DATE: May 14, 2019
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Amendment to Agreement with the California Department of Public Health for the California Home Visiting Program
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute retroactive Amendment II to Agreement No. 15-266 with the California Department of Public Health, for the California Home Visiting Program, effective July 1, 2017 through June 30, 2019 and decreasing the maximum by $439,366 to a total of $3,134,562.
REPORT
Approval of the recommended action will decrease the California Department of Public Health (CDPH) funding to the County’s California Home Visiting Program (CHVP) by 12.29% ($439,366) due to Health Resources and Services Administration (HRSA) funding reductions. The recommended action will also add mandatory programmatic requirements to the CHVP scope of work and remove some unnecessary language for clarification purposes. The decrease did not impact the services CHVP provides including public health nurse home visitation, health education, and linkage to community resources to first-time, low-income mothers and their families in the County. This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action.
RETROACTIVE AGREEMENT:
The recommended agreement is retroactive to July 1, 2017 and was received from CDPH on February 1, 2019. The time required to prepare and review the recommended amendment did not allow presentation to your Board at an earlier date.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The recommended amendment will decrease the revenue agreement from $3,573,928 to $3,134,562 a 12.29% decrease ($439,366). The reduction impacts Years 3 and 4 (FYs 2017-18 and 2018-19), reducing the annual maximum from $863,839 to $644,156. Reductions primarily impact staffing, however reduced funding from this grant will be supplemented with Health Realignment. Sufficient appropriations and estimated revenues are included in the Department’s Org 5620 FY 2018-19 Adopted Budget.
DISCUSSION:
On June 16, 2015, the Board approved Agreement No. 15-266 with CDPH to continue the CHVP Nurse-Family Partnership (NFP) home visiting services in the City of Selma and surrounding rural areas of the County. The agreement allows the County to assist low-income, first-time mothers and their families to achieve positive outcomes such as:
• reduction of emergency department visits and crime, such as domestic violence;
• improvement in school readiness and achievement;
• family economic self-sufficiency; and,
• coordination of referrals for other community resources and supports.
The decreased funding will not impact the services CHVP provides. Additionally, approval of the recommended amendment accepts added mandatory programmatic requirements for implementing the CHVP as identified by HRSA during a program site visit in June 2017 as well as the removal of some unnecessary language for program clarification purposes.
REFERENCE MATERIAL:
BAI #58, June 16, 2015
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Amendment II to Agreement No. 15-266 with CDPH
CAO ANALYST:
Sonia M. De La Rosa