Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Nina Rhee, Interim Director, Aging and Adult Services
Subject: Acceptance of Agreement with the California Department of Aging for the Receipt of American Rescue Plan Act Funding
RECOMMENDATION:
title
Acting as the Governing Board of the Area Agency on Aging for the County of San Mateo, adopt a resolution authorizing the Chief of San Mateo County Health or the Chief’s designee to:
A) Enter into funding agreement(s) with the California Department of Aging to accept American Rescue Plan Act (ARPA) funding; and
B) Execute provider agreements, during or for the term of January 1, 2023 through December 31, 2023, in a total amount not to exceed $2,784,331.
body
BACKGROUND:
This Board, acting as the Governing Board for the Area Agency on Aging (AAA), approves the acceptance of funding from the California Department of Aging (CDA) for AAA programs.
President Biden signed the American Rescue Plan (ARPA) into law on March 11, 2021. ARPA funds are intended to provide support to state, local, and tribal governments responding to the impacts of COVID-19 on their communities, residents, and businesses.
ARPA provides $1,400,000,000 in emergency Older Americans Act (OAA) funding, including $750,000,000 for senior nutrition programs, $460,000,000 for home-and-community-based support services, $45,000,000 for disease prevention, $188,000,000 for Elder Justice Act programs (which include Adult Protective Services and the Long-Term Care Ombudsman Program), and $145,000,000 in assistance for grandparents caring for grandchildren.
Aging and Adult Services (AAS), the County’s AAA, already contracts with a variety of community-based agencies to implement programs that achieve the Area Plan’s goals and objectives with OAA funding. In February 2022, AAS issued a Request for Proposals (RFP) for the provision of OAA services to older adults and adults with disabilities for the term of July 1, 2022, through June 30, 2026. The RFP Evaluation Committee selected 21 community providers for OAA services.
DISCUSSION:
Given the recent RFP process for 21 OAA providers, AAS is proposing to execute ARPA contracts with some or all of 18 of these 21 OAA providers in the total amounts indicated for the following programs:
1. Title IIIB Supportive Services ($908,988): Provides a variety of services including, but not limited to: personal care, homemaker services, adult day health care, case management, assisted transportation, transportation, legal assistance, information and assistance, outreach, and long-term care ombudsman advocacy.
2. Title IIIC1 Congregate Nutrition Services ($592,819): Provides nutrition services for older individuals in a congregate setting. Services include meals, nutrition education, nutrition risk screening, and opportunities for socialization.
3. Title IIIC2 Home Delivered Meals Services ($889,228): Provides nutrition services to homebound older individuals including meals, nutrition education, and nutrition risk screening.
4. Title IIID Disease Prevention and Health Promotion Services ($86,947): Provides disease prevention and health promotion programs based on scientific evidence and demonstrated through rigorous evaluation to be effective in improving the health of older adults.
5. Title IIIE Family Caregiver Services ($283,613): Provides a local, multifaceted system of support services to unpaid family caregivers of older adults, or grandparents, or other older relatives, with primary caregiving responsibilities for a child, through access assistance, information services, respite care, and supplemental and supportive services.
6. Title VII Ombudsman Services ($22,736): Identifies, investigates, and resolves complaints made by or on behalf of residents of long-term care facilities that affect residents’ health, safety, welfare, or rights.
AAS is in ongoing discussions with the existing OAA providers to determine which organization(s) may provide each of the services listed above. The three OAA providers not being considered for allocation of ARPA funds will be considered for receipt of Older Adults Recovery and Resilience (OARR) funding.
The resolution has been reviewed and approved by the County Attorney as to form. The forthcoming provider agreements will be approved by the County Attorney as to form prior to execution.
The resolution contains the County’s standard provisions allowing amendment of the County fiscal obligations.
It is anticipated that 2,000 unduplicated older adults and family caregivers will be served by ARPA-funded programs. Of the 2,000 unduplicated older adults and family caregivers served, it is anticipated that 90% of older adults will feel that the services provided helped them to safely reconnect with others following the pandemic, and 90% of family caregivers will receive support in providing additional care for family members following the pandemic.
PERFORMANCE MEASURE:
|
Measure |
FY 2022-23 Estimated |
FY 2023-24 Projected |
|
Number of unduplicated older adults and family caregivers served by ARPA- funded programs |
2,000 unduplicated older adults and family caregivers |
2,000 unduplicated older adults and family caregivers |
|
Percentage of older adults who feel that services provided helped them to safely reconnect with others following the pandemic |
90% |
90% |
|
Percentage of family caregivers who receive support in providing additional care for family members following the pandemic |
90% |
90% |
FISCAL IMPACT:
The ARPA provider agreements are for the term of January 1, 2023 through December 31, 2023 and will be in a total amount not to exceed $2,784,331 for the one-year term. Federal funds will cover 100% of the costs. There is no Net County Cost associated with these provider agreements.