Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Measure K: Amendment to the Agreement with Sonrisas Dental Health Inc to Provide Dental Health Services
RECOMMENDATION:
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Measure K: Adopt a resolution authorizing an amendment to the agreement with Sonrisas Dental Health Inc. to provide dental health services, extending the term by 10 months through December 31, 2023, and increasing the amount by $98,000 to an amount not to exceed $246,220.
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BACKGROUND:
San Mateo County Health was awarded a Healthcare for the Homeless/Farmworkers Health (HCF/FH) grant from the Bureau of Primary Health Care, Health Services and Resources Administration (HRSA) of the US Department of Health and Human Services. The HCH/FH grant funds San Mateo Medical Center (SMMC)’s ongoing HCH/FH program, which provides primary medical, dental, and behavioral health care to the County’s homeless population.
In September 2021, Sonrisas Dental Health Inc. (Sonrisas) and SMMC entered into an agreement to provide dental health services to homeless and farmworker individuals in the County for the term of September 1, 2021 through April 30, 2022 in an amount not to exceed $65,000 as part of a HRSA grant. The agreement has been amended multiple times, most recently to extend the term through February 28, 2023, and increase amount to an amount not to exceed $148,220.
DISCUSSION:
On December 13, 2022, the Board approved the use of Measure K District discretionary funds to support ongoing services provided by Sonrisas for farmworkers and their families in the South Coast region through December 31, 2023. This amendment brings the agreement for the provision of those services in line with the Board’s action and will enable Sonrisas to continue providing these much-needed dental services.
County Attorney has reviewed and approved the resolution and amendment as to form.
The resolution contains the County’s standard provisions allowing amendment of the County fiscal obligations by a maximum of $25,000 (in aggregate).
It is anticipated that the number of homeless individuals, farmworkers and their dependents presenting for dental health care services will increase to 760 individuals.
PERFORMANCE MEASURE:
|
Measure |
FY 2022-23 Estimated |
FY 2023-24 Projected |
|
Number of homeless individuals, farmworkers, and their dependents presenting for dental health care services |
376 individuals |
760 individuals |
FISCAL IMPACT:
The term of the amended agreement is September 1, 2021 through December 31, 2023. The amendment increases the amount payable under the agreement by $98,000 to an amount not to exceed $246,220 for the 28-months term. Funds in the amount of $24,500 are included in the SMMC FY 2022-23 Adopted Budget. Funds in the amount of $73,500 are included in the SMMC FY2023-24 Recommended Budget. Of this amount, Measure K will fund 44% of the agreement or $107,520.
Expenses at SMMC are covered by fees for services or third-party payors whenever possible. The portion of expenses for services provided to the medically indigent or to those covered by programs that do not meet the full costs of care is covered by the County’s General Fund contribution to SMMC and is within the existing annual appropriation.