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29. IGA BETWEEN MARICOPA COUNTY THROUGH THE EMPLOYEE BENFEFITS AND HEALTH AND MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT D/B/A MARICOPA INTEGRATED HEALTH SYSTEM Approve an Intergovernmental Agreement between Maricopa County Special Health Care District d/b/a Maricopa Integrated Health System (MIHS) and Maricopa County through the Department of Employee Benefits and Health, in the not-to-exceed amount of $2,935,000. This Intergovernmental Agreement is funded by a grant from Health Services Resources Administration (HRSA), (CFDA93.914). The purpose of this Intergovernmental Agreement is to continue providing Core Medical and Support Services (Ryan White Part A clients in Ryan White Part A Fiscal Year 2015 (March 1, 2014 - February 28, 2015). This Intergovernmental Agreement is effective from March 1, 2014 until February 28, 2015. (C-39-14-025-3-00)

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49. AMENDMENT TO IGA BETWEEN MARICOPA COUNTY THROUGH THE RYAN WHITE PART A PROGRAM AND MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT D/B/A MARICOPA INTEGRATED HEALTH SYSTEM Approve Amendment No. 1 to an Intergovernmental Agreement (IGA) between Maricopa County Special Health Care District d/b/a Maricopa Integrated Health System (MIHS) and Maricopa County through the Employee Benefits and Health in the not-to-exceed amount of $2,935,000.00. This amendment is funded by a grant from Health Services Resources Administration (HRSA), CFDA93.914. The purpose of this amendment is to change special provisions paragraph 58.7and 58.8 to reflect new reporting timeframes and adding paragraph 59.0 Contractor Employee Whistleblower Rights and Requirement to Inform Employees of Whistleblower Rights. This amendment is effective from March 1, 2014 to February 28, 2015. All other terms and conditions of the Intergovernmental Agreement remain in full force and effect. (C-39-14-025-3-01)

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36. AMENDMENT TO IGA BETWEEN MARICOPA COUNTY THROUGH THE RYAN WHITE PART A PROGRAM AND MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT D/B/A MARICOPA INTEGRATED HEALTH SYSTEM Approve Amendment No. 2 to an Intergovernmental Agreement (IGA) between Maricopa County Special Health Care District d/b/a Maricopa Integrated Health System (MIHS) and Maricopa County through the Employee Benefits and Health Department in the not-to-exceed amount of $2,935,000.00. This amendment is funded by a grant from Health Services Resources Administration (HRSA), CFDA93.914. The purpose of this amendment is to add into Section III: D. Treatment Adherence Counseling, Section IV Treatment Adherence Counseling – Treatment and Section V Attachment 6 Treatment Adherence Counseling. This amendment is effective from March 1, 2014 to February 28, 2015. All other terms and conditions of the Intergovernmental Agreement remain in full force and effect. (C-39-14-025-3-02)

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30. AMENDMENT TO IGA WITH MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT D/B/A MARICOPA INTEGRATED HEALTH SYSTEM FOR RYAN WHITE PART A SERVICES Approve Amendment No. 3 to the Intergovernmental Agreement (IGA) between the Maricopa County Special Health Care District d/b/a Maricopa Integrated Health System (MIHS) and Maricopa County through the Department Employee Benefits and Health, Ryan White Part A Program, in the not-to-exceed amount of $5,869,999. This amendment is funded by a grant from Health Resources Services Administration (HRSA), CFDA93.914. The purpose of this amendment is to continue providing Core Medical, Support Services and to add Health Education and Risk Reduction services to Ryan White Part A clients in Ryan White Part A Fiscal Year 2016. This amendment is effective from March 1, 2015 to February 28, 2017. All other terms and conditions of the Intergovernmental Agreement remain in full force and effect. (C-39-14-025-3-03)

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Vote — approved

39.AMENDMENT TO IGA WITH MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT DBA MARICOPA INTEGRATED HEALTH SYSTEM FOR RYAN WHITE PART A SERVICESApprove Amendment No. 4 to the Intergovernmental Agreement (IGA) between the Maricopa County Special Health Care District dba Maricopa Integrated Health System (MIHS) and Maricopa County through the Department of Employee Benefits and Health, Ryan White Part A Program, in the not to exceed amount of $7,000,000. This Amendment is to extend the term of the Agree

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39. AMENDMENT TO IGA WITH MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT DBA MARICOPA INTEGRATED HEALTH SYSTEM FOR RYAN WHITE PART A SERVICES Approve Amendment No. 4 to the Intergovernmental Agreement (IGA) between the Maricopa County Special Health Care District dba Maricopa Integrated Health System (MIHS) and Maricopa County through the Department of Employee Benefits and Health, Ryan White Part A Program, in the not to exceed amount of $7,000,000. This Amendment is to extend the term of the Agreement from March 1, 2017 through February 28, 2019 pursuant to Page 4, Paragraph 3.0. Ryan White Part A grant funds provide direct financial assistance to Eligible Metropolitan Areas (EMAs) which have been the most severely affected by the HIV epidemic. Formula and supplemental funding components of the grant assist EMAs in developing or enhancing access to a comprehensive continuum of high quality, community-based care for low-income individuals and families with HIV disease. Pursuant to this IGA, MIHS provides Outpatient Ambulatory Medical Care, Mental Health and Substance Abuse Services, Oral Health Services, Case Management Services, Early Intervention Services, Treatment Adherence Services, and Health Education and Risk Reduction Services, which are part of a comprehensive continuum of care. The County has the right to extend this Agreement for a period not to exceed five (5) years from the initial agreement period. The County, therefore, is extending the Agreement term to remain in effect for the period of March 1, 2017 through February 28, 2019. All other terms and conditions of this Agreement shall remain in full force and effect. (C-39-14-025-3-04)

Attachments (1)