Vote — approved

Steve Gallardo	abstain
Bill Gates	abstain
Clint Hickman	abstain
and Steve Gallardo	yes
and Clint Hickman	yes
Denny Barney	abstain
Steve Chucri	yes

24.GRANT FUNDS FROM HEALTH SERVICES AND RESOURCES ADMINISTRATION FOR LIFE-SAVING MEDICAL AND SUPPORT SERVICES FOR PEOPLE LIVING WITH HIV/AIDSApprove the application and acceptance of grant funds from Health Services and Resources Administration (HRSA), (H89HA11478), in the not-to-exceed amount of $10,193,936 for the purpose of providing lifesaving medical and support services to people living with HIV/AIDS. The grant award begins on March 1, 2019 and ends on February 28, 2020. Authorize the Chai

Item Text

24. GRANT FUNDS FROM HEALTH SERVICES AND RESOURCES ADMINISTRATION FOR LIFE-SAVING MEDICAL AND SUPPORT SERVICES FOR PEOPLE LIVING WITH HIV/AIDS Approve the application and acceptance of grant funds from Health Services and Resources Administration (HRSA), (H89HA11478), in the not-to-exceed amount of $10,193,936 for the purpose of providing lifesaving medical and support services to people living with HIV/AIDS. The grant award begins on March 1, 2019 and ends on February 28, 2020. Authorize the Chairman to sign all documents related to these grant funds, as applicable. The grant allows a 20.8% rate for indirect costs, which may be incurred by the Ryan White grant or Maricopa County for the administration of this grant. The Maricopa County Department of Finance has calculated the Ryan White grant composite indirect cost rate at 20.8%, or $223,841.06. The recoverable indirect cost of administering this grant is $223,841.06; the non-recoverable indirect cost is $0. 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. Ryan White Part A program receives funds from Health Services & Resources Administration (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 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, transportation and cost sharing. The total of this request is $10,193,936. The application amount is $9,818,936 plus $375,000 of carryover from the previous grant. Carryover may only be used for direct services. Pursuant to federal statue, at least 85% of the grant award must be passed through to contractors. HRSA’s allowable administration includes up to 10% of grant award for Administration and Planning Council Support and up to 5% may be allocated toward Clinical Quality Management. This grant year, $8,518,936 plus carryover of $375,000 totaling $8,893,936 is allocated toward direct services. Budget for Administration, Planning Council Support, and Clinical Quality Management will provide the infrastructure of the program administration in the amount of $1,300,000. The Ryan White Part A program serves up to 4,500 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 funding be 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-95-18-013-3-00)

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