COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

August 9, 2005

BOARD MEETING DATE:

September 13, 2005

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director, Health Department

Brian Zamora, Director, Public Health and Environmental Protection

SUBJECT:

Amendment A01 to the Agreement with the California Department of Health Services

RECOMMENDATION:

Adopt a resolution Authorizing the President of the Board to execute amendment A01 to the agreement with the California Department of Health Services (CDHS), decreasing funding for the HIV Prevention Section of the Agreement by $42,152, for a new total contract amount of $4,144,018 with no change to the term.

VISION ALIGNMENT:

Commitment: Ensure basic health and safety for all.

Goal(s) 5 & 8: Residents have access to healthcare and preventive care; and help vulnerable people – the aged, disabled, mentally ill, at-risk youth and others – achieve a better quality of life.

The agreement contributes to these goals by providing education and prevention services to individuals at-risk for transmission of HIV.

Performance Measure(s):

Measure

Actual

2004-05

Projected

2005-06

Number of contacts made with high-risk clients who will be counseled and referred for testing

25,000

25,000

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

2,184

2,190

BACKGROUND:

Since 1993, CDHS has been providing funding to the San Mateo County AIDS Program to provide a continuum of services that include HIV prevention and education, high risk outreach and testing, case management and AIDS surveillance.

On January 4, 2005, your Board approved an agreement with CDHS for $4,186,170 for the term July 1, 2004 through June 30, 2007 to fund the above-mentioned services.

DISCUSSION:

Amendment A01, which was received by San Mateo County AIDS Program from CDHS on June 2005, decreases funding for the HIV Prevention section of the Agreement by $42,152: $21,076 for FY 2005-06 and $21,076 for FY 2006-07. These funds were reduced from the areas of personnel and operating expenses. As a result, the number of interactive skill building group sessions conducted by the AIDS Program staff, was reduced from ten to six. The goal of these sessions is to reduce the harm related to injection drug use behavior. However, even with these minor reductions to the skill building group sessions, it is anticipated that street and community outreach for the other components of the program will continue to meet targets.

County Counsel has reviewed and approved the resolution and amendment to the agreement as to form.

FISCAL IMPACT:

This amendment does not alter the term of the original agreement, which is July 1, 2004 through June 30, 2007. The amount of the original agreement was $4,186,170. Amendment A01 decreases the amount of the agreement by $42,152, for a new total contract amount of $4,144,018. $21,076 was included in the Adopted Budget for FY 2005-06 and $21,076 will be included in the Recommended Budget for FY 2006-07. There is no Net County Cost associated with this amendment.