, because you see lot ofs of you budgets for daas contracts, between our program office, our contract office and the provider, an agreement is made on what the budget will look like, and that's what's in fact presented to you. so -- so we pay them for their costs. one of the things that's happened over the last year, which is not a good thing, as far as we're concerned, is the cost of an hour of service had gone up quite a bit, because the number of workers delivering the services has gone down in number, but, you know, most of the infrastructure of the organization has stayed in place. so one of the things that having additional workers will do is it will -- it will stablize the cost of an hour of service. >> commissioner loo: all right. thank you. >> okay. now to the slide i started talking about wrongly before. so character is our word for a type of service, and as you can see, the aid payments character grew substantially. this is mainly as a result of the increase in the ihss moe. there are some smaller growth in contract services, which includes mainly dignity fund and -- and clf-supported services, but that's mainly what's changing here. so in coming up with our budget submission, we actually went through revenue projections for all of the parts of the human servic services agency, including daas. there are a number of areas where it looks like revenues are going down, in our cal mesh and cal works programs, and others where it's going up. for example, our medi-cal eligiblity programs, these are entirely an artifact of what's happening in the state budget, so cal fresh program is shrinking budgetarily because budgets are shrinking stayed wide, which is the sign of a good economy. fewer people are eligible. that's true for cal works, as well, which is tied to employment and unemployment rates. the medi-cal program is one that grew tremendously during the early years of the implementation of the affordable care act and is more stable now but at a much higher level, and the state is catching up in terms of its eligiblity budget. we had assigned by the mayor's office, a $1.3 million general fund reduction in the budget year, and twice that, a $2.6 million are you duction in the budget year plus one, or fiscal year 19-20. as you may know, the ihss grew a lot during the recovery. we're still catching up on our hiring, and we think we can cover the gap in the budget year with at least salary saving, so we are not proposing any reductions in program. and i am -- i am not thinking that in order to meet this, i will need to put a hiring freeze in place. i'll let you know that if that turns out to be wrong, but i'm not anticipating that we will. so -- so basically, we have also been asked by the mayor's office to propose no new fte, which we have not done here. so ihss maintenance of effort, and this is ofshl tis obviousle there are several big cost increases. one is under the new law, the rate at which each county's ihss moe increases is governed by an inflation factor. under the old program, the inflation factor was 3.5% a year. going from 17-18 to 18-19, it's going to climb by 5%, and going from 18-19 to 19-20, it's going to climb to 7%, where it's going to stay. 7% is a very rapid rate of growth, and as you can see, adds $5.6 million in the first year of the project. the minimum wage increase -- if you remember, san francisco has its own city minimum wage, and it will be going to $15 an hour on july 1st of this year. the minimum wage increase is something that triggers a change in the ihss moe because the cost of paying the wages go up, and under the state law now in effect, the county pays a share of that. so our estimate of the impact of the 18-19 increase is $7.8 million. and then after 18-19, we will grow by inflation. our minimum wage will grow by the cpi in each year. obviously, that will depend on what the cpi is, but we're assuming it will be somewhere between 35 and 50 cents a year going forward. so another 7 million going forward in the second year. and then one of the things that's an artifact of the current state law is the state proposed a great increase in the maintenance of effort payment on counties as a whole. in total, it was about $592 million shared between all counties, but the legislation sb-90 included a large state general fund offset in the first year, $400 million. in the second year, which is 18-19, the state offset is $330 million, so counties have to pick up an additional $70 million of cost among them. and then in the third year and going forward, the state offset will drop to $150 million, so that'll be another big increase for counties to cover, which is part of the reasons is becomes unsustainable after two years. so all those things together in the budget year increased costs by $18.7 million, and then a further $25.2 million in the second year. >> excuse me. >> yeah. >> in the druktory memo, you mentioned infligsa mentioned. [ inaudible ] >> so in developing its proposal, the state attempted to look at the way the total fund costs of the program were changing, and so if you think about the drivers of the cost of the ihss program, you can split them out different ways, but one way to look at it is there's a major cost component, wages for ihss workers, health benefit costs for ihss workers, and sort of the dollar per hour side, and then, the number of clien clients served by the program and the average number of hours permonth a client's received. and so wages are climbing up. health benefit costs are, in most counties, a number to medical inflation. certainly, they are in this county. the number of clients is climbing, and the number of hours perclient is climbing, although probably the slowest of all of those. so the state has argued that the total fund costs of the program are increasing at a number closer to 7% than the 3.5% that was in the previous ihss demolaw. so the 5% in the budget year is really a phase-in of that 7% inflation factor. that's how the state got to that? >> so in essence, it's primarily being driven by increased caseload and increased needs as opposed to inflation as we normally think of it because milk has gone up at the supermarket. it's primarily more caseload and more hours that the individuals need. >> that's a very big part of the driver, yeah. and you know, this is -- this is not something that we wouldn't expect, right? we, like every other state in the nation, have an ageing population. more folks with serious disabilities are living in the community, obviously -- >> oh, no, that makes sense. i was just measuring inflation the way that general economyists measure inflation. >> oh, yes. okay. residential care for the elderly. one of the things that happens in our budget process, we fund things in our target, and there are some things that we propose to the mayor outside of our target, and this proposal for rcf for the elderly is something that is in the latter group. it's outside of our target, so we would be asking the mayor to come up with an additional $1.1 million in the budget year and $1.2 million in the second year. and i just want to be clear about that. that's got kind of a different status from some of the other thipgs we've thin-- things we' talked about. basically, as you know, our cfe's are community-based karen at this times that provide a staff staff, a place to live, and personal assistance care for people who need it. one of the phenomena that i think everyone is aware of is that, you know, as -- as people's needs go up, some people can continue to live successfully in the community with support like ihss; some people need a higher level of care and more of a 24-hour environment, and the goal of the proposal is to begin to move us into this area to be able to provide some emergency placements and then to provide some what we call patches to -- to support the ability of individuals -- low-income individuals to be able to continue to stay in san francisco but in an rcfe environment as opposed to an in-home environment. you want to add? that's the basis. >> yeah. i mean the only thing i'd add is we really see a need for this with the dementia population, and we don't have a lot of resources for them, so we're hoping this helps us -- we do this through our contract, but we'd really be able to help these few individuals who would be able to utilize these beds. >> and aren't -- okay. commissioner wallenberg, please. >> just had a quick question. so the proposed enhancement is the three proposed beds and 20 long-term beds, so what is the baseline that we're starting from? >> well right now, we don't really have access -- we have some access to place in some of our programs, but we just show there's a real shortage here, so community living fund has some. we have, like, i think two emergency beds for adult protective services, but that's just simply not enough, and we're really seeing that sometimes we can't adequately provide services for people because their living situation means that -- you know, isn't enough, and they need care -- ongoing care that they can't get at home. so i think, you know, we're just starting -- we're hoping that we're going to build this into our budget and we're hoping that the mayor will be interested in this, but we're also just trying to elevate the conversation, so i think if it doesn't happen in this budget, we're really trying to elevate the conversation. we've had a lot of conversations also about looking at waivers, going back to the state and getting -- getting more of the conversation to happen at the state level, but it's really here for the purpose of creating conversation, and if we're able to get it into the budget to be able to serve these people better who will be the fortunate ones to access it, it'll allow us to just kind of continue that conversation and see where we get with it. >> so i mean, i think the difference here is we've had a tiny bit of emergency access in the program already. we haven't really come to terms with a program that would be more of a long-term program that would say, you know, someone is not going to just step into an rcfe for a short-term stablization thing, but that's where they would live going forward. >> the long-term trend, however is for fewer and fewer rcfe's in san francisco, and so is there -- how -- is there anything that we can -- anything that we can do about that, or are we going to be placing people outside of the city? >> so i think there -- so there's been a lot of work done on this issue, and i think most recently, both the you cute care collaborative has done a lot of studying the beds, the loss of beds, not just in san francisco but the region in general, and will be making some recommendations to the health commission and to the hospital council about what could -- kind of what are some directions that we could go to help preserve what we have, and certainly, there has been talk at the city about how to -- about some different ways that we could incentivize people either keeping their businesses or either starting new ones, and it's still kind of a nascient conversation, but there's not a plan that says yes, the city's adopted there, but we're getting there, and eventually we will have a plan that says this is what the city's good going to do about that. one thing i think we agree on is we don't want to have a policy of sending old people out of the city because they need something that we don't have, or even worse, sending them out of our general region, so i think there's a lot of energy in this conversation or goodwill. but it's going to take a lot of effort and some putting some new resources in or incentivizing it in some way that we don't have it yet. >> thank you. commissioner wallenberg. >> yeah, and that kind of leads me to my question, what are the current numbers in terms of needs for actual individuals and then what that looks like. and then, i guess i had kind of a more nitpicky question in terms of what any given times means the beds being -- the three emergency beds and the 20 long-term beds. >> that phrasing was meant to me we could sustain an average of 20 folks for this amount of money. >> yeah. >> and i think your other question, we could get you that information because that research has been done, but it would mean bringing it in, maybe making a special report to you. i think it -- and we did talk about this also, is the post acute care collaborative, once they go back to the health commission, maybe we could ask that that report be also brought to this commission. might be helpful. >> yeah, we could do that. that would be fantastic. >> mr. chair, just a point of curiousity as we're discussing this. i know that the church up on laguna honda, received a part of the stipulations, and part of the residents there would be ageing seniors in transition. does that show up in our budget or is it hsa or is it department of homelessness? >> it's not in ours. >> okay. >> we can find out. >> it just would be curious to see who would have that. >> i have a question. >> commissioner loo? >> commissioner loo: we were talking about seeking new money, and we all know that budgets are really kind of tight. what happens if we don't get the money? that means we don't -- we don't have the full grant or is the agency making efforts to find other sources. >> so if we don't get the money, we will not have the money, but we will continue the conversation, we'll continue looking for other avenues for this. like i said, i mean, one of the things that we -- a lot of the conversations that we're also happening at the state level, because this is a statewide problem, so we will be hopeful that maybe some money will materialize there or figure out a way to expand the current waiver or do a different waiver for san francisco. there are a lot of different possibilities, but really, this is to -- to elevate the conversation here and we're very hopeful that it'll happen. >> other states have put in place more robust residential care waivers than we have in california. they probably don't face the kind of housing and infrastructure costs that we face in san francisco, so you know, there's a lot of work that needs to be done on developing this level of care. >> commissioner lang? >> commissioner lang: i actually like this notion a lot, and i have a question. there's something we can do as a commission in terms of advocating and pushing this before the mayor to have something like this included? can we sort of put together an advocacy plan in relationship to these new dollars? can we help? >> will with, thank you. the first step would be approving the budget submission. >> yeah. >> we're going to get there, too. we're going to get there, too. >> i think that's the biggest part is really just approving it and saying you've thoroughly vetted this and you know it's important because of what you're seeing because you're the eyes and ears on the ground for older adults and people with disabilities, and then, there might be something later where if people have questions about it and the value of it for the community, that there might be an opportunity for you to voice that. >> okay. well, in relationship to sort of approving this budget and finding some dollars, i want to go back to something totally different, but it's still on.and i want to thank you and your staff for doing the charts to help us sort of follow this in a very simple way. but if i'm looking back at 2016 at the general fund operating budget, which was basically about 13% or 33 million, and then, i look at the current year, the general operating budget of 5.8 or 2%, i'm wondering what happened to the other dollars, if you would. you following me? >> yes. >> in the dignity fund? >> yes. because part of why i was asking to see the chart, i wanted to see how dignity's funds were laid out the year before. >> and again, i'm a little bit freelancing on this. i was here, but when the dignity fund was created, in the -- in the hopes of the dignity fund at the beginning of the process, there would be a huge infusion of new money. the legislation that ultimately got passed didn't do that. it established a base that was based on actual costs from -- i think it was from 15-16 inflated forward, but they were very close to the actual costs in 16-17. they were actually a little bit lower, and then we added some additional money. so most of that general fund operating, or much of that, actually sort of flowed into the base of the dignity fund, so that's one of the things that happened. [ please stand by ] >> i want to get a better handle on the flow of the money from the dignity fund. i don't understand that yet. i can talk offline, but as we're looking for more money, i want to look everywhere. >> thank you. marie? >> um, so marie jobling, executive director of community living campaign, but today i'm speaking to you as a hardworking senior here in san francisco. as you know, the president has released the budget with massive cuts to medicare, medicaid and social security, in addition to all of the specific programs that may be eliminated or reduced, that executive director mentioned. san francisco can deal with this because we're a rich city. and i'm not just talking about the financial wealth of some of the people. we represent a vast reservoir of time, talent and experience and are ready to step up to help one another, to contribute to organizations throughout the city and to advocate for a more just system in these hard times. as you move this budget forward to the mayor and board of supervisors, we ask that you make employment and mobilization of this talent a priority. we don't want to just be seen as a problem for the budget. we want to be part of the solution. over the next few months, we ask that you work with the staff and mayor's office to find ways to he and funding for paid and stipeds for others. and support individuals that want and need to work. in a way, it's one of those outside-the-target requests and not something that you can put in the budget right now, except as a statement that you say is important. these programs help us overcome ageism and ablism, that add barriers to older adults and people with disabilities seeking employment. we know that demand for the programs far exceeds capacity already. with changes the a the a federal level, we expect the number of people that want and need to work to grow. your support formally and informally during the budget will mean a lot. thank you. and i have some information about the issue. >> thank you. any more comments or questions from the public? thank you. >> i'm charles mistner, member of senior and disability action, retired federal employees. i would certainly second what maria said there. i'm a healthy senior. i've been retired for 13. better health than i've been because of a physical exercise program and i can work. there are many seniors like myself, who have major disabilities but otherwise capable of producing something in society. we have a political problem in this country, not an economic problem. that political problem has created a debt, federal debt, approaching $20 trillion because of the wars primarily. we have a problem in this city with the hospital industry, deciding if they want to throw out the people that are too ill to be taken care of unless it's 24-hour care and they don't want to pay for that. and this hospital industry is making millions of dollars, though they claim they're not for profit. as it was told at the last health board hearing at this issue, the -- no, this was in the supervisors' chambers. sutter healthcare has $14 billion in the bank. 44 executives making over $1 million a year. the last i saw, kaiser had $9 billion in the bank and they have million-dollar executives. so they want to kick this problem out to the city and let us take care of it. i worked for the presidio and the army, that's where i started. and when the army gave up, i advocated it be turned into a home for seniors. we paid for this -- many generations have paid for the presidio. now it's a playground for the rich. who created that? lexus liberal pelosi. that's who created it. that's somebody you can put some pressure on, can't you? she's running for re-election. she turned it over to, what, lucas to have his film studio there? there was a nice hospital there. it could have been the center of the senior community. and all those houses could be turned over to seniors. oh. they made market rate housing, high market rate housing. and turned it over to various corporate, what do you call them? i forget -- trusts. trusts, yes. they collect money and give money to the community, quote, unquote. so we have a political problem in this country, not an economic problem. and we should do something politically to change the situation, because we're not going to go anywhere, as it is now. >> thank you very much. any other comments or questions from the public? hearing none. any further comments or questions, commission, before we vote? >> i did have one question. in light of marie's public comment, i wanted to see if it would be possible to get a rundown of the employment-related programs that we do fund. we're certainly aware of reserve and a few of the others that we were able to approve within the last year or so on the commission. it would be great to see them in one place. >> sure. i can get that. >> sure. all in favor of the budget as -- all in favor of the fiscal year budget presented by dan kaplan. motion to approve? >> motion. >> second? >> second. >> all in favor, aye. any opposed? none. motion carries. thank you to the staff for providing very, very good, useful information, and bringing clarity to a process that is frequently opaque. okay. back to the rest of the agenda. item a, review and approval of the medicare improvements for patients and providers act, contract mi-171806, associated budget and subsequent amendments. welcome back, michael. >> hello, again, commissioners. the item before you today, the department of aging announced they made funding available for area agencies for the mippa program. we have to enter into a contract with california department of aging to access the fund. that contact has been added to your packets. part of the execution of that contract requires it coming before the commission for e approval. again, mippa sounds for medicare improvements for patients and providers act. there are two main things, increase low-income subsidy, and that's subsidizing part d plans for drug co-pays and premiums. and also to sign people up for medicare savings programs. it happens to cover the cost of medicare part a and part b premiums. we passed these dollars through to our high cap, self-help for the elderly. they're uniquely positioned with their expertise and infrastructure to administer this program. the social security administration estimates that the -- the extra help provided by the programs can be worth up to $4,000 a year in savings for participants. we have had this program for a couple of years now. last year self-help had over 166 folks they helped with one of these -- either the low-income subsidy or medical savings program applications. it's a small amount of money, but one that has a great impact. happen to answer any questions the commission has. >> thank you very much. any comments or questions, commission? any comments or questions from the public? hearing none. call the question. may i have a motion to approve? >> so moved. >> a second? >> second. >> all in favor? any opposed. thank you. motion carries. item b. requesting authorization to sent enter into a grant agreement with curry senior center through the period of january 1, 2018, to june 30, 2020. in the amount of $631,608, plus 10% contingency for a total not to exceed $694,769. tiffany will present. thank you, tiffany. >> thank you. good afternoon, commissioners and executive director. the plan for '17/'18 included funding for wellness program that blends socialization, technology and health. older adults and adults with disability have circumstances that can place them at higher risk for isolation and evidence-based research links isolation to poor health and unfavorable health outcomes. research suggests that human connection can be a meaningful factor, contributing to a person's well-being. r.p.f.773, technology and connections at home, was issued to precure community-based program that uses technology devices in combination with concentrated programming intended to reduce isolation and encourage social engagement. curry senior center will provide consumers with technology devices on loan, coupled with teaching and coaching for an enrollment term of one year. -- curry will help consumers who complete the one-year program and desire their own device to obtain one through fundraising efforts. consumers who have completed the program are also invited to participate in monthly classes and to be peer mentors. the post-programming option helps consumers to maintain their skills and supports ongoing socialization. during the 2 1/2 year grant period, curry will reach 150 consumers and provide 2,800 hours of technical support and consumer training and health coaching on an annual basis. curry senior center will begin its outreach by targeting older daughters and adults with disability living in the civic center south of market and western neighborhoods and older adults and adults with disabilities living in these neighborhoods have a high percentage of one or more isolating risk factors and during the term of the enrollment term, the following will be ergs valiateed to assess impact. acquire technology skills, level of loneliness and the health care ethicity and the changes in physical activity, the number of steps and the degree of success with self-directed health goals. and we're anticipating very positive result and looking forward to working with curry senior center and i'm happy to answer any questions that the commissioners may have at this time. thank you. >> thank you. any comments or questions from the commissioner. >> how many do you have to try to get -- on. >> two. >> who is the other one, you remember? >> i want to say that -- i can double check -- it was little brothers, yeah. >> because they have a track record of doing this? >> no, they were picked because they had the highest score. >> thank you. >> any other comments or questions? tiffany, you mentioned that at the end of the year that th the equipment is returned to curry and those working with ipads will be helped in obtaining th that. is any thought given to working with organizations that repurpose ipads and iphones so individuals that don't need the latest ipad and iphone trade them in or sell them or whatever and they're repurposed and reusable and cleaned up of any previous information and they become much more affordable for people who don't need the latest, is curry working with any organizations like that? >> i think so but they're here as well and they can probably speak more to that about the repurposing, but that is definitely something that i'm sure that they would be doing. go ahead. >> hi, good afternoon, commissioners and director, i'm angela demartino, from curry senior center. with equipment we'll start off with refurbished ipads which are a lot more affordable than the ones newly out in the market and working with a technology company that is going to be in charge of repurposing them at the end of the year, a shift of the program, and then turning them -- and cleaning them up for the next cohort. we're also working with our technology partners in the civic center, central city area, for fundraising efforts for after the year programs that we can find sources to help to support the people who want to keep using the equipment but can't afford to buy it on their own. >> thank you very much. >> thanks. >> any comments or questions from the public? can i have a motion to approve? >> so moved. >> a second? >> second. >> thank you. all in favor? >> aye. >> aye. >> any opposed? thank you. the motion carries. and finally requesting authorization to modify the existing grant agreement with shanti project for the time period beginning july 1, 2017, and ending june 30th,2018, in the additional amount of $75,000 plus a 10% contingency for a total amount not to exceed $412,500. thank you. rick applebee. >> good afternoon, commissioners and director and bridget. before getting started i wanted to point out a small correction on the face sheet of the commission packet memo, very small point about the contingency fund and in one spot it says 375 and underneath that it's 275, $337,500 is the corret figure so if anyone had noticed that and wanted to point that out. >> thank you. >> sure. i'm here to request authorization for that $75,000 modification to the grant to shanti. the moneys are being provided by the community living fund and will increase animal bonding services to isolated gay, lesbian and bisexual and trans seniors, especially those at risk for institutionalization. with the moneys the community living fund expresses its support of the programs that address isolation in the lgbt older adult and disabled community. as part of the growing awareness of isolation and loneliness for seniors and people with disabilities in the lgbt community and given the 2014 recommendations of the aging policy task force, shanti developed two programs targeting the unmet needs of senior lgbt community. in this case the animal bonding program or paws as it has historically been known is for isolated and lgbt seniors and shanti and the rest of us believe that the healing impact of the human animal bond is one of the most valuable supports available for vulnerable individuals and that that bond can yield valuable outcomes for well-being, health and socialization. it's even more important because of a lack of family and social discrimination or ostracization and the distrust of social systems as many lgbt older adults and people with disabilities experience. sorry. and it should be noted that this animal bonding program introduces services to many isolated seniors and people with disabilities who aren't currently accessing those services. it's another important aspect. the additional moneys will go to lgbt consumers enrolled in the shanty program that meet eligibility for the community living fund. that criteria primarily is risk of institutionalization, though in the packet it shows the full eligibility criteria. shanty will have purchases to support these clients to stay in the community. clients determined to be c.l.f. eligible may be referred to the full c.l.f. program if they're in need of the more intensive services. the number of clients served will increase from 150 to a projected of 185 and the services will go up from 1,100 to 1,200. mike and i met with the shanti staff for a contract monitoring visit last may in 2017, there were no significant findings and the shanti bonding program exceeded all required contract objectives. ongoing work with shanti this year shows they will meet or exceed the contract expectations again and another monitoring visit will occur this spring. thank you so much and any questions? >> thank you, any comments -- >> yes, you know, requesting $75,000 modification which is 25% of the original budget, okay. and why is it such a great need only for a short period of time? does that mean that when they submit a budget they underestimated or what? i'm just asking a question. >> the community living fund would be noticing their budget and whether they had moneys to help this program and the people who are c.l.f. eligible within this program so it's a budget decision for the community living fund. >> okay, you mentioned the number of clients will increase very much from 150 to 185 but that does not sound like justified for 25% increase of the budget. i'm just asking questions. >> 25% of the $375,000 total budget -- >> yeah, the original budget was $300,000 and $75,000, which is 25% more than the original budget. >> it's because most of the money is going to the operating expenses of buying the veterinary services and the pet related services and boarding, those kind of services. it's not -- it's to reach more people and there's no staff added, etc. and this is a number that we decided with shanti, that its existing clients, we're not expecting them to take on new clients with this amount of money. i feel that i'm answering the question well. >> no, i'm just looking at the budget sheet, the last page. >> the last page of the budget? >> it seems a lot of money is really kind of added to the other program, the $75,000, because the total is $68,000, okay, so i'm -- >> you mean for 35 additional clients, is that your question is that it's 35 additional clients? >> no, no, my question is -- i'm just saying that the $75,000 increase, most of the money already goes to the operating budget. >> right. >> okay. and so one of the questions that i have asked, i'm going to ask is, what is the client services, boarding, you mean -- the owner is taking a vacation or what? >> not a vacation, but if the owner perhaps was not getting -- i'm sorry, i'm going to look up the -- in the scope of service, the appendix a there's a list of the services available for folks and i have that here as well somewhere. and so the range of services would be pet food bank, which could include home delivery and vet prescribed food and veterinariy services and emergency services and diagnostics and exams and vaccinations and including dog walking and homecare and transportation to the vet and emergency foster care. and so if a client, for example, is not going for their medical appointments and they don't have anyone to take care of that, shanti would pay that pet sitter and making sure that the person gets to the medical appointment and back. so it's a range of services that someone might get. >> due to the increase of the client and the need of the clients? >> yes. >> thank you. >> any other wees or comments or for the public? hearing none i have a motion to approve. >> so moved and i would just say that i have the utmost respect for shanti and their history and i have direct knowledge of this program and i think that it's a great program. so it's with great pleasure that i move this. >> thank you. the staff are here so thank you. >> may i have a second? >> second. call the question, all in favor? >> aye. >> any opposed? thank you. motion carries. this is a special meeting of the budget and finance committee. i am supervisor fewer, vice chair of the committee, i'm joined by supervisor stefani. our clerk is mr. victor young. i would like to thank sf gov tv, jessie and charles for broadcasting this meeting. do you have any announcements? >> clerk:

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