REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
June 27, 2023
FROM
JOSHUA DUGAS, Director, Department of Public Health
SUBJECT
Title
Non-Financial Agreement with the California Department of Public Health for Acquired Immune Deficiency Syndrome Drug Assistance Program and Pre-Exposure Prophylaxis Assistance Program Enrollment Services
End
RECOMMENDATION(S)
Recommendation
Approve non-financial agreement (State Agreement No. 23-10139) with the California Department of Public Health, for Acquired Immune Deficiency Syndrome Drug Assistance Program and Pre-Exposure Prophylaxis Assistance Program enrollment services, for the period of July 1, 2023 through June 30, 2027.
(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
The recommended agreement is non-financial in nature and as such, does not impact Discretionary General Funding (Net County Cost).
BACKGROUND INFORMATION
California Department of Public Health (CDPH) requires the Department of Public Health (DPH) to enter into a non-financial agreement, which establishes guidelines for Acquired Immune Deficiency Syndrome (AIDS) Drug Assistance Program (ADAP) and Pre-Exposure Prophylaxis Assistance Program (PrEP-AP) enrollment services.
The California Office of AIDS (OA) provides funding for ADAP to ensure people living with HIV and AIDS, who are uninsured and under-insured, have access to medication and treatment to suppress HIV/AIDS and HIV/AIDS-related opportunistic infections. The PrEP-AP program increases access to PrEP for HIV negative residents who are underserved and are at risk of acquiring HIV.
DPH has been collaborating with the State since 1987 to administer ADAP locally for low-income HIV positive individuals who are uninsured or underinsured. Approval of this item allows DPH to enter an agreement with CDPH to administer the ADAP and PrEP-AP enrollment sites for the period of July 1, 2023 through June 30, 2027.
The recommended agreement establishes program specific guidelines and expectations, such as identifying ADAP enrollment site coordinators, training, and certification of DPH staff, record retention policies, and security requirements. As an ADAP enrollment site, CDPH has identified DPH as a business associate and has incorporated the requisite Health Insurance Portability and Accountability Act (HIPAA) and business associate language as an addendum into the recommended agreement, as well as guidelines for the use and disclosure of public health data.
Persons living with HIV/AIDS who wish to enroll or update enrollment must do so with a trained ADAP enrollment worker. DPH trains staff as ADAP enrollment workers at HIV clinic sites in the cities of San Bernardino, Ontario, and Hesperia, which serve as ADAP enrollment sites. DPH anticipates serving approximately 900 clients over the three-year period.
PROCUREMENT
N/A
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Adam Ebright, Deputy County Counsel, 387-5455) on June 6, 2023; Finance (Christopher Lange, Administrative Analyst, 386-8393) on June 5, 2023; and County Finance and Administration (Cheryl Adams, Deputy Executive Officer, 388-0238) on June 8, 2023.