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File #: 26-413    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 1/14/2026 In control: BOARD OF SUPERVISORS
On agenda: 2/3/2026 Final action:
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract 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. (25% County Match)
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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...

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