DATE: June 2, 2026
TO: Board of Supervisors
SUBMITTED BY: Joe Prado, Director, Department of Public Health
SUBJECT: Amendment to Revenue Agreement with the California Department of Public Health
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute First Amendment to revenue Agreement with the California Department of Public Health for the Type 2 Diabetes Prevention Program to address chronic disease prevention, reallocate unspent funds from FY 2024-25, update the indirect cost rate, amend the Scope of Work, and decrease the term by one (1) day for a term of September 11, 2024 through June 29, 2028, with no change to the compensation maximum of $237,000.
REPORT
There is no additional Net County Cost associated with the recommended action which moves unspent funds ($14,960) from fiscal year (FY) 2024-25 to FY 2025-26 and FY 2026-27, updates the indirect cost rate to the Fresno County Department of Public Health's (Department) approved rate of 24.47%, amends the Scope of Work (SOW) to update Objective 1.1 each fiscal year, and corrects the end date of the agreement term to June 29, 2028. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended amendment, unspent funds from FY 24-25 would remain unused towards the prevention of chronic diseases of community members and the Department would receive less indirect reimbursements for administrative costs. Additionally, SOW changes will not be made, and the agreement will have an incorrect term end date.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The recommended amendment is funded by the California Department of Public Health (CDPH) Type 2 Diabetes Prevention Program provided by the Centers for Disease Control and Prevention (CDC).
The maximum compensation of $237,000 is adjusted as follows:
September 11, 2024 through June 30, 2025 $44,290 (decrease by $14,960)
July 1, 2025 through June...
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