REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
August 5, 2025
FROM
JOSHUA DUGAS, Director, Department of Public Health
SUBJECT
Title
Amendment to Grant Award from the United States Department of Health and Human Services for Ryan White Part C Outpatient Early Intervention Services
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Agreement No. 25-16 (Award No. 6 H76HA00154-34-02), from the United States Department of Health and Human Services, Health Resources and Services Administration, for the Ryan White HIV/AIDS Program Part C: Outpatient Early Intervention Services Program, increasing the funding amount by $92,058, from $122,744 to $214,802, for the period of January 1, 2025 through December 31, 2025, with no change to the total grant period of January 1, 2025 through December 31, 2027.
(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 No. 25-16 (Award No. 6 H76HA00154-34-02) in the amount of $92,058 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: Outpatient Early Intervention Services Program (Ryan White Part C) does not require a local match. Adequate appropriation and revenue are included in the Department of Public Health’s (DPH) 2025-26 budget.
BACKGROUND INFORMATION
The Ryan White Program was enacted in 1990 to provide federal funding for comprehensive health care and support services for people living with HIV/AIDS. San Bernardino County has been a recipient of Ryan White funding since 1991.
HRSA provides Ryan White Part C 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 low-income, uninsured, and underserved 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 Ryan White Part C funding in the amount of $736,486, for a two -year period of January 1, 2025, through December 31, 2027.
On January 14, 2025 (Item No.46), the Board approved Agreement No. 25-16 (Award No. 2 H76HA00154-34-00) for a partial Ryan White Part C 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 May 7, 2025, DPH received 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. DPH will return to the Board for acceptance of future awards, if and when received.
This item is being presented at this time as this 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.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Adam Ebright, Deputy County Counsel,387-5455) July 8, 2025; and County Finance and Administration (Iliana Rodriguez, Administrative Analyst, 387-4205) on July 17, 2025.