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Approve five revenue allocations and corresponding Appropriations Transfer Requests (ATRs) in the amounts of $663,067, $67,127, $908,375, $59,250, and $106,344 to recognize unanticipated revenues from federal sources and related appropriations to support Solano County’s most pressing needs to prevent and respond to the coronavirus disease 2019 (COVID-19) (4/5 vote required)
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Published Notice Required? Yes _____ No __X__
Public Hearing Required? Yes _____ No __X__
DEPARTMENTAL RECOMMENDATION:
The Department of Health & Social Services recommends the Board of Supervisors approve five revenue allocations and corresponding Appropriations Transfer Requests (ATRs) in the amounts of $663,067, $67,127, $908,375, $59,250, and $106,344 to recognize unanticipated revenues from federal sources and related appropriations to support Solano County’s most pressing needs to prevent and respond to the coronavirus disease 2019 (COVID-19) (4/5 vote required).
SUMMARY/DISCUSSION:
The Department of Health and Social Services (H&SS) has been allocated five separate revenue allocations resulting from the passage of the federal Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020 (Supplemental Act), signed by President Trump on March 6, 2020, and the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) signed by President Trump on March 27, 2020. These Acts included federal funding for prevention, preparation and response efforts to COVID-19.
The first allocation of $663,067 is California State pass-through funding received from the California Department of Public Health (CDPH), the State’s Supplemental Act allocation from the CARES Act. The County Department of Health and Social Services is requesting approval to accept the allocation to procure Solano County laboratory equipment and supplies, personal protective equipment and supplies, and supplement operating expenses and personnel costs associated with local COVID-19 response activities. This funding will also support staff responding to the needs of hospitals and healthcare facilities associated with COVID-19 response and mitigation activities. The Solano County lab has the staffing capacity to utilize the equipment and supplies once procured.
H&SS was also awarded three grants from the U.S. Health Resources and Services Administration (HRSA) including $67,127 in COVID-19 Supplemental Act funding, $908,375 in CARES Act funding, and $59,250 in Ryan White HIV/AIDS Program funding. The COVID-19 Supplemental Act funding of $67,127 will be used to support Solano County Family Health Centers (FHS) in preventing, preparing for, and responding to COVID-19. The CARES Act funding of $908,375 will be utilized to equip the Solano County Family Health Clinics with telehealth capabilities and to cover associated personnel and operations costs. To expedite distribution of critical funding, HRSA has made funds immediately available and will collect budget and activities/costs to be supported by the funding at a later date. The performance period for these one-time funds is twelve months. Other federally qualified health centers operating in Solano County also received HRSA funding. Funding is available for immediate use, and pre-award costs are permitted to support expenses related to the coronavirus public health emergency dating back to January 20, 2020. The $59,250 in Ryan White HIV/AIDS Program (RWHAP) funding will be used for services, activities, and supplies needed to prevent or minimize the impact of COVID-19 on RWHAP clients
The fifth revenue allocation is a Medicare enrolled provider stimulus payment from the U.S. Department of Health and Human Services as a direct deposit to the County for its share as a FQHC to provide financial assistance to physician practices, hospitals, and other providers negatively impacted by the COVID-19 pandemic. The $106,344 received funds will be used to cover some of the revenue losses in the County’s Family Health Services (FHS) clinics due to COVID-19. Each FQHC and hospital is eligible to receive direct federal assistance from this source.
FINANCIAL IMPACT:
Solano County will receive and administer federal funds of $663,067 passed through the California Department of Public Health, $1,034,752 directly from HRSA, and $106,344 from HHS. Increase in appropriations as a result of the ATRs will be funded by these federal revenues with no County General Fund impact.
The costs associated with preparing the agenda item are nominal and absorbed by the Department’s FY2019/20 Adopted Budget.
ALTERNATIVES:
The Board of Supervisors could choose not to authorize acceptance of these funds and not to approve the ATRs. This is not recommended, as the proceeds will fund acquisition of critical equipment and support personnel.
OTHER AGENCY INVOLVEMENT:
None.
CAO RECOMMENDATION:
APPROVE DEPARTMENTAL RECOMMENDATION