Clark County - File #: 24-1334

Date	Action By	Action	Result	Action Details	Meeting Details	Video/Audio
10/15/2024	Clark County Board of Commissioners	Approved Agenda note: Item No. 15 Minutes		Action details	Meeting details	Not available

CLARK COUNTY BOARD OF COMMISSIONERS

AGENDA ITEM

Petitioner:

Jamie Sorenson, Director of Social Service

Recommendation:

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Approve and authorize the submission of a grant application to the United States Department of Health and Human Services (DHHS) in the amount of $5,000,000, from the Clark County Department of Social Service (CCSS), to administer the Ending the HIV Epidemic program in Clark County, NV. Funding is intended to implement innovative community-specific strategies to reduce HIV transmission and to provide services to people with HIV/AIDS from March 1, 2025, through February 28, 2030; authorize the continuation of two (2) grant-funded limited permanent positions: one (1) Management Analyst II (C29) and one (1) Administrative Specialist (C26) for the period for which grant funds are available; authorize the creation of two (2) additional grant-funded limited permanent positions: one (1) Senior Management Analyst (C30) and one (1) Management Analyst II (C29) for the period for which grant funds are available; authorize the Director, or his designee, to sign any additional grant documents related there to, and accept funds awarded. (For possible action)

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FISCAL IMPACT:

Fund #:	2031.000	Fund Name:	County Grants
Fund Center:	1270111010	Funded PGM/Grant:	1270.RWENDHIV.2026
Amount:	$5,000,000
Description:	Federal Grant for HIV/AIDS Assistance
Additional Comments:	Proposed funding totals $5,000,000 and will be budgeted for the following amounts: $4,250,000 for new initiatives and direct services; $500,000.00 for grant recipient administration; and $250,000 for planning and evaluation activities. No matching funds are required.

BACKGROUND:

Ending the HIV Epidemic: A Plan for America (EHE) is a bold and ambitious initiative to reduce the number of new HIV infections in the United States by 90% by 2030. The plan leverages critical scientific advances in HIV prevention, diagnosis, treatment, and outbreak response by coordinating the highly successful programs, resources, and infrastructure. To achieve the goal of reducing new HIV infections in the United States by 75% by 2025, and 90% by 2030, Ending the HIV Epidemic: A Plan for America focuses on four key strategies that together can end the HIV epidemic in the U.S.: Diagnose all individuals with HIV as early as possible after infection; treat people with HIV rapidly and effectively to reach sustained viral suppression; prevent new HIV transmissions by using proven interventions; and respond quickly to potential HIV outbreaks to get needed prevention and treatment services to people who need them. Phase 1 (2020-2025) was focused in 57 regions hardest hit by the HIV epidemic including Clark County, NV. Phase 2 (2025-2030) is focused on these same regions.

During Phase 1, the Clark County Social Service Office of HIV collaborated with the community to successfully launch innovative services and initiatives including:
*A growing Rapid stART program, designed to quickly bring people newly diagnosed with HIV into medical care. This program now spans across 29 sites with the intention of doubling this number of sites by 2030.
*Project HOME, operated by Clark County Social Service, is developmentally appropriate service program for transition-aged youth with HIV focused on medical case management and supportive services including health education, housing & utilities, food, and transportation.
*People-Purpose-Power training series to educate service providers and community members about HIV and best practices.
*Love. Live., a public awareness campaign about undetectable equals untransmittable, meaning that when a person with HIV takes their medication and reaches undetectable viral loads on laboratory tests, they cannot transmit HIV to sexual partners.

From 2025 through 2030, the Clark County Social Service Office of HIV intends to expand these and other Phase 1 work plan strategies. New initiatives will include a Community Health Worker scholarship program; a biannual HIV symposium; implementation of EHE-funded mental health services, HIV support groups, and a large-scale peer support program. New positions will support the expansion of activities as follows:
*Senior Management Analyst (C30) will lead the implementation of Clark County's work plan; supervise and guide Management Analysts; lead program development and procurement activities; complete federal reporting requirements; and coordinate Ending the HIV Epidemic services with Ryan White Senior Management Analyst to facilitate a nimble & client-centered system of care and avoid duplication of services.
*Management Analyst II (C29) will grow relationships with new and current community partners; coordinate tabling events, community trainings and conferences; facilitate client and community focus groups; develop marketing materials for Ryan White and EHE services; develop quarterly Office of HIV newsletter for service providers, client, and community partners; develop presentations and materials for Office of HIV speaking engagements.

For the grant period March 1, 2025, through February 28, 2026, the CCSS Ryan White Part A Program shall request funding of $5,000,000. Grant award amounts for the subsequent grant years (March 1, 2026-February 28, 2030) will be awarded on an annual basis.

This item has been approved as to form by the District Attorney’s office.

Legislation Details