Department
Department for HIV Elimination
Requested Action (Identify appropriate Action or Motion, purpose, cost, timeframe, etc.)
title
Request approval to extend an existing “Ryan White Part A” subrecipient service contracts for a two-month period from June 1, 2025 through July 31, 2025, and, subject to federal funding, amend the contracts to increase the spending authority of “Ryan White Part A” subrecipients in the amount of $4,518,704.00 pursuant to the Health Resources and Services Administration “Ryan White Part A” award H89HA00007. Contracts are 100% grant funded with no Fulton County match. Request authorization for the Chairman to execute contracts with subrecipients. To protect the interest of the County, the County Attorney is authorized to approve the contracts as to form and make any necessary modifications thereto prior to execution by the Chairman.
body
Requirement for Board Action (Cite specific Board policy, statute or code requirement)
O.C.G.A. § 36-10-1 requires all official contracts entered by the County governing authority with other persons on behalf of the County be in writing and entered on its minutes.
Strategic Priority Area related to this item (If yes, note strategic priority area below)
Health and Human Services
Commission Districts Affected
All Districts ☒
District 1 ☐
District 2 ☐
District 3 ☐
District 4 ☐
District 5 ☐
District 6 ☐
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 a two-month contract extension and increased spending authority in the amount of $4,518,704.00 for Ryan White Part A” subrecipients to provide HIV care and support services using 100% “Ryan White Part A” grant funds with no required County match. “Ryan White Part A” has a project period from 3/1/2025 through 2/28/2028. The Board of Commissioners previously approved “Ryan White Part A” grant funding through #21-0800 for project period ending 02/28/2025 as well as a three-month extension through 25-0020. The subrecipients were recommended by a Review Committee pursuant to 21RWRFP1112B-PS. Fulton County has not received its full FY2025 Ryan White Part A award and is unsure of new conditions of award that might be introduced related to Presidential Executive Orders that impact the program. By extending these contracts and increasing the spending authority of “Ryan White Part A” agencies, the Department for HIV Elimination will be able to ensure the uninterrupted provision of services while awaiting the final FY2025 award and while completing the vendor selection process for the remainder of FY2025 through February 28, 2028, pursuant to RFP 25RFP1343702B-PS. These agencies provide core medical services and essential support services for medically indigent Persons Living with HIV in the 20-county Eligible Metropolitan Area. Funds are recommended to increase spending authority for the following subrecipients in the following amounts:
|
Subrecipient |
Increased contract amount (not to exceed): |
|
AID Atlanta, Inc. |
$285,122.00 |
|
AIDS Healthcare Foundation |
$478,733.00 |
|
Aniz, Inc. |
$45,063.00 |
|
Atlanta Legal AID |
$15,909.00 |
|
Cherokee County Board of Health |
$78,249.00 |
|
Clarke County Board of Health |
$36,540.00 |
|
DeKalb County Board of Health |
$143,715.00 |
|
Emory University |
$169,235.00 |
|
Fulton County Board of Health |
$278.926.00 |
|
Grady Health Systems |
$1,523,302.00 |
|
Here’s to Life, Inc. |
$38,290.00 |
|
Mercy Care Services |
$100,316.00 |
|
NAESM, Inc. |
$53,004.00 |
|
Open Hand Atlanta, Inc. |
$218,460.00 |
|
Positive Impact Health Centers, Inc. |
$789,929.00 |
|
Someone Cares, Inc. |
$156,551.00 |
|
Southside Medical Center, Inc. |
$107,360.00 |
|
Total |
$4,518,704.00 |
Community Impact: “Ryan White Part A” funding will support essential core and support services for Persons Living with HIV (PLWH) in the eligible metropolitan area (EMA) to decrease the number of new HIV cases. Funds will support the provision of medical services, case management, mental health services, housing services, and initiative projects. All services have as their main goal increased viral suppression rates.
Department Recommendation: The Department for HIV Elimination recommends approval of two-month contract extensions for the period June 1, 2025 - July 31, 2025, and increased spending authority for “Ryan White Part A” grant subrecipients in the amount of $4,518,704.00 in FY25 funding.
Project Implications: No change in County budget. These contracts are 100% grant-funded with no County match.
Community Issues/Concerns: Were contracts not to be extended, and funding levels increased, there would be a period of time during which “Ryan White Part A” core medical and support services would cease.
Department Issues/Concerns: Were funds not to be increased, and the contract period not extended, there would be an interruption of core medical and support services for Persons Living with HIV in the 20-County area.
Fiscal Impact / Funding Source
Funding Line 1:
461-227-R254
Funding Line 2:
461-227-R255