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: Agreement with the California Department of Public Health for HIV Care Services
RECOMMENDATION:
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Adopt a resolution authorizing the Chief of Health or her designee to execute an agreement with the California Department of Public Health to provide HIV care services for the term of April 1, 2019 through March 31, 2024, in an amount not to exceed $1,594,678.
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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, food, education, prevention, and surveillance services, and 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 $1,594,678 in funding to the STD/HIV Program for the period of April 1, 2019 through March 31, 2024. Funds for will cover expenses for 0.25 FTE physician, 0.67 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.
Approval of this amendment contributes to the Shared Vision 2025 outcome of a Healthy Community by providing HIV/AIDS ambulatory/outpatient medical care, prevention and surveillance services to individuals affected by HIV/AIDS. It is anticipated that the viral load of 90% of clients receiving services will decrease or remain undetectable as a result of the medical and psycho-social services received.
PERFORMANCE MEASURE:
|
Measure |
FY 2018-19 Actual |
FY 2019-20 Projected |
|
Percentage of clients whose viral load will decrease or remain undetectable as a result of the medical care and psycho-social services received. |
92%* 419 clients |
90% 406 clients |
* FY 2018-19 target of 90% was exceeded.
FISCAL IMPACT:
The term of the agreement is for the period of April 1, 2019 through March 31, 2024. The amount of the agreement is not to exceed $1,594,678 for the five-year-term, of which $96,121 is included in the Public Health, Policy and Planning (PHPP) FY 2018-2019 Adopted Budget and $363,999 is included in the PHPP FY 2019-20 Approved Recommended Budget. $302,549 will be included in the PHPP FY 2020-2021, FY 2021-2022, and FY 2022-2023 Recommended Budgets. $226,912 will be included in the PHPP FY 2023-2024 Recommended Budget. Since the County is receiving these funds and no matching funds are required, there is no Net County Cost associated with this agreement.