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(Added November 2014; amended by Proposition J, Approved 11/5/2024)
(a) The Initiative shall provide support for the Council by providing data and information relevant to the Council’s decisions, by preparing drafts of the Outcomes Framework and the Plan, by implementing alignment of systems and coordination of services, and by evaluating submissions from City departments and SFUSD under this Section 16.127-8.
(b) The Initiative shall ensure that various community groups, agencies, and organizations responsible for providing support, including SFUSD, other government agencies, and community partners, work together in aligned, coherent, and effective ways.
(c) The Initiative shall ensure that the City maximizes opportunities to receive available funding for children and youth from the State and Federal governments. As part of their biennial budget submission under Article IX, City departments that provide services to children, youth, and families shall report on any State or Federal funding for which the department has applied or received funding.
(d) The Board of Supervisors by ordinance shall designate a department, commission, or other City entity to assume primary responsibility for supporting the Initiative and establish the responsibilities of constituent City departments and commissions within the Initiative. Funding for administrative support for the Initiative shall not be included in the Children and Youth Fund Baseline calculation.
(Added by Proposition J, Approved 11/5/2024)
(a) Citywide Community Needs Assessment. The Initiative shall assist the Department of Children, Youth, and Their Families (“DCYF”) in developing a Citywide Community Needs Assessment (“CCNA”) for children, youth, and families. The CCNA shall supplement and expand upon the CNA described in Section 16.108(i)(1), and the Initiative and its constituent departments, commissions, and SFUSD shall use the CCNA to develop the San Francisco Children and Families Plan (the “Plan”) and Outcomes Framework. DCYF shall prepare the CCNA using the same process and timeline described in Section 16.108(i)(1).
(b) The San Francisco Children and Families Plan and Outcomes Framework. The Initiative shall support the Council in crafting the Plan and Outcomes Framework described in Section 16.127-5 and identifying relevant goals and strategies to align and coordinate the services to children and families provided by City departments, SFUSD, and community partners, and to maximize support for children and families. Through the Initiative, the Mayor shall invite SFUSD to participate in the planning process for the Plan and the Outcomes Framework.
(Added by Proposition J, Approved 11/5/2024)
(a) Outcomes Framework Analysis. By January 1, 2028 and at least once every five years thereafter in alignment with the beginning of the Five-Year Planning Cycle described in Section 16.108(i), the Initiative, in consultation with the Controller, shall develop a policy to help the Initiative evaluate whether the following types of expenditures are consistent with the Outcomes Framework: (1) expenditures that are included in, or are eligible to be included in, the Children and Youth Fund Baseline described in Section 16.108(h), and (2) expenditures from the Public Education Enrichment Fund (“PEEF”) and the annual PEEF Baseline appropriation (“PEEF Baseline”) described in Section 16.123-2.
(b) Budget Review and Approval for Proposed Appropriations in the Children and Youth Baseline, Public Education Enrichment Fund, and Public Education Enrichment Fund Annual Baseline Appropriations.
(1) By February 21 each year, beginning in 2026, each City department that anticipates expending funds for eligible services in the Children and Youth Fund Baseline, the PEEF, or the PEEF Baseline in the subsequent fiscal year shall submit a written report with its anticipated expenditures to the Initiative for review. The Initiative may request that City departments provide additional reports on expenditures as the Initiative deems necessary.
(2) Beginning in Fiscal Year 2028-2029, the Initiative shall review and determine whether each department’s proposed expenditures under subsection (b)(1) and SFUSD’s annual report under Section 16.123-6(d) are consistent with the Plan and Outcomes Framework. The Initiative shall also review the department’s and SFUSD’s expenditures for eligible services in the Children and Youth Fund Baseline, the PEEF, or the PEEF Baseline for the current and prior fiscal year, if any, to determine whether those expenditures were consistent with the Outcomes Framework. By April 30 each year, the Initiative shall provide a written report to the Mayor and Board of Supervisors evaluating whether each department’s current and prior year expenditures were consistent with the Outcomes Framework and stating whether the department’s proposed expenditures for the subsequent fiscal year are consistent with the Outcomes Framework. By April 30 each year, the Initiative also shall provide a written report to the Mayor and the Board of Supervisors evaluating whether SFUSD’s current and prior year expenditures were consistent with the Outcomes Framework and stating whether SFUSD’s proposed expenditures for the subsequent fiscal year are consistent with the Outcomes Framework.
(3) In preparing the biennial budget under Article IX of this Charter, the Mayor shall consider the Initiative’s written report. In its evaluation of the proposed biennial budget, the Board of Supervisors also shall consider the Initiative’s written report and shall hold a public hearing on the Initiative’s report before finally approving the budget. The Initiative may provide an addendum or update to the report based on new information it receives following its initial report regarding the budget.
(4) By no later than the date of final enactment of the biennial budget, beginning with the biennial budget for Fiscal Year 2029-2030, the Board of Supervisors shall, by resolution, find that all anticipated expenditures for services in the Children and Youth Fund Baseline and City department and SFUSD expenditures under the PEEF and the PEEF Baseline in the biennial budget are, on balance, consistent with the Outcomes Framework as provided in subsection (l)(2), or that specified expenditures are not consistent with the Outcomes Framework but otherwise serve an overriding public purpose.
(c) The Board of Supervisors by ordinance may modify the deadlines in this Section 16.127-10.
(d) For purposes of Section 16.127-10(b)(2), the Controller and the Board of Supervisors’ Budget Analyst shall jointly be responsible for approving the final determinations and reports of the Initiative. The Board of Supervisors by ordinance may designate a different City entity to perform the duties of the Initiative for the purposes of that subsection.
(Added by Proposition J, Approved 11/5/2024)
CODIFICATION NOTE
1. So numbered in Proposition J, 11/5/2024.
(a) No later than February 21 of each year, beginning in 2026, each City department that anticipates expending funds from the City’s General Fund to procure or otherwise support any services related to children and youth in the subsequent fiscal year, other than funds for eligible services in the Children and Youth Fund Baseline, the PEEF, or PEEF Baseline, shall submit to the Initiative a written report describing its anticipated expenditures. Beginning in Fiscal Year 2028-2029, the Initiative may evaluate whether the anticipated expenditures are consistent with the Plan and Outcomes Framework, and may provide a written report to the Mayor and Board of Supervisors detailing the expenditures that it has concluded are consistent with the Plan and Outcomes Framework and the expenditures that it has concluded are inconsistent with the Plan or Outcomes Framework and the reasons for such conclusions.
(b) The Board of Supervisors by ordinance may modify the deadlines and the reporting requirements in this Section 16.127-11.
(Added by Proposition J, Approved 11/5/2024)
If, by June 30, 2026, the Council ceases to exist, the Initiative shall assume the Council’s responsibilities described in Sections 16.127-1, 16.127-3, 16.127-5, and 16.127-6; provided that if those sections have been removed from the Charter by the voters, the City shall enact an ordinance designating the Initiative or a different City entity to assume the Council’s responsibilities.
(Added by Proposition J, Approved 11/5/2024)
[DIGNITY FUND]
(a) There is hereby established a fund, which shall be called the Dignity Fund (“Fund”), to be administered by the Department of Disability and Aging Services (“DAAS”), or any successor agency. Monies in the Fund shall be used or expended by DAAS, subject to the budgetary and fiscal provisions of the Charter, solely to help Seniors and Adults with Disabilities secure and utilize the services and support necessary to age with dignity in their own homes and communities. For purposes of Section 16.128-1 through 16.128-12, “Senior” shall mean a person 60 years old or older, and “Adult with a Disability” shall mean a person 18 years old or older with a disability as defined under the Americans With Disabilities Act.
(b) The Dignity Fund is needed to ensure the health and well-being of Seniors and Adults with Disabilities for the following reasons:
(1) DAAS and the San Francisco Long Term Care Coordinating Council have advanced a vision and set of long-term goals that highlight best practices, strengthen access to services, coordinate across agencies and City departments, and develop a unified strategy.
(2) Important safety net services to Seniors and Adults with Disabilities such as adult day programs and/or other state-funded services directed to low-income populations have suffered significant losses in funding due in part to the reorganization of California’s health and long-term care services.
(3) San Francisco non-profit community based organizations are the City’s most valuable public assets in terms of supporting Seniors and Adults with Disabilities to age with dignity in their own homes and communities.
(4) Seniors and Adults with Disabilities are valuable contributors to the City’s vitality and must stay connected to friends and family who can help them age in place with dignity.
(5) Because a majority of the City’s Seniors and Adults with Disabilities live on fixed incomes, the growing economic divisions in the City are putting them increasingly at risk of poor health outcomes and institutionalization.
(6) San Francisco has the highest percentage of Seniors and Adults with Disabilities of any urban area in California and the number of Seniors continues to steadily increase, especially for those over the age of 85. Over 40% live alone with inadequate support networks, in part because their families have been forced to seek more affordable housing or employment elsewhere, or because they have no children or they lack supportive families.
(7) The constant increase in economic pressure and lack of support for Seniors and Adults with Disabilities has impacted the cultural and ethnic diversity of the City.
(8) As of 2015, over 19,200 people 55 years of age and older were living in San Francisco with Alzheimer’s disease or dementia. This number is projected to increase to 26,868 by 2030 – a 40% increase in 15 years.
(9) Over 70% of veterans in the City are over the age of 55 and 28% of those have disabilities. As of 2015, 40% of all veterans rely on Veterans Administration health care with the remainder reliant on outside agencies to provide care, representing a massive undertaking by community based organizations.
(10) As of 2015, approximately 60% of people with HIV in San Francisco were over 50 years old. In 2020, it is estimated, 70% of people with HIV in San Francisco will be over 50 years old.
(11) In 2013, the Insight Center determined that a single person 65 years of age or older needed a monthly income of $2,526 to rent housing and meet his or her basic needs in San Francisco. At that time, the fair market rent for a one-bedroom apartment was $1,500 a month and 62% of all Seniors could not afford that rent. As of 2016, the fair market monthly rent for the same apartment is $1,635. Many apartments have higher rents. The median rent for a one bedroom apartment in San Francisco is now approximately $3,600 per month.
(Added by Proposition I, Approved 11/8/2016; Amended by Proposition B, Approved 11/5/2019)
(a) To ensure that San Francisco’s Seniors and Adults with Disabilities are provided the opportunity to age with dignity and with affordable, quality services and support.
(b) To ensure San Francisco is an aging- and disability-friendly city, helping individuals age with dignity in communities as an important part of the City population and civic culture.
(c) To focus on the prevention of problems and on supporting and enhancing the strengths of older adults, people with disabilities, and their hands-on care providers.
(d) To complement the City’s housing and community development efforts by providing needed long-term services and support in housing to keep individuals in their homes and communities.
(e) To strengthen a community-based network of services and support in all neighborhoods.
(f) To ensure that Seniors and Adults with Disabilities receive maximum benefit from the Fund and that equity is a guiding principle of the funding process.
(g) To distribute funds based on best practices, the highest need, and successful and innovative models in order to ensure maximum impact.
(h) To the maximum extent feasible, to distribute funds equitably among services for all eligible groups, regardless of race, ethnicity, sexual orientation, or gender identity or other identifying characteristics.
(i) To ensure Seniors and Adults with Disabilities are provided with gender responsive and culturally competent services.
(j) To strengthen collaboration around shared and agreed upon outcomes among service providers for Seniors and Adults with Disabilities and their hands-on care providers, including collaboration among public agencies and non-profit organizations.
(k) To fill gaps in services.
(l) To leverage other resources whenever feasible.
(m) To support programs that prioritize:
(1) Stabilizing people, through food, homecare, transportation, and case management services;
(2) Stabilizing housing to permit people to age in place successfully, through eviction protection, housing preservation, and accessibility improvements to existing housing;
(3) Preventive health care and healthy aging;
(4) Supporting transitions to the best home and community care and support, through ombudsman services, transitional care programs, and navigation assistance; and
(5) Caregiver support.
(Added by Proposition I, Approved 11/8/2016)
(a) Annual Baseline Contributions to the Fund. Each year during the term of Charter Section 16.128-1 et seq., the City shall make an annual baseline contribution to the Fund in the amount of $38 million, representing the amount the City spent in fiscal year 2016-2017 to provide eligible services as identified in Section 16.128-4 to Seniors and Adults with Disabilities.
(b) Additional Contributions for FY 2017-2018 through FY 2026-2027. For fiscal year 2017-2018, the City shall increase its contribution to the Fund over the baseline amount in subsection (a) by $6 million. For each fiscal year from 2018-2019 through 2026-2027, the City shall increase its additional contribution to the Fund under this subsection (b) by $3 million over the prior year.
(c) Projected Budget Deficits. Notwithstanding the provisions of subsection (b), the City may freeze the City’s annual contribution to the Fund for any fiscal year 2017-2018 through 2026-2027 at the then-current amount when the City’s projected budget deficit for the upcoming fiscal year at the time of the Joint Report or Update to the Five Year Financial Plan as prepared jointly by the Controller, the Mayor’s Budget Director, and the Board of Supervisors’ Budget Analyst exceeds $200 million, adjusted annually beginning with fiscal year 2017-2018 by the percentage increase or decrease in aggregate City discretionary revenues, as determined by the Controller, based on calculations consistent from year to year. In determining aggregate City discretionary revenues, the Controller shall only include revenues received by the City that are unrestricted and may be used at the option of the Mayor and the Board of Supervisors for any lawful City purpose.
(d) Additional Contributions for FY 2027-2028 through FY 2036-2037. For fiscal years 2027-28 through 2036-2037, the City’s annual contribution to the Fund shall equal its total contribution, including the baseline amount under subsection (a), for the prior year, beginning with Fiscal Year 2026-2027, adjusted by the percentage increase or decrease in aggregate City discretionary revenues, as determined by the Controller, based on calculations consistent from year to year. In determining aggregate City discretionary revenues, the Controller shall not include revenues received by the City under the increased rates in Business and Tax Regulations Code Sections 953.1(g), 953.2(h), 953.3(h), 953.4(e), 953.5(d), 953.6(f), 953.7(d), and 953.8(i) adopted by the voters at the general municipal election on November 3, 2020, and shall not include revenues received by the City under Article 36
of the Business and Tax Regulations Code adopted by the voters at the general municipal election on November 3, 2020. For purposes of this subsection (d), the “additional contribution” for these years shall mean the amount in excess of the baseline amount.
(e) The City may in any year contribute more to the Fund than the amounts required under subsections (a) through (d), but those increases shall not alter or affect the amounts of the City’s required contributions for subsequent years.
(f) The Controller shall maintain the Fund separate and apart from all other City funds. Any amount in the Fund unspent or uncommitted at the end of the fiscal year shall be carried forward to the next fiscal year and, subject to the budgetary and fiscal limitations of this Charter, shall be appropriated then or thereafter for the services and purposes specified in Section 16.128-4.
(Added by Proposition I, Approved 11/8/2016; amended by Proposition F, Approved 11/3/2020)
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