1.
SUBJECT:
ADOPT THE FINAL FISCAL YEAR 2026-27 ADMINISTRATIVE
BUDGET FOR THE IN-HOME SUPPORTIVE SERVICES PUBLIC
AUTHORITY (DISTRICTS: ALL)
OVERVIEW
The County of San Diego (County) In-Home Supportive Services (IHSS) program provides
in-home assistance to approximately 51,000 Medi-Cal eligible low-income, aged, blind, and
disabled adults and children. This program enables them to remain safely in their homes, thereby
reducing the need for more costly placements in nursing homes or other care facilities. In-home
assistance is provided to IHSS recipients by IHSS caregivers, of whom approximately 75% are
relatives. The IHSS Public Authority provides numerous services to over 47,000 IHSS
caregivers, including training, payroll services, funding for benefits, and State-mandated
caregiver enrollment, including criminal background checks. The IHSS Public Authority also
provides registry services to IHSS recipients in need of caregivers.
On June 24, 2025 (IA01), the County IHSS Public Authority Governing Body adopted, by
resolution, the recommended IHSS Public Authority administrative budget of $57,470,255 for
Fiscal Year (FY) 2025-26.
On June 1, 2026 (1), the County IHSS Public Authority Governing Body received the
recommended IHSS Public Authority administrative budget of $66,840,791 for FY 2026-27 and
set June 1, 2026, as the start date of public hearings for the budget. Today’s action requests
adoption of the FY 2026-27 final administrative budget for the IHSS Public Authority by
resolution, which is required by State statute. Adopting the FY 2026-27 administrative budget
will allow the IHSS Public Authority to continue administering vital programs and services to
caregivers and recipients who are part of under-resourced groups by identifying and removing
barriers for engagement and participation.
This item supports the County vision of a just, sustainable, and resilient future for all,
specifically those communities and populations in San Diego County that have been historically
left behind, as well as our ongoing commitment to the regional Live Well San Diego vision of
healthy, safe, and thriving communities.
RECOMMENDATION(S)
EXECUTIVE DIRECTOR
Adopt the Resolution entitled: ADOPT FINAL BUDGET FOR THE COUNTY OF SAN
DIEGO IN-HOME SUPPORTIVE SERVICES PUBLIC AUTHORITY FOR THE FISCAL
YEAR COMMENCING JULY 1, 2026.
EQUITY IMPACT STATEMENT
The In-Home Supportive Services (IHSS) Public Authority is committed to advancing equity,
inclusion, and accessibility of services. IHSS Public Authority empowers and supports
communities that include older adults; people with disabilities; youth; Black, Indigenous, and
people of color; LGBTQIA+ communities; individuals with low incomes; and others who have
historically experienced inequities. This is accomplished through compassionate, innovative, and
timely services. This action aligns with IHSS Public Authority’s core values of quality service,
wellness, respect, and communication, and directly supports the County of San Diego’s strategic