DATE: September 10, 2024
TO: Board of Supervisors
SUBMITTED BY: Sanja Bugay, Director, Department of Social Services
SUBJECT: Presentation on In-Home Supportive Services Public Authority Update
RECOMMENDED ACTION(S):
TITLE
Receive Program Update Presentation from the In-Home Supportive Services Public Authority.
REPORT
The presentation will provide your Board with current legislation and funding structure changes for the In-Home Supportive Services Public Authority.
ALTERNATIVE ACTION(S):
There is no viable alternative action.
FISCAL IMPACT:
There is no Net County Cost associated with the recommended actions.
DISCUSSION:
The presentation will provide your Board with an update on recent legislation and funding structure changes for the In-Home Supportive Services (IHSS) Public Authority (PA).
The IHSS Public Authority is the employer of record for IHSS Providers and is a local agency legally separate from the County. As authorized through Welfare and Institutions Code Section 12302.25, County boards of supervisors are required to establish a Public Authority, by ordinance, or contract with a Nonprofit Consortia (NPC) to serve as the IHSS employer of record. Fresno County Ordinance Chapter 2.80.030 establishes a public authority for Fresno County.
The Fresno County PA is deemed the employer for the purposes of employee/employer relations for IHSS providers, including collective bargaining. However, the IHSS recipient is the provider's employer and is responsible to hire, train, supervise, and fire the individual.
Effective July 1, 2012, the State implemented a Maintenance of Effort (MOE) for the IHSS Program as part of the Coordinated Care Initiative (CCI). Prior to the IHSS MOE, the County share of cost for IHSS was determined through statutory sharing ratios and the County was responsible for approximately 17.6% of the total cost of the IHSS Program. Under the MOE, the County share of cost became a set amount that was equal to the actual County ...
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