File #: 22-1086   
On agenda: 11/8/2022 Final action: 11/8/2022
Enactment date: Enactment #: Agreement No. 22-516
Recommended Action(s)
Approve and authorize the Chairman to execute Second 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 $530,664 to a total of $1,667,417.
Attachments: 1. Agenda Item, 2. Agreement A-22-516 Amendment to Agreement with CDPH

DATE:                     November 8, 2022

 

TO:                     Board of Supervisors

 

SUBMITTED BY:                     David Luchini, RN, PHN, Director, Department of Public Health

 

SUBJECT:                     Second 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 Second 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 $530,664 to a total of $1,667,417.

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 2022-23 and FY 2023-24 funding for the Sexually Transmitted Disease Program Management and Collaboration Project (Project) to increase Sexually Transmitted Disease (STD) screening in vulnerable populations and to 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 prevention program and would not be able to fund these critical services to the vulnerable populations. 

 

FISCAL IMPACT:

 

There is no increase in Net County Cost associated with the recommended action. The annual allocation for FY 2022-23 and FY 2023-24 will be increased by $265,332 each year for a maximum of $1,667,417 over the term of the Agreement. The existing agreement allows full indirect cost recovery currently at 18.82% of salaries and benefits. Sufficient appropriations and estimated revenues are included in the Department’s Org 5620 FY 2022-23 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.

 

On June 21, 2022, your Board approved the First Amendment to Revenue Agreement No A-20-290 (State Agreement No 19-10960, A1) to increase the FY 2021-22 funding revenue amount by $163,998.

 

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 second 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 non-profit agencies 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

BAI #65, June 21, 2022

 

ATTACHMENTS INCLUDED AND/OR ON FILE:

 

On file with Clerk - Amendment to Agreement with CDPH

 

CAO ANALYST:

 

Ron Alexander