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C. 50
To: Board of Supervisors
From: Marla Stuart, Employment and Human Services Director
Date: February  7, 2023
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Agreement HI-2122-07 Amendment #2 Health Insurance Counseling and Advocacy Program (HICAP)

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   02/07/2023
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Ken Carlson, District IV Supervisor
Federal D. Glover, District V Supervisor
Contact: L. Pacheco (925) 608-4963
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED:     February  7, 2023
Monica Nino, County Administrator
 
BY: , Deputy

 

RECOMMENDATION(S):

ACCEPT Resolution No. 2023/18 to approve and authorize the Employment and Human Services Director, or designee, to execute contract agreement HI-2122-07 amendment #2 with the California Department of Aging to accept a funding increase in the amount of $3,788 to a new agreement amount not to exceed $1,023,288 for Health Insurance Counseling and Advocacy Program for the period July 1, 2021 through March 31, 2024.

FISCAL IMPACT:

County to receive an additional $3,788 from the California Department of Aging for contract agreement HI-2122-07 for the Health Insurance Counseling and Advocacy Program (HICAP). Term of this agreement is from July 1, 2021 through March 31, 2024. The total funding under this agreement is not to exceed $1,023,288. Period July 1, 2022 - June 30, 2023 is budgeted in FY 2022-23 and period July 1, 2023 - March 31, 2024 will be budgeted in FY 2023-24. Funding is 29% Federal ($296,005) and 71% State ($727,283) funds.  
  




FISCAL IMPACT: (CONT'D)
Funding for HICAP comes from federal State Health Insurance Program (SHIP) grant funds and State funds, which include the State HICAP Fund and California Department of Insurance reimbursement allocations.

BACKGROUND:

The Area Agency on Aging (AAA), a division in EHSD’s Aging and Adult Services Bureau, is the direct service provider of HICAP in Contra Costa County. On June 8, 2021, the Board of Supervisors accepted Resolution No. 2021/172 authorizing the EHSD Director to sign Agreement No. HI-2122-07 with the California Department of Aging (CDA) to deliver HICAP services with funding not to exceed $370,343 for contracting period July 1, 2021 to June 30, 2022. Resolution No. 2022/182 approved by the Board on May 24, 2022 authorized the EHSD Director to sign Amendment #1 to this agreement, increasing funding to a new amount not to exceed $1,019,500 with a new contract period of July 1, 2021 through March 31, 2024. EHSD is seeking Board approval to authorize the EHSD Director, or designee, to sign Amendment #2 to agreement HI-2122-7 and accept the funding increase of $3,788 to a new contract amount not to exceed $1,023,288. The contract period of July 1, 2021 to March 31, 2024 remains the same. HICAP serves Medicare beneficiaries aged 60 years and older as well as adults with disabilities in Contra Costa County. Services include advocacy, counseling, education, and assistance to better understand Medicare options and enroll in programs to lower health care costs.

CONSEQUENCE OF NEGATIVE ACTION:

Without funding for HICAP, Medicare eligible beneficiaries in Contra Costa would be without an agency to provide no-cost, impartial and supportive Medicare advocacy services.

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