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Health and Human Services Agency (HHSA) recommending the Board:
1) Make findings that the provision of public health community outreach services provided by subrecipients and Contractor are in the public's best interest due to limited timeframes, temporary or occasional nature, or schedule for the project or scope of work, the ongoing aggregate of work to be performed is not sufficient to warrant addition of permanent staff, in accordance with El Dorado County Ordinance Code, Chapter 3.13.030(C);
2) Approve and authorize the Chair to sign Amendment I to Funding Agreement 6466 with Barton Healthcare System, which extends the term by one year, for a new term of May 17, 2022, through June 30, 2025, with the option to extend for one additional year through June 30, 2026, and reduces the maximum obligation from $450,000 to $110,701.11;
3) Approve and authorize the Chair to sign Amendment I to Funding Agreement 7383 with the Boys and Girls Club of El Dorado County Western Slope, which extends the term by one year, for a new term of June 6, 2023, through June 30, 2025, with the option to extend for one additional year through June 30, 2026, with no change to the maximum obligation;
4) Approve and authorize the Chair to sign Amendment I to Funding Agreement 7465 with the Boys and Girls Club of Lake Tahoe, which extends the term by one year, for a new term of June 6, 2023, through June 30, 2025, with the option to extend for one additional year through June 30, 2026, with no change to the maximum obligation;
5) Approve and authorize the Chair to sign Amendment I to Funding Agreement 7771 with CASA El Dorado which extends the term by one year, for a new term of July 19, 2023, through June 30, 2025, with the option to extend for one additional year through June 30, 2026, with no change to the maximum obligation;
6) Approve and authorize the Chair to sign Amendment III to Agreement for Services 5165 with Public Knowledge, LLC which extends the term by one year, for a new term of December 14, 2020, through June 30, 2025, with the option to extend for one additional year through June 30, 2026, with no change to the maximum obligation;
7) Authorize the Purchasing Agent to execute amendments relating to Agreements 6466, 7383, 7465, 7771, and 5165, contingent upon approval by County Counsel and Risk Management, which do not increase the maximum dollar amounts or terms of the Agreements; and
8) Authorize the HHSA Director, or the Chief Assistant Director, to execute programmatic, administrative, and fiscal documents relating to Agreements 6466, 7383, 7465, 7771, and 5165.
FUNDING: 100% California Department of Public Health Allocation No. COVID-19 Epidemiology and Laboratory Capacity 68 Enhancing Detection program.
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DISCUSSION / BACKGROUND:
On March 16, 2021, the Board approved HHSA’s spending plan for ELC Enhancing Detection program funding awarded by CDPH, which allocated $6,503,584 to El Dorado County as part of the Coronavirus Aid, Relief, and Economic Security (CARES) Act and Paycheck Protection Program and Health Care Enhancement Act supplements (Legistar file 21-0366). The purpose of the ELC allocation is to support testing, case investigation and contact tracing, surveillance, containment, and mitigation efforts to prevent, prepare for, and respond to emerging infections. On June 16, 2022, CDPH notified counties of the extension of the ELC funding term to July 31, 2024; this extension was approved by the Board on May 5, 2023 (Legistar file 22-2142).
Within the County, ELC funding is being used to support a broad range of public health communicable disease services, including testing, case investigation and contact tracing, surveillance, containment, mitigation recovery activities and more.
In January 2024, the HHSA Public Health Division (PHD) was notified of an additional extension to the ELC funding, prolonging the term date from July 31, 2024, to July 31, 2026. Consequently, HHSA recommends the Board approve this agenda item to align the extended terms of Agreements 6466, 7383, 7465, 7771, and 5165 with the extended ELC funding period. The reduction of the Barton Healthcare System Agreement 6466 maximum subaward obligation resulted from a mutual decision between HHSA PHD and the Subrecipient to align the funding award amount with the Subrecipient’s planned grant expenditures.
ALTERNATIVES:
Should the Board decline to approve this recommendation, HHSA would continue to provide services through the Agreement’s (6466, 7383, 7465, 7771, and 5165) original term dates of June 30, 2024.
PRIOR BOARD ACTION:
1) 03/16/21, 21-0366, CAO and HHSA CARES Act
2) 11/09/21, 21-1416, HHSA Public Knowledge 5165 A1
2) 05/17/22, 22-0507, HHSA Funding Out Agreement 6466 Barton
3) 05/02/23, 22-2142, HHSA ELC68 Extension
4) 06/06/23, 23-0780, HHSA Boys and Girls Clubs ELC68 Funding Out
5) 06/27/23, 23-0646, HHSA Public Knowledge, LLC Amendment 2, 5165
6) 07/18/23, 23-1091, HHSA CASA El Dorado ELC68, 7771
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel and Risk Management.
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
There is no Net County Cost associated with this agenda item. Sufficient appropriations were included in the Fiscal Year 2024-25 Budget and will be included in future budgets for the terms of the agreements if the amendments/terms extensions are approved by the Board.
CLERK OF THE BOARD FOLLOW UP ACTIONS
Clerk of the Board to obtain signature of Chair on one original Amendment I of Funding Agreements 6466, 7383, 7465, 7771, and one original Amendment III of Agreement for Services 5165.
STRATEGIC PLAN COMPONENT:
N/A
CONTACT
Olivia Byron-Cooper, MPH, Director