Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Marc Meulman, Director, Public Health, Policy, and Planning
Subject: Acceptance of Award from the City and County of San Francisco Department of Public Health to Provide HIV/AIDS Health Services
RECOMMENDATION:
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Adopt a resolution authorizing the acceptance of the Ryan White A funding award 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.
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BACKGROUND:
The Ryan White Treatment Modernization Act of 1990 provides funding to eligible metropolitan areas (EMA) that are disproportionately affected by HIV/AIDS. EMAs utilize this funding to develop, organize, coordinate, and operate more effective and cost-efficient systems that deliver essential services to HIV/AIDS-affected individuals and their families. Funding comes to the San Mateo County Public Health STD/HIV Program (SMSH) through an agreement with the Bay Area EMA’s fiscal agent, the City and County of San Francisco (CCSF).
DISCUSSION:
SMSH utilizes Ryan White grant funds to provide a continuum of services which include outpatient ambulatory medical care, medical case management, housing assistance, outpatient and residential drug treatment, oral care, mental health, a food program, laboratory costs and medical supplies.
This agreement comes to the Board late due to delays from the federal government in releasing funds to CCSF.
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 the County Counsel as to form.
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:
|
|
FY 2022-23 Actual |
FY 2023-24 Estimated |
|
Percentage of clients whose viral load decreased or remain undetectable as a result of the medical and psycho-social services received |
90% 501 clients |
90% 501 clients |
FISCAL IMPACT:
The term of the agreement is March 1, 2023, through February 29, 2028. The amount of the agreement is not to exceed $8,559,404 for the five-year-term. Funds are included in the Public Health, Policy, and Planning FY 2023-24 Recommended Budget. Similar arrangements will be made for future years. Since the County is receiving these funds, there is no Net County Cost associated with this agreement.