Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Travis Kusman, Director, Emergency Medical Services
Colleen Chawla, Chief, San Mateo County Health
Subject: Amendment to CDPH Public Health Emergency Preparedness Agreement
RECOMMENDATION:
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Adopt a resolution authorizing amendment A1 to the agreement with the California Department of Public Health to provide funding to San Mateo County Health to conduct public health emergency preparedness activities, for the unchanged term of July 1, 2022 through June 30, 2027, increasing the amount by $803,197 to an amount not to exceed $6,695,116.
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BACKGROUND:
Federal funds have been made available through the states to strengthen national public health and medical emergency preparedness and response infrastructure. These funds support planning, training, medical surge capacity, supply stockpiling, and overall disaster readiness.
DISCUSSION:
The Emergency Medical Services (EMS) division coordinates emergency disaster planning and response for San Mateo County Health.
In June 2022, the California Department of Public Health (CDPH) awarded EMS five years of grant funding to support public health and medical emergency preparedness activities, including emergency preparedness training and healthcare coordination, epidemiology and disease surveillance capacity, pandemic planning and medical supply storage, and improvements to emergency communications with hospitals and first responders.
Consistent with San Mateo County Health’s mission to protect and promote community health through preparedness and coordinated response, the County participates in the Association of Bay Area Health Officers (ABAHO), a regional collaborative of Bay Area local health departments that coordinates public health preparedness planning, information sharing, and regional response initiatives.
To support this regional work, ABAHO designates a Regional Coordinator to advance preparedness projects and coordination among Bay Area health departments. San Mateo County Health currently fulfills this role through a contracted position funded by cost-share contributions from ABAHO member counties. CDPH collects these contributions and allocates the funds to the coordinating jurisdiction through the County’s existing federal public health emergency preparedness funding agreement.
This amendment increases the agreement’s maximum amount to incorporate the additional CDPH funding needed to fully support the Regional Coordinator position.
It is anticipated that by the end of FY 2026-27, 100 public health, health care, and emergency response partners will participate in ABAHO regional trainings and exercises, strengthening regional preparedness and response capabilities.
PERFORMANCE MEASURE:
|
Measure |
FY 2025-26 Actual |
FY 2026-27 Projected |
|
Number of public health, health care, and emergency response partners participating in ABAHO regional trainings and exercises |
90 |
100 |
COMMUNITY IMPACT:
The CDPH public health emergency preparedness grant supports the County’s efforts to strengthen readiness for public health emergencies, natural disasters, and disease outbreaks. Regional coordination through ABAHO further enhances collaboration among Bay Area health departments, healthcare partners, and emergency responders, improving overall regional preparedness. These efforts help protect all residents, particularly vulnerable and underserved populations who may face greater risks during emergencies and support equitable access to critical public health resources and services during disasters.
FISCAL IMPACT:
The term of the amended agreement is unchanged as July 1, 2022, through June 30, 2027. The amendment increases the amount payable under the agreement by $803,197 to an amount not to exceed $6,695,116 for the five-year term. Funds in the amount of $1,179,862 are included in the EMS FY 2025-26 Adopted Budget. Similar arrangements will be made for future years. Since the County is receiving this funding, there is no Net County Cost associated with this amendment