To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Grant Agreement #28-998-2 with the State of California Department of Public Health
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute Grant Agreement #28-998-2 (State #21-10588) with the California Department of Public Health (CDPH), to pay the County an amount not to exceed $1,095,089, for the Disease Intervention Specialist (DIS) Workforce Development Project, for the period from July 1, 2025 through June 30, 2030.
FISCAL IMPACT:
Approval of this Grant Agreement will result in payment to the County up to $1,095,089 over a five-year period from CDPH. (No County match required)
BACKGROUND:
The goal of the DIS Workforce Development Project is to develop, expand, train and sustain the disease investigation and intervention workforce. Funding is intended to hire personnel to address projected sexually transmitted disease (STD), HIV, COVID-19 and other infectious disease prevention responses needs. The County’s Public Health Division HIV/AIDS and STD Program staff are trained to conduct rapid HIV, Hepatitis C and syphilis and COVID-19 testing in the field.
On June 21, 2022, the Board of Supervisors approved Grant Agreement #28-998 with CDPH, to pay County an amount not to exceed $1,216,765, for the DIS Workforce Development Project, for the period July 1, 2021 through December 31, 2025.
On April 22, 2024, the Board of Supervisors approved Grant Amendment #28-998-1 to decrease the amount payable to the County by $486,706 to a new total of $730,059 and extend the termination date from December 31, 2025 to January 31, 2026 for the DIS Workforce Development Project.
Approval of this Grant Agreement #28-998-2 will allow County receive funds to continue the DIS Workforce Development Project, through June 30, 2030. This Agreement includes an indemnification provision requiring the County to indemnify and hold harmless the State for claims arising out of County’s performance under this Agreement. This Agreement is late due to County not receiving the agreement documents until October 28, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this Agreement is not approved, the DIS Workforce Development Project will not receive the necessary funds to sustain the disease investigation and intervention workforce.