DATE: September 25, 2018
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Retroactive Revenue Agreement with the California Department of Public Health
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive revenue agreement with the California Department of Public Health for Tobacco Control Program funds, effective July 1, 2018 through June 30, 2019 ($958,753).
REPORT
Approval of the recommended action will represent the second year of a four-year allocation agreement with the California Department of Public Health (CDPH) that will allow the Department of Public Health to continue tobacco prevention and cessation education activities. The allocation will fund the Department’s Tobacco Prevention Program (TPP) 5.95 FTE staff, services and supplies to support tobacco prevention education and cessation activities, with no increase in Net County Cost. This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. Should your Board not approve the recommended action, the Department would be unable to fund tobacco prevention education and cessation activities.
RETROACTIVE AGREEMENT:
The recommended revenue agreement was received from CDPH on July 19, 2018 and is retroactive to July 1, 2018.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The proposed revenue agreement ($958,753) represents the second year of a four-year funding cycle. Future years’ anticipated award amounts are as follows:
• Year Three (7/1/19 - 6/30/20): $923,312
• Year Four (7/1/20 - 6/30/21): $887,505
Year one (7/1/17-6/30/18) allocation was $1,317,644. The four-year estimated maximum is $4,087,214. The Department will return to your Board for approval of subsequent allocations.
Sufficient appropriations and estimated revenues were included in the Department’s Org 5620 FY 2018-19 Adopted Budget. CDPH limits indirect cost recovery to 25% of personnel costs as compared with the Department’s full indirect rate of 26.5%. The remainder ($14,381) will be covered using Health Realignment funds.
DISCUSSION:
With your Board’s approval, the Department will continue to receive funds from California Proposition 99, the Tobacco Tax and Health Protection Act of 1988 and Proposition 56, the California Healthcare, Research, and Prevention Tobacco Act of 2016. The purpose of the funding is to develop a comprehensive tobacco control plan as required by Health and Safety Code 104375; coordinate local services and statewide initiatives between all tobacco control funded agencies in the County; provide tobacco education services to target populations to prevent the harmful effects of tobacco use; focus on community norm change strategies; and use media and public relations to support and increase the effectiveness of tobacco control interventions.
During FY 2017-18 (Year One), the Department’s TPP:
• Collaborated with the City of Selma, the Youth Leadership Institute, and Fresno Economic Opportunities Commission Rural Tobacco Education Program on the passage of a new tobacco-free parks and events law;
• Collaborated with Fresno Grizzlies to educate 20,553 school aged children on the dangers of smoking, flavored tobacco products, and electronic smoking devices;
• Worked with the Fresno Rainbow Pride Parade Committee on the adoption of a smoke-free policy for 2017 Fresno Rainbow Pride Parade and Festival event. No smoking signage was provided and education on the policy was conducted at the event;
• Responded to drifting secondhand smoke complaints from tenants living in multi-unit housing;
• Responded to violations of smoke-free work environments and notified proper law enforcement officials to prompt further investigation, in addition, resources were provided to individuals that were negatively impacted by exposure to secondhand smoke;
• Collaborated with Fresno State to sponsor and conduct education and outreach to youth and young adult priority populations at the Vintage Days event;
• TPP sponsored 475 educational social media, television, radio, newspaper and movie theater spots that resulted in more than seven million media impressions; and
• Coordinated the Fresno County Tobacco-Free Coalition meetings.
In Year Two (FY 2018-19), Year Three, and Year Four, the purpose is to incorporate scope of work activities pursuant to the intent of the funding as follows:
• Fund and train at least two organizations that serve priority populations to implement the Community Action Model and mobilize their involvement in community assessments, education, and other activities that address tobacco related health disparities;
• Work with nine municipalities in the County to update the definitions of “smoking”, “tobacco product”, “electronic smoking device”, and “tobacco paraphernalia” in all applicable areas of the municipal code to align local definitions with the State law standard;
• Work with at least eight behavioral health facilities (substance use and mental health) in the County to adopt and implement a smoke-free campus policy;
• Work with one municipality within the County to adopt a public policy to prohibit the location of tobacco retail outlets within 1,000 feet of schools, parks, and youth facilities and/or limit the number of retailers within the jurisdiction to reduce tobacco related health disparities among priority populations;
• Work with at least one municipality in the County to adopt a policy that designates 100% of individual units in multi-unit housing complexes as entirely smoke-free;
• Assist with funding the Fresno County Community Health Needs Assessment;
• Collaborate with Fresno County Environmental Health and local law enforcement to conduct education and outreach to hookah lounges in Fresno County;
• Work with community partners to conduct an observation survey of more than 500 stores in Fresno County to assess the availability and promotion of healthy and unhealthy products; and,
• Conduct a robust media educational campaign to promote the California Smokers’ Helpline and educate the community about the dangers of secondhand smoke, thirdhand smoke and electronic smoking devices.
The recommended agreement contains non-standard termination language as it allows the State to terminate without cause, if written notice has been delivered at least 30 days prior to termination. The recommended agreement also includes a termination clause that allows the County to submit a written request to terminate the agreement only in the event the State substantially fails to perform its responsibilities under the agreement. In the event of a dispute between parties, the resolution process outlined in the agreement terms and conditions must be followed.
REFERENCE MATERIAL:
BAI #59, September 12, 2017
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Agreement with CDPH
CAO ANALYST:
Sonia M. De La Rosa