HomeMy WebLinkAboutBoard Approval-60 Notice to Terminate_A-13-214.pdf coU Y Count of Fresno Hall of Records, Room301
2281 Tulare Street
Fresno,California
!" Board of Supervisors 93721-2198
O 183G O
Telephone:(559)600-3529
FRB`'' Minute Order Toll Free: 1-800-742-1011
www.co.fresno.ca.us
June 20, 2023
Present: 5- Supervisor Steve Brandau,Vice Chairman Nathan Magsig, Supervisor Buddy Mendes,
Supervisor Brian Pacheco, and Chairman Sal Quintero
Agenda No. 66. Public Health File ID:23-0396
Re: Authorize the Director of the Department of Public Health, or designee,to provide sixty(60)days
written notice to the Internal Revenue Service of its intent to terminate Agreement No. 13-214,
pursuant to the Duration of the Agreement provision of the Agreement
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero
County of Fresno Page 68
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Board Agenda Item 66
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DATE: June 20, 2023
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Termination of Agreement No. 13-214 with the Internal Revenue Service
RECOMMENDED ACTION:
Authorize the Director of the Department of Public Health, or designee,to provide sixty(60) days
written notice to the Internal Revenue Service of its intent to terminate Agreement No. 13-214,
pursuant to the Duration of the Agreement provision of the Agreement.
There is no additional Net County Cost associated with the recommended action. Approval of the
recommended action will allow the County to formally terminate evergreen Agreement No. 13-214 with the
Internal Revenue Service (IRS), a Memorandum of Understanding (MOU)which allows the County to
transfer prophylactic medications and medical supplies made available from the Centers for Disease
Control and Prevention's (CDC) Strategic National Stockpile (SNS), through the California Department of
Public Health (CDPH)to IRS campus sites located in Fresno. The MOU enabled those campus sites to
operate as Closed Points of Dispensing in the event of a bioterrorist event. Approval will also authorize the
Director of the Department, or designee, to provide a 60-day written notice to the IRS of its intent to
terminate the agreement. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, the agreement with the IRS would remain in effect
and would continue to consume a minimal amount of departmental staff time.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action.
DISCUSSION:
On April 23, 2013, your Board approved Agreement No. 13-214 with the IRS, a no cost evergreen MOU
designed to provide the three IRS Fresno Campus sites with prophylactic medications and medical supplies
made available from the CDC's SNS in the event of a catastrophic biological incident or other public health
emergency requiring mass dispensing of medications and/or medical supplies. Upon receipt, the IRS would
use the medical prophylaxis for internal distribution to an estimated 8,100 employees and contractors and
their 32,400 family members in a Closed Point of Dispensing (CPOD). A Point of Dispensing (POD)site is
a location used to dispense medication on a large scale to members of the public who may have been
affected by a bioterrorist event, such as release of anthrax, or other health threat that requires rapid
distribution of medication or vaccine. A CPOD is a dispensing site that has partnered with the Department
of Public Health (Department)that limits its distribution to a specific organization's population, such as IRS
employees and their families,where that organization also takes responsibility for distribution of medication
County of Fresno Page 1 File Number.23-0396
File Number:23-0396
to its population.
In July 2022, Department staff contacted the IRS concerning a need to update the MOU and estimated
numbers of affected staff and family members following the closure of the IRS' Butler Avenue processing
center in November 2021. In October 2022, the Department was informed via email that the IRS no longer
supports its CPOD initiative. Department staff have attempted to contact IRS staff numerous times since
receiving this information, but have been unsuccessful in obtaining a formal letter from the IRS requesting
termination of the MOU.
Pursuant to the terms of the MOU, the MOU "remains in effect indefinitely unless so modified, changed,
amended or terminated in writing by either party with 60 days notice". Your Board's approval of the
recommended action would initiate a 60-day written notice to the IRS of the County's intent to terminate
Agreement No. 13-214 in accordance with the termination provision of the Agreement.
REFERENCE MATERIAL:
BAI#47,April 23, 2013
CAO ANALYST:
Ron Alexander
County of Fresno page 2 File Number:23-0396