COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Services Agency

DATE:

April 19, 2002

BOARD MEETING DATE:

May 7, 2002

TO:

Honorable Board of Supervisors

FROM:

Margaret Taylor, Director of Health Services

Brian Zamora, Director, Public Health and Environmental Protection

SUBJECT:

Amendment A-1 to the 2001-2004 State AIDS Master Grant Agreement

Recommendation

Adopt a resolution authorizing the President of the Board to execute amendment A-1 to the 2001-2004 agreement with the State Department of Health Services for the State AIDS Master Grant Agreement (MGA).

Background

The State AIDS MGA provides funding for several programs including the Early Intervention Program, AIDS case management, AIDS surveillance, HIV anonymous testing, high risk testing outreach, a youth social marketing campaign, and HIV prevention education services.

On August 14, 2001, your Board approved Resolution No. 64676 authorizing an agreement for $4,859,328 in AIDS MGA funds for the term July 1, 2001 through June 30, 2004, which fund the above-mentioned services.

Discussion

The State Office of AIDS has advised the AIDS Program that the budget for the Education and Prevention section of the AIDS MGA was decreased by 10%, or $33,921, for each budget year. This is a total of $101,763 for the term of the agreement. During the first year, this was handled by holding a Community Worker II position vacant. In subsequent years, a contract with El Concilio for youth outreach will not be renewed; existing AIDS Program staff will provide this service. Although we were notified of this budget cut in July 2001, the AIDS Program did not receive the Standard Agreement Amendment until March 2002. This reduction in funding was included in the final budget changes for FY 2001-02.

Performance Measures

The following are the outcome objectives related to this reduction in funding that were measured in 2000-01 and will be measured in 2001-02.

Objective

2000-01

Actual

2001-02

Projected

Number of contacts made with high risk individuals (by AIDS Program and contractor outreach and prevention services teams) who will be counseled and referred for testing

39,851

34,800*

*We originally planned to provide 40,200 units. The reduction in the number of contacts is in line with the reduction in funding.

Vision Alignment

The contract with the State Department of Health Services keeps the commitment of ensuring basic health and safety for all and goal number 5: Residents have access to healthcare and preventive care. It also keeps the commitment of goal number 8: Help vulnerable people - the aged, disabled, mentally ill, at-risk youth and others - achieve a better quality of life. The contract contributes to these commitments and goals by preventing HIV and improving the quality of life for those living with the disease.

Fiscal Impact

This amendment does not alter the term of the original agreement, which is July 1, 2001 through June 30, 2004. The total amount of the agreement has been decreased by $101,763; from $4,859,328 to $4,757,565. There is no net county cost.