DATE: September 24, 2024
TO: Board of Supervisors
SUBMITTED BY: David Luchini, Director, Department of Public Health
SUBJECT: Retroactive Revenue Agreement with the California Department of Public Health for the HIV Surveillance Program
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute a retroactive revenue Agreement and related certifications with the California Department of Public Health for the Human Immunodeficiency Virus Surveillance Program, effective July 1, 2024 through June 30, 2029 ($479,950); and
2. Approve and authorize the Director of the Department of Public Health to execute the Contractor’s Release Form for submission with the final invoice.
REPORT
There is no increase in Net County Cost associated with the recommended actions. The recommended revenue agreement with the California Department of Public Health, Office of AIDS (CDPH-OA) supports the Department’s Human Immunodeficiency Virus (HIV) Surveillance Program. These funds will be used to maintain HIV/AIDS (acquired immunodeficiency syndrome) surveillance infrastructure to ensure timely and complete case reporting from medical settings, laboratories, and HIV testing sites. The grant funds salaries and benefits, general office expenses, and allows for indirect cost recovery. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended actions, the Department’s HIV Surveillance Program would be unable to provide HIV/AIDS surveillance and support local healthcare providers.
RETROACTIVE AGREEMENT:
The recommended revenue agreement was received from CDPH-OA on June 27, 2024 and is being brought to your Board in accordance with the agenda item processing timelines.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. The maximum compensation for the recommended revenue agreement is $479,950 or $95,990 annually for five years. The recommended revenue agreement represents a 5.9% annual funding increase ($5,348), in comparison to the annual funding amount received in the prior fiscal year. Sufficient appropriations and estimated revenues are included in the Department’s Org 5620 FY 2024-25 Recommended Budget and will be included in future budgets for the duration of the term. The recommended revenue agreement will fund one Communicable Disease Specialist at 0.50 FTE and one at 0.20 FTE allowing indirect cost recovery for salaries and benefits up to 25%. The agreement allows full indirect cost recovery at the Department’s rate of 24.426%.
DISCUSSION:
The Department has received HIV Surveillance Program funds since 1985. CDPH-OA allocated $6.67 million in FY 2024-25 State General Fund to local health jurisdictions for local HIV Surveillance Programs, the allocation formula is based upon the following factors: new HIV/AIDS cases diagnosed between 2017-2021 and living cases at most recent year end (2021).
The Department’s HIV Surveillance Program analyzes HIV/AIDS data and prepares epidemiologic summaries in collaboration with CDPH-OA. The 2023 Summary of HIV/AIDS in Fresno County shows the number of newly reported HIV cases was 177 and newly reported AIDS cases reported was 57; these numbers are up from 172 (02.90%) and down from 66 (15.78%) respectively from 2022 (Attachment A).
The recommended revenue agreement will allow the HIV Surveillance Program to:
• Maintain HIV case surveillance infrastructure;
• Collect, submit accurate and timely HIV surveillance data;
• Maintain data security and confidentiality;
• Conduct program management and coordination;
• Collaborate with partners to respond to the HIV disease; and,
• Receive HIV surveillance data for the CDPH-OA.
REFERENCE MATERIAL:
BAI #42, November 19, 2019
ATTACHMENTS INCLUDED AND/OR ON FILE:
Attachment A
On file with Clerk - Agreement with CDPH-OA
CAO ANALYST:
Dylan McCully