[gavel] good morning. Welcome to the aging and Adult Services commission. Can we have roll call james, present. Dodd highly is excused loo is excused powell, present. Roy, here. Sims speaker please note executive director mcspadden is present because we have a very long agenda before we approve the agenda we are going to table a lot of the reports because a lot of these items require action and i know you want to see you are contracts approved. So we are going to table all of the reports until next month unless theres something urgent. With that will also table under new business item 7 cla six month report. We will table back also and i think that was about it that what we were tabling today. With that, i would like to have a motion to approve the agenda with those amendment. Moved and seconded. Its been moved and seconded we approve the agenda with the following corrections. All those in favor say, aye [chorus of ayes] opposed . The aye habit and the motion is carried [gavel] at this time could we have some general Public Comment. Any Public Comment at this time . I am sorry. Approvalbefore i go there let me go back to item 3. Can i have a motion to approve the october fifth Commission Meeting minutes . Moved and seconded. Its been moved and second we approve the october 5 Commission Meeting minutes. All those in favor say, aye [chorus of ayes] opposed . Thank you. So the motion is carried. Now item 5, we are tabling the reports and we are moving down to general Public Comment. Are there any general Public Comment . Good morning. Thank you for having me get my name is Barbara Rose Brooker and im here to present my age march. Age march im the founder of the first age march in history in San Francisco. Age march is to celebrate age of pride for all ages, gender, race, sexuality and two and age discrimination and age segregation where we are often identified by our age and our number and age racism where we are often discriminated i losing our work, our housing and many other things. Martin luther king had a dream to judge that people would be judged not by their color but by their character and i have a dream that some day age, all of us, will not be judged by our numbers were our age but by our experience and what we can do. The age march is going to be december 4 in San Francisco on union street. A short walk, a big dream and people of all ages will be there. Also the press is very interested in it and im excited as a native san franciscans that age march will eventually be global and yearly just like gay pride is and thank you for hearing my age march. Flyers are on the table of this march and where it is going to be good thank you very much thank you. Any other Public Comment . Hearing none, we will close. Now any old business . Hearing none, we are under new business. This is information only. Dept. Of aging and Services Budget fiscal year 1617 and 17agent dan kaplan presented. Good morning. Glad to be here. I had wanted to do a quick update on the budget for the current year. We bring you a budget as we are working on it typically in late january or early february and then in the past we have not generally come back and reported where we have gotten from what i would like to do is do a quick report on where weve gotten to. They make some preliminary comments about he 1718 budget process which we have started already. Certainly what weve done so far is not ready to bring to the commission but we have started the process. So if we take a look at the first slide which is a comparison of the 1516 original budget to the 1617 original budget what you see is that the budget has increased about 8 overall. The percentages if you look at the various slices in the pipe, are similar in size from yeartoyear. So in general, weve grown on a proportionate level way. We get a little bit more into the slices the office of aging budget has grown by about 6 million. This is a number of new initiatives to the biggest of which are additions to the new [inaudible] program and the introduction of a new program for support of home and Home Care Pilot Program which is in development but its funded for this year and funded for next year and then we will go from there. In addition, you can take a look at the slide labels independent provider wages which is really what we call the ihss is im only remain [inaudible] effort payment if you remember back in 2012 the legislature approved a bill to recast the way the ihss program is funded. From that point on it worked until 13 on it works good counties had a maintenance of effort payment that they made. In lieu of paying for a particular percentage of wages and benefits for ihss. So the main maintenance of effort payment amount was set a store on 1112 Actual Expenditures on the county by county basis and it grows at 3. 5 a year and if you compare the numbers and 1516 216something youll see theyre all most 3. 5 different from each other could then it is adjusted by changes in collectivebargaining agreements at the account. The county makes up collectivebargaining agreement that increases the low cost of wages for benefits that will increase the amount of the moe. Now in San Francisco we have not done that in the past year. What has happened instead is that the minimum Wage Ordinance has kicked in. Before the minimum Wage Ordinance kicked in the ihss wage was a little bit about the minimum wage. As it kicked in and remember we are moving towards 15 an hour over several years the minimum wage caught up to the ihss wage and has started pushing it up. So i hss workers are now making 13 an hour, which is the minimum for the minimumWage Ordinance went into effect they were getting paid 12 an hour. Next fiscal year their wage will go up to 14 an hour. But what weve had extensive discussions with the state about the impact of local ordinances local minimumWage Ordinances on me and will we and we have an agreement that at this point that we are minimumwage does not trigger a change in the ml we. Because is not the result of the collective bargaining process. It is something that applies to all workers in nature restriction. Which is good news from a budgetary point of view because the ihss workers get a higher wage but the city does not come up with a higher general fund share to fund its. Its a good situation. We also have growth in the ihss Public Authority health and dental payments. Another big category of the budget. There is medical inflation. Certainly in the ihss how the Workers Program there is throughout the world of medical coverage and we are feeling that here. That is being reflected in our budget that also doesnt trigger a change in the moe. And we are expecting that there will be some fairly significant additional inflation into the next fiscal year in this category. Costs are in fact going up in the healthcare arena. So is there anything also want to call your attention to . The last is around ihss is service and county staff as you will note our costs went down there. That is actually an artifact of shifts of staffing within the budget. It is not a lower commitment in terms of staffing to the administration of the ihss program. In fact, weve added a significant number of positions on the social work and support staff side of the ihss program. What we have done in the budget is weve taken the eligibility workers were part of the ihss program on a budgetary level we combined them with our San Francisco benefits net group which is the group that has medical and cal fresh eligibility work. So the cost of those eligibility workers have slid off of the das budget into the dhs budget. If you are looking to the actual staffing was doing eligibility work for seniors and persons with disabilities you would see the numbers actually gone up. We have added sf benefits net eligibility workers systemwide and a larger share of those workers are in fact working on the aging and disability side of the program. So its a budgetary move that reduces cost but if you look at where the actual staff are working there are more of them. Just to add confusion. Okay. If we look at staffing what you will see is that there are small additions to the number of staff in a number of programs. The largest addition to the to take account of his in the eps program where we added next team of social workers and as i said before if you look at the ihss group you can see the numbers go down but what this is is a number of new social work and support staff offset by a reduction of eligibility staff which is just a gadget budgetary change. Then if you look at our funding mix from yeartoyear what youll see a percentage basis its very similar. So the federal revenue represented, 30 in one year and represents 30 in the next year and so on throughout the other [inaudible]. So overall, it sort of interesting to look at the two bases of the budget process that are probably most important for us here. The first phase is the agency proposed budget and that is what we bring to you when we come to you in february. So this represents charlenes proposal supported by the hsa executive director. It comes out out of our Agency Budget process. In that part of the process we have tended to focus most on the departmental infrastructure. By that i mean, the people and systems that provide Services Within the das part of the program. The dos agency part of the program. When we get to the ad backs phase the mayoral ad back phase and the board at that faces, then a lot of money comes in typically for direct client service. Thats where additional nutrition money would come in. Thats where money for things like the Home Support Program would come in. So when we brought to you our proposed budget it was not exclusively staffing and systems. But that was where the large body of the dollars went. Most of that has made it into the final budget. There were some reductions along the way and typically what happens is we make a proposal. We will go to the Mayors Office. The Mayors Office will except a large portion of the proposal. Not necessarily all of it and ate at in some other things. Then when we get to the board phase of the process we work with the budget and legislative analyst who recommends trends to the mayors proposal. And some of those actually get implemented and some of them dont and then additional money comes in but normally as i said before, it is for things like increased money in the Nutrition Program, increased money in the new initiatives. This year for example as we were developing the budget does a great deal of interest in having a new center at reiman street in the valley this a little bit of money second year of the budget for that. So thats the sort of thing that comes in in the second days of the process. If we look at this last five dos enhancements added since february, this is where those items came in. So you can see there its Nutrition Program money. Theres housing subsidy money. This is where money on the dignity fund, which doesnt take into current this so your butt hits in the next fiscal year assuming passage comes in and then if the that proposition is passed next week opposition i then also be a little bit of staffing money for the dignity fund to do work, preparing and doing studies and setting up the analysis and the decisionmaking process. But that is a small piece of the whole. The big pieces the service these enough 6 million and it comes in the second year of the biennial budget. So that is just the kind of quick highlevel records in the process and where we ended up. I want to talk a little bit about next year. The dynamics are going to be i think a little bit different next year from last year. So where we have had room to grow on the staffing side of the dos budget has really been around the ihss program. It really is an artifact of the ih ss mo we which has basically hold the city harmless from general fund growth in that program. That will still be there but we have grown the program a great deal in the last several years. We have also grown the aps program and the aps program is funded largely with federal money and with 2011 realignment money. In 2011 we up realignment money, which is funded by state sales taxes and state vehicle license fees it has been growing relatively rapidly of weve come out of the recession and growth in that pot of money had actually slowed a good bit over the past year in sales tax revenues are coming in a little more slowly than they anticipated at the state level. So that is a source of Revenue Growth that will not be as robust in the future were not expecting its going to drop but its growth wont be as robust in the future. Then on the dhs side and dos and dhs are sort of linked by their general fund, we had a lot of growth in the medical program and cal Works Program and Cal Fresh Program over the last several years which is allowed us to sort of free up and we leverage general fund money. The growth in those programs has basically stopped on the medicaidon the medical side. It slowed dramatically on the cal fresh side. Actually reversed on the cal works cited cow works is very dependent on caseload and caseloads have come down as we got further and further away from the recessionary period. Theres more employment and more people are able to get jobs. These are all a good thing. But it does reduce money in the cow Works Program. So that tends to tighten up our budget all around. So we will feel a tighter situation Going Forward into the next fiscal year then and the past. I dont think its a situation where were going to be doing anything like dramatic cutting but on the other hand growth wont be as easy as it has been in recent years. Thank you. Any questions from commissioners . The only question might be the timing of dignity Fund Revenues into that budget. Are you saying that the diminished revenues streams you are highlighting are not offset by dignity fund dollars in the next fiscal year . It will only be the year following . No. In the next fiscal year , 1718 assuming passage next week will have an additional 6 million of Service Related money. Which can be used to pay for nonnatural services. That is, that can be used to cover 100 of the cost of a new service or they could potentially be leveraged if we have a good way to leverage them. With some other federal stream. In which case the total amount would generate would be more than 6 million but 6 million of money that can be used as if it were general funds. Okay . Thanks. Any other questions . Thank you. Next item, all these items below are action items and require a vote by the commission. The first item a the dept. Requests authorize asian to modify dos Grant Agreement with Nonprofit Service providers the cost of doing business. Funding during the period of july 1, 2016 through june 30 2017. In the aggregate amount not to exceed 90,809 could deny the motion to discuss . Moved and seconded. Good morning commissioner john johndirector of contacts for hsi. The common request authorizations to modify the dos contracts for cost of doing business adjustment as you know these are funds the city provides to assist nonprofits in meeting the cost of doing business in the bay area. Last year the dos Commission Approved the cost of doing business for both fiscal year 1516 as well as the zero fiscal year 1617. So this request is an adjustment of the 1617 copy in its round total of 90,000. By comparison the total copy added to the last two years by last years approval was 2. 4 million. This is just kind of a change in methodology as well as applying it to funds that were not covered in last years motion. To describe the first part of the copy for this year theres a change in methodology about a calculated the cost of doing business. Last year they took 2. 5 of all eligible base cost and added to 1516 and then added an identical amount to 6017. What they did not do is not applied the 2. 5 to 1516 god b. They did the base amount. So this is a compounding thing where the change they are doing is they are adding the 2. 5 from last year. Its kind of that actually less than a 10th of a percent increase. Agencies will get some funding but it wont be a significant amount. The larger part of this 98,000 is funds that were not covered by last years motion is a that is new contracts that came in the year 1516 as well as add backs that got baselined were not included so they did not get a 1617 increase. We are applying that now. Im available to answer any questions you have regarding this years cotton b. Any questions . It was his addition they did on a pro rata basis human of context by agency . What we do is look at the calculations from last year and see what the eligible base cost is over the 2. 5 we would figure out what base and multiply the 2. 5 to that 2. 5 . Some of these increases are like less than 10 for a contract because its a small amount. For the cotton b for new funding it be a whole 2. 5 . Added as a card b for this fiscal year could agencies dont have to apply for these funds. You just distribute it as i can right it will contact each agency and let them know and allow them for the budget adjustments. Okay. Any questions . . Is there Public Comment at this time . Any Public Comment on this item . I will call for the vote all those in favor say, aye [chorus of ayes] opposed . The motion carries. [gavel] the next item, b the Department Request authorization to modify the Grant Agreement with next ability