DATE: September 22, 2020
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 Childhood Lead Poisoning Prevention 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 Childhood Lead Poisoning Prevention Program, effective July 1, 2020 through June 30, 2023 ($4,213,323).
2. Approve and authorize the Director of Public Health, or designee, to execute the State Contractor’s Release for the final invoice.
REPORT
Approval of the recommended actions will allow the Department of Public Health to continue to implement the Childhood Lead Poisoning Prevention Program (CLPPP) with funding provided by the California Department of Public Health (CDPH). The program provides case management, health education, and environmental assessment services to children who are diagnosed with or at high risk of developing lead poisoning. There is no increase in Net County Cost. This item is Countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. Should your Board not approve the recommended agreement, the Department would not be able to fund CLPPP and provide services for lead-poisoned children.
RETROACTIVE AGREEMENT:
The recommended agreement was received from CDPH on July 29, 2020 and is retroactive to July 1, 2020.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. The recommended agreement will provide $4,213,323 from July 1, 2020 through June 30, 2023. Annual maximum funding amounts are as follows:
• FY 2020-21: $1,397,007
• FY 2021-22: $1,401,552
• FY 2022-23: $1,414,764
The agreement allows full indirect cost recovery at the Department’s rate of 22.674% of salaries and benefits; however, the program will limit indirect cost recovery to 15% to allow for additional required direct expenses. The remainder ($76,086) will be covered with Health Realignment. There are no pending invoices related to this item. Sufficient appropriations and estimated revenues are included in the Department’s Org 5620 FY 2020-21 Recommended Budget and will be included for the duration of the term.
DISCUSSION:
Since 1991, the Department has received funding from CDPH for childhood lead poisoning prevention and surveillance activities. Each year, CLPPP staff provide education and outreach to over 5,000 residents, community partners, healthcare providers, childcare centers and parents via health fairs, mailings, presentations and media. Staff also provide yearly monitoring to 600 new surveillance cases, case management services to over 30 children identified with very high blood lead levels (BLLs), and over 20 environmental investigations. Staff focus on reaching areas at higher risk, which include areas of older homes with lead-based paint that may be peeling.
The proposed agreement will provide continued funding to eliminate childhood lead poisoning for community outreach and education, healthcare provider education, surveillance, data analysis, and case management services for children with elevated BLLs. The neurological effects of lead poisoning are permanent; while treatment can reduce BLLs, it cannot reverse the harmful effects of the poisoning. In a young child, this can result in life-long learning and behavioral disabilities. Early intervention prevents further exposure to risk factors and reduces potential additional harm to lead-exposed children.
The recommended agreement contains non-standard termination language as it allows the State to terminate the agreement without cause, provided that written notice has been delivered at least 30 days prior to termination. The agreement also contains a termination clause that allows the County to submit a written request to terminate the agreement only in the event the State substantially fails to perform its responsibilities under the agreement. The County’s standard insurance language and limits are not contained within the agreement. In the event of a dispute between parties, the resolution process outlined in the agreement terms and conditions must be followed.
REFERENCE MATERIAL:
BAI #13, September 26, 2017
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Agreement with CDPH for CLPPP
CAO ANALYST:
Raul Guerra