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COUNTY OF SAN MATEOInter-Departmental Correspondence |
Health Services Agency |
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DATE: |
October 4, 2002 |
BOARD MEETING DATE: |
October 22, 2002 |
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TO: |
Honorable Board of Supervisors |
FROM: |
Margaret Taylor, Director of Health Services |
Brian Zamora, Director, Public Health and Environmental Protection
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SUBJECT: |
Amendment A-3 to the 2001-04 State AIDS Master Grant Agreement |
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Recommendation |
Adopt a resolution authorizing the President of the Board to execute amendment A-3 to the 2001-04 agreement with the State Department of Health Services for the State AIDS Master Grant Agreement (MGA).
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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. |
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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. On August 20, 2002, your Board approved Resolution No. 65507 authorizing amendment A-2 to the MGA for an increase of $37,000 for the HIV Counseling and Testing section. |
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Discussion |
The State Office of AIDS has awarded the AIDS Program $4,940 for the Evaluating Local Interventions Project (ELI) to offset start up and implementation costs of the new requirements imposed by the implementation of the ELI Information system for HIV prevention programs. Funding for the Case Management section of the MGA will be decreased by $26,412: $13,206 in FY 2002-03 and $13,206 in FY 2003-04. The state has reduced the minimum monthly caseload requirement from 25 to 23 clients to address this reduction in funding. |
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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. |
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Objective |
2001-02 Actual |
2002-03 Projected |
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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 |
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Number of clients contacted by the outreach intervention and testing referral team who will subsequently follow through for HIV testing |
1,124 |
1,202 |
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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. |
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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 added $37,000 in MGA funds and Amendment A-3 decreases the amount of the agreement by $21,472 for a total amount of $4,773,093. The additional funds for ELI and the reduction in funding for the Case Management Program have been included in the recommended budget for Fiscal Year 2002-03. The reduction in funding for next year will be included in the budget for Fiscal Year 2003-04. There is no net county cost. |