DATE: February 28, 2017
TO: Board of Supervisors
SUBMITTED BY: Jean M. Rousseau, County Administrative Officer
SUBJECT: Letter Opposing Dismantling IHSS MOE
RECOMMENDED ACTION(S):
TITLE
Authorize Chairman to execute a letter opposing the cessation of the Coordinated Care Initiative (CCI), the dismantling of the County In Home Supportive Services (IHSS) Maintenance of Effort (MOE) cost sharing arrangement, the dissolution of the Statewide IHSS Authority, and shifting IHSS collective bargaining to counties.
REPORT
On January 10, 2017, the California Department of Finance Director performed his annual costs and savings calculations related to the Coordinated Care Initiative (CCI), which indicated that CCI costs exceeded state savings. This triggered the unwinding of the CCI, which ends the county In Home Supportive Services (IHSS) Maintenance of Effort (MOE) cost sharing arrangement on June 30, 2017, resulting in an estimated $25.3 million in additional County share for Fresno County in FY 2017-18. Approval of the recommended action allows the Chairman to sign a letter opposing dismantling the IHSS MOE and requesting the Legislature work with counties and other stakeholders to arrive at a fair solution to IHSS program funding and responsibilities and work to ensure the stability and sustainability of IHSS - and other critical general fund county services - for years to come.
ALTERNATIVE ACTION(S):
Your Board may opt not to approve the recommended action. A letter opposing dismantling the IHSS MOE will not be executed and sent.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action as this is a request to execute an opposition letter. However, should the dismantling of the IHSS MOE cost sharing arrangement proceed, the estimated impact to Fresno County is an additional $25.3 million in County share in FY 2017-18 due to the return of the pre-MOE County share of cost, which ranges from 15% to 17.5% of federally-eligi...
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