To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Rescind Contract #78-072 with the County of Alameda
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
RESCIND prior Board Action of February 25, 2025 (C.86) which approved and authorized the Health Services Director, or designee, to execute on behalf of the County Contract #78-072 with the County of Alameda, a government agency, to pay County an amount not to exceed $200,000 through the federal Ending the HIV Epidemic (EHE) program for the coordination and support for newly diagnosed residence with HIV in Contra Costa County for the period from July 1, 2024 through February 28, 2025; and APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Master Contract #78-072 with the County of Alameda, a government agency, to pay County an amount not to exceed $200,000 through the EHE program for the coordination and support for newly diagnosed residence with HIV in Contra Costa County, and related Business Associate Agreement, for the period from July 1, 2024 through February 28, 2025, and for successive one-year periods until terminated.
FISCAL IMPACT:
Approval of this Master Contract will result in an amount not to exceed $200,000 from the County of Alameda, as the Grantee of federal funds under the Ryan White CARE Act and EHE program. No County match is required.
BACKGROUND:
The HIV/STI Program utilizes Ryan White CARE Act and Ending the HIV Epidemic funding from Alameda County to provide a variety of services such as, but not limited to, medical case management, early intervention services, linkage to care, rapid antiretroviral therapy initiatives, medical nutrition therapy, medical transportation, and food to patients living in Contra Costa County who are living with HIV or AIDS. EHE funding provides services to people living with HIV, with the goal of improving access to care and health outcomes. Contra Costa County’s HIV/STI Program will utilize this funding to link potential clients who are newly diagnosed with HIV, returning to care and/or transferring to Contra Costa County and not virally suppressed. This includes all County residents living with HIV, regardless of whether they are in the CCH system of care. County’s HIV/STI Program EHE goals include: (1) ensure initiation of rapid antiretroviral treatment (ART) for 80% of people upon successful engagement with HIV Program staff; (2) provide wrap-around services to improve overall health and increase HIV education to reduce transmission by enrolling 95% of referred people in Medical Case Management; and (3) promote viral load suppression with the goal of 65% of people virally suppressed within 60 days of ART prescription. Early Intervention Services (EIS) is a service category identified by Health Resources and Services Administration (HRSA) as a best practice in meeting the needs of the HIV/AIDS community. This Agreement aims to provide at least 125 hours of EIS to at least 50 Contra Costa residents living with HIV over an 8-month period.
Under Master Contract #78-072, County will be eligible for funding through the County of Alameda for County’s HIV/STI Program through February 28, 2025 and for successive one year periods thereafter until terminated under the Contract. The County received the Contract document from County of Alameda on April 30, 2025. This Contract includes the County agreeing to defend, indemnify, and hold harmless the County of Alameda for claims arising out of the performance of services under the Agreement except where such liabilities are caused by the sole negligence or willful misconduct of the County of Alameda.
CONSEQUENCE OF NEGATIVE ACTION:
If this Master Contract is not approved, County will not receive funds to provide coordination of essential services to Contra Costa County residents with HIV disease.