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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
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Health Services Agency
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DATE:
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August 16, 2004
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BOARD MEETING DATE:
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August 31, 2004
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TO:
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Honorable Board of Supervisors
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FROM:
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Charlene A. Silva, Director of Health Services
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Brian Zamora, Director, Public Health and Environmental Protection
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SUBJECT:
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Amendment A-5 to the Agreement with the California Department of Health Services for the State AIDS Master Grant Agreement.
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Recommendation
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Adopt a resolution authorizing the President of the Board to execute Amendment A-5 to the Agreement with the California Department of Health Services (CDHS) for the State AIDS Master Grant Agreement (MGA) for Fiscal Years 2001-04.
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Background
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CDHS 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 an agreement with CDHS for $4,859,328 for the term July 1, 2001 through June 30, 2004 to fund the above-mentioned services. Your Board approved amendment A-1, decreasing the budget for the Education and Prevention section of the Agreement by $101,763, on May 7, 2002. Amendment A-2 increased the Counseling and Testing section of the Agreement by $37,000 and was approved by your Board on August 20, 2002. The case management section of the agreement was decreased by $26,412 and additional funds in the amount of $4,940 for implementation of the Evaluating Local Interventions information system were included in Amendment A-3 and approved by your Board on October 22, 2002. On June 10, 2003 your Board approved amendment A-4, which increased funds to the Evaluating Local Interventions section of the Agreement by $4,940.
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Discussion
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Amendment A-5, which was received by San Mateo County AIDS Program from the CDHS at the end of June 2004, decreases funding for the Education & Prevention section of the Agreement by $45,793, increases funding for the Case Management section by $6,000, and provides information for billing changes in the HIV Counseling and Testing section of the Agreement.
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Outcome Measures
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Measure
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Actual
2003-04
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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
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25,000
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Number of clients contacted by the outreach intervention and testing referral team who will subsequently follow through for HIV testing
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2,184
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County Counsel has reviewed and approved this amendment to the agreement.
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Vision Alignment
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The contract with the California 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 HIV/AIDS.
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Fiscal Impact
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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, Amendment A-3 decreased the agreement by $21,472, Amendment A-4 added $4,940 and Amendment A-5 decreases the agreement by $39,793, for a new total contract amount of $4,738,240. The amount of funds added and decreased by this amendment were included in the AIDS Program budget for Fiscal Years 2002-03 and 2003-04. There is no net county cost associated with this amendment.
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