DATE: June 2, 2026
TO: Board of Supervisors
SUBMITTED BY: Joe Prado, Director, Department of Public Health
SUBJECT: Amendment to Revenue Agreement with the California Department of Public Health
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute First Amendment to revenue Agreement with the California Department of Public Health for the Type 2 Diabetes Prevention Program to address chronic disease prevention, reallocate unspent funds from FY 2024-25, update the indirect cost rate, amend the Scope of Work, and decrease the term by one (1) day for a term of September 11, 2024 through June 29, 2028, with no change to the compensation maximum of $237,000.
REPORT
There is no additional Net County Cost associated with the recommended action which moves unspent funds ($14,960) from fiscal year (FY) 2024-25 to FY 2025-26 and FY 2026-27, updates the indirect cost rate to the Fresno County Department of Public Health’s (Department) approved rate of 24.47%, amends the Scope of Work (SOW) to update Objective 1.1 each fiscal year, and corrects the end date of the agreement term to June 29, 2028. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended amendment, unspent funds from FY 24-25 would remain unused towards the prevention of chronic diseases of community members and the Department would receive less indirect reimbursements for administrative costs. Additionally, SOW changes will not be made, and the agreement will have an incorrect term end date.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The recommended amendment is funded by the California Department of Public Health (CDPH) Type 2 Diabetes Prevention Program provided by the Centers for Disease Control and Prevention (CDC).
The maximum compensation of $237,000 is adjusted as follows:
September 11, 2024 through June 30, 2025 $44,290 (decrease by $14,960)
July 1, 2025 through June 30, 2026 $64,118 (increase by $4,868)
July 1, 2026 through June 30, 2027 $69,342 (increase by $10,092)
July 1, 2027 through June 29, 2028 $59,250 (no change)
Sufficient appropriations and estimated revenues will be included in the Department’s Org 5620 FY 2026-27 Recommended Budget and will be included in subsequent budget requests.
DISCUSSION:
On August 20, 2024, the Board approved revenue agreement No. 24-447 (State agreement No. 24-10421) with CDPH to allow the Department to implement health strategies to prevent diabetes and other chronic diseases.
The recommended amendment will allow the Department to maximize funding to provide preventative services to community members by carrying over unspent FY 2024-25 funds into FY 2025-26 and FY 2026-27. Coordination between CDPH and County approval processes caused a two-month delay in implementation from the originally planned start date of July 1, 2024, which attributed to less expenses in FY 24-25 than originally budgeted. The budget will also be updated to include the Department’s current approved indirect rate of 24.47% for agreements with CDPH.
The recommended amendment will also modify SOW Objective 1.1 to better reflect the role of the Department in providing support and establishment of at least one National Diabetes Prevention Program. Finally, at the request of CDPH, the amendment will correct the end date of the agreement to decrease the term of the agreement by one day, from June 30, 2028 to June 29, 2028, to align with the term end date of CDPH’s funding agreement with the CDC. The recommended action amends the entire term of the agreement, however, no retroactive changes were made, and any modifications of this amendment will be effective only upon approval of your Board.
REFERENCE MATERIAL:
BAI# 41, August 20, 2024
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - First Amendment to Agreement with CDPH
CAO ANALYST:
Ron Alexander