DATE: September 9, 2025
TO: Board of Supervisors
SUBMITTED BY: Joe Prado, Interim Director, Department of Public Health
SUBJECT: Amendment No. 2 to Agreement with Fresno Economic Opportunities Commission
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Amendment No. 2 to Agreement No. A-24-556 with Fresno Economic Opportunities Commission to expand the school-based dental sealant program, effective upon execution with no change to the term of July 1, 2023 through June 30, 2027 and increasing the maximum by $150,000 to a total of $1,100,000.
REPORT
There is no additional Net County Cost associated with the approval of the recommended action, which will allow Fresno Economic Opportunities Commission (Fresno EOC) to expand the school-based dental sealant program to include new Population Health Management care-coordination activities in support of the Department of Public Health’s (Department) effort to address social determinants of health through preventative population health intervention care coordination services to residents of Fresno County. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board choose to not execute the recommended amendment, Fresno EOC would not be able to address activities related to population health intervention services for students and their families who are receiving oral health preventative screenings through Fresno EOC’s school-based dental sealant program causing no new strategies to be implemented and limiting the programs’ efforts to increase sustainability in future years.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action, which will increase the maximum compensation of the Agreement with Fresno EOC by $150,000 to $1,100,000 for the term. The agreement is fully funded with Oral Health grant funds and Population Health Management grant funds. Sufficient appropriations and estimated revenues have been included in the Department’s Org 5620 FY 2025-26 Recommended Budget and will be included in subsequent budget requests.
DISCUSSION:
On June 6, 2023, your Board approved an Amendment to increase the oral health grant allocation from the California Department of Public Health to allow the Local Oral Health Program (LOHP) to continue school-based/school-linked activities it was not able to complete in the previous grant term.
On August 8, 2023, your Board approved Agreement No. A-23-396 with Fresno EOC to leverage the reallocated funding to complete unfinished school-based/school-linked activities from the previous oral health grant, continue providing their school-based dental sealant program in elementary schools, and assist elementary schools with the mandated state oral health reporting requirements.
On October 22, 2024, your Board approved First Amendment Agreement No. 24-556 with Fresno EOC to increase the maximum compensation to allow Fresno EOC to continue their school-based dental sealant program and the distribution of dental stipends to the dentists and dental hygienists who participate in the school-based oral health screening events during FY 2023-24, and expand their program to include a sealant retention check on students who receive dental sealants or fluoride varnishes during the school year.
If approved, the recommended increase will allow Fresno EOC to expand their program to include new Population Health Management care-coordination activities including screening for Social Determinants of Health for urgent referrals, increased collaboration with the Community Health Worker Network to track outcomes for children and families and develop referral criteria and the protocol for linking children to a source of dental care. It also ensures funding for dental stipends through FY 2026-27 and enhances collaboration between schools and local dental providers to strengthen the programs’ goal of long-term sustainability.
Language revisions to the service agreement were made to add the funding source for the new care-coordination activities and regarding the prohibition of duplicating services.
REFERENCE MATERIAL:
BAI #41, October 22, 2024
BAI #38, August 8, 2023
BAI #38, June 6, 2023
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Amendment No. 2 to Agreement with Fresno EOC
CAO ANALYST:
Ron Alexander