REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
January 23, 2024
FROM
JOSHUA DUGAS, Director, Department of Public Health
SUBJECT
Title
Amendments to Contracts for Medical Care and Support Services Under Ending the HIV Epidemic: A Plan for America
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to contracts with the following agencies to provide medical care and support services under Ending the HIV Epidemic: A Plan for America, increasing the total amount of the contracts by $944,112, from $3,400,680 to $4,344,792, with no change to the contract term of March 1, 2023 through February 28, 2025:
1. AIDS Healthcare Foundation, Contract No. 23-64, increasing the contract amount by $114,990 from $428,000 to $542,990.
2. County of Riverside, Contract No. 23-65, increasing the contract amount by $238,170, from $848,680 to $1,086,850.
3. Desert AIDs Project dba DAP Health, Contract No. 23-66, increasing the contract amount by $222,606, from $795,500 to $1,018,106.
4. Foothill AIDs Project, Contract No. 23-67, increasing the contract amount by $130,364, from $480,500 to $610,864.
5. Loma Linda University, Contract No. 23-68, increasing the contract amount by $237,982, from $848,000 to $1,085,982.
(Presenter: Joshua Dugas, Director, 387-9146)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
Pursue County Goals and Objectives by Working with Other Agencies and Stakeholders.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The amendments increase the contract amounts by a total of $944,112. These services are funded by the United States Department of Health and Human Services, Health Resources and Services Administration (HRSA). Adequate appropriation and revenue have been included in the Department of Public Health’s (DPH) 2023-24 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
The Ending the HIV Epidemic (EHE) Program seeks to achieve the important goal of reducing new Human Immunodeficiency Virus (HIV) infections in the United States to less than 3,000 per year by 2030. Across the United States, the initiative promotes and implements four pillars to reduce HIV transmissions: Diagnose, Treat, Prevent, and Respond. HRSA launched the EHE Program initiative in 2019 to reduce HIV infections by scaling up key HIV prevention and treatment strategies. San Bernardino County has been providing EHE Program services through contracted service providers since 2020.
DPH released a new procurement on September 15, 2022, for the EHE Program with a focus on Pillar Two (Treat) services, which include strategies to reach individuals who are infected with HIV, link them to care and treatment, and re-engage those who have stopped receiving care and/or treatment. HIV treatment not only preserves the health of people with HIV but also reduces HIV transmission. This Pillar aims to treat people with HIV rapidly after diagnosis to help achieve and maintain viral suppression.
On February 7, 2023 (Item No. 33), as a result of a formal procurement, the Board of Supervisors (Board) approved contracts with the agencies listed in the Recommendation, in the aggregate amount of $3,400,680, for the period of March 1, 2023 through February 28, 2025.
On April 25, 2023 (Item No. 48), the Board accepted an amended grant award (Grant Award No. 6 UT8HA33958-04-01) from HRSA, increasing the fourth year of EHE funding by $2,212,693, from $343,068 to $2,555,761, for the period of March 1, 2023 through February 28, 2024.
Approval of this item will utilize a portion of the additional accepted grant award to augment the contracts mentioned in the Recommendation. The increases to the contracts will help over 5,000 clients to continue to receive EHE Program services.
Contractor performance will be measured by review of monthly reporting and required data submission, and an annual site visit by County staff to monitor compliance with the administrative, program, and fiscal terms and conditions of the contract.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by Human Services Contracts (Patty Steven, Contracts Manager, 388-0241) on November 22, 2023; County Counsel (Adam Ebright, Deputy County Counsel, 387-5455) on November 30, 2023; Finance (Iliana Rodriguez, Administrative Analyst, 387-4205) on December 5, 2023; and County Finance and Administration (Robert Saldana, Deputy Executive Officer, 387-5423) on December 5, 2023.