REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
July 9, 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
Approve grant award Amendment No. 1 to Agreement No. 24-289 (Award No. 6 UT8HA33958-05-02), 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, increasing the amount by $1,645,787 from $913,428 to $2,559,215, for the period of March 1, 2024 through February 28, 2025.
(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). Amendment No. 1 to Agreement No. 24-289, in the amount of $1,645,787 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 was included in the Department of Public Health’s (DPH) 2023-24 budget and has been included in the 2024-25 budget.
BACKGROUND INFORMATION
Ending the HIV Epidemic: A Plan for America - Ryan White HIV/AIDS Program Parts A and B (Ending the Epidemic) funds efforts to reduce new HIV infections throughout 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 October 9, 2019, the County Administrative office authorized the submission of the application to HRSA for the Ending the Epidemic grant, in the amount of up to $4,000,000 annually. The awards are subject to availability of funds, for the five-year grant period of March 1, 2020 through February 28, 2025.
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 period of March 1, 2023 through February 28, 2024.
On March 1, 2024, DPH received a revised award notice from HRSA changing the authorizing official's name to reflect the Chair's name and HRSA changing the award number to Grant Award No. 6 UT8HA33958-05-01.
On March 26, 2024 (Item No. 60) the Board approved Agreement No. 24-289 (Grant Award 5 UT8HA33958-05-00), in the amount of $913,428, for the period of March 1, 2024 through February 28, 2025.
On May 17, 2024, DPH received the award notice (Grant Award No. 6 UT8HA33958-05-02) for the fifth year of Ending the Epidemic funding in the amount of $1,645,787, for the retroactive period of March 1, 2024 through February 28, 2025.
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 June 13, 2024; Finance (Carl Lofton, Administrative Analyst, 387-5404) on June 19, 2024; and County Finance and Administration (Robert Saldana, Deputy Executive Officer, 387-5423) on June 21, 2024.