HomeMy WebLinkAboutResolutions - 2018.09.27 - 23785MISCELLANEOUS RESOLUTION #18325 September 27, 2018
BY: Commissioner Christine Long, Chairperson, General tiovernment Committee
IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION — RYAN WHITE
HIV/AIDS TREATMENT EXTENSION ACT OF 2009 INTERGOVERNMENTAL AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND THE CITY OF DETROIT
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
WHEREAS the Ryan White HIV/AIDS Treatment Extension Act of 2009 requires that intergovernmental
agreements (IGA) be established between political subdivisions which have not less than 10% of the areas
reported AIDS cases and provide HIV/AIDS related services; and
WHEREAS the Detroit Health Department, as the lead agency for administering Ryan White Part A, HIV
Emergency Relief Grant funds, and the Southeastern Michigan HIV/AIDS Council (SEMHAC) facilitate an
ongoing needs assessment process; and
WHEREAS this needs assessment shows that Oakland County possesses 19% of HIV/AIDS cases in the
Eligible Metropolitan Area (EMA) Counties; and
WHEREAS the Detroit Health Department and SEMHAC directly allocated $2.1 million of Ryan White Part
A funding to community agencies within Oakland County in FY 2017/18 for the provision of services to
persons living with HIV/AIDS; and
WHEREAS the purpose of the IGA is to ensure eligible local governments provide maintenance of effort
expenditure information related to the Ryan White Extension Act; and
WHEREAS none of the provisions of the Agreement are intended to create any other relationship between
the County and the City of Detroit; and
WHEREAS this agreement has been reviewed in accordance with the Board of Commissioners Automatic
Direct Referral Procedures and is recommended for approval; and
WHEREAS acceptance of this intergovernmental agreement does not obligate the County to any future
commitment.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners hereby approves
the Intergovernmental Agreement between the County of Oakland and the City of Detroit.
BE IT FURTHER RESOLVED that the Board Chairperson is authorized to execute the agreement.
Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing
resolution.
Commissioner Christine Long, DistriA#7
Chairperson, General Government himittee
GENERAL GOVERNMENT COMMITTEE VOTE:
Motion carried unanimously on a roll call vote with Kochenderfer and Quarles absent.
ADR REVIEW SIGN OFF — Health and Human Services/Health Division
RESOLUTION TITLE: Department of Health and Human Services/Health Division — Ryan White HIV/AIDS
Treatment Extension Act of 2009 Intergovernmental Agreement Between the County of Oakland and the
City of Detroit
DEPARTMENT CONTACT PERSON: Rachel Shymkiw 248-452-2151
DATE: 8/28/2018
DEPARTMENT REVIEW
Department of Human Resources:
Approved (No Committee) — Heather Mason (8/22/2018)
Corporation Counsel:
Approved w/ Modification to Intergovernmental Agreement — Bradley Benn (8/23/2018)
- THIS AGREEMENT, entered into this day of , 20178, between the City of Detroit,
by and through its Health Department, hereinafter referred to as the "Cityn , and the County of
Oakland, a body politic and corporate, hereinafter referred to as the "County":
Department of Management and Budget:
Approved — Lynn Sonkiss (8/27/2018)
CITY OF DiTR011'
DETROIT HEALTH DEVARTMENT
3245.8. JERERSON, SIAM 1OCI
DETROIT, MICHIOAN 4017
(313)8764000 TTY:711
\vw,DrA Not
August 8, 2018
Leigh-Anne Stafford, Health Officer
Oakland County Health Division
1200 N. Telegraph
Bldg 34 East
Pontiac, MI 48341
Dear Ms. Stafford:
The City of Detroit Health Department (DHD) is the recipient of the Ryan White Part A, HIV Emergency
Relief Grant for the Detroit eligible metropolitan area, which includes the counties of Lapeer, Macomb,
Monroe, Oakland, St. Clair and Wayne. The Ryan White Part A Program's goal is to provide optimal HIV care
and treatment for low-income, uninsured, and underinsured persons living with HIV (PLWH) to improve their
health outcomes. In the fiscal year spanning March 1, 2017- February 28, 2018 the Part A Program served 3,791
PLWH, 631(17%) were residents of Oakland County.
Currently DHD is preparing the Part A application for the grant year starting March 1, 2019. The Ryan White
legislation requires Part A recipients to maintain political subdivision expenditures for Ryan White core medical
services and support services at a level equal to the one-year period preceding the fiscal year for which the
recipient is applying to receive a Part A grant. The legislation also requires Part A recipients to document
Intergovernmental Agreements with the Chief Elected Officials (or designee) of political jurisdictions that
provide HIV health services and account for at least ten percent of the reported AIDS cases in the EMA. As of
July 1, 2017, the Michigan Department of Health and Human Services reports that Oakland County accounts for
19% of the reported AIDS cases in the metropolitan area.
As such, I am requesting the following two items:
• Maintenance of Effort (MOE) documentation for general fund expenditures of HIV-related core medical
services and support services within Oakland County.
o I have attached a spreadsheet on which you can document expenditures.
• Please list the actual general funds expended between March 1, 2017 and February 28,
2018.
If no general funds were expended for HIV-related services listed, please indicate with a
zero.
The spreadsheet also has a section for you to include a brief statement describing the
methodology used to calculate these expenditure amounts.
• The spreadsheet includes the FYI 6 MOE information you provided last year as well as a
link to the definitions for Ryan White Service Categories.
• Signature on the attached intergovernmental agreement.
Please return the completed spreadsheet and a scanned copy of the signed agreement to Stephanie Mayweather,
Administrative Coordinator, at mayweatherscrWetroitmi.gov by September 7, 2108, for inclusion in the FY
2019 Grant application. Thank you for your cooperation and leadership. Please contact Leanne Savola, HIV/STI
Programs Director, for additional information about this request or the Ryan White Program
(savolal(a)detroitmi. or 313.870.0073).
Sincerely,
Joneigh S. Khaldun, MD, MPH, FACEP
Director and Health Officer
Enclosures:
MOE Expenditures Oakland Courity.xls
Oakland County __Intergovernmental Agreement.doc
cc: Leanne F. Savola, HIV/STI Programs Director
Maintenance of Effort Expenditure Summary
Detroit Eligible Metropolitan Area
FY 2017-18
Oakland County
Prepared by: Rachel Shymkiw Telephone: 248-452-2151
Click here for Ryan White Service Category Definitions
FY17
Item Description I Agency/Department/Other I Expenditure
Core Medical Services
Outpatient/Ambulatory Health Services
AIDS Drugs Assistance Program
AIDS Pharmaceutical Assistance (local)
Oral Health Care
Early Intervention Services
Health Insurance Premium & Cost Sharing Assistance
Home Health Care
Home & Community-based Health Services
Hospice Services
Mental Health Services
Medical Nutrition Therapy
VIedical Case Management (Including Treatment Adherence
Substance Abuse Services-Outpatient
Support Seili es
Non-Medical Case Management
Child Care Services
Emergency Financial Assistance
Food Bank/Home-delivered Meals
Health Education/Risk Reduction
Housing Services
Legal Services
Linguistic Services
Medical Transportation Services
Outreach Services Oakland County Health Division $635,728
Psychosocial Support Services
Referral for Health Care/Support Services
Rehabilitation Services
Respite Care
Substance Abuse Services-residential
Treatment Adherence Counseling
Methodology: General Fund Administration Support for H1V/AIDS prevention program.
RYAN WHITE HIV/AIDS TREATMENT EXTENSION ACT OF 2009
INTERGOVERNMENTAL AGREEMENT BETWEEN THE
CITY OF DETROIT
AND
OAKLAND COUNTY
TI-US AGREEMENT, entered into this day of , 2018, between the City of
Detroit, by and through its Health Department, hereinafter referred to as the "City", and the
County of Oakland, a body politic and corporate, hereinafter referred to as the "County":
WHEREAS, the Ryan White HIV/AIDS Treatment Extension Act of 2009 requires that
intergovernmental agreements (IGA) be established between political subdivisions which have
not less than ten percent of the areas reported AIDS cases of the Detroit eligible metropolitan
area (EMA) and provide HIV-related services;
WHEREAS, the purpose of the IGA is to lay out a framework for the relationship between
pertinent organizations;
WHEREAS, the City and the Southeastern Michigan HIV/AIDS Council (SEMHAC) facilitate
an ongoing needs assessment process. This document, with updated information regarding HIV
needs and services in the remainder of the EMA Counties will serve as a basis for determining
service need;
WHEREAS, Oakland County possesses 19% of reported AIDS cases in the EMA and is a
provider of in-hospital and ambulatory care services to persons with HIV disease. The County's
experience and expertise include direct health care, supportive care, and model care programs for
the medically indigent.
NOW, THEREFORE, in consideration of the above, the parties hereto agree in this
Intergovernmental Agreement as follows:
ARTICLE I. ADMINISTRATION
A. The City will be the grantee of the Ryan White Treatment Extension Act Part A funds.
ARTICLE II. HIV SERVICE PLANNING COUNCIL
A. The Council established to guide implementation of the Ryan White Treatment Extension
Act is known as the Southeastern Michigan HIV/AIDS Council (the "Council")
B. The duties of the Council include:
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1. Developing a comprehensive plan for organizing and delivering HIV health and
support services that are compatible with existing federal, state and local plans
regarding the provision of H1V-related services; and
2. Recommendations for allocation of funds to service categories of greatest need.
ARTICLE III. FUNDING DECISIONS
A. The findings from ongoing needs assessment will be updated and supplemental
information will be reviewed by the Council in establishing funding priorities.
ARTICLE IV. TERMS OF AGREEMENT
A. This Agreement shall be deemed effective upon its acceptance by the City and the County
and upon the approval and release of funds by the United States Division of HIV
Services, Bureau of Health Resources and Services Administration, whichever is later.
B. The Project shall become operational upon award of funds under Part A of Title XXVI of
the Public Health Service Act as amended by the Ryan White HIV/AIDS Treatment
Extension Act of 2009.
C. Local governments shall comply with requests for expenditure information related to the
Ryan White Treatment Extension Act.
The Ryan White legislation requires Ryan White Part A grantees to maintain, as a
Condition o f Award, EMA/TGA political subdivision expenditures for Ryan White core
medical services and support services at a level equal to the 1-year period preceding the
.fiscal year (FY) for which the grantee is applying to receive a Ryan White Part A grant.
in order to receive a Ryan White Part A award, EM4s/TGAs must comply with
maintenance of level requirements, which include: a signed assurance that maintenance
of effort has been maintained, a description of a consistent data set of local government
expenditures for two previous years, and methodologies for calculating maintenance of
effort expenditures.
To demonstrate compliance with this provision, EM_As/TGAs must maintain adequate
systems for consistently tracking and reporting on expenditure data lbr core medical
services and support services from year-to-year. Grantees are accountable to ensure that
Federal funds do not supplant EMA/TGA spending but instead expand and enrich such
activities.
D. Each party to this Agreement has its own legal representative and agrees to bear its own
costs, including judgments, in any litigation which may arise from performance of this
contract, it is specifically understood and agreed that neither party will indemnify the
other party in such litigation.
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E. If any provision in this Agreement is invalid for any reason, such invalid portion shall not
render invalid the remaining provisions of the agreement which can be given effect
without the invalid provision to carry out the intent of the parties as stated herein.
F. Neither party hereto may assign this Agreement in whole or in part without the written
consent of the other party.
G. The waiver by party or any breach or failure of the other party to perform any covenant
or obligation contained herein shall not constitute a waiver of a subsequent breach.
H. This Agreement represents the entire Agreement between parties and supersedes any and
all prior agreements, whether written or oral. Any modification of this Agreement shall
be valid only if in writing and signed by all parties hereto.
I. This Agreement shall be governed by and construed in accordance with the reauthorized
Ryan White Treatment Extension Act of 2009.
J. None of the provisions of the Agreement are intended to create nor shall be designed to
create any other relationship between the City and the County other than of independent
entities coordinating with each other hereunder solely for effecting the provisions of this
Agreement. Neither of the parties hereto nor any of their respective representatives shall
be construed to be the agent, the employer, or representative of the other. The City and
the County will maintain separate and independent managements and each has full
unrestricted authority and responsibility regarding its own organization and structure.
K. This Agreement is terminable at will by either party upon 10 days' notice.
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AUTHORIZATION:
FOR THE CITY OF DETROIT: FOR THE COUNTY OF OAKLAND:
SIGNATURE SIGNATURE
Michael Gingen, Chair
Typed Name Typed Name
Oakland County Board of Commissioners
Title Government Unit Title Government Unit
Date Date
City of Detroit Health Department
Grantee for the Detroit Eligible Metropolitan Area (EMA)
4
rL
, z
Co mifssioner Thomas Middleton, District #4
Chairperson, Finance Committee
FISCAL NOTE (MISC.#18325)H September 27, 2018
BY: Commissioner Thomas Middleton, Chairperson, Finance Committee
IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION — RYAN WHITE
HIV/AIDS TREATMENT EXTENSION ACT OF 2009 INTERGOVERNMENTAL AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND THE CITY OF DETROIT
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
Pursuant to Rule XII-C of this Board, the Finance Committee has reviewed the above-referenced
resolution and finds:
1. The resolution authorizes an intergovernmental agreement between Oakland County and the City
of Detroit which will establish the framework to ensure that eligible local governments provide
maintenance of effort expenditure information related to the Ryan White Extension Act.
2. The City of Detroit Health Department and Southeastern Michigan HIV/AIDS Council (SEMHAC)
directly allocated $2,100,000 of Ryan White Part A funding to community agencies within
Oakland County in FY 2017/2018 for the provision of services to persons with HIV/AIDS.
3. The Oakland County Health Division does not receive any funding from the Ryan White HIV/AIDS
Treatment Extension Act of 2009.
4. Article III of the agreement allows the SEMHAC to review all findings and supplemental
information from the ongoing needs assessment to establish funding priorities.
5. There is no fiscal impact on the County with this Agreement, and no budget amendment is
required.
FINANCE COMMITTEE VOTE:
Motion carried unanimously on a roll call vote with KowaII absent.
Resolution #18325 September 27, 2018
Moved by Fleming supported by McGillivray the resolutions (with fiscal notes attached) on the Consent
Agenda be adopted (with accompanying reports being accepted).
AYES: Crawford, Fleming, Gershenson, Gingell, Hoffman, Jackson, Kochenderfer, KowaII, Long,
McGillivray, Middleton, Quarles, Spisz, Taub, Tietz, Weipert, Woodward, Zack, Berman,
Bowman. (20)
NAYS: None. (0)
A sufficient majority having voted in favor, the resolutions (with fiscal notes attached) on the Consent
Agenda were adopted (with accompanying reports being accepted).
1 FIERMVOPROVE THIS RESOLUTION
CHIEF DEPUTY COUNTY EXECUTIVE
ACTING PURSUANT TO MCL 45.559A (7)
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, Lisa Brown, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and
accurate copy of a resolution adopted by the Oakland County Board of Commissioners on September 27,
2018, with the original record thereof now remaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County of Oakland at
Pontiac, Michigan this 27th day of September, 2018.
ake_ <ZE -
Lisa Brown, Oakland County