DATE: August 4, 2020
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Retroactive Revenue Agreements with California Department of Public
Health for Sexually Transmitted Disease Programs
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute a retroactive revenue agreement with the California Department of Public Health for core sexually transmitted disease prevention program management, effective July 1, 2019 through June 30, 2024 ($1,260,910).
2. Approve and authorize the Chairman to execute a retroactive revenue agreement with the California Department of Public Health for a sexually transmitted disease prevention collaboration program, effective July 1, 2019 through June 30, 2024 ($972,755).
REPORT
Approval of the recommended actions will provide new and continued funding from the California Department of Public Health (CDPH) to the Department’s sexually transmitted disease (STD) prevention programs. The first recommended agreement will provide continued funding 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 second recommended agreement will provide new funding for increased community-based testing. The Department also receives separate funding to further support HIV/AIDS prevention, surveillance and treatment activities. There is no increase in Net County Cost associated with the recommended action. This item is Countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. Should your Board not approve the recommended actions, the Department would be unable to provide sufficient STD prevention and support services to the community.
RETROACTIVE AGREEMENT:
The recommended Core Management agreement was received from CDPH on February 15, 2020 and is retroactive to July 1, 2019. The recommended Collaboration agreement was received from CDPH on June 12, 2020 and is retroactive to July 1, 2019. The Department was unable to bring these items to your Board for approval at an earlier date due to coordinating similar activities in the grants’ scopes of work, as well as the ongoing COVID-19 emergency response.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. If approved, the first grant, Core Management, will provide $252,182 annually for five years from July 1, 2019 through June 30, 2024, for a term maximum of $1,260,910. The second grant, Collaboration, will provide $194,551 annually for five years from July 1, 2019 through June 30, 2024, for a term maximum of $972,755. The Department will claim Core Management’s full $252,182 for FY 2019-20 upon your Board’s approval, as the grant provides continued funding for ongoing programmatic costs. The Department will carry forward the new Collaboration grant’s full $194,551 FY 2019-20 allocation to FY 2020-21.
CDPH allows full indirect cost recovery up to 25% of salaries and benefits. The Department’s full indirect rate was 25.42% in FY 2019-20 and is 22.67% in FY 2020-21. Sufficient appropriations and estimated revenues were included in the Department’s Org 5620 FY 2019-20 Adopted Budget and the FY 2020-21 Recommended Budget and will be requested for the duration of the terms of both grants.
DISCUSSION:
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 Core Management agreement will provide funding for evidence-based surveillance, clinical treatment, disease intervention, and community health promotion activities. The recommended Collaboration agreement stipulates that at least 50% of funding must be directed to one or more local community benefit organizations to help increase access to STD testing. Pending approval from CDPH, the Department may also fund innovative strategies in coordination with community partners to enhance local efforts to reduce STDs among vulnerable and hard-to-reach populations.
The recommended agreements stipulate a dispute resolution process in which the State and County must partake to informally resolve any disputes arising from the State’s actions. The agreements also contain non-standard County general indemnification and intellectual property indemnification provisions which require the County to indemnify the State. The Agreements may be cancelled or terminated without cause by the State with 30 calendar days advance written notice. The State may also cancel immediately for cause. The County may cancel only if the State fails to perform its responsibilities.
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Agreement with CDPH for STD Core Program Management
On file with Clerk - Agreement with CDPH for STD Collaboration
CAO ANALYST:
Raul Guerra