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  Regular Agenda Item     4. B.    
Regular BOS Meeting
Meeting Date: 10/06/2020  
Submitted For: Paula Horn Submitted By: Paula Horn, Deputy Director of Health
Department: Health & Emergency Management  
Fiscal Year: 2019-2022 Budgeted?: Yes
Contract Dates
Begin & End:
1/1/2018 - 12/31/2022 Grant?: Yes
Matching
Requirement?:
No
Fund?: Renewal

Information
Request/Subject
Amendment No. 2 to an Intergovernmental Agreement (Contract No. ADHS18-177678) with the Arizona Department of Health Services (ADHS).
Background Information
An Intergovernmental Agreement (IGA) (Contract No. ADHS13-041539) with the ADHS expired on December 31, 2017. IGA (Contract No. ADHS18-177678) replaces the previous IGA and it was fully executed by the Board of Supervisors and the ADHS on February 1, 2018, which allows the Gila County Health Department to continue to operate an immunization program for the residents of Gila County from January 1, 2018, to December 31, 2022. Amendment No. 1 was approved by the Gila County Board of Supervisors on July 23, 2019.

Amendment No. 2 to the IGA revises and replaces the Price Sheet, and revises the Scope of Work as follows:

(1) The Price Sheet is revised and replaced by the Price Sheet of this Amendment Two
(2) Scope of Work - Page 19, Provision 4.12, Item 4.12.2 is added as follows:  Provide Supplemental Flu activities as defined by the County Health Department and approved by the Immunization Program Office, to increase the flu vaccination rates for adults, especially high-risk adults, within the county. These efforts are intended to help keep hospitalization rates for flu down during the COVID-19 pandemic.
Evaluation
By continuing with our immunization program, the Health Division can continue to administer the Vaccines for Children Programs (VFC) and all publicly-purchased vaccines; assess and improve immunization coverage levels; assure access to vaccines for eligible populations in Gila County, and prevent and control vaccine-preventable diseases. Amendment No. 2 will provide Supplemental Flu activities as defined by the County Health Division ad approved by the Immunization Program Office, to increase the flu vaccination rates for adults, especially high-risk adults, within the county. These efforts are intended to help keep hospitalization rates for flu down during the COVID-19 pandemic.
Conclusion
It is important that this amendment to the IGA be approved by the Board of Supervisors in order to allow the Gila County Health Division to continue to operate the Immunization Program for the residents of Gila County.
Recommendation
It is the recommendation of the Health and Emergency Management Department Director that the Board of Supervisors approve Amendment No. 2 to the IGA (Contract No. ADHS18-177678) with the ADHS for additional funding in the amount of $77,500 as needed by June 30, 2021.
Suggested Motion
Information/Discussion/Action to approve Amendment No. 2 to an Intergovernmental Agreement (Contract No. ADHS18-177678) between Gila County and the Arizona Department of Health Services to replace the Price Sheet which includes funding for an additional $77,500 as needed through June 30, 2021, and to revise the Scope of Work.  (Michael O'Driscoll/Paula Horn)

Attachments
Amendment No. 2
Amendment 1
IGA Contract No. ADHS18-177678 executed

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