Title
Health and Human Services Agency, Public Health Division, recommending the Board authorize the Chair to sign Amendment 6 to Agreement 7275-07/12-709 for Ryan White funding with County of Sacramento Department of Health and Human Services decreasing the maximum total payment amount to the County by $2,453 for a multi-year total of $830,105 to fund direct medical and support care services through the Ryan White Comprehensive Acquired Immunodeficiency Syndrome Resources Emergency Act for persons living with Human Immunodeficiency Virus and/or Acquired Immunodeficiency Syndrome.
FUNDING: Federal Ryan White Comprehensive Acquired Immunodeficiency Syndrome Resources Emergency (CARE) Act funds through Sacramento County.
Body
|
BUDGET SUMMARY: |
|
|
|
Total Estimated Cost |
|
$830,105 (over 5 years) |
|
|
|
|
|
Funding |
|
|
|
Current Contract Amount |
$832,558 |
|
|
New Funding |
$ |
|
|
Savings |
$ |
|
|
Other |
$-2,453 |
|
|
Total Contract Amount |
$830,105 |
|
|
Change To Net County Cost |
|
$0 |
Fiscal Impact/Change to Net County Cost: There is no Net County Cost associated with this Amendment 6 to Agreement 7275-07/12-709 with Sacramento County. The decrease in the contract amount reflects the amount not expended in fiscal year (FY) 2010-2011 and does not affect the amount budgeted by the Health Services Department in FY 2011-2012.
Background: Congress created the Ryan White CARE Act in 1990, named for Ryan White, a teenager who contracted HIV through a blood transfusion and died after an eight-year struggle with the disease. The Ryan White CARE Act is a series of grant programs that fund treatment services for people with Human Immunodeficiency Virus (HIV) and/or Acquired Immunodeficiency Syndrome (AIDS) who are either uninsured or underinsured. Since its creation, the Act has been reauthorized multiple times, the latest being October 2009.
Sacramento County is the applicant/recipient for the Ryan White CARE Act funds for the eligible metropolitan area and serves as the fiscal agent distributing those funds to various counties including the County of El Dorado. The Ryan White Program services include, but are not limited to: information, referrals and/or arranging for outpatient medical care, skilled nursing, medication management, diagnosis and treatment of common medical and mental conditions, and addressing nutrition issues to include direct food purchases. The County subcontracts with Sierra Foothills AIDS Foundation for the Ryan White Program. The Public Health Division has a longstanding and successful relationship with Sierra Foothills AIDS Foundation, a community-based agency specializing in services to individuals and families afflicted with HIV/AIDS.
Compensation for Services: Reimbursement within thirty (30) days of receipt of invoices based on actual services performed and documented per contract requirements, with final reconciliation via a post-Agreement audit.
Contract Termination: Sacramento County may terminate this Agreement immediately upon giving written notice to the County of El Dorado 1) if advised that funds are not available from external sources for this Agreement or any portion thereof, including, if distribution of such funds to the Sacramento County is suspended or delayed; 2) if funds for the services and/or programs provided are not appropriated by the State; 3) if funds in Sacramento County’s annual budget are not appropriated for this Agreement; or 4) if funds previously appropriated for this Agreement are reduced, eliminated or re-allocated as a result of mid-year budget reductions.
Retroactive Term: This Amendment 6 to Agreement 7275-07/12-709 was received in March and Department began processing the Agreement immediately to prepare for the next available Board date.
Reason for Recommendation: Approval of this Amendment will allow the County to continue receiving Federal Ryan White CARE Act funding that supports the provision of medical care and services to individuals and their families afflicted with HIV/AIDS.
Action to be taken following Board approval:
1) Chair to sign all five (5) Amendments 6 to Agreement 7275-07/12-709.
2) Public Health to submit one (1) certified minute order of this Board Item and all signed originals to Sacramento County for final execution.
3) Upon receipt of fully executed documents from Sacramento County, Public Health to return one (1) fully executed original to the Board Clerk’s Office.
Contact: Daniel Nielson, 642-7275
Concurrences: County Counsel and Risk Management