COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Services Agency

 

DATE:

August 2, 2002

BOARD MEETING DATE:

August 20, 2002

 

TO:

Honorable Board of Supervisors

FROM:

Margaret Taylor, Director of Health Services

Brian Zamora, Director, Public Health and Environmental Protection

SUBJECT:

Amendment A-2 to the 2001-2004 State AIDS Master Grant Agreement

 

Recommendation

Adopt a resolution authorizing the President of the Board to execute amendment A-2 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 funds the above-mentioned services. Your Board approved Resolution No. 65232 authorizing amendment A-1 to the MGA on May 7, 2002. Amendment A-1 decreased the budget for the Education and Prevention section of the AIDS MGA by $101,763.

 

Discussion

The State Office of AIDS has awarded the AIDS Program an additional $37,000 to the HIV Counseling and Testing section of the AIDS MGA. These funds are designated to increase the reimbursement rate for HIV counseling and testing from $22 to $23 and to add one additional post-disclosure counseling session for high risk HIV clients. This ongoing augmentation will fund additional health outreach services for individuals countywide to reach high risk persons who have not yet been tested for HIV or are newly diagnosed with HIV and require assistance to access HIV services.

 
Performance Measures

The following outcome related to the AIDS Program's overall goal of increasing the quality of life and level of self-sufficiency for people living with HIV/AIDS were measured in 2001-02 and will be measured again in 2002-03.

 

Objective

2001-02

Actual

2002-03

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

20,078

21,483

 

Number of clients contacted by the outreach intervention and testing referral team who will subsequently follow through for HIV testing

1,124

1,202

 
 

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 amount of the original agreement was $4,859,328. Amendment A-1 decreased the amount of the agreement by $101,763. Amendment A-2 adds $37,000 in MGA funds for a total amount of $4,794,565. The additional funds will be added to the San Mateo County AIDS' budget for fiscal year 2002-03, in the September 2002 budget amendments. There is no net county cost.