REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
April 29, 2025
FROM
JOSHUA DUGAS, Director, Department of Public Health
SUBJECT
Title
Amended Grant Award from the United States Department of Health and Human Services for the Service Area Competition Under the Health Center Program
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No.1 to Contract 25-102 (Award No. 6 H80CS00657-24-02), from the United States Department of Health and Human Services, Health Resource and Services Administration, for the Service Area Competition under the Health Center Program, accepting an amended grant award for continued operational support of the Federally Qualified Health Centers, increasing the amount by $207,653, from $1,038,267 to $1,245,920, for the period of March 1, 2025, through February 28, 2026.
(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
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The amended grant award in the amount of $207,653 from the United States Department of Health and Human Services, Health Resources and Services Administration (HRSA) does not require a local match. Adequate appropriation and revenue have been included in the Department of Public Health’s (DPH) 2024-25 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
Every three years, health centers apply for HRSA funding under the Health Center Program’s Service Area Competition (Competition). Through the Competition, organizations compete for operational support funding which supports health care services to patient populations served by DPH’s Federally Qualified Health Centers (FQHC).
On August 8, 2023 (Item No. 35), and September 12, 2023 (Item No. 42), the Board of Supervisors (Board) approved Phase 1 and Phase 2, respectively, of the HRSA Competition grant application for FQHC operational support, in the amount $2,291,840 annually (amount included Phases 1 and 2), for the period of March 1, 2024 through February 28, 2027.
On March 12, 2024 (Item No. 30), the Board approved two grant awards, Contract Nos. 24-210 and 24-211 (Award No. 2H80CS00657-23-00 and No. 6 H80CS00657-23-01), for continued operational support of the FQHCs, in the amounts of $954,933 and $190,987, respectively, for the total amount of $1,145,920, for the period of March 1, 2024 through February 28, 2025. However, these grant awards were erroneously filed as separate contracts, rather than listing a single contract number and treating the second award as an amendment. In an effort to correct this issue, amendments and associated grant award amounts since the initial award have been included under Contract No. 24-211.
On May 7, 2024 (Item No.41), the Board approved Amendment No.1 to Contract No. 24-211 (Award No. 6 H80CS00657-23-02) in the amount of $100,000, for a combined total amount of $1,245,920, with no change to the period of March 1, 2024 through February 28, 2025.
Between August 14, 2024 and September 18, 2024, DPH received non-financial notices (Award Nos. 6 H80CS00657-23-05, 6 H80CS00657-23-06, and 6 H80CS00657-23-09) from HRSA informing DPH of administrative actions related to additional funding to be expected, deletion of the old address (606 E. Mill St. San Bernardino, CA 92408, and addition of the new address (590 N. D St, San Bernardino, CA 92401) of the FQHC located in San Bernardino.
On November 5, 2024 (Item No. 35), the Board approved Amendment Nos. 4, 5, and 6 to Contract No. 24-211 (Award Nos. 6 H80C00657-23-07 for $66,667, 6 H80CS00657-23-08 for. $28,500, and 6H80CS00657-23-10 for $37,000) from HRSA increasing the grant by $132,167, for a combined total of $2,559,267, with no change to the budget period of March 1, 2024 through February 28, 2025.
On January 21, 2025, DPH received non-financial notices (Award No. 6 H80CS00657-24-01) from HRSA informing DPH of administrative actions related to elimination of one or more grant conditions, with no change to budget period of March 1, 2025 through February 28, 2026.
On February 11, 2025 (Item No. 31), the Board approved grant award, Contract No. 25-102 (Award No. 5 H80CS000657-24-00) from HRSA for the Service Area Competition under the Health Center Program for operational support of FQHC, in the amount of $1,038,267, for the period of March 1, 2025 through February 28, 2026.
On March 6, 2025, DPH received notice of an amended grant award, in the amount of $207,653. Amendment No. 1 to Contract 25-102 (Award No. 6 H80CS00657-24-02) to accept the amended grant award from HRSA is recommended for continued operational support of the FQHs, and would increase the combined grant total to $1,245,920, for the period of March 1, 2025 through February 28, 2026. DPH will return to the Board to accept further funding from HRSA for the Competition, if and when it is received.
A new County Contract number is assigned based on the state budget period for financial awards. All contracts are linked to the three-year grant performance period. This includes non-financial notices with administrative actions, which are documented solely for record-keeping purposes.
This item is presented at this time, as this is the first available date following the required operational, fiscal, and legal reviews. Approval at this time will not impact DPH’s FQHC services or activities.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Adam Ebright, Deputy County Counsel, 387-5455) April 9, 2025; Finance (Iliana Rodriguez, Administrative Analyst, 387-4205) on April 8, 2025; and County Finance and Administration (Robert Saldana, Deputy Executive Officer, 387-5423) on April 8, 2025.