REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
December 16, 2025
FROM
JOSHUA DUGAS, Director, Department of Public Health
SUBJECT
Title
Amendments to Contracts for Medical Care and Support Services Under Ending the HIV Epidemic: A Plan for America - Ryan White HIV/AIDS Program Parts A and B
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 3 to contracts with the following agencies to continue providing medical care and support services under Ending the HIV Epidemic: A Plan for America - Ryan White HIV/AIDS Program Parts A and B, increasing the total amount of the contracts by $4,120,589, from $7,127,401 to $11,247,990, and extending each contract for one additional year, for a total contract period of March 1, 2023 through February 28, 2027:
1. AIDS Healthcare Foundation, Contract No. 23-64, increasing the contract amount by $244,676 from $815,219 to $1,059,895.
2. County of Riverside, Contract No. 23-65, increasing the contract amount by $1,111,320 from $1,808,884 to $2,920,204.
3. DAP Health, Contract No. 23-66, increasing the contract amount by $458,768 from $1,528,537 to $1,987,305.
4. Foothill AIDS Project, Contract No. 23-67, increasing the contract amount by $591,863 from $917,122 to $1,508,985.
5. Loma Linda University, Contract No. 23-68, increasing the contract amount by $1,713,962 from $2,057,639 to $3,771,601.
(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). The amendments increase the aggregate contract amounts by a total of $4,120,589, from $7,127,401 to $11,247,990. The contract services are funded by the United States Department of Health and Human Services, Health Resources and Services Administration (HRSA). Adequate appropriation and revenue have been included in the Department of Public Health’s (DPH) 2025-26 budget and will be included in the 2026-27 recommended budget.
BACKGROUND INFORMATION
The Ending the HIV Epidemic: A Plan for America - Ryan White HIV/AIDS Program Parts A and B (EHE) seeks to achieve the goal of reducing new HIV infections in the United States to less than 3,000 per year by 2030. The initiative promotes and implements four pillars to reduce HIV transmissions: Diagnose, Treat, Prevent, and Respond. HRSA launched EHE in 2019 to reduce HIV infections by scaling up key HIV prevention and treatment strategies. The County has been providing EHE services through contracted service providers since 2020.
The activities of the EHE contractors include outreach to individuals who are infected with HIV, linking them to care and treatment, and re-engaging those who have stopped receiving care and or treatment. HIV treatment not only preserves the health of people with HIV but also reduces transmission.
On February 7, 2023 (Item No. 33), as a result of a formal procurement, the Board of Supervisors (Board) approved contracts with the agencies listed in the Recommendation to provide medical care and support services, in the aggregate amount of $3,400,680, for the period of March 1, 2023 through February 28, 2025.
On January 23, 2024 (Item No. 41), the Board approved Amendment No. 1 to the contracts with the agencies listed in the Recommendation to provide medical care and support services, increasing the aggregate amount of the contracts by $944,112, from $3,400,680 to $4,344,792, with no change to the period of March 1, 2025 through February 28, 2025.
On November 5, 2024 (Item No. 32), the Board approved Amendment No. 2 to the contracts with the agencies listed in the Recommendation to provide medical care and support services, increasing the aggregate amount of the contracts by $2,782,609, from $4,344,792 to $7,127,401, and extending the term for an additional year, for a total contract period of March 1, 2023 through February 28, 2026.
Approval of Recommendation No. 3 will increase the aggregate amount of the contracts by $4,120,589 from $7,127,401 to $11,247,990, and extend the contract period for one additional year, for a total period of March 1, 2023 through February 28, 2027.
Contractor performance is measured by review of monthly reporting and required data submission and an annual site visit by DPH staff to monitor compliance with the administrative, program, and fiscal terms and conditions of the contract.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Adam Ebright, Deputy County Counsel, 387-5455) on October 25, 2025; and County Finance and Administration (Iliana Rodriguez, Administrative Analyst, 387-4205) on October 30, 2025.