Vote — approved

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

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

Item Text

97. IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR PREGNANCY RISK ASSESSMENT MONITORING SYSTEM Approve Intergovernmental Agreement (IGA) CTR078874 between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH) to provide grant funding for the Pregnancy Risk Assessment Monitoring System (PRAMS) program. The purpose of this grant is to reduce infant morbidity and mortality by influencing maternal behaviors before, during, and immediately after live birth. The not-to-exceed amount is $42,484.81 for the budget period January 01, 2026, through December 31, 2026. The contract term is January 01, 2026, through December 31, 2030. This grant has been awarded to MCDPH in the past, but it is unknown if it will be awarded again. It is non-competitive and there is no cash or in-kind match requirement, nor are on-going contributions required. The grant award is not a mandated service but provides a valuable benefit to the citizens of Maricopa County through surveillance, referrals, and prevention activities related to pregnancy risks. The Department of Health’s indirect rate for FY26 is 16.69%. Indirect costs are estimated at $6,076.54, all of which are recoverable. Departmental indirect rates are re-established at the beginning of each fiscal year, and the future indirect rate 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 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-86-26-022-X-00)

Vote: adopted

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84. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR PREGNANCY RISK ASSESSMENT MONITORING SYSTEM Approve amendment one (1) to Intergovernmental Agreement (IGA) CTR078874 between Arizona Department of Health Services (ADHS) and Maricopa County, by and through its Department of Public Health (MCDPH) to provide grant funding for the Pregnancy Risk Assessment Monitoring System (PRAMS) program. The purpose of this grant is to reduce infant morbidity and mortality by influencing maternal behaviors before, during, and immediately after live birth. The not-to-exceed amount is $46,372.59 for the budget period July 01, 2026, through June 30, 2027. The contract term began January 01, 2026, and continues through December 31, 2030. It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows: 1. Pursuant to Terms and Conditions, Provision Seven (7) Contract Changes, subsection 7.1 Amendments, the Agreement is hereby revised with the following: 1.1. The Price Sheet is revised and replaced to reflect an increase for the Budget Period of July 1st, 2026, to June 30th, 2027. 1.2. Exhibit Two (2), 2CFR 200.332 for PRAMS DP21-001, is revised and replaced to reflect an increase in the amount of federal funds obligated in the subaward and subrecipient. 1.3. Exhibit Three (3), 2CFR 200.332 for Maternal & Child Health Services, is revised and replaced to change the Federal Award Identification Number from 1 B04MC54531 01 00 to B0455421 1.4. Exhibit Three (3), 2CFR 200.332 for Maternal & Child Health Services, is revised and replaced to reflect an increase in the amount of federal funds obligated in the subaward and subrecipient. This grant has been awarded to MCDPH in the past, but it is unknown if it will be awarded again. It is non-competitive and there is no cash or in-kind match requirement, nor are on-going contributions required. The grant award is not a mandated service but provides a valuable benefit to the citizens of Maricopa County through surveillance, referrals, and prevention activities related to pregnancy risks. The Department of Health’s indirect rate for FY27 is 20.24%. Indirect costs are estimated at $7,805.90, all of which are recoverable. Departmental indirect rates are re-established at the beginning of each fiscal year, and the future indirect rate 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 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-86-26-022-X-01)

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