To: Board of Supervisors
From: DHHS: Public Health
Agenda Section: Consent
Vote Requirement: Majority
SUBJECT:
title
Approve the California Department of Public Health Maternal, Child, and Adolescent Health Division’s California Home Visiting Program Funding Agreement Period for Fiscal Year 2025-26 in the Amount of $1,507,427
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Approve the attached California Department of Public Health Maternal, Child, and Adolescent Health Division’s California Home Visiting Program Agreement Funding Application Period for Fiscal Year 2025-26 issued to the Department of Health and Humboldt Services - Public Health Branch, Nursing Division, California Home Visiting Program in the amount of $1,507,427; and
2. Authorize the Department of Health and Human Services - Public Health Branch Director, or a designee there of, to execute the attached Agreement Funding Application Period for Fiscal Year 2025-26; and
3. Authorize the Department of Health and Human Services - Public Health Director, or designee thereof, to execute any and all subsequent amendments, certifications, attestations, and documents associated with the attached Agreement Funding Application after review of County Counsel, Risk Management, and the County Administrative Office; and
4. Direct the Clerk of the Board to provide the Department of Health and Human Services - Contract Unit with one certified copy of the Board Order pertaining to this item.
Body
STRATEGIC PLAN:
This action supports the following areas of your Board’s Strategic Plan.
Area of Focus: Safe & Healthy Communities
Strategic Plan Category: 1002- Remove barriers to quality healthcare
DISCUSSION:
Public Health’s Maternal, Child, and Adolescent Health (MCAH) division’s California Home Visiting Program (CHVP) is implemented locally via the Nurse-Family Partnership (NFP) Program, an evidence-based home visitation program which allows low-income families to receive home visits from a Public Health Nurse. The NFP Program has been shown to have positive impacts on child and maternal health, rates of child abuse and neglect, long-term birth rates, rates of incarceration, educational success, maternal employment and parental capacity. Humboldt NFP began in 2009 with two nurses and has continued to grow and expand to eight FTE 1.0 nurses.
Beginning FY11-12, MCAH NFP has completed the CHVP Agreement Funding Application (AFA) and received grant funding to manage the NFP program. The CHVP AFA provides a Scope of Work (SOW) guided by several public health frameworks and establishes reporting requirements and provides direction when conceptualizing and organizing local program, policy, and evaluation efforts. The long-term goal is to increase the number of families participating in a CHVP supported evidence model.
Nurse-Family Partnership (NFP), now Changeant, provides consultation services without limitation, including Nursing education; Program quality assurance; Marketing; and Data reporting. These services are designed to support the continued operation of the NFP Program in Humboldt County. NFP is one of the only community-based health programs that is based on evidence from randomized, controlled trials. Research consistently proves that NFP succeeds at its most important goals: Keeping children and parents healthy and safe and assisting them in creating the lives that they want for themselves. Eligible pregnant individuals can transform their lives and the lives of their children if they follow the program and work with their nurse. Studies have concluded that investments in NFP lead to significant returns to society and government, giving taxpayers up to $5.70 return per dollar invested in the program.
The Public Health Director would be attesting to the spending of Title XIX dollars. There are no legal terms to this agreement, and the Grantee is a funding source. The ICR covers a percentage of either total personnel costs or of total allowable direct costs. The ICR is submitted if the Local Health Jurisdiction’s budgeted ICR differs from the CDPH approved ICR. The CPE is required only if a Subcontractor draws down Title XIX funds. The Government Agency Taxpayer ID Form / Form CDPH9083 is required only if the remit-to address has changed.
SOURCE OF FUNDING:
Public Health Fund (1175) CHVP (421)
FINANCIAL IMPACT:
|
Expenditures (1175,421) |
FY25-26 |
|
Budgeted Expenses |
1,507,427.00 |
|
Total Expenditures |
1,507,427.00 |
*Projected amounts are estimates and are subject to change.
|
Funding Sources (1175,421) |
FY25-26 |
|
State/Federal Funds |
1,507,427.00 |
|
Total Funding Sources |
1,507,427.00 |
*Projected amounts are estimates and are subject to change.
Narrative Explanation of Financial Impact:
Approval of the Agreement Funding Application with the MCAH Division’s CHVP of CDPH will allow the Department of Health and Human Services Public Health Branch to be reimbursed up to $1,507,427 for services performed in accordance with the Scope of Work for the Fiscal Year 2025-26.
This funding resides in the Fund 1175, Budget Unit 421 - MCH Cal Home Visiting Program. Funding in the amount of $1,507,427 was anticipated and included in the Fiscal Year 2025-26 proposed county budgets.
STAFFING IMPACT:
Approval of the Agreement Funding Application with the MCAH Division’s CHVP of CDPH will maintain current staffing levels in the county’s CHVP services.
OTHER AGENCY INVOLVEMENT:
None
ALTERNATIVES TO STAFF RECOMMENDATIONS:
Your Board could choose not to approve the Agreement Funding Application. However, this is not recommended as it would limit the ability of Public Health to provide CHVP services to Humboldt County.
ATTACHMENTS:
1. California Department of Public Health Maternal, Child, and Adolescent Health (MCAH) Division Funding Agreement Period FY 2025-2026
2. CHVP Agreement Funding Application (AFA) Announcement for State Fiscal Year (SFY) 2025-2026
3. Certification of Indirect Cost Rate Methodology
4. Certification Statement for the Use of Public Funds
5. Government Agency Taxpayer ID Form
6. Attestation of Compliance with the Requirements for Enhanced Title XIX Federal Financial Participation (FFP) Rate Reimbursement for Skilled Professional Medical Personnel (SPMP) and their Direct Clerical Support Staff
PREVIOUS ACTION/REFERRAL:
Meeting of: None
File No.: None