REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
February 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 Service Area Competition Under the Health Center Program
End
RECOMMENDATION(S)
Recommendation
1. Accept grant award (Award No. 5 H80CS000657-24-00) from the United States Department of Health and Human Services, Health Resource and Services Administration, for the Service Area Competition under the Health Center Program, for continued operational support of the Federally Qualified Health Centers, in the amount of $1,038,267, for the period of March 1, 2025, through February 28, 2026.
2. Authorize the Chair of the Board of Supervisors, the Chief Executive Officer, or the Director of the Department of Public Health to execute any subsequent non-substantive amendments in relation to the grant award, subject to review by County Counsel.
3. Direct the Director of the Department of Public Health to transmit all non-substantive amendments for grant award, 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
This item will not result in the use of Discretionary General Funding (Net County Cost). The grant award (Award No. 5 H80CS000657-24-00) in the amount of $1,038,267 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 have been included in the Department of Public Health’s (DPH) 2024-2025 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
Every three years, health centers apply for funding under the HRSA Service Area Competition (SAC). Through SAC, organizations compete for operational funding, which supports health care services to patient populations served by Federally Qualified Health Centers (FQHC). DPH applied for and received a three-year grant award for a term of March 1, 2024, through February 28, 2027. This award will continue to support DPH’s FQHCs in Adelanto, Hesperia, San Bernardino, and Ontario. Services include primary care, maternal health, pediatric care, HIV care and treatment, reproductive health services, dental and nutrition services, and diagnostic radiology to an estimated 13,075 adults and children annually.
On August 8, 2023 (Item No. 35), and September 12, 2023 (Item No. 42), the Board of Supervisors (Board) approved Phase 1 and Phase 2, respectively, of the HRSA SAC grant application for FQHC operational support, in the amount of $2,291,840 annually (amount included both Phases 1 and 2), for the period of March 1, 2024 through February 28, 2027.
On March 12, 2024 (Item No. 30), the Board approved two grant awards, Contract Nos. 24-210 and 24-211 (Award No. 2 H80CS00657-23-00 and No. 6 H80CS00657-23-01), in the amounts of $954,933 and $190,987, respectively, for the total amount of $1,145,920, for the period of March 1, 2024 through February 28, 2025. However, these grant awards were erroneously filed as separate contracts, rather than listing a single contract number and treating the second award as an amendment. In an effort to correct this issue, amendments and associated grant award amounts since the initial award have been included under Contract No. 24-211.
On May 7, 2024 (Item No. 41), the Board approved Amendment No. 1 to Contract No. 24-211 (Award No. 6 H80CS00657-23-02) in the amount of $100,000, for a combined total amount of $1,245,920, with no change to the period of March 1, 2024 through February 28, 2025.
On June 11, 2024 (Item No. 65), the Board approved Amendment No. 2 to Contract No. 24-211 (Award No. 6 H80CS00657-23-03) in the amount of $1,145,920, for a combined total of $2,391,840, with no change to the period of March 1, 2024 through February 28, 2025.
On July 23, 2024 (Item No. 46), the Board approved Amendment No. 3 to Contract 24-211 (Award No. 6 H80CS00657-23-04) in the amount of $35,260, for a combined total amount of $2,427,100, with no change to the period of March 1, 2024 through February 28, 2025.
Between August 14, 2024 and September 18, 2024, DPH received non-financial notices (Award Nos. 6 H80CS00657-23-05, 6 H80CS00657-23-06, and 6 H80CS00657-23-09) from HRSA informing DPH of administrative actions related to additional funding to be expected, deletion of the old address (606 E. Mill St. San Bernardino, CA 92408, and addition of the new address (590 N. D St, San Bernardino, CA 92401) of the FQHC located in San Bernardino.
On November 5, 2024 (Item No. 35), the Board approved Amendment Nos. 4, 5 and 6 to Contract No. 24-211 (Award Nos. 6 H80CS00657-23-07 for $66,667, 6 H80CS00657-23-08 for $28,500, and 6 H80CS00657-23-10 for $37,000) from HRSA increasing the grant by $132,167, for a combined total of $2,559,267, with no change to the budget period of March 1, 2024 through February 28, 2025.
On December 20, 2024, DPH received a partial award notice (Award No. 5 H80CS000657-24-00) in the amount of $1,038,267, for the period of March 1, 2025 through February 28, 2026. DPH will return to the Board to accept further funding from HRSA SAC, if and when it is received.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Adam Ebright, Deputy County Counsel, 387-5455) January 17, 2025; Finance (Iliana Rodriguez, Administrative Analyst, 387-4205) on January 22, 2025; and County Finance and Administration (Robert Saldana, Deputy Executive Officer, 387-5423) on January 27, 2025.