DATE: March 7, 2017
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Retroactive Revenue Agreement with the California Department of Public Health for HIV Surveillance Program
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute a retroactive revenue Agreement with the California Department of Public Health for the HIV (human immunodeficiency virus) Surveillance Program, effective July 1, 2016 through June 30, 2019 ($256,539).
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
Approval of the recommended actions will provide funding from the California Department of Public Health, Office of AIDS (CDPH-OA) to support the HIV (human immunodeficiency virus) 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. Upon completion of activities, a Contractor’s Release Form must be submitted with the final invoice to CDPH. The funds will support one (1) Communicable Disease Specialist at 0.5 FTE and one (1) Office Assistant at 0.38 FTE and their associated indirect costs. The retroactive revenue agreement allows indirect cost recovery for salaries and benefits, with no increase in Net County Cost.
ALTERNATIVE ACTION(S):
No viable options are available. Should your Board not approve the recommended actions, the Department would not be able to accept the HIV Surveillance Program funding reducing the services the County may provide.
RETROACTIVE AGREEMENT:
The recommended revenue agreement for the HIV Surveillance Program was received from CDPH on January 20, 2017. The recommended agreement is retroactive to July 1, 2016 and is effective through June 30, 2019.
FISCAL IMPACT:
There is no Net County Cost associated with the recommended actions. The maximum funding for FY 2016-17 is $85,513; $256,539 for the term. The funding represents a 3% increase ($7,470) from the prior three-year agreement. Sufficient appropriations and estimated revenues are included in the Department’s Org 5620 FY 2016-17 budget and will be requested in subsequent fiscal year budgets. The recommended agreement allows indirect cost recovery for salaries and benefits of 15%. The Department’s indirect rate is 15.873%; the remaining 0.873% ($649) will be offset by Health Realignment.
DISCUSSION:
The Department has received funds to support the HIV Surveillance Program since 1985. The HIV Surveillance Program analyzes HIV/AIDS data and prepares epidemiologic summaries in collaboration with CDPH-OA. In 2015, the number of newly reported HIV and/or AIDS cases reported was 100 (Attachment A). Figure 2 in Attachment A demonstrates the age group of individuals living with HIV/AIDS during 2016, in the County. The prior three-year agreement terminated on June 30, 2016.
The recommended agreement will fund salary and benefit costs for program staff 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.
The CDPH-OA uses HIV and AIDS case counts to determine funding allocations for supportive services, including Housing Opportunities for Person with AIDS, HIV Prevention Programs and the HIV Surveillance Program. Through these programs, California receives Federal funding for a variety of health care and supportive services, which identify and coordinate efforts to assist the County’s most vulnerable HIV positive populations.
With your Board’s approval of the recommended agreement, the County will provide HIV surveillance activities and agree to terms of CDPH to indemnify the State for claims that arise from the agreement and for any actions involving intellectual property infringement. The State may cancel the agreement without cause and the County may only terminate for cause.
REFERENCE MATERIAL:
BAI #42, August 23, 2016, Agt. No. 16-532
ATTACHMENTS INCLUDED AND/OR ON FILE:
Attachment A
On file with Clerk - Retroactive Agreement with CDPH
CAO ANALYST:
Sonia De La Rosa