Agenda

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C. 34

To:	Board of Supervisors
From:	Kathy Gallagher, Employment & Human Services Director
Date:	December 5, 2017

Contra

Costa

County

Subject:

Employment and Human Services Department Appropriation Adjustment for In-Home Supportive Services Public Authority

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 12/05/2017

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:

Erik Brown, 925-608-4832

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: December 5, 2017
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE Appropriation and Revenue Adjustment No. 5028 authorizing an adjustment to expenditures and revenues in the Aging and Adult Services Bureau. Adjustments are based on the revised methodology for the FY 17/18 budget of the In-Home Supportive Services Maintenance of Effort structure, and the redirection of AB85 and 1991 Realignment revenues from the Health Services and Mental Health accounts to the Social Services account.

FISCAL IMPACT:

This action will adjust revenue allocations in the amount of $7,129,395 based on the revised methodology of the In-Home Supportive Services (IHSS) Maintenance of Effort (MOE) County share, the redirection of AB85 funds to IHSS , redirection of 1991 Realignment funds to IHSS, and the projected funds to be received as part of the accelerated caseload growth. Also, this action will adjust expenditures in the amount of $7,129,395 for the MOE recalculation, increased costs for IHSS Provider payments, retirement costs, and Contra Costa Health Plan costs. (11% Federal, 56% State, 33% 91 Realignment)

BACKGROUND:

In June 2017, the new In-Home Supportive Services (IHSS) trailer bill (contained in SB 90) was signed into law, thereby implementing the Governor's May Revision proposal to mitigate the fiscal impact of the elimination of the IHSS Maintenance of Effort (MOE). A new MOE was proposed which included increased costs and identified new sources of revenue to offset those County costs including the redirection of funds from the Health Services and Mental Health AB85 and 1991 Realignment accounts and the addition of accelerated caseload growth. Based on the California State Association of Counties' (CSAC) estimates, the Employment and Human Services Department is projecting an increase of approximately $7.1 million of expenditures and revenue.

CONSEQUENCE OF NEGATIVE ACTION:

Appropriations will not be properly allocated.