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Human Services Agency warns of potential IHSS cost shift and federal funding risk
Summary
Trent Rohr described HSA’s program mix and funding sources, emphasized that most federal funding is entitlement‑driven, and warned the governor’s proposal to change IHSS county financing to a 30% share could expose San Francisco to about $43 million in new costs.
Trent Rohr, executive director of the Human Services Agency, presented a high‑level overview of the agency’s three‑department structure and program priorities, including family and children services, in‑home supportive services (IHSS), CalWORKs, and cash assistance programs. Rohr summarized the funding breakdown—federal, state (including realignment), and local—and explained how the Affordable Care Act enrollment increased Medi‑Cal caseloads and enabled operational efficiencies by co‑locating eligibility for Medi‑Cal and CalFresh.
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