REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
March 26, 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 Ending the HIV Epidemic: A Plan for America - Ryan White HIV/AIDS Program Parts A and B
End
RECOMMENDATION(S)
Recommendation
1. Accept grant award (Grant Award No. 6 UT8HA33958-05-00) 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, in the amount of $913,428, for the retroactive 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 accept and execute any subsequent non-substantive amendments in relation to the Ending the HIV Epidemic: A Plan for America - Ryan White HIV/AIDS Program Parts A and B grant (Grant Award No. 6 UT8HA33958-05-00), on behalf of the County, subject to review by County Counsel.
3. Direct the Director of the Department of Public Health to transmit all non-substantive amendments in relation to the Ending the HIV Epidemic: A Plan for America - Ryan White HIV/AIDS Program Parts A and B grant (Grant Award No. 6 UT8HA33958-05-00) 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
This item does not impact Discretionary General Funding (Net County Cost). The grant award in the amount of $913,428 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) 2023-24 budget and will be included in the 2024-25 recommended budget.
BACKGROUND INFORMATION
HRSA provides “Ending the HIV Epidemic: A Plan for America - Ryan White HIV/AIDS Program Parts A and B” (Ending the Epidemic) funds to reduce new HIV infections in the United States. The Ending the Epidemic grant is used to provide support services and interventions that link persons living with HIV to care and treatment facilities, through the use of subcontractors, throughout San Bernardino and Riverside counties. Services include outpatient medical and dental care, case management, mental health care, substance use disorder treatment, health education, transportation services, and connection social services, as appropriate. Approximately 5,200 individuals are served through the Ending the Epidemic grant at an approximate cost of $308 per person.
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 annual grant application, accepts the grant award, administers the grant funds, procures service contracts, and ensures compliance with federal grant requirements.
On April 7, 2020 (Item No. 32), the Board of Supervisors (Board) approved Contract No. 20-171 (Grant Award No. 1 UT8HA33958-01-00) for the Ending the Epidemic award in the amount of $1,000,000, for the first year of funding, for the period of March 1, 2020 through February 28, 2021.
On March 2, 2021 (Item No. 25), the Board approved Contract No. 21-166 (Grant Award No. 5 UT8HA33958-02-00), in the amount of $240,000 for the second year of Ending the Epidemic funding, for the period of March 1, 2021 through February 28, 2022.
On April 20, 2021 (Item No. 33), the Board approved Amendment No. 1 to Contract No. 21-166 (Grant Award No. 6 UT8HA33958-02-01), increasing the second year of Ending the Epidemic funding by $1,427,000, from $240,000 to $1,667,000, for the period of March 1, 2021 through February 28, 2022.
On March 15, 2022 (Item No. 39), the Board approved Contract No. 22-194 (Grant Award No. 5 UT8HA33958-03-00) for the third year of Ending the Epidemic funding, in the amount of $447,955, for the period of March 1, 2022 through February 28, 2023.
On August 23, 2022 (Item No. 36), the Board approved Amendment No. 1 to Contract No. 22-194 (Grant Award No. 6 UT8HA33958-03-01), increasing the third year of Ending the Epidemic funding by $1,552,445, from $447,995 to $2,000,440, for the period of March 1, 2022 through February 28, 2023.
On February 28, 2023 (Item No. 44), the Board approved Contract No. 23-155 (Grant Award No. 5 UT8HA33958-04-00), for the fourth year of Ending the Epidemic funding, in the amount of $343,068, for the period of March 1, 2023 through February 28, 2024.
On April 25, 2023, (Item No. 48) the Board approved Amendment No. 1 to Contract No. 23-155 (Grant Award No. 6 UT8HA33958-04-01), increasing the fourth year of Ending the Epidemic funding by $2,212,693, from $343,068 to $2,555,761, for the retroactive period of March 1, 2023 through February 28, 2024.
On January 30, 2024, DPH received the award notice (Grant Award No. 5 UT8HA33958-05-00) for the fifth year of Ending the Epidemic funding in the amount of $913,428, for the retroactive period of March 1, 2024 through February 28, 2025. On March 1, 2024, DPH received a revised award notice from HRSA changing the authorizing official's name to reflect the Chair of the Board’s name and HRSA changing the award number to Grant Award No. 6 UT8HA33958-05-01.
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 (Adam Ebright, Deputy County Counsel, 387-5455) on March 5, 2024; Finance (Iliana Rodriguez, Administrative Analyst, 387-4205) on March 8, 2024; and County Finance and Administration (Robert Saldana, Deputy Executive Officer, 387-5423) on March 8, 2024.