To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Grant Agreement #28-528-68 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 #28-528-68 with the County of Alameda, to pay Contra Costa County an amount not to exceed $1,546,699 for coordination of essential services to Contra Costa County residents with HIV disease and their families, for the period March 1, 2025 through February 28, 2026.
FISCAL IMPACT:
Approval of this Agreement will result in an amount not to exceed $1,546,699 of funding payable to County from the County of Alameda, as the Grantee of federal funds under the Ryan White HIV/AIDS Treatment Extension Act of 2009, Part A $1,424,300 and Minority AIDs Initiative funds, $122,399 for direct and indirect personnel activities currently conducted by the HIV/STI Program. Some additional County funds are required. Previous maintenance of effort reports for the HIV/STI Program for Ryan Part A note approximately $406,000 expended by the County General Fund to fully fund County personnel fringe benefits as well as the food bank/home-delivered meals service category.
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 Extension Act of 2009, Part A, funds for coordination of essential services to Contra Costa County residents with HIV disease 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 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 25, 2025, the Board of Supervisors approved Agreement #28-528-67 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 $2,028,992 for coordination of services to Contra Costa residents with HIV disease and their families, for the period from March 1, 2024 through February 28, 2025.
Approval of Agreement #28-528-68 will provide continued funding for coordination of services through February 28, 2026. 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. This Agreement is late due to delays with receiving the Agreement document from the County of Alameda.
CONSEQUENCE OF NEGATIVE ACTION:
If this Agreement is not approved, County will not receive the additional funding to support the HIV/STI Program’s efforts to reduce the transmission of HIV in Contra Costa County, instead, the program will continue to use County funds to support these activities.