Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Marc Meulman, Director, Public Health Policy, and Planning
Subject: Agreement with the California Department of Public Health for HIV Prevention Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with the California Department of Public Health to provide HIV Care Program services for the period of April 1, 2024 through March 31, 2029, in an amount not to exceed $1,869,880.
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BACKGROUND:
The San Mateo County Public Health STD/HIV Program (STD/HIV Program) provides a continuum of services, which include outpatient ambulatory/medical care services, psychosocial care services, housing-related services, substance abuse services, and food, education, prevention, and surveillance services. It is the main provider of HIV/AIDS services for San Mateo County residents affected by HIV/AIDS and their families. The California Department of Public Health (CDPH) provides partial funding for outpatient/ambulatory medical care, medical transportation, and outreach services.
DISCUSSION:
CDPH has allocated $1,869,880 in funding to the STD/HIV Program for the period of April 1, 2024, through March 31, 2029. Funds for will cover expenses for 0.25 FTE physician, 1.0 FTE staff nurse, 0.59 FTE of a patient services assistant, medical transportation for clients of the program, and miscellaneous client service costs.
The resolution contains the County’s standard provisions allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by County Counsel as to form.
This contract is late due to delays in receiving the agreement from the State.
It is anticipated that the viral load of 90% of clients receiving services will decrease or remain undetectable as a result of the medical services received.
PERFORMANCE MEASURE:
|
Measure |
FY 2022-23 Actual |
FY 2023-24 Estimated |
|
Percentage of clients whose viral load decrease or remain undetectable as a result of the medical services received |
92%* 415 tests performed |
90% 406 tests performed |
* FY2022-23 target of 90% was exceeded.
FISCAL IMPACT:
The term of the agreement is for the period of April 1, 2024, through March 31, 2029. The amount of the agreement is not to exceed $1,869,880 for the five-year-term, of which $373,976 is included in the Public Health, Policy, and Planning (PHPP) FY 2023-2024 Adopted Budget and $373,976 is included in the PHPP FY 2024-25 Recommended Budget. The amount of $373,976 will be included in the PHPP FY 2025-26, FY 2026-27, and FY 2027-28 Recommended Budgets. $311,647 will be included in the PHPP FY 2028-29 Recommended Budget. Since the County is receiving these funds and no matching funds are required, no Net County Cost is associated with this agreement.