REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
September 1, 2026
FROM
JANKI PATEL, Acting Director, Department of Public Health
SUBJECT
Title
Amendment to Agreement with the California Department of Public Health for Immunization Local Assistance Funding
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 2 to Agreement No. 23-336 with the California Department of Public Health, for Immunization Local Assistance funding, to provide continued support for vaccination services, decreasing the amount by $75,392, from $13,343,194 to $13,267,802, with no change to the total grant performance period of July 1, 2022 through June 30, 2027.
(Presenter: Janki Patel, Acting Director, 387-9146)
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 2026-27 decrease of $75,392 results in a 2026-27 allocation amount of $427,221, bringing the overall five-year grant total to $13,267,802 from the California Department of Public Health (CDPH) for Immunization Local Assistance funding does not require a local match. 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 receives Immunization Local Assistance funding to improve immunization coverage rates and reduce illness, disability, and death due to vaccine preventable diseases. DPH activities include prevention, surveillance, quality assurance, vaccine related education for the community and providers, and outbreak control for vaccine preventable diseases such as measles, pertussis, meningococcal disease, hepatitis, and varicella.
On January 4, 2023, the County Administrative Office authorized the submission of a grant application to CDPH for Immunization Local Assistance funding, in the amount of $13,418,586, for the period of July 1, 2022 through June 30, 2027.
On May 9, 2023 (Item No. 36), the Board of Supervisors (Board) approved Agreement No. 23-336 (State Agreement No. 22-11081) (Agreement) from CDPH for Immunization Local Assistance funding, in the amount of $13,418,586, for the period of July 1, 2022 through June 30, 2027. The Agreement provided funding in the amounts of $10,905,521 for COVID-19 related activities, and $2,513,065 for countywide immunization services.
On September 9, 2025 (Item No. 45), the Board approved Amendment No. 1 to the Agreement, decreasing the amount by $75,392, from $13,418,586 to $13,343,194, with no change to the total grant performance period of July 1, 2022 through June 30, 2027.
On July 23, 2026, DPH received Amendment No. 2 to the Agreement from CDPH, notifying DPH of an allocation decrease to the 2026-27 funding by $75,392, from $502,613 to $427,221, with the total agreement amount decreasing from $13,343,194 to $13,267,802, and no change to the total grant performance period of July 1, 2022 through June 30, 2027. The reduction in funding will be absorbed through salary savings and will not impact DPH’s immunization services or activities. The availability of federal local funding is dependent upon funds received from the Centers for Disease Control and Prevention to CDPH.
This item is being presented at this time, as this is the first date available for presentation following the required operational, fiscal, and legal reviews. Approval at this time will not impact DPH’s immunization services or activities.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Adam Ebright, Deputy County Counsel, 387-5455) on August 12, 2026; and County Finance and Administration (Iliana Rodriguez, Administrative Analyst, 386-8392) on August 19, 2026.