Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Tamarra Jones, Director, Public Health Policy and Planning
Subject: Agreement with the City and County of San Francisco Mayor’s Office of Housing and Community Development for Housing and Related Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with the City and County of San Francisco Mayor’s Office of Housing and Community Development for funding to provide comprehensive case management and community-based services for very low-income persons with HIV/AIDS, for the term of July 1, 2025 through June 30, 2026, in an amount not to exceed $885,781.
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BACKGROUND:
The Department of Housing and Urban Development allocates funding through Housing Opportunities for Persons with AIDS Program (HOPWA) to the San Francisco Eligible Metropolitan Statistical Area. The area includes both San Francisco and San Mateo Counties. The City and County of San Francisco Mayor’s Office of Housing and Community Development (SFMHCD) administers the program that provides housing and other eligible HOPWA services. SFMHCD has contracted with the San Mateo STD/HIV Program to provide housing and related services to San Mateo County residents living with HIV/AIDS.
DISCUSSION:
Approximately 76% of the funding received under this agreement ($673,781) will be used to contract housing services including Short-Term Rent, Mortgage and Utilities Assistance, Permanent Housing Placement assistance and Housing Information Services to individuals living with HIV whose income is below 80% of the area median income. The remaining funding under this agreement is allocated to case management services. A total of $212,000, or 24% of the funding will offset the cost of two Benefits Counselor positions at Edison Clinic, who provide assistance in gaining access to local, state and federal government benefits and services.
The resolution contains the County’s standard provisions allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
This agreement is coming to this Board late due to delayed receipt of the San Francisco HOPWA grant agreement.
The agreement and resolution have been reviewed and approved by the County Attorney as to form.
It is anticipated that these services will enable 95% of clients receiving housing assistance services to maintain or improve their quality of life.
PERFORMANCE MEASURE:
|
Measure |
FY 2025-26 Estimated |
FY 2026-27 Projected |
|
Percentage of clients receiving housing assistance services that maintain or improve their quality of life |
92% 120 clients |
95% 123 clients |
COMMUNITY IMPACT:
Based on the 2025 Department of Finance population projections, Black and Hispanic individuals are overrepresented among those living with HIV and AIDS in San Mateo County. Black individuals are estimated to represent only 2% of the County population but comprise about 6% of those living with HIV and 11% of those living with AIDS. Hispanic individuals are estimated to represent about 20% of the County population but comprise 44% of the population living with HIV and 39% of the population living with AIDS. Housing instability also disproportionately impacts people of color in San Mateo County. Hispanic and Black residents face heavier rent burdens, paying 63% and 56% of their incomes to rent or housing, respectively, compared to 45% for White residents. Unstably housed individuals are significantly more likely to face gaps in HIV treatment, poorer adherence to antiretroviral therapy, and lower rates of viral suppression. HIV viral load suppression is vital for community health because it lowers transmission risk, especially in high-risk populations and areas with high HIV prevalence.
Providing stable housing to all people living with HIV in San Mateo County can enhance their continuity of care, improve health outcomes, reduce hospitalizations, and lower long-term healthcare costs, thus directly advancing better health outcomes for all. Housing stability supports adherence to HIV treatment and increases the likelihood of viral suppression, improving quality of life and reducing transmission risks. This HOPWA funding will provide housing support for this community and address some of the challenges they face.
FISCAL IMPACT:
The term of the agreement is July 1, 2025, through June 30, 2026. The amount of the agreement is not to exceed $885,781 for the one-year term. These funds are included in the Public Health, Policy, and Planning FY 2025-26 Adopted Budget. Since the County is receiving these grant funds from SFMHCD, there is no Net County Cost associated with this agreement.