TITLE
Recommendation to authorize City Manager to execute all necessary documents, with the State Department of Health Services for funding the provision of HIV/AIDS preventive health services for an amount not to exceed $6,597,846 for a period of three years, to be appropriated on an annual basis; and increase appropriations in the Health Fund
(SR 130) and the Department of Health and Human Services (HE) by $731,120. (Citywide)
DISCUSSION
For the past 23 years, the State Department of Health Services (State) has contracted with the City to provide HIV/AIDS clinical services, education, outreach, and surveillance activities. The State provides funding for HIV Prevention, HIV Counseling and Testing, AIDS Surveillance, and the Early Intervention Program. The City has received additional funding in the amount of $332,931 per year ($998,793 over 3 years), which has been designated by the State as follows (annually) for the following two components of the program:
Annual Additional New Annual
Funding Funding Funding
Early Intervention/Bridge: $ 590,800 $ 253,950 $ 844,750
HIV/AIDS Surveillance: 240,000 78,981 318,981
Total Per Year: $ 830,800 $ 332,931 $ 1,163,731
The funding levels of the other three components of this program will remain the same, and along with the new increases, amount to the total grant award of $6,597,846 for the three-year period.
Early Intervention Program:
The following outlines the new activities associated with these funds:
AIDS/HIV Early Intervention Program
The Early Intervention Program was established to provide quality of life enhancement to those infected with HIV and to prevent further transmission and acquisition of the virus to those persons at risk. The EIP Program includes medical services, treatment advocacy and health education, case management, risk reduction counseling, partner notification, and services which assist HIV infected individuals with overcoming barriers and assist them with linkages to transition into care and treatment. The new funds will increase our client caseload.
BRIDGE
The HIV/AIDS Bridge Program provides work with the community to link and transition newly diagnosed HIV infected patients into care and treatment. The Bridge Program also assists those HIV infected individuals who fall out of care to overcome barriers and get back into care. This program will be enhanced to increase the outreach and to bring the number of individuals who have been newly diagnosed with HIV/AIDS into medical care. Funds will also provide for enhanced partner counseling and referral services.
HIV/AIDS Surveillance Program
The HIV/AIDS Surveillance Program yields epidemiologic data useful for policy and program development. This data is particularly effective when appropriately analyzed and interpreted, combined with other relevant data, and widely disseminated. For example, AIDS-related data are critical components of the federally funded HIV Prevention Community Planning Process. Community planning work groups use epidemiologic and behavioral data to assess the state's prevention needs and develop a statewide HIV prevention plan. Planning groups at the local level also use local data to establish prevention priorities for their areas. In addition, AIDS case data serves as the basis for allocating federal funds to California under Title II of the Comprehensive AIDS Resources Emergency (CARE) Act and for the state's allocation of these funds to local consortia. Further, AIDS case information has been used to estimate HIV prevalence, analyze HIV disease survival rates, and provide insight into diagnostic practices and access to care. The increased funding will enhance our ability to track and compile HIV/AIDS case data.
This matter was reviewed by Deputy City Attorney Amy Burton on February 26, 2008 and by Budget Division Officer Victoria Bell on March 11, 2008.
TIMING CONSIDERATIONS
Services have been provided under all of the programs related to the agreement since July 1, 2007 but the City will be unable to recover any of the related costs until the agreement is approved. Implementation of this contract was not possible back in July 2007, due to delays at the State level.
FISCAL IMPACT
The increased amount allocated for the Early Intervention/Bridge Program and HIV/AIDS Surveillance Program is $998,883 for three years (an additional $332,931 per year for a new total of $1,163,731 annually). The award amount will be appropriated on an annual basis. Partial funding for these programs is currently budgeted in the Health Fund (SR 130) and in the Department of Health and Human Services (HE). An appropriation increase for the remaining amount of $731,120 is included in the recommendation. There is no City match, and no fiscal impact to the General Fund.
SUGGESTED ACTION
Approve recommendation.
Respectfully Submitted,
Ronald R. Arias
Director Health and Human Services
NAME |
APPROVED: |
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PATRICK H. WEST |
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CITY MANAGER |