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18. APPLY AND ACCEPT GRANT FUNDS FROM HEALTH SERVICE AND RESOURCES ADMINISTRATION FOR LIFE SAVING MEDICAL AND SUPPORT SERVICES Approve the application and acceptance of grant funds from Health Services & Resources Administration, (H89HA11478), in the not-to-exceed amount of $9,081,224 for the purpose of of providing lifesaving medical and support services to people living with HIV/AIDS. The grant award begins on March 1, 2015 and ends on February 29, 2016. Authorize the Chairman to sign all documents related to these grant funds, as applicable. The grant allows a 10.0% rate for indirect costs, or $122,517 which may be incurred by the Department of Employee Benefits and Health or Maricopa County for the administration of this grant. The Maricopa County Department of Finance has calculated the Department of Employee Benefits and Health's composite indirect cost rate at 16.7%, or $204,603. The recoverable indirect cost of administering this grant is $122,517; the non-recoverable indirect cost is $82,086. 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 statue, 85% of the grant funds must be passed through to contractors ($7,719,040). HRSA's allowable administration includes: 10% of grant award for Administration and Planning Council Support $908,122); and 5% of grant award for Clinical Quality Management ($454,062). HRSA allows for indirect costs which are included in the 10% Administration. The indirect reimbursement rate is limited to 10% by the U.S. Health Resources and Services Administration. The Ryan White Part A program serves up to 3,500 People Living with HIV/AIDS in Maricopa and Pinal Counties, and is the "Payer of Last Resort" for their primary medical care. The Ryan White Act requires that the funding is provided to the county in each state that has the largest number of people diagnosed with HIV/AIDS living in an eligible metropolitan area. By providing continuity of care, People Living with HIV/AIDS maintain a measurable lower viral load and are thus less likely to transmit the virus to other individuals. (C-39-15-002-G-00)

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37. CARRYOVER FUNDS FROM U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR RYAN WHITE PART A HIV/AIDS PROGRAM Approve Amendment No. 2 to an Agreement between U.S Department of Health and Human Services, Health Resources and Services Administration and Maricopa County through the Employee Benefits and Health Ryan White Part A HIV/AIDS Program in the not-to-exceed amount of $9,268,998.00. This amendment is funded by a grant from Health Resources and Services Administration, H89HA11478. The purpose of this amendment is to accept the awarded carryover funding in the amount of $546,036.00. This amendment is effective from March 1, 2015 to February 29, 2016. All other terms and conditions of the Agreement remain in full force and effect. (C-39-15-002-G-01)

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