Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Cassius Lockett, Director, Public Health, Policy and Planning
Subject: Continuation of Contracts for STD/HIV Services
RECOMMENDATION:
title
Adopt a resolution authorizing the Controller to continue making payments on the Health Department Public Health, Policy and Planning STD/HIV Program Agreements for the period of March 1, 2019 through June 30, 2019.
body
BACKGROUND:
The US Department of Health and Human Services provides the Ryan White Treatment Modernization Act (RW) funding to eligible metropolitan areas that are disproportionately affected by HIV/AIDS. This funding comes to the San Mateo County STD/HIV Program (PHSP) through an agreement with the City and County of San Francisco. The amount of funding PHSP receives each year is determined based on the number of persons living with HIV/AIDS in San Mateo County.
PHSP is currently awaiting notification of the RW amount it will receive, and in turn be able to allocate to community-based organizations (CBOs) providing client services in the County. As a result, PHSP is unable to finalize new agreements with the following CBOs prior to their current agreement end date, February 28, 2019: AIDS Community Research Consortium (ACRC) for $125,000 to provide HIV food services; the Harm Reduction Therapy Center (HRTC) for $99,999 to provide risk-reduction counseling to high-risk clients who are HIV positive; and the Mental Health Association of San Mateo County (MHA) for $94,183 to provide housing and emergency assistance services.
DISCUSSION:
To ensure continued provision of services during this interim period, it is necessary to authorize the Controller to continue to make payments to these CBOs through June 30, 2019, up to the following amounts: ACRC ($33,333), HRTC ($30,000), and MHA ($24,541). Payments to these three CBOs will not exceed $87,874.
The Resolution contains the County’s standard provisions allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
Except for these amounts, contractors shall be paid in accordance with all terms and conditions included in original agreements through June 30, 2019, or until amended agreements are completed. While the exact annual funding amounts are unknown, the allocation described above will be sufficient to cover the costs incurred during this interim period.
The Resolution has been reviewed and approved by County Counsel as to form.
Approval of this Resolution contributes to the Shared Vision 2025 outcome of a Healthy Community by providing medical care and psycho-social services to individuals affected by HIV/AIDS. It is anticipated that the HIV/AIDS viral load of 90% of clients will decrease or remain undetectable as a result of the services received.
PERFORMANCE MEASURE:
|
Measure |
FY 2017-18 Actual |
FY 2018-19 Projected |
|
Percentage of clients whose HIV/AIDS viral load will decrease or remain undetectable as a result of the services received |
93%* 419 clients |
90% 406 clients |
* FY2017-18 target of 90% was exceeded.
FISCAL IMPACT:
The estimated cost to provide these services for the period of March 1, 2019 through June 30, 2019, is not to exceed $87,874. Funds for the annual cost of these agreements have been included in the Public Health, Policy and Planning FY 2018-19 Adopted Budget. There is no Net County Cost associated with this agreement.