Vote: adopted

Item Text

5. GRANT APPLICATION FOR RYAN WHITE HIV/AIDS TREATMENT MODERNIZATION ACT – PART A FOR FISCAL YEAR 2009-2010 Approve the application and acceptance of grant funds from Department of Health and Human Services, (H89HA00031), in the not-to-exceed amount of $7,685,654 for the purpose of providing life saving medical and support services to low income or uninsured people infected with HIV or AIDS. Maricopa County has received Ryan White funds since 1996 and provides medical and supportive services to approximately 3,700 clients annually. The grant award begins on March 1, 2009 and ends on February 28, 2010. Authorize the Chairman to sign all documents related to these grant funds, as applicable. The grant allows a 10% rate for indirect costs, or $104,804.36 which may be incurred by the Ryan White Part A Program or Maricopa County for the administration of this grant. The Maricopa County Department of Finance has calculated the Ryan White Part A Program's composite indirect cost rate at 10%, or $104,804.36. The recoverable indirect cost of administering this grant is $104,804.36; the non-recoverable indirect cost is $0. Upon receipt of funds and pursuant to A.R.S. §42-17106(B), approve revenue and expenditure appropriation adjustments to the Ryan White Part A Program (392) Public Health Grants (532) associated with the grant in the amount of $7,685,654 for FY 2008-09. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore, expenditure of the funds is not prohibited by the budget law. This budget adjustment does not alter the budget constraining the expenditure of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105. Ryan White Part A Program receives funds from HRSA, under Part A of the Ryan White Treatment Modernization Act of 2006, to provide services to people infected with, or affected by HIV/AIDS. The grant provides contracts with HIV and AIDS service organizations which deliver/enhance health related and support services for HIV positive/affected persons. These services include, but are not limited to, case management, counseling, outpatient health services, food and nutrition services, legal services, transportation, and emergency financial assistance. Pursuant to federal statute, 85% of the grant funds must be passed through to contractors. HRSA’s allowable administration includes: 10% of grant award for Administration and Planning Council Support ($768,565) and 5% of grant award for Clinical Quality Management ($384,283). HRSA allows for indirect costs which are included in the 10% Administration and 5% Clinical Quality Management. The estimated indirect Rate is 10% for FY 2008-09; the Recoverable indirect amount is $55,079. $6,532,806 is passed through to sub-recipients and not subject to indirect rates charged by departments in Maricopa County. Approve application, receipt of revenue, and expenditure appropriation adjustments to the Public Health Grant Fund (Department 392, Fund 532) associated with the aforementioned grant in an amount of $7,685,654. The appropriations adjustment is necessary because these funds were not included in the FY 2009 budget. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditures of these revenues are not prohibited by the budget law. The approval of this budget adjustment does not alter the budget constraining the expenditures of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105.The forms that require the Chairman of the Boards signature include: Certification Regarding Lobbying, FY 2009 Agreements and Compliance Assurances - Part A Grant Program, and Application for Federal Assistance SF-424. (C-31-09-002-G-00)