DATE: June 21, 2022
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Amendment to the Revenue Agreement with the California Department of Public Health for the Sexually Transmitted Disease Program Management and Collaboration Project
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute First Amendment to Revenue Agreement (State Agreement No. 19-10960) with the California Department of Public Health for the Sexually Transmitted Disease Program Management and Collaboration Project, effective upon execution with no change to the grant term of July 1, 2019 through June 30, 2024 and increasing the maximum by $163,998 to a total of $1,136,753.
REPORT
There is no additional Net County Cost associated with the recommended action. The California Department of Public Health (CDPH) has increased the County’s FY 2021-22 funding for the Sexually Transmitted Disease (STD) Program Management and Collaboration Project (Project) prevention program for increased community-based testing to the vulnerable populations and subcontract with community-based or other organizations in the County of Fresno. This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. Should your Board choose not to approve the recommended action, the Department would not receive the additional funding for its STD Collaboration program and not be able to fund services provided to the vulnerable populations.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The annual allocation for FY 2021-22 will be increased by $163,998 to a maximum of $1,136,753 over the term of the Agreement. The existing agreement allows full indirect cost recovery up to 22.579% of salaries and benefits. Sufficient appropriations and estimated revenues are included in the Department’s Org 5620 FY 2021-22 Adopted Budget for estimated expenses and will be included in subsequent budget requests.
DISCUSSION:
On August 4, 2020, your Board approved a Revenue Agreement (A-20-290) with CDPH to provide continued funding from the CDPH for the Department’s STD prevention program for staff, services and supplies to support evidence-based approaches to STD surveillance, investigation and treatment, with an emphasis on Syphilis, Gonorrhea, and Chlamydia infections.
The Department has received funding from CDPH since 1998 to support STD prevention and control activities. Chlamydia, Gonorrhea, and Syphilis, including Congenital Syphilis, remain the most commonly reported communicable diseases in the County. The recommended amendment to the Collaboration agreement will help cover the cost of program staff as well as allow for the Department to increase and improve community-based testing to assist the County in ensuring the success of STD Collaboration program functions. The Program will partner with a non-profit agency that will provide STD testing to at risk populations within the County.
This agreement deviates from the County’s standard agreement language as the agreement stipulates a dispute resolution process in which the State and County must partake to informally resolve any disputes arising from the State’s actions. The agreement also contains non-standard County general indemnification and intellectual property indemnification provisions which require the County to indemnify the State. The agreement may be cancelled or terminated without cause by the State with 30 calendar days advanced written notice. The State may also cancel immediately for cause. The County may cancel only if the State fails to perform its responsibilities.
REFERENCE MATERIAL:
BAI #43, August 4, 2020
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Amendment to Agreement with CDPH
CAO ANALYST:
Ron Alexander