The hamster on the whole i, start you have the slides in front of you. A Highlevel Mission for the agency first of all, as you may know the Human Services agency it come phrased of 3 the department of aging Adult Services, the drs and the office of early care and education we do this because the administrator arm of Human Services supports all 3 departments we do that to create the efficiency and save money i know you appreciate so the vision we have for the city that San Francisco is a Diverse Community children and youth and deputies and seniors have thriving and safe more specifically the mission of the agency to promote the wellness and selfsufficiency amongst the community in the city who do we serve we serve san franciscans disadvantaged so disadvantaged in a number of ways mostly economically disadvantaged in crisis or unable to be a part of the community we do this through income support programs and direct benefits other Supportive Services that are childcare and employment Replacement Services to promote the selfsufficiencies and protect services to shield against abuse Child Services or child abuse as well as seniors and then with family and Community Building services to help the individuals to reach tare potential was this reflects the contract with the communitybased partners a number of programs to help you facilitate what i talked about but 3 broad Program Goals that cut across all of where we administer that is to provide the safety net to low income persons not able to support themselves the second is promoting selfsufsz within the working four seniors and the disabled and the third reflects the protection of the agency to preserve and protect the children and adults and older adults and adults with disabilities so a few slides that give you an understanding of the funding of the agency so this shows you a breakdown of the 3 departments as well as the mist arm of hsa, hsa is half and the Human Services mostly entitlement programs but the protection of Children Department of aging Adult Services, is about thirty percent and office of early care well be presenting next week i believe is 10 percent the Program Support the admin is 10 percent that is the contract support and it, personnel, fiscal and contracting and the like so the Program Groups further and later in any presentation ill talk specifically about most of programs but a high level the programs we administer i ask this is primarily a provider for wages to provide inhome care core for people with disabilities and older adults family and Children Services the Child Welfare is the next largest and im not going to walk you through but ill go into further detail in a minute pr the Funding Source is i think more important than ever given i call it silly hall. The transition in d. C. With the new administration in terms of federal money and who this is legitimately at risk this is the state piece that is 14 percent but two sections named realignment one and two are detected Revenue Streams that fund sp several of our programs one ask the list of entitlements i h ss and apps the department of aging Adult Services so, now into the into the program ill start with department of children, youth close to 20 percent of our budget known as Child WelfareServices Protects children if abuse and neglect and finding places for people to see farther into the reunification with their parents or adoptions or emaciation from our services to dulled hood the graphic you see that from the overarching goal of Child Welfare keeping children out of foster care or reunite them with their parentheses as soon as possible with the decline since 2001 we were at peak of 2001 or 2 of 23 hundred kids in foster care now down to 9 hundreds that is good were doing nice work in terms of keeping kids safe at the home with the services we provide and moving kids out to adoption or on the programs i should mention that the number of kids that are under 18 in foster care is really about 6 hundred and 50 a number years ago through Assembly Bill 12 foster care was extended to kids up to age 22 before that when the kids were 18 there were no longer in the system but now through ab that is a positive piece of legislation we can keep children in their care and support them up to age 22 that number would be lower. What were doing now in Child Welfare the biggest reform or change were grappling with as the continued care reform we call ccr that of those passed through Assembly Bill 403 it altercates to do really supervisor yee he know you know foster care that is the most significant reform in Child Welfare in the past two decades well continue it does is reduce the counties reliance on group care and move the kids at all levels of needs more immediately into family based places and away from group care i think study after study shows the outcomes for people in group care are much worse than kids with families and closer to their communities so what do you mean that monies we can increase the number of fosters homes in the city and have state funding and pursuing aggressive paths to increasing those numbers new online apps for the Foster Parents and approving them and providing them if for their license were also beginning to talk with the providers about the campaign to help the lgbt communities and the fosters parents and or aldolph parents a few other they require the family team at every point where it effects the child replacement or some other significant change in the childs life that change shall be delivered and decided with the social working or Mental Health working or sometimes the birth parent to make sure it is in the best interest the childs that is a change in the process in order to move towards not just licensing for foster being a Foster Parent getting the approve at the same time of being an adoptive parent makes that easier inform navigate and if we want to put children are families Mental Health support with the kids kids that are removed from their parents suffered trauma because they were abused or neglected and suffer a secondary trauma when their moved from their parents and trying to place the kids without accompanying Mental Health support generally will not work kids go from placement to placement were fortunate to have a partnership with Public Health and with the jointly or joint mental ascertainment to have the Mental Health plans for every child based on their needs on the county Assistance Program the cash Assistance Program for dulls with no kids under 18 where it provides Cash Services and Housing Assistance and Emergency Shelter for the low income adults with no independence the boards approved a package of reforms to the cap program and the reforms were probably encompass 70 packages at the highest level for the reforms making it easier for clinics to assess benefits and stay on them the system before the reforms required a lot of paperwork and parts in the process is on reduce application process with two invites as to the office and then as a result a lot of program by eliminating those unnecessary appointments and paperwork were hoping that clients will stay on track that allows us to provide the employment and Supportive Services to hopefully permanently end their need to rely on public assistance for support along with that we simplified internally to make that easier four our workforce to manage their caseloads. The next is the cal works, cal works is the welfare to work program for parents that are low income with kids in 1885 percent are Single Parents single moms weve gone through the state law i listed some of them here what were trying to do is better equip our staff with the system we fund in our community to treat the whole family meaning to attempt to move the family towards selfsufficiency and the calworks strategy to identify the families not engaged in work participation or early he removal activities identify them and bring them into the impediment process every family that is a comprehensive tool that is a robust statewide state standard provisional that takes several hours to identify strengths and barriers focusing on the full case participation we want everyone to say participating in the education or employment or dealing with other sponsors Domestic Violence and School Truancy for their kids or other issues and continuing the Successful Program our subsidized corner of our strategy for families who are on public assistance and then im mentioning the whole family working with the whole family and mention a couple one the Family Stabilization Program targets for families for some reason are not ready to enter the workforce we move them both the Family Stabilization Program they can focus 100 percent of their time on remediating barriers to return to work and part of that the Housing Support a state funded Housing Program for cal works we served over one hundred and 25 families giving permanent homes to families so on to medicare and calfresh which on the onset of passage of the Affordable Health care act we saw the opportunity it link Affordable Health care act with the food innovation supervisor cohen. Thank you supervisor yee has a quick question. Can you back up a little bit to the your cal works and office of Economic Workforce Development development could have asked that question decades ago the idea that was implemented and initiated was eventually well see a huge reduction of people that will be on this assistance and havent followed it for a long time more curiosity than. Sure. Has it really done that or are we flat. It has supervisor when we know you remember in 1997 our welfare task force 13 thousand 5 hundred families an cal works when we started that task force you know called a f d c were under 4000. How many. 4000. And its been a steady decline since we began the cal works there are a number of reasons certainly you cant just say because they all found jobs and selfsufficient and thats not correct weve literally placed thousands of families into jobs and you know we have fewer families in San Francisco so part of that case decline reflects the the graphic of San Francisco with fewer families one of the theres a lot of criticism in the past in the mid 70s and were fortunate in california unlike states to have a state legislation that valued the opportunities that the new program for the and then that was fill childcare support full support for employment activities and support of services that county design their own podiums in board perimeters youve heard our program was robust and if you look at the funding if the stated under calworks we receive the highest lovely of state funding per capita in the amount of capital per family because back in the late 70s we recognized we wanted a revolt program not just a work program that kicks families off aids but that allowed us to design the work plan that met their needs and moved towards selfsufficiency. You want to continue. Sure. As i was saying the passage of Affordable Health care act give us the opportunity to pled not guilty a. Cal works and medical having a single worker or Single Online popularity manage for both programs in if an individual family applies for medical and not on cal works calfresh theyre not having happy holidays we did this for a couple of reasons one Customer Service we did want adults to go to two building with the eligibility as similar and second the Administration Program we can manage a significant there in the medical you see in front of you with not having to expand the workforce in portion to the caseload we added easy i think 80 boiblth goikt for workers we doubled the workforce but 20 there is that steep caseload is one hundred due to the Affordable Health care act and the fact we enrolled our enforcement reached about one hundred thousand. I have a quick question in your presentation particularly talking about the medical caseload did evicting the repeal that failed in your presentation give a little bit of breath. About the future press pecks. Sorry to interrupt ill be happy to with medical im finish now, one in four san franciscans receive medical we pretty much have provided medical rgz almost saturated the lgbt population for medical if youre eligible for medical your probably receiving it with the department of Public Health and assess points to get on medical and really the aggressive outreach we did and i wanted to included mentioned here about goikt for medical for the immigrants communities because there is so many dialogue coming out of washington, d. C. On the immigration status so important to note that local immigrants or legal noncitizens are eligible you dont have a be a u. S. Citizen to receive the medical then undocumented citizens can receive prenatalal care even if your undocumented because of the passage the state law undocumented kids are eligible for medical it is important to get there out because of negative rhetoric coming out have been d. C. To enforce the equity of the programs for the immigrant communities so, now calfresh and similar to medical weve seen a significant increase in calfresh which we see as a positive not 100 percent freld funded but aggressive in project sponsors with medical but adding online popularity with the online applications we do onsite benefits at our Litigation Centers and communitybased organizations zuckerberg San FranciscoGeneral Hospital and do outreach vents it has 6 hundred applications each month and now were in partnering with a contractor that actually minds our one and thirty thousand medical caseload people not on calfresh and identified p them and reach out through a phone call or mailers to get them on calfresh. Okay. Ill move on if you can go to slide 15 i want to talk about federal funding to hsa and some of the proposals that could affect our state funding as you can see you know slide earlier in my presentation about a more a third of our budget through federal funds 97 percent of that federal funds passes in the state department of healthcare and allocated it to but community unlike the consideration guatemalas you permitted for or grants through the feds neither here nor there all of it is tied to a federal program authorized through separate piece of legislation w calfresh versus and 40 and foster care or a formula i raise that because obviously i get the question a lot from the Public Administration holds back the will money because of nature of the funding through the state and making decisions who gets the dollars and the federal entitlement i dont see us as effected this is a view that is shared by the state of california theres has to be an act of congress to restrict the funding or prohibit the funding to sanctuary cities and the other specific to california were talking about sanctuary cities and every other community in San Francisco there are multiple cities some maybe sanctuary cities and la is probably the best example motoristly how will the state of california pairs out which cities and counties get the money that is an insanely process i dont see happening so my message to staff and our Community Partners and the public our funding is skewer irrespective of Trump Administration does with respect to the sanctuary city and their used for contracting the services and in some cases not in the budgeted we have 200 and 87 million from the government we have couple hundred Million Dollars of federal money it goes to pay i h ss and another amount that go to clients through our calfresh that is off budget if you say how much federal dollars does hsa draw down in the neighborhoods of 6 to seven hundred millions so as medical i see it playing out you noted it failed which is obviously great news the worry i have is that under the guise of medicaid in this case medical the government looks at each state and says youll get a fixed amount of dollars to admin medica