Vote — approved

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

63.AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR TITLE V MATERNAL AND CHILD HEALTH HEALTHY ARIZONA FAMILIES Approve Amendment 2 to the Intergovernmental Agreement (IGA), a cost reimbursement contract (CTR055260), Year 3, between Arizona Department of Health Services (ADHS), Title V Maternal and Child Health (MCH) Healthy Arizona Families & Preventive Health and Health Services and Maricopa County, by and through its Department of Public Health (MCDPH). The term of this cost rei

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63. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR TITLE V MATERNAL AND CHILD HEALTH HEALTHY ARIZONA FAMILIES Approve Amendment 2 to the Intergovernmental Agreement (IGA), a cost reimbursement contract (CTR055260), Year 3, between Arizona Department of Health Services (ADHS), Title V Maternal and Child Health (MCH) Healthy Arizona Families & Preventive Health and Health Services and Maricopa County, by and through its Department of Public Health (MCDPH). The term of this cost reimbursement IGA began on July 1, 2020, and terminates on June 30, 2025. This Amendment 2 updates the scope of work and increases funding in the amount of $480,417 ($433,961 for MCH Healthy Arizona Families & $330,280 for Public Health Improvement (PHI) Program) for the budget period of July 1, 2022, through June 30, 2023. This will change the contract term total to a new not-to-exceed of $1,348,339. In addition, it revises Exhibit A and adds Exhibits B, C, and D related to the federal funding being received. This IGA was designed to leverage partnerships between ADHS and Local County Health Departments by providing Block Grant funding to support the health priorities identified in the AZCHIP, the county health improvement plans (CHIPs), and the 2020 Title V MCH Needs Assessment. The populations include Woman/Maternal and Perinatal Infant, Child Health, Adolescent Health, and Children with Special Health Care needs. MCDPH’s Indirect Rate for FY23 is 17.24 %. The indirect costs for MCH Healthy Arizona Families is estimated at $63,813.44 which are fully recoverable. Departmental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. The PHI portion of the 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 $51,763.88 of which $30,025.45 is recoverable and $21,738.43 is unrecoverable. The grant award reoccurrence is unknown, there is no cash or in-kind match required. The grant award is non-competitive and on-going contributions are not required. Though not mandated, services are a benefit to citizens of Maricopa County by providing an evidence-based public health approach to improve the health and wellness of Arizona residents. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Agreement does not alter the budget constraining expenditures of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funding for this Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. The ADHS conducts a five (5) year statewide needs assessment to examine key health indicators and provide a comprehensive overview of the health of Arizonans. ADHS published the 2019 Arizona State Health Assessment which utilizes an evidence-based public health approach to improve the health and wellness of Arizona residents. This assessment informs other federally funded programs within ADHS that also require statewide needs assessments. One (1) of those programs is the Title V Maternal and Child Health (MCH) Block Grant located within the Bureau of Women’s and Children’s Health (BWCH). The mission of the BWCH is to “strengthen the family and community by promoting and improving the health status of women, infants, and children.” The BWCH administers the federal Title V MCH Block Grant. This IGA is intended to provide flexibility to the Maricopa County Health Department to meet the needs of local communities through high impact strategies that align with the 2020-2025 MCH health priorities, the identified national performance measures, and administrative functions. FY23 = $764,241.00 = Revenue and Expenditures (C-86-21-035-X-02)

Attachments (1)

Vote — approved

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

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

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74. RESCIND AND APPROVE REVISED AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR TITLE V MATERNAL AND CHILD HEALTH HEALTHY ARIZONA FAMILIES Rescind the action approved by the Board on August 31, 2022 for item C-86-21-035-X-02, Amendment No. 2 for Intergovernmental Agreement (IGA) CTR055260 between Arizona Department of Health Services (ADHS) and Maricopa County By and through its Department of Public Health (MCDPH) to provide funding for the Title V Maternal and Child Health (MCH) Healthy Arizona Families & Preventive Health and Health Services Program. The rescind action is necessary due to the incorrect funding amount that was stated by ADHS for MCH Healthy Arizona Families Public Health Improvement (PHI) Program. Also approve a revised Intergovernmental Agreement (IGA) CTR055260 Amendment between ADHS and Maricopa County By and through its Department of Public Health (MCDPH) to provide funding for the Title V Maternal and Child Health (MCH) Healthy Arizona Families & Preventive Health and Health Services Program. This Amendment 3 updates the funding amount of $330,280 for CHBLOCK for the budget period of July 1, 2022, through June 30, 2023. The term of this cost reimbursement IGA began on July 1, 2020 and terminates on June 30, 2025. The PHI portion of the 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 $51,763.88 of which $30,025.45 is recoverable and $21,738.43 is unrecoverable. (C-86-21-035-X-03)

Vote — approved

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

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

Item Text

50. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR TITLE V MATERNAL AND CHILD HEALTH HEALTHY ARIZONA FAMILIES Approve Amendment 4 to the Intergovernmental Agreement (IGA), a cost reimbursement contract (CTR055260), Year 4, between Arizona Department of Health Services (ADHS), Title V Maternal and Child Health (MCH) Healthy Arizona Families & Preventive Health and Health Services and Maricopa County, by and through its Department of Public Health (MCDPH). The term of this cost reimbursement IGA began on July 1, 2020 and terminates on June 30, 2025. This Amendment 4 updates the scope of work, some deliverables and splits the Price Sheet into two (2) categories. The first category, MCH Healthy Arizona Families, has a not-to-exceed amount of $433,961.00 for the budget period July 01, 2023, through June 30, 2024. The second category, Public Health Improvement (PHI), has a not-to-exceed amount of $330,280.00. This will change the contract term total to a new not -to-exceed amount of $764,241.00. This IGA was designed to leverage partnerships between ADHS and Local County Health Departments by providing Block Grant funding to support the health priorities identified in the AZCHIP, the county health improvement plans (CHIPs), and the 2020 Title V MCH Needs Assessment. The populations include Woman/Maternal and Perinatal Infant, Child Health, Adolescent Health, and Children with Special Health Care needs. MCDPH’s Indirect Rate for FY24 is 15.65 %. The indirect costs for MCH Healthy Arizona Families are estimated at $58,724.51 which are fully recoverable. Departmental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. The PHI portion of the 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 $46,989.84 of which $30,025.45 is recoverable and $16,964.38 is unrecoverable. The grant award reoccurrence is unknown, there is no cash or in-kind match required. The grant award is non-competitive and on-going contributions are not required. Though not mandated, services are a benefit to citizens of Maricopa County by providing an evidence-based public health approach to improve the health and wellness of Arizona residents. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Agreement does not alter the budget constraining expenditures of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funding for this Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. The ADHS conducts a five (5) year statewide needs assessment to examine key health indicators and provide a comprehensive overview of the health of Arizonans. ADHS published the 2019 Arizona State Health Assessment which utilizes an evidence-based public health approach to improve the health and wellness of Arizona residents. This assessment informs other federally funded programs within ADHS that also require statewide needs assessments. One (1) of those programs is the Title V Maternal and Child Health (MCH) Block Grant located within the Bureau of Women’s and Children’s Health (BWCH). The mission of the BWCH is to “strengthen the family and community by promoting and improving the health status of women, infants, and children.” The BWCH administers the federal Title V MCH Block Grant. This IGA is intended to provide flexibility to the Maricopa County Health Department to meet the needs of local communities through high impact strategies that align with the 2020-2025 MCH health priorities, the identified national performance measures, and administrative functions. (C-86-21-035-X-04)

Attachments (1)

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

Item Text

44. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR TITLE V MATERNAL AND CHILD HEALTH HEALTHY ARIZONA FAMILIES Approve Amendment 5 to the Intergovernmental Agreement (IGA), a cost reimbursement contract (CTR055260), Year 5, between Arizona Department of Health Services (ADHS), Title V Maternal and Child Health (MCH) Healthy Arizona Families & Preventive Health and Health Services and Maricopa County, by and through its Department of Public Health (MCDPH). The term of this cost reimbursement IGA began on July 1, 2020, and terminates on June 30, 2025. This Amendment 5 updates the Price Sheet expense categories. The totals remain the same. All other provisions of this Agreement remain unchanged. This IGA was designed to leverage partnerships between ADHS and Local County Health Departments by providing Block Grant funding to support the health priorities identified in the AZCHIP, the county health improvement plans (CHIPs), and the 2020 Title V MCH Needs Assessment. The populations include Woman/Maternal and Perinatal Infant, Child Health, Adolescent Health, and Children with Special Health Care needs. MCDPH’s Indirect Rate for FY24 is 15.65 %. The indirect costs for MCH Healthy Arizona Families are estimated at $58,724.51 which are fully recoverable. Departmental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. The PHI portion of the 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 $46,989.84 of which $30,025.45 is recoverable and $16,964.38 is unrecoverable. The grant award recurrence is unknown, there is no cash or in-kind match required. The grant award is non-competitive and on-going contributions are not required. Though not mandated, services are a benefit to citizens of Maricopa County by providing an evidence-based public health approach to improve the health and wellness of Arizona residents. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Agreement does not alter the budget constraining expenditures of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funding for this Agreement is provided for by a Grant from ADHS. The ADHS conducts a five (5) year statewide needs assessment to examine key health indicators and provide a comprehensive overview of the health of Arizonans. ADHS published the 2019 Arizona State Health Assessment which utilizes an evidence-based public health approach to improve the health and wellness of Arizona residents. This assessment informs other federally funded programs within ADHS that also require statewide needs assessments. One (1) of those programs is the Title V Maternal and Child Health (MCH) Block Grant located within the Bureau of Women’s and Children’s Health (BWCH). The mission of the BWCH is to “strengthen the family and community by promoting and improving the health status of women, infants, and children.” The BWCH administers the federal Title V MCH Block Grant. This IGA is intended to provide flexibility to the Maricopa County Health Department to meet the needs of local communities through high impact strategies that align with the 2020-2025 MCH health priorities, the identified national performance measures, and administrative functions. (C-86-21-035-X-05)

Attachments (1)