Reilly v. Marin Housing Authority ( 2020 )


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  •         IN THE SUPREME COURT OF
    CALIFORNIA
    KERRIE REILLY,
    Plaintiff and Appellant,
    v.
    MARIN HOUSING AUTHORITY,
    Defendant and Respondent.
    S249593
    First Appellate District, Division Two
    A149918
    Marin County Superior Court
    CIV 1503896
    August 31, 2020
    Justice Chin authored the opinion of the Court, in which
    Justices Liu, Cuéllar, and Groban concurred.
    Chief Justice Cantil-Sakauye filed a dissenting opinion, in
    which Justices Corrigan and Kruger concurred.
    REILLY v. MARIN HOUSING AUTHORITY
    S249593
    Opinion of the Court by Chin, J.
    The federal Housing Choice Voucher program is a key
    program in section 8 of the United States Housing Act of 1937.
    (
    42 U.S.C. § 1437
     et seq., as amended by § 201(a) of the Housing
    and Community Development Act of 1974.) Commonly referred
    to as “Section 8,” the program provides low-income families a
    monthly subsidy to pay for a portion of their rent. The amount
    of the subsidy depends, in part, on the income Section 8 families
    receive. The program, which is funded and regulated by the
    United States Department of Housing and Urban Development
    (HUD), is administered locally by public housing authorities
    (PHAs). In this case, we address whether a Section 8
    beneficiary’s compensation for providing in-home care for a
    severely disabled adult daughter should be excluded from
    income in calculating the rental subsidy. For reasons that
    follow, we conclude that it should be excluded and reverse the
    Court of Appeal’s judgment.
    FACTUAL AND PROCEDURAL BACKGROUND
    In 1998, plaintiff Kerrie Reilly and her two daughters
    moved into a three-bedroom apartment in Novato and began
    receiving Section 8 housing assistance payments to subsidize
    their monthly rent. Reilly has an adult daughter, K.R., who is
    severely disabled and requires constant supervision. Reilly
    receives compensation to provide in-home supportive care for
    1
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    K.R. through the state and federally funded In-Home
    Supportive Services (IHSS) program.
    In 2004, Reilly’s other daughter, R.R., moved out of their
    subsidized apartment, but Reilly did not inform the Marin
    Housing Authority (MHA), which is responsible for
    administering Reilly’s Section 8 voucher. Five years later, when
    Reilly told MHA that R.R. no longer lived with her, MHA
    advised her that her failure to report her daughter’s leaving
    constituted a violation of the program rules. Reilly could only
    stay in the government-subsidized apartment if she paid
    approximately $16,000 in damages to MHA.
    Reilly agreed to pay MHA in monthly installments,
    initially starting at $486 and eventually lowered to $150 per
    month at Reilly’s request. In 2010, after Reilly missed an
    installment payment, MHA warned her that future missed
    payments would result in termination of her housing assistance.
    Reilly missed multiple payments in 2012, 2014, and 2015.
    In 2015, Reilly requested that MHA recalculate her rent
    and exclude her IHSS compensation from “income” under the
    relevant federal regulation. (See 
    24 C.F.R. § 5.609
    (c)(16)
    (2020).) MHA did not respond to this request, but instead served
    Reilly a notice of termination of her Section 8 voucher. After a
    hearing on MHA’s decision to terminate Reilly’s housing
    voucher, the hearing officer upheld the agency’s decision, noting
    that Reilly’s failure to pay amounts under the settlement
    agreement constituted grounds for terminating her housing
    assistance. The hearing officer did not address whether the
    IHSS compensation counted as income, however.
    On October 26, 2015, Reilly filed a petition for writ of
    mandate seeking an order requiring MHA to terminate her
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    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    repayment plan and reinstitute her Section 8 voucher; she also
    sought an administrative writ ordering MHA to terminate the
    repayment plan and exclude Reilly’s IHSS payments in
    calculating her income going forward. The trial court rejected
    Reilly’s assertion that IHSS payments were excepted from the
    meaning of “annual income” (
    24 C.F.R. § 5.609
    (c)(16) (2020)). It
    sustained MHA’s demurrer without leave to amend, and the CA
    affirmed the judgment. (Reilly v. Marin Housing Authority
    (2018) 
    23 Cal.App.5th 425
    .) Both lower courts ordered “a stay
    in the enforcement of the administrative order terminating
    Reilly’s Section 8 benefits.” MHA later agreed to an extension
    of this stay pending review in this court.
    We granted review, limited to the issue whether IHSS
    payments should be excluded from “annual income” for purposes
    of calculating a Section 8 beneficiary’s home assistance
    payment.
    DISCUSSION
    A. Overview of Section 8 voucher program
    In 1974, Congress added the Section 8 housing program to
    the United States Housing Act of 1937 “[f]or the purpose of
    aiding low-income families in obtaining a decent place to live.”
    (42 U.S.C. § 1437f(a); see generally Friedman et al., Cal.
    Practice Guide: Landlord-Tenant (The Rutter Group 2019)
    ¶ 12.) The program gives eligible families either “tenant-based”
    or “project-based” rent subsidies administered locally through
    PHAs. (See Park Village Apartment Tenants Ass’n v. Mortimer
    Howard Trust (9th Cir. 2011) 
    636 F.3d 1150
    , 1152–1153
    [overview of Section 8 housing assistance].) “ ‘[T]enant-based
    assistance’ ” is a rent subsidy that is tied to a specific family
    even if the family moves to other suitable housing. (42 U.S.C.
    3
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    § 1437f(f)(7).) “ ‘[P]roject-based assistance,’ ” on the other hand,
    is tied to a specific housing development or unit. (42 U.S.C.
    § 1437f(f)(6).) We focus on tenant-based assistance, which is at
    issue in this case.
    Under the tenant-based assistance program, at least 75%
    of all admitted families must be “[e]xtremely low[] income,” i.e.,
    their income may not exceed 30% of the median income
    calculated by HUD for the relevant area (
    24 C.F.R. § 5.603
    (b)
    (2020)); and all remaining admitted families must be “[l]ow
    income,” i.e., their income may not exceed 50% of the median
    income. (Ibid.; 
    id.,
     § 982.201(b)(1), (2)(i) (2020) [eligibility and
    targeting].)
    After a Section 8 family selects an eligible rental unit
    approved by the applicable PHA, the PHA enters into a contract
    with the rental property owner. That owner “functions as a
    landlord in the private rental market. The owner signs a lease
    with the Section 8 tenant (which includes a HUD Lease/Tenancy
    Addendum) and also signs a Housing Assistance Payments
    (HAP) contract with the Housing Authority.” (Apartment Assn.
    of Los Angeles County, Inc. v. City of Los Angeles (2006) 
    136 Cal.App.4th 119
    , 123.) The PHA gives the subsidy payments
    directly to the property owner. (
    24 C.F.R. § 982.311
    (a) (2020).)
    As we explain below (see post, at p. 8), the amount of the
    housing subsidy depends in large part on the “annual income”
    the Section 8 family receives or expects to receive. (See 
    24 C.F.R. § 5.609
    (a) (2020); 
    id.
     § 982.201(a), (b) (2020).) The issue
    is whether the IHSS payments Reilly receives to provide
    services to keep her developmentally disabled daughter at home
    are excluded from income under 24 Code of Federal Regulations
    part 5.609(c)(16) (2020).
    4
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    B. IHSS
    IHSS is a state social welfare program implemented under
    The Burton-Moscone-Bagley Citizens’ Income Security Act for
    Aged, Blind and Disabled Californians, enacted in 1973. (Welf.
    & Inst. Code,1 § 12000 et seq., added by Stats. 1973, ch. 1216,
    § 37, p. 2904; see County of Sacramento v. State of California
    (1982) 
    134 Cal.App.3d 428
    , 430–431.) The purpose of the
    legislation is to give the aged, blind and disabled the “assistance
    and services which will encourage them to make greater efforts
    to achieve self-care and self-maintenance, whenever feasible,
    and to enlarge their opportunities for independence.” (§ 12002.)
    IHSS is specifically “designed to avoid institutionalization of
    incapacitated persons.”        (Basden v. Wagner (2010) 
    181 Cal.App.4th 929
    , 931.)           Providers perform nonmedical
    supportive services for IHSS recipients, such as domestic
    services, personal care services, protective supervision, and
    accompaniment to health-related appointments. (§ 12300; see
    Miller v. Woods (1983) 
    148 Cal.App.3d 862
    , 867, disapproved on
    other grounds by Noel v. Thrifty Payless, Inc. (2019) 
    7 Cal.5th 955
    , 986, fn. 15.)
    “IHSS is actually provided under three programs: the
    original IHSS program (the residual program) (§ 12300 et seq.);
    the Medi-Cal personal care services program (PCSP) (§
    14132.95); and the IHSS Plus waiver program (§ 14132.951).[2]
    1
    All further statutory references are to Welfare and
    Institutions Code unless otherwise noted.
    2
    Section 14132.951, subdivision (a) provides: “It is the
    intent of the Legislature that the State Department of Health
    Services seek approval of a Medicaid waiver under the federal
    5
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    The latter two programs tap into federal funds, and IHSS
    recipients will receive services under the residual program only
    if they do not qualify under the other two programs. (§§ 12300,
    subd. (g); 14132.95, subd. (b); 14132.951, subd. (d).)” (Basden v.
    Wagner, supra, 181 Cal.App.4th at p. 933, fn. 4; see 2 Dayton et
    al., Advising the Elderly Client (2019) § 22:40 (Advising the
    Elderly Client); Calderon v. Anderson (1996) 
    45 Cal.App.4th 607
    , 609–610.)
    The State Department of Social Services (Department)
    administers the IHSS program in compliance with state and
    federal law. The Department promulgates regulations to
    implement the relevant statutes, which are set out in its Manual
    of Policies and Procedures: Social Services Standards (July
    2019) (MPP). (MPP, §§ 30-700 to 30-785; see Norasingh v.
    Lightbourne (2014) 
    229 Cal.App.4th 740
    , 744–745.) County
    welfare departments administer the IHSS program with the
    Department’s supervision, and determine an applicant’s
    individual needs to authorize necessary services. (Norasingh v.
    Lightbourne, at pp. 744–745; see MPP, § 30-761 [needs
    assessment standards].)
    A county welfare department may either obtain and pay
    directly a provider of the supportive services, or pay the
    recipient who hires one. (Basden v. Wagner, supra, 181
    Cal.App.4th at p. 940 [when state pays provider or recipient
    directly, it assumes certain “ ‘employer’ duties”]; MPP, § 30-
    Social Security Act in order that the services available under
    Article 7 (commencing with Section 12300) of Chapter 3, known
    as the In-Home Supportive Services program, may be provided
    as a Medi-Cal benefit under this chapter to the extent federal
    financial participation is available. The waiver shall be known
    as the ‘IHSS Plus waiver.’ ”
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    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    763.44.) Or, as in this case, it may compensate the parent who
    provides in-home care to her disabled child. (See § 12300, subd.
    (e); MPP, § 30-763.45 et seq.; see also Fam. Code, § 3910, subd.
    (a) [parent’s responsibility extends to a “child of whatever age
    who is incapacitated from earning a living and without
    sufficient means”].) It bears noting that “[t]he vast majority of
    home care is provided by family and friends.” (Advising the
    Elderly Client, supra, § 22:17.)
    Reilly’s daughter suffers from a severe developmental
    disorder and obtained authorization for protective supervision,
    i.e., 24-hours-a-day supervision that allows her to remain at
    home safely. (§ 12301.21; MPP, § 30-757.173.) Protective
    supervision involves “observing recipient behavior and
    intervening as appropriate in order to safeguard the recipient
    against injury, hazard, or accident.” (MPP, § 30-757.17; see
    Marshall v. McMahon (1993) 
    17 Cal.App.4th 1841
    , 1847
    [“ ‘Protective supervision’ appears to be similar to care given
    small children, that is, anticipating everyday hazards and
    intervening to avert harm”].) Such supervision is available for
    “nonself-directing, confused, mentally impaired, or mentally ill
    persons only.” (MPP, § 30.757.171; see Marshall v. McMahon,
    at p. 1847; Calderon v. Anderson, supra, 45 Cal.App.4th at
    p. 616.) There is no dispute that Reilly’s adult daughter was
    entitled to IHSS services, or that Reilly was authorized to
    receive IHSS compensation for providing those services to her.
    C. HUD regulation on “Annual Income” and its
    exclusions
    The applicable federal regulation defines “annual income”
    broadly, as “all amounts, monetary or not.” (
    24 C.F.R. § 5.609
    (a)
    (2020).) For example, income includes “compensation for
    personal services” (id., § 5.609(b)(1) (2020)) and “[p]ayments in
    7
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    lieu of earnings, such as unemployment and disability
    compensation, worker’s compensation, and severance pay” (id.,
    § 5.609(b)(5) (2020)). However, income does not include such
    amounts as “specifically excluded” under the regulation. (Id.,
    § 5.609(a)(3) (2020).) There are 16 such exclusions. (Id.,
    § 5.609(c)(1)–(17) (2020).)
    “An extensive set of statutory provisions and regulations
    governs the calculations of the subsidy that must be paid on
    behalf of each tenant.” (Nozzi v. Housing Authority of City of
    Los Angeles (9th Cir. 2015) 
    806 F.3d 1178
    , 1184.) In general,
    Section 8 tenants must contribute 30% of their monthly adjusted
    income or 10% of their gross monthly income, whichever is
    greater, towards each month’s rent. (42 U.S.C. § 1437f(o)(2)(A).)
    The housing assistance payment covers the balance of the rent,
    up to a statutorily capped amount. (Nozzi v. Housing Authority
    of City of Los Angeles, at pp. 1184–1185.)
    We do not examine the underlying method used to
    calculate the rental subsidy, however, but focus on whether
    Reilly’s IHSS compensation for care of her disabled daughter is
    “specifically excluded” (
    24 C.F.R. § 5.609
    (a)(3) (2020)) from
    income as “[a]mounts paid by a State agency to a family with a
    member who has a developmental disability and is living at
    home to offset the cost of services and equipment needed to keep
    the developmentally disabled family member at home” (id.,
    § 5.609(c)(16) (2020), italics added). The parties do not dispute
    that if Reilly’s daughter received IHSS care from a third party
    rather than a family member, such amounts paid would qualify
    under the exclusion. MHA argues that for the exclusion to
    apply, however, a family must incur costs for hiring someone
    because only then would the “[a]mounts paid” by the state to a
    family truly “offset” those “cost[s].” (
    24 C.F.R. § 5.609
    (c)(16)
    8
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    (2020); see In re Ali (Minn. 2020) 
    938 N.W.2d 835
    , 840 (Ali)
    [“Cost means an actual monetary expense . . . incurred by the
    family to keep the disabled family member living at home”].)
    Because the state pays Reilly to provide care for her own
    daughter and not to hire a third party provider, MHA maintains
    there is no actual “cost” to Reilly for such services, and
    consequently, there is nothing to “offset.”
    1. Meaning of “Offset” & “Cost”
    MHA’s interpretation is based in part on the dictionary
    definition of “offset,” which generally means to counterbalance
    or compensate for something. (See Steinmeyer v. Warner Cons.
    Corp. (1974) 
    42 Cal.App.3d 515
    , 518.) Echoing the Court of
    Appeal, MHA asserts that payments by the state must offset
    costs the family itself incurs to keep a developmentally disabled
    member at home; “[o]therwise the payment does not
    counterbalance or compensate for the costs of services.” As
    MHA puts it, “the payment must go to the same entity that
    incurs the cost of those services.” MHA further insists that
    “cost” is a monetary term that does not encompass emotional
    costs Reilly bears in caring for her daughter, nor any lost
    opportunity costs when Reilly forgoes outside employment to be
    her daughter’s IHSS provider.
    We disagree with MHA’s interpretation. Unlike the word
    “reimburse,” which means to “pay back or compensate (another
    party) for money spent or losses incurred” (American Heritage
    Dict. (5th ed. 2020) p. 1214, italics added), “offset” is not
    similarly restrictive. (See Briggs v. Eden Council for Hope &
    Opportunity (1999) 
    19 Cal.4th 1106
    , 1117 [“Where different
    words or phrases are used in the same connection in different
    parts of a statute, it is presumed the Legislature intended a
    9
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    different meaning”].) For example, the term “reimbursement”
    is used in two other exclusions. (
    24 C.F.R. § 5.609
    (c)(4), (8)(iii)
    (2020).) Consistent with the meaning of “reimburse,” those
    exclusions refer to compensation of specific, discrete amounts,
    e.g., “the cost of medical expenses” (id., § 5.609(c)(4) (2020)) and
    “out-of-pocket expenses” to participate in a publicly assisted
    program (id., § 5.609(c)(8)(iii)).
    While the term “reimburse” suggests there may be full
    recompense for any out-of-pocket expenses a family incurs
    under those exclusions, “offset” as used here does not necessarily
    reflect that same meaning. (See Briggs v. Eden Council for Hope
    & Opportunity, 
    supra,
     19 Cal.4th at p. 1117.) Here, what is
    “offset” is the “cost of services and equipment needed to keep the
    developmentally disabled family member at home.” (
    24 C.F.R. § 5.609
    (c)(16) (2020).) “[C]ost,” in turn, is defined to include both
    “an amount paid or required in payment for a purchase; a price”
    and “the expenditure of something, such as time or labor,
    necessary for the attainment of a goal.” (American Heritage
    Dict., supra, at p. 454.) Whether a family uses homecare
    payments to support itself so that it may care for a
    developmentally disabled member at home, or instead uses the
    funds to pay a third party to provide care for some of the time,
    these payments do no more than “offset” the “cost” of services
    and equipment needed to avoid institutionalization, costs that
    are not otherwise specified or limited. (
    24 C.F.R. § 5.609
    (c)(16)
    (2020).)
    Further, contrary to MHA’s suggestion, “cost” in this
    exclusion (
    24 C.F.R. § 5.609
    (c)(16) (2020)) does not have the
    same meaning as “cost” used in other provisions of the
    regulation. For instance, “actual cost of shelter and utilities” (
    24 C.F.R. § 5.609
    (b)(6)(ii) (2020)) and “cost of medical expenses for
    10
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    any family member” (id., § 5.609(c)(4) (2020)) both refer to
    discrete, monetary amounts. “[T]he presumption that ‘identical
    words used in different parts of the same act are intended to
    have the same meaning . . . readily yields whenever there is such
    variation in the connection in which the words are used as
    reasonably to warrant the conclusion that they were employed
    in different parts of the act with different intent.’ ” (Roberts v.
    Sea-Land Services, Inc. (2012) 
    566 U.S. 93
    , 108.)
    2. Rulemaking history of 24 Code of Federal
    Regulations par 5.609(c)(16) (2020)
    This interpretation of the terms “offset” and “cost” is also
    consistent with the rulemaking history of 24 Code of Federal
    Regulations part 5.609(c)(16) (2020). (See 60 Fed.Reg. 17388–
    17395 (Apr. 5, 1995) [“Combined Income and Rent”; interim rule
    as precursor to 
    24 C.F.R. § 5.609
    (c)(16) (2020)]; 61 Fed.Reg.
    54492–54504 (Oct. 18, 1996) [final rule]). Though the Court of
    Appeal found this history to be unhelpful and not illuminating,
    we do not share that view. (See Thomas Jefferson Univ. v.
    Shalala (1994) 
    512 U.S. 504
    , 512 [relevance of agency’s “ ‘intent
    at the time of the regulation’s promulgation’ ”].)
    In 1995, HUD published an interim rule proposing eight
    new income exclusions — among them the homecare payments
    exclusion — to the definition of annual income under Section 8
    and other assisted housing programs. (See 60 Fed.Reg. 17388–
    17395 (Apr. 5, 1995); 
    24 C.F.R. § 5.609
    (c) (2020).) It determined
    that the new exclusions “are essential for achieving its goals of
    ensuring economic opportunity, empowering the poor and
    expanding affordable housing opportunities. Moreover, HUD
    believes that the costs of additional exclusions will be offset by
    long-term future savings because the exclusions will increase
    11
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    the number of economically self-sufficient families residing in
    assisted housing.” (60 Fed.Reg. 17388, italics added.)
    Regarding the “homecare payments” exclusion in
    particular, HUD explained that the “exclusion exempts amounts
    paid by a State agency to families that have developmentally
    disabled children or adult family members living at home.
    States that provide families with homecare payments do so to
    offset the cost of services and equipment needed to keep a
    developmentally disabled family member at home, rather than
    placing the family member in an institution. Since families that
    strive to avoid institutionalization should be encouraged, and
    not punished, the Department is adding this additional
    exclusion to income. The Department wishes to point out that
    today’s interim rule does not define ‘developmentally disabled’
    since whether a family member qualifies as developmentally
    disabled, and is therefore eligible for homecare assistance, is
    determined by each individual State.” (60 Fed.Reg. 17388,
    17389 (Apr. 5, 1995), italics added.)
    In finalizing the rule and responding to public comment
    that “ ‘developmentally disabled children’ ” and “ ‘adult family
    members’ ” should be expressly defined, HUD rejected the
    suggestion as unnecessary: “There is no need for HUD to define
    these terms, as they are defined by the State program providing
    the payments. If the family is receiving such a payment from the
    State because a family meets the criteria of the definition, the
    [public housing authority] should consider the family eligible for
    the exclusion.” (61 Fed.Reg. 54492, 54497 (Oct. 18, 1996), italics
    added.)
    We find several points from this rulemaking history to be
    significant. As to the meaning of “offset,” HUD recognized that
    12
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    states that make payments for in-home services “do so to offset
    the cost” to the family keeping the developmentally disabled
    member at home “rather than placing the family member in an
    institution.”   (60 Fed.Reg. 17388, 17389 (Apr. 5, 1995).)
    Significantly, HUD here did not use “cost” and “offset” in terms
    of a specific monetary expense or amount a Section 8 family
    incurs, but in a broad sense with respect to describing the
    overall objective of the exclusion. HUD regarded homecare
    payments as reducing or offsetting costs to families caring for
    developmentally disabled individuals, costs that would be borne
    by state and federal governments if the family member were
    institutionalized. (See Perkins & Boyle, Addressing Long Waits
    for Home and Community-Based Care Through Medicaid and
    the ADA (2001) 
    45 St. Louis U. L.J. 117
    , 119 [“Most states have
    reduced costly institutional care by shifting some public funding
    to home and community settings”].)
    This background clearly informs the interpretation of 24
    Code of Federal Regulations part 5.609(c)(16) (2020). The
    language of the regulation (“amounts paid by a State agency . . .
    to offset the costs of services and equipment needed to keep the
    developmentally disabled family member at home” [italics
    added]) closely tracks this rulemaking language (“States that
    provide families with homecare payments do so to offset the costs
    of services and equipment needed to keep a developmentally
    disabled family member at home, rather than placing the family
    member in an institution”) (60 Fed.Reg. 17388, 17389, italics
    added), and the italicized phrases at issue here are identical.
    The only express limitation HUD has placed on this
    exclusion is that the in-home care payments must be for services
    and equipment needed to keep the “developmentally disabled”
    family member at home. (See post, at pp. 15–16.) Even then,
    13
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    HUD found “no need” to define what “developmentally disabled”
    meant, and instead left this up to the states to decide. (61
    Fed.Reg. 54492, 54497 (Oct. 18, 1996; see 60 Fed.Reg. 17389
    (Apr. 5, 1995) [“whether a family member qualifies as
    developmentally disabled, and is therefore eligible for homecare
    assistance, is determined by each individual State”].) From
    HUD’s perspective, “If the family is receiving such a payment
    from the State because a family member meets the criteria of
    the definition, the [public housing authority] should consider the
    family eligible for the exclusion.” (61 Fed.Reg. 54492, 54497,
    italics added.)
    Notwithstanding the general rule that exclusions from
    income should be construed narrowly (see Commissioner v.
    Schleier (1995) 
    515 U.S. 323
    , 328), we find no indication that
    HUD intended a narrow construction of the homecare payments
    exclusion. We perceive no reasoned basis — including any basis
    informed by the regulation’s language — why HUD would single
    out a parent provider’s compensation as unworthy for income
    exclusion. Rather, we find HUD’s stated goals of encouraging
    families to avoid the institutionalization of developmentally
    disabled individuals through the addition of this exclusion (60
    Fed.Reg. 17388, 17389 (April 5, 1995)), and more globally of
    “ensuring economic opportunity, empowering the poor and
    expanding affordable housing opportunities” (60 Fed.Reg.
    17388), would be furthered by permitting all homecare
    payments for services to keep developmentally disabled family
    members at home — whether the provider is a family member
    or third party — to be excluded from the meaning of “annual
    income.” (
    24 C.F.R. § 5.609
    (c)(16) (2020).) By allowing these
    families to realize the full benefit of the homecare payments
    without facing a corresponding increase in rent, the exclusion
    14
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    would operate as intended by not penalizing families who take
    on the onus of caring for a developmentally disabled family
    member at home.
    To that end, it is helpful to remember that “[t]he United
    States Housing Act is a program of ‘cooperative federalism.’ ”
    (James v. New York City Housing Authority (S.D.N.Y. 1985) 
    622 F.Supp. 1356
    , 1359; see 
    42 U.S.C. § 1437
    ; see also Hodel v.
    Virginia Surface Mining & Recl. Assn. (1981) 
    452 U.S. 264
    ,
    289.) “HUD’s delegation of eligibility requirements to local
    public housing authorities is intended to effectuate the
    underlying policy of the United States Housing Act by
    promoting efficient management of the programs . . . .” (James
    v. New York City Housing Authority, at pp. 1361–1362.) With
    respect to the exclusion for homecare payments specifically (
    24 C.F.R. § 5.609
    (c)(16)) (2020)), HUD expressly left it to the states
    to define “developmentally disabled,” which in part determines
    a family’s eligibility for the income exclusion. (See ante, at p.
    12.)
    Along these lines, HUD did not limit the income exclusion
    based on whether a state allows a family to use a family member
    or a third party to provide the necessary care; the exclusion
    covers “[a]mounts paid by a State agency to a family” with a
    developmentally disabled member (
    24 C.F.R. § 5.609
    (c)(16)
    (2020)). Indeed, acknowledging such a distinction would do
    little to advance the complementary purposes of the federal and
    state statutes. Congress established Section 8 with “the
    purpose of aiding low-income families in obtaining a decent
    place to live.” (42 U.S.C § 1437f(a).) And our Legislature
    created IHSS with the goal of providing “supportive services . . .
    to aged, blind, or disabled persons . . . who are unable to perform
    the services themselves and who cannot safely remain in their
    15
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    homes or abodes of their own choosing unless these services are
    provided.” (§ 12300, subd. (a).) Like the purpose of the federal
    exclusion (see ante, at pp. 12–13), the IHSS program’s purpose
    is to enable “ ‘disabled poor persons to avoid institutionalization
    by remaining in their homes with proper supportive services.’ ”
    (Basden v. Wagner, supra, 181 Cal.App.4th at p. 939.)
    Nevertheless, MHA would have us read in the words “from third
    parties” after the phrase “cost of services” (
    24 C.F.R. § 5.609
    (c)(16) (2020)) thereby making it correspondingly harder
    for certain families to provide necessary in-home care. Given
    this cooperative federalism regime, we ought to be reticent to
    interpret the HUD regulation in a way that would foreclose or
    hinder the objectives of the state IHSS program.
    The dissent overstates the import of the authority it cites
    (see dis. opn., post, at pp. 1–2, 16–19). (See Anthony v. Poteet
    Housing Authority (5th Cir. 2009) 
    306 Fed. Appx. 98
    , 101
    (Anthony) [“One must incur costs before they can be offset”]; Ali,
    supra, 
    931 N.W.2d 835
    .) In Anthony, an unpublished Fifth
    Circuit decision that first addressed the issue, plaintiff Brenda
    Anthony provided in-home care for her severely disabled son in
    their Section 8 subsidized apartment. Unlike California, the
    State of Texas does not pay families directly for in-home care;
    such care is provided by third party intermediaries, who in turn
    employ in-home attendants and pay them wages partially
    funded by the state. Through her employment as a personal
    care attendant with two private for-profit companies, Anthony
    provided care not only for her son but also for other clients under
    the terms of her employment.
    In determining Anthony’s annual income for purposes of
    calculating her subsidized rent, the PHA refused to exclude
    Anthony’s wages under 24 Code of Federal Regulations part
    16
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    5.609(c)(16) (2020)). The Fifth Circuit agreed with the PHA’s
    decision: “[T]he fact that Anthony’s employment income
    coincides with state funds that are set aside for her son’s care
    does not make that income a form of reimbursement.” (Anthony,
    supra, 306 Fed. Appx. at pp. 101–102.) The court further
    rejected Anthony’s claim that the services she provided her son
    were at a cost and were not free: “[F]or Anthony, they are free.
    She has no out-of-pocket expenses — ‘costs’ — that must be
    reimbursed or ‘offset’ by the state.” (Id. at p. 102.)
    We are not persuaded by Anthony’s reasoning on several
    grounds. Fundamentally, Texas’s program is distinct from the
    IHSS scheme in that “all state-funded in-home attendant-care
    services in Texas are provided by private intermediaries, and
    Texas does not provide any amounts directly to families to offset
    costs incurred to keep a disabled family member at home.”
    (Anthony, supra, 306 Fed. Appx. at p. 101.) Next, although
    Anthony’s private employers paid her to provide in-home care to
    her son “with money partially provided by the state” (id. at p.
    101), it is unclear what portion of her wages truly constituted
    “pass-through” state funds. Her employers paid Anthony not
    just to care for her disabled son, but also to care for other clients.
    (Id. at p. 100.) Thus, Anthony’s compensation as an in-home
    attendant was arguably indistinguishable from wages a parent
    earns from outside employment, and therefore properly not
    excluded from income under 24 Code of Federal Regulations
    part 5.609(c)(16) (2020)). Finally, we do not agree with the Fifth
    Circuit’s narrow interpretation of the exclusion as limited to out-
    of-pocket expenses that a state directly reimburses. (See
    Anthony, supra, 306 Fed. Appx. at pp. 101–102; see ante, at pp.
    9–11.)
    17
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    Nor are we persuaded by the Minnesota Supreme Court’s
    recent decision in Ali, supra, 
    938 N.W.2d 835
    , which relied in
    part on both Anthony and the Court of Appeal opinion below to
    reach a similar conclusion. (See Reilly v. Marin Housing
    Authority, supra, 
    23 Cal.App.5th 425
    .) Under Minnesota’s
    Consumer Directed Community Support option for home and
    community-based services, a family receives a budget for
    specific services and equipment needed to keep a
    developmentally disabled member at home. (Ali, supra, 938
    N.W.2d at p. 837.) The plaintiff, whose autistic son was eligible
    for the program, “chose to allocate a portion of the budget to
    herself as a paid parent to provide to her son some of the
    necessary services.” (Ibid.) Following Anthony and Reilly, the
    Ali court adopted a narrow view of “cost” to mean out-of-pocket
    expenses, and concluded that the mother incurred no actual
    monetary expenses to “offset.” (Id. at p. 840.)
    As with the Texas program, the Minnesota program —
    which allowed the mother to “allocate her budget as she saw fit
    to keep her son living at home” — is structured differently from
    the IHSS program in a way that makes Ali distinguishable.
    (Ali, supra, 938 N.W.2d at p. 837.) Moreover, as with Anthony,
    we disagree with the Ali court’s narrow interpretation of “cost”
    and “offset.”
    D. MHA’s policy arguments
    Notwithstanding this reading of the HUD regulation,
    MHA asserts that including a parent’s IHSS compensation as
    income is necessary to achieve a measure of parity between
    families in similar circumstances. An expansive reading of the
    exclusion (
    24 C.F.R. § 5.609
    (c)(16) (2020)), MHA argues, would
    unfairly advantage families who provide in-home care to a
    18
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    developmentally disabled member because their compensation
    is not counted as income for purposes of calculating their rent
    subsidy, whereas no comparable income exclusion is available
    for a family with a medically disabled member or for a family
    who hires a third party provider.
    In advancing this argument, MHA asserts the state pays
    Reilly “wages” under the IHSS program. Describing an
    employment relationship between Reilly and the State of
    California, MHA relies in part on the Court of Appeal’s
    reasoning that “IHSS payments substitute in the family’s
    budget for the money the parent would have earned outside the
    home.” Such wages, MHA continues, should be considered part
    of her annual income just like the outside income of a parent
    who instead hires an in-home provider. We address these points
    in turn.
    1. Disparity based on individuals’ different
    disabilities
    First, we reject MHA’s and the dissent’s assertion that
    excluding Reilly’s IHSS payments from annual income under 24
    Code of Federal Regulations part 5.609(c)(16) (2020) would
    create an unfair disparity by extending the exclusion to families
    with a developmentally disabled member but not to families
    with a medically disabled member. To the extent there is any
    disparity, it is inherent in the federal regulation itself, which
    specifically limits the exclusion to payments made to families
    caring for a “developmentally disabled family member.” (
    24 C.F.R. § 5.609
    (c)(16) (2020).) Put another way, even assuming
    MHA’s position is correct that the exclusion is limited to
    payments made to third party providers, it would still treat
    developmental disabilities more favorably than physical
    disabilities because whatever its scope, the exclusion by its
    19
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    terms applies only to “[a]mounts paid by a State agency to a
    family with a member who has a developmental disability.”
    (Ibid., italics added.)
    The regulation, moreover, does not require that an
    individual meet a particular definition of “developmentally
    disabled” for the income exclusion to apply. As previously
    discussed (see ante, at p. 15), HUD has not defined
    “developmental disability” in the regulation, but instead left it
    up to states to determine its meaning. Specifically, if a state
    program authorizes a family to receive in-home care for a family
    member, in HUD’s view that family member “meets the criteria
    of the definition” of developmentally disabled, and the PHA
    “should consider the family eligible for the exclusion.” (61
    Fed.Reg. 54492, 54497 (Oct. 18, 1996), italics added.) This
    expansive view in favor of applying the exclusion is consistent
    with HUD’s expressed concern that families of developmentally
    disabled members in particular would receive unfair treatment
    if this income exclusion were not made available to them. HUD
    added the relevant exclusion for families with a developmentally
    disabled member “[s]ince families that strive to avoid
    institutionalization should be encouraged, and not punished.”
    (60 Fed.Reg. 17388, 17389 (Apr. 5, 1995), italics added.)
    The dissent, however, asserts that precluding Reilly from
    utilizing this income exclusion would not amount to punishment
    because no other group, besides foster parents, enjoys the
    benefit of the income exclusion. (See dis. opn., post, at p. 34, fn.
    18.) This critically misapprehends the nature of the penalty
    involved. The punishment here is not merely withholding a
    benefit to a family that is not otherwise given to similarly
    situated families; in other words, the dilemma a family faces is
    not choosing between enjoying or forgoing a “preferential
    20
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    benefit,” as the dissent seems to suggest. (Dis. opn., post, at
    p. 23.) Rather, if a family cannot utilize the income exclusion to
    exclude compensation for a parent’s in-home care, this may
    cause the family to lose its Section 8 housing altogether because
    it is unable to pay an increased portion of rent. Without such
    housing, a family may face having to institutionalize a
    developmentally disabled member, a result the exclusion seeks
    to prevent in the first place.
    Further, despite no expressed preference for family
    providers per se, “[r]ecipients needing 24-hour protective
    supervision — and other services — are more likely to receive
    better continuous care from relatives living with them whose
    care is more than contractual.” (Miller v. Woods, supra, 148
    Cal.App.3d at p. 870.) This continuity of care is particularly
    salient here because of the nature of need-based tasks under the
    IHSS program. Because an IHSS recipient may only receive
    specific services based on an assessed need — i.e., where
    “[p]erformance of the service by the recipient would constitute
    such a threat to his/her health/safety that he/she would be
    unable to remain in his/her own home” (MPP, § 30.761.14) —
    not all time that a provider spends with a recipient would be
    compensable. (See § 12300, subd. (a); MPP, § 30.761.12.) Many
    tasks are discrete and not clustered together throughout the day
    (such as feeding, dressing, bowel and bladder care), and a
    provider may not be compensated for time spent waiting in
    between those tasks. It would no doubt prove challenging to find
    many providers — other than family members — willing to work
    that intermittently during the day.
    Family members may also make particularly good
    providers because IHSS services “involve a most intimate and
    personal aspect of an individual’s life” and family providers
    21
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    often “insure the least intrusion upon the recipient’s privacy.”
    (Miller v. Woods, supra, 148 Cal.App.3d at p. 878; see § 12304.1
    [“preference shall be given to any qualified individual provider
    who is chosen by any recipient”].) Also recognizing that family-
    provided care is often the best type of care for individuals with
    disabilities, Congress has included it as one of the “goals of the
    Nation” to provide families of children with disabilities the
    services necessary to “enable families of children with
    disabilities to nurture and enjoy their children at home”; and
    “support family caregivers of adults with disabilities.” (
    42 U.S.C. § 15091
    (a)(6)(B), (D) [congressional findings of Families
    of Children with Disabilities Support Act of 2000]; 
    id.,
    § 15091(a)(1) [“It is in the best interest of our Nation to preserve,
    strengthen, and maintain the family”].) Congress further
    emphasized the important cost savings when family members
    are themselves providers for their disabled children: “Families
    of children with disabilities provide support, care, and training
    to their children that can save States millions of dollars.
    Without the efforts of family caregivers, many persons with
    disabilities would receive care through State-supported out-of-
    home placements.” (Id., § 15091(a)(2); see 60 Fed.Reg. 17388,
    17389 (Apr. 5, 1995).) These expressed goals fully align with
    HUD’s objective to have developmentally disabled individuals
    avoid institutionalization and instead live with their families at
    home.3
    3
    Contrary to the dissent’s suggestion, nothing in our
    opinion should be construed as implying that third party
    caregivers as a whole will provide “substandard” care compared
    to family members. (Dis. opn., post, at p. 31.) We merely
    confirm what Congress has expressly recognized about the
    benefits of having family caregivers.
    22
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    This leads us to the inescapable conclusion that parents
    who keep their disabled child at home instead of in an
    institution — while also providing care as their child’s IHSS
    provider — are different from other caregivers. That difference,
    however, cuts in favor of allowing a parent’s IHSS compensation
    under the exclusion. Unlike third party caregivers whose job it
    is to take care of someone on an hourly basis, for these parent
    providers, caring for their child “is not a day job; it is their life.”
    (In re Hite (Bankr. W.D.Va. 2016) 
    557 B.R. 451
    , 458 [holding
    parents’ in-home care payments excluded from monthly income
    and consequently not deemed disposable income subject to
    creditors].) If in-home care payments are not excluded from her
    income, the benefits Reilly receives — the in-home care for her
    disabled daughter K.R. and the Section 8 housing assistance —
    would be at cross-purposes. A family should not be forced to
    make an impossible choice between these two critical benefits.
    We perceive no plausible reason why Reilly should not realize
    the full benefit of what each program has to offer her family.4
    2. IHSS payments as wages
    Next, we reject MHA’s underlying assumption that a
    parent provider’s compensation under the IHSS program seeks
    to replicate the wages and hours of a parent who is employed
    outside the home. A parent’s employment is relevant only to the
    extent it relates to the parent’s suitability or availability to
    provide IHSS services to a child. (MPP, § 30-763.451; Dept. All-
    County Letter No. 19-02 (January 9, 2019) (All-County Letter
    4
    This conclusion focuses on Reilly’s general entitlement to
    benefits under the Section 8 voucher and IHSS programs, and
    does not consider any other basis for terminating these benefits
    such as the failure to comply with any program requirements.
    23
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    19-02).) As section 12300, subdivision (e) explains, the predicate
    for a paid parent provider is that “no other suitable provider is
    available.” (§ 12300, subd. (e); see MPP, § 30-763.451.) In
    providing the necessary in-home care to a disabled child, a
    parent forgoes any outside employment — not to displace
    otherwise competent professional caregivers — but to prevent a
    third party caregiver’s “inappropriate placement or inadequate
    care” for their child. (§ 12300, subd. (e).)
    For instance, in its 2019 All-County Letter 19-02, the
    Department clarified the paid parent provider requirements:
    “The paid parent IHSS provider requirements, set forth in MPP
    Section 30-763.451, do not require or imply that a parent must
    have marketable job skills or a work history to be their child’s
    paid IHSS provider, as long as it is the recipient child’s needs
    which prevent the parent from maintaining or obtaining full-
    time employment.” (All-County Letter 19-02, supra, at p. 4,
    italics added.) Likewise, parents who retire or are laid off may
    also serve as their child’s provider only if their retirement or
    layoff is due to the child’s need for IHSS services. (Id. at p. 6.)
    In short, “if a parent is not employed full-time for a reason other
    than the recipient child’s IHSS needs . . . that parent would not
    qualify as a paid parent IHSS provider.” (Id. at p. 4.)
    Second, even assuming Reilly’s IHSS compensation
    represents her wages, this does not mean that providing in-
    home care to her child is “an employment for all purposes.”
    (Basden v. Wagner, supra, 181 Cal.App.4th at p. 940.) In Basden
    v. Wagner, the Court of Appeal recognized certain duties — such
    as the state being responsible for the provider’s unemployment
    compensation, workers’ compensation, federal and state income
    tax and the like — that would suggest providing IHSS full-time
    could be considered an employment. The court, however,
    24
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    pointed out that “the Legislature defined IHSS providers as
    employees for limited circumstances, but undisputedly not for
    all circumstances. More significantly, nothing in the statutes
    even remotely suggests the Legislature defined the provision of
    in-home, full-time, IHSS funded care by a parent to a child as
    full-time employment . . . .” (Ibid., italics omitted.) The question
    here is whether a parent’s compensation for providing in-home
    care is “specifically excluded” from the definition of annual
    income for purposes of the HUD regulation. (
    24 C.F.R. § 5.609
    (a)(3), (c)(16) (2020).) As explained above, we conclude
    that IHSS compensation to a parent provider is excluded from
    income. (See ante, at pp. 14–15.)
    Nevertheless, the dissent maintains that “[u]nlike funds
    that reimburse a family’s expenditures, funds provided by the
    state to compensate for the family’s caregiving activities are
    available to meet the family’s daily needs. That is their
    purpose.” (Dis. opn., post, at p. 25, italics added.) This
    characterization gravely misconstrues the nature and scope of
    IHSS services.
    Under the IHSS program, the main focus is on assessing
    the disabled individual’s “service needs and authorizing service
    hours to meet those needs.” (§ 12301.2, subd. (a)(1).) A
    caregiver will be compensated only for those authorized service
    hours and nothing more. As previously explained (see ante, at
    p. 21), because many tasks are discrete and completed
    throughout the day, a provider might not be compensated for
    time spent waiting in between those tasks. Contrary to the
    dissent’s suggestion, excluding a parent’s IHSS compensation
    from income would not artificially reduce a family’s income and
    thereby increase any resulting rent subsidy. At best, a parent’s
    IHSS compensation will offset a portion of the costs of keeping
    25
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    a developmentally disabled family member at home, and would
    not go far in meeting the family’s daily needs.
    The dissent’s related assertion — i.e., family providers
    “are effectively selling their labor to the state, and the resulting
    income is indistinguishable, in its impact on the family’s
    standard of living, from money earned working outside the
    home” (dis. opn., post, at p. 25) — is likewise long on conclusion
    but short on facts. (See ibid. [“to receive funds from IHSS a
    parent must accept their disabled child’s care as, in effect, their
    job”].) In the case of Reilly’s daughter, K.R., for example, she
    required protective supervision that is “only available” if “a need
    exists for twenty-four-hours-a-day of supervision in order for the
    recipient to remain at home safely.” (MPP, § 30-757.173(a).) A
    person needing 24-hour supervision would require a provider’s
    services for 720 hours in a 30-day month. However, an IHSS
    provider is limited to a statutory cap of 283 hours of
    compensation.       (§§ 12303.4, 14132.95, subd. (g).)          The
    discrepancy between a parent provider’s actual hours of service
    and compensation belies any assertion that IHSS payments, at
    least with respect to protective supervision, are intended to
    represent wages the parent would have earned outside the
    home, where compensation would be based on every hour
    worked.
    Finally, we find it significant that the IRS also treats in-
    home care payments — whether the provider is related or
    unrelated to the disabled individual — as excludable from a
    provider’s income under Internal Revenue Code section 131. (
    26 U.S.C. § 131
    ; see Rev. Proc. 2014-7, 2014-
    4 I.R.B. 445
    .) In 2014,
    the IRS explained that Medicaid waiver payments to states,
    which are used to fund IHSS payments through the state Medi-
    Cal program (see ante, at pp. 5–6 & fn. 2), should be excluded
    26
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    from a provider’s gross income. (Rev. Proc. 2014-7, 2014-
    4 I.R.B. 445
    .) It equated these payments to foster care payments, which
    are considered “difficulty of care” payments excludable from a
    provider’s income under Internal Revenue Code section 131.
    (
    26 U.S.C. § 131
    (a) [“Gross income shall not include amounts
    received by a foster care provider . . . as qualified foster care
    payments”].) “The programs share the objective of enabling
    individuals who otherwise would be institutionalized to live in a
    family home setting rather than in an institution, and both
    difficulty of care payments and Medicaid waiver payments
    compensate for the additional care required.” (Rev. Proc. 2014-
    7, 2014-
    4 I.R.B. 445
     [these foster parents “ ‘are saving the
    taxpayers’ money by preventing institutionalization of these
    children’ ”].) As relevant here, the IRS makes no distinction
    between care provided by a parent or by a third party — the
    exclusion for Medicaid waiver payments “will apply whether the
    care provider is related or unrelated to the eligible individual.”
    (Ibid., italics added.)
    Seeking to downplay any impact an IRS interpretation has
    on a HUD regulation, MHA notes that HUD has indicated that
    the “tax rules are different from the HUD program rules.”
    (HUD, HUD Handbook 4350.3: Occupancy Requirements of
    Subsidized Multifamily Housing Programs (Nov. 2013) ¶ 5-1.)
    Be that as it may, we do not conclude that the IRS’s
    interpretation is dispositive or compels the outcome in this case.
    We do, however, acknowledge that it provides persuasive
    insight, one that is consistent with the rulemaking record of the
    HUD regulation (
    24 C.F.R. § 5.609
    (c)(16) (2020)). (See ante, at
    pp. 11–13)
    For example, though payments to foster parents and in-
    home care payments are both considered “difficulty of care”
    27
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    payments excludable from a provider’s taxable income, these
    payments would receive unequal treatment under MHA’s
    interpretation of the regulation. Under 24 Code of Federal
    Regulations part 5.609(c)(2) (2020), “[p]ayments received for the
    care of foster children or foster adults (usually persons with
    disabilities, unrelated to the tenant family, who are unable to
    live alone)” are excluded from income for purposes of Section 8
    housing. If a family takes into their home an unrelated disabled
    adult who is unable to live alone, and receives payment from the
    State for providing care to that adult, such payments are
    excluded from the family’s income. However, if that same family
    receives payment for providing the same care but to a
    developmentally disabled family member, those payments
    would not be excluded from income.              To ascribe this
    interpretation to HUD, which would impose a financial penalty
    on a family simply because the care is given to a disabled family
    member rather than a disabled stranger, would not only be
    inconsistent with the IRS’s treatment of both payments, there is
    no evidence in the regulation’s rulemaking record that HUD
    intended different treatment.
    E. HUD’s position
    At our request, HUD filed an amicus brief in this matter.
    We first note that at oral argument HUD’s counsel indicated
    that the agency did not request we give deference to its
    interpretation of the regulation because it believed the plain
    language controlled. (See Kisor v. Wilkie (2019) 588 U.S. ___
    [
    139 S. Ct. 2400
    , 2415] [“If uncertainty does not exist, there is
    no plausible reason for deference. The regulation then just
    means what it means — and the court must give it effect”].)
    Urging us to affirm the Court of Appeal’s judgment, HUD opines
    that the IHSS payments Reilly receives must be treated as
    28
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    income under the regulation because that “compensation
    substitutes for income Reilly would otherwise earn for working
    outside the home.” HUD essentially echoes the reasoning of the
    Court of Appeal below.
    Though deference is generally accorded an agency’s
    interpretation of its own regulation in the face of ambiguity (see
    Auer v. Robbins (1997) 
    519 U.S. 452
    ; Skidmore v. Swift & Co.
    (1944) 
    323 U.S. 134
    , 140), we conclude that such deference is not
    compelled here. (See United States v. Mead Corp. (2001) 
    533 U.S. 218
    , 228 [“[t]he fair measure of deference to an agency
    administering its own statute has been understood to vary with
    circumstances”].)      Courts should defer to an agency’s
    interpretation unless an “ ‘alternative reading is compelled by
    the regulation’s plain language or by other indications of the
    [agency’s] intent at the time of the regulation’s promulgation.’ ”
    (Thomas Jefferson Univ. v. Shalala, 
    supra,
     512 U.S. at p. 512,
    italics added.)
    As explained above (see ante, at pp. 12–13), we conclude
    that HUD’s clearly expressed intent at the time it added the
    exclusion for homecare payments (
    24 C.F.R. § 5.609
    (c)(16)
    (2020)) was to encourage families to provide in-home care to, and
    avoid institutionalization of, developmentally disabled family
    members. This contemporaneous intent is fully realized only
    when in-home payments for services needed to keep the
    developmentally disabled member at home — are excluded from
    income for purposes of the Section 8 program, i.e., whether those
    payments are ultimately made to a family member or to a third
    party provider.       This interpretation is consistent with
    exclusion’s language, which places no restrictions on who the
    provider of services can be. (
    24 C.F.R. § 5.609
    (c)(16) (2020).)
    29
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    Contrary to MHA’s suggestion, we do not perceive any
    intent by HUD to treat families with a developmentally disabled
    member and families with a medically disabled member the
    same, or to consider a parent’s outside income the same as a
    parent’s IHSS compensation. We will not pursue parity for
    parity’s sake, especially if such pursuit runs counter to the
    language and purpose of the exclusion. Including a parent’s in-
    home care payments as income to determine a family’s Section
    8 eligibility will have the perverse effect of making it harder for
    a family to maintain a home in which to care for the child.
    In the end, we refuse to adopt a crabbed interpretation
    that does little to advance the tandem goals of offering
    affordable housing to low income families and of supporting
    families who themselves provide in-home care for
    developmentally disabled members. We cannot endorse a
    construction that yields a result antithetical to our nation’s “goal
    of providing families of children with disabilities with the
    support they need to raise their children at home.” (
    42 U.S.C. § 15091
    (c).) We conclude a parent’s IHSS compensation to
    provide care to keep a developmentally disabled child at home
    is excluded from income under 24 Code of Federal Regulations
    part 5.609(c)(16) (2020).
    30
    REILLY v. MARIN HOUSING AUTHORITY
    Opinion of the Court by Chin, J.
    CONCLUSION
    We reverse the Court of Appeal’s judgment and
    remand the matter for further proceedings consistent with this
    opinion.
    CHIN, J.
    We Concur:
    LIU, J.
    CUÉLLAR, J.
    GROBAN, J.
    31
    REILLY v. MARIN HOUSING AUTHORITY
    S249593
    Dissenting Opinion by Chief Justice Cantil-Sakauye
    The federal Housing Choice Voucher program, 42
    U.S.C. section 1437f (hereafter Section 8), provides housing
    assistance to low-income families, with the amount of the
    assistance determined by the family’s annual income. Under
    24 Code of Federal Regulations part 5.609(c) (2020),1 certain
    funds are excluded from the calculation of annual income.
    Among the funds excluded from that calculation are state
    payments to a family providing at-home care to a
    developmentally disabled family member if those payments
    “offset the cost of services and equipment needed to keep the
    developmentally     disabled   family    member       at   home.”
    (§ 5.609(c)(16).)    The   majority     adopts   an    expansive
    interpretation of part 5.609(c)(16), holding that, in addition
    to excluding the state’s reimbursement of out-of-pocket
    expenses, the regulation also covers the compensation paid to
    parents who are hired by the state to provide full-time care
    to their developmentally disabled children.       Every other
    appellate court to consider part 5.609(c)(16) — the United
    1
    Hereafter part 5.609(c) — and, when referred to in a
    citation parenthetical, § 5.609(c). (See California Style
    Manual (2000) § 2:44.)
    1
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    States Court of Appeals for the Fifth Circuit, the Minnesota
    Supreme Court, and our Court of Appeal — has adopted a
    narrower construction, limiting the exclusion to those state
    payments that reimburse a family’s expenditures.               In
    contrast, these courts have held that compensation to parents
    for their labor in caring for a developmentally disabled child,
    which constitutes genuine income to the family, is outside the
    scope of the exclusion.
    The conclusion reached by these other appellate courts
    is the most straightforward reading of the relevant
    regulatory language, which is restricted to payments made
    “to offset the cost of services and equipment.” (§ 5.609(c)(16).)
    And this interpretation fully serves my understanding of the
    purpose underlying the regulation, which is to ensure that
    families caring for a developmentally disabled family
    member are not disadvantaged in their receipt of Section 8
    housing assistance by their acceptance of state help in
    keeping the family member at home.              Significantly, the
    narrower interpretation is the one urged on us by the United
    States Department of Housing and Urban Development
    (HUD), the federal agency that drafted the regulation.
    The majority’s more expansive construction of the
    regulation relies on a strained reading that disregards the
    actual language, and it will have unfortunate and selective
    public policy consequences. First, the majority’s ruling will
    introduce unintended and unwarranted inequities into the
    2
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    administration of Section 8.            Second, the majority’s
    misreading will siphon scarce housing assistance from
    California’s other low-income families, inevitably reducing
    the number of families who will benefit from the Section 8
    program.    In light of the misguided, if well-intentioned,
    nature of the majority’s analysis, I respectfully dissent.
    I. BACKGROUND
    A. Plaintiff’s Circumstances
    Plaintiff Kerrie Reilly and her adult daughter, K.R.,
    live together in a three-bedroom apartment in Marin County.
    Due to a severe developmental disability, K.R. requires
    around-the-clock    supervision.         Under         the   In-Home
    Supportive Services program (IHSS; Welf. & Inst. Code,
    § 12300 et seq.), the state pays plaintiff to provide full-time
    home care and supervision to her daughter. Without such
    care, K.R. would likely be placed in an institution. At the
    time of the trial court proceedings, the family’s annual
    income exceeded $52,000, comprised of K.R.’s social security
    benefits of $11,000 and more than $41,000 in IHSS
    compensation to plaintiff.
    Plaintiff is a long-time participant in Section 8.          In
    2004, plaintiff’s second daughter, R.R., moved from the
    family’s apartment to attend college. For the next five years,
    plaintiff falsely represented in annual, sworn certifications to
    the Marin Housing Authority (Authority), the agency
    responsible for administering her Section 8 benefits, that
    3
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    R.R. continued to live with her.2 After the Authority learned
    the    truth,   plaintiff   admitted      that    she    made    the
    misrepresentations because she was concerned that she and
    K.R. would be required to move from their three-bedroom
    apartment if she disclosed R.R.’s move.             Plaintiff’s false
    representations also caused her to be granted, the Authority
    concluded, a larger Section 8 housing voucher than she would
    have    received   had      the   Authority      known    the   true
    circumstances. When the Authority confronted plaintiff, she
    agreed to repay more than $16,000 in excess subsidies under
    a payment schedule.         Unfortunately, plaintiff was often
    unable to make the scheduled payments. The Authority’s
    patience ran out in 2015, when it terminated her
    participation in the Section 8 program.
    As the Authority informed the trial court in explaining
    its decision to terminate plaintiff, its implementation of
    Section 8 is severely constrained by limited funding. In 2015,
    more than 5,000 families in Marin County eligible for
    Section 8 housing assistance were on a waiting list because
    the Authority was unable to help them. At the time, the
    Authority was authorized to grant vouchers to only 2,153
    families; in practice, it provided rent vouchers only to 1,957
    2
    The majority’s statement that plaintiff “did not inform”
    the Authority of R.R.’s departure (maj. opn., ante, at p. 2) is
    a charitable but misleading characterization of plaintiff’s
    repeated and knowing falsehoods.
    4
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    families due to insufficient funding. The Authority decided
    to terminate plaintiff because, it explained, although it “has
    been grappling with the possibility of terminating hundreds
    of compliant families from the Section 8 Program, [plaintiff]
    has made it a practice to violate rules of the Section 8
    Program and her contractual obligations.”               Contrary to
    majority’s claim (maj. opn., ante, at p. 2), the termination did
    not require plaintiff’s eviction from her apartment, although
    she would become responsible for paying the entire rent.
    In this mandate action challenging her termination,
    plaintiff argued that the Authority had improperly included
    her IHSS payments when calculating her annual income
    under Section 8, causing the Authority to understate the
    housing subsidy due her.           The trial court disagreed,
    sustaining the Authority’s demurrer without leave to amend
    upon concluding that the IHSS payments were properly
    included in plaintiff’s income calculation.            The Court of
    Appeal affirmed in a published decision. (Reilly v. Marin
    Housing Authority (2018) 
    23 Cal.App.5th 425
    , 439 (Reilly).)
    The Supreme Court now reverses the Court of Appeal.
    B. Governing Law
    1. Section 8
    The Section 8 voucher program “is funded by HUD and
    administered by state and local public housing authorities
    . . . in accordance with regulations promulgated by HUD.
    5
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    When a rent payment exceeds a specified percentage of a
    family’s monthly income, the federal program pays the
    balance.”    (Inclusive Communities Project, Inc. v. Lincoln
    Property Co. (5th Cir. 2019) 
    920 F.3d 890
    , 900.) As HUD
    characterizes the program in an amicus curiae brief,
    “Section 8   is   not   an   entitlement program; Congress
    appropriates only a fixed sum for vouchers . . . each year, and
    not every otherwise qualified family receives a voucher.”3
    Each administering agency is assigned a maximum number
    of annual vouchers and has a fixed budget.4 Yet Congress
    has underfunded the program in recent years, requiring
    3
    If the Authority’s experience is any guide, HUD’s
    concession that “not every otherwise qualified family receives
    a voucher” is a gross understatement. More than 7,000
    families in Marin County are eligible for assistance under
    Section 8, but fewer than 2,000 are actually provided
    vouchers.
    4
    See Congressional Research Service, An Overview of
    the Section 8 Housing Programs: Housing Choice Vouchers
    and Project-Based Rental Assistance, No. RL32284 (Feb. 7,
    2014).     A copy of the report can be found at
     (as of Aug. 28, 2020). All
    Internet citations in this opinion are archived by year, docket
    number, and case name at .
    6
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    these agencies to operate at only 85 percent of their assigned
    budgets.5
    Each subsidized family is required to contribute to its
    rent payment an amount equal to “thirty percent of the
    tenant family’s monthly ‘adjusted income’ or ten percent of
    its monthly gross income, whichever is greater.” (Hayes v.
    Harvey (3d Cir. 2018) 
    903 F.3d 32
    , 36, citing 42 U.S.C.
    § 1437f(o).) “Adjusted income” for this purpose is a family’s
    “annual income,” minus certain expenses and allowances.
    (
    24 C.F.R. § 5.611
     (2020); DeCambre v. Brookline Housing
    Authority (1st Cir. 2016) 
    826 F.3d 1
    , 9 (DeCambre).) The
    calculation of annual income therefore determines the
    proportion of its monthly rent that a family participating in
    Section 8 must pay.
    For purposes of Section 8, “annual income” constitutes
    “all amounts, monetary or not” that “[g]o to, or on behalf of,
    the family head or spouse . . . or to any other family member.”
    (
    24 C.F.R. § 5.609
    (a)(1), (3) (2020); DeCambre, supra, 826
    F.3d at p. 9.) Among other things, this includes “[t]he full
    amount, before any payroll deductions, of wages and
    salaries, . . . and other compensation for personal services.”
    (
    24 C.F.R. § 5.609
    (b)(1) (2020).) Subpart (c) of part 5.609 lists
    5
    Eligibility Team, How the Housing Choice (Section 8)
    Voucher      Program      is   Funded    (Jan.   22,    2016)
     (as of Aug. 28, 2020).
    7
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    16 exclusions from annual income.               In addition to the
    exclusion on which plaintiff relies, part 5.609(c)(16), which
    excludes certain payments to a family providing at-home care
    to a developmentally disabled family member, these include
    payments received “for the care of foster children”
    (§ 5.609(c)(2)), payments “for, or in reimbursement of, the
    cost” of medical expenses (§ 5.609(c)(4)), students’ financial
    aid     (§ 5.609(c)(6)),   certain       nonrecurring     payments
    (§ 5.609(c)(3), (9)), and student earnings and adoption
    assistance payments “in excess of $480” (§ 5.609(c)(11), (12)).
    2. IHSS
    The purpose of the IHSS program is “to avoid
    institutionalization of incapacitated persons.           It provides
    supportive services to aged, blind, or disabled persons who
    cannot perform the services themselves and who cannot
    safely remain in their homes unless the services are provided
    to them. The program compensates persons who provide the
    services to a qualifying incapacitated person.” (Basden v.
    Wagner (2010) 
    181 Cal.App.4th 929
    , 931 (Basden).) IHSS is
    administered by the state’s counties (Skidgel v. California
    Unemployment Ins. Appeals Bd. (2018) 
    24 Cal.App.5th 574
    ,
    578–579), which either hire a caregiver for the recipient or
    pay the recipient directly to cover the costs of a caregiver.
    (Basden, at p. 934; Welf. & Inst. Code, §§ 12302, 12304, subd.
    (a).)   Counties are required to give preference to a care
    provider selected by the recipient, and some IHSS care
    8
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    recipients are entitled to select and hire their own provider.
    (Welf. & Inst. Code, §§ 12303.4, subd. (b); 12304, subd. (a),
    12304.1; Skidgel, supra, 24 Cal.App.5th at p. 579.)
    The state may hire parents to care for their children
    under IHSS, but only “when the [parent] leaves full-time
    employment or is prevented from obtaining full-time
    employment because no other suitable provider is available.”
    (Welf. & Inst. Code, § 12300, subd. (e); see generally, Basden,
    supra, 181 Cal.App.4th at pp. 939–940.) Of the 535,000 IHSS
    care providers in California, about 70 percent are a relative
    or spouse of the recipient, and about one-quarter of those are
    a parent. Slightly less than half of IHSS providers — 250,000
    persons — are, like plaintiff, relatives of the person for whom
    they provide care and live in the same home.6
    Plaintiff’s claim that her IHSS payments should be
    excluded from the calculation of her Section 8 annual income
    is premised on part 5.609(c)(16), which excludes “[a]mounts
    paid by a State agency to a family with a member who has a
    developmental disability and is living at home to offset the
    cost of services and equipment needed to keep the
    6
    The State Department of Social Services reports a wide
    range of monthly data regarding participation in the IHSS
    program. The information cited in this paragraph is from a
    table of data for June 2020, maintained at IHSS Program
    Data  (as of Aug. 28, 2020). The cited data is available under
    a tab labeled “Provider Details,” which does not appear to be
    accessible through a separate URL.
    9
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    developmentally disabled family member at home.”                  The
    Authority and HUD interpret the phrase “[a]mounts paid . . .
    to offset the cost of services and equipment” to cover only
    payments by the state to compensate for a family’s actual
    expenditures on services or equipment.                 (§ 5.609(c)(16.)
    Because plaintiff’s IHSS compensation was not used to pay
    for the costs of services or equipment purchased by the family
    to care for K.R., the Authority explains, it did not exclude
    plaintiff’s IHSS payments when calculating her annual
    income. Plaintiff contends, however, and the majority holds,
    that the phrase “[a]mounts paid . . . to offset the cost of
    services and equipment” (ibid.) should be construed to cover
    any payment made to a family by the state in connection with
    the in-home care of a developmentally disabled family
    member, regardless of whether the payment offset an
    expenditure by the family or compensated a family member
    hired by the state to care for the disabled person.
    II. DISCUSSION
    A. The Language of Part 5.609(c)(16) Precludes
    the Majority’s Interpretation
    We review questions of statutory interpretation de
    novo. (Christensen v. Lightbourne (2019) 
    7 Cal.5th 761
    , 771.)
    Under “our familiar principles of statutory construction,”
    “ ‘[w]e start with the statute’s words, which are the most
    reliable indicator of legislative intent.’       [Citation.]     ‘ “We
    interpret relevant terms in light of their ordinary meaning,
    10
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    while also taking account of any related provisions and the
    overall structure of the statutory scheme to determine what
    interpretation best advances the Legislature’s underlying
    purpose.” ’ [Citations.] ‘If we find the statutory language
    ambiguous or subject to more than one interpretation, we
    may look to extrinsic aids, including legislative history or
    purpose to inform our views.’ ” (In re A.N. (2020) 
    9 Cal.5th 343
    , 351–352 (A.N.).)    We take the same approach when
    interpreting administrative regulations. (Centinela Freeman
    Emergency Medical Associates v. Health Net of California,
    Inc. (2016) 
    1 Cal.5th 994
    , 1011.)       Based on the ordinary
    meaning of its language, we should conclude that the
    part 5.609(c)(16) exclusion is limited to state payments that
    compensate a family’s actual expenditures for services and
    equipment to keep a developmentally disabled family
    member in their home.
    As noted above, part 5.609(c)(16), excludes from a
    Section 8 family’s annual income “[a]mounts paid by a State
    agency to a family . . . to offset the cost of services and
    equipment needed to keep the developmentally disabled
    family member at home.” According to Merriam-Webster,
    the verb “offset” means “to serve as a counterbalance for :
    COMPENSATE.” (Merriam-Webster Dict. Online (2020)
     [as of
    Aug. 28, 2020]; see, e.g., Steinmeyer v. Warner Cons. Corp.
    (1974) 
    42 Cal.App.3d 515
    , 518 [“An ‘offset’ may be defined as
    11
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    a claim that serves to counterbalance or to compensate for
    another claim”].)      Part 5.609(c)(16) therefore excludes
    payments by the state to a family that are made to
    “counterbalance” the cost of services and equipment needed
    to keep the developmentally disabled family member at
    home.    Necessarily, this language anticipates that an
    equivalent cost has been or will be paid by the family for
    those services or equipment, since there would be nothing to
    counterbalance in the absence of such an expenditure.
    If HUD, the agency that drafted part 5.609(c)(16), had
    intended the regulation to bear the broader meaning imposed
    by the majority, it could have used a more inclusive phrase,
    such as amounts paid by the state “for services and
    equipment,” instead of requiring the excluded payments to
    “offset the cost” of services and equipment.            This is the
    approach taken by HUD in drafting the only part 5.609(c)
    exclusion that undoubtedly bears the breadth bestowed on
    subpart (c)(16) by the majority. Part 5.609(c)(2) excludes
    “[p]ayments received for the care of foster children or foster
    adults (usually persons with disabilities, unrelated to the
    tenant family, who are unable to live alone),” leaving no
    uncertainty about its meaning.7 (Italics added.) By imposing
    7
    The parenthetical presumably explains the reason for
    the breadth of the exclusion: To provide a benefit to low-
    income families that care for unrelated persons who are in
    12
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    a similar breadth on part 5.609(c)(16), the majority’s reading
    renders pointless the use of the term “offset” because its
    reading is not restricted to the exclusion of payments that
    “offset the cost” of services and equipment.          It is an
    elementary principle of statutory interpretation that “ ‘[a]n
    interpretation that renders statutory language a nullity is
    obviously to be avoided.’ ” (Tuolumne Jobs & Small Business
    Alliance v. Superior Court (2014) 
    59 Cal.4th 1029
    , 1039.) The
    majority’s expansive approach also defies the general
    interpretive principle that exceptions to a statute are to be
    construed narrowly. (Mathews v. Becerra (2019) 
    8 Cal.5th 756
    , 771; Simpson Strong-Tie Co. v. Gore (2010) 
    49 Cal.4th 12
    , 22.)
    HUD has confirmed this understanding in an amicus
    curiae brief, arguing that it intended the regulation to reach
    only state payments that reimburse a family’s expenditures.
    As HUD reasons, this narrower reading “accords with the
    distressed circumstances.       The majority contends that
    interpreting subpart (c)(2) differently from subpart (c)(16)
    “would be unreasonable” because both families are providing
    “the same care.” (Maj. opn., ante, at p. 28.) The different
    approaches, however, are readily explained. HUD could
    reasonably have concluded that the familial connection
    required by part 5.609(c)(16) makes it unnecessary to bestow
    this type of benefit on families covered by that exclusion. In
    any event, the distinctly different language in the two
    exclusions suggests that they should be interpreted
    differently.
    13
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    basic policy objectives of the regulation. [Citation.] As HUD
    has explained, in promulgating [part] 5.609(c)(16), the
    exclusion exists because ‘families that strive to avoid
    institutionalization should be encouraged, and not punished.’
    [Citation.]   The regulation pursues this goal in part by
    ensuring that families that choose different means of keeping
    the developmentally disabled family member at home are
    treated evenhandedly.”8
    Plaintiff argues that the term “cost” could cover more
    than a monetary expenditure. In ordinary parlance, “cost,”
    admittedly, can refer not simply to the price paid for
    something, but more broadly to “the outlay or expenditure
    (as of effort or sacrifice) made to achieve an object” or the
    “loss or penalty incurred especially in gaining something.”
    (Merriam-Webster            Dict.           Online    (2020)
     [as of
    Aug. 28, 2020].) In this connection, plaintiff invokes the
    economic concept of an “opportunity cost,” that is, the
    opportunities foregone when a person makes a particular
    8
    Leaving aside debate about the precise degree of
    deference to be accorded HUD’s interpretation under
    Yamaha Corp. of America v. State Bd. of Equalization (1998)
    
    19 Cal.4th 1
    , 7–8, the administrative agency’s interpretation
    undoubtedly deserves serious consideration. Although the
    majority does address HUD’s views, its explanation for
    rejecting them amounts to little more than a disagreement
    with HUD over which interpretation best serves HUD’s
    goals. (Maj. opn., ante, at pp. 28–30.)
    14
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    economic choice. Here, the argument goes, “cost” refers to the
    employment opportunities that plaintiff has foregone in order
    to provide care under IHSS. The payments therefore “offset”
    the cost to plaintiff of not having other employment. This is
    hardly the “ordinary meaning” of the language HUD chose to
    use. (A.N., supra, 9 Cal.5th at p. 351.) We typically refer to
    a payment for services as “compensation” or, more simply,
    “payment” for the work performed.             We do not refer to
    compensation for providing a service as “offsetting the cost”
    of the service provider’s own effort, much less the service
    provider’s decision to take this job, rather than a different
    hypothetical job.
    The majority takes a different tack in justifying its
    interpretation, suggesting that because much of the IHSS
    compensation paid to plaintiff will ultimately be spent on
    costs associated with supporting K.R. in the family home,
    that compensation is paid to “offset the cost of services and
    equipment needed to keep [K.R.] at home.” (§ 5.609(c)(16);
    see Maj. opn., ante, at p. 10 [“Whether a family uses homecare
    payments to support itself so that it may care for a
    developmentally disabled member at home, or instead uses
    the funds to pay a third party to provide care for some of the
    time, these payments do no more than ‘offset’ the ‘cost’ of
    services     and       equipment          needed           to         avoid
    institutionalization”].)      This      rationale       fails   for    two
    independent reasons. First, while it finds a role for the term
    15
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    “offset,” it disregards other aspects of the regulatory
    language. Part 5.609(c)(16) excludes only state payments
    that offset expenditures for “services and equipment.” As
    rationalized above, the majority’s reading necessarily
    stretches the exclusion to cover any cost related to K.R.’s
    presence in the home, including food, clothing, and rent.
    These are not normally viewed as “services and equipment.”9
    By restricting the exclusion to the costs of “services and
    equipment,” HUD signaled its intent to exclude only costs
    related to the family member’s disability, rather than the
    ordinary, if necessary, expenses of daily life. Second, the
    regulation excludes “[a]mounts paid by a state agency . . . to
    offset the costs of services and equipment.” (§ 5.609(c)(16).)
    As discussed above, the IHSS compensation is paid by the
    state to compensate plaintiff for her labor in caring for her
    daughter. While it may be used by plaintiff to cover the costs
    of supporting her daughter, it is not paid by the state to offset
    those costs.
    The restrictive view of part 5.609(c)(16) has been
    adopted by all other appellate courts that have considered the
    issue. The plaintiff in Anthony v. Poteet Housing Authority
    9
    Indeed, because the majority reads the regulation to
    exclude the entirety of plaintiff’s IHSS compensation on this
    basis, it construes “the costs of services and equipment” to cover
    the cost of anything plaintiff chooses to spend her compensation
    on.
    16
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    (5th Cir. 2009) 
    306 Fed. Appx. 98
    , the first decision to address
    this issue, lived with her developmentally disabled adult
    child.     Under a state-funded program in Texas, she was
    employed by a private entity to care for the child and, like
    plaintiff, contended that the income she earned in this role
    should be excluded from her Section 8 income under
    part 5.609(c)(16). The court was willing to accept that her
    payments, despite being provided by a private employer,
    constituted payments by the state. It rejected her argument
    that the payments should be excluded from the calculation of
    her Section 8 income under part 5.609(c)(16), however, upon
    concluding that the exclusion applies only to reimbursements
    for costs paid for care by third-party providers. As the court
    explained, “One must incur costs before they can be offset.”
    (Anthony, at p. 101.)
    The Court of Appeal below reached a similar conclusion
    after a more extensive analysis. It declined to equate “offset”
    with “reimburse,” but the distinction it found between the
    two terms was quite narrow and is inconsequential in these
    circumstances.      As the court explained, part 5.609(c)(16)
    “appears to reach money paid to a family so that the family
    can go out and hire services or purchase equipment necessary
    for the developmentally disabled family member.             Such
    payments ‘offset the cost of services and equipment’ that
    would otherwise fall on the family.              But they are not
    reimbursement for out-of-pocket expenses if the family
    17
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    receives payment before, rather than after, incurring the
    expense.”10 (Reilly, supra, 23 Cal.App.4th at p. 434.) The
    appellate court below also rejected plaintiff’s argument that
    the IHSS payments should be excluded because “the services
    she provides are necessary for her daughter to live at home,
    and the IHSS payments offset the costs of those services.”
    (Id. at p. 432.)      The court rightly accepted plaintiff’s
    contention that her services were necessary to keep K.R. at
    home, but it found the language of the regulation inconsistent
    with plaintiff’s argument that it excludes any payment for
    necessary services. As the court explained, part 5.609(c)(16)
    refers to payments “ ‘to a family . . . to offset the cost of
    services . . . .’ ” (Reilly, at p. 434.) “If a payment is to ‘offset
    the cost of services,’ the payment must go to the same entity
    that incurs the cost of those services. Otherwise the payment
    does not counterbalance or compensate for the cost of
    services. . . . This means that the costs these payments offset
    must be costs that the family itself incurs.” (Ibid.)
    Most recently, the Minnesota Supreme Court reached
    the same conclusion in In re Ali (Minn. 2020) 
    938 N.W.2d 835
    (Ali).    In that case the plaintiff lived at home with her
    developmentally disabled son.           Under a Minnesota state
    10
    The majority contends that “ ‘offset’ as used here does
    not necessarily reflect th[e] same meaning” as “reimburse”
    (maj. opn., ante, at p. 10), but it does not clearly articulate
    what the difference might be.
    18
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    program, she was provided with a budget for the services and
    equipment needed to keep him in the home, some of which
    she allocated to herself as compensation for her services as a
    caregiver.   (Id. at p. 837.)    In concluding that the sums
    allocated to plaintiff were not excluded from her Section 8
    income under part 5.609(c)(16), the court held that the word
    “cost” should be interpreted as “price.” (Ali, at p. 839.) It
    rejected the argument that the word should be given a
    broader definition for three independent reasons.       First,
    referring to the entirety of the phrase “to offset the cost of
    services and equipment,” the court reasoned that “[t]he ‘and’
    between the words services and equipment suggests that the
    same measurement is used for each. Typically, the cost of
    equipment is calculated in monetary terms — such as the cost
    to buy or lease.” (Ibid.) Second, like the appellate court
    below, Ali cited the use of the word “cost” elsewhere in part
    5.609, where it clearly refers to “a monetary expense.” (Ali,
    at p. 839.) Finally, the court noted that “when the regulators
    wanted to exclude amounts paid to family members for their
    own services, they knew how to do so — and did so
    unambiguously.”     (Ibid.)     Ali cited in support two other
    subparts of part 5.609(c), in both of which the regulatory
    language, unlike part 5.609(c)(16), unambiguously excludes
    19
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    state payments made to the Section 8 family.11         (Ali, at
    p. 839.)
    B.     Extrinsic Aids to Interpretation Weigh
    Against the Majority’s Approach
    I do not agree with the majority that the interpretation
    it has imposed on the language of part 5.609(c)(16) is
    sufficiently reasonable to create a statutory ambiguity, but
    there is no need to debate the issue. The available extrinsic
    aids to interpretation also weigh against the majority’s
    reading. Its interpretation assigns an unfounded purpose to
    the part 5.609(c)(16) exclusion that will seriously distort the
    intended operation of the annual income calculation for
    families receiving caregiving income under IHSS. In turn,
    this distortion will not only introduce unintended inequities
    among Section 8 families, but it is also likely to materially
    reduce the funds available to support housing subsidies for
    other low-income families in California. These unfortunate
    consequences weigh strongly against the majority’s ruling.
    1. The rulemaking history does not support the
    majority’s reading
    The majority finds support for its interpretation in
    commentary on part 5.609(c)(16) published by HUD around
    11
    In addition to addressing part 5.609(c)(2), discussed
    above, which excludes payments to foster families, Ali cited
    part 5.609(c)(12), which excludes from annual income
    “[a]doption assistance payments in excess of $480 per
    adopted child.” (Ali, supra, 938 N.W.2d at p. 839.)
    20
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    the time of its adoption.      (Maj. opn., ante, at pp. 11–16.)
    Reviewing the same materials, the Court of Appeal found
    them “unhelpful in resolving the interpretive issue before
    us,” and I agree. (Reilly, supra, 23 Cal.App.5th at p. 436.) As
    quoted by the majority (maj. opn., ante, at p. 12), the
    commentary never expressly addresses the issue before us —
    the distinction between state payments made to reimburse a
    family’s expenditures for services and those made to
    compensate the family’s own provision of services — and does
    little more than parrot the language of the regulation. The
    commentary does use the term “homecare payments,” but it
    characterizes those payments in the language of the
    exclusion itself. That is, “homecare payments,” as the term
    is used by HUD, are payments made “to offset the cost of
    services and equipment needed to keep a developmentally
    disabled family member at home, rather than placing the
    family member in an institution.” (60 Fed.Reg. 17388, 17389
    (Apr. 5, 1995).) HUD’s use of the term is therefore of no help
    in resolving the question before us.
    The majority’s contrary conclusion is based on circular
    reasoning. Beginning with its assumption that “homecare
    payments” means any payment made by the state in
    connection with the care in the home of a developmentally
    disabled person, the majority concludes that by joining that
    term with the regulatory language HUD signaled its
    agreement with the majority’s broad interpretation.        The
    21
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    conclusion that “homecare payments” refers to any payment
    by the state, however, rather than only those intended to
    offset family expenditures, is unsupported by anything in the
    commentary. In fact, the commentary clearly uses “homecare
    payments” merely as a synonym for the type of payments that
    are excluded by part 5.609(c)(16). Its use therefore confirms
    the majority’s interpretation only if one assumes that the
    regulation should be interpreted in the manner adopted by
    the majority. In reality, the HUD commentary simply does
    not address the question before us.
    The policy argument advanced by the majority in
    connection with HUD’s commentary is, in essence, that
    because payments made by the state to compensate a family
    for caregiving services may be critical in keeping a
    developmentally disabled family member in the home, they
    must be included within the part 5.609(c)(16) exclusion. The
    flaw in this logic, as the Court of Appeal noted in rejecting
    the same argument below (Reilly, supra, 23 Cal.App.4th at
    p. 434), is that it ignores the language of the regulation.
    Merely because these payments are important in keeping a
    developmentally disabled family member in the home does
    not alone mean that they “offset the costs of service and
    equipment” necessary to that task. As explained above, to
    reach the majority’s conclusion it is necessary to read the
    phrase “offset the costs” as synonymous with “for,” a different
    and broader term. Because it is the regulation’s language
    22
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    that must guide our interpretation, we are required to
    respect HUD’s word choice.
    2. The majority’s interpretation misunderstands the
    limited function of the part 5.609(c)(16)
    exclusion
    The impetus underlying the majority’s interpretation of
    part 5.609(c)(16) seems to be to maximize the Section 8
    subsidy for persons in plaintiff’s situation, given the
    difficulties of their circumstances. In other words, if some
    subsidy is good, more is better. Because the purpose of the
    exclusion is to help burdened, low income families, it is
    difficult to argue with the sentiment. Yet our interpretation
    must be guided not by our own view of proper public policy,
    but by the views of Congress and HUD, the agency tasked
    with administering the Section 8 program. In implementing
    the congressional plan, HUD is required to balance a wide
    variety of pertinent policy and equity considerations, not the
    least of which is the allocation of very limited public
    resources among many needy families. Its policy choice is
    reflected in the language of part 5.609(c)(16), which limits
    the exclusion to out-of-pocket expenses. As discussed below,
    HUD’s choice is consistent with the foundational concerns of
    Section 8. The majority’s more expansive view upsets the
    balance struck by Section 8, will create unintended inequities
    in its implementation, and will ultimately lead to a
    23
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    diminution in the housing assistance available to other low-
    income Californians.
    The purpose of the part 5.609(c)(16) exclusion is to
    ensure that the acceptance of state financial help by families
    who keep a developmentally disabled family member at home
    does not place the families at a disadvantage in receiving
    Section 8 housing assistance; they are to be “ ‘encouraged,
    and not punished.’ ” (Maj. opn., ante, at p. 12 [quoting HUD
    explanation].) To accomplish this, part 5.609(c)(16) excludes
    from the families’ annual income funds provided by the state
    that the family spends on services and equipment to support
    at-home care of the disabled family member. By excluding
    this type of payment, the regulation ensures that the
    acceptance   of   state   aid    by    families    maintaining   a
    developmentally disabled family member does not inflate
    their annual income and result in a diminished Section 8
    subsidy.   Instead, the family receives the same housing
    subsidy as other Section 8 families having a similar
    disposable income.
    There is no indication in the language of the regulation
    itself or the limited regulatory history that, in adopting
    part 5.609(c)(16), HUD intended to go further and provide
    affirmative advantages to families with a developmentally
    disabled member at home. HUD did not say such families
    should be preferentially benefitted, and not punished. Yet
    such a preferential benefit is the consequence of the
    24
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    majority’s interpretation of part 5.609(c)(16), since it affords
    families who are paid to provide at-home care of a
    developmentally disabled family member substantially
    greater Section 8 housing subsidies than to other low-income
    families with the same family income.
    Section 8 housing subsidies are determined by a
    participating family’s income — that is, the funds available
    to the family to pay for rent and other daily needs.12 The
    part 5.609(c)(16)   exclusion      is   necessary       because   the
    regulations defining “annual income” for purposes of Section
    8 are very broad, including “all amounts, monetary or not”
    that “[g]o to, or on behalf of, the family head or spouse . . . or
    to any other family member.” (
    24 C.F.R. § 5.609
    (a)(1) (2020).)
    Given this comprehensive definition, any payments made by
    the state to a family for the care of a developmentally
    disabled family member are included in annual income under
    part 5.609(a), even if the payments are not available to the
    family to pay for rent and other daily needs because they
    merely offset family expenditures for at-home care. Properly
    understood, part 5.609(c)(16) prevents a family’s annual
    income from being inflated by payments covering such out-of-
    12
    Literally, it is not the subsidy that is determined by a
    family’s income. Rather, annual income determines the
    amount the family is required to contribute to its rent
    payment. The subsidy is then the difference between this
    contribution and the family’s actual rent. For purposes of
    this analysis, the difference is immaterial.
    25
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    pocket expenses, recognizing that those payments should not
    be treated as income because they do not increase the
    resources available to the family for daily expenses. In the
    absence of the exclusion, the acceptance of such aid would
    reduce the family’s Section 8 subsidy without improving its
    standard of living — in the words of HUD, such families
    would be “punished.”
    This highlights the fundamental difference, for
    purposes of Section 8, between IHSS funds that are given to
    reimburse expenditures by a family and funds that
    compensate a family for the care of the disabled family
    member.      Unlike    funds    that    reimburse     a      family’s
    expenditures, funds provided by the state to compensate for
    the family’s caregiving activities are available to meet the
    family’s daily needs. That is their purpose. In accepting
    compensation    for    their   caregiving      activities,     IHSS
    participants are effectively selling their labor to the state,
    and the resulting income is indistinguishable, in its impact
    on the family’s standard of living, from money earned
    working outside the home.         For that reason, HUD has
    determined that this compensation is properly characterized
    as income under Section 8.
    This is particularly true of parents who are hired to
    provide caregiving responsibilities under IHSS. As noted
    above, the state precludes a parent’s acceptance of full-time
    work outside the home if the parent is receiving IHSS
    26
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    compensation; such funding is available to parents only if
    “the [parent] leaves full-time employment or is prevented
    from obtaining full-time employment because no other
    suitable provider is available.” (Welf. & Inst. Code, § 12300,
    subd. (e).) In other words, to receive funds from IHSS a
    parent must accept their disabled child’s care as, in effect,
    their job. Plaintiff is an example. So far as the appellate
    record reveals, caring for her daughter is her full-time
    activity, and IHSS compensation is her only income.
    The      majority   argues     that     the       acceptance   of
    compensation from IHSS is not “ ‘an employment for all
    purposes.’ ”    (Maj. opn., ante, at p. 24.)        The issue here,
    however, is not whether IHSS “employs” caregivers for all
    purposes. As defined by part 5.609, “annual income” includes
    any “compensation for personal services,” not just income
    from formal employment. (
    24 C.F.R. § 5.609
    (b)(1) (2020).)
    The issue is therefore whether the compensation received
    from IHSS by persons like plaintiff should be treated the
    same as income received by Section 8 participants from other
    types of compensable labor.        By limiting the exclusion of
    part 5.609(c)(16) to offsetting payments, HUD has declared
    that it should. The majority may disagree with HUD’s policy
    27
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    choice, but it is HUD’s choice, not that of the majority, that
    must govern our interpretation.13
    Excluding IHSS compensation from a Section 8 family’s
    annual income, as the majority requires, artificially reduces
    the family’s income and, consequently, increases the family’s
    housing subsidy above the level justified by its actual income.
    The effect can be substantial. Take, as an example, plaintiff.
    As noted above, a Section 8 family is ordinarily required to
    contribute 30 percent of its annual income toward rent. The
    remainder of its rent is paid by the program. Plaintiff’s
    family income in the latest year for which we have
    information was more than $52,000, consisting primarily of
    plaintiff’s $41,000 income from IHSS; the remainder was
    $11,000 in disability payments to K.R. If plaintiff’s IHSS
    compensation is included in her annual income for purposes
    of Section 8, the family would be expected to contribute
    $1,300 toward its monthly rent. Here, the majority would
    exclude plaintiff’s $41,000 in IHSS compensation from the
    13
    The majority also finds support in the exclusion of in-
    home care payments from “income” under the Internal
    Revenue Code. (Maj. opn., ante, at pp. 26–27.) Because
    Section 8 and the Internal Revenue Code are quite different
    statutes with very different aims, there is no reason why the
    exclusion of IHSS payments from federal taxable income
    should weigh in favor of their exclusion from “annual income”
    under Section 8.
    28
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    family’s annual income. Plaintiff’s family will therefore be
    treated as though it had an annual income of $11,000,
    although it was living on an actual income of $52,000 per
    year. As a result, the family’s expected rent contribution will
    be reduced to $275.14 The remaining $1,005 of the family’s
    monthly rent payment, an annual gap of more than $12,000,
    must be made up from the Authority’s Section 8 funds. It is
    noteworthy that the majority nowhere acknowledges, let
    alone attempts to explain or justify, that its interpretation
    will treat a family with an annual income exceeding $52,000,
    more than three times the federal poverty level for a family
    of two, as though it were living far below the poverty line.15
    Yet that is the clear and unavoidable import of its decision.
    Low-income families caring for a developmentally
    disabled family member at home face daily challenges
    14
    This assumes the resulting subsidy does not exceed the
    maximum permitted. Section 8 housing subsidies are capped
    by a “payment standard,” which is determined by local rental
    conditions. (See Nozzi v. Housing Authority (9th Cir. 2015)
    
    806 F.3d 1178
    , 1184–1185; 
    24 C.F.R. § 982.503
    (b) (2020); 42
    U.S.C. § 1437f(o)(2).) The appellate record does not contain
    sufficient information from which we may determine whether
    plaintiff’s subsidy, as re-jiggered by the majority, would be
    capped.
    15
    The 2020 federal poverty level for a family of two is an
    annual income of $17,240. (See U.S. Dept. Health & Human
    Services,       Poverty        Guidelines         (Jan. 2020)
     [as of Aug. 28,
    2020].)
    29
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    unknown to the rest of us. Few would begrudge such families
    a generous housing subsidy, above and beyond that provided
    to other low-income families with a similar income — if there
    was evidence that Congress or HUD intended to provide
    them    such   assistance.       But    as    noted    above,   the
    part 5.609(c)(16) exclusion was intended to ensure that
    families receiving aid from IHSS are simply treated the same
    as, not better than, other families — to ensure that they were
    not punished, rather than to preferentially benefit them.
    3. The majority’s interpretation will introduce
    unintended      inequities     into    Section 8
    implementation and reduce the availability of
    Section 8 housing assistance in California
    As discussed above, the majority’s reading of the
    part 5.609(c)(16) exclusion is contrary to its language and
    achieves the result, unintended by HUD, of granting IHSS
    participants like plaintiff substantially greater Section 8
    subsidies than are justified by their actual income. That
    alone, of course, would be sufficient to reject the reading. But
    we should be particularly wary of imposing a rule HUD did
    not write, given the serious public policy consequences that
    will follow.
    As explained below, these consequences are of two
    types. First, the interpretation adopted by the majority will
    create inequities among families participating in the IHSS
    and Section 8 programs. Families that are paid through
    IHSS to care at home for a developmentally disabled person
    30
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    will receive a far larger housing subsidy than families of
    similar income that (1) IHSS funds to hire a third party to
    care for a developmentally disabled family member in their
    home or (2) receive IHSS funds to care for a medically
    disabled family member.
    Second,    and    just   as    important,       the   majority’s
    interpretation will reduce, by an unknown but potentially
    sizable amount, the number of families that can obtain
    Section 8 housing assistance in California. The majority’s
    decision will not increase by a single dollar the Section 8
    funds reaching California.       Yet it will require the state’s
    counties to steer a significantly larger portion of their Section
    8 housing funds to families that receive IHSS compensation
    for caring for a disabled member in the home.                    These
    increased subsidies can come from only one place: The funds
    available to other low-income families who are, or would have
    been, receiving housing assistance under Section 8.               The
    majority’s expansive interpretation will come at the cost of
    assistance to other families in need.
    First the inequities. IHSS provides families with the
    funds necessary to maintain a developmentally disabled
    family member in their home. The Authority or the family
    can use these funds to hire a third-party caregiver or,
    alternatively, a member of the family for the same role. Both
    approaches      serve   the    purposes       of    IHSS    and    the
    part 5.609(c)(16)       exclusion        by        (1) keeping     the
    31
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    developmentally    disabled     family     member      out   of   an
    institution and (2) ensuring that the family is not
    disadvantaged in the receipt of Section 8 funds by doing so.
    So far as appears, neither HUD nor IHSS favors one option
    over the other; certainly there is no language in either
    Section 8 or IHSS reflecting a preference, as the majority
    acknowledges.     (Maj. opn., ante, at p. 21 [“despite no
    expressed preference for family providers per se”].)              Yet
    under the majority’s reading a family that provides its own
    compensated care will receive a far larger Section 8 housing
    voucher than the family that uses IHSS funds to hire a
    nonfamily member to provide the same care, even if both
    families have identical incomes. This occurs because, under
    the majority’s interpretation, some or all of the income of the
    first family, consisting of compensation received from IHSS,
    is excluded from the annual income, while the income of the
    second family, earned outside the home, is fully included.
    Assuming both families end up with similar disposable
    income, the first family will receive a far larger subsidy under
    Section 8 due to the exclusion of a significant portion of its
    disposable income.     (See Reilly, supra, 23 Cal.App.5th at
    pp. 437–438.)   There is no indication in the language of
    part 5.609(c)(16) or the regulatory history to suggest that
    HUD intended this result; in its amicus curiae brief, HUD
    expressly disavows such an intent.
    32
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    The majority seeks to explain away this disparity by
    claiming that persons needing 24-hour care “ ‘are more likely
    to receive better continuous care from relatives living with
    them whose care is more than contractual.’ ” (Maj. opn., ante,
    at pp. 21, quoting Miller v. Woods (1983) 
    148 Cal.App.3d 862
    ,
    870.)    Neither Miller nor our appellate record contains
    evidence to support the proposition that third-party
    caregivers provide substandard care, compared to family
    members.16 But more to the point, the majority cites no
    evidence that HUD believed this to be true or that it crafted
    part 5.609(c)(16) based on any assumptions about the relative
    competence of family members versus third-party caregivers.
    Much of the majority’s policy justification for its
    interpretation is a recognition of the importance and
    difficulty of the work done by persons who care for a
    developmentally disabled family member at home. And I
    agree, there is no doubt that this work is difficult and
    important. If preferentially benefitting families who care for
    developmentally disabled members themselves, rather than
    16
    The majority notes that IHSS does not pay for 24-hour
    care. (Maj. opn., ante, at p. 26.) Although true, that is of no
    policy consequence here. Families that hire a third-party to
    provide care for a developmentally disabled family member
    in their home must provide the same type of uncompensated
    off-hours care for the dependent as families that receive IHSS
    compensation.
    33
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    retain a third-party caregiver, were actually a motive
    underlying part 5.609(c)(16), however, one would expect
    some express indication that HUD intended to favor family
    care over care by third-party providers. As noted above, there
    is no such indication. In fact, the regulation is entirely silent,
    and therefore presumably neutral, on that issue.17
    The majority’s interpretation will create a similar
    inequity between families that receive IHSS compensation to
    care for a developmentally disabled family member and
    families that receive IHSS funds to care for a medically
    disabled family member. (See Reilly, supra, 23 Cal.App.5th
    at p. 438.)   Like families maintaining a developmentally
    disabled member in the home, families that maintain a
    medically disabled family member in the home can receive
    IHSS reimbursement for expenditures necessary to keep that
    person at home as well as compensation for caregiving by a
    family member. The Section 8 exclusion covering families
    with a medically disabled member, however, allows the
    17
    The majority also claims that if IHSS compensation is
    not excludable under part 5.609(c)(16), the two programs,
    IHSS and Section 8, will be at “cross-purposes,” presumably
    because accepting IHSS compensation will reduce a family’s
    Section 8 subsidy. (Maj. opn., ante, at p. 23.) Accepting IHSS
    compensation, however, is no more at cross-purposes with
    Section 8 than is employment generally, since all income
    reduces a family’s Section 8 subsidy to the same degree. In
    any event, there are no cross-purposes. The supplement to a
    family’s income from accepting IHSS compensation far
    exceeds any corresponding decline in its Section 8 subsidy.
    34
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    exclusion from annual income only of “[a]mounts . . . that are
    specifically for, or in reimbursement of, the cost of medical
    expenses . . . .” (§ 5.609(c)(4).) Although families caring for a
    medically disabled family member face challenges similar to
    those of families caring for a developmentally disabled family
    member, the enhanced Section 8 subsidy made available by
    the   majority’s   interpretation      of    part 5.609(c)(16)   is
    unavailable to families with a medically disabled member.
    Such families will also receive a materially reduced Section 8
    subsidy compared to families that benefit from the majority’s
    interpretation of part 5.609(c)(16).
    The majority responds that this disparity “is inherent
    in the federal regulation itself” because part 5.609(c)(4)
    permits recovery only of payments to third-party providers.
    (Maj. opn., ante, at p. 19.) The argument misses the point.
    Part 5.609(c)(16) has a materially wider scope than
    part 5.609(c)(4) only because the majority has interpreted it
    that way. If “offset the cost of services and equipment” is
    interpreted to cover only the reimbursement of out-of-pocket
    expenditures, the two exclusions have a similar scope. It is
    not “the federal regulation itself,” but the majority’s
    interpretation of it, that creates an inequity. The majority
    otherwise fails to explain what possible public policy supports
    giving families with a developmentally disabled member far
    35
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    more advantageous treatment under Section 8 than families
    with a medically disabled family member.18
    The second unfortunate policy consequence of the
    majority’s interpretation of part 5.609(c)(16) is its inevitable
    diminution of the funds available to other low-income
    participants in the Section 8 program. In an ideal world, the
    majority’s award of greater Section 8 housing subsidies to
    low-income families receiving state compensation to care for
    disabled family members at home would be financed by
    additional congressional appropriations for the Section 8
    program.    In our real world, it does not work that way.
    Already, Section 8 housing subsidies are available only to a
    relatively small subset of all eligible families. The Authority,
    for example, is authorized to serve less than one-third of the
    families that qualify for its help. Yet even that does not fully
    capture the inadequacy of the program. Presumably because
    18
    The majority’s claim that HUD believes that families
    with a developmentally disabled member would “receive
    unfair treatment” if they were not allowed to exclude income
    (maj. opn., ante, at p. 20) is based entirely on HUD’s comment
    that such families should be “ ‘encouraged, and not
    punished’ ” (ibid., italics omitted). Because no other class of
    Section 8 participants, besides foster parents, is able to
    exclude such income, restricting the exclusion to
    reimbursement of expenditures hardly constitutes
    punishment. The majority argues that such families will be
    punished if their income is not excluded because they might
    not qualify for Section 8 subsidy. (Ibid.) Again, the same is
    true of all other families who have too much income to qualify
    for Section 8; it is not a punishment.
    36
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    of congressional underfunding, the Authority actually
    provides vouchers to only 1,957 families, rather than the
    2,153 it is authorized to help.
    The majority’s generosity toward plaintiff and similar
    IHSS participants does not come without cost, and that cost
    will likely be borne by other low-income families in
    California. The funding available to the Authority will not
    be increased by $12,000 per year merely because the majority
    has decreed that plaintiff must receive an additional annual
    subsidy of $12,000. Instead, given the fixed and inadequate
    budgets available under Section 8, it is likely that every
    additional dollar of subsidy provided to families with a
    developmentally disabled member at home will come directly
    from the funds available to subsidize the housing of other
    low-income families that are, or could have been, served by
    the Authority. By skewing the allocation of Section 8 housing
    subsidies to families receiving IHSS compensation, contrary
    to HUD’s express intent, the majority’s misinterpretation of
    the regulation will likely lead to a reduction in the housing
    subsidies available to other low-income families in California,
    and these will likely be reduced in an amount equal to the
    37
    REILLY v. MARIN HOUSING AUTHORITY
    Cantil-Sakauye, C. J., dissenting
    enhanced subsidies given by the majority to IHSS
    participants.19
    If the language of part 5.609(c)(16) required this result,
    we would be duty-bound to implement it. In fact, the result
    is eminently avoidable.      To bring it about, the majority
    stretches the language of the regulation and fails to account
    for the serious public policy implications weighing against its
    decision. Further, the dubious end result is to require the
    Authority to treat a family with an income of more than
    $50,000 as though it were living on $11,000. In the process,
    the majority will divert the Authority’s all-too-scarce low-
    income housing assistance away from other needy families.
    Every other court to consider the issue has avoided this
    result, and this court should as well.
    CANTIL-SAKAUYE, C. J.
    We Concur:
    CORRIGAN, J.
    KRUGER, J.
    19
    We lack the evidence necessary to estimate the financial
    impact of the majority’s interpretation, but the limited
    information available suggests that it could be substantial.
    According to the state data cited above (see ante, fn. 6), there are
    currently 250,000 “live-in relative providers” caring for a
    disabled family member under IHSS. If just a tiny proportion
    of those live-in relatives care for a developmentally disabled
    person, participate in the Section 8 program, and receive IHSS
    compensation similar to that of plaintiff, the majority’s ruling
    will divert millions of dollars in Section 8 housing subsidies from
    other low income families state-wide.
    38
    See next page for addresses and telephone numbers for counsel who argued in Supreme Court.
    Name of Opinion Reilly v. Marin Housing Authority
    __________________________________________________________________________________
    Unpublished Opinion
    Original Appeal
    Original Proceeding
    Review Granted XX 
    23 Cal.App.5th 425
    Rehearing Granted
    __________________________________________________________________________________
    Opinion No. S249593
    Date Filed: August 31, 2020
    __________________________________________________________________________________
    Court: Superior
    County: Marin
    Judge: Paul M. Haakenson
    __________________________________________________________________________________
    Counsel:
    Law Offices of Frank S. Moore, Frank S. Moore; Autumn M. Elliott, Ben Conway and Deborah Gettleman
    for Plaintiff and Appellant.
    Morgan, Lewis & Bockius, Thomas M. Peterson and Jordan Mundell for Association of Regional Center
    Agencies, Autism Society of Los Angeles, CASHPCR, Disability Voices United, Fairview Families and
    Friends, Inc., Housing Choices, Jewish Los Angeles Special Needs Trust (JLA Trust), National Disability
    Rights Network, Professor Alison Morantz and Public Counsel as Amici Curiae on behalf of Plaintiff and
    Appellant.
    Munger, Tolles & Olson and Michael E. Soloff for National Housing Law Project and Western Center on
    Law and Poverty as Amici Curiae on behalf of Plaintiff and Appellant.
    Ilya Filmus; WFBM, Randall J. Lee, Anne C. Gritzer; Wilson Elser Moskowitz Edelman & Dicker and
    Robert Cooper for Defendant and Respondent.
    Paul Compton, Miniard Culpepper, David M. Reizes, Alexandra N. Iorio, Joseph H. Hunt, Alisa B. Klein,
    Melissa N. Patterson and Brad Hinshelwood for United States as Amicus Curiae on behalf of Defendant
    and Respondent.
    Counsel who argued in Supreme Court (not intended for publication with opinion):
    Autumn M. Elliott
    Disability Rights California
    350 S. Bixel Street, Ste. 290
    Los Angeles, CA 90017
    (213) 213-8000
    Robert Cooper
    Wilson Elser Moskowitz Edelman & Dicker LLP
    555 S. Flower Street, Suite 2900
    Los Angeles, CA 90071
    (213) 443-5100
    Brad Hinshelwood
    U.S. Department of Justice
    950 Pennsylvania Avenue NW
    Washington, DC 20530
    (202) 514-7823