REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
October 7, 2025
FROM
JOSHUA DUGAS, Director, Department of Public Health
SUBJECT
Title
Amended Grant Award from the United States Department of Health and Human Services, Health Resources and Services Administration for the Ending the HIV Epidemic: A Plan for America - Ryan White HIV/AIDS Program Parts A and B
End
RECOMMENDATION(S)
Recommendation
Approve and accept Amendment No. 3 to Agreement No. 25-122 (Grant Award No. 6 UT8HA33958-06-03) from the United States Department of Health and Human Services, Health Resources and Services Administration for the Ending the HIV Epidemic: A Plan for America - Ryan White HIV/AIDS Program Parts A and B, increasing the amount by $873,003, from $3,721,040 to $4,594,043, with no change to the grant period of March 1, 2025 through February 28, 2026.
(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 Count Cost). Amendment No. 3 to Agreement No. 25-122, in the amount of $873,003, 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) 2025-26 budget.
BACKGROUND INFORMATION
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. DPH, acting as the lead agency for San Bernardino and Riverside Counties, develops and submits the grant application, accepts the grant award, administers the funding, procures service contracts, and ensures compliance with federal requirements.
The Ending the HIV Epidemic: A Plan for America - Ryan White HIV/AIDS Program Parts A and B (EHE) grant funds efforts to reduce new HIV infections throughout the United States. The funding is used to provide support services and interventions, through subcontractors, which link persons living with HIV to care and treatment facilities throughout San Bernardino and Riverside Counties. Services include outpatient medical care, case management, linkage/reengagement to care, food, and transportation services as appropriate. Approximately 6,815 individuals are served through EHE each year. Approval of this item will increase the grant award payment for the 2025-26 performance period.
On October 8, 2024 (Item No. 28), the Board of Supervisors (Board) approved the submission of a grant application in the amount of $25,000,000, for the period of March 1, 2025 through February 28, 2030.
On February 25, 2025 (Item No. 29), the Board approved Agreement No. 25-122, in the amount of $1,076,917, for the period of March 1, 2025 through February 28, 2026.
On August 19, 2025, (Item No. 45), the Board approved Amendments No. 1 and No. 2 to Agreement No. 25-122, increasing the original amount by $481,335 and $2,162,788, respectively, increasing the total contract amount to $3,721,040, with no change to the grant term.
On July 30, 2025, DPH received Amendment No. 3 to Agreement No. 25-122, increasing the funding by $873,003, from $3,721,040 to $4,594,043, with no change to the grant term. 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 Ryan White Program services or activities.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Daniel Pasek, Deputy County Counsel, 387-5455) on September 8, 2025; and County Finance and Administration (Iliana Rodriguez, Administrative Analyst, 387-4205) on September 19, 2025.