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: Amendment to the Agreement with AIDS Community Research Consortium for Food Services for HIV Program Clients
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with AIDS Community Research Consortium to provide a food service program for clients of the HIV Ryan White Part A Program, extending the term for an additional 2 years through February 28, 2028, and increasing the amount by $1,000,000 to an amount not to exceed $2,500,000.
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BACKGROUND:
On September 12, 2023, this Board approved a Ryan White A funding award to County Health from the City and County of San Francisco Department of Public Health to provide HIV/AIDS health services, for the term of March 1, 2023, through February 29, 2028, in an amount not to exceed $8,559,404. A portion of this funding is allocated to provide food services to San Mateo County residents affected by HIV/AIDS.
People living with HIV/AIDS face heightened nutritional needs, particularly during symptomatic stages or AIDS conditions, and must also take extra precautions around food safety due to compromised immune systems. Food insecurity correlates with worse clinical outcomes, including poor viral suppression, lower CD4 counts, and elevated risk of hospitalization and Emergency Room utilization. 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. Food insecurity is also linked to negative physical and mental health, lower life expectancy, greater disease burden, and poorer social functioning among people living with HIV.
DISCUSSION:
Under this agreement, AIDS Community Research Consortium (ACRC) has provided food services to San Mateo County residents affected by HIV/AIDS. A Request for Proposals was released in December 2022, and ACRC was chosen by the selection committee. This amendment to the current agreement, which expires on February 28, 2026, would allow services to be provided to this community without interruption.
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 County Attorney has reviewed and approved the agreement/amendment and resolution as to form.
It is anticipated that 97% of clients who receive food services will report improved nutrition and an improved quality of life.
PERFORMANCE MEASURE:
|
Measure |
FY 2024-25 Actual |
FY 2025-26 Estimated |
|
Percentage of clients who receive food services that report improved nutrition and an improved quality of life |
94% 135 clients |
97% 140 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 be only 2% of the county but comprise about 6% of those living with HIV and 11% of those living with AIDS. Hispanic individuals are estimated to be about 20% of the county but comprise 44% of the population living with HIV and 39% of the population living with AIDS. People living with HIV and with low incomes-particularly among Black, Hispanic, or immigrant communities-are disproportionately affected by food insecurity and barriers to nutritious food access. This funding will improve physical and mental health, increase life expectancy, and further support this community by providing food security.
FISCAL IMPACT:
The term of the amended agreement is March 1, 2023, through February 28, 2028.
The amount of the agreement is not to exceed $2,500,000. This amendment
increases the contract amount by $1,000,000. Funds in the amount of $450,000 are included in the Public Health, Policy and Planning FY 2025-26 Adopted Budget and $450,000 is included in the FY 2026-27 Recommended Budget. Similar arrangements will be made for future years. The payment provisions and levels of service in this agreement are similar to the previous agreement. There is no Net County Cost associated with this agreement, as the Ryan White Part A funding is providing 100% of these funds.