Supervisor Budget Finance Committee meeting for monday, may 2, 2016, my name is mooerlt im joined by katie tang and supervisor norman yee and joined by supervisor kim thank you clerk linda wong and jim smith and charles kremack for covering this meeting madam clerk, any announcements . Electronic devices. Completed speaker cards and documents to be included should be submitted to the clerk. Colleagues 3 departmental Budget Hearings this afternoon and take them out of order dph next and she was third and mention in advance supervisor tang and i have different engagements well be leaving anothers 2 oclock i appreciate your patience with that madam clerk call item 2. Hearing to receive a budget update from the hearing agency from 20162017 and 20172018. Okay. Thank you we have a number of departments within hsa that well be talking but still came up up mr. Recognizing and he can be the miss to in terms of everyones order. Govern supervisors director with the Human Services agency yeah sort of 40 departments we will decide on the best order given the presentation and as you may know the Human Services agency formally comprise 3 very well Departments Department of aging Adult Services and the office of early care and education as you may know the mayors announced aid move forward with the budget establishing a new department of homelessness or Homeless Services which will move out the hsa division of Homelessness Department and we have sam dodge to present on the initial thoughts of of department of homelessness ill move into the department of health and department of aging Adult Services and early care and education interest as you may know Human Services agency broadly speaking we serve the low income single adults and families and seniors and children in San Francisco and through the various programs to promote the sufficiency amongst the population and the agencies that protects 9 vulnerability through the Child Welfare and protective services and Human Services as well. But for the latter fall under daasw rather than walk you through a lot of dollars and sort of the more detailed portions of our proposed budget i want to talk about arithmetics about what is driving where were propose to spend how public dollars so essentially yield of our Protection ProgramChild Welfare our programs are driven by serving those who are in most defined and income we do it in 4 principle areas through income supports and throughout the public assistance, cal works as well as the county of Assistance Program undertook the nutritious all through our calfresh and a number of contracts with communitybased organizations we did provide health care and insurance 0 through medical that is as you may know sitting calendar in the acting and seek to provide the Housing Support from Emergency Shelter to subsidies to Supportive Housing that last piece currently the Human Services budgeted will move out of 20162017 so we look at how we can configure those and governed by federal and state law that authors the programs and well talk about in broader terms to our level it is whos poor in San Francisco and despite the Economic Growth job growth and decreasing unemployment there be hundreds of thousands of residents that are struggling financially and this bar graph you see where those fall it is important to note were not using the federal definition of poverty the wolfed one hundred but in San Francisco bay area would have had is defined and object and 2 had had percent your considered low income in San Francisco as you can see the numbers were looking at extremely poor under 50 percent of poverty we have 45 thousand residents the vast majority are in 1 or many of the programs as well as the next bar under one hundred federal poverty an example in the medicine be Affordable Health care act it touched up to one hundred percent and the second bar a little bit of the third and obviously a significant expansion in the medicaid so, now ill quorum through the programs that again, we administrative at the campus and city level that are authorized through the federal legislation in addition through state implementing legislation so medical as you can see the Affordable Health care act continues to be a tremors success and asset to the portion of San Francisco since we began in 2014 we reached one hundred and 20 thousand cases of february of this year and as you can see did significant increase in the chart on the right notablely though the medical has tripled of one hundred and 34 percent the number of staff in the budget who support of enrollment and the comboiblth the oewd workers has increased by 28 percent this is not to say we dont need the Ability Services workers a quirk experience force those who apply and maintain their eligibility we have a significant change in our business processes to allow to serve the significant increase in population with staff that is not increasing proportional to that caseload increase also in medical a penetration in medical is in the highest of the state were touching well over 95 percent of those who are eligible state legislation that was passed i think two years ago will enable 16 hundred undocumented children inform receive medical Health Insurance they were only for limit medical we anticipate a little bit more uptick an increase to our caseload given the undocumented enrollments that given very, very soon calfresh a significant increase from the chart began well before the implementation of the passage of the and implementation the Affordable Health care act due to outreach due to efficiency we have undertaken to opening up neighborhood offices and the partnerships and with the food bank and other food providers however, we do unlike medical weve reached again, a vast majority we have a was to go with calfresh different studies show our penetration is 50 to 55 percent of those eligible those are projections on the low side in terms of penetration rate nevertheless, 45 or 60 percent question is where a number thousands of San Francisco households we can potentially enroll in the Calfresh Program the beauty of one of the benefits of the Affordable Health care act is providing Health Insurance through for the poorest of the poor allows us to market and do what we call in catcher reaching looking at those who are newly eligible and seeing who when a other benefits those households are enrolled in around calfresh to look at office of the city administrator those and expedite their enrollment and one of the streams to increase uptick of significant important food support were also trying to continue to integrate our eligibility work matt haney a single case worker for cal calfresh and cal works for an individual how their applying challenges do remain as i said weve gold a significant number of folks upwards of 20 minutes and open enforcement again call rates for folks who choose to enroll on the phone and our goal to have wait times of less than 30 seconds that will drive the demand time rate were relying on overtime hours were proposing the budget in june proposal to increase the eligibility workforce in calfresh and medical again not an increase as portional to the there on the last to help principally help get for households on calfresh but produce the less wait 7, 8, 9 for the eligibility programs on the cash so far as and Investment Infrastructure is the Calfresh Program comprised of 4 programs for those centered around the need of the population other than, of course, their poverty needs whether . Movement towards federal ssi or moving employment or less requirements due to a little of the applicant or recipient the case has declined cal works case welfare to work is cash assistance for families is declined not as the caseload this tends to you look at sort of do a 10 to 15 year look back it rise and falls with the unemployment so more dulls are benefiting and getting jobs as well as those for federal disability through ssi that puts them off the caseload we still have almost 55 hundred individuals that again those are single adults over 18 with no did not significant numbers still need to move into federal disability or employment were attempting to do is make a lot of pragmatic changes some of those we can do simply changing the operations but a number will require changes no local ordinances youll see in the proposal in june is a number of amendments to the county assistant ordinance with the eye and simplifying the application and the goiblth requirements to get those who are able to work quicker into jobs and subsidized employment and assistance so, of course, ill talk more in detail in a couple of months but this is been a two year internal and external undertaking for this program recognizing where the unique needs and various needs amongst the population to govern the ordinance to meet those are challenging but we think weve produced a passage of reforms that helps us drive that caseload down over time drive that in the near term increase it as we see others on board we want those who are entitled to public assistance to come in and stay on so we can engage them in the Robust Services to offer them cal is our state mandated program for families that are low income pertaining families on cal workers comprise 80 percent of the caseload and parents that are low income and for all of them to get the paternities into work if parents cant work due to a disability we do the same cap that helps them navigate the application process with the ssi their children, however, will remain eligible for cal workers, however, the parents are not required to work the fetsdz and the state requirement of 50 percent if we are blow 50 percent were subject to come be subject to federal and state fiscal sanction who years ago we were 35 percent and we had been there for probably a decade due to significant state reforms as well as changes in the local operation and Service Delivery weve pushed the number of significantly and good for two reasons well not face a fiscal sanction but more families are engaged in Employment Training and subsidize employment and doing removal work their children are getting caregiver and Health Treatment and transportation and all those obviously are critical if we are to move families from public assistance into the workforce and ultimately into selfsufficiency the other piece of cal workers were glad this govern focuses on positive changes which is funding of Additional Service through cal workers the cal working program for housing subsidies so far cal works families two hundred homeless cal works family all of our cal works parents through the robust profiler process a state required appraisal very, very comprehensive tools that looks at really the whole family what is going on within the family we need to aid what are the strengths to get that family off public assistance and selfsufficiency what is going on with their household and and their inward and housing, etc. That then helps inform our welfare to work plans and related support of services we need to provide parents and their kids in order to move them again off of the public assistance and the last is a local strategy but embedded in the cal works the project 5 hundred initiative that i say youre not Human Services agency but ours as in the citys as in the Mayors Office are significant other reels significant partner in this department of health but also department of children, youth, and Families First 5 rec and park, the idea being those families 5 hundred of our lowest new york families in San Francisco need more than income support and job training to get out of poverty they need help with the department of health and Child Maternal Health and safety and access to afterschool programs with dcyf or summer exams through rec and park and looking at wag, we do to stop and disruptive this transition of entering generational poverty and focusing on without going into much detail but a two generation strategy that looks at low income moms who have a new born many of whom have older siblings that is the hook anothers breaking that entering generation all poverty we dont want that newborn and sibling to become poor when they hit adulthood but to break that and the strategy to easily define the population and identify the population but this is going through work and research by the department of health the engagement and the opportunities for engagement when a mom has a new born a much, much better when they have an older have older children some inviting program that the public Health Department has been doing nor a number of years moms seem more receptive and needing of the program when this is the sort of entree into the whole initiative not mom you have a new born lets get to work lets help you manage the first 12 or 24 months with the new born and managing that household is the next steps to move into work and off of poverty and the last area ill talk about not necessarily a low Income Program is it so not it if so by happenstance but our really crisis preservation our Public Protection for kids when the defendants but the Child Welfare services the administration of child prevent Services Adoptions and a whole range of category it seeks to prevent abuse and. Thank you very much. Next speaker. Keep families intact and assists children that are of abuse and neglect in a better way to make sure that all the negative the negative impact of that abuse on the kid is in a debated as quickly as possible and over the long term technical Child Welfare 9 Core Practice mode and care reform and broadly speaking those are strategies that helps e helps us in broad terms keep families intact and children do need to come into the foster care make that stay as short as possible by adoption in foster care make sure those replacements with supposedly and meet the needs of kids through Mental Health and educational supports and connections with adults through families to maintain the connection with the extended families through better visitation and a whole host of evidence informed evidence based practices that fall under the title 40 waiver and the continued care reform i want to note specifically though the third bludgeon an issue that garntsd attention at the state level weve known for years decades really that our kids in foster care are vulnerable sexual abuse and dont want to criminalize kids victims of sexual abuse but local and state and local practices to address that particular program the hundreds of kids that are at risk and children engaged in sex trafficking and better training for the staff a noncriminalization approach for those children who are victims theres literally dozens of bills in the state protective if sentencing reform to criminalization to look at the reforms in the way the probation deals with children and sight reforms in the way we can help help those vulnerable children. One second supervisor kim. I just had some questions on the Foster Care Program you said that you tried to use it sparely to limit the amount of time w45u9 the average time in spending in foster care. So the number is driving down the average length of the stay will be ball parking we have a cohort of kids in foster a long time six or eight years more kids that may have come in at a young age and not able to get if unification with the parents or adoption their older and in care significant challenge getting older kids adopted out of the system youre faced as a tragic that kids have to go into foster care we are doing a better job but the cohort remains the kids in foster care kids that come in as a younger age belief before six or eight months we are better another addressing the kids that are older needs to come into foster care is sexual abuse and other things we look at the length of stay in care and look at the first time entries into care the unification rates were picking up in every area with the care thats a good thing when you look at the caseloads there were 28 hundred kids in foster care. How many 28 hundred about 8 years ago now blow seven hundred and thats kids under a 18 we do fortunately have what is called nonminor dependent foster care through the Assembly Bill 12 which loud the kids to remain in foster through age 21st and 18 theyre not prepared to enter the world whether college and whatever so we can provide for their support up to age 22 in the form of housing or tuition that numbers is 200 and 50 so under seven hundred kids and 200 and 50 nondid not that would be been out of the system. Between 200 and 50 and ages 18 to 21 yes. And seven hundred that are 18. 6 hundred and 97 that is a couple days ago. Theres used to be 28 hundred what year. That is probably aro