HomeMy WebLinkAboutDepartment of Health Human SErvices-Centers for Disease Control and Prevention-Health Promotion for Capacity Building to fight COVID-19 Existing Health Disparities-A-23-137 A-21-265 A-23-136.pdf cotj Hall of Records,Room 301
County of Fresno 2281 Tulare Street
Fresno,California
Board of Supervisors 93721-2198
O� t85 0 Telephone:(559)600-3529
FRE`' 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. 49. Public Health File ID: 23-0175
Re: Approve and authorize the Chairman to execute a retroactive Amendment to the Notice of Award and
Agreement No. 21-265 with the United States Department of Health and Human Services, Centers for
Disease Control and Prevention effective October 24, 2022 to extend the Agreement term by twelve
(12)months from June 1, 2023 to May 31,2024,with no change to the maximum compensation of
$7,897,935; and approve and authorize the Chairman to execute a retroactive Amendment to the
Notice of Award and Agreement No. 21-265 with the United States Department of Health and Human
Services, Centers for Disease Control and Prevention effective February 2,2023 to amend the budget
with no change to the term of June 1, 2021 through May 31, 2024,or maximum compensation of
$7,897,935
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco,and Quintero
Agreement No.23-136,Agreement No.23-137
County of Fresno Page 51
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Board Agenda Item 49
0 1856 0
� FRE`'1s
DATE: March 28, 2023
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Retroactive Amendments to Revenue Agreement with the United States
Department of Health and Human Services
RECOMMENDED ACTION(S):
1. Approve and authorize the Chairman to execute a retroactive Amendment to the Notice of
Award and Agreement No. 21-265 with the United States Department of Health and Human
Services, Centers for Disease Control and Prevention effective October 24, 2022 to extend
the Agreement term by twelve (12) months from June 1, 2023 to May 31, 2024,with no change
to the maximum compensation of$7,897,935.
2. Approve and authorize the Chairman to execute a retroactive Amendment to the Notice of
Award and Agreement No. 21-265 with the United States Department of Health and Human
Services, Centers for Disease Control and Prevention effective February 2, 2023 to amend
the budget with no change to the term of June 1,2021 through May 31, 2024, or maximum
compensation of$7,897,935.
There is no additional Net County Cost associated with the recommended actions. The recommended
actions will allow the County to extend the agreement term by twelve months and amend the budget to
carryover unspent funds into years two and three, while also readjusting line-item amounts to fulfill Year 3
scope of work activities. The recommended actions are fully funded with existing grant funds. This item is
countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended actions, Federal funding would end on May 31, 2023, and
the awarded amount of$7,897,935 would not be fully expended.Additionally, agreements under the
Department's Health Disparities program would end on May 31, 2023, which would shorten their
implementation period and not allow maximum utilization of their full contract amounts.
RETROACTIVE AGREEMENT:
The recommend actions are retroactive to October 24, 2022, and February 2, 2023, the dates the
Department was notified of being awarded the no cost extension and budget amendments. The October 24,
2022 dated amendment was delayed for submission to your Board, as the Department was awaiting a
pending second amendment to be provided by the funding agency, which would allow both amendments to
be submitted for Board approval simultaneously.
FISCAL IMPACT:
County of Fresno page 1 File Number.23-0175
File Number.-23-0175
There is no increase in Net County Cost associated with the recommended actions. The recommended
amendments do not result in a change to the maximum agreement amount($7,897,935),which will be fully
offset with federal grant funds. Sufficient appropriations and estimated revenues are included in the
Department of Public Health's Org 5620 FY 2022-23 Adopted Budget and will be included in the
Department's FY 2023-24 budget request.
DISCUSSION:
On July 13, 2021, your Board retroactively approved Agreement No. 21-265 which allowed the County to
accept the grant award for a non-competitive National Initiative to Address COVID-19 Health Disparities
Among Populations at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and
Rural Communities grant(CDC-RFA-OT21-2103)through the United States Department of Health and
Human Services, Centers for Disease Control and Prevention. The grant awarded was in the amount of
$7,897,935 for the period from June 1, 2021, through May 31, 2023.
On October 4, 2022, the Department applied for a 12-month No Cost Extension of the grant funding to
account for a delayed start of program implementation due to the County's late acceptance of funds and the
length of time required to complete the County's procurement process and select subcontractors to be
funded by the grant funds. On October 24, 2022, the Department received an amended Notice of Award
approving the Department's requested No Cost Extension submission.
On January 23, 2023, the Department applied for a Budget Redirection in order to adjust the previously
submitted grant budget to account for the approved 12-month extension. On February 2, 2023, the
Department received an amended Notice of Award approving the Department's requested Budget
Redirection submission.
Approval of the recommended actions will allow the Department and subcontractors adequate time and
resources to fully execute the scope of work activities currently in progress, which include:
• Alignment of regional health equity activities as well as health equity objectives from the California
Department of Public Health.
• Integration of an information exchange system for the County.
• Implementation of community health worker interventions to address social determinants of health
and COVID-19 health related disparities.
All activities are currently at various stages of implementation; approving the recommended actions will
provide additional time for more robust data to be collected, improved outcomes and allow for maximal
utilization of grant funds.
The recommended Amendments do not include the County's standard insurance language and limits.
However,the grantor's full terms and conditions were previously reviewed by Risk and Counsel and
accepted when the Agreement was approved on July 13, 2021, as the Department is the recipient of grant
funding from a federal agency.
REFERENCE MATERIAL:
BAI #43, July 13, 2021
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk-Amendment with DHHS CDC (No Cost Extension Notice of Award)
On file with Clerk-Amendment with DHHS CDC (Budget Redirection Notice of Award)
CAO ANALYST:
County of Fresno page 2 File Number.23-0175
File Number:23-0175
Ron Alexander
County of Fresno Page 3 File Number:23-0175
Agreement No. 23-137
DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 6 NH750T000007-01-02
Centers for Disease Control and Prevention FAIN# NH750T000007
Federal Award Date: 02/02/2023
Recipient Information Federal Award Information
1. Recipient Name 11.Award Number
COUNTY or FRESNO 6 N1-175o•r000007-01-02
1221 Fulton Mall
12.Unique Federal Award Identification Number(FAIN)
N11750T000007
Fresno,CA 93721-1915 13.Statutory Authority
3I7(K)(2)OF PHSA 42USC 247B(K)(2)
14.Federal Award Project Title
2. Congressional District of Recipient Fresno County's Initiative to Address COVID-19 Related health Disparities
16
3. Payment System Identifier(ID)
1946000512A3 15.Assistance Listing Number
4. Employer Identification Number(EIN) 93.391
946000512 16.Assistance Listing Program Title
5. Data Universal Numbering System(DUNS) Activities to Support State,Tribal,Local and Territorial(STLT)I lealth Department Response to Public
556197655 Health or Healthcare Crises
6. Recipient's Unique Entity Identifier(UEI) 17.Award Action Type
GLP5P7_LNSLEI Budget Revision
7. Project Director or Principal Investigator 18.is the Award R&D?
No
Mrs.Melanie Ruvalcaba
Division Manage" Summary Federal Award Financial Information
nnruvalcabaOfresnocountyca.;ov 19. Budget Period Start Date 06/01/2021 -End Date 05MU2024
5596006449
8. Authorized Official 20. Total Amount of Federal Funds Obligated by this Action S0.00
20a.Direct Cost Amount $47,500.71
Mr.David Luchini 20b.Indirect Cost Amount (C47,500.71)
Assirnnt Director
cltuchiuit<i)fresnocounlyeu.gov 21. Authorized Carryover S0.00
559-600-6402 22. Offset $0.00
23. Total Amount of Federal Funds Obligated this budget period S7,897,93 5.00
Federal Agency Information
24. Total Approved Cost Sharing or Matching,where applicable SO.00
CDC Office of Financial Resources
25. Total Federal and Non-Federal Approved this Budget Period $7,997,935.00
9. Awarding Agency Contact Information 26. Period of Perfomance Start Date 06/01/2021 -End Date 0 5/3 11202 4
Jo-Anne Saunders
Grants M;magenent Specialist
27. Total Amount of the Federal Award including Approved
Cost Sharing or Matching this Period of Performance S7,397,93i.00
srq 1(h?cdagov
40449852 35
28.Authorized Treatment of Program Income
10.Program Official Contact Information ADDITIONAL COSTS
I lcnry Anaya 29.Grants Management Officer-Signature
I'rorant Officer
IN4s.Ester Edward
syz4 u!cdc.gov
Grants Mauaaemeut Ol"iccr
-101-495-0421
30.Remarks
Page 1
DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Centers for Disease Control and Prevention Award# 6 NH750T000007-01-02
FAIN# NH750T000007
Federal Award Date: 02/02/2023
Recipient Information 33. Approved Budget
(Excludes Direct Assistance)
Recipient Name I. Financial Assistance from the Federal Awarding Agency Only
COUNTY OF FR1:SNo II. Total projectcosts including grant funds and all other financial participation
1221 Fulton,Niall a. Salaries and Wages g $488,851.64
Fresno.CA 93721-1915
b. Fringe Benefits S361,862.3S
c. Total Personnel Costs $S50,714.02
Congressional District of Recipient d. Equipment s5o,000.00
16 e. Supplies S45,895.52
Payment Account Number and Type f. Travel .
S7,253 19
1946000512A3 g, Construction SO.oU
Employer Identification Number(EIN)Data
946000512 h. Other $483,050.04
Universal Numbering System(DUNS) i. Contractual
556197655
Recipient's Unique Entity Identifier (UEI) j. TOTAL DIRECT COSTS $7,726,743.71
GLPSP/..LWS%GI
k. INDIRECT COSTS $171,191.29
31.Assistance Type 1. TOTAL APPROVED BUDGET $7,897,935.00
Project Grant
in. FederalShare $7,897,935.00
32.TypeofAward
Other n. Non-Federal Share $0.00
34.Accounting Classification Codes
FY-ACCOUNT NO. DOCUMENT NO. ADMINISTRATIVE CODE OBJECT CLASS CFDA NO. AMT ACTION FINANCIAL ASSISTANCE APPROPRIATION
1-93901-106 21NI17501'000007C5 OT 4151 93.391 $0.00 75-2122-0140
Page 2
DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Centers for Disease Control and Prevention Award# 6 NH750T000007-01-02
FAIN# NH750T000007
Federal Award Date: 02/02/2023
Direct Assistance
BUDGET CATEGORIES PREVIOUS AMOUNT(A) AMOUNT THIS ACTION(B) TOTAL(A+B)
Personnel $0,00 $0.00 $0.00
Fringe Bencrtts $0.00 $0.00 $0.00
Travel $0.00 $0.00 $0.00
Equipment $0.00 $0.00 $0.00
Supplies $0.00 $0.00 $0.00
Contractual $0,QQ $0.00 $0.00
Construction $0.00 $0.00 $0.00
Other $0.00 $01.001 $0.00
Total $0.00 $0.001 $0.00
Page 3
AWARD ATTACHMENTS
COUNTY OF FRESNO 6 NH75OT000007-01-02
1.Terms and Conditions
REVISED TERMS AND CONDITIONS OF AWARD
Redirection Request: The purpose of this amended Notice of Award is to approve the redirection request
submitted by your organization dated January 23, 2023. Funds have been distributed as indicated in the approved
budget of this Notice of Award.
Stewardship: Please be advised that the recipient must exercise proper stewardship over Federal funds by
ensuring that all costs charged to their cooperative agreement are allowable, allocable, necessary, and
reasonable.
All other terms and conditions issued with the original award remain in effect throughout the budget
period unless otherwise changed in writing, by the Grants Management Officer.
PLEASE REFERENCE AWARD NUMBER ON ALL CORRESPONDENCE
United States Department of Health and Human Services (US DHHS) Centers
for Disease Control and Prevention (CDC) Notice of Award Amendment
Budget Revision to the Notice of Award Agreement with the County of Fresno
Name: US DHHS CDC Fresno County's Initiative to Address COVID-19 Related Health
Disparities Amendment Budget Revision Notice of Award No. 6 NH750T000007-01-02
COUNTY OF FRESNO
I i ero Chairman of the Board of
S ervi of the County of Fresno
Attest:
Bernice E. Seidel
Clerk of the Board of Supervisors
County of Fresno, State of California
By: T`T
Deputy
Fund/Subclass: 0001/10000
Organization #: 56201558
Revenue Account#: 4380