DATE: January 21, 2020
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Amendment I to Revenue Agreement with CDPH for Immunization Program Services
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Amendment I to Agreement No. 17-638 with the California Department of Public Health for immunization services, reducing total compensation by $86,283, effective upon execution through June 30, 2022 ($2,310,402).
REPORT
The recommended action will decrease grant funding provided to the Department by the California Department of Public Health (CDPH) for local immunization services by $28,761 per year for the remaining three years of the grant, for a total decrease of $86,283, with no change to Net County Cost. Federal budgetary constraints have resulted in funding decreases to CDPH and statewide reductions to local assistance funds. The recommended amendment includes a revised scope of work with commensurately fewer required activities. This item is Countywide.
ALTERNATIVE ACTION(S):
There is no alternative action. CDPH will not reimburse the Department for costs above the reduced grant amount.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The annual allocation for the three remaining years in the grant will be reduced by $28,761 (6%) per year, for a total reduction of $86,283. The maximum compensation will be revised to $450,576 per year for the remaining three years, for a total of $2,310,402 over the five-year term.
The existing agreement allows indirect cost recovery capped at 25% of salaries and benefits, but the program is maximizing all available funds on direct costs. Health Realignment will cover the grant's indirect costs at the Department's full rate of 25.42% ($98,315) for FY 2019-20, and will continue to cover costs in subsequent years. Sufficient appropriations and estimated revenues were included in the Department's Or...
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