that particular project, it turned out a couple of months ago that hsa no longer needs that analysis and have moved forward and adopt a contract management system that is actually a great outcome. we thought we were going to need some analysis around that, but we are not going forward with that project after all. while it was related to our on going profit monitoring and understanding performance, it was not otherwise related to that. we have a very robust program working with not profits, improving accountability, setting financial standards, building their capacity, and helping the city have consistency and better information sharing with not profit performance. supervisor campos: i do want to give kudos to the comptroller's office. i know we have been working to make sure we bring in that level of accountability and assistance with the nonprofits. the road -- the most recent example being pried -- being pride. we asked for a somewhat limited management government's review which highlighted some issues that needed to be addressed and was very useful. not just useful in pointing out

i appreciate that hsa does some of that analysis. i would love to see what you have done to put this list together. >> we just completed an analysis of our advocacy program which showed that for every dollar of general funds spent we save about $4 in terms of the avoidance of medi-cal and cash assistance. we propose to increase ssi advocacy for that reason. i would be happy to share that analysis with you. supervisor kim: thank you. chairperson chu: i do want to open it for public comment now. why don't we go to public comment? >> good afternoon, supervisors. i am the executive director of the in-home supportive services public authority. ihss in concept is a very simple program, but as it has salted out over the years since it was established in the early 1970's, it has gotten more and more complicated in terms of streams of money and the entities that provide this service. the public authority has a major role in the city. we are an employer of record of about 18,000 independent providers of home care under ihss. i wanted to put fo

and hsa criteria. any household that has an income near the federal poverty level, they are on a sliding scale. we really do work very closely with all of our families and we do not deny people access to our program based on the ability to pay. >> even though some get a scholarship and they don't have to pay, i am wondering, the program through the beacon, are those free? >> we have a wide range of costs associated with our programs. they are as low as $29 a session. some are more expensive depending on the nature of the program. all three are augmented by the scholarship program. in hong >> -- >> [inaudible] >> we are exploring different fee structures. >> one quick question for phil. -- phillip. mr. ginsberg, thank you for your presentation. as a person that had their first job at the parks, it is a great way to incorporate someone into the work world. i assume he will employ 12 young adults ages 18-24. will there be an opportunity to employ younger folks or have them at some of your sites starting a

i ask also the mayor's budget staff have these not go through, these cuts, on the hsa. chair chu: thank you. >> good afternoon, supervisors. my name is debbie, and we are an association of about 100 health and human service nonprofits in san francisco. first of all, i want to applaud the early nature of the process and the idea of having these hearings now and other opportunities for public input, like the town hall. we urge the board to work closely with the mayor, do your priority setting early, and work on these so we do not have the kind of service destruction and turmoil that we see. we really appreciate the is. secondly, we have heard about some very devastating cuts to the services in both the department of human services and the department of aging today, and we have not even heard many of the details that we heard in the commission hearings, but we know the caseloads are high. the number of seniors in the city is growing, and we cannot afford these cuts, so we have asked the mayor, and we urge this board, as well, to do everything we can to avoid the contingenc

moving from hsa to my office has helped. using our when stop delivery system has helped on the job- seekers side. when we did lowe's, we used a lot of the systems we had set up through the one-stop services. that helps. as an employer, we do not want you to have to run around to find a qualified person. we can help you. we are acting more as placement for these companies to assist them. that is what our role is. supervisor avalos: in terms of a whistle-blower relationship rule, you and i and others worked on reforming health things would be applied. i used to travel to work sites and asked the foreman for an inventory of the zip codes of where people live to to see if there was good faith compliance. most often, i was completely dissatisfied with the fact that people and our area or the city were not hired. what if someone wants to blow the whistle and say they want to know if the site is hiring our people? how are we set up for that? >> if there is a particular site or area, the likelihood not office would know about it on

we have a partnership with hsa, soon to be a partnership with good will. we have one in western addition and center -- and civic center supported by good will, and one in the mission district. in addition, we also offer ongoing orientations are folks that are already passed the apprenticeships point and are journeymen looking for work. we offer help the couple of times a month. based on demand, i would anticipate over time if we need to expand that we will. particularly if there are special projects are things we need to adjust for. just a couple of quick commercials on other academies we are running that i think may have some overlap. we also are aware that local hire will drop a lot of folks. as we go to orientations, they may not all want to be in construction. we have also expanded our sector academy offerings to offer a train at green academy, a health-care academy, and we are looking at expanding into hospitality and culinary arts. chairperson avalos: what we see from the public. thank you for your presentation and word on this. we are going to go ah

that city buildings already in existence, it was easy to transition all the construction contract from hsa to city build. we indicated that in our overall program. with respect to the permanent jobs, we have fully transitioned all of our and use -- end use construction program into a larger work force system, focusing on one-stop career centers and sector-training academies to place san francisco residents with barriers to employment into training they need to be successful. phase three it is really getting our tracking and monitoring system together. on the construction side, we use the city's online certified payroll as a means to track and monitor how our private first source projects are going. on the and you side - end use side, we are using our public matching system online at all our operations are connected to. we are tracking the connection of a first source residents to protect in the capacity. phase four, larger steps we are examining to increase opportunities that exist. one is in proving our tracking and compliance. at the moment, it is a voluntary program. focusing more on pr

chairperson chu: not the contingencies for hsa. >> there are two commissions. human services did not approve our contingency plan. they directed us to come back with more options. the other commission did approve. chairperson chu: the mayor's budget office -- you have not finalized any decisions with regards to contingency yet. >> just to clarify, the mayor has not signed off on any proposals, either in the 10% target or the 10% contingency. the 2.5% in the current year obviously was taken by our office, but not the 7.5% or 10% contingency. the mayor is committed to an open public process. he has invented stakeholders to meet with him to discuss these proposals. we are having a budget town hall meeting of the next few weeks. but i think the point is that whether it is the specific proposals or others, we will likely have to take all of the 10% target as well as some or all of the contingency. we are looking forward to working with you to figure out what specific proposals we should implement. but i think it is likely, if you look at the targets -- even if we to

. >> as understand many of the plans or health savings accounts, hsa. does your state anticipate seeking a waiver to try to keep alive then? >> we don't have health savings accounts that have been put into place orders placed in any dramatic form right now for the health exchange. we've provided really a defined contribution as opposed to the defined benefit where the small business people now can identify how much money you put towards health care than the consumer takes that money, goes to the point of information and then shop for whatever is best for them in their own individual interest and reduces private competition as people search for their business and try to compete. and it puts the consumer in control of that money and so it allows the consumer to spend the money as they see fit as opposed to how the insurance company sees fit or the business sees fit. there isn't a third-party purchaser now and it is not a one-size-fits-all for the individual. >> last question, governor herbert and governor barbour, as you look at expanding the medicaid pop