File #: 13-1390    Version:
Type: Agenda Item Status: Approved
File created: 10/25/2013 In control: Board of Supervisors
On agenda: 8/12/2014 Final action: 8/12/2014
Title: Health and Human Services Agency, Public Health Division, recommending the Board consider the following: 1) Approve and authorize the Chair to sign non-financial Memorandum of Understanding 148-M1410 with the County of Sacramento for the coordination of service delivery to HIV/AIDS afflicted populations in El Dorado County for a term to begin upon final signature and to continue into perpetuity until terminated by either party; and 2) Approve and authorize the Chair to sign further amendments to Memorandum of Understanding 148-M1410 which do not affect the term or the maximum obligation and contingent upon approval by County Counsel and Risk Management. FUNDING: This is a non-financial Memorandum of Understanding. Sacramento County is the fiscal agent of the Federal Ryan White Comprehensive Acquired Immunodeficiency Syndrome Resources Emergency Act Funds.
Attachments: 1. 2A - 148-M1410 Approved CRS, 08-12-14, 2. 2B - 148-M1410 Agrmnt, 08-12-2014, 3. Executed MOU 148-M1410 (BOS 8-12-14), 4. A - Title 1 Fiscal Agent Change Ltr 11/5/13
Title
Health and Human Services Agency, Public Health Division, recommending the Board consider the following:
1) Approve and authorize the Chair to sign non-financial Memorandum of Understanding 148-M1410 with the County of Sacramento for the coordination of service delivery to HIV/AIDS afflicted populations in El Dorado County for a term to begin upon final signature and to continue into perpetuity until terminated by either party; and
2) Approve and authorize the Chair to sign further amendments to Memorandum of Understanding 148-M1410 which do not affect the term or the maximum obligation and contingent upon approval by County Counsel and Risk Management.

FUNDING: This is a non-financial Memorandum of Understanding. Sacramento County is the fiscal agent of the Federal Ryan White Comprehensive Acquired Immunodeficiency Syndrome Resources Emergency Act Funds.
Body
Fiscal Impact/Change to Net County Cost
There is no fiscal impact or change to the Net County Cost associated with Memorandum of Understanding (MOU) 148-M1410.

Background
The Ryan White HIV/AIDS Program (also known as the Ryan White CARE Act) provides Federal funding (Title 1) to regional transitional grant areas (TGA) for the purpose of planning for and delivery of specialized case management and ambulatory medical care services for people living with HIV\AIDS (PLWHA). Title 1 funding through the TGA provides reimbursement to local jurisdictions to bridge service gaps and eliminate access to care barriers specific to the specialized medical care needs of the HIV/AIDS afflicted population.

The County of Sacramento is designated by the Health Resources Service Agency (HRSA) as the Primary Regional Fiscal Agent for the five-county TGA and receives Title 1 funding that is then passed through the Local Jurisdiction Fiscal Agent (was County of El Dorado) to the Sierra Foothills AIDS Foundation (SFAF) for the provision of comprehensive specialized support services to County PLWHAs and their familie...

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