DATE: October 19, 2021
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Interim Director, Department of Public Health
SUBJECT: Amendment to the Revenue Agreement with the California Department of Public Health for the Sexually Transmitted Disease Program
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute an Amendment to Revenue Agreement A-20-289 (State Agreement No. 19-10073) with the California Department of Public Health for the Core Sexually Transmitted Disease Program to add optional activities in the scope of work for increased testing utilizing community partners with no change to the grant term of July 1, 2019 through June 30, 2024, or compensation maximum grant funding of $1,260,910.
REPORT
There is no increase in Net County Cost associated with the recommended action. Approval of the recommended action will allow the Department’s sexually transmitted disease (STD) prevention program to enhance STD screening and treatment to the vulnerable populations and subcontract with community-based or other organizations in the County of Fresno. This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. Should your Board choose not to approve the recommended action, the Department would not be able to add additional STD screening and treatment to identified vulnerable populations or subcontract with community-based or other organizations to ensure success of core STD program functions.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The amendment will add optional activities in the scope of work with no change in the term (July 1, 2019 through June 30, 2024) or compensation ($1,260,910).
The existing agreement allows full indirect cost recovery up to 22.579% of salaries and benefits. Sufficient appropriations and estimated revenues are included in the Department’s Org 5620 FY 2021-22 Adopted Budget and will be included in subsequent budget requests.
DISCUSSION:
On August 4, 2020, your Board approved a Revenue Agreement (A-20-289) with the California Department of Public Health (CDPH) to provide continued funding from the CDPH to the Department’s STD prevention program for staff, services and supplies to support evidence-based approaches to STD surveillance, investigation and treatment, with an emphasis on syphilis, gonorrhea, and chlamydia infections.
The Department has received funding from CDPH since 1998 to support STD prevention and control activities. Chlamydia, gonorrhea, and syphilis, including congenital syphilis, remain the most commonly reported communicable disease in the County. The recommended amendment to the Core Management agreement will allow funding to be used for enhanced STD screening and testing to vulnerable populations in high prevalence non-clinical settings such as: the jail and juvenile detention centers, as well as allow for mobile testing among homeless encampments. The amendment will also allow for the Department to subcontract with community-based or other organizations to assist the County, in ensuring the success of core STD program functions.
This agreement deviates from the County’s standard agreement language as the agreement stipulates a dispute resolution process in which the State and County must partake to informally resolve any disputes arising from the State’s actions. The agreement also contains non-standard County general indemnification and intellectual property indemnification provisions which require the County to indemnify the State. The agreement may be cancelled or terminated without cause by the State with 30 calendar days advanced written notice. The State may also cancel immediately for cause. The County may cancel only if the State fails to perform its responsibilities.
REFERENCE MATERIAL:
BAI #43, August 4, 2020
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Amendment to Agreement with CDPH for STD Core Program Management
CAO ANALYST:
Ron Alexander