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Contact Name: Machrina Leach Contact Phone: 602 506-6662 Item Title APPROPRIATION ADJUSTMENT AND IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR COVID-9 DISEASE MITIATION AND COMMUNITY OUTREACH C Number: C-86-21-tbd CFDA 93.323 Action Requested: Pursuant to A.R.S. §42-17106(B), approve an appropriation adjustment resulting in a net increase to revenue and expenditures of $27,986,171 in FY22 to Public Health (D860) Public Health Grants Fund (532) Non-Recurring (NRNP) budget. The appropriation adjustment is related to Intergovernmental Agreement (IGA) CTR055638, COVID-19 Disease Mitigation and Community Outreach, between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH). In addition, approve this same IGA CTR055638 for the purpose of a project aimed at reducing the incidence of disease and related deaths caused by COVID-19 through the following targeted activities: disease mitigation, outreach and engagement, workforce expansion and modification and grant accounting and management. The NOA is in the amount of $60,636,704 for the 26-month project period from March 1, 2021 through May 1, 2023. The Department of Public Health’s indirect rate for FY21 is 18.8%. The Indirect Rate on these funds is limited to 10% on personnel and related expense only. Full indirect is estimated at $2,507,987, of which, $1,334,036 is recoverable and $1,173,952 is unrecoverable. This is a new grant award and is not expected to reoccur. The grant does not require an in-kind match and ongoing cash contributions are not required. This is not a mandated function but provides a benefit to the citizens by continuing and expanding upon disease mitigation efforts. The grant award was not competitive. Any costs not covered by the grant will be absorbed by the department’s indirect cost pool. 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 Amendment does not alter the budget constraining expenditures of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105. Funding for this Agreement is provided by a Grant from ADHS and will not affect the County’s general fund.