HomeMy WebLinkAboutResolution - 5093 - Contract - TDOH, BHIV&STDP - HIV_AIDS Survillance - 02_08_1996Resolution No. 5093
February 8, 1996
Item #14
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock BE and is hereby authorized and directed to
execute for and on behalf of the City of Lubbock a Contract (TDH Document No.
7560005906A96) between the City of Lubbock Health Department and the Texas Department of
Health to which the Bureau of HIV and STD Prevention will fund a program to conduct
HIV/AIDS surveillance, attached hereto and which shall be spread upon the minutes of the
Council and as spread upon the minutes of this Council shall constitute and be a part of this
Resolution as if fully copied herein in detail.
Passed by the City Council this 8 th
ATTEST:
Betty M. Johnson, ity Secretary
APPROVED AS TO CONTENT:
M
th KCommunity
APPROVED AS TO FORM:
�.
Clarence E. Walker, Assistant City Attorney
CEW.js1K-HIVSUR.RES
ccdocs/, 1996
February , 1996.
10
AVID R. LA STON, YOR
Resolution No. 56093
February 8, 1996
Item #14
TEXAS DEPARTMENT OF HEALTH CONTRACT
1100 hest 49th Street
Austin, Texas 78756-3199
STATE OF TEXAS
COUNTY OF TRAVIS
This contract is between the
as RECEIVING AGENCY, and
includes general provision
special provisions.
/1SLC00�90(oq 4b
TDH Document No. C6000652
Texas Department of Health, hereinafter referred to
the party listed below as PERFORMING AGENCY and
s and attachments detailing scope(s) of work and
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
I_
_1
(PRINT or TYPE)
I
I Mailing Address: P. 0. BOX 2546 LUBBOCK
TX 79406-25461
I (city)
(� )---(-Z1p 1
I Street Address: 1902 TEXAS AVENUE LUBBOCK
TX 79405-11171
different) .i .y
I_
OT ip
_I
I_______________i
I Authorized
i
Contracting Entity: gITY OF LUBBOCK
i_ --------------different from
_I
Payee Name: CITY OF LUBBOCK HEALTH DEPARTMENT
I(Must match with vendor i en i ica ion number s own
a ow) I
I Payee Address: P. 0. BOX 2000 LUBBOCK
TX 79457 00001
(Must match with vendor identification number s own
below
State of Texas Vendor Identification No. (14 digits): 17560005906037
` Finance Officer/Contact: DOUG GOODMAN
S
I -
Type of Organization: Cit
I
Designate: Elementary secon ary school, junior college, senior co egge
universe y
district,�community, serviceslprogram, rfotherr(define)judicial
individual, oil
Is this a small business No (Yes/No) and/or minority/woman owned. No
(Yes/No)
I Is this a non-profit business Yes (Yes/No)
i
+ PAYEE AGENCY Fiscal Year Ending Month: SEPTEMBER
----�
------=------------------------------------------------------------
SUMMARY OF TRANSACTION:
Contract for public health services.
1
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COVER Page 1
DETAILS OF ATTACHMENTS
Attl; 11 11 financial Assistance
Am. ; ?DR ; Term ; Source of ; ; Direct ; Total Assistance
No. ; Program ; Begin ! Bad ; Funds* ; Amount ; Assistance Amount tiDH Share)
01 ; HIVISURV-LHS ; 11 1196: 8131/961 STATE ; 23,599.001 .001 23,599.00
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Document Aa.-C6000652 TOTALS ; 23,599.001 ; .001 # 23,599.00
tF(dlr 1 "fundst-4 indicated by a number from the Catalog of Federal Domestic Assistance (CFDA)t if applicable.
REFER TO -BUDGET SECTION OF ANY ZERO AMOUNT ATTACHMENT FOR DETAILS.
COVER - Page 2
RECEIVED,
DEC 2 0.1995
COMPLIANGFiMONITORIN®
EIECDTED IN DDPLIan ORI ims OE THE DATES snvi.
CITY OF LUBBOCK TOR Document lo.: C6000652-01
Authorized Contracting Entity (type above
if different from PERFORHIIG AGENCY)
for and in behalf of:
By: \lez I., u
(Signature of person authorized
to sign contracts)
DAVID R. LANGSTON, MAYOR
(lame and Title)
Date: February 8, 1996
RECOHHEHDED:
By:
(PERFORMING AGENCY ctor, DOUG GOOMAN ,
if different from p�iloa Managing Director
authorized to sign contract) o f H e a l t h &
Community Services
ATTEST:
Betty M. Joh son, City Secretary
APR OVED AS TO FORM:
�.
C arence E. Walker, Assistant City
Attorney
TEXAS DEPARTHEBT OF HEALTH
RECEIVING AGENCY
By:
(Sign ure of person 6kth#iro
to sign contracts)
Linda Farrow, Chief
Bureau of Financial Services
(lame and Title)
Date: /f 5
APPROVED AS TO FORH:
By: tZ-/y- 0
Office of General Counsel
COVER - Page 3
GENERAL PROVISIONS FOR
TEXAS DEPARTMENT OF HEALTH CONTRACTS
PERFORMING AGENCY and RECEIVING AGENCY agree this contract, assurances, general
and/or special provisions, and Attachment(s) with detailed scope(s) of work and
budget(s), as applicable, incorporate all covenants and agreements pertaining
hereto. No prior agreement or understanding, oral or otherwise, of the parties
or their agents will be valid or enforceable unless embodied in this contract.
The person or persons signing and executing this contract on behalf of PERFORMING
AGENCY, or representing themselves as signing and executing this contract on
behalf of PERFORMING AGENCY, do hereby warrant and guarantee that he, she, or
they have been duly authorized by PERFORMING AGENCY to execute this contract on
behalf of PERFORMING AGENCY and to validly and legally bind PERFORMING AGENCY to
all terms, performances, and provisions herein set forth.
PERFORMING AGENCY hereby assures compliance with the following terms and
conditions unless otherwise specified in the Attachment(s) hereto:
ARTICLE 1. Scope of Work
PERFORMING AGENCY will 'perform the work outlined in the Scope(s) of. Work
contained in the Attachment(s) hereto which is/are referenced in the Details of
Attachments and hereby incorporated and made a part of this contract, plus
amendments which may be added by additional Attachment(s) from time to time as
hereinafter provided.
Satisfactory performance of this contract will be measured in part by:
(1) adherence to the contract; (2) results of CPA or State Auditor reports; and,
3) timeliness, completeness, and accuracy of required reports.
ARTICLE 2. Term
The time period of this contract will be governed by the terms) on the
Attachment(s). No commitment of contract funds is permitted prior to the first
day or subsequent to the last day of the term. The term may be extended or
shortened by amendment(s).
ARTICLE 3. Funding
This contract is contingent upon funding being available for the term of the
Attachment(s) and PERFORMING AGENCY will have. no right of action against
RECEIVING AGENCY in the event that RECEIVING AGENCY is unable to perform its
obligations under this contract as a result of the suspension, termination,
withdrawal, or failure of funding to RECEIVING AGENCY or lack of sufficient
funding of RECEIVING AGENCY for any Attachment(s) to this contract. If funds
become unavailable, provisions of the Termination Article will apply.
ARTICLE 4. Amendments
This contract and any Attachment(s) hereto represent the entire understanding and
agreement between the parties and each party agrees to faithfully perform and
uphold each of the provisions hereof. No modification, alteration, or waiver of
any term, covenant, or condition of this contract and any Attachment(s) shall be
valid unless in writing, subscribed by the parties hereto.
ARTICLE S. Severabilit
If any provision of this contract will be construed to be illegal or invalid,
this will not affect the legality or validity of any of the other provisions
(LHS) 1996 GENERAL PROVISIONS - Page 1 (5/95)
r
hereof. The illegal or invalid provision will be deemed stricken and deleted
herefrom to the same extent and effect as if never incorporated herein, but all
other provisions will continue.
ARTICLE 6. Applicable Laws and Standards
This contract will be governed by the laws of the State of Texas and enabling
state/federal regulations, including federal grant requirements applicable to
funding sources as set out in Attachment(s) hereto. If PERFORMING AGENCY is a
local governmental public health entity, this contract will also be governed by
the Local Public Health Reorganization Act, Chapter 121, Health and Safety Code.
PERFORMING AGENCY agrees the Uniform GrantandContract Management Act (UGCMA),
Chapter 783, Texas Government Code Annotated, and the Uniform Grant and Contract
Management Standards (UGCMS) as amended by revised federal circulars to be
incorporated in UGCMA by the Governor's Budget and Planning Office, apply as
terms and conditions of this contract, and the standards are adopted by reference
in their entirety. If a conflict arises between the provisions of this contract,
UGCMA and UGCMS, the provisions of UGCMA and UGCMS will prevail unless expressly
stated otherwise. A copy of this manual and its references are provided to
PERFORMING AGENCY by RECEIVING AGENCY upon request.
PERFORMING AGENCY must obtain prior written approval from RECEIVING AGENCY for
major project changes which are specified in RECEIVING AGENCY's institutional
prior approval policy and the applicable Administrative Requirements and Cost
Principles. Copies of these documents are provided to PERFORMING AGENCY by
RECEIVING AGENCY and are incorporated by reference as a condition of this
contract.
In accordance with Section 1352 of Public Law 101-121, 31 U.S.C.S. §1352,
effective December 22, 1989, PERFORMING AGENCY is prohibited from using funds
granted under this contract for lobbying Congress or any agency in connection
with a particular contract. In addition, if at any time a contract exceeds
$100,000, the law requires certification that none of the funds provided by
RECEIVING AGENCY to PERFORMING AGENCY have been used for payment to lobbyists.
Regardless of funding source, and if a contract exceeds $100,000, a disclosure
form must be completed if PERFORMING AGENCY has any agreement with a lobbyist.
This certification and/or form is available upon request and must be forwarded
to RECEIVING AGENCY within 90 days of receipt.
PERFORMING AGENCY certifies by execution of this contract that its payment of
franchise taxes is current or, if PERFORMING AGENCY is exempt from payment of
franchise taxes, that it is not subject to the State of Texas franchise tax. A
false statement regarding franchise tax status will be treated as a material
breach of this contract and may be grounds for termination at the option of
.RECEIVING AGENCY. If franchise tax payments become delinquent during the
Attachment term, payments under this contract will be held until PERFORMING
AGENCY's delinquent franchise tax is paid in full.
PERFORMING AGENCY agrees to comply with the requirements of•the Immigration
Reform and Control Act of 1986 and Immigration Act of 1990 regarding employment
verification and retention of verification forms for any individual(s) hired on
or after November 6, 1986, who will perform.any labor or services under this
contract.
ARTICLE 7. Debarment and Suspension
PERFORMING AGENCY further certifies by execution of this contract that it is not
ineligible for participation in federal or state assistance programs under
Executive Order 12549, Debarment and Suspension. PERFORMING AGENCY certifies, by
submission of this contract, that neither it nor its principals is presently
(LiIS) 1996 GENERAL PROVISIONS - Page 2 (5/95)
debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from participation in this transaction by any Federal department or
agency. Where the PERFORMING AGENCY is unable to certify to any of the
statements in this certification, PERFORMING AGENCY shall attach an explanation.
PERFORMING AGENCY specifically asserts that it has not knowingly failed to pay
a single substantial debt or a number of outstanding debts to a federal or state
agency or it is not subject to an outstanding judgment in a suit against
PERFORMING AGENCY for collection of the balance. A false statement regarding
PERFORMING AGENCY's status will be treated as a material breach of this contract
and may be grounds for termination at the option of RECEIVING AGENCY.
ARTICLE S. Assurances
PERFORMING AGENCY will establish safeguards to prohibit employees from using
their positions for a purpose that constitutes or presents the appearance of
personal or organizational conflict of interest, or personal gain.
To the extent ..such provisions are applicable to PERFORMING AGENCY, PERFORMING
AGENCY agrees to fully comply with the following: Title VI of the Civil Rights
Act of 1964 (Public Law 88-352); Section 504 of the Rehabilitation Act of 1973
(Public Law 93-112); The Americans with Disabilities Act of 1990 (Public Law 101-
336); and all amendments to each, and all requirements imposed by the regulations
issued pursuant to these acts, especially 45 CFR Part 60 (relating to race, color
and national origin), 45 CFR Part 84 (relating to handicap), 45 CFR Part 86
(relating to sex), and 45 CFR Part 91 (relating to age).
Collectively, such requirements obligate RECEIVING AGENCY to provide services
without discrimination on the basis of race, color, national origin, age, sex,
disability, or political or religious beliefs; PERFORMING AGENCY agrees that in
carrying out the terms of this contract, it will do so in a manner which will
assist RECEIVING AGENCY to comply with such obligations to the fullest extent of
PERFORMING AGENCY's ability. PERFORMING AGENCY will use its best efforts to make
available employment opportunities for qualified disabled individuals.
PERFORMING AGENCY agrees to comply with the non-discriminatory requirements of
Texas Labor Code, Chapter 21, which requires that certain employers not
discriminate on the basis of race, color, disability, religion, sex, national
origin, or age.
PERFORMING AGENCY will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of environmental quality
control measures under the National Environmental Policy Act of 1969 (-P.L. 91-
190) and Executive Order (EO) 11514; (b) notification of violating facilities
pursuant to EO 11738; (c) conformity of Federal actions to State (Clear Air)
Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as
amended (42 U.S.C. SS 7401 et seq.); and (d) protection of underground sources
of drinking water under the Safe Drinking Water Act of 1974, as amended, P.L.
93-523.
PERFORMING AGENCY agrees to comply with the Pro -Children Act of 1994, Public Law
103-227; 108 Stat 271 §104; U.S.C.A. Title 20 §§ 6080-6081, regarding the
provision of a smoke -free workplace and promoting the non-use of all tobacco
products.
PERFORMING AGENCY will comply with P.L. 93-348 regarding the protection of human
subjects involved in research, development, and related activities supported by
any applicable award of federal assistance.
PERFORMING AGENCY will comply with the Clinical Laboratory Improvement Amendments
of 1988 (CLIA), P.L. 100-578 (42 U.S.C. 263 a), which establish Federal
requirements for the regulation and certification of clinical laboratories.
(IBIS) 1996 GENERAL PROVISIONS - Page 3 (5/95)
PERFORMING AGENCY will comply with the OSHA Regulations on Bloodborne Pathogens,
56 Fed. Reg. 64175 (1991), 29 C.F.R. 1919.030, which set safety standards for
those workers and facilities who may handle bloodborne pathogens.
PERFORMING AGENCY assures it will not transfer or assign its interest in this
contract without the written consent of.the RECEIVING AGENCY.
ARTICLE 9. Standards For Financial and Proaraam[atic Manaaement
PERFORMING AGENCY will develop, implement, and maintain financial management and
control systems that meet or exceed the requirements of UGCMA. Those
requirements include at a minimum:
1. Financial planning, including the development of budgets that adequately
reflect all functions and resources necessary to carry out authorized
activities and the adequate determination of costs;
2. Financial management system including accurate, correct, and complete
payroll, accounting, and financial reporting records, cost source
documentation, effective internal and budgetary controls, determination of
reasonableness, allowability, and allocability of costs, and timely and
appropriate audits and resolution of any findings; and,
3. Billing and collection policies, including a charge schedule, a system for
discounting or adjusting charges based on a person's income and family
size, and a mechanism capable of billing and making reasonable efforts to
collect from patients and third parties.
In addition, PERFORMING AGENCY agrees to bill third party payors, at no cost to
the client, for services provided under the Attachment(s). .These potential
payors include, but are not limited to, Medicaid, private insurance carriers,
other available federal, state, local and private funds, etc. PERFORMING AGENCY
is required to become a Medicaid provider for applicable program activities
funded in the Attachment(s) hereto, and will maximize efforts to obtain payment
from Medicaid and all other available sources.
PERFORMING AGENCY, if designated a Sol (c)(3) organization as defined in the
Internal Revenue Code or a for -profit organization, and its governing board shall
bear full responsibility for the integrity of the fiscal and programmatic
management of the organization. Such management shall include accountability for
all funds and materials received from the RECEIVING AGENCY, compliance with
RECEIVING AGENCY rules, policies, and procedures, and applicable federal and
state laws and regulations, and correction of fiscal and program deficiencies
identified through self -evaluation and the RECEIVING AGENCY's monitoring
processes. Ignorance of any contract provisions or other requirements contained
or referenced in the contract or contract Attachments) shall not constitute a
defense or basis for waiving or appealing such provisions or requirements.
Further, PERFORMING AGENCY'S governing board shall ensure separation of powers,
duties, and functions of board members and staff.
ARTICLE 10. Allowable Costs and Audit Requirements
Only those costs allowable under UGCMA and any revisions thereto, plus any
applicable federal cost principles are eligible for reimbursement under this
Attachment (s). Applicable cost principles, audit requirements and administrative
requirements are as follows:
Applicable Cost Principles
A-87, State & Local Governments
Audit Administrative
Requirements Requirements
Circular A-128 UGCMA
To be eligible for reimbursement under this Attachment (s), a cost must have been
incurred and paid by PERFORMING AGENCY within the Attachment term prior to
(LHS) 1996 GENERAL PROVISIONS - Page 4 (5/95)
claiming reimbursement from RECEIVING AGENCY. Costs encumbered by the last day
of the Attachment term must be liquidated no later than 45 days after the end of
the Attachment term.
Each PERFORMING AGENCY/AUTHORIZED CONTRACTING ENTITY receiving $25,000 or more
in total federal/state financial assistance during their fiscal year shall
arrange for a financial and compliance audit of the PERFORMING
AGENCY'S/AUTHORIZED CONTRACTING ENTITY'S fiscal year. The audit must be
conducted by an independent CPA and must be in accordance with the applicable OMB
Circulars and Government Auditing Standards. Procurement of audit services will
comply with state procurement procedures, as well as provisions of UGCMA.
Within 30 days of receipt of audit report, PERFORMING AGENCY/AUTHORIZED
CONTRACTING ENTITY will submit a copy to RECEIVING AGENCY'S Internal Audit
Division.
ARTICLE 11. Overtime Compensation
None of the funds provided by Attachment(s) will be used to pay overtime.
PERFORMING AGENCY will be responsible for any obligations of overtime pay due
employees.
ARTICLE 12. Terms and Conditions of Payment
For services satisfactorily performed pursuant to the Scopes) of Work,
PERFORMING AGENCY will receive reimbursement for allowable costs. Reimbursements
will not exceed the total of each Attachment(s) hereto and are contingent on a
signed contract.
Claims for reimbursement will be made on a State of Texas Purchase Voucher (TDH
Form B-13). Vouchers for reimbursement of actual expenses will be submitted
monthly within 20 days following the end of the month covered by the bill. A
make-up claim may be submitted .as a final close-out bill not later than 45 days
following the end of Attachment term(s). Advance payment may be requested in
accordance with the applicable provisions of this contract.
Payments made for approved claims or notice of denial of claims submitted against
Attachment(s) to this contract will be mailed not later than 60 days after
receipt of monthly vouchers. Payment is considered made on the date postmarked.
Any reimbursements made by PERFORMING AGENCY to subcontractors will be made in
accordance with Article 601f, V.T.C.S.
PERFORMING AGENCY may request, in writing, to be placed on Direct Deposit status.
If this request is approved by RECEIVING AGENCY, PERFORMING AGENCY will no longer
receive copies of reimbursement vouchers.
Funding from this contract will not be used to supplant state or local funds, but
PERFORMING AGENCY will use such funds to increase state or local funds currently
available to PERFORMING AGENCY for a particular activity. PERFORMING AGENCY
further agrees to maintain its current level of support, if any.
PERFORMING AGENCY will refund to RECEIVING AGENCY any funds PERFORMING AGENCY
claims and receives from RECEIVING AGENCY for the reimbursement of costs which
are determined by RECEIVING AGENCY to be ineligible for reimbursement.
RECEIVING AGENCY will have the right to withhold all or part of any future
payments to PERFORMING AGENCY to offset any reimbursement made to PERFORMING
AGENCY for any ineligible expenditures not refunded to RECEIVING AGENCY by
PERFORMING AGENCY. Repayment may be taken from this contract or other active
contracts between the parties in amounts necessary to fulfill PERFORMING AGENCY
repayment obligations.
aRs) 1996 GENERAL PROVISIONS - Page 5 (5/95)
Payment maybe denied for noncompliance if 'required financial reports are not on
file 'for previous quarters or for the final period, for failure to respond to
financial compliance monitoring reports, failure to submit independent audit
reports as required by applicable OMB Circulars, or if program requirements are
not met as specified in the Scope(s) of Work.
ARTICLE 13. Advance Payments
PERFORMING AGENCY may request, in writing, a one time advance with written
justification and the concurrence of RECEIVING AGENCY. Amount of advance will be
determined by the amount and term of the Attachment(s); however, for each
Attachment, the amount of the advance will not exceed one -sixth (1/6th) of a
twelve-month Attachment. Advance will be requested on a State of Texas
Purchase Voucher at the beginning of Attachment period or at a single later time
in the Attachment period if circumstances so warrant and the request is approved.
Advance funds will be liquidated during the Attachment term so that, after final
monthly billing, PERFORMING AGENCY will not have advance funds on hand. Advance
funds may be drawn only to meet immediate cash needs for disbursement (UGCMA and
federal circulars).
Amendments to this Attachments) may require upward or downward adjustment to the
allowable advance until it equates 1/6th of a twelve-month Attachment. In the
case of a downward adjustment, PERFORMING AGENCY and RECEIVING AGENCY will agree
on the amount of adjustment to the advance. RECEIVING AGENCY retains the option
to reduce future claims by the required amount. In the case of an upward
adjustment and PERFORMING AGENCY needs additional funds to meet immediate
operating expenses, PERFORMING AGENCY may submit to RECEIVING AGENCY a written
justification and State of Texas Purchase Voucher in the amount necessary to
correct the ratio.
ARTICLE 14. Program Income
PERFORMING AGENCY will develop a fee for service system and a schedule of fees
for personal health services in accordance with the provisions of Chapter 12,
Sub -chapter D, Health and Safety Code and the Texas Board of Health rules
covering Fees for Clinical Health Services (25 TAC, Section 1.91) and other
applicable laws provided, however, that a patient may not be denied a service due
'to inability to pay.
Both parties agree all revenues directly generated by an Attachment(s) supported
activity or earned only as a result of the Attachment(s) during the term of the
Attachment(s) are considered program income. This income will be identified and
reported quarterly and annually utilizing the report forms identified in the
Financial Reports Article of these provisions. PERFORMING AGENCY will retain the
program income and use one of the following alternatives:
1. Where the PERFORMING AGENCY is reimbursed by RECEIVING AGENCY under a cost
reimbursement method, the additive or deductive alternatives for program
income may be used. Under the additive method, PERFORMING AGENCY will add
the program income to the funds already committed to the project by both
the RECEIVING AGENCY and PERFORMING AGENCY. PERFORMING AGENCY agrees
program income will be used to further the program objectives of the
State/Federal statute under which the Scope of Work for the Attachment(s)
was made and must be spent in the same project where it was generated.
Program income earned in a current budget period and not expended in that
budget period may be carried forward to the next budget period, but must
be spent in the next budget period, or deducted from program expenditures.
This policy will apply unless specifically stated otherwise in the Special
Provisions of the contract Attachment (a). Under the deductive method, the
PERFORMING AGENCY will deduct the program income from the total allowable
costs to determine the net allowable costs.
(LHS) 1996 GENERAL PROVISIONS — Page 6 (5/95)
2. Where the PERFORMING AGENCY is reimbursed by RECEIVING AGENCY under a
fixed price arrangement, only the deductive alternative for program income
will be used. PERFORMING AGENCY deducts the program income from the total
allowable project costs to determine the net allowable costs.
It is further understood that RECEIVING AGENCY will base future funding levels,
in part, upon the PERFORMING AGENCY's proficiency in identifying, billing,
collecting, and reporting income, and in utilizing it for the purposes and
conditions of the applicable Attachment(s).
ARTICLE 15. Financial Reports
Financial reports are required as provided in UGCMA and will be filed by
PERFORMING AGENCY regardless of whether or not expenses have been incurred.
A Financial Status Report, State of Texas Supplemental Form 269a (TDH Form
GC-4a), will be submitted within 30 days following the end of each of the first
three quarters. A final financial report, State of Texas Supplemental Form 269a
(TDH Form GC-4a), will be submitted not later than 45 days following the end of
Attachment term(s). If necessary, a State of Texas Purchase voucher will be
submitted if all costs have not been recovered or a refund will be made of excess
monies if costs incurred were less than funds received.
ARTICLE 16. Reports and Inspections
PERFORMING AGENCY will submit financial, program, progress, and other reports as
requested by RECEIVING AGENCY in the format agreed to by the parties hereto.
RECEIVING AGENCY and, when federal funds are involved, any authorized
representatives) of the federal government have the right, at all reasonable
times, to inspect or otherwise evaluate the work (including client or patient
records) performed or being performed hereunder and the premises in which it is
being performed, including subcontractors. PERFORMING AGENCY will participate
in and provide reasonable access, facilities, and assistance to the
representatives. All inspections and evaluations will be performed in such a
manner as will not unduly delay the work.
PERFORMING AGENCY agrees that RECEIVING AGENCY and the federal government, or any
of their duly authorized representatives, will have access to any pertinent
books, documents, papers, and client or patient records of PERFORMING AGENCY for
the purpose of making audit, examination, excerpts, and transcripts of
transactions related to contract Attachment(s). RECEIVING AGENCY will have the
right to audit billings both before and after payment. Payment under
Attachment(s) will not foreclose the right of RECEIVING AGENCY to recover
excessive or illegal payments.
Any deficiencies identified by RECEIVING AGENCY upon examination of PERFORMING
AGENCY's records will be conveyed in writing to PERFORMING AGENCY. 'PERFORMING
AGENCY's resolution of findings will also be conveyed in writing to RECEIVING
AGENCY within 30 days of receipt of RECEIVING AGENCY Is findings. A determination
by RECEIVING AGENCY of either an inadequate or inappropriate resolution of the
findings may result in the withholding of funds, as provided in Terms and
Conditions of Payment Article. Any such withholding of funds will remain in
effect until the findings are properly remedied as determined by RECEIVING
AGENCY.
PERFORMING AGENCY will retain all such records for a period of three years from
the date of the last expenditure report submitted under contract Attachment(s)
or until resolution of all audit questions, whichever time period is longer.
(LNS) 1996 GENERAL PROVISIONS - Page 7 (5/95)
ARTICLE 17. Client Records
PERFORMING AGENCY, or any subcontractor, shall not transfer an identifiable
client record, including a patient record, to another entity or person without
written consent from the client or patient, or someone authorized to act on his
or her behalf; however, the. RECEIVING AGENCY may require the PERFORMING AGENCY,
or any subcontractor, to transfer a client or patient record to another agency
or to the RECEIVING AGENCY if the transfer is necessary to protect either the
confidentiality of the record or the health and welfare of the client or patient.
At the end of the Attachment term, all client or patient records are the property
of PERFORMING AGENCY. RECEIVING AGENCY retains the right to have access to the
records or obtain copies for audit, examination, evaluation, inspection,
litigation, or other circumstances that may arise.
If at any time during the Attachment term(s), PERFORMING AGENCY and/or RECEIVING
AGENCY should decide to terminate the agreement, RECEIVING AGENCY may require the
transfer of client or patient records upon written notice to PERFORMING AGENCY,
either to another entity that agrees to continue the service or to RECEIVING
AGENCY.
Notwithstanding any other provision herein, if requested by RECEIVING AGENCY, the
PERFORMING AGENCY shall share all patient information with the RECEIVING AGENCY
when the contract involves patient care by the PERFORMING AGENCY. The PERFORMING
AGENCY shall attempt to obtain a release of medical information from the client
or patient or someone authorized to act on his or her behalf permitting the
transfer of information outside the PERFORMING AGENCY on forms supplied by the
RECEIVING AGENCY. If the patient refuses to sign the release of information
form, the information will be shared with the RECEIVING AGENCY devoid of all
identifiers of a personal nature, as specified by RECEIVING AGENCY.
ARTICLE 18. Confidentialit
PERFORMING AGENCY will have a system in effect to protect client or patient
records and all other documents deemed confidential by law which are maintained
in connection with the activities funded under contract. Any disclosure or
transfer of confidential client or patient information by PERFORMING AGENCY,
including information required by the Reports and Inspections Article, will be
in accordance with applicable law.
If providing direct client care, services, or programs PERFORMING AGENCY agrees
to implement workplace policies based on the model guidelines adopted by
RECEIVING AGENCY and to educate employees and clients concerning the human
immunodeficiency virus, (HIV) and its related conditions including acquired
immunodeficiency syndrome (AIDS). PERFORMING AGENCY agrees to develop and
implement policies regarding confidentiality of AIDS and HIV -related medical
information for employees of PERFORMING AGENCY and for clients, inmates,
patients,. and residents served by PERFORMING AGENCY. Further, PERFORMING AGENCY
agrees to develop and implement an anti -discrimination policy assuring all
privileges and opportunities for any employee or client with a communicable
disease. HIV -related policies will be based on accurate scientific information.
Such policies will be consistent with the model guidelines published by RECEIVING
AGENCY and with state and federal laws and regulations. A PERFORMING AGENCY
that does not adopt a confidentiality policy as herein required is not legally
eligible to receive state funds until the policy is developed and implemented.
ARTICLE 19. Equipment and Supplies
Equipment is defined as tangible nonexpendable property with an acquisition cost
of over $1,000 and a useful life of more than one year with the following
exceptions: Fax Machines, Stereo Systems, Cameras, Video Recorder/Players,
Microcomputers, and Printers. These exception items will still be considered
(LHS) 1996 GENERAL PROVISIONS - Page 8 (5/95)
equipment if their unit cost is over $500. In accordance with Health & Safety
Code, Section 12.053, title to all equipment and supplies purchased from funds
provided herein will be in the name of PERFORMING AGENCY throughout the
Attachment(s) term(s) .
Unless initially listed and approved in the Attachment(s), prior written approval
from RECEIVING AGENCY is required for any additions to or deletions of approved
equipment purchases meeting the above equipment definition. To receive approval
for data processing hardware and software, PERFORMING AGENCY must submit a
detailed justification which includes description of features, make and model,
and cost, etc.
PERFORMING AGENCY will maintain a property inventory listing and submit an annual
cumulative report (TDH Form GC-11) to RECEIVING AGENCY no later than October 15th
of each year. PERFORMING AGENCY will administer a program of maintenance,
repair, and protection of assets under this Attachment(s) so as to assure their
full availability and usefulness. In the event PERFORMING AGENCY is indemnified,
reimbursed, or otherwise compensated for any loss of, destruction of, or damage
to the assets provided under this Attachment(s), it will use the proceeds to
repair or replace said assets.
PERFORMING AGENCY agrees that upon termination of Attachment(s), title to any
remaining equipment and supplies purchased from funds as.hereinabove provided
will be transferred to the RECEIVING AGENCY or any other party designated by the
RECEIVING AGENCY; provided, however, that RECEIVING AGENCY may, at its option and
to the extent allowed by law, transfer title to such property to the PERFORMING
AGENCY.
ARTICLE 20. Subcontractin
PERFORMING AGENCY may enter into agreements with subcontractors unless restricted
or otherwise prohibited in specific Attachment(s). Subcontracts, if any, entered
into by PERFORMING AGENCY will be in writing and subject to the requirements of
this contract. Such contractual agreements must be executed on an annual basis
and include, at minimum, the following information: 1)' name and address of all
parties, 2) well defined scope of work, 3) measurable method and rate of payment,
and 4) clearly defined and executable termination clause. It is recommended that
subcontracts have beginning and ending dates coinciding with the dates of the
applicable contract Attachment(s).
PERFORMING AGENCY agrees that it will be responsible to RECEIVING AGENCY for the
performance of any subcontractor. In addition, if PERFORMING AGENCY elects to
enter into an agreement which subcontracts out a substantial portion of
PERFORMING AGENCY's Scope of Work, prior written approval must be obtained from
RECEIVING AGENCY.
ARTICLE 21. Copvriahts, Publications, and Patents
PERFORMING AGENCY understands and agrees that where activities supported by the
contract Attachments) produce original books, manuals, films, or other original
material, PERFORMING AGENCY may copyright such material subject to any rights
to same reserved by or vested in the federal or state government or any agency
thereof; however, PERFORMING AGENCY may grant to RECEIVING AGENCY limited rights
to produce, publish, and use such materials as appropriate. The rights reserved
by or vested in the federal or state government or any agency thereof consist of
the following: The federal or state government or any agency thereof reserves
a royalty -free, nonexclusive, and irrevocable license to reproduce, publish or
otherwise use, and to authorize others to use, for government purposes (a) the
copyright in any work developed under a grant, subgrant, or contract under a
grant or subgrant, and (b) any rights of copyright to which a grantee, subgrantee
or a contractor purchases ownership with grant support.
(LEIS) 1996 GENERAL PROVISIONS - Page 9 (5/95)
PERFORMING AGENCY may publish at its expense the results of contract performance
with prior RECEIVING AGENCY review and approval. Any publication (written,
visual, or sound) should include acknowledgment of the support received from
RECEIVING AGENCY and the appropriate federal agency, if applicable. At least
three copies of any such publication must be provided to RECEIVING AGENCY.
RECEIVING AGENCY reserves the right to require additional copies before or after
the initial review.
PERFORMING AGENCY and any subcontractor, as appropriate, must comply with the
standard patent rights clauses in 37 CFR Sec. 401.14 or FAR 52.227.11.
ARTICLE 22. Hold Harmless
PERFORMING AGENCY, as an independent contractor, agrees to hold RECEIVING AGENCY
and/or federal government harmless and to indemnify them from any and all
liability, suits, claims, losses, damages and judgments, and shall pay all costs,
fees and damages to the extent that such costs, fees and damages arise from
performance or non-performance of PERFORMING AGENCY under this contract.
Likewise, RECEIVING AGENCY, as a state governmental agency, agrees to 'hold
PERFORMING AGENCY harmless and to indemnify it against any and all liability,
suits, claims, losses, damages and judgments to the extent authorized by the
governmental liability provisions of Title 5 of the Civil Practices and Remedies
Code, Vernon's Texas Codes Annotated.
PERFORMING AGENCY, by acceptance of funds provided through contract
Attachment (a), agrees and ensures that personnel paid from these funds are duly
licensed and/or qualified to perform the required services.
ARTICLE 23. Bonding
PERFORMING AGENCY is required to carry a fidelity bond or insurance coverage
equal to the amount of funding provided under the contract Attachment(s) up to
$100,000 that protects each employee of the PERFORMING AGENCY handling funds
under this contract, including person(s) authorizing payment of such funds. The
fidelity bond or insurance will provide for indemnification of losses occasioned
by: (1) any fraudulent or dishonest act or acts committed by any of PERFORMING
AGENCY's employees either individually or in concert with others, and/or, (2)
failure of PERFORMING AGENCY or any of its employees to perform faithfully
his/her duties .or to account properly for all monies and1property received by
virtue of his/her position or employment.
ARTICLE 24. Historically Underutilized Businesses
PERFORMING AGENCY agrees to take affirmative steps to ensure that Historically
Underutilized Businesses (HUBS) are utilized whenever possible. A HUB includes:
(a) A corporation formed for the purpose of making a profit in which at
least 51% of all classes of the shares of stock or other equitable
securities are owned by one or more persons who are socially
disadvantaged because of their identification as members of certain
groups, including Black Americans, Hispanic Americans, Asian
Americans, or Native Americans, and have suffered the effects of
discriminatory practices or similar insidious circumstances over
which they have no control; and have a proportionate interest and
demonstrate active participation in the control, operation, and
management of the corporation's affairs;
(b) A sole proprietorship created for the purpose of making a profit
that is 100% owned, operated or controlled by such person(s)
described in (a);
Vis) 1996 GENERAL PROVISIONS - Page 10 (5/95)
(c) A partnership formed for the purpose of making a profit in which 51%
of the assets and interest in the partnership is owned by one or
more persons who are described in (a) above and have a proportionate
interest and demonstrate active participation in the control,
operation, and management of the partnership's affairs;
(d) A joint venture in which each entity in the joint venture is a
historically underutilized business; or
(e) A supplier contract between a HUB as defined in (a) above and a
prime contractor under which the HUB is directly involved in the
manufacture or distribution of the supplies or materials or
otherwise warehouses and ships the supplies.
ARTICLE 25. Termination
If PERFORMING AGENCY fails to comply with RECEIVING AGENCY's reporting
requirements, the program objectives, or the contract award conditions, RECEIVING
AGENCY may withhold payments. RECEIVING AGENCY will provide advance written
notice to PERFORMING AGENCY which will identify the deficiency and RECEIVING
AGENCY's intent to withhold payments if the deficiency is not corrected within
a specific number of days. When the deficiency is corrected, RECEIVING AGENCY
will release any withheld payments with no further action. If PERFORMING AGENCY
fails to comply with the terms, conditions, or standards of this contract,
RECEIVING AGENCY may terminate the contract Attachment(s) for non-compliance.
This contract or any Attachment(s) hereto may be terminated by either of the
parties hereto for noncompliance by the other party. A party intending to
terminate for noncompliance by the other party will provide written notice to the
other party at least thirty (30) days prior to the intended date of termination.
Such notice will include the reasons for the termination. By such termination,
neither party may nullify obligations already incurred for performance or failure
to perform prior to the date of termination. Such termination will not be an
exclusive remedy but will be in addition to any other rights and remedies
provided by law or under this contract.
This contract or any Attachment(s) hereto may be terminated in whole, or in part,
when both parties agree that continuation would not produce results commensurate
with further expenditure of funds. Both parties will agree on the effective date
and, in the case of partial termination, the portion to be terminated. RECEIVING
AGENCY will immediately send PERFORMING AGENCY written notice of the terms agreed
to and such notice will become a part of the contract. PERFORMING AGENCY will
not incur new obligations for the terminated portion after the effective date of
termination and will cancel as many outstanding obligations as possible.
RECEIVING AGENCY will allow full credit to PERFORMING AGENCY for noncancelable
obligations which were properly incurred prior to the termination date.
This contract or any Attachment(s) hereto may be terminated if funds allocated
for any Attachment(s) hereto should become reduced, depleted, or unavailable
during any Attachment(s) budget period, and RECEIVING AGENCY is unable to obtain
additional funds for such purposes. RECEIVING AGENCY will immediately provide
written notification to PERFORMING AGENCY of such fact and such Attachment(s) to
this contract is/are terminated upon receipt of that notification. PERFORMING
AGENCY will not incur new obligations after the effective date of termination and
will cancel as many outstanding obligations as possible. RECEIVING AGENCY will
allow full credit to PERFORMING AGENCY for noncancelable obligations which were
properly incurred prior to the termination date.
This contract or any Attachment(s) hereto may be terminated in the event that
federal or state laws or other requirements should be amended or judicially
interpreted so as to render continued fulfillment of this contract, on the part
of either party, unreasonable or impossible. If the parties should be unable to
(LHS) 1996 GENERAL PROVISIONS - Page 11 (5/95)
agree upon amendment which would therefore be needed to enable the substantial
continuation of the services contemplated herein, then, upon written notification
by RECEIVING AGENCY to PERFORMING AGENCY, the parties will be discharged from any
further obligations created under the terms of this contract, except for the
equitable settlement of the respective accrued interests or obligations as of the
date of termination.
ARTICLE 26. 'Personnel
All personnel funded by Attachment(s) to
PERFORMING AGENCY which will be responsible
liable for any of their acts or omissions.
this contract are employees of
for their direction and control and
PERFORMING AGENCY will have in place legally sufficient Due Process Hearing
Procedures for all of its employees filling state budgeted positions.
PERFORMING AGENCY will have full authority to employ, promote, suspend, demote,
discharge, and transfer within its organization any and all state budgeted
personnel funded by Attachment(s) to this contract provided, however, that any
demotion, suspension, or discharge of such state budgeted employees will be in
accordance with the Due Process Hearing Procedures as set out above. The only
distinction between state budgeted and local paid employees is that employees on
state budgeted positions receive state benefits and are subject to certain
duties, obligations, and restrictions as state employees as contained in state
law. One such restriction, as contained in the State Appropriations Act, is that
no employee paid on.a state budgeted position may receive a salary supplement
from any source unless specifically authorized in the Appropriations Act or other
state law. This prohibition includes, but is not limited to, the payment to such
employee of a so-called "flat rate" car allowance or travel allowance. Any such
'travel or per diem to these employees must be on a reimbursement basis, supported
by appropriate records, and may not exceed the reimbursement for mileage and/or
per diem allowed under the Appropriations Act and current state travel
regulations. This restriction will apply whether travel funds are provided in
Attachment(s) under this contract or from any other source.
PERFORMING AGENCY will utilize RECEIVING AGENCY's policies and procedures for
hiring and promoting individuals into state budgeted positions funded by
Attachment(s) to this contract. Qualifications of any individuals filling these
positions will be subject to approval of RECEIVING AGENCY's Bureau of Personnel
`Management. The purpose of the approval is to ensure that individuals occupying
these positions meet minimum educational and experience requirements.
PERFORMING AGENCY will maintain required records and submit documents necessary
to process personnel, payroll, leave and time records, and travel claims on state
budgeted positions. PERFORMING' AGENCY will'be furnished by RECEIVING AGENCY
state warrants for salary compensation or travel reimbursement for issuance.to
employees on state budgeted positions.
An independent audit is not required as a condition of this contract if the
Attachment provides assistance through assignment of state budgeted positions and
no funds are budgeted for local costs.
PERFORMING AGENCY may be reimbursed for local personnel costs or other categories
of expense used to fulfill the scope of work of Attachment(s) in lieu of being
furnished state payroll warrants after a state budgeted position becomes vacant.
Reimbursement will not exceed the balance of funds on the state budgeted position
after all benefits, obligations, and/or other entitlements are met. PERFORMING
AGENCY's Director, or other persons) authorized elsewhere in this contract, may
submit a request for conversion. RECEIVING AGENCY will transmit formal approval
and a revised budget to PERFORMING AGENCY to complete the conversion.
(LUS) 1996 GENERAL PROVISIONS Page 12 (5/95)
ARTICLE 27. Funding Participation Requirement
PERFORMING AGENCY agrees funds provided through this contract will not be used
for matching purposes in securing other funding unless otherwise directed or
approved by RECEIVING AGENCY.
ARTICLE 28. Performance -Based Attachments
History
RECEIVING AGENCY is responsible for developing performance -based public health
services contracts in response to the State Auditor's Report and requirements of
the Legislature. This system will enhance service delivery and improve
accountability and efficiency in the management of public health dollars.
Plans for initial implementation were designed to use the model objectives format
stemming from recommendations of the Committee on Model Objectives for Local
Public Health in Texas. The committee was composed of representatives of local
health departments and RECEIVING AGENCY's central and public health region
offices in consultation with the University of Texas School of Public Health in
Houston.
Purpose
The overall goal of performance -based contracts is improved public health
practices in Texas. The project is intended to:
identify public health needs and establish priorities which provide a
rational basis for resource allocation;
- project realistic outcomes based on activities which can be accomplished
with current or planned resources, communicate needs, and build consensus
at all levels regarding directions to be taken in specific programs; and,
- institute a system for planning, implementing, managing, and evaluating
programs and monitoring progress toward reducing and/or alleviating public
health problems.
Required Program Areas
PERFORMING AGENCY has prepared outcome and process objectives, if. they are
applicable and relative to the local needs and resources, for the following
program areas:
Food Protection
Public Health Promotion
Immunization Initiative
Women & Children
Chronic Disease Prevention & Control
HIV/AIDS
Refugee Health
Sexually Transmitted Diseases
Tuberculosis Elimination
Dental Health Services
Nutrition Services
These objectives are appended to the Office of Regional Administrative Services
Attachment and incorporated verbatim and made a part of this contract.
PERFORMING AGENCY agrees to monitor and report progress towards these objectives
on a quarterly and annual basis. The reporting requirements and format will be
agreed upon by both parties.
Pilot Program Areas
RECEIVING AGENCY will provide training, written documentation, and ongoing
technical assistance to PERFORMING AGENCY in the development of performance -based
(LUS) 1996 GENERAL PROVISIONS - Page 13 (5/95)
objectives for the following pilot program areas:
Milk & Dairy
Hansen's Disease
Injury Prevention & Control (Bicycle Helmet Project)
Asbestos Program Branch (Enforcement Section)
The parties recognize and agree that the performance -based objectives for the
pilot program areas are negotiable. If PERFORMING AGENCY'S achievement is below
the established levels, it will not affect the right of PERFORMING AGENCY to
funds provided through Attachment(s) when the basic program Scope of Work has
been fulfilled.
It is understood and agreed upon by both parties that PERFORMING AGENCY will be
required to append approved performance -based objectives for the pilot program
areas to the local health services contract.
RECEIVING AGENCY contact for matters pertaining to the performance -based public
health services project is the office of Regional Administrative Services.
(LHS) 1996 GENERAL PROVISIONS - Page 14 (5/95)
DOCUMENT NO. C6000652
ATTACHMENT NO. 01
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: BUREAU OF HIV AND STD PREVENTION
TERM: January 1, 1996 THROUGH August 31, 1996
SECTION I. SCOPE OF WORK:
PERFORMING AGENCY will conduct active surveillance and reporting activities
for human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome
(AIDS).
All information and education materials developed and provided by PERFORMING
AGENCY will be accurate, comprehensive, and consistent with current findings
of the United States Public Health Service.
PERFORMING AGENCY agrees that all activities will be performed in accordance
with PERFORMING AGENCY'S objectives, activities work plan,and detailed.bud-
get as approved by RECEIVING AGENCY. All of the above named documents are
adopted by reference as part of this Attachment. All revisions to said
documents will be approved by RECEIVING AGENCY and transmitted in writing to
RECEIVING AGENCY.
The activities required to carry out these projects are outlined in the
Centers for Disease Control and Prevention (CDC) and RECEIVING AGENCY'S
guidelines and protocols and RECEIVING AGENCY'S grant applications and awards
by CDC, which are the bases for this Attachment. A copy of each document
has been provided to PERFORMING AGENCY.
PEDIATRIC HIV INFECTIONS
PERFORMING AGENCY will be responsible for soliciting reporting of
HIV infections occurring in children 0-12 years of age. PERFORMING.AGENCY
agrees to:
1. Initiate and maintain effective communications and working
relationships with pediatricians, pediatric care facilities,
and laboratories within PERFORMING AGENCY'S geographic
jurisdiction, in an effort to solicit reporting.
2. Assist RECEIVING AGENCY in conducting no -identified -risk (NIR)
investigations for those cases in which mode of exposure is
incomplete.
3. Follow-up and complete CDC data collection forms on unreported
cases identified through the RECEIVING AGENCY'S review of
alternate record systems.
ALL AIDS CASES
PERFORMING AGENCY will be responsible to RECEIVING AGENCY for the design,
-1-
maintenance and evaluation of an active surveillance system for AIDS cases.
For the purposes of this Attachment, an AIDS case is defined by CDC in its
December 18, 1992 MMWR publication, Vol. 41, No. RR-17. PERFORMING AGENCY
agrees to:
1. REPORTING
a. Establish and maintain communications with key community and medical
groups/individuals and laboratories within PERFORMING AGENCY'S geo-
graphic jurisdiction.
b. Collect reports of AIDS cases diagnosed and/or treated within
PERFORMING AGENCY'S geographic jurisdiction.
c. Report cases to RECEIVING AGENCY'S HIV/AIDS Surveillance Program
on a weekly basis.
2. REGISTRY MAINTENANCE
a. Maintain a case file on all confirmed and suspected cases of AIDS
diagnosed and/or treated within PERFORMING AGENCY'S geographic
jurisdiction.
b. Maintain a current list of key reporting sources.
3. SYSTEM EVALUATION
a.. Review and provide thorough follow-up on a minimum of eighty percent
(80%) of suspects identified by RECEIVING AGENCY'S alternate record
review systems in order to enhance case ascertainment and validate
the effectiveness of local surveillance efforts.
b. Track reporting by local sources in order to monitor the level of
compliance to reporting laws and level of case ascertainment.
4. EPIDEMIOLOGIC INVESTIGATIONS
a. Initiate epidemiologic investigations on newly reported FIR cases
within five (5) days of receipt of case report through contact with
appropriate health care provider or the review of medical. records.
b. Assist RECEIVING AGENCY with other epidemiologic investigations
as deemed necessary by RECEIVING AGENCY or the CDC.
5. DATA ANALYSIS
Demographic analyses of local data may be released as public
information as long as an individual is not identified.
6. CONFIDENTIALITY
a. Store all case files and computer diskettes containing patient
-2-
information in a locking file cabinet when not in use. The locking
file cabinet and surveillance computer must be kept in a locked room,
with limited, controlled access.
b. Utilize passwords to access procedures for computer databases con-
taining HIV/AIDS case data. Passwords should be changed monthly and
known only to surveillance personnel.
c. ' Limit the number of persons who have keys to registry files to persons
directly involved in case reporting.
d. Require a statement of confidentiality be signed by all personnel having
access to HIV/AIDS case files and computer diskettes and kept on file by
PERFORMING AGENCY.
e. Shred any document to be disposed of that contains patient information.
HIV INFECTIONS
PERFORMING AGENCY will be responsible for conducting active surveillance for
the reporting of confirmed HIV infections. PERFORMING AGENCY agrees to:
1. Establish and maintain communications with key community and medical
groups/individuals and laboratories within PERFORMING AGENCY'S
geographic jurisdiction.
2. Collect reports of confirmed HIV infections made by or under the
standing orders of a physician, and which are based upon acceptable
laboratory tests results.
3. Report HIV infections to RECEIVING AGENCY HIV/AIDS Surveillance
Program on a weekly basis.
PERFORMING AGENCY agrees to comply with Chapters 81 and 85 of the Health and
Safety Code and relevant portions of Chapter 6A (Public Health Service) of
Title 42 (The Public Health and Welfare) of the United States Code, as
mended.
PERFORMING AGENCY will provide an estimated 100 clients with
services/units of service in or benefiting the county(ies)/area defined as:
LUBBOCK.
SECTION II. LEGAL AUTHORITY TO CONTRACT:
Chapters 12 and 121, Health and Safety Code.
SECTION III. SPECIAL PROVISIONS:
PERFORMING AGENCY, or any subcontractor, shall not transfer a client record
(,including a patient record) to another entity or person without written
consent from the client or patient, or someone authorized to -act on his or her
behalf; however, RECEIVING AGENCY (TEXAS DEPARTMENT OF HEALTH) may require
-3-
PERFORMING AGENCY, or any subcontractor, to transfer a client or patient
record to RECEIVING AGENCY (TEXAS DEPARTMENT OF HEALTH) if the transfer
is necessary to protect either the confidentiality of the record or the health
and welfare of the client or patient.
RECEIVING AGENCY (TEXAS DEPARTMENT OF HEALTH) shall have access to a
client record (including a patient record) in the possession of PERFORMING
AGENCY, or any subcontractor, under authority of the Health and Safety Code,
"Chapters 81 and 85, and the Texas Revised Civil Statutes, Article 4495b
(Medical Practice Act). In such cases, RECEIVING AGENCY (TEXAS DEPARTMENT
OF HEALTH) shall keep confidential any information obtained from the client
.or patient record, as required by the Health and Safety Code, Chapter 81, and
'the Texas Revised Civil Statutes, Article 4495b.
,Due to the sensitive and highly personal nature of HIV/AIDS-related informa-
'tion, strict adherence to the General Provisions, CONFIDENTIALITY Article
is required.
1PERFORMING AGENCY will submit quarterly activity reports within twenty (20)
'days after the end of each quarter, that are prepared in the format provided
'iby RECEIVING AGENCY.
PERFORMING AGENCY will authorize their staff to attend training, conferences,
,and meetings for which funds were budgeted and approved by RECEIVING AGENCY.
'SECTION IV. BUDGET:
Personnel
Fringe Benefits
Travel
Equipment
Supplies
Contractual
Other
Total Direct. Costs
Indirect
TOTAL
Total reimbursements will not exceed $23,599.00.
*The negotiated amount is less than UGCMA, Table 1.
$17,000.00
4,505.00
667.00
.00
500.00
.00
.00
$22,672.00
927.00 *
$23,599.00
M-C