Vote — approved

Jack Sellers	yes
Thomas Galvin	yes
Bill Gates	yes
Clint Hickman	yes
Steve Gallardo	yes

Ayes: Jack Sellers, Thomas Galvin, Bill Gates, Clint Hickman, Steve Gallardo

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105. NOTICE OF AWARD FROM HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR 'ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA- RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B' Approve the Notice of Award (NOA) 6 UT8HA33944‐05‐01 from Health Resources and Services Administration (HRSA) HRSA-20-078 in the not-to-exceed amount of $2,559,215 for the purpose of implementing strategies, interventions, approaches, and the core medical and support services to reduce new HIV infections in the United States. This is year 4 of 5 of the award. The award period started on March 1, 2020 and ends on February 28, 2025. The grant is a new initiative titled 'Ending the HIV Epidemic: A Plan for America - Ryan White HIV/AIDS Program Part A and B'. This is a re-occurring grant. This is not a competitive opportunity but is open to specified high-burden jurisdictions. There is no cash or in-kind match required. This is not a mandated service but provides a benefit to our citizens with the provision of health services for people at risk of or living with HIV/AIDS. Should the grant cease, on-going contributions should not be required. It is required that 85% of the total grant amount be passed-though to subcontractors. That amount is $2,175,332.75, not subject to in-direct. The Department of Public Health’s indirect rate for FY25 is 15.79%. Indirect costs are estimated at $52,349.09, all of which is recoverable. Departmental indirect rates are re-established at the beginning of each fiscal year the future indirect rate will be collected at the corresponding rates. All program cost are allocated to the grant so there will not be additional burden on the department’s operating budget. 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. Approval of this action does not alter the budget constraining the expenditure of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105. (C-86-20-010-3-01)

Attachments (1)

Vote — approved

Thomas Galvin	yes
Kate Brophy McGee	yes
Mark Stewart	yes
Steve Gallardo	yes
Debbie Lesko	absent

Ayes: Thomas Galvin, Kate Brophy McGee, Mark Stewart, Steve Gallardo Absent: Debbie Lesko

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49. ACCEPT GRANT FUNDS FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR 'ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA- RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B' Approve the acceptance of grant funds from Health Resources and Services Administration (HRSA) in the not-to-exceed amount of $1,076,917.00. The grant will provide continued lifesaving medical and support services to people with HIV/AIDS. Authorize the Board Chairman to sign all documents related to these grant funds, as applicable. The competing continuation award period begins on March 1, 2025, and ends February 28, 2026. The grant award is reoccurring and has been awarded to the department for the last five years. This is a competing continuation opportunity and there is no cash or in-kind match required. This is not a mandated service but provides a benefit to our citizens with the provision of health related and support services for approximately 5,000 People with HIV/AIDS. Should the grant cease, on-going contributions should not be required. The Department of Public Health’s indirect rate for FY25 is 15.79%. The indirect costs for NOA 2 UT8HA33944‐06‐00 are estimated to be $146,856.55. All program costs are allocated to the grant so there will be no additional burden on the department’s operating budget. 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. Approval of this action does not alter the budget constraining the expenditure of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105. (C-86-20-010-3-03)

Attachments (1)

Vote — approved

Thomas Galvin	yes
Kate Brophy McGee	yes
Mark Stewart	yes
Steve Gallardo	yes
Debbie Lesko	absent

Ayes: Thomas Galvin, Kate Brophy McGee, Mark Stewart, Steve Gallardo Absent: Debbie Lesko

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92. ACCEPT GRANT FUNDS FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR 'ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA- RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B' Approve the retroactive Notice of Award (NOA) 6 UT8HA33944‐06‐02 and acceptance of grant funds from Health Resources and Services Administration (HRSA) in the not-to-exceed amount of $862,998.00. The grant will provide continued lifesaving medical and support services to people living with HIV/AIDS (PLWHA). The NOA period began on March 1, 2025, and will continue through February 28, 2026. The original term of the grant award is March 1, 2025, through February 28, 2030. The grant award is reoccurring and has been awarded to the department for the last five years. There is no cash or in-kind match required. This is not a mandated service but provides a benefit to our citizens with the provision of health related and support services for approximately 5,000 PLWHA. Should the grant cease, on-going contributions should not be required. The Department of Public Health’s indirect rate for FY26 is 16.69%. The indirect costs are estimated to be $123,433.34. All program costs are allocated to the grant so there will be no additional burden on the department’s operating budget. 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. Approval of this action does not alter the budget constraining the expenditure of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105. (C-86-20-010-3-04)

Vote — approved

Thomas Galvin	yes
Kate Brophy McGee	yes
Mark Stewart	yes
Debbie Lesko	yes
Steve Gallardo	yes

Ayes: Thomas Galvin, Kate Brophy McGee, Mark Stewart, Debbie Lesko, Steve Gallardo

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70. ACCEPT GRANT FUNDS FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR 'ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA- RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B' Approve the retroactive Notice of Award (NOA) 6 UT8HA33944‐06‐01 and acceptance of grant funds from Health Resources and Services Administration (HRSA) in the not-to-exceed amount of $492,039. The grant will provide continued lifesaving medical and support services to people living with HIV/AIDS (PLWHA). The NOA period began on March 1, 2025, and will continue through February 28, 2026. The original term of the grant award is March 1, 2025, through February 28, 2030. The grant award is reoccurring and has been awarded to the department for the last five years. There is no cash or in-kind match required. This is not a mandated service but provides a benefit to our citizens with the provision of health related and support services for approximately 5,000 PLWHA. Should the grant cease, on-going contributions should not be required. This grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, but a maximum of 10%. The full indirect costs are estimated at $30,345.45 of which $18,181.82 recoverable and $12,163.64 is unrecoverable. Program costs not covered by the grant will be subsidized by the MCDPH indirect cost pool. Departmental indirect rates are re-established at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. 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. Approval of this action does not alter the budget constraining the expenditure of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105. (C-86-20-010-3-05)

Vote — approved

Kate Brophy McGee	yes
Debbie Lesko	yes
Mark Stewart	yes
Thomas Galvin	yes
Steve Gallardo	yes

57.ACCEPT GRANT FUNDS FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA- RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B Approve the retroactive Notice of Award (NOA) 5 UT8HA33944‐07‐00 and acceptance of grant funds from Health Resources and Services Administration (HRSA) in the not-to-exceed amount of $668,787.00. The grant will provide continued lifesaving medical and support services to people living with HIV/AIDS (PLWHA). The NOA was received fro

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57. ACCEPT GRANT FUNDS FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA- RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B Approve the retroactive Notice of Award (NOA) 5 UT8HA33944‐07‐00 and acceptance of grant funds from Health Resources and Services Administration (HRSA) in the not-to-exceed amount of $668,787.00. The grant will provide continued lifesaving medical and support services to people living with HIV/AIDS (PLWHA). The NOA was received from HRSA on March 3, 2026. The NOA period began on March 1, 2026, and will continue through February 28, 2027. The original term of the grant award is March 1, 2025, through February 28, 2030. The grant award is reoccurring and has been awarded to the department for the last six years. This is a non-competing continuation and there is no cash or in-kind match required. This is not a mandated service but provides a benefit to our citizens with the provision of health related and support services for approximately 5,000 PLWHA. Should the grant cease, on-going contributions should not be required. This grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, but a maximum of 10%. The full indirect costs are estimated at $101,473.23 of which $60,798.82 recoverable and $40,674.41 is unrecoverable. Program costs not covered by the grant will be subsidized by the MCDPH indirect cost pool. Departmental indirect rates are re-established at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. 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. Approval of this action does not alter the budget constraining the expenditure of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105. (C-86-20-010-3-06)

Attachments (1)