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
Intergovernmental Agreement with the County of Riverside for the Ryan White HIV/AIDS Program
End
RECOMMENDATION(S)
Recommendation
Approve non-financial Intergovernmental Agreement with the County of Riverside, simultaneously terminating Agreement No. 12-999, delineating the roles and responsibilities associated with administering the Part A Grant of the Ryan White HIV/AIDS Treatment Extension Act, for the period beginning on November 17, 2026 and continuing until terminated by either party.
(Presenter: Janki Patel, Acting Director, 387-9146)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
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 additional Discretionary General Funding (Net County Cost). The Intergovernmental Agreement (IGA) is non-financial in nature.
BACKGROUND INFORMATION
The Department of Public Health’s (DPH) Ryan White HIV/AIDS Program Part A (Ryan White Part A) develops and enhances access to high quality, community-based medical care and support services for low-income individuals with HIV and their families. Ryan White Part A funding is issued jointly to both Riverside and San Bernardino Counties from the United States Department of Health and Human Services, Health Resources and Services Administration (HRSA). San Bernardino County serves as the lead agency and fiscal agent for purposes of applying, receiving, and administering the Ryan White Part A grant.
As part of the inner regional dynamics between San Bernardino County (County) and the County of Riverside (Riverside County), an IGA is required by HRSA to delineate the collaborative efforts of both counties. The IGA outlines the ongoing policies for administering the Ryan White Part A funds and specifies how available resources will be utilized through shared responsibilities. This includes the County being responsible for administering the Ryan White Part A grant funds and providing oversight. Riverside County collaborates with the County to ensure that continued quality services are accessible and meet the needs of individuals living with HIV/AIDS.
The IGA also establishes the Inland Empire HIV/AIDS Planning Council (Council). The Council includes members representing various stakeholder groups, including community members and individuals living with HIV receiving Ryan White-funded services. The Council establishes service priorities, assesses community needs, develops a comprehensive HIV services plan, and recommends funding allocations to address regional needs. This collaborative effort aims to strengthen the regional response to improve health outcomes for individuals living with HIV/AIDS across both regions.
On January 13, 2009 (Item No. 50), the Board of Supervisors (Board) approved the IGA (Intergovernmental Agreement No. 09-21) between the County and Riverside County to meet the Ryan White Part A grant requirements. On December 18, 2012 (Item No. 56), the Board approved an amended IGA (Intergovernmental Agreement No. 12-999) updating conflict-of-interest provisions related to the Council. Approval of the recommended IGA will update and consolidate the agreement language to reflect current program and HRSA requirements and will replace and supersede all prior agreements between the counties regarding administration of the Ryan White Part A funding and services.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Kaleigh Ragon, Deputy County Counsel, 387-5455) on October 2, 2026; and County Finance and Administration (Guy Martinez, Principal Administrative Analyst, 387-5428) on November 2, 2026.