DATE: July 9, 2019
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Retroactive Revenue Agreement with the California Department of Public Health
RECOMMENDED ACTION(S):
TITLE
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 January 1, 2019 through December 31, 2023 ($700,000).
REPORT
Approval of the recommended action will provide funding from the California Department of Public Health (CDPH) to enhance Department of Public Health congenital syphilis (CS) prevention activities to address the rise of cases within the County, with no increase in Net County Cost. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, the Department would not be able to enhance strategies and activities aimed at reducing the rise of congenital syphilis cases in the County utilizing dedicated CDPH funding.
RETROACTIVE AGREEMENT:
The recommended revenue agreement required revisions by CDPH, with the received on May 16, 2019, and retroactive to January 1, 2019.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The recommended revenue agreement will provide a maximum of $700,000 to offset costs associated with providing CS services from January 1, 2019 through December 31, 2023. Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY 2019-20 Recommended Budget and will be included in subsequent budget requests for the terms duration. The recommended revenue agreement limits indirect cost recovery to 25% of salaries and benefits only. The Department's current indirect rate is 25.42%; the difference of $443 in year one will be covered with Health Realignment.
DISCUSSION:
In 2018, the Department, in collaboration with CDPH, conducted a pilot program to...
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