REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
February 24, 2026
FROM
JANKI PATEL, Acting Director, Department of Public Health
SUBJECT
Title
Grant Award from the United States Department of Health and Human Services for Ryan White Part C Outpatient Early Intervention Services Program
End
RECOMMENDATION(S)
Recommendation
1. Accept grant (Award No. 5H76HA00154-35-00) from them United States Department of Health and Human Services, Health Resources and Services Administration, for the Ryan White HIV/AIDS Program Part C Early Intervention Services Program, to Support HIV early intervention and primary care services, in the amount of $122,744, for the period of January 1, 2026 through December 31, 2026.
2. Authorize the Chair of the Board of Supervisors, Chief Executive Officer, or the Director of the Department of Public Health to execute and submit any subsequent non-substantive amendments on behalf of the County, subject to review by County Counsel.
3. Direct the Director of the Department of Public Health to transmit all non-substantive amendments in relation to the grant award to the Clerk of the Board of Supervisors within 30 days of execution.
(Presenter: Janki Patel, Acting Director, 387-9146)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Foster Sustainable Development Through Strategic Partnerships.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The grant award in the amount of $122,744 from the United States Department of Health and Human Services, Health Resources and Services Administration (HRSA) for the Ryan White HIV/AIDS Program Part C Early Intervention Services Program (EIS) does not require a local match. Adequate appropriation and revenue have been included in the Department of Public Health’s (DPH) 2025-26 budget and will be included in the 2026-27 recommended budget.
BACKGROUND INFORMATION
The Ryan White Program was enacted in 1990 to provide federal funding for comprehensive health care and support services for persons living with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). San Bernardino County is one of HRSA’s targeted service areas and has been a recipient of Ryan White funding since 1991.
HRSA provides EIS funding to local health jurisdictions to provide comprehensive primary health care, medical case management, outreach and education, counseling, and other support services to people living with HIV/AIDS. Services are provided in an outpatient setting and are targeted to economically disadvantaged, uninsured, and undeserved individuals throughout the county. DPH serves approximately 130 people per year under this program.
On June 11, 2024 (Item No. 67), the Board of Supervisors (Board) approved the submission of a grant application to HRSA for EIS funding in the amount of $368,243 annually, for the period of January 1, 2025 through December 31, 2027. Upon submission of the grant application, HRSA issued annual award notices totaling up to the awarded amount for each budget period. DPH returned to the Board for acceptance of annual funds.
On January 14, 2025 (Item No. 46), the Board approved Agreement No. 25-16 (Award No. 2 H76HA00154-34-00) for a partial EIS award in the amount of $122,744, for the period of January 1, 2025 through December 31, 2025.
On April 3, 2025, DPH received Award No. 6 H76HA00154-34-01, a non-financial, administrative notification updating the contact information for DPH.
On August 5, 2025 (Item No. 61), the Board approved Amendment No. 1 to Agreement No. 25-16 (Award No. 6 H76HA00154-34-02), increasing the funding amount by $92,058, from $122,744 to $214,802, for the period of January 1, 2025 through December 31, 2025.
On September 9, 2025 (Item No. 51), the Board approved Amendment No. 2 to Agreement No. 25-16 (Award No. 6 H76HA00154-34-03), increasing the funding amount by $92,058, from $214,802 to $306,860, for the period of January 1, 2025 through December 31, 2025.
On October 7, 2025 (Item No. 30), the Board approved Amendment No 3 to Agreement No. 25-16 (Award No. 6 H76HA00154-34-04) increasing the funding amount by $61,383, from $306,860 to $368,243, for the period of January 1, 2025 through December 31, 2025.
On December 29, 2025, DPH received a partial EIS grant award (Award No. 5 H76HA00154-35-00), in the amount of $122,744, for the period of January 1, 2026 through December 31, 2026.
This item is being presented at this time as it is the first date available following the required operational, fiscal, and legal reviews. Approval at this time will not impact DPH’s services or activities. DPH will return to the Board for acceptance of future awards, if and when received.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Adam Ebright, Deputy County Counsel, 387,5455) on February 2, 2026; and County Finance and Administration (Iliana Rodriguez, Administrative Analyst, 387-4205) on February 2, 2026.