Department
Department for HIV Elimination
Requested Action (Identify appropriate Action or Motion, purpose, cost, timeframe, etc.)
title
Request approval of increased spending authority in the amount of $2,882,444.00 for three (3) subrecipients to provide HIV care and support services using 100% “Ending the HIV Epidemic” (EHE) grant funds with no required match. EHE has a project period from 3/1/2025 through 2/28/2030 with an award of $6,526,287.00 for the current fiscal year. The Board of Commissioners previously approved “Ending the HIV Epidemic” grant funding through #25-0555 (8/6/2025). Subrecipients were recommended by a Review Committee pursuant to RFP: 25RFP1343702B-PS. This action would supplement the subrecipient agencies FY 2026 - FY 2029 funding for additional services.
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Requirement for Board Action (Cite specific Board policy, statute or code requirement)
In accordance with Purchasing Code Section 102-420, contract modifications within the scope of the contract and necessary for contract completion of the contract, in the specifications, services, time of performance or terms and conditions of the contract shall be forwarded to the Board of Commissioners for approval.
Strategic Priority Area related to this item (If yes, note strategic priority area below)
Health and Human Services
Commission Districts Affected
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Is this a purchasing item?
No
Summary & Background (First sentence includes Agency recommendation. Provide an executive summary of the action that gives an overview of the relevant details for the item.)
Scope of Work: The Department for HIV Elimination recommends approval of increased spending authority for selected subrecipient’s to provide HIV care and support services using 100% “Ending the HIV Epidemic” (EHE) grant funds with no required match. EHE has a project period from 3/1/2025 through 2/28/2030 with an award of $6,526,287.00 for the current fiscal year. The Board of Commissioners previously approved “Ending the HIV Epidemic” grant funding through #25-0555 (8/6/2025). Subrecipients were recommended by a Review Committee pursuant to RFP: 25RFP1343702B-PS. This action would supplement the subrecipient agencies FY 2026 - FY 2029 funding for additional services. By increasing spending authority of these 3 agencies, we will be able to move funds to these agencies that have demonstrated an increased need. The 3 agencies provide various services to clients including medical care, oral health, housing, financial assistance, psychosocial support, case management, etc. A total of 497 clients were served by these agencies in FY2025. We estimate that with the increased spending authority under this request of $2,882,444.00, these agencies will be able to provide services to 290 additional clients. Funds are recommended to increase spending authority for the following subrecipients: 
Community Impact: Ending the HIV Epidemic funding will support essential care and support services for Persons Living with HIV (PLWH) in the targeted counties to decrease the number of new HIV cases. All services have as their main goal increased viral suppression rates.
Department Recommendation: The Department for HIV Elimination recommends approval of increased spending authority for three “Ending the HIV Epidemic” grant subrecipients in the amount of $2,882,444.
Project Implications: No change in budget. These contracts are 100% grant funded with no County match.
Community Issues/Concerns: The Department for HIV Elimination is not aware of any community issues or concerns.
Department Issues/Concerns: The Department for HIV Elimination has no issues or concerns with this item.
Fiscal Impact / Funding Source
Funding Line 1:
461-270-EE62-1600
Funding Line 2:
461-270-EE63-1600