DATE: January 26, 2021
TO: Board of Supervisors
SUBMITTED BY: Dawan Utecht, Director, Department of Behavioral Health
SUBJECT: Amendment IV to Substance Use Disorder Prevention Agreements
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute Amendment IV to Agreement No. A-16-430 with California Health Collaborative for Substance Use Disorder Prevention Services, effective upon execution with no change to the term of July 1, 2016 through June 30, 2021 and increasing the maximum by $126,234 to a total of $3,459,564.
2. Approve and authorize the Chairman to execute Amendment IV to Agreement No. A-16-431 with Youth Leadership Institute for Substance Use Disorder Prevention Services, effective upon execution with no change to the term of July 1, 2016 through June 30, 2021 and increasing the maximum by $63,118 to a total of $1,879,783.
REPORT
Approval of the recommended actions will allow for an increase to the overall maximum agreement compensation amounts for FY 2020-21. The California Department of Health Care Services (DHCS) has increased the county primary prevention allocation from 20% to 25% as part of an effort to ensure that California meets federal requirements. This will allow current Substance Use Disorder (SUD) Prevention providers to enhance services by increasing outreach efforts and expanding services to reach individuals in the community due to COVID-19 challenges. The recommended actions will be offset by Substance Abuse Prevention and Treatment Block Grant (SABG) Funds, with no increase in Net County Cost. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended actions, the Department of Behavioral Health will not receive $189,352 of increased funding for SUD prevention services, and the County would fall out of compliance with SABG requirements. Additionally, individuals seeking services may experience a gap and/or delay in SUD prevention services, especially during the COVID-19 pandemic.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. The increase in funding is fully funded with SABG Funds. Approval of the first recommended action will increase the California Health Collaborative agreement amount by $126,234 for FY 2020-21 and the associated total maximum compensation increased to $3,459,564. Approval of the second recommended action will increase the Youth Leadership Institute’s agreement amount by $63,118 for FY 2020-21 and the associated total maximum compensation increased to $1,879,783. Sufficient appropriations and estimated revenues are included in the Department’s Org 5630 FY 2020-21 Adopted Budget.
DISCUSSION:
On July 12, 2016, the Board approved Agreements with California Health Collaborative (16-430) to reduce marijuana use and illicit use of prescription painkillers among youth and young adults, and Youth Leadership Institute (16-431) to reduce alcohol use among youth and young adults.
On June 20, 2017, the Board approved Amendment I to Agreement Nos. 16-430 and 16-431 to update contract sections that were no longer current or applicable, or were not included in the original agreement.
On May 7, 2019, your Board approved Amendment II to Agreement Nos. 16-430 and 16-431 to update sections in the agreements to ensure the Agreements accurately cite current laws and policies and meet requirements of the State-County Substance Abuse Prevention and Treatment contract, and the Drug Medi-Cal Organized Delivery System (DMC-ODS) Intergovernmental Agreement the County holds with the DHCS.
On April 28, 2020, your Board approved Amendment III to Agreement Nos. 16-430 and 16-431 to extend services for one additional fiscal year. The extension allowed for services to be provided to existing clients due to the COVID-19 pandemic and allow for the Department to work on the competitive bid process.
Historically, regulations required a minimum 20% of a county’s SABG funding be allocated to SUD primary prevention. On August 24, 2020, DHCS issued Behavioral Health Information Notice (IN) 20-047 informing counties of changes to SUD Primary Prevention funding requirements which increased the allocation amount for SUD primary prevention to 25%. The increase in county primary prevention allocation from 20% to 25% is part of an effort to ensure that California meets federal requirements. The 5% SABG increase ($189,352) would need to be utilized for SUD primary prevention services and expended in FY 2020-21. Funds which are not expended would revert to the State.
Currently, SABG funds dedicated to SUD prevention services are divided evenly between programs that address the three SUD prevention areas which include alcohol, marijuana and prescription drug abuse prevention. If approved, the 5% SABG increase will be divided evenly among the existing prevention programs. The increased funds would enhance current services and assist with media outreach during the COVID-19 pandemic.
REFERENCE MATERIAL:
BAI #31.1, April 28, 2020
BAI #47, May 7, 2019
BAI #43, June 20, 2017
BAI #37, July 12, 2016
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Amendment IV to Agreement No. 16-430
On file with Clerk - Amendment IV to Agreement No. 16-431
CAO ANALYST:
Ronald W. Alexander