Primary Department: County Judge
Primary Department Head/Elected Official: Lina Hidalgo
Secondary Department: Public Health Services
Secondary Department Head/Elected Official: Leah Barton, Executive Director
Regular or Supplemental RCA: Supplemental RCA
Type of Request: Contract - Amendment
Project ID (if applicable): N/A
Vendor/Entity Legal Name (if applicable): N/A
MWBE Contracted Goal (if applicable): N/A
MWBE Current Participation (if applicable): N/A
Justification for 0% MWBE Participation Goal: N/A - Goal not applicable to request
Grant Indirect Costs Rate (if applicable): N/A
Justification for 0% Grant Indirect Costs Rate (if applicable): N/A - Not a grant item
Request Summary (Agenda Caption):
title
Request by the County Judge for approval to accept an amendment to an agreement with the Department of State Health Services to extend the grant end date to December 31, 2027, for the Ryan White Part A Transitional Grant Area (TGA).
end
Background and Discussion:
Ryan White Part A is a federal program administered through the Health Resources and Services Administration (HRSA). The grant serves individuals living with HIV who have no health insurance (public or private), have insufficient health care coverage, or lack financial resources to get the care they need for their HIV disease. In addition to outpatient medical care, Ryan White also funds services that support access or retention to medical care. The Interlocal Cooperation Contract allows Harris County Public Health (HCPH) to transfer unspent Ryan White Part A funds to the Texas Department of State Health Services (DSHS) to avoid incurring the 5% Ryan White Part A formula penalty. All transferred funds are designated for HIV-related prescription medications and must be used to provide prescription assistance to individuals living with HIV who reside within the Houston Eligible Metropolitan Area, including Harris County.
Expected Impact:
To provide optimal HIV care and treatment for people with HIV who are low-income, uninsured, and underserved, to improve their medical outcomes.
Alternative Options:
Approval ensures uninterrupted HIV services and access to medications for residents living with HIV.
County Strategic Plan Goal: 4. Improve physical and mental health outcomes across all communities.
County Strategic Plan Objective: O: Increase access to quality health care, including preventive and behavioral health.
Justice/Safety Initiative (Goal 1): N/A
Infrastructure Initiative (Goal 2): N/A
Economy Initiative (Goal 3): N/A
Health Initiative (Goal 4): O3: Increase utilization of health-related public benefits.
Climate/Resilience Initiative (Goal 5): N/A
Housing Initiative (Goal 6): N/A
Additional notes related to the Strategic Plan: N/A
Prior Court Action (if any):
|
Date |
Agenda Item # |
Action Taken |
|
10/30/2025 |
201 |
Approved to execute, for and on behalf of Harris County and the Ryan White Part-A Eligible Metropolitan Area, an amendment with the Texas Department of State Health Services for the reimbursement of certain Acquired Immune Deficiency Syndrome Drug As |
|
07/18/2023 |
324 |
Approved to execute, for and on behalf of Harris County and the Ryan White Part-A Eligible Metropolitan Area, an agreement with the Texas Department of State Health Services for the reimbursement of certain Acquired Immune Deficiency Syndrome Drug As |
Location:
Address (if applicable): N/A
Precinct(s): Countywide
|
Fiscal and Personnel Summary |
|
Service Name |
N/A |
|
|
|
Current Fiscal Year Cost |
Annual Fiscal Cost |
|
|
Labor |
Non-Labor |
Total |
Recurring Expenses |
|
Funding Sources |
|
|
Existing Budget |
|
|
|
|
|
Choose an item. |
$ |
$ |
$ |
$ |
|
Choose an item. |
$ |
$ |
$ |
$ |
|
Choose an item. |
$ |
$ |
$ |
$ |
|
Total Existing Budget |
$ |
$ |
$ |
$ |
|
Additional Budget Request (Requires Fiscal Review Request Form) |
|
|
Choose an item. |
$ |
$ |
$ |
$ |
|
Choose an item. |
$ |
$ |
$ |
$ |
|
Choose an item. |
$ |
$ |
$ |
$ |
|
Total Additional Budget Request |
$ |
$ |
$ |
$ |
|
Total Funding Sources |
$ |
$ |
$ |
$ |
|
Grants - Proposed Budget (For Grants Items only) |
|
|
Labor |
Non-Labor |
Total |
No. of Grant Years |
|
Local Match Source - Existing Budget: Choose an item. |
$ |
$ |
$ |
|
|
Local Match Source - Additional Budget Request: Choose an item. |
$ |
$ |
$ |
|
|
Grant Funds Applied for/Awarded (Total) |
$ |
$ |
$ |
|
|
Personnel(Fill out section only if requesting new Position Control Numbers (PCN)s) |
|
|
Current Position Count for Service |
- |
- |
- |
- |
|
Additional Positions Request |
- |
- |
- |
- |
|
Total Personnel |
- |
- |
- |
- |
|
County Attorney’s Office Legal Review (for Harris County Code Items only) |
|
CAO Reviewer Name and Title |
Shannon Flemming |
CAO Review Completion Date |
September 17, 2026 |
Anticipated Court Date: October 15, 2026
Anticipated Implementation Date (if different from Court date): December 31, 2026
Emergency/Disaster Recovery Note: Not an emergency, disaster, or ARPA related item
Contact(s) name, title, department: Dr. Ericka Brown, Director of Community Health and Wellness, Public Health Services, and Glenn Urbach, Program Manager, Ryan White Grant Administration
Attachments (if applicable): Interlocal Cooperation Amendment