REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
March 10, 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 the Service Area Competition Under the Health Center Program
End
RECOMMENDATION(S)
Recommendation
1. Accept grant award (Award No. 5 H80CS00657-25-00) from the United States Department of Health and Human Services, Health Resource and Services Administration, for continued operational support of the Federally Qualified Health Centers, in the amount of $1,245,920, for the period of March 1, 2026, through February 28, 2027.
2. Authorize the Chair of the Board of Supervisors, the Chief Executive Officer, or the Director of the Department of Public Health to execute any subsequent non-substantive amendments in relation to the grant award, subject to review by County Counsel.
3. Direct the Director of the Department of Public Health to transmit all non-substantive amendments 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
This item will not result in the use of Discretionary General Funding (Net County Cost). The grant award (Award No. 5 H80CS00657-25-00) in the amount of $1,245,920 from the United States Department of Health and Human Services, Health Resources and Services Administration (HRSA) does not require a local match. Adequate appropriation and revenue have been included in the Department of Public Health’s (DPH) 2025-2026 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
HRSA issues three-year Service Area Competition (SAC) grant awards through its Health Center Program to support a variety of health-related services provided at DPH’s Federally Qualified Health Centers located in Adelanto, Hesperia, Ontario, and San Bernardino, and two school-based sites located in Apple Valley and Ontario. DPH has received SAC funding since 2017.
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 SAC grant application, in the amount $2,291,840 annually, for the period of March 1, 2024 through February 28, 2027.
On March 12, 2024 (Item No. 30), the Board approved Contract No. 24-210 (Award No. 2H80CS00657-23-00) in the amount of $954,933 and Contract No. 24-211 (Award No. 6 H80CS00657-23-01) in the amount of $190,987, for the total amount of $1,145,920 in SAC funding, for the period of March 1, 2024 through February 28, 2025. The grant awards were erroneously filed as separate contracts. To resolve the discrepancy, subsequent amendments and associated grant award amounts 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) for an additional $100,000 in SAC funding, for a total amount of $1,245,920, for the period of March 1, 2024 through February 28, 2025.
On June 11, 2024 (Item No. 65), the Board approved Amendment No. 2 to Contract No. 24-211 (Award No. 6 H80CS00657-23-03) for an additional $1,145,920 in SAC funding, for a total amount of $2,391,840, for the period of March 1, 2024 through February 28, 2025.
On July 23, 2024 (Item No. 46), the Board approved Amendment No. 3 to Contract 24-211 (Award No. 6 H80CS00657-23-04) for an additional $35,260 in SAC funding, for a total amount of $2,427,100, for the period of March 1, 2024 through February 28, 2025.
Between August 14, 2024 and September 18, 2024, DPH received three non-financial notices (Award Nos. 6 H80CS00657-23-05, 6 H80CS00657-23-06, and 6 H80CS00657-23-09) from HRSA documenting administrative actions.
On November 5, 2024 (Item No. 35), the Board approved Amendment Nos. 4, 5, and 6 to Contract No. 24-211 (Award Nos. 6 H80C00657-23-07 for $66,667, 6 H80CS00657-23-08 for. $28,500 and 6H80CS00657-23-10 for $37,000) for an additional $132,167 in SAC funding, for a total of $2,559,267, for the period of March 1, 2024 through February 28, 2025.
On January 21, 2025, DPH received a non-financial notice (Award No. 6 H80CS00657-24-01) from HRSA documenting administrative actions.
On February 11, 2025 (Item No. 31), the Board approved Contract No. 25-102 (Award No. 5 H80CS000657-24-00) for SAC funding in the amount of $1,038,267, for the period of March 1, 2025 through February 28, 2026.
On April 29, 2025 (Item No. 51), the Board approved Amendment No. 1 to Contract No. 25-102 (Award No. 6 H80CS00657-24-02) for an additional $207,653 in SAC funding, for a total of $1,245,920, for the period March 1, 2025 through February 28, 2026.
On June 24, 2025, DPH received a non-financial notice (Award No. 6 H80CS00657-24-03) from HRSA documenting administrative actions.
On September 9, 2025 (Item No. 48), the Board approved Amendment No. 2 to Contract No. 25-102 (Award No. 6 H80CS00657-24-04) for an additional $1,245,920 in SAC funding, for a total amount of $2,491,840, for the period of March 1, 2025 through February 28, 2026.
On January 29, 2026, DPH received a partial award notice (Award No. 5 H80CS00657‐25‐00) in the amount of $1,245,920, for the period of March 1, 2026 through February 28, 2027. DPH will return to the Board to accept further SAC funding from HRSA 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 of this item 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 February 24, 2026; County Finance and Administration (Iliana Rodriguez, Administrative Analyst, 386-8392) on February 23, 2026.