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Departments outline FY18–19 priorities, warn of IHSS cost shift and CalFresh work requirement exposure
Summary
Public Health, the Human Services Agency, Aging & Adult Services and Early Care & Education presented FY18–19 priorities. HSA flagged an SB 90 IHSS cost‑shift (~$592M statewide; ~$20M SF share this year) and the ABOD waiver that could place about 5,000 San Franciscans at risk of losing CalFresh without 20 hours/week of work activity.
Supervisors received a multi‑department briefing on FY2018–19 budget priorities and program risks from the Departments of Public Health (DPH), Human Services Agency (HSA), Aging & Adult Services (DOS) and the Office of Early Care & Education (OECE).
DPH Director Barbara Garcia outlined a $2.2 billion base budget that relies on $1.4 billion in drawdown revenue (principally Medi‑Cal and Medicare) and emphasized the department’s behavioral‑health portfolio, electronic health record modernization ($383 million over 10 years with a Phase 1 go‑live Aug. 3, 2019), syringe access and disposal efforts, shelter health, medical respite and partnerships with UCSF. Garcia said the department will backfill $4.1 million in HIV prevention, surveillance and other disease…
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