2019-459-Resolution No. 2019-054 Recorded 11/4/2019Recorded in Deschutes County CJ2019-459
Nancy Blankenship, County Clerk
REVIEWED Commissioners' Journal 11 /04/2019 8:25:19 AM
Co
LE AL COUNSEL
2019-459
rur mccorumg atamp uniy
BEFORE THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY, OREGON
A Resolution Appropriating New Grant Funds
in the Deschutes County 2019-2020 Budget RESOLUTION NO. 2019-054
WHEREAS, Deschutes County's Health Services Fund will receive new grant revenue totaling
$40,000; and
WHEREAS, these new grant funds need to be appropriated; and
WHEREAS, ORS 294.326(2) allows the appropriation and expenditures of new grant funds
designated to specific purposes; now, therefore,
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES
COUNTY, OREGON, as follows:
Section 1. That the following grant be budgeted:
Revenue
Health Services Fund
State Grant
$ 40,000
TOTAL REVENUE:
Section 2. That the following appropriations be made within the 2019-2020 County Budget:
Appropriation
Health Services Fund
Program Budget
TOTAL APPROPRIATION
PAGE 1 OF 2 -RESOLUTION NO. 2019-054 (10/30/19)
$ 40,000
Section 2. That the Chief Financial Officer make the appropriate entries in the Deschutes
County Financial System to show the above appropriations.
DATED this -3c) day of I , 2019.
ATTEST
Cv(U1ti_ �
Recording Secretary
PAGE 2 OF 2 -RESOLUTION NO. 2019-054 (10/30/19)
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DESC UTES COUNTY, RE ON
PHHI'LIP G. HE DE SON, Clair
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PATTI ADAIR, Vice -Chair
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OHA - 2019-2021 INTERGOVERNMENTAL AGREEMENT - FOR THE FINANCING OF PUBLIC HEALTH SERVICES
Agreement #159809
OI^egon
lie.,alth
Nuthority
FOURTH AMENDMENT TO OREGON HEALTH AUTHORITY
2019-2021 INTERGOVERNMENTAL AGREEMENT FOR THE
FINANCING OF PUBLIC HEALTH SERVICES
In compliance with the Americans with Disabilities Act, this document is available in alternate formats such as
Braille, large print, audio recordings, Web -based communications and other electronic formats. To request an
alternate format, please send an e-mail to dhs-oha.publicationrequest(&state.or.us or call 503-378-3486 (voice)
or 503-378-3523 (TTY) to arrange for the alternative format.
This Fourth Amendment to Oregon Health Authority 2019-2021 Intergovernmental Agreement for the
Financing of Public Health Services, effective July 1, 2019, (as amended the "Agreement"), is between the State
of Oregon acting by and through its Oregon Health Authority ("OHA") and Deschutes County, ("LPHA"), the
entity designated, pursuant to ORS 431.003, as the Local Public Health Authority for Deschutes County.
RECITALS
WHEREAS, OHA and LPHA wish to e.g. modify the Fiscal Year 2020 (FY20) Financial Assistance
Award set forth in Exhibit C of the Agreement.
WHEREAS, OHA and LPHA wish to e.g. modify the Exhibit J information required by 2 CFR Subtitle
B with guidance at 2 CFR Part 200;
NOW, THEREFORE, in consideration of the premises, covenants and agreements contained herein and
other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties
hereto agree as follows
AGREEMENT
1. Exhibit A "Definitions", Section 16 "Program Element" is amended to add Program Element titles and
funding source identifiers as follows:
2. Exhibit C entitled "Financial Assistance Award" of the Agreement for FY20 is hereby superseded and
replaced in its entirety by Attachment A attached hereto and incorporated herein by this reference.
Attachment A must be read in conjunction with Section 3 of Exhibit C.
159809 TLH AMENDMENT #4 PAGE 1 OF 7 PAGES
HIPAA
SUB-
PE NUMBER AND TITLE
FUND
FEDERAL AGENCY/
CFDA#
RELATED
RECIPIENT
* SUB-ELEMENT(S)
TYPE
GRANT TITLE
Y/N
Y/N
PE 43 Immunization Services
GF/FF
Title XIX Medicaid Admin/
93.778
N
N
Medical Assistance Program
• PE 43-02 Wallowa
Title XIX Medicaid
County and School Law
GF/FF
Admin/Medical Assistance
93.778
N
N
Program
• PE 43-03 Hepatis A
CDC/Immunization
Outbreak Prevention
FF
Cooperative Agreements
93.268
N
Y
HOPP
• PE 43-04 Hepatis A
Title XIX Medicaid
Outbreak Prevention
GF/FF
I
Admin/Medical Assistance
93.778
N
N
HOPP Incentives
Program
2. Exhibit C entitled "Financial Assistance Award" of the Agreement for FY20 is hereby superseded and
replaced in its entirety by Attachment A attached hereto and incorporated herein by this reference.
Attachment A must be read in conjunction with Section 3 of Exhibit C.
159809 TLH AMENDMENT #4 PAGE 1 OF 7 PAGES
OHA - 2019-2021 INTERGOVERNMENTAL AGREEMENT - FOR THE FINANCING OF PUBLIC HEALTH SERVICES
3. Exhibit J "Information required by 2 CFR Subtitle B with guidance at 2 CFR Part 200" is amended to
add to the federal award information datasheet as set forth in Attachment B, attached hereto and
incorporated herein by this reference.
4. LPHA represents and warrants to OHA that the representations and warranties of LPHA set forth in
Section 2 of Exhibit E of the Agreement are true and correct on the date hereof with the same effect as if
made on the date hereof.
5. Capitalized words and phrases used but not defined herein shall have the meanings ascribed thereto in
the Agreement.
6. Except as amended hereby, all terms and conditions of the Agreement remain in full force and effect.
7. The parties expressly ratify the Agreement as herein amended.
8. This Amendment may be executed in any number of counterparts, all of which when taken together
shall constitute one agreement binding on all parties, notwithstanding that all parties are not signatories
to the same counterpart. Each copy of this Amendment so executed shall constitute an original.
9. This Amendment becomes effective on the date of the last signature below.
IN WITNESS WHEREOF, the parties hereto have executed this Amendment as of the dates set forth
below their respective signatures.
10. Signatures.
By:
Name: /for/ Lillian Shirley, BSN, MPH, MPA
Title: Public Health Director
Date:
DESCHUTES COUNTY LOCAL PUBLIC HEALTH AUTHORITY
By:
Name:
Title:
Date:
DEPARTMENT OF JUSTICE - APPROVED FOR LEGAL SUFFICIENCY
Approved by Steven Marlowe, Senior Assistant Attorney General on July 26, 2019. Copy of emailed
approval on file at OHA, OC&P.
REVIEWED BY OHA PUBLIC HEALTH ADMINISTRATION
By:
Name: Derrick Clark (or designee)
Title: Program Support Manager
Date:
159809 TLR AMENDMENT #4 PAGE 2 OF 7 PAGES
OHA - 2019-2021 INTERGOVERNMENTAL AGREEMENT - FOR THE FINANCING OF PUBLIC HEALTH SERVICES
Attachment A
Financial Assistance Award (FY19)
State of Oregon Page 1 of 4
Oregon Health Authority
Public Health Division
1) Grantee
Name: Deschutes County
Street: 2577 NE Courtney Dr.
City: Bend
State: OR Zip Code: 97701
2) Issue Date
October 10, 2019
This Action
AMENDMENT
FY 2020
3) Award Period
From July 1, 2019 Through June 30, 2020
4) OHA Public Health Funds Approved
Award Increase/ New
Program Balance (Decrease) Award Bal
PE01-01 State Support for Public Health
228,238
0
228,238
PE07 HIV Prevention Services
31,451
0
31,451
PE08-01 Ryan White B HIV/AIDS: Case Management
168,581
0
168,581
PE08-02 Ryan White B HIV/AIDS: Support Services
37,800
0
37,800
PE08-03 Ryan White B HIV/AIDS: Oral Health
24,437
0
24,437
PE12 Public Health Emergency Preparedness and Response
(PNEP)
112,099
0
112,099
PE13-01 Tobacco Prevention and Education Prgram (TPEP)
56,155
0
56,155
PE27-01 PDOP - Prescription Drug Overdose (PDO)
15,916
0
15,916
PE27-05 PDOP Bridge (PDO/SOR)
41,665
0
41,665
PE36 Alcohol & Drug Prevention Education Program (ADPEP)
100,626
0
100,626
PE40-01 WIC NSA: July- September
162,862
0
162,862
PE40-02 WIC NSA: October - June
488,585
0
488,585
PE40-05 Farmer's Market
2,244
0
2,244
PE42-03 MCAH Perinatal General Funds & Title XIX
6,070
0
6,070
PE42-04 MCAH Babies First! General Funds
19,398
0
19,398
PE42-06 MCAH General Funds & Title XIX
11,389
0
11,389
PE42-07 MCAH Title V (July -Sept)
16,044
0
16,044
PE42-08 MCAH Title V (Oct -June)
48,132
0
48,132
159809 TLH AMENDMENT #4 PAGE 3 OF 7 PAGES
OHA - 2019-2021 INTERGOVERNMENTAL AGREEMENT - FOR THE FINANCING OF PUBLIC HEALTH SERVICES
State of Oregon Page 2 of 4
Oregon Health Authority
Public Health Division
1) Grantee
2) Issue Date
This Action
Name: Deschutes County
October 10, 2019
AMENDMENT
FY 2020
Street: 2577 NE Courtney Dr.
3) Award Period
City: Bend
From July 1, 2019 Through June 30, 2020
State: OR Zip Code: 97701
4) OHA Public Health Funds Approved
Award Increase/ New
Program Balance (Decrease) Award Bal
PE42-09 MCAH Oregon Mothers Care Title V (July -Sept)
12,078
0
12,078
PE42-10 MCAH Oregon Mothers Care Title V (Oct -June)
36,235
0
36,235
PE43 Public Health Practice (PHP) - Immunization Services
43,718
0
43,718
(Vendors)
PE43-03 Hepatitis A Outbreak Prevention Project (HOPP)
0
40,000
40,000
PE44-01 SBHC Base
360,000
0
360,000
PE44-02 SBHC - Mental Health Expansion
451,428
0
451,428
PE46-02 RH Community Participation & Assurance of Access
0
0
0
(July - Mar)
PE46-03 RH Community Participation & Access (State Funds)
28,084
0
28,084
PE46-04 RH Community Participation & Access Federal Funds
1,098
0
1,098
(July -Mar)
PE50 Safe Drinking Water (SDW) Program (Vendors)
93,863
0
93,863
PE51 Public Health Modernization Implementation
62,416
0
62,416
PE51-01 LPHA Leadership, Governance and Program
108,964
21,276
130,240
Implementation
PE51-02 Regional Partnership Implementation
173,571
0
173,571
5) Foot Notes: 2,943,1471 61,2761 3,004,423
PE01-01 1 Initial SFY20: Award is estimated for July 1 -September 30, 2019 and will be paid out at 1/3rd.
Awards will be amended pending approval of the State budget.
PE01-01 2 8/2019: SFY20 Award amended for increase for July 1, 2019 -June 30, 2020. Previous footnotes
are void and replaced by this one.
PE13-01 1 Initial SFY20: Award is 3 months (July -September 2019) of bridge TPEP funding and will be paid
out at 1 /3rd
PE13-01 2 8/2019: Award is 5 months (July -November 2019) of bridge TPEP funding and will be paid out at
1/5th, all previous footnotes are void and replaced by this one.
PE40-05 1 7/2019: Funding available SFY2020 July - December 2019
PE42-07 1 Initial SFY20: LPHA shall not use more than 10% of the Title V funds awarded for a particular
MCAH Service on indirect costs. See PE42 language under 4. a. (3) Funding Limitations for
details.
159809 TLH AMENDMENT #4 PAGE 4 OF 7 PAGES
OHA - 2019-2021 INTERGOVERNMENTAL AGREEMENT - FOR THE FINANCING OF PUBLIC HEALTH SERVICES
159809 TLH AMENDMENT #4 PAGE 5 OF 7 PAGFs
State of Oregon Page 3 of 4
Oregon Health Authority
Public Health Division
1) Grantee
2) Issue Date
This Action
Name: Deschutes County
October 10, 2019
AMENDMENT
FY 2020
Street: 2577 NE Courtney Dr.
3) Award Period
City: Bend
From July 1, 2019 Through June 30, 2020
State: OR
Zip Code: 97701
4) OHA Public Health Funds Approved
Award Increase/ New
Program Balance (Decrease) Award Bal
PE42-08
1 Initial SFY20: LPHA shall not use more than 10% of the Title V funds awarded for a particular
MCAH Service on indirect costs. See PE42 language under 4. a. (3) Funding Limitations for
details.
PE42-09
1 Initial SFY20: LPHA shall not use more than 10% of the Title V funds awarded for a particular
MCAH Service on indirect costs. See PE42 language under 4. a. (3) Funding Limitations for
details.
PE42-10
1 Initial SFY20: LPHA shall not use more than 10% of the Title V funds awarded for a particular
MCAH Service on indirect costs. See PE42 language under 4. a. (3) Funding Limitations for
details.
PE43-03
1 Funding is for Oct. 1, 2019 — June 30, 2020 — Funds to be used on Hepatitis A Outbreak
Prevention.
PE46-03
1 7/2019: Funding is for July 15, 2019 - June 30, 2020
PE46-04
1 7/2019: Funding for July 1-14, 2019
PE51
1 Initial SFY20: Initial award is estimated for July 1 -September 30, 2019 and will be paid out at
1/3rd. Awards will be amended pending approval of the State budget.
PE51
2 9/2019: SFY20 award is for the period of 7/1/19 to 9/30/19 only. Previous footnotes are void and
replaced by this one.
PE51-01
1 9/2019: Funding is for period of October 1, 2019 -June 30, 2020
PE51-02
1 9/2019: Funding is for period of October 1, 2019 -June 30, 2020
6) Comments:
PE07
Initial SFY20: $9,673 is for the period of 7/1/19 to 12/31/19 and must be spent by 12/31/19.
PE07
7/2019: Funding period 07/01/19 - 12/31/19 - $15,724. A minimum of $9,673 must be spent by
12/31/19. Funding period 01/01/20 - 06/30/20 - $15,727
PE13-01
8/2019: Amending to add 2 months of funding (total award is now for July -November 2019)
PE27-01
Initial SFY20: $15,916 In FY20, Available 7/1/19-8/31/19 ONLY, Is Balance (2/12THS) Of PDO
Year 4 Funding
PE27-05
8/2019: $41,665 in FY20 Available 9/1/19-1/31/20.
PE40-01
Initial SFY20: spend $32,572 Nutrition Education, $6,565 Breastfeeding Promotion by 9/30/19
PE40-02
Initial SFY20: spend $97,717 Nutrition Education, $19,695 Breastfeeding Promotion by 6/30/20
PE44-02
7/2019: MH Expansion funding increase
PE46-02
7/2019: Reducing award to $0 and re -allocating award to PE46-03 and PE46-04
PE46-03
7/2019: State Funding for July 15, 2019 — June 30, 2020
PE46-04
7/2019: Federal Funding for July 1 — July 14, 2019 only
PE51
Initial SFY20: Estimated Award for July 1, 2019 - September 30, 2019
PE51-01
10/2019: Transfer $21,276 from Jefferson Co. award to Deschutes Co.
159809 TLH AMENDMENT #4 PAGE 5 OF 7 PAGFs
OHA - 2019-2021 INTERGOVERNMENTAL AGREEMENT - FOR THE FINANCING OF PUBLIC HEALTH SERVICES
159809 TLH AMENDMENT #4 PAGE 6 OF 7 PAGES
State of Oregon
Page 4 of 4
Oregon Health Authority
Public Health Division
1) Grantee
2) Issue Date
This Action
Name: Deschutes County
October 10, 2019
AMENDMENT
FY 2020
Street: 2577 NE Courtney Dr.
3) Award Period
City: Bend
From July 1, 2019 Through June 30, 2020
State: OR Zip Code: 97701
4) OHA Public Health Funds Approved
Award
Increase/ New
Program
Balance
(Decrease) Award Bal
7) Capital outlay Requested in this Action:
Prior approval is required for Capital Outlay.
Capital Outlay is defined as an expenditure
for equipment with
a purchase price in excess of $5,000 and a life expectancy greater than one year.
PROG
PROGRAM ITEM DESCRIPTION
COST APPROV
159809 TLH AMENDMENT #4 PAGE 6 OF 7 PAGES
OHA - 2019-2021 INTERGOVERNMENTAL AGREEMENT - FOR THE FINANCING OF PUBLIC HEALTH SERVICES
Attachment B
Information required by CFR Subtitle B with guidance at 2 CFR Part 200
PE43-03: Hepatitis A Outbreak Prevention Project (HOPP)
Federal Award Identification Number (FAIN): NH231P922626
NH231P922626
Federal Award Date: 6/26/2019
6/26/2019
Performance Period: 07/01/19-06/30/20
07/01/19-06/30/20
Federal Awarding Agency: CDC
CDC
CFDA Number: 93.268
93.268
Immunization Cooperative
Immunization Cooperative
CFDA Name: Agreements
Agreements
Total Federal Award: $5,795,834
$5,795,834
Immunization and Vaccines
Immunization and Vaccines
Project Description: for Children
for Children
Awarding Official: Michelle Banks
Michelle Banks
Indirect Cost Rate: 17.15%
17.15%
Research and Development (Y/N): No
No
PCA 53133 53132
INDEX: 50404 50404
Agency/Contractor
DUNS
Amount I
Amount Total FY 2020
Deschutes
1 30805147
$0
$40,000 $40,000
159809 'rix AMENDMENT #4 PAGE 7 OF 7 PAGES
-� E S C0Qj
GZ
o Deschutes County Board of Commissioners
1300 NW Wall St, Bend, OR 97703
(541) 388-6570 - Fax (541) 385-3202 - https://www.deschutes.org/
AGENDA REQUEST & STAFF REPORT
For Board of Commissioners BOCC Wednesday Meeting of October 30, 2019
DATE: October 23, 2019
FROM: Greg Munn, Finance 541-388-6559
TITLE OF AGENDA ITEM:
Consideration of Board Signature of Resolution No. 2019-054, Approving new Grant Funds
in the Health Services Fund.
RECOMMENDATION & ACTION REQUESTED:
Staff recommends approval of Resolution 2019-054 appropriating new grant funds.
BACKGROUND AND POLICY IMPLICATIONS:
As part of the Public Health Intergovernmental Agreement #159809 amendment #4, the
Oregon Immunization Program is making funds available to Deschutes County Public
Health to conduct targeted outreach efforts and to provide Hepatitis A vaccinations to
high-risk individuals, including unstably -housed and homeless populations. The purpose
of the funding is to prevent Hepatitis A outbreaks, such as those recently seen across the
United States among at -risk individuals.
FISCAL IMPLICATIONS:
The funding to be requested is one-time funding in the amount of $40,000 to be allocated
and spent November 1, 2019 to June 30, 2020. These funds will be used for the purchase
of immunization supplies and to contract with a part-time Outreach Coordinator
November 1, 2019 -June 30, 2020.
ATTENDANCE: Hillary Saraceno, Public Health Deputy Director