To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Grant Award #28-767-11 from the California Department of Public Health, Refugee Health Assessment Program
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director or designee, to accept on behalf of the County Grant Award #28-767-11 (Grantor #25-07-90899-00) from the California Department of Public Health (CDPH), to pay County an amount not to exceed $293,411 for providing health services for the Refugee Health Assessment Program (RHAP), for the period October 1, 2025 through September 30, 2026.
FISCAL IMPACT:
Acceptance of this Award will result in a reimbursement to the County in an amount not to exceed $293,411, including $376.55 for each Medi-Cal non-billable health assessment, $197,272 for administrative costs and $6,897 for asylee orientation support. No County match required.
BACKGROUND:
The RHAP allows for the provision of health assessment services to refugees, asylees, entrants from Haiti and Cuba, Special visa immigrants, certified victims of human trafficking and other eligible entrants as required in the California Refugee Health Assessment form (CDPH 8418A). Based on the assessment, communicable diseases are treated on new arrivals as well as other Contra Costa residents who are not protected from disease. In addition, this program provides highly trained and culturally appropriate medical interpreters for the County’s Afghan, Russian, Vietnamese, Lao and Mien clinics (13 per week). The RHAP advocates for people with limited-English skills to achieve access and care within the Contra Costa Health Services Department. The County has been participating in this program since October 2010.
On April 15, 2025, the Board of Supervisors approved Grant Award #28-767-10 from CDPH, RHAP to provide health services for the RHAP program for the period October 1, 2024 through September 30, 2025.
Acceptance of the Grant Award #28-767-11 will allow the County to accept funding to provide RHAP services through September 30, 2026. This Award was received by County late due to changes with CDPH and local resettlement agencies relating to referrals and funding, causing delays in estimating the number of expected county participants.
CONSEQUENCE OF NEGATIVE ACTION:
If this Award is not accepted, people with limited-English skills in the RHAP program will not achieve access and care within the Contra Costa Health Services Department.