Title
Authorize the Chief Executive Officer for Natividad Medical Center to execute an agreement with the California Department of Public Health (including signature on Darfur Act Certificate and signature on CCC-307 Form certifying compliance with CA laws) to provide program enrollment services to uninsured and underinsured individuals living with HIV/AIDS through the NIDO Clinic at Natividad Medical Center, with a retroactive term starting on July 1, 2016 through June 30, 2019 at no cost to the County.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
Authorize the Chief Executive Officer for Natividad Medical Center to execute an agreement with the California Department of Public Health (including signature on Darfur Act Certificate and signature on CCC-307 Form certifying compliance with CA laws) to provide program enrollment services to uninsured and underinsured individuals living with HIV/AIDS through the NIDO Clinic at Natividad Medical Center, with a retroactive term starting on July 1, 2016 through June 30, 2019 at no cost to the County.
SUMMARY/DISCUSSION:
California Health and Safety Code 131019 designates the California Department of Public Health (CDPH), Center for Infectious Diseases, Office of AIDS (OA) as the lead agency within the state responsible for coordinating state programs, services and activities related to HIV and AIDS.
The California AIDS Drug Assistance Program (ADAP) was established in 1987 to help ensure that HIV-positive uninsured and underinsured individuals have access to medication.
The average monthly cost of HIV/AIDS medication is $3,200. Many insurance plans have categorized HIV meds as specialty or top-tier drugs. This increases patient’s cost, making treatment unaffordable. The ADAP Program provides no-or low-cost prescription coverage to low-income individuals.
NIDO Clinic is one of two certified enrollment sites in Monterey County that currently serve over 250 clients. In 2016, NIDO Clinic enrolled over 100 clients in ADAP. NIDO Clinic has saved many patients the effort and confusion of going to another agency in order to receive their medications. In order to successfully treat HIV disease, we need to ensure patients stay on their medication. Any disruption can lead to serious consequences. NIDO Clinic would like to continue providing this needed service to the community, at no cost to the county.
The CDPH didn’t send NMC this agreement until late November 2016, therefore NMC is requesting a retroactive approval since the term of the Agreement is effective July 1, 2016.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this agreement and associated certificates as to legal form and risk provisions. The agreement and associated certificates have also been reviewed and approved by the NMC Finance Committee on January 26, 2017 and by its Board of Trustees on February 3, 2017.
FINANCING:
There is no cost associated with this agreement as the program is funded under Title II of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990.
Prepared by: Irma Eclavea, Outpatient Services Manager NIDO Clinic, 783-2884
Approved by: Gary R. Gray, DO, Chief Executive Officer, 783-2504
Attachments:
CDPH Agreement including Darfur Act Certificate and Ca CCC-807 Form
Attachments on file with the Clerk of the Board