REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
March 24, 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 Ryan White HIV/AIDs Program Part A HIV Emergency Relief Project Grant
End
RECOMMENDATION(S)
Recommendation
1. Approve and accept grant award (Grant Award No. 5 H89HA00032-33-00) from the United States Department of Health and Human Services, Health Resources and Services Administration, for the Ryan White HIV/AIDS Program Part A HIV Emergency Relief Project Grant, in the amount of $2,791,588, for the period of March 1, 2026, through February 28, 2027.
2. Authorize the Chair of the Board of Supervisors, Chief Executive Officer, or Director of the Department of Public Health to execute and submit any subsequent non-substantive amendments, 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 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
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The grant award (Grant Award No. 5 H89HA00032-33-00) in the amount of $2,791,588 from the United States Department of Health and Human Services, Health Resources and Services Administration (HRSA), for the Ryan White HIV/AIDS Program Part A HIV Emergency Relief Project Grant (Ryan White Part A) does not require a local match. Adequate appropriation and revenue have been included in the Department of Public Health’s (DPH) 2026-27 budget.
BACKGROUND INFORMATION
HRSA provides Ryan White Part A funds for assistance in developing and enhancing access to a comprehensive continuum of high quality, community-based medical care and support services for economically disadvantaged individuals with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and their families. DPH will use the funds to continue to provide medical care and support services to approximately 47,100 people living with HIV/AIDS in San Bernardino and Riverside counties. Services provided include medical care, medical case management, mental health services, dental care, substance use disorder counseling services, early intervention services, medical nutrition therapy, transportation, housing, and food assistance.
The Ryan White Program was enacted in 1990 to provide federal funding for comprehensive primary healthcare and support services for people living with HIV/AIDS. Ryan White Part A provides funding to areas disproportionately impacted by the disease with a goal of providing optimal HIV care and treatment to people who are economically disadvantaged, uninsured and/or under-resourced to improve health outcomes.
DPH is the acting lead agency for San Bernardino and Riverside Counties, with both counties first receiving funding in 1994. DPH administers the grant funds, including the development and submission of the grant application, acceptance of the grant award, procurement of service contracts, and assurance of compliance with federal grant requirements.
HRSA Ryan White Part A is an annually funded program with a three-year performance period. A competitive application is required for the first year of funding, followed by Non-Competing Continuation Progress Reports for years two and three.
On September 24, 2024 (Item No. 55), the Board of Supervisors (Board) approved the application for Ryan White Part A funding, in the anticipated amount of $9,460,867 annually, for the period of March 1, 2025, through February 29, 2028.
On March 11, 2025 (Item No. 35), the Board approved Agreement No. 25-146 (Grant Award No. 2 H89HA00032-32-00) for Ryan White Part A funding in the amount of $1,662,168, for the period of March 1, 2025, through February 28, 2026.
On August 5, 2025 (Item No. 60), the Board approved Amendment No. 1 to Agreement No. 25-146, increasing the amount by $2,444,965, from $1,662,168 to $4,107,133, for the period of March 1, 2025, through February 28, 2026.
On October 7, 2025 (Item No. 29), the Board approved Amendment No. 2 to Agreement No. 25-146 (Grant Award No. 6 H89HA00032-32-02) increasing the amount by $5,176,533, from $4,107,133 to $9,283,666, for the period of March 1, 2025, through February 28, 2026.
On January 30, 2026, DPH received a notice of grant award (Grant Award No. 5 H89HA00032-33-00) from HRSA for Ryan White Part A funding in the amount of $2,791,588, for the period of March 1, 2026, through February 28, 2027. DPH will use these grant funds to continue to provide primary healthcare and support services to people living with HIV/AIDS. DPH will return to the Board to request acceptance of further funding for the Ryan White Part A Program, when received.
This item is being presented at this time as this is the first available Board meeting available following the appropriate 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 9, 2026; and County Finance and Administration (Iliana Rodriguez, Administrative Analyst, 386-8392) on March 4, 2026.