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HomeMy WebLinkAboutResolutions - 2022.10.20 - 37670® FOaku = COUNTY MICHIGAN BOARD OF COMMISSIONERS AGENDA ITEM:Interlocal Agreement with the City of Detroit for the Ryan White HIV/AIDS Treatment Extension Act of 2009 Program 22-352 COMMITTEE MEETING:Board of Commissioners DATE:Thursday,October 20,2022 6:04 PM -Click to View Agenda ITEM SUMMARY SHEET Dae SPONSORED BY Health &Human Services Penny Luebs INTRODUCTION AND BACKGROUND The Ryan White Program works with cities,states,and local community-based organizations to provide HIV-related services to more than half a million people each year.The program is for those who do not have sufficient health care coverage or financial resources for coping with HIV disease. Ryan White fills gaps in care not covered by these other sources. Ryan White is administered by the U.S.Department of Health and Human Services (HHS),Health Resources and Services Administration (HRSA),HIV/AIDS Bureau (HAB).Federal funds are awarded to agencies located around the country,which in turn deliver care to eligible individuals under funding categories called Parts,as outlined below.First authorized in 1990,the Ryan White HIV/AIDS Program is currently funded at $2.1 billion. The majority of Ryan White funds support primary medical care and essential support services.A smaller but equally critical portion funds technical assistance,clinical training,and research on innovative models of care. POLICY ANALYSIS 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. This is a request to approve the intergovernmental agreement with the City of Detroit Health Department. BUDGET AMENDMENT REQUIRED:No Committee members can contact Michael Andrews,Policy and Fiscal Analysis Supervisor at 248.858.5115 (office)or andrewsmb@oakgov.com,or the department contact persons listed for additional information. CONTACT Leigh-Anne Stafford,Director Health &stafford|@oakgov.com Human Services-APP ITEM REVIEW TRACKING Penny Luebs,Created/Initiated -10/20/2022 David Woodward,Board of Commissioners Approved -10/20/2022 Hilarie Chambers,Executive's Office Approved -10/21/2022 Lisa Brown,Clerk/Register of Deeds Final Approval -10/26/2022 AGENDA DEADLINE:10/20/2022 7:20 PM COMMITTEE TRACKING 2022-10-11 Public Health &Safety -Recommend to Board 2022-10-20 Full Board -Adopted ATTACHMENTS 1 Oakland County_Intergovernmental Agreement 09.14.2022 AT 2.Oakland County Spreadsheet 09.14.2022 AT 3.Oakland County 09.14.2022 AT. 4 Memo Corp Council ===© POaxe = COUNTY MICHIGAN BOARD OF COMMISSIONERS October 20,2022 RESOLUTION #2022-2113 |22-352 Sponsored By:Penny Luebs Health &Human Services -Interlocal Agreement with the City of Detroit for the Ryan White HIV/AIDS Treatment Extension Act of 2009 Program Chairperson and Membersof the Board: WHEREASthe Ryan White HIV/AIDS Treatment Extension Act of 2009 requires that intergovernmental agreements (IGA)be established betweenpolitical 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 EmergencyRelief Grant funds,and the Southeastern Michigan HIV/AIDS Council (SEMHAC) facilitate an ongoing needs assessment process;and WHEREAS this needs assessment showsthat Oakland County possesses 19.75%of HIV/AIDS cases in the Eligible Metropolitan Area (EMA)Counties;and WHEREASthe 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 the Detroit Health Department and SEMHAC directly allocated $1,291,377 of Ryan White Part A funding to community agencies within Oakland County in FY 2021/2022 for the provision of services to persons living with HIV/AIDS;and WHEREASnone of the provisions of the Agreement are intended to create any other relationship between the County and the City of Detroit;and WHEREASthis agreement is included in the County Executive’s Contract Review Process;and WHEREAS acceptanceof 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 Inter-Governmental 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. BE IT FURTHER RESOLVED that no budget amendment is required at this time. Chairperson,the following Commissioners are sponsoring the foregoing Resolution:Penny Luebs. /Date:October 20,2022 David Woodward,Commissioner bi (haw Date:October 21,2022 Hilarie Chambers,Deputy County ExecutiveII Kaw Bay 'Date:October 26,2022 Lisa Brown,County Clerk /Register of Deeds COMMITTEE TRACKING 2022-10-11 Public Health &Safety -Recommend to Board 2022-10-20 Full Board -Adopted VOTE TRACKING Motioned by Commissioner Michael Gingell seconded by Commissioner Kristen Nelson to adopt the attached Interlocal Agreement:with the City of Detroit for the Ryan White HIV/AIDS Treatment Extension Act of 2009 Program. Yes:David Woodward,Michael Gingell,Michael Spisz,Karen Joliat,Kristen Nelson,Eileen Kowall,Christine Long,Philip Weipert,Gwen Markham,Angela Powell,Thomas Kuhn,Chuck Moss,Marcia Gershenson,William Miller III,Yolanda Smith Charles,Penny Luebs,Janet Jackson, Gary McGillivray,Robert Hoffman,Adam Kochenderfer (20) No:None (0) Abstain:None (0) Absent:(0) Passed ATTACHMENTS 1...Oakland County_Intergovernmental Agreement 09.14.2022 AT 2.Oakland County Spreadsheet 09.14.2022 AT 3.Oakland County 09.14.2022 AT.f 4 Memo Corp Council STATE OF MICHIGAN) COUNTY OF OAKLAND) |,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 October 20,2022,with the original record thereof now remaining in my office. In Testimony Whereof,|have hereunto set my hand and affixed the seal of the Circuit Court at Pontiac,Michigan on Thursday,October 20,2022. fav bin Lisa Brown,Oakland County Clerk /Register of Deeds RYAN WHITE HIV/AIDS TREATMENT EXTENSION ACT OF2009 INTERGOVERNMENTAL AGREEMENT BETWEEN THE CITY OF DETROIT AND OAKLAND COUNTY THIS AGREEMENT,entered into this___day of.2022,betweenthe City of Detroit,by and throughits Health Department,hereinafter referred to as the “City”,and the County of Oakland,a bodypolitic 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 havenotless than ten percentof the areas reported AIDS cases of the Detroit eligible metropolitan area (EMA)and provide HIV-related services; WHEREAS,the purpose ofthe IGA is to lay out a frameworkfor the relationship betweenpertinent organizations; WHEREAS,the City and the Southeastern Michigan HIV/AIDS Council (SEMHAC)facilitate an ongoing needs assessmentprocess.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 19.75 %of reported cases in the EMA and is a providerofin-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 Agreementas 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: 1.Developing a comprehensive plan for organizing anddelivering HIV health and support services that are compatible with existing federal,state and local plans regarding the provision of HIV- related services;and 2.Recommendationsfor allocation of funds to service categories of greatest need. ARTICLE I.FUNDING DECISIONS A.Thefindings from ongoing needs assessment will be updated and supplemental information will be reviewed by the Council in establishing fundingpriorities. ARTICLE IV.TERMS OF AGREEMENT This Agreementshall 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,whicheveris later. The Project shall become operational upon award of funds underPart A of Title XXVIof the Public Health Service Act as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009. 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 ofAward, EMA/TGApolitical subdivision expenditures for Ryan White core medical services and support services at a level equal to the 1-year periodpreceding thefiscal year (FY)for which the grantee is applying to receive a Ryan White Part A grant.In orderto receive a Ryan White Part A award,EMAs/TGAs must comply with maintenance oflevel 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,EMAs/TGAs must maintain adequate systems for consistently tracking and reporting on expenditure data for core medicalservices 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. Eachparty to this Agreementhas 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 suchlitigation. If any provision in this Agreementis invalid for any reason,such invalid portion shall not render invalid the remainingprovisions of the agreement whichcan be given effect without the invalid provision to carry out the intentof the parties as stated herein. Neither party hereto may assign this Agreementin whole orin part without the written consent of the other party. The waiver by party or any breachor failure of the other party to perform any covenant or obligation contained herein shall not constitute a waiver of a subsequentbreach. This Agreement represents the entire Agreement between parties and supersedes any and all prior agreements,whether written or oral.Any modification of this Agreementshall be valid only if in writing and signed byall parties hereto. This Agreement shall be governed by and construed in accordance with the reauthorized Ryan White Treatment Extension Act of 2009. Noneof the provisions of the Agreementare intended to create nor shall be designed to create any other relationship between the City and the County otherthan of independententities coordinating with each other hereundersolely for effecting the provisions of this Agreement.Neither of the parties hereto nor any of their respective representatives shall be construedto be the agent,the employer,or representative of the other.The City and the County will maintain separate and independent managementsand each has full unrestricted authority and responsibility regarding its own organization and structure. This Agreement is terminable at will by either party upon 10 days’notice. AUTHORIZATION: FOR THE CITY OF DETROIT: SIGNATURE Typed Name Title Government Unit Date City of Detroit Health Department FORTHE COUNTY OF OAKLAND: SIGNATURE Typed Name Title Government Unit Date Grantee for the Detroit Eligible Metropolitan Area (EMA) Maintenance of Effort Expenditure Summary Detroit Eligible Metropolitan Area FY 2021-2022 Oakland County Prepared by:Telephone: Click here for Ryan White Service Category Definitions Item Description |Agency/Department/Other |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 Medical Case Management (Including Treatment Adherence SILSOLSLSlLSOLS]LOlLoITSoIToO]LOC]oO|SoSubstance Abuse Services-Outpatient Support Services 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 Psychosocial Support Services Referral for Health Care/Support Services Rehabilitation Services Respite Care Substance Abuse Services-residential Treatment Adherence Counseling SLOLSOLOILCLOLCILOLOLOLOLOJSOloO}LOI[oOI|OMethodology: Cae Detroit Health Department Phone 313¢876¢4000elitetyredts100MackFax313¢877¢9244 DETROIT Detroit,Michigan 48201 www.detroitmi.gov/health September 14,2022 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 EmergencyRelief Grantfor 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 treatmentfor low-income,uninsured,and underinsured persons living with HIV (PLWH)to improve their health outcomes.In the fiscal year spanning March 1,2021 -February 28, 2022 the Part A Program served 3,855PLWH,618 (16.03%)were residents of Oakland County. Currently DHD is preparingthe Part A application for the grant year starting March 1,2023.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 documentIntergovernmental Agreements with the Chief Elected Officials (or designee)of political jurisdictions that provide HIV health services and accountfor at least ten percentof the reported AIDS cases in the EMA. As such,I am requesting the following two items: e Maintenance of Effort (MOE)documentation for general fund expenditures of HIV-related core medical services and support services within Oakland County. o [have attached a spreadsheet on which you can document expenditures. =Please list the actual general funds expended between March 1,2021 and February 28,2022. = Ifno general funds were expended for HIV-related services listed,please indicate with a zero. =The spreadsheetalso has a section for you to include a brief statement describing the methodology used to calculate these expenditure amounts. =Signature on the attached intergovernmental agreement. Please return the completed spreadsheet and intergovernmental agreement to me at Tomsica@detroitmi.gov by September 24,2022,for inclusion in the FY 2023 grant application.Thank you for your cooperation and leadership.Please feel free to reachout for additional information about this request or the Ryan White Program at 313.400.2212. Sincerely, Angelopae Temace. Angelique Tomsic HIV/STI Program Director Smith,Stacey From:Benn,BradleyGSent:Monday,September26,202211:31AMTo:Smith,StaceySubject:Fw:2022-1169HEALTHCityofDetroitIntergovernmentalAgreementRE:RyanWhiteHIV/AIDSTreatmentExtensionActof2009From:Benn,BradleyG<bennb@oakgov.com>Sent:Monday,September26,202210:56AMTo:Green,CalandraLetisha<greenc@oakgov.com>Cc:Mclsaac,KimberlyMarie<mcisaack@oakgov.com>;Stafford,Leigh-Anne<staffordl|@oakgov.com>Subject:2022-1169HEALTHCityofDetroitIntergovernmentalAgreementRE:RyanWhiteHIV/AIDSTreatmentExtensionActof2009GoodMorningCalandra,|havereviewedtheabovereferencedIAwiththeCityofDetroit.|havenolegalissueswithyouexecutingthisagreement.Letmeknowifyouhaveanyquestions.Thanks,BradBradleyG.BennSeniorAssistantCorporationCounselOfficeofCorporationCounselOaklandCounty,MichiganAllways,movingforwardPhone:(248)858-0558Email:bennb@OakGov.com1200N.TelegraphRoad,Building14East CourthouseWestWindExtension,3rdFloorPontiac,MI48341OakGov.com PRIVILEGEDANDCONFIDENTIAL-ATTORNEYCLIENTCOMMUNICATIONThise-mailisintendedonlyforthosepersonstowhomitspecificallyaddressed.Itisconfidentialandisprotectedbytheattorney-clientprivilegeandworkproductdoctrine.ThisprivilegebelongstotheCountyofOakland,andindividualaddresseesarenotauthorizedtowaiveormodifythisprivilegeinanyway.Individualsareadvisedthatanydissemination,reproductionorunauthorizedreviewofthisinformationbypersonsotherthanthoselistedabovemayconstituteawaiverofthisprivilegeandisthereforeprohibited.Ifyouhavereceivedthismessageinerror,pleasenotifythesenderimmediately.Ifyouhaveanyquestions,pleasecontacttheDepartmentofCorporationCounselat(248)858-0550.Thankyouforyourcooperation.