REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
REPORT/RECOMMENDATION TO THE BOARD OF DIRECTORS
OF THE IN-HOME SUPPORTIVE SERVICES PUBLIC AUTHORITY
AND RECORD OF ACTION
January 23, 2024
FROM
MYETTE CHRISTIAN, Acting Executive Director, In-Home Supportive Services Public Authority
SUBJECT
Title
Amendment to Contract with the Health Care Employees/Employer Dental and Medical Trust Fund for Health Insurance
End
RECOMMENDATION(S)
Recommendation
1. Acting as the governing body of the In-Home Supportive Services Public Authority:
a. Approve Amendment No. 1 to Contract No. 23-875 with the Health Care Employees/Employer Dental and Medical Trust Fund, updating Exhibit B, and increasing the amount by $30,765,865, from $99,734,135 to $130,500,000, with no change to the contract period of July 1, 2023 through June 30, 2028.
b. Approve the budget adjustment as shown in the Financial Impact section and authorize the Auditor-Controller/Treasurer/Tax Collector to post the necessary adjustments, as detailed in the Financial Impact section (Four votes required).
2. Acting as the governing body of San Bernardino County, approve the budget adjustment as shown in the Financial Impact section and authorize the Auditor-Controller/Treasurer/Tax Collector to post necessary budget adjustments as detailed in the Financial Impact section (Four votes required).
(Presenter: Myette Christian, Acting Executive Director, 891-9108)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Create, Maintain and Grow Jobs and Economic Value in the County.
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
This item will not impact Discretionary General Funding (Net County Cost). The total amount of this contract will not exceed $130,500,000 and will be funded 50% ($65,250,000) with federal funds, 33.5% ($43,717,500) with State Funds, and 16.5% ($21,532,500) with local share funds. In-Home Supportive Services Public Authority (IHSS PA) requests adjustments to its 2023-24 budget as noted in the table below.
|
Fund Center |
Commitment Item |
Description |
Action |
Amount |
|
4980002240 |
40509094 |
Federal - Grants |
Increase |
$4,000,000 |
|
4980002240 |
40408955 |
State - Grants |
Increase |
$2,680,000 |
|
4980002240 |
40809970 |
Other Revenue |
Increase |
$1,320,000 |
|
4980002240 |
40909975 |
Operating Transfers In |
Increase |
$8,000,000 |
|
4980002240 |
53003248 |
In-Home Supportive Services Provider Payments |
Increase |
$8,000,000 |
|
4980002240 |
55305030 |
Operating Transfers Out |
Increase |
$8,000,000 |
|
5019001000 |
40909975 |
Operating Transfers In |
Increase |
$8,000,000 |
|
5019001000 |
55305030 |
Operating Transfers Out |
Increase |
$8,000,000 |
BACKGROUND INFORMATION
IHSS PA is deemed the employer of record for IHSS PA Care Providers (Care Providers) for the limited purposes of collective bargaining. Pursuant to the Memorandum of Understanding (MOU) between IHSS PA and Service Employees International Union (SEIU) Local 2015, IHSS PA provides health care insurance for enrolled In-Home Supportive Services Care Providers. Care Providers prepare meals, perform housekeeping tasks, and assist with the health and personal care of the elderly, blind, or disabled who are unable to remain in their homes without assistance. IHSS PA completes all administration duties for the Care Providers including, but not limited to, hiring, payroll management and supervision.
On August 22, 2023 (Item No. 83), the IHSS PA Board of Directors approved Contract No. 23-875 with the Health Care Employees/Employer Dental and Medical Trust Fund in the amount of $99,734,135 for the period of July 1, 2023 through June 30, 2028.
On September 12, 2023 (Item No. 77), the San Bernardino County Board of Supervisors and the IHSS PA Board of Directors adopted Resolution No. 2023-167, approved the MOU between IHSS PA and SEIU, as well as submission of an IHSS Public Authority/Non-Profit Consortium Rate Change Request form, which provides for an increase in the contribution rate for Health Benefits from $0.32 per hour to $0.42 per hour of care provided, upon approval by the California Department of Social Services (CDSS). The CDSS approval was received in a notice dated November 24, 2023.
Approval of this item, including the recommended increase of $30,765,865 to the contract and budget adjustment for Health Benefit Contributions, will allow IHSS PA to continue providing Care Providers with health insurance coverage.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by Human Services Contracts (Patty Steven, Contract Manager, 388-0241) on December 20, 2023; County Counsel (Kenneth Brown, Deputy County Counsel, 387-5455) on December 18, 2023; Auditor-Controller/Treasure/Tax Collector (Charlene Huang, Auditor-Controller Manager, 382-7022) on December 21, 2023; Finance (Paul Garcia, Administrative Analyst, 386-8392) on January 3, 2024; and County Finance and Administration (Cheryl Adams, Deputy Executive Officer, 388-0238) on January 4, 2024.