REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
March 11, 2025
FROM
JOSHUA DUGAS, 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. 2 H89HA00032-32-00) 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 $1,662,168, for the period of March 1, 2025, through February 28, 2026.
2. Authorize 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 required to receive the grant award for the Ryan White HIV/AIDS Program Part A HIV Emergency Relief Project Grant, 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 Ryan White HIV/AIDS Program Part A HIV Emergency Relief Project Grant, 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
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The grant award (Grant Award No. 2 H89HA00032-32-00) in the amount of $1,662,168 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 (DPH) 2024-25 budget and will be included in future recommended budgets.
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. DPH will use the funds to provide medical care and support services, including mental health care, case management, and housing assistance, to approximately 47,200 people living with HIV/AIDS in San Bernardino and Riverside counties. These 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 to areas disproportionately impacted by the disease with a goal of providing optimal HIV care and treatment to persons living with HIV who are low-income, uninsured, and/or underserved 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 annual grant application, acceptance of the grant award, procurement of service contracts, and assurance of compliance with federal grant requirements.
On September 24, 2024 (Item No. 55), the Board of Supervisors approved the application for Ryan White Part A Program funding, in the anticipated amount of $9,460,867, for the period of March 1, 2025, through February 29, 2028. HRSA Ryan White Part A is an annual 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 January 21, 2025, DPH received a notice of grant award (Grant Award No. 2 H89HA00032-32-00) from HRSA for Ryan White Part A in the amount of $1,662,168, for the period of March 1, 2025, through February 28, 2026. 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 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) February 18, 2025; Finance (Iliana Rodriguez, Administrative Analyst, 387-4205) on February 24, 2025; and County Finance and Administration (Robert Saldana, Deputy Executive Officer, 387-5423) on February 24, 2025.