REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
November 17, 2026
FROM
JANKI PATEL, Acting Director, Department of Public Health
SUBJECT
Title
Amendment to Contracts for Medical Care and Support Services Under the Ryan White HIV/AIDS Program Part A Emergency Relief Project Grants
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to contracts with the following agencies, including a revision to the Fiscal Provisions, and continue providing medical care and support services under Ryan White HIV/AIDS Program Part A HIV/AIDS Emergency Relief Project Grants, increasing the aggregate amount of the contracts by $3,192,694, from $12,687,802 to $15,880,496, with no change to the total contract period of March 1, 2026 through February 29, 2028:
1. AIDS Healthcare Foundation, Contract No. 26-106, increasing the contract amount by $320,074, from $488,668 to $808,742.
2. Community Health Systems, Contract No. 26-107, increasing the contract amount by $70,600, from $341,556 to $412,156.
3. Desert AIDS Project dba DAP Health, Contract No. 26-108, increasing the contract amount by $1,040,966, from $5,592,668 to $6,633,634.
4. Foothill AIDS Project, Contract No. 26-109, increasing the contract amount by $932,684, from $3,915,454 to $4,848,138.
5. Loma Linda University, Contract No. 26-504, increasing the contract amount by $146,338, from $536,876 to $683,214.
6. SAC Health System, Contract No. 26-110, increasing the contract amount by $268,038, from $983,374 to $1,251,412.
7. Wellness and Equity Institute, Contract No. 26-111, increasing the contract amount by $305,196, from $348,366 to $653,562.
8. Young Scholars for Academic Empowerment dba TruEvolution, Contract No. 26-112, increasing the contract amount by $108,798, from $480,840 to $589,638.
(Presenter: Janki Patel, Acting Director, 387-9146) Body
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Foster Sustainable Development Through Strategic Partnerships.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The amendment increases the aggregate contract amount by a total of $3,192,694, from $12,687,802 to $15,880,496. The $3,192,694 increase consists of additional funding from the final federal award for grant year 2026-27. 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) 2026-27 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
DPH has received funding from HRSA for the Ryan White Part A Program since 1994. Acting as the lead agency for the Transitional Grant Area of San Bernardino and Riverside counties, DPH oversees and administers the grant funds and assures compliance with grant requirements. DPH awards Ryan White Part A funding to contractors to provide a comprehensive continuum of high quality, community-based medical care, and support services for low-income individuals with Human Immunodeficiency Virus (HIV) and their families. The Inland Empire HIV Planning Council (IEHPC) is the planning body appointed by the Board of Supervisors and mandated by Federal law to set service priorities for funding allocations for the Ryan White Program. DPH follows the IEHPC service priorities and funding allocations, which include predetermined percentages and service categories, to calculate the amounts that are awarded for Ryan White Part A service contracts.
Contracted services include mental health services, dental care, substance abuse treatment, medical nutrition therapy, early intervention services, case management, transportation, psychosocial support, emergency financial assistance, housing and food assistance.
On February 24, 2026 (Item No. 30), as a result of a formal procurement, the Board of Supervisors (Board) approved contracts with AIDS Healthcare Foundation (Contract No. 26-106), Community Health Systems (Contract No. 26-107), Desert AIDS Project dba DAP Health (Contract No. 26-108), Foothill AIDS Project (Contract No. 26-109), SAC Health System (Contract No. 26-110), Wellness and Equity Institute (Contract No. 26-111) and Young Scholars for Academic Empowerment dba TruEvolution (Contract No. 26-112) in an aggregate, not to exceed the amount of $12,150,926, for the period of March 1, 2026 through February 29, 2028.
On June 9, 2026 (Item No. 63), the Board approved a contract with Loma Linda University (Contract No. 26-504), in the amount of $536,876, for the period of March 1, 2026 through February 29, 2028.
Approval of Amendment No. 1 would increase the aggregate amount of the contracts by $3,192,694, from $12,687,802 to $15,880,496, with no change to the total contract period of March 1, 2026 through February 29, 2028.
The recommended amendment includes a revision to the Fiscal Provisions requiring the Contractor to provide monthly invoices within 28 calendar days following the month in which the services were provided, except for the final month of the grant period, when invoices must be provided within 20 calendar days. The change is to align with HRSA federal funding requirements.
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 20, 2026; and County Finance and Administration (Guy Martinez, Principal Administrative Analyst, 386-5428) on October 30, 2026.