>> the homecare system, there is a lot of unpaid hours, as you might guess.but she is told to be there? >> she is told to be there by her employer and the medicaid system. this is our public health care system. there are contracts that basically say, we are going to assume that workers are eating and sleeping for 11 hours a day, so we are going to pull that out of their paycheck. julia: she gets paid for 13 hours a day, 26 hours out of 48. >> that is correct. the assumption of meal and sleep breaks are unrealistic. i spoke with 20 workers in the course of the year, and nobody said they were ever educated as to how to log hours they were off or say to employers they didn't sleep. julia: how much does she get paid to do this? >> right now, she is making $13. when i first met her, she was making $10. like most homecare workers in the medicaid system, they are making the minimum wage plus a few benefits. julia: what is the law surrounding this? you mentioned this idea of a split shift, so in theory, you would have two people working 12 hours each and it is more m

our biggest program is in-home supported services which provides homecare for 22,000 people in san francisco. but we do a lot of other things as well. >> so the department is 17 years old? >> yes. although the city was providing services well below -- before that. so there are a lot of things in the horizon that are new. one of the things that is new is that deputy fund. she can talk a little bit about how it started. >> okay. >> a group of service providers with a history of providing services came together and asked about the underfunding of services, not the [ indiscernible ] the demand. we thought perhaps a legislative kind of direction would be the way to go to increase funding. so we -- we planned and got the proposition on it on the ballot, november of last year. that insured that there would be some funding increases for services for those who [ indiscernible ] and adults with disabilities. it's a huge sense of accompaniment. it worked its way toward getting to the 44 million current needs then of underfunding. people waiting for services. people needing services but no capacity to m

sometimes more often on their mobile phones or their ipads with homecare visits, we have home directed primary care teams that go into homes, homes specialty care. and caregivers. the v.a. supports 27,000 caregivers right now even animals, dogs are super important for mobility. and now emotional support issues. there are ways we can build a system around our veterans and let them remain in the settings they want. i think it's cheaper, i think it's better and we're going to take it as a moonshot. we are not there right now. that's why been talking to your directors and your state captains about doing this together. that's where they said, look, help us clean up the daycare. -- the adult day care, that's part of the solution. i think we will be leading the way for the rest of americans. >> thank you very much. i'm going to ask governor fallin to make any closing remarks. >> i think we heard great information about what the veterans affairs missions are. hopefully we heard some great comments from our governor on how we can work together. >> many of us have had the privilege of knowing th

and emergency services and diagnostics and exams and vaccinations and including dog walking and homecare and transportation to the vet and emergency foster care. and so if a client, for example, is not going for their medical appointments and they don't have anyone to take care of that, shanti would pay that pet sitter and making sure that the person gets to the medical appointment and back. so it's a range of services that someone might get. >> due to the increase of the client and the need of the clients? >> yes. >> thank you. >> any other wees or comments or for the public? hearing none i have a motion to approve. >> so moved and i would just say that i have the utmost respect for shanti and their history and i have direct knowledge of this program and i think that it's a great program. so it's with great pleasure that i move this. >> thank you. the staff are here so thank you. >> may i have a second? >> second. call the question, all in favor? >> aye. >> any opposed? thank you. motion carries. this is a special meeting of the budget and finance committee. i am supervisor fewer, vice