Loading...
HomeMy WebLinkAboutMINUTES - 04281987 - 1.42 TO BOARD OF SUPERVISORS FROM: Phil Batchelor Contra County Administrator Costa DATE: April 21, 1987 Count/ SUBJECT: Legislation: Senate Bill 277 (Watson) SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION RECOMMENDATION• Adopt a position of opposition to SB 277 by Senator Deane Watson unless it is amended to provide adequate funding for the additional requirements which would be enacted by the bill. SB 277 requires that whenever In-Home Supportive Services ( IHSS) are approved for an individual the Social Services Department make a follow-up visit within one month. The bill also requires that the County employ, either as an employee or by contract, a substitute IHSS worker when the client' s regular provider is unavailable for specified reasons. BACKGROUND: Under existing law, the Social Services Department is required to authorize In-Home Supportive Services ( IHSS) for aged, blind, or disabled persons who are unable to perform the services themselves and who cannot safely remain in their homes unless the services are provided. SB 277, which is admittedly a well-intentioned piece of legislation, requires the Social Services Department to provide a follow-up visit to each IHSS recipient within one month of the approval of services whenever the individual, because of physical or mental incapacity, is unable to personally contact the Social Services Department to report problems, or where the individual does not have another person to objectively report the individual' s circumstances to the Social Services Department. In addition, SB 277 requires the Social Services Department to employ persons who can provide IHSS services whenever the individual' s regular provider has not yet been hired, is ill, on vacation, in an emergency, or is otherwise absent temporarily. Rather than employing a substitute IHSS provider the Social Services Department could contract for the services with another agency to provide the necessary services. CONTINUED ON ATTACHMENT: YES SIGNATURE: X RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD))) COMMITTEE X APPROVE OTHER SIGNATURE(SI: ACTION OF BOARD ON April > 1987 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. County Administrator APR 2 8 1987 cc: Social Services Director ATTESTED Jackson/Garish & Associates PHIL BATCHELOR, CLERK OF THE BOARD OF D. J. Smith Associates SUPERVISORS AND COUNTY ADMINISTRATOR CSAC Director Senator Diane Watson BY ,DEPUTY M382/7-83 Page 2 The Social Services Department is in favor of the content of SB 277 in all respects. The protections provided for in the bill are important and necessary ones. However, SB 277 provides that reimbursement can only be obtained through the State Mandates Claims Fund, a singularly inadequate resource for additional state-mandated levels of service which could run to hundreds of thousands of dollars statewide. In Contra Costa County we do not employ IHSS providers, nor do we contract for another agency to provide them. Each individual recipient is responsible for obtaining his or her own provider. The County cost for such providers now averages $3 . 61 per hour. Having to contract for substitute services can run up to $10. 00 per hour, and using a County employee would run a comparably high cost per hour. While a one-month follow-up visit under the circumstances outlined in the bill are considered most important, this County simply does not have the financial resources available to provide for such follow-up visits. If the state were to provide funding for these additional, admittedly needed required services, we would gladly provide them. However, the States Mandates Claims Fund is not a reliable source for such funding. It is, therefore, recommended that the Board of Supervisors go on record in opposition to SB 277 unless and until it is amended to include an appropriation -to cover the cost of the additional state-mandated local costs or such funds are included in the State Budget for 1987-88 before passage of SB 277 .