REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
June 11, 2024
FROM
JOSHUA DUGAS, Director, Department of Public Health
SUBJECT
Title
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
1. Accept amended grant award, Amendment No. 2 to Contract No. 24-211 (Award No. 6 H80CS00657-23-03), from the United States Department of Health and Human Services, Health Resources and Services Administration for the Service Area Competition under the Health Center Program for continued operational support of the Federally Qualified Health Centers, increasing the amount by $1,145,920, from $1,245,920 to $2,391,840, for the period of March 1, 2024 through February 28, 2025.
2. Authorize the Chair of the Board of Supervisors, Chief Executive Officer, or Director of the Department of Public Health to execute any subsequent non-substantive amendments and documents for Contract No. 24-211, subject to review by County Counsel.
3. Direct the Director of the Department of Public Health to transmit all non-substantive amendments to Contract No. 24-211 to the Clerk of the Board of Supervisors within 30 days of execution.
(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. 2 to Contract No. 24-211 (Award No. 6 H80CS00657-23-03) (Amendment), in the amount of $1,145,920 from the United States Department of Health and Human Services, Health Resources and Services Administration (HRSA), does not require a match. Currently, funding from this HRSA grant has been issued through partial awards due to pending congressional action on the Health Center Program appropriation. Adequate appropriation and revenue have been included in the Department of Public Health’s (DPH) 2023-24 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
Every three years, health centers apply for 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 defined patient populations served by Federally Qualified Health Centers (FQHC). DPH applied for and received a three-year grant award for a term from March 1, 2024 through February 28, 2027. This $1,145,920 award will continue to support DPH’s FQHCs in Adelanto, Hesperia, San Bernardino, and Ontario. Services include primary care, maternal health, pediatric care, HIV care and treatment, reproductive health services, dental and nutrition services, and diagnostic radiology to an estimated 13,075 adults and children annually.
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 grant application for the Competition under the Health Center Program for FQHC operational support, in the amount of $2,291,840 annually (amount includes both 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 No. 24-210 and 24-210 (Award No. 2 H80CS00657-23-00 and No. 6 H80CS00657-23-01), 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, for the period of March 1, 2024 through February 28, 2025.
On May 7, 2024, DPH received the Amendment from HRSA for additional funding in the amount of $1,145,920, for a combined total of $2,391,840 for the budget period of March 1, 2024 through February 28, 2025, within the total grant project period of March 1, 2024 through February 28, 2027. DPH will return to the Board to accept further funding from HRSA for the competition, if and when it is received.
This item is being 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) on May 16, 2024; Finance (Carl Lofton, Administrative Analyst, 387-5404) on May 22, 2024; and County Finance and Administration (Robert Saldana, Deputy Executive Officer, 387-5423) on May 22, 2024.