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
Contracts for Medical Care and Support Services under the Ryan White HIV/AIDS Program Part A HIV Emergency Relief Project Grants
End
RECOMMENDATION(S)
Recommendation
Approve contracts with the following agencies, including a non-standard term, to provide medical care and support services under the Ryan White HIV/AIDS Program Part A HIV Emergency Relief Project Grants, in the aggregate, not-to-exceed amount of $12,150,926, for the period of March 1, 2026 through February 29, 2028:
1. AIDS Healthcare Foundation, in the amount of $488,668.
2. Community Health Systems, in the amount of $341,556.
3. Desert AIDS Project dba DAP Health, in the amount of $5,592,668.
4. Foothill AIDS Project, in the amount of $3,915,454.
5. SAC Health System, in the amount of $983,374.
6. Wellness and Equity Institute, in the amount of $348,366.
7. Young Scholars for Academic Empowerment dba TruEvolution, in the amount of $480,840.
(Presenter: Janki Patel, Acting Director, 387-9146)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
This item will not result in the use of Discretionary General Funding (Net County Cost). The recommended contracts will be fully funded through reimbursements from the United States Department of Health and Human Services, Health Resources and Services Administration (HRSA) Ryan White HIV/AIDS Program Part A HIV Emergency Relief Project Grants (Ryan White Part A) and Minority AIDS Initiative funding. Adequate appropriation and revenue have been included in the Department of Public Health’s (DPH) 2025-26 budget and will be included in DPH’s future recommended budgets.
BACKGROUND INFORMATION
DPH has received funding from HRSA for the Ryan White Part A Program since 1994. Acting as the lead agency for the Transitional Grant Area of San Bernardino and Riverside counties, DPH oversees and administers the grant funds and assures compliance with grant requirements. DPH awards Ryan White Part A funding to contractors to provide a comprehensive continuum of high quality, community-based medical care, and support services for low-income individuals with Human Immunodeficiency Virus (HIV) and their families. The Inland Empire HIV Planning Council (IEHPC) is the planning body appointed by the Board of Supervisors and mandated by Federal law to set service priorities for funding allocations for the Ryan White Program. DPH follows the IEHPC service priorities and funding allocations, which includes predetermined percentages and service categories, to calculate the amounts that are awarded for Ryan White Part A service contracts.
Contracted services will include mental health services, dental care, substance abuse treatment, medical nutrition therapy, early intervention services, case management, transportation, psychosocial support, emergency financial assistance, housing and food assistance.
In 2024-25, Ryan Part A contractors served approximately 47,000 duplicated clients in San Bernardino and Riverside counties, including 4,445 clients receiving early intervention services, 3,304 receiving medical case management services, and 11,115 receiving food assistance.
Approval of the recommended contracts would support the continued provision of Ryan White Part A services for persons living with HIV/Acquired Immunodeficiency Syndrome (AIDS) in San Bernardino and Riverside counties. Contractor performance will be measured by review of monthly reporting, review of required data submissions, and an annual site visit by County staff to monitor compliance with the administrative, program, and fiscal terms and conditions of the contract, with special attention to the Ryan White payer of last resort requirement.
The recommended contracts include a non-standard term that differs from the standard County contract terms:
Payment terms are Net 30 days.
• County standard payment terms are Net 60 days.
• Potential Impact: County standard processing time is 60 days or more. Failing to pay timely may result in a material breach of the Agreement, which could allow the agency to terminate the Agreement and seek other legal remedies, which could include costs that exceed the Agreement amount.
Federal regulation 2 CFR §200.305 requires pass-through entities to make reimbursement payments within 30 days of the payment request. DPH recommends approval of the agreements, including the non-standard term, to continue awarding Ryan White Part A funding, while ensuring compliance with federal funding requirements.
PROCUREMENT
The County Administrative Office approved and authorized the release of Request for Proposals (RFP) No. DPHE26-ASP-6184 with the Purchasing Department on December 2, 2025, to solicit proposals from interested and qualified agencies to provide medical care and support services under Ryan White Part A for a maximum period of three years, with two additional one-year options to extend, subject to the availability of funding appropriate for each fiscal year. The RFP was posted on the San Bernardino County Electronic Procurement Network.
Nine proposals were received by the established deadline in response to the RFP. Proposals from the nine agencies listed below met the minimum requirement and continued through the evaluation process.
|
Proposer Name |
Location |
|
AIDS Healthcare Foundation |
Los Angeles, CA |
|
Community Health Systems |
Moreno Valley, CA |
|
County of Riverside, Department of Public Health |
Riverside, CA |
|
Desert AIDS Project dba DAP Health |
Palm Springs, CA |
|
Foothill AIDS Project |
Claremont, CA |
|
Loma Linda University |
Loma Linda, CA |
|
SAC Health |
San Bernardino, CA |
|
Young Scholars for Academic Empowerment dba TruEvolution |
Riverside, CA |
|
Wellness and Equity Institute |
Scotts Valley, CA |
The evaluation panel, with representation from DPH and the Auditor-Controller/Treasurer/Tax Collector, reviewed and evaluated the proposals based on the criteria listed in the RFP. The criteria included: qualifications/experience, financial stability, scope of work, proposed budget, and references.
Based on the evaluation criteria, the evaluation panel determined that all nine agencies will best meet the needs of the County. Award letters were sent to all responsible and responsive proposers on February 2, 2026.
Contracts with the County of Riverside and Loma Linda University are still being negotiated and will be presented for approval at a future Board meeting.
Purchasing supports this competitive procurement based on the formal solicitation described above.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Adam Ebright, Deputy County Counsel, 387-5455) on January 28, 2026; Purchasing (Ariel Gill, Supervising Buyer) on February 3, 2026; and County Finance and Administration (Iliana Rodriguez, Administrative Analyst, 387-4205) on February 5, 2026.