REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
June 25, 2024
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 Ryan White HIV/AIDS Program Part A HIV Emergency Relief Project Grant
End
RECOMMENDATION(S)
Recommendation
Approve and accept Amendment No. 1 to Grant Agreement No. 24-180 (Award No. 6H89HA00032-31-01), from the United States Department of Health and Human Services for the Ryan White HIV/AIDS Program Part A HIV Emergency Relief Project Grant, increasing the amount by $6,387,747, from $2,622,603 to $9,010,350, for the retroactive period of March 1, 2024 to February 28, 2025.
(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). Amendment No. 1 to Agreement 24-180 (Award No. 6H89HA00032-31-01), in the amount of $6,387,747 from the United States Department of Health and Human Services, Health Resources and Services Administration (HRSA), for the Ryan White HIV/AIDS Program Part A HIV Emergency Relief Project Grant (Ryan White Part A) does not require a local match. Adequate appropriation and revenue are included in the Department of Public Health’s (DPH) 2023-24 budget and have been included in the 2024-25 budget.
BACKGROUND INFORMATION
HRSA provides Ryan White Part A funds for assistance in developing and enhancing access to high quality, community-based medical care and support services for low-income individuals with HIV and their families. Services include medical care, medical case management, mental health services, dental care, substance abuse counseling services, early intervention services, medical nutrition, therapy, transportation, housing, and food assistance.
The Ryan White Program was enacted in 1990 to provide federal funding for comprehensive primary healthcare and support services for persons living with HIV/AIDS. The Ryan White Part A grant provides funding for HIV/AIDS services to areas disproportionately impacted by the infection with individuals who are low-income, uninsured, and designated to address disparities in access, treatment, care, and health outcomes for racial and ethnic minorities.
San Bernardino and Riverside counties first qualified for Ryan White Part A funding in 1994. DPH, acting as the lead agency for the two counties, administers the grant funds including, procurement of service contracts, and assurance of compliance with federal grant requirements.
On September 21, 2021 (Item No. 29), the Board of Supervisors (Board) approved the application for Ryan White Part A funding, in the anticipated amount of $8,538,527, for the period of March 1, 2022 through February 28, 2023. The overall period of performance is three years, March 1, 2022 through February 28, 2025. A competitive application is required for the first year of funding, followed by Non-Competing Continuation progress reports for years two and three of the three-year grant performance period.
On March 1, 2022 (Item No. 42), the Board approved Contract No. 22-153 (Grant Award No. 2 H89HA00032-29-00) for the Ryan White Part A grant award in the amount of $2,719,797, for the period of March 1, 2022 through February 28, 2023, year one of the three-year grant performance period.
On July 12, 2022 (Item No. 25), the Board approved Amendment No. 1 to Contract No. 22-153 (Grant Award No. 2 H89HA00032-29-01) for Ryan White Part A, increasing the grant award by $5,968,198, from $2,719,797 to $8,687,995, with no change to the period of March 1, 2022 through February 28, 2023.
On September 27, 2022 (Item No. 44), the Board approved the 2023 Non-Competing Continuation Progress Report in order to receive continued funding for Ryan White Part A, in the amount of $9,122,393, for the period of March 1, 2023 through February 29, 2024, the second year of the three-year grant performance period.
On March 28, 2023 (Item No. 41), the Board approved Amendment No. 2 to Contract No. 22-153 (Grant Award No. 5 H89HA00032-30-00) for Ryan White Part A grant award, in the amount of $1,520,647, for a new term of March 1, 2023 through February 28, 2024, the second year of the three-year grant performance period. The approved amendment reflected the transfer of unexpended funds in the amount of $89,455 from program year 2021-22 to program year 2022-23.
On May 23, 2023 (Item No. 57), the Board approved Amendment No. 3 (Grant Award No. 6 H89HA00032-30-01) and Amendment No. 4 (Grant Award No. 4 H89HA00032-30-02) to Contract No. 22-153 for Ryan White Part A. The funding for Amendment No. 3 (Grant Award No. 6 H89HA00032-30-01) in the amount of $7,375,680, for the period of March 1, 2023 through February 29, 2024, allowed DPH to be retroactively reimbursed for services. Amendment No. 4 (Grant Award No. 4 H89HA00032-30-02) included no financial changes, but corrected the end date of the performance period to February 29, 2024, instead of February 28, 2024, which had been used prior.
On September 12, 2023 (Item No. 43), the Board approved the 2024 Non-Competing Continuation Progress Report in order to receive continued funding for Ryan White Part A, in the amount of $9,341,142, for the period of March 1, 2024 through February 28, 2025, the third year of the three-year grant performance period.
On February 27, 2024 (Item No. 43), the Board approved Agreement No. 24-180 (Grant Award No. 5 H89HA00032-31-00) for Ryan White Part A in the amount of $2,622,603, for the period of March 1, 2024 through February 28, 2025.
On May 8, 2024, DPH received a Notice of Award (NOA) (Grant Award No. 6 H89HA00032-31-01) from HRSA for Ryan White Part A, in the amount of $6,387,747, for the retroactive period of March 1, 2024 through February 28, 2025, the third year of the three-year grant performance period. DPH recommends Board approval of the NOA to use these grant funds to continue to provide primary healthcare and support services to people living with HIV/AIDS. DPH will return to the Board to request acceptance of further funding for Ryan White Part A, 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 June, 7, 2024; Finance (Carl Lofton, Administrative Analyst, 387-5404) June, 5, 2024; County Finance and Administration (Robert Saldana, Deputy Executive Officer, 387-5423) on June, 8, 2024.