To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Agreement #28-855-5 with the California Department of Public Health, Office of AIDS
?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 Agreement #28-855-5 (State #25-10474) with the California Department of Public Health (CDPH), Office of AIDS, to pay the County a fee based on client usage for the County's Pre-Exposure Prophylaxis (PrEP) Assistance Program and Drug Assistance Program (ADAP) site enrollment services for the period January 1, 2026 through December 31, 2029.
FISCAL IMPACT:
County will be paid a fee for services based on current ADAP client enrollment. There is no County match required.
BACKGROUND:
Access to AIDS drug therapies is credited with prolonging lives and reducing health care costs associated with HIV and AIDS. Medications are costly and necessary for life. The ADAP program ensures that eligible individuals have access to those medications free of charge or for a minimum charge. Eligibility determination is a critical function to ensure that people with AIDS and HIV can access these therapies. This ADAP site agreement allows the County to continue providing these services in Contra Costa County. Enrollment in ADAP saves the Health Services Department millions of dollars in necessary AIDS Drug therapies.
On July 18, 2023, the Board of Supervisors approved Agreement #28-855-4 with the California Department of Public Health, Office of AIDS for the PrEP Assistance Program and ADAP site enrollment services for the period from July 1, 2023 through June 30, 2027.
Approval of Agreement #28-855-5 will provide additional support for enrollment services for the PrEP Assistance Program and ADAP at additional locations throughout the County through December 31, 2029. This Agreement includes a provision requi...
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