REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
May 23, 2023
FROM
JOSHUA DUGAS, Director, Department of Public Health
SUBJECT
Title
Amended 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 Amendment No. 3 to Contract No. 22-153 (Grant Award No. 4 H89HA0003230-01) 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, to update and correct the Budget Period End Date from February 28, 2024 to February 29, 2024, with no financial changes or grant funds awarded.
2. Approve Amendment No. 4 to Contract No. 22-153 (Grant Award No. 6 H89HA00032-30-02) 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, to provide medical care and support services to persons living with HIV/AIDS in San Bernardino and Riverside counties, increasing the grant award by $7,375,680, from $1,520,647 to $8,896,327, for the period of March 1, 2023 through February 29, 2024.
3. Designate 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 to the Ryan White HIV/AIDS Program Part A HIV Emergency Relief Project Grant (Grant Award No. 6 H89HA00032-30-02), on behalf of the County, subject to review by County Counsel.
4. Direct the Director of the Department of Public Health to transmit all non-substantive amendments in relation to the Ryan White HIV/AIDS Program Part A HIV Emergency Relief Project Grant (Grant Award No. 6 H89HA00032-30-02) 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 amended partial grant award (Grant Award No. 6 H89HA00032-30-02) in the amount of $7,375,680 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) 2022-23 budget and will be included in the 2023-24 recommended 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 low-income individuals with HIV and their families. Services include medical care, medical case management, mental health services, dental care, substance abuse 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 persons living with HIV/AIDS. Ryan White Part A provides funding for HIV/AIDS services to areas disproportionately impacted by the infection with a goal of providing optimal care and treatment to persons living with HIV/AIDS who are low-income, uninsured, and underserved to improve health outcomes. Minority HIV/AIDS Initiative services are designated to address disparities in access, treatment, care, and health outcomes for racial and ethnic minorities.
San Bernardino and Riverside counties first qualified for Ryan White Part A Program funding in 1994. DPH, acting as the lead agency for the two counties, administers the grant funds including development and submission of the annual grant application, acceptance of the grant award, procurement of service contracts, and assurance of compliance with federal grant requirements.
On September 21, 2021 (Item No. 29), the Board of Supervisors (Board) approved the submission of an application to HRSA for Ryan White Part A Program funding to provide medical care and support services to persons living with HIV/AIDS in San Bernardino and Riverside counties, in the anticipated amount of $8,538,527, for the period of March 1, 2022 through February 28, 2023.
On March 1, 2022 (Item No. 42), the Board approved Contract No. 22-153 (Grant Award No. 2 H89HA00032-29-00) from HRSA for the Ryan White Part A Program grant award in the amount of $2,719,797, for the period of March 1, 2022 through February 28, 2023.
On July 12, 2022 (Item No. 25), the Board approved Amendment No. 1 to Contract No. 22-153 (Grant Award No.2 H89HA00032-29-01) from HRSA for the Ryan White Part A Program, increasing the grant award by $5,968,198, for the period of March 1, 2022 through February 28, 2023.
On September 27, 2022 (Item No. 44), the Board approved the submission of the 2023 Non-Competing Continuation Progress Report to HRSA in order to receive continued funding for the Ryan White Part A Program, in the amount of $9,122,393, for the period of March 1, 2023 through February 29, 2024.
On February 28, 2023, DPH received a notice of award (Grant Award No. 4 H89HA00032-30-01) to update and correct the Budget Period End Date from February 28, 2024 to February 29, 2024, with no financial changes or grant funds awarded. The purpose of this notice was to clarify the end date for the grant period as being February 29, 2024 since two different dates had been used prior to this issuance.
On March 28, 2023 (Item No. 41), the Board approved Amendment No. 2 to Contract No. 22-153 (Grant Award No. 5 H89HA00032-30-00) from HRSA for the Ryan White Part A Program grant award in the amount of $1,520,647, for the period of March 1, 2023 through February 29, 2024. The approved amendment reflects the transfer of unexpended funds in the amount of $89,455 from program year 2021-22 to program year 2022-23.
On April 13, 2023, DPH received notice of a partial grant award (Grant Award No. 6 H89HA00032-30-02) from HRSA for the Ryan White Part A Program in the amount of $7,375,680, for the period of March 1, 2023 through February 29, 2024. This funding will allow DPH to be reimbursed by HRSA for services rendered by existing Ryan White Part A contract providers retroactively to March 1, 2023. DPH will return to the Board to request acceptance of further funding for the Ryan White Part A Program year two, if needed.
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 Part A Program services or activities.
PROCUREMENT
N/A
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Adam Ebright, Deputy County Counsel, 387-5455) on May 1, 2023; Finance (Paul Garcia, Administrative Analyst, 386-8392) on May 8, 2023; and County Finance and Administration (Cheryl Adams, Deputy Executive Officer, 388-0238) on May 7, 2023.