Title
CONSIDERATION OF GRANT IN THE AMOUNT OF $1,834,774 FROM THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT (KDHE) FOR SERVICES PROVIDED AT THE SEDGWICK COUNTY DIVISION OF HEALTH.
Presented by: Adrienne Byrne, Director, Division of Health.
RECOMMENDED ACTION: Approve the application of the grant and authorize the Chairman to sign all necessary documents; including the grant award agreement; and approve the establishment of budget authority as provided in the financial considerations section of this request at the time the grant documents are executed.
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Grant Renewal: Yes
Never Applied: No
Applied; not awarded: No
Grant Summary and Timeline:
KDHE provides Aid to Local (ATL) Grant funding opportunities to support specific or targeted health service needs on an annual basis. This ATL Grant funding represents 15% of the Division of Health budget and 26% of all grants received.
The Division of Health was awarded $1,837,492 for the previous SFY 2018. For SFY 2019, the Division of Health is requesting ATL funding in the amount of $1,834,774, with a required match of $353,048 for a total of $2,187,822; which is a decrease of ($2,718) or -0.15% below the SFY 2018 award received. Without this funding, many programs would be drastically reduced or services would no longer be provided. (See Attachment 1 for an overview of funding by category requested for SFY 2019, as well as a list of the amount of funding requested and awards received for SFY 2018.)
Two grant categories, Family Planning and Maternal and Child Health, both require a 40% match funding requirement. (See Attachment 2 for Match Funding Information Detail.)
Additionally, the State Formula block grant includes a Maintenance of Effort stipulation that specifies the amount of state formula that would be reduced proportionately (dollar per dollar), if local funding for the Division of Health is decreased from FY 2018 to FY 2019.
Financial Considerations:
Grant period starts: July 1, 2018
Grant period ends: June 30, 2019
Source of funding
Grant: $1,834,774.00
Required Match: $353,048.00
Required Cash Match: $243,007.00
Required In-Kind Match: $110,041.00
Other funding: $0.00
TOTAL SOURCES: $2,187,822.00
Uses of funding
Operational costs: $2,187,822.00
Personnel: $1,822,365.00
Contractual services: $79,996.00
Operational supplies: $110,845.00
Equipment: $0.00
Indirect administrative costs:$174,616.00
Capital projects cost: $0.00
TOTAL USES: $2,187,822.00
Source of matching funds: 38010-110 Family Planning Clinic and 38017-110 Dental Clinic. (See Attachment 2 for Match Funding Information Detail.)
Source of other funding: N/A.
Budget Authority Adjustment:
Grant and matching property tax funding totals $2,187,822. If the grant award is greater than the amount currently budgeted, additional budget authority is requested in the amount the actual award exceeds the grant request outlined above.
Funds will be managed through the following cost centers:
38001-274 for State Formula Admin; 38069-274 and 13017-257 for Public Health Emergency Preparedness; 38010-274 for Family Planning; 38011-274 STD Grant; 38009-274, 38017-274 and 38122-274 for Maternal and Child Health; and 38007-274 for Immunization Action Plan.
Personnel considerations:
No additional staff will be requested with this grant application. Funding from the Aid to Local grant is used to support 27 Division of Health and four Emergency Management employees.
Expected measurable outcomes: See Attachment 3 for all measurable outcomes.
Requirements from Sedgwick County:
The Division of Health is required to submit affidavit reports and program progress reports to KDHE quarterly within 15 days after the end of each quarter (October 15, 2018; January 15, 2019; April 15, 2019; and July 15, 2019). (See Attachment 4 for additional fiscal reporting requirements.) In addition, programs are required to collect and submit detailed client and visit data into the KDHE Data Application and Integration Solutions for the Early Years (DAISEY) web-based shared measurement system by the 10th of each month; all calendar year client encounter data is required to be submitted to KDHE within 15 days of the end of the calendar year.
Alternatives:
Without these grants, local funding would have to be increased or the Division of Health would be forced to reduce the level of services currently offered in many vital programs.
Policy considerations: N/A.
Legal considerations:
The Aid to Local Grant administered by the KDHE is statutorily authorized by K.S.A. 65-241, et seq. Pursuant to the County's Grant Policies and Procedures enacted by Resolution No. 64-2013, this grant application is required to be approved by the Board of County Commissioners. Approval is by simple majority vote.