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

Item Text

102. RESCIND AND APPROVE REVISED 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 July 23, 2025, item C-86-26-007-X-00, for the Intergovernmental Agreement (IGA) CTR076961 between Arizona Department of Health Services (ADHS) and Maricopa County, by and through its Department of Public Health (MCDPH) for Title V Maternal and Child Health (MCH) Healthy Arizona Families & Preventive Health and Health Services. The rescind action is necessary due to an error by ADHS in the "Scope of Work" section of the Agreement. Also, approve the revised retroactive IGA CTR076961 between ADHS and MCDPH for Title V Maternal and Child Health (MCH) Healthy Arizona Families & Preventive Health and Health Services. The total not-to-exceed amount for this agreement is $764,241.00, of which $433,961.00 is for the MCH Healthy Arizona Families program, and $330,280.00 is for the Public Health Improvement Program. The term of this cost reimbursement IGA is July 1, 2025, through June 30, 2030. This IGA is 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 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 FY26 is 16.69% The full indirect costs for the MCH Healthy Arizona Families portion are estimated at $62,068.81, all of which is recoverable. 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 $50,112.84 of which $30,025.45 is recoverable and $20,087.03 is unrecoverable. The grant award reoccurrence is unknown, and 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. (C-86-26-007-X-01)

Vote — approved

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

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

Item Text

73. IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR TITLE V MATERNAL AND CHILD HEALTH HEALTHY ARIZONA FAMILIES Approve the retroactive the Intergovernmental Agreement (IGA) CTR076961 between Arizona Department of Health Services (ADHS) and Maricopa County, by and through its Department of Public Health (MCDPH) for Title V Maternal and Child Health (MCH) Healthy Arizona Families & Preventive Health and Health Services. The term of this cost reimbursement IGA is on July 1, 2025, through June 30, 2030. The total not-to-exceed amount for this agreement is $764,241.00, of which $433,961.00 is for the MCH Healthy Arizona Families program, and $330,280.00 is for the Public Health Improvement Program. This IGA is 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 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 FY26 is 16.69% The full indirect costs for the MCH Healthy Arizona Families portion are estimated at $62,068.81, all of which is recoverable. The PHI Portion of the grant also 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 $50,112.84 of which $30,025.45 is recoverable and $20,087.03 is unrecoverable. The grant award reoccurrence is unknown, and 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. 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 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 2025-2030 MCH health priorities, the identified national performance measures, and administrative functions. 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. (C-86-26-007-X-00)

Item Text

67. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR TITLE V MATERNAL AND CHILD HEALTH HEALTHY ARIZONA FAMILIES Approve Amendment No. 1 Intergovernmental Agreement (IGA) CTR076961 between Arizona Department of Health Services (ADHS) and Maricopa County, by and through its Department of Public Health (MCDPH) for Title V Maternal and Child Health (MCH) Healthy Arizona Families & Preventive Health and Health Services. 1. Pursuant to Terms and Conditions, Provision Seven (7) Contract Changes, subsection 7.1 Amendments, the Contract is hereby revised with the following: 1.1. The Scope of Work (SOW) is revised and replaced to include definitions in section 1, the ADHS CLAS trainings were removed from the original SOW, section 6.5.1.1., subsection 10.10.1. was updated to reflect ten percent (10%) instead of twenty-five percent (25%) and the ADHS Contact was updated. 1.2. The Price Sheets are revised and replaced to reflect ten (10%) transfer percentage, and budget allocations were updated. 1.3. Exhibit Three (3) and Four (4) 2CFR 200.332 are added. All other terms and conditions of the original contract shall remain in full force and effect. (C-86-26-007-X-02)

Attachments (1)