DATE: May 19, 2026
TO: Board of Supervisors
SUBMITTED BY: Joe Prado, Director, Department of Public Health
SUBJECT: Retroactive Revenue Agreement with the California Department of Public Health
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute a retroactive revenue Agreement with the California Department of Public Health for enhanced congenital syphilis prevention activities, effective March 1, 2026 through February 28, 2027, total not to exceed $140,000; and
2. Approve and authorize the Director of Public Health, or designee, to execute the State Contractor's Release for the final invoice.
REPORT
There is no additional Net County Cost associated with the recommended actions. Approval of the first recommended action will provide funding from the California Department of Public Health (CDPH) to continue to implement the activities of the Congenital Syphilis Case Management program (CSCMP). Approval of the second recommended action will allow the Director of the Department to execute the Contractor's Release for the final invoice at the close of the grant term. This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. Should your Board not approve the recommended actions, the Department would not be able to enhance strategies and activities aimed at reducing the rise of congenital syphilis (CS) cases in the County utilizing dedicated CDPH funding.
RETROACTIVE AGREEMENT:
The recommended revenue Agreement was received from CDPH on March 24, 2026, and retroactive to March 1, 2026.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The recommended revenue Agreement will provide a maximum of $140,000 to offset costs associated with providing CS services from March 1, 2026 through February 28, 2027. Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY 2025-26 Budget and will be included in subsequent budget requests...
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