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Board to review IHSS consortium amendment after debate over costs and service levels
Summary
The subcommittee continued consideration of an amendment that would raise the In‑Home Supportive Services consortium contract from about $74.9 million to $84.44 million after HSA staff said reductions originally proposed would remove needed consortium hours; advocates argued the consortium prevents costlier institutional care and the committee continued the item to June 3 for further review and legal/RFP review.
The Budget & Finance subcommittee debated a proposed amendment that would increase the competitively awarded In‑Home Supportive Services (IHSS) consortium contract from about $74,996,175 to roughly $84,444,020 to restore hours DPH/HSA staff concluded were necessary to preserve services for the program's most intensive consumers.
Phil Arnold, deputy director for finance and administration at the Human Services Agency, told the committee IHSS serves about 21,000 consumers in San Francisco and that the consortium contract serves roughly 1,000 of the most intensive cases. Earlier budget proposals assumed shifting about 20% (approximately 200 consumers) from the consortium mode to an independent provider (IP) mode to save general‑fund dollars, but a case‑by‑case review showed many of those consumers require the…
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