Special Notice / Hearing: None__
Vote Required: 4/5ths
To: Honorable Board of Supervisors, Acting as the Governing Board of the Public Authority
From: Louise F. Rogers, Chief, San Mateo County Health
Lee Pullen, Director, Aging and Adult Services
Subject: Agreement with San Mateo Community Health Authority, dba Health Plan of San Mateo
RECOMMENDATION:
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Acting as the Governing Board of the Public Authority:
A) Adopt a resolution authorizing an agreement with San Mateo Community Health Authority, dba Health Plan of San Mateo, to provide health benefits to independent providers of the In-Home Supportive Services program for the term of January 1, 2025, through December 31, 2025, in an amount not to exceed $9,500,000; and
B) Authorizing an Appropriation Transfer Request (ATR) in the amount of $1,338,341 from unanticipated intergovernmental revenue to cover the projected increase in independent providers' health premiums.
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BACKGROUND:
In 1993, the San Mateo County Board of Supervisors approved an ordinance establishing the Public Authority (PA) as the legal entity to administer the provider component of the In-Home Supportive Services (IHSS) program. The ordinance also designated San Mateo County Board of Supervisors as the PA's Governing Board. The mission of IHSS is to help eligible elderly, blind, and disabled individuals remain in their homes for as long as safely possible. Independent providers assist county residents with a wide variety of daily living activities, including bathing, eating, preparing meals, and performing certain paramedical services authorized by a physician.
The Service Employees International Union (SEIU) represents the IHSS independent providers in negotiations regarding issues such as wages and health, dental, and vision benefits. In January 2021, the Board adopted the current Memorandum of Understanding (MOU), pursuant to which the PA administers benefits, including health benefits, for IHSS provider...
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