HomeMy WebLinkAboutSTATE DPH-Tuberculosis Enhanced Prevention and Control Award_A-23-466.pdf ' CoU Hall of Records,Room 301
County of Fresno 2281 Tulare Street
Fresno,California
Board of Supervisors 93721-2198
O� 18560 Telephone:(559)600-3529
,PR Minute Minute Order Toll Free:1-800-742-1011
www.co.fresno.ca.us
September 5, 2023
Present: 5- Supervisor Steve Brandau,Vice Chairman Nathan Magsig,Supervisor Buddy Mendes,
Supervisor Brian Pacheco,and Chairman Sal Quintero
Agenda No. 33. Public Health File ID:23-0838
Re: Approve and authorize the Chairman to execute a retroactive award from the California Department of
Public Health for the Tuberculosis Control Local Assistance Base Award($333,597)and Food,
Shelter, Incentives and Enablers Allotment($19,907),effective July 1,2023 through June 30,2024;
approve and authorize the Chairman to execute a retroactive award from the California Department of
Public Health for Tuberculosis Control and Prevention as part of the Enhanced Prevention and Control
Award ($10,000),effective July 1,2023 through June 30,2024;and approve and authorize the Director
of the Department of Public Health to execute the State Contractor's Release for the final invoices
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco,and Quintero
Agreement No.23-465,Agreement No.23-466
County of Fresno Page 33
co
Board Agenda Item 33
0 1$;6 o
FRE`'�
DATE: September 5, 2023
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Retroactive Revenue Awards from the California Department of Public Health for
Tuberculosis Control Program
RECOMMENDED ACTION(S):
1. Approve and authorize the Chairman to execute a retroactive award from the California
Department of Public Health for the Tuberculosis Control Local Assistance Base Award
($333,597)and Food, Shelter, Incentives and Enablers Allotment($19,907), effective July 1,
2023 through June 30,2024;
2. Approve and authorize the Chairman to execute a retroactive award from the California
Department of Public Health for Tuberculosis Control and Prevention as part of the
Enhanced Prevention and Control Award ($10,000), effective July 1, 2023 through June 30,
2024; and
3. Approve and authorize the Director of the Department of Public Health to execute the State
Contractor's Release for the final invoices.
There is no additional Net County Cost associated with the recommended actions. Approval of the first
recommended action will fund tuberculosis (TB)activities in the Department of Public Health (Department),
which include screening, case management, treatment, contact investigation, and incentives to improve
treatment compliance of TB patients. Expenditures for enticements may include food, shelter, incentives,
and enablers (FSIE)such as fast food, groceries, gift cards, bus transportation, equipment, and supplies.
Approval of the second recommended action will provide additional funding to enhance the capability of TB
prevention and control activities in the County. Approval of the third recommended action will allow the
Director of the Department to execute the Contractor's Release for the final invoice at the close of the grant
term. The activities are funded with State and Federal funding and any additional costs will be covered with
Health Realignment. This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. Should your Board not approve the recommended action, the
Department would be unable to fully fund TB control activities in the County leading to a decrease in the TB
related services that the Department would be able to provide to County residents.
RETROACTIVE AGREEMENT:
The recommended agreements are retroactive to July 1, 2023. The TB Base Award and FSIE Award
agreement was received from CDPH on June 19, 2023, and the Enhanced Prevention and Control Award
was received on July 28, 2023.These are being brought to your Board in accordance with the agenda item
County of Fresno Page I File Number:23-0838
File Number:23-0838
processing timelines.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. The sum of the awards
will provide$363,504 in revenue in the current fiscal year. The Base Award ($333,597)is comprised of State
($142,867) and Federal ($190,730)funds. The additional FSIE allotment($19,907)is comprised fully of State
funds. The Enhanced Prevention and Control Award ($10,000) is fully Federal funds. The Department will
cover any additional costs that may arise with Health Realignment. Sufficient revenues and estimated
appropriations are included in the Department's Org 5620 FY 2023-24 Recommended Budget.
DISCUSSION:
In 2022, the Department's TB Control Program provided treatment, case management, contact
investigation, referral, and follow-up activities for 31 county residents newly diagnosed with active TB.
Department staff also provided care for patients diagnosed prior to 2022 who had not yet completed
treatment. The standard treatment regimens are six to twelve months; however, patients with drug-resistant
TB may be treated as long as two years.Active TB patients receive Directly Observed Therapy(DOT)or
video DOT (vDOT) in which program staff visit or view a daily video recording of patients to ensure ingestion
of appropriate TB medications. TB Control Program staff provided 4,453 DOT visits and 5,007 vDOT
viewings in 2022.
The Department also screened an additional 1,671 new patients with inactive TB or a disease other than TB.
The Department's Hospital Liaison and other TB Control Program staff closely monitored and managed 225
cases of the 1,961 additional cases as follow-up to immigration screening mandated by federal law.
Residents at high risk of developing TB include close contacts to active TB patients and people experiencing
homelessness.Approximately 203 close contacts were evaluated for latent TB infections, and over 276 TB
screenings were conducted on individuals who were identified as homeless. In FY 2022-23, the County
expended an average of$1,362.71 per TB patient for treatment, hospital case management, contact
investigation, and/or screening.
The recommended Agreement deviates from the County's standard indemnification language in that it
requires the County to provide one-way indemnification to the State in the performance of the Agreement.
This language is typically present in State grants. The Department has determined that its acceptance of
the indemnification language is advantageous to the County, as the State-grant is a funding source for
Fresno County's TB control and prevention activities, without which the continued provision of these
services would be negatively impacted.
REFERENCE MATERIAL:
BAI#51, October 25, 2022
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk- Base and FSIE Agreement with CDPH
On file with Clerk- Enhanced Prevention and Control Agreement with CDPH
CAO ANALYST:
Ron Alexander
County of Fresno Page 2 File Number.23-0838
State of California—Health and Human Services Agency
California Department of Public Health
CDPH
TOMAS J.ARAGbN,M.D.,Dr.PH GAVIN NEWSOM
Director and State Public Health Officer Governor
July 28, 2023
Rais Vohra, MD, FACEP, FACMT
Health Officer
County of Fresno, Department of Public Health
1221 Fulton Mall, 6th Floor
Fresno, CA 93721-1915
Dear Dr. Vohra:
LETTER OF AWARD:
ENHANCED PREVENTION AND CONTROL Award Number: EPCF1023
FUNDING PERIOD: July 1, 2023 through June 30, 2024
The California Department of Public Health (CDPH) Tuberculosis Control Branch
(TBCB) is providing additional federal funds for fiscal year (FY) 2023-2024 to enhance
the capabilities of tuberculosis (TB) prevention and control activities in local public
health jurisdictions. The purpose of this letter is to provide information on the
acceptance and use of these funds. This letter does not affect the amount of any
awards previously issued for FY 2023-2024.
ENHANCED PREVENTION AND CONTROL AWARD
The California Department of Public Health (CDPH) Tuberculosis Control Branch
(TBCB) is awarding to the County of Fresno, Department of Public Health an Enhanced
Prevention and Control Award of up to $10,000, comprised of federal funds only.
These funds are being awarded with the understanding that your staff will work with
CDPH TBCB staff in carrying out your program's TB prevention and control efforts.
MANAGING YOUR ENHANCED PREVENTION AND CONTROL AWARD
Requirements for the use of these funds are listed in Part 1 of the FY 2023-2024
Tuberculosis Control Local Assistance Funds Standards and Procedures Manual,
available at https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/TB-Resources-for-
LHDs.aspx. Reimbursement of your expenditures is contingent upon compliance with
these standards and procedures.
* Federal funds fiscal information: Project Grants and Cooperative Agreements for Tuberculosis Control
Programs; CFDA number: 93.116; FAIN number: NU52PS910219
California Department of Public Health . Tuberculosis Control Branch
850 Marina Bay Parkway . Building P, 2nd Floor . Richmond, CA 94804-6403
(510)620-3000 . (510)620-3034 FAX
Internet Address: https://cdph.ca.gov/tbcb z� "�
Rais Vohra, MD, FACEP, FACMT
Page 2
July 28, 2023
Enhanced Prevention and Control funds are meant to enhance the capabilities of local
health jurisdictions by increasing the ability to conduct additional TB prevention and
control activities and cannot replace existing funding or support ongoing activities.
Funds can be used for travel and TB-related trainings, program supplies, subcontracts,
equipment, and food, shelter, incentives and enablers (FSIE). Funds may also support
new personnel activities. These Enhanced Prevention and Control Federal funds cannot
be used for medication.
CDPH TBCB Enhanced Prevention and Control funds may not be used to
supplant existing federal, state, or local health department funds. The use of TB
local assistance funds is intended to enhance local health jurisdiction capacity in
addressing TB control needs, not to displace funds that have been locally
appropriated for the same purposes.
If local health jurisdictions received federal, state, or local funding for TB control
activities, electing to save federal, state, or local funding by substituting CDPH
TBCB local assistance augmentation funds for those TB control activities is
considered supplanting and is not allowed by the federal government.
For more information on allowable expenditures, please refer to page 10 of the FY
2023-2024 Tuberculosis Control Local Assistance Fund Standards and Procedures
Manual.
ENHANCED PREVENTION AND CONTROL AWARD BUDGET
An approved budget is not required to implement this award.
INVOICING ENHANCED PREVENTION AND CONTROL AWARD EXPENDITURES
➢ Please invoice separately for the Enhanced Prevention and Control Award funds; do
not include in your Base Award/RTA invoice. The invoice should be titled
"EPCF1023" with a beginning balance equal to the amount of this letter.
➢ When invoicing for approved expenditures, please:
• Refer to the FY 2023-2024 Tuberculosis Control Local Assistance Funds
Standards and Procedures Manual and invoice templates (link above)
• Bill to: California Department of Public Health, Tuberculosis Control Branch
• Submit on your organization's letterhead, signed electronically or in blue ink
➢ If an invoice will not be emailed by the quarterly due date, please contact your
CDPH TBCB Fiscal Analyst to request an extension.
➢ Invoices for FY 2023-2024 will not be processed until:
• All outstanding invoices from the previous year have been submitted,
• Signed copies of the certifications listed below have been received, and
• CDPH TBCB has received a signed "Acceptance of Award" form.
Rais Vohra, MD, FACEP, FACMT
Page 3
July 28, 2023
ACCEPTING YOUR ENHANCED PREVENTION AND CONTROL AWARD
To acknowledge acceptance of this award and the conditions, please return the
"Acceptance of Award" form with an authorized signature (electronic or in blue ink).
Please submit all documents in electronic form or as a color scanned PDF by email oniy
to TBCB.Awards(a--)cdph.ca.gov
Fiscal questions should be directed to your TBCB Fiscal Analyst. Programmatic
questions should be directed to your TBCB Program Liaison.
Sincerely,
?6Z19t�jv1Q--
Juanita Crosby
Assistant Chief
Agreement No. 23-466
State of California—Health and Human Services Agency
SEAL OF
California Department of Public Health ,
F
C P
TOMAS J.ARAGON,M.D.,Dr.PH GAVIN NEWSOM
Director and State Public Health Officer Governor
ACCEPTANCE OF AWARD
County of Fresno, Department of Public Health
ENHANCED PREVENTION AND CONTROL Award Number: EPCF1023
FUNDING PERIOD: July 1, 2023 through June 30, 2024
Funding: $10,000
1 hereby accept this award. By accepting this award, I agree to the requirements as
described in the FY 2023-2024 Tuberculosis Control Local Assistance Funds Standards
and Procedures Manual and any other conditions stipulated by the California Department
of Public Health, Tuberculosis Control Branch.
Au o z ignature Date
Chairman of the Board of Supervisors of the
Sal Quintero County of Fresno
Print Name Title
ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
County of Fresno,State
.�offCalifornia
By e `C --Deputy
Federal funds fiscal information: Project Grants and Cooperative Agreements for Tuberculosis Control
Programs; CFDA number: 93.116; FAIN number: NU52PS910219
�ptcM rrr�
California Department of Public Health . Tuberculosis Control Branch
850 Marina Bay Parkway . Building P, 2nd Floor . Richmond, CA 94804-6403 ,.
(510) 620-3000 . (510)620-3034 FAX
Internet Address: https://cdph.ca.ggv/tbcb 3
6
ylrr'rr1 ccRID%'��o=
California Department of Public Health
Name/No.: Tuberculosis Control Branch Enhanced Prevention and Control Award
Number: EPCF1023
Fund/Subclass: 0001/10000
Organization #: 56201658
Revenue Account #: 4380