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File #: 19-309A    Version: 1
Type: Grant Related Item Status: Passed
File created: 2/20/2019 Department: Human Services
On agenda: 4/9/2019 Final action: 4/9/2019
Title: Service Area Competition grant award from the U.S. Department of Health and Human Services, Health Resources Services Administration for the Health Care for the Homeless program.
Attachments: 1. HRSA_MMU_NGA_H80CS00024-18-00, 2. FINAL SUBMITTED SAC FY 19-013, 3. HCH Co-App Board Meeting Minutes 021219
Related files: 18-994A, 18-117A, 17-101A, 16-279A, 21-317A, 20-149A

Subject:

Title

Service Area Competition grant award from the U.S. Department of Health and Human Services, Health Resources Services Administration for the Health Care for the Homeless program.

label

 

Recommended Action:

Recommended Action

Approval of the Service Area Competition (SAC) grant award from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) for the Health Care for the Homeless (HCH) program.

 

It is also recommended that the County Administrator be given delegated authority for adjustments and supplemental awards given by HRSA for this program during the period of March 1, 2019 through February 28, 2020.

 

                     Grant award from HRSA provides continued support for the Pinellas HCH program for a three-year project period from March 1, 2019 through February 28, 2022.

                     Funding in the amount of $1,456,815.00 is for the first budget year starting March 1, 2019 through February 28, 2020.

                     The County anticipates applying non-federal funds to the program totaling approximately $3,114,863.00.

                     In 2018, the program provided health care services through the Mobile Medical Unit and the Bayside Clinic for 2,839 homeless clients.

Body

 

Strategic Plan:

Ensure Public Health, Safety, and Welfare
2.2  Be a facilitator, convener and purchaser of services for those in need

Deliver First Class Services to the Public and our Customers
5.1  Maximize partner relationship and public outreach
5.2  Be responsible stewards of the public’s resources

 

Summary:

This application for federal funding supports the County’s Health Care for the Homeless program for a three-year project period starting March 1, 2019 through February 28, 2022.  Funding in the amount of $1,456,815.00 is for the first budget year starting March 1, 2019 through February 28, 2020. 

The purpose of this grant program is to improve the health of the Nation’s underserved communities and vulnerable populations by assuring continued access to comprehensive, culturally competent, quality primary health care services.  In 2018, the program provided basic health care services on the Mobile Medical Unit (MMU) and at Bayside Health Clinic to 2,839 homeless patients. A majority (97%) of these clients have an income at or below 100% of the Federal Poverty Level (FPL).

The HCH Co-Applicant Governing Board accepted the grant award on February 13, 2019.

 

Background Information:

A SAC application is a request for federal financial assistance to continue support of comprehensive primary health care services in a service area currently served by a health center program grantee whose project period is ending in FY 2018. At the time of the last SAC application in 2016, the County received $922,179 in federal funds.  Each year, federal funding has increased as follows:  $1,371,615 in FY2017; $1,414,215 in FY2018; and 1,456,815 in FY2019.  The increases are attributed to additional multi-year supplemental funding opportunities applied for and awarded including Substance Abuse Service Expansion (MAT) and Access to Increases in Mental Health (AIMS).

Since 1988, medical and dental care referrals have been provided to the homeless population in the County via the MMU. Primary health care is provided at no charge to homeless patients with incomes at or below 100% of the FPL.  The MMU visits shelters, soup kitchens, drop-in centers and other locations where the homeless congregate. In April 2016, the County began offering additional medical services at the new Bayside Health Clinic located adjacent to the Safe Harbor homeless shelter. 

In 2018, the County served 2,839 unduplicated homeless patients through the MMU and Bayside Health Clinic.  This award will allow the County to continue providing primary medical care and prevention services to homeless residents.  The funding will support clinical services for 2,979 unduplicated patients by December 31, 2020.

 

Fiscal Impact:

This total grant award is $1,456,815.00 in federal funds.  While no cash match is required, the County anticipates applying non-federal funds to the program totaling approximately $3,114,863.00.  This grant is included in the FY19 Adopted Budget.

 

Staff Member Responsible:

Daisy Rodriguez, Director, Human Services

 

Partners:

Health Care for the Homeless Co-Applicant Board
Florida Department of Health in Pinellas County
Operation PAR
Directions for Living
Homeless Leadership Board

 

Attachments:

Notice of Award H80CS00024-18-00
Grants.Gov Application Package