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Home My WebLink AboutSTATE DPH-Allocation Award for the Black Infant Health Program_D-22-619.pdf COU Y Count of Fresno Hall of Records,Room301 2281 Tulare Street Fresno,California �° Board of Supervisors 93721-2198 O i856 0 Telephone:(559)600-3529 Minute Order Toll Free: 1-800-742-1011 www.co.fresno.ca.us March 28, 2023 Present: 5- Supervisor Steve Brandau,Vice Chairman Nathan Magsig, Supervisor Buddy Mendes, Supervisor Brian Pacheco,and Chairman Sal Quintero Agenda No. 46. Public Health File ID: 23-0073 Re: Accept a retroactive allocation award from the California Department of Public Health for the Black Infant Health program, effective July 1, 2022 through June 30,2023($2,226,936); make a finding that it is in the best interest of the County to suspend the competitive bidding process consistent with Administrative Policy No. 34 for unusual or extraordinary circumstances as BLACK Wellness& Prosperity Center is able to provide education and support centered around Black/African American maternal and infant health, aligning with the Black Infant Health program;and approve and authorize the Chairman to execute a retroactive Agreement with BLACK Wellness&Prosperity Center for the provision to improve infant and maternal health of Black Birthing People by promoting health knowledge and healthy behaviors,effective March 14, 2023 through June 30, 2024,with the option to extend two additional 12-month periods,total not to exceed$500,000 APPROVED AS RECOMMENDED Ayes: 5- Brandau, Magsig, Mendes, Pacheco,and Quintero Agreement No.23-128 County of Fresno Page 48 coU�� Board Agenda Item 46 O 1856 O DATE: March 28, 2023 TO: Board of Supervisors SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health SUBJECT: Retroactive Agreement with BLACK Wellness & Prosperity Center RECOMMENDED ACTION(S): 1. Accept a retroactive allocation award from the California Department of Public Health for the Black Infant Health program, effective July 1,2022 through June 30, 2023 ($2,226,936). 2. Make a finding that it is in the best interest of the County to suspend the competitive bidding process consistent with Administrative Policy No.34 for unusual or extraordinary circumstances as BLACK Wellness & Prosperity Center is able to provide education and support centered around Black/African American maternal and infant health, aligning with the Black Infant Health program. 3. Approve and authorize the Chairman to execute a retroactive Agreement with BLACK Wellness &Prosperity Center for the provision to improve infant and maternal health of Black Birthing People by promoting health knowledge and healthy behaviors,effective March 14, 2023 through June 30,2024,with the option to extend two additional 12-month periods,total not to exceed $500,000. There is no additional Net County Cost associated with the recommended actions. Approval of the first recommended action will provide the Department of Public Health (Department)with the normal yearly ongoing allocation and a one-time additional funding for the California Department of Public Health (CDPH)- Black Infant Health (program)aimed to improve black infant birth outcomes and reducing black maternal and infant mortality.Approval of the second and third recommended actions will allow the County to partner with BLACK Wellness & Prosperity Center(BWPC)to engage the Black or Black Ancestry community to support Black Birthing families' health and well-being with education and outreach efforts.Additionally, the partnership will support efforts to educate the public about the factors leading to the disparities in Black maternal and infant birth outcomes by providing consistent and culturally responsive information and promote enrollment in the CDPH - BIH program and other available resources. This item is countywide. ALTERNATIVE ACTION(S): There are no viable alternative actions. Should your Board not approve the recommended actions, the Department will not be able to accept the additional one-time funding for the BIH program for FY 2022-23. Should your Board not approve recommended action two and three, the Department will not be able to utilize the additional funding to partner with BWPC to serve and provide education and outreach efforts to Black Birthing families, to improve birth outcomes in the Black/African American community. SUSPENSION OF COMPETITION/SOLE SOURCE CONTRACT: The Department requests to suspend the competitive bidding process consistent with Administrative Policy No. 34 under unusual and extraordinary circumstances as BWPC specializes in education and support County of Fresno page I File Number:23-0073 File Number:23-0073 centered around Black/African American maternal and infant health, aligning with the BIH program. BWPC is dedicated to improving birth outcomes in the Black/African American community and identifying additional ways to provide support and access to needed services. BWPC's unique qualities include a website that provides a variety of support, utilizing their comprehensive maternal and child health and prenatal/postpartum care resources. The website is also a hub for public health information and advocacy tools for Black/African American birthing individuals in health care settings. BWPC also has a BLACK Mobile Health Unit, a vehicle equipped to complement the doula training program and host community health education events for Black/African American birthing people and their families. The Internal Service Department- Purchasing concurs with the Department's request to suspend the competitive bidding process. RETROACTIVE AGREEMENT: The Department received the FY 2022-23 BIH expansion approval letter on November 18, 2022. The recommended Agreement is retroactive to March 14, 2023 due to the length of time required to prepare the agreement and have it reviewed and approved in accordance with the agenda item processing time. FISCAL IMPACT: There is no increase in Net County Cost associated with the recommended actions. Funding for the agreement is being made through a one-time funding opportunity from the CDPH - BIH grant. CDPH first awarded $938,936 to the Department's BIH program for FY 2022-23 and recently awarded an additional $1,288,000 in State General Fund (SGF)to the BIH program for FY 2022-23 to be utilized solely for the purpose of improving Black infant birth outcomes and reducing black maternal and infant mortality through the expansion of the exiting BIH program. The CDPH intends to continue supporting these activities through the ongoing BIH allocation in future years. The new total award allocation for the Department's BIH program for FY 2022-23 is $2,226,936. The maximum payable under the third recommended action is$500,000. There are sufficient appropriations and estimated revenue in the Department's Org 5620 FY 2022-23 Adopted Budget and will be included in future budget requests for the duration of the contract. DISCUSSION: On November 8, 2022, your Board approved Agreement No.A-22-513, approving a retroactive revenue Agreement with CDPH for the Maternal, Child and Adolescent Health (MCAH) program ($7,771,084)and BIH program ($1,230,267), effective July 1, 2022 through June 30, 2023. For over three decades, CDPH funding has supported the Department's BIH programs in providing outreach, home visitation, health education and linkage to community resources for pregnant and parenting Black/African American women and their families. In FY 2021-22, the BIH program served 106 women through an 18-group series,with 77 women served through the Group/Life Planning Model and 29 women were served through the Case Management Only Model. BWPC was established in 2019 with the implementation of Fresno's first Black Maternal Health Week and created Fresno's first BLACK Maternal Child Health &Wellness (BMHW) kit that serviced 1,000 Black, Indigenous, People of Color(BIPOC) mothers. BWPC has extensive and authentic experience in designing and implementing comprehensive interventions focusing on decreasing health disparities in Fresno's Black community and building a foundational vision of Black-centered public health. Over the past years, BWPC has been conducting research with Black women and doulas to understand the gaps, barriers, and opportunities and use these insights to inform scalable policy solutions and changes in health care systems. BWPC led the"Ready for Baby- Learn the Facts!"campaign focused on the Black pregnant population. BWPC have their own BLACK Mobile Health Unit, a vehicle equipped to complement the doula training program and host community health education events for Black Birthing people and Black families in their neighborhood. The design replicates a hospital-based delivery room, intended to enable doula candidates to familiarize themselves with a hospital environment and equipment. The doula focused provider training and County of Fresno page 2 File Number.23-0073 File Number:23-0073 resources prepares licensed providers for the integration of doulas into the payor and the impact of Medi-Cal expansion covering doula services. The provider-informed training resources cover doula scope of practice under the new Medi-Cal benefit and the role of doulas, and the patient-care coordination opportunities in improving patient experiences. The doula operation feed into the key infrastructure development operation which is the BLACK Doula Network(Network). The Network is a muti-faceted approach aimed to increase access to culturally relevant community-based doula-care among Black Birthing persons in Fresno. Approval of the recommended actions will allow the Department to accept the additional funding from CDPH and utilize the funds to partner with BWPC to engage the Black or Black Ancestry community to support Black Birthing families' health and well-being with education and outreach efforts, educate the public about the factors leading to the disparities in Black maternal and infant birth outcomes by providing consistent and culturally responsive information, and promote enrollment in the CDPH- BIH program. The agreement contains non-standard language allowing the contractor to request an advance payment up to 25% of the maximum compensation. The agreement also contains a budget modification clause allowing the Director to approve changes to budget line items of up to 10% of the maximum compensation with no change to the agreement maximum payable amount. REFERENCE MATERIAL: BAI #33, November 8, 2022 ATTACHMENTS INCLUDED AND/OR ON FILE: Suspension of Competition Acquisition On file with Clerk-Agreement with BLACK Wellness & Prosperity Center On file with Clerk-Award Allocation with CDPH CAO ANALYST: Ron Alexander County of Fresno Page 3 File Number:23-0073 D-22-619 State of California—Health and Human Services Agency ` California Department of Public Health �5 TNT, CDPH TOMAS J.ARAGON,M.D.,Dr.P.H GAVIN NEWSOM Director and State Public l*alth officer Governor November 17, 2022 MCAH Directors and BIH Coordinators: NOTICE OF INTENTTO AWARD: ALLOCATION FOR THE BLACK INFANT HEALTH PROGRAM (BIH), FISCAL YEAR 2022—2023. The California Department of Public Health, Maternal, Child and Adolescent Health (CDPH/MCAH) Division intends to award your local health department Black Infant Health Program (BIH)funding for administration and expansion of BIH,aligning with budget language that amends the MCAH allocation for Local Health Jurisdictions that currently receive State General Fund allocations for the Black Infant Health program. This funding is to be utilized solely for the purpose of improving black infant birth outcomes and reducing black maternal and infant mortality through the expansion of the existing BIH program. To carry out the program(s) outlined in the SOW and Budget(s) and expand the capacity to work toward the Participant Service Goal during the period of November 14, 2022 through June 30, 2023, the CDPH/MCAH Division will reimburse expenditures up to the amounts listed in the attached allocation table. The availability of BIH State General Funds are based upon funds appropriated in the FY 2022-23 Budget Act. Reimbursement of invoices is subject to compliance with all federal and state requirements pertaining to the CDPH/MCAH related programs and adherence to all applicable regulations, policies and procedures. Please ensure that all necessary individuals within your Agency are notified of this intent. If you have any questions, please submit them to Blackinfanthealth@cdph.ca.gov within 15 calendar days from the date of this letter. Sincerely, � %1 Artnecia Ramirez, Assistant Division Chief Maternal, Child and Adolescent Health Center for Family Health California Department of Public Health CDPH Maternal, Child and Adolescent Health Division/Centerfor Family Health MS 8300• P.O. Box 997420 • Sacramento,CA 95899-7420 (916)650-0300 • (916)650-0305 FAX g a Internet Address:www.cdph.ca.gov y`��.lrcmau�o FY 22-23 Allocation Table Local Health Jurisdiction Total Allocation 22-23 Participant Service Goal San Francisco $1,698,762 153 Santa Clara $1,653,562 145 Contra Costa $1,696,936 176 Fresno $2,226,936 216 Kern $834,936 146 Long Beach $2,391,736 168 San Joaquin $1,651,736 168 Alameda $993,159 194 Riverside $2,391,905 319 San Diego $1,849,505 223 Sacramento $2,157,427 324 San Bernardino $2,422,977 371 Los Angeles $3,068,648 515 Page 2 of 2 Award Allocation Between the County of Fresno and the California Department of Public Health Name/No.: CDPH Maternal, Child and Adolescent Health (MCAH) Division Award Allocation for Black Infant Health (BIH) Program Expansion Funding Fund/Subclass: 0001/10000 Organization #: 56201700 Revenue Account #: 3530