To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Grant Agreement #28-528-67 with the County of Alameda
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Grant Agreement #28-528-67 with the County of Alameda, to pay Contra Costa County an amount not to exceed $2,028,992 for coordination of essential services to Contra Costa County residents with HIV and their families, for the period from March 1, 2024 through February 28, 2025.
FISCAL IMPACT:
Approval of this Agreement will result in an amount not to exceed $2,028,992 of funding payable to County from the County of Alameda, as the Grantee of federal funds under the Ryan White HIV/AIDS Treatment Modernization Act of 2009, Part A $1,924,241 and Minority AIDs Initiative, Part A $158,751. No County match is required.
BACKGROUND:
The U.S. Department of Health and Human Services has designated the County of Alameda as “Grantee” for the purpose of administering the Ryan White HIV/AIDS Treatment Modernization Act of 2006, Part A, funds for coordination of essential services to Contra Costa County residents with HIV and their families. Contra Costa County has been receiving these grant funds since 1992.
The goals of this Program are to improve access to health care and to enhance health outcomes for people living with HIV. The Health Services Department uses a comprehensive medical case management model to reduce HIV-related health care costs by linking HIV-infected, low-income, and uninsured/underinsured individuals to appropriate health care services. HIV-positive individuals are assisted in accessing health care coverage and entitlements, making medical appointments, and in accessing necessary HIV medications. These individuals are also provided with home health attendant care and other services as appropriate, counseled in medication adherence, and offered referrals for food and nutritional assistance, psychosocial support services and other community resources.
On February 6, 2024, the Board of Supervisors approved Agreement #28-528-66 with the County of Alameda Health Care Services Agency, as the fiscal agent for Ryan White CARE Act, Title I and Minority AIDS Initiative funds, to pay County in an amount not to exceed $1,722,501 for coordination of services to Contra Costa residents with HIV and their families, for the period from March 1, 2022 through February 29, 2024.
Approval of Agreement #28-528-67 will provide continued funding for coordination of services through February 28, 2025. This Agreement is late due to Division not receiving the Agreement from County of Alameda until December 12, 2024. Each party agrees to indemnify and hold harmless the other party against any and all claims arising out of or resulting from the performance of services under this Agreement, and only to the extent such Liabilities are caused by the negligence, omission, or willful misconduct of the indemnifying party, its officers, employees, or agents.
CONSEQUENCE OF NEGATIVE ACTION:
If this Agreement is not approved, County will not receive funds to provide coordination of essential services to Contra Costa County residents with HIV and their families.