REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
August 25, 2020
FROM
CORWIN PORTER, Director, Department of Public Health
SUBJECT
Title
Amendments to Contracts for Ryan White Part A for Medical Care and Support Services
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 4, effective August 25, 2020, to contracts with the following agencies for the provision of medical care and support under Ryan White Part A, increasing the total amount by $253,837, from $26,802,814 to $27,056,651, for the total contract period of March 1, 2017 through February 28, 2021:
1. AIDS Healthcare Foundation, Contract No. 17-79, increasing by $5,114, from $1,405,170 to $1,410,284.
2. County of Riverside, Department of Public Health, Contract No. 17-80, increasing by $10,661, from $3,168,175 to $3,178,836.
3. Desert AIDS Project, Contract No. 17-81, increasing by $151,956, from $10,545,244 to $10,697,200.
4. Foothill AIDS Project, Contract No. 17-82, decreasing by $2,168, from $9,620,387 to $9,618,219.
5. Social Action Community Health Systems, Contract No. 17-84, increasing by $88,274, from $2,063,838 to $2,152,112.
(Presenter: Corwin Porter, 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.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The increase of $253,837 to the total for these services, which realigns with the full award amount received by the United States Department of Health and Human Services, Health Resources and Services Administration (HRSA), reflects the final allocation and funding priorities made by the Inland Empire HIV Planning Council (IEHPC) for grant year 2020-21, and also includes funding from the Coronavirus Aid, Relief, and Economic Security Act (CARES Act). Adequate appropriation and revenue have been included in the Department of Public Health’s (DPH) 2020-21 budget.
BACKGROUND INFORMATION
Under the terms of the recommended amendments, DPH will continue to provide comprehensive medical care and support services through contracted vendors to approximately 3,300 persons living with HIV/AIDS in San Bernardino and Riverside counties. Services include medical care, mental health services, dental care, substance abuse treatment, early intervention services, transportation, housing, and food assistance.
The IEHPC is the planning body appointed by the San Bernardino County Board of Supervisors (Board) and mandated by Federal law to set service priorities for funding allocations for the expenditures of Ryan White Program funds.
The contract amendments reflect the addition of new CARES Act funding, and the final Ryan White Part A allocation, which was reduced by HRSA from the previous year. Based on the IEHPC service category priorities, the decreased Ryan White funding, and the addition of CARES Act funding, revised budgets and scopes of work were obtained from the contractors for Program Year 2020-21. The majority of the contract budgets reflect an overall net increase, with the exception of Foothill AIDS Project. The budget provided by Foothill AIDS Project indicates an overall net decrease due to reduction in the various service categories it provides.
Contractor performance will be measured by reviewing monthly invoicing and data reports based on client visits, and annual site visits by County staff to ensure compliance with the administrative, program, and fiscal terms and conditions of the contracts, with special attention given to the Ryan White payer of last resort requirement.
PROCUREMENT
On February 14, 2017 (Item No. 44), as a result of a formal procurement, the Board approved contracts in the Recommendation to provide medical care and support services for the Ryan White Part A and Minority AIDS Initiative Program, in the amount of $19,500,000 ($6,500,000 annually), for the contract period of March 1, 2017 through February 29, 2020, with the option of two one-year extension options upon mutual agreement of the parties.
On October 3, 2017 (Item No. 23), the Board approved Amendment No. 1 to the contracts increasing the total amount by $367,911, from $19,500,000 to $19,867,911, with no change to the contract period.
On December 4, 2018 (Item No. 44), the Board approved Amendment No. 2 to the contracts decreasing the total amount by $232,872, from $19,867,911 to $19,635,039, with no change to the contract period.
On August 20, 2019 (Item No. 39), the Board approved Amendment No. 3 to the contracts increasing the total amount by $7,167,775 to $26,802,814, and extending the contracts through February 28, 2021.
The recommended amendments will increase the total amount of these contracts by $253,837 to $27,056,651, for the total contract period of March 1, 2017 through February 28, 2021. The additional funding is from the CARES Act and adjustment to the final award allocation for Program Year 2020-21. A new procurement for these services is currently being conducted.
REVIEW BY OTHERS
This item has been reviewed by Human Services Contracts (Jennifer Mulhall-Daudel, Contracts Manager, 388-0241) on August 10, 2020; County Counsel (Adam Ebright, Deputy County Counsel, 387-5455) on August 11, 2020; Finance (Paul Garcia, Administrative Analyst, 386-8392) on August 10, 2020; and County Finance and Administration (Tanya Bratton, Deputy Executive Officer, 388-0332) on August 10, 2020.