Vote: adopted

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41. GRANT APPLICATION FOR RYAN WHITE HIV/AIDS TREATMENT MODERNIZATION ACT-PART A FOR FISCAL YEAR 2010-2011 Approve the application and acceptance of grant funds from Health Services Resources Administration, (H89HA00031), in the not-to-exceed amount of $8,247,613 for the purpose of providing life saving medical and support services to low income or uninsured people infected with HIV or AIDS. The grant award begins on March 1, 2010 and ends on February 28, 2011. Authorize the Chairman to sign all documents related to these grant funds, as applicable. Ryan White Healthcare program indirect rate for FY 09/10 is 14.8%. The grant allows a 10% rate for indirect costs. The recoverable indirect cost of administering this grant is $112,467; the non-recoverable indirect cost is $53,984 and $7,010,471. is passed through to sub-recipients and not subject to indirect rates charged by departments in Maricopa County. Upon receipt of funds and pursuant to ARS §42-17106(B), approve revenue and expenditure appropriation adjustments to the Ryan White (390) associated with the grant in the amount of $8,247,613 for FY 2010. 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. (C-31-10-005-G-00)

Vote: approved

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31. AMEND GRANT APPLICATION FOR RYAN WHITE HIV/AIDS TREATMENT MODERNIZATION ACT-PART A FOR FISCAL YEAR 2010-11 Approve an amendment to the acceptance of grant funds from Health Services Resour ces Administration, (H89HA11478 ) to allow for an additional $124,967 in grant funds. The original application and acceptance of grant funds were approved by the Maricopa County Board of Supervisors on October 7, 2009 (C-31-10-005-G-00), in the not-to-exceed amount of $8,247,613 for the purpose of providing life saving medical and support services to low income or uninsured people infected with HIV or AIDS. The acceptance of additional funds will change the not-to-exceed amount to $8,372,580. The grant award began on March 1, 2010 and ends on February 28, 2011. Authorize the Chairman to sign all documents related to these grant funds, as applicable. The Ryan White Healthcare program indirect rate for FY 2009-10 is 14.8%. The grant allows recovery a 10% rate for indirect costs. $106,222 of this additional funding is to be passed through to sub-recipients and not subject to indirect cost recovery. Total indirect costs are estimated to be $2,522. Of this amount, $1,704 is recoverable and $818 is unrecoverable. Pursuant to A.R.S. §42-17106(B), approve an appropriation adjustment increasing the revenue and expenditures in the Health Care Programs (390) Public Health Grant Fund (532) Operating Budget (0000) by $1,689,247 for the amount of this award and the award approved by the Board of Supervisors on October 7, 2009 (agenda item C-31-10-005-G-00) anticipated to be spent in FY 2009-10. 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. (C-31-10-005-G-01)

Vote: passed

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49. ACCEPT CARRYOVER FUNDS FROM HEALTH RESOURCES AND SERVICES ADMINSTRATION FOR RYAN WHITE PART A HIV/AIDS PROGRAM Acceptance of grant funds from Health Services Resources Administration (HRSA), Grant No. H89HA11478, For Ryan White Part A HIV/AIDS Program for FY 2010-11, in the not-to-exceed amount of $212,608. These grant funds are carryover grant funds from Health Services Resources Administration (HRSA) for Ryan White Part A HIV/AIDS Program. The acceptance of these carryover funds will change the not-to-exceed amount to $8,585,188. The grant award began on March 1, 2010 and ends on February 28, 2011. Authorize the Chairman to sign all documents related to these grant funds, as applicable. The additional funding of $212,608 is for direct services only and will be passed through to the Arizona Department of Health Services for the AIDS Drug Assistance Program (ADAP) and therefore is not subject to indirect charges. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. (C-31-10-005-G-02)