Explanation
BACKGROUND:
The City of Columbus, Columbus Public Health, receives funding for the Ryan White Part A HIV Care Grant Program from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). The purpose of this grant is to improve access to quality medical care for persons with HIV or AIDS living in Central Ohio (Franklin, Licking, Delaware, Morrow, Union, Madison, Pickaway, and Fairfield counties). The goal is that each client will achieve viral suppression, which improves their quality of life and reduces the risk of spreading the infection.
In 2021 the RWPA program for the Central Ohio area served 1,941 people living with HIV through programs including outpatient/ambulatory medical care, mental health services, medical case management, early intervention services, housing services, non-medical case management, emergency financial assistance and medical transportation.
This ordinance authorizes the Board of Health to enter into and, if needed, modify contracts with The Ohio State University Wexner Medical Center to provide HIV-related somatic and outpatient/ambulatory medical care, early intervention services, medical and non-medical case management services, medical transportation, mental health services, housing services, emergency financial assistance, and any other service allowable under the grant. The term of the contract is March 1, 2023, through February 28, 2024, with funding based on vendor estimates of annual funding requirements for allowable services. These services were advertised through vendor services RFQ023101 on October 10, 2022 and RFQ022980 on September 23, 2022 according to bidding requirements of the City Code.
Under the terms of the grant, funds must be used during the grant period or they are forfeited and CPH may be subject to penalties related to future grant funding. Previously, CPH has reallocated unused funds from vendors through appropriate contract modifications. These modifications oftentimes required additional legislation. Most recently, toward the goals of minimizing unused funds, maximizing available services, and avoiding funding penalties, HRSA has tasked CPH with improving the process by which unused funds are reallocated. Therefore, this ordinance authorizes the Board of Health to enter into initial contracts with qualified vendors, modify the budgets of those contracts if portions of previously appropriated and encumbered funds are unused, and reallocate unused funds amongst the initial vendors without the need for additional legislation. If there is a need to enter into contracts with additional vendors, the requirements of City Code procurement will be followed.
This ordinance is submitted as an emergency in order to ensure that quality medical care continues to be available to eligible persons living with HIV/AIDS and to ensure timely payment to providers.
FISCAL IMPACT:
The contract will be entered into by Columbus Public Health with The Ohio State University Wexner Medical Center for the Ryan White Part A HIV Care Grant Program for the provision of services allowable under the grant for persons with HIV or AIDS in central Ohio; to authorize the Board to modify the budgets of those contracts for the sole purpose of reallocating funds amongst the initial vendors without the need for additional legislation; to authorize the expenditure of $783,123.00 from the Health Department Grants Fund to pay the costs thereof; and to declare an emergency. ($783,123.00)
Title
To authorize the Board of Health to enter into a contract with The Ohio State University Wexner Medical Center, for the Ryan White Part A HIV Care Grant Program for the provision of services allowable under the grant for persons with HIV or AIDS in central Ohio; to authorize the Board to modify the budgets of those contracts for the sole purpose of reallocating funds amongst the initial vendors without the need for additional legislation; to authorize the expenditure of $783,123.00 from the Health Department Grants Fund to pay the costs thereof; and to declare an emergency. ($783,123.00)
Body
WHEREAS, the city receives funding totaling $3,334,529.00 for the Ryan White Part A HIV Care Grant Program (the Grant) from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), which requires Columbus Public Health (CPH) to assure quality medical care to eligible persons living with HIV or AIDS in Central Ohio; and
WHEREAS, it is necessary to allow the Board of Health to enter into contracts for services; and,
WHEREAS, $783,123.00 in additional funds are needed for the continued provision of HIV-related somatic medical care, medical case management services, non-medical case management services, mental health services, housing services, emergency financial assistance, and any other service allowable under the Grant for a sum total not to exceed $783,123.00 ; and,
WHEREAS, the Board of Health will enter into a contract with The Ohio State University Wexner Medical Center who will provide various HIV-related services to meet all grant deliverables required by the Grant; and
WHEREAS, HRSA has tasked CPH to improve the efficiency of the reallocation of grant funds as necessary to minimize unused funds, maximize available services, and avoid funding penalties; and,
WHEREAS, it is necessary to allow the Board of Health to enter into and modify the budgets contracts with vendors that are identified by CPH as qualified to provide the required services and meet federal requirements for the Grant; and,
WHEREAS, an emergency exists in the usual daily operations of Columbus Public Health in that it is immediately necessary to enter into contracts in order to continue services without interruption for the immediate preservation of the public health, peace, property, safety and welfare; Now, therefore,
BE IT ORDAINED BY THE COUNCIL OF THE CITY OF COLUMBUS:
SECTION 1. That the Board of Health is hereby authorized to enter into contract with The Ohio State University Wexner Medical Center for a total amount not to exceed $783,123.00 for HIV-related services to persons with HIV or AIDS in central Ohio, for the period of March 1, 2023 through February 28, 2024 and to authorize the Board to modify the budgets of the contract for the sole purpose of reallocating funds amongst the vendors without the need for additional legislation.
SECTION 2. That to pay the cost of said contract, the expenditure of $783,123.00 , or so much thereof as may be needed, is hereby authorized from the Health Department Grants Fund, Fund No. 2251, object class 03 per the attached accounting document.
SECTION 3. That for reasons stated in the preamble hereto, which is hereby made a part hereof, this ordinance is hereby declared to be an emergency measure and shall take effect and be in force from and after its passage and approval by the Mayor, or ten days after passage if the Mayor neither approves nor vetoes the same.