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Home My WebLink AboutResolution - 4719 - Contract - TDH - HIV Early Intervention Clinic - 01_26_1995Resolution No. 4719 January 26, 1995 Item #24 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 an amended Contract, attached herewith, by and between the City of Lubbock and the Texas Department of Health providing funding for the HIV Early Intervention Clinic, and any associated documents, which Contract 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 26th day of _ January , 1995. DAVID R. LANGSTON, MAYOR ATTEST: Betty M. Johnson, itity Secretary APPROVED AS TO CONTENT: Doug Good , Director of Health and Community Services APPROVED AS TO FORM: �1 D 1d G. Vandiver, First ssistant a Va City Attorney DGV:dalccdocs/HIVCLINC. res December 23, 1994 TEXAS DEPARTMENT OF HEALTH 1100 WEST 49TH STREET AUSTIN, TEXAS 78756-3199 Resolution No. 4719 CONTRACT CHANGE NOTICE NO. 3 January 26, 1995 Item #24 STATE OF TEXAS TDH Document No. C5000255 COUNTY OF TRAVIS The Texas Department of Health, hereinafter referred to as RECEIVING AGENCY, did heretofore enter into a contract in writing with LUBBOCK CITY HEALTH DEPARTMENT hereinafter referred to as PERFORMING AGENCY. The parties thereto now desire to amend such contract as follows: SUMMARY OF TRANSACTION: Revision to public health services contract. ; , Att. No. 09 -- Amendment to add a new Attachment for HIV Division to fund the ; initiation/implementation of an early intervention medical treatment and psychosocial services program for HIV —positive ; individuals. All terms and conditions not hereby amended remain in full force and effect. EXECUTED IN DUPLICATE ORIGINALS ON THE BATES SHOWN. CITY OF L088OCK Authorized Contracting Entity (,type above if different from PERFORMING AGENCY! ; for and in behalf of: L888OCK CITYAEA"LTH DERA (SigWe of person abthorFized to sign contractsi David R. Laies an. [for - (Name and Title! Date: 1- Z�• ` 5— RECOMMENDED: (PERFORMG AGENCY Director. if different from person authorized to sign contractl Cover - Page 1 TEXAS 7EPARTMENT OF 4EALTH RECEIV G AGENCY _ iSignature of Person authorized to sign contracts) Linda Farrow, Chief .Bureau of Financial Services (Name and Title) — date; % - /`• � / — APPROYEO AS TO FORM: office of General Counsel DETAILS OF ATTACHMENTS Att/; ; Financial Assistance An. ; TDH ; Term ; Source of ; Direct ; Total Assistance ; No. ; Program Begirt I End ; Funds$ ; Amount ; Assistance ; Amount (TDH Share} ; 01 ; HIVIGHC-LHS 1 11 1/94:12/311941 93.940 35,000,00: .00; 35,000,001 r 1 1 1 t 1 ! I 02A ; HIVIEOUC-LHS r 9/ 1194; 8131/95; STATE ; 43.471.00, .00, 43,471.00: I I 1 ! I I I 1 1 I I I 1 I I ! 03 ; MID-LHS ; 9/ 1194; 8/31/95: STATE ; .QO; .001, .00; 1 I t ! 1 1 1 1 I I 1 ! I 1 1 1 04 ; HIVISURY-LHS ; 7/ 1./941'12/31/94: 93.118 ; 20496,00, .00; 20,096.00; I I } I 1 I 1 I 1 ! E 1 I I 1 ! 05 ; T910R/ST-LHS ; 9/ 1194; 8/31195; STATE ; 20,073.00; .DQ; 20,073.00; 06 ; ORP-LHS ; 91 1194; 8131195: STATE ; 119,182,00; 43,440.001 162,622.001 I I I 1 07 I ; IHHIOPTS-LHS I ; 9/ 1194; E 8/31/95: STATE ! ; 68,356.00; 140,011,00: 208.367.00; 08 i16C/FHS-LHS ; 91 1194; 8/31/95; STATE ; 384,981,00; 32.616.00; 397,597.00, 09 ; HIVIEIP-LHS ; 91 1194; 3/31195; 93.917 ; 47,194.00; ,OD; 47,194,001 1 ! f I r 1 s ! I ! I I ! 1 I I I 1 t ! r 1 ! 1 1 ! 1 I I r 1 1 I ! I I I ! I t t r I I I ! 1 1 1 1 I I ! 1 ! F I I 1 ! 1 ! C f 1 ! 1 I I I I ! f ! 1 1 I I I I 1 ! 1 ! I r r s 1 I 1 ! I 1 ! t I ! ! 1 r ! 1 ! } 1 I I 1 1 t I I 1 1 1 } ! ! r I t I I 1 I 1 I 1 } ! I 1 ! 1 } t ! 1 1 I t f 1 I ! 4 t r 1 1 1 ! { r 1 I r 1 1 I 1 1 I ! ! I t t E 1 1 1 I 1 ! l t ! 1 I 1 I ! ! E ! 1 1 I I 1 I I 1 t t i ! 1 I 1 I I I t t I I D 1 1 ! 1 I I 1 1 I } I 1 r 1 ! t 1 1 1 1 1 I 1 I 1 1 1 I ! i ! t r I ! 1 ! I I I } I I 1 ! 1 I F e 1 t ! 1 1 I 1 ! I I ! Y 1 I 1 1 1 1 I 1 I I I I I 1 ! ! 1 I I I I I I I I ! 1 ! 1 # t r 1 I I ! ! ! I I 1 I 1 ! I 1 I 1 1 1 I 1 I I t f } } 1 1 t I I I I I I 1 1 t t 1 1 1 L 1 1 I I r r ( t l s F I I I { Y ! I I 1 I 1 Y 1 } } I t 1 I I t I } 1 I I I 1 I 1 t 1 ! 1 I 1 I 1 I I 1 I 1 t I I ! I I t ------------------------------- t s r I -..------------; ---- TDH ------------------ Document No. C5000255 ----------------------------------------------- TOTALS ; $ 718,353,00; $ 216:057,00: $ 934,420.00: Change No. 03 1 1 t ! I k *Federal funds are indicated by a number from the Catalog of Federal Domestic Assistance REFER TO BUDGET SECTION OF ANY ZERO AMOUNT ATTACHMENT FOR DETAILS. (CFDA), if applicable. COVER - Page 2 DOCUMENT NO. C5000255 ATTACHMENT NO. 09 PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT RECEIVING AGENCY PROGRAM: HIV DIVISION TERM: September 1, 1994 THROUGH March 31, 1995 SECTION I. SCOPE OF WORK: PERFORMING AGENCY will initiate and implement an early intervention medical treatment and psychosocial services program for Texas residents who have tested positive for human immunodeficiency virus (HIV), the virus that causes acquired immunodeficiency syndrome (AIDS). Early intervention services are inT.anded to postpone the onset of AIDS. The goal of early intervention is for the HIV -positive individual to voluntarily enter into a medical care and psychosocial support system that will, over the long term, maximize disease management, healthy behavior, and quality of life. If PERFORMING A6ENGY provides residential care, it must have a current Special {:are Facility license on file, or be in the process of applying for a Special Care Facility license, or have an exemption from the Texas Care Facility Licensing Act. This also applies to any licenses/permits required for the performance of any other activities%services under this Attachment. Required licenses and/or permits shall be maintained on a current basis during the life of this attachment. All information and educational materials developed and provided oy 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 RECEIVING AGENC:Y's request for proposal (RFP) and assurances and PER- FORMING AGENCY's application and detailed budget as approved by RECEIVING AGENCY. All of the above named documents are adopted by reference as part Of this Attachment. Any revisions to said documents will be approved by RECEIVING AGENCY and transmitted in writing to PERFORMING; AGENCY. PERFORMING AGENCY agrees to comply with the following: chapters 81 and 0, Health and Safety Code. PIPPORMING AGENCY will provide an estimated 100 clients with services/units of servire in or benefiting the nounrp ies;/area defined as: LUBBOCK. SECTION II. LEGAL AUTHORITY TO CONTRACT: Chapters 12 and 121 of the Health and Safety Code. SECTION III. APE{:IAL PROVISIONS: RECEIVING AGENCY will supply PERFORMING AGENCY with the most current version -1- of the document entitled "Content of AIDS -Related Written Materials, Pictorials, Audiovisuals, Questionnaires, Survey Instruments, and Educational Sessions in Centers for Disease Control Assistance Program," and its preface which is written by RECEIVING AGENCY. PERFORMING AGENCY has provided RECEIVING AGENCY with written acknowledgement of receipt and assurance of compliance with these guidelines. All of the above referenced documents are incorporated as part of this Attachment as though written herein verbatim. GENERAL PROVISIONS, Confidentiality Article, is amended to include the following paragraphs: Due to the sensitive and highly personal nature of HIV/AIDS-related information, strict adherence to the General Provisions Confidentiality Article is required. Confidentiality of all records is essential. PERFORMING AGENCY's success depends upon whether persons at risk believe that the program observes this principle. The Texas Health and Safety Code (81.103) provides for both civil and criminal penalties against anyone who violates the confidentiality of persons protected under the law. PERFORMING AGENCY will require all employees, volunteers, subcontractors, and subcontractors' employees to sign a statement of confidentiality assuring compliance with the law. These statements must be available for inspection by RECEIVING AGENCY Program staff at the PERFORMING AGENCY headquarters and at each respective subcontractor office. In addition to these conditions, if performing counseling, testing, referral and partner notification activities, PERFORMING AGENCY will com- ply with RECEIVING AGENCY's Bureau of HIV and STD Control's HIV Serologic Testing and Documentation Guidelines; TDH Pretest and Posttest Counsel- ing Guidelines; TDH Seropositive and Partner Notification Guidelines; and CTRPN Quality Assurance Guidelines. All of the above referenced documents are incorporated as part of this attachment as though written herein verbatim. GENERAL PROVISIONS, Program Income Article, is amended to include the following paragraphs: Persons who are indigent. (200% of federal poverty level or less) may not be charged for any services covered by this Attachment. All other clients may be charged a sliding scale fee based on income, or the client may be charged co -payments if insurance is to be collected. A sliding fee for co -payments, including waiver of co -payments, is also recommended because these payments can be burdensome to low income individuals, or to families with more than one HIV -affected member. All program income generated as a budgeted and spent in the current budget period in accordance with Policy M015, Program Income. -2- result of this Attachment will be period or carried forward to the next the provisions of RECEIVING AGENCY GENERAL PROVISIONS, Reports and Inspections Article, paragraph one, is amended to read as follows: PERFORMING AGENCY agrees to submit program and financial reports in accordance with the time frames listed below: [QUARTERLY REPORTS REPORT PERIOD TYPE REPORT DUE DATE Sept., Oct., Nov., 10ec. Program Jan. 2u Financial Jan. 30 .Jan., Feh., Mar. Program Apr. Z0 Financial Apr. 30 ANNHAL REPORTS REPORT PERIOD TYPE REPORT DUE DATE Sept. I, Iyya - Mar. ii, 19y Prnyram May, 15, 1995 Financial May. 15, 1995 PERPORMINi'l Ac;ENr;:Y, or any suh,snnt.ractor, snall 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, the RECEIVING AGENCY (TEXAS DEPARTMENT OF HEALTH) may require PERFORMING AGENCY, or any subcontractor, to transfer a client or patient record to the 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. The RE(EIVING AGENCY iTEXAS 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, the 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. PERFORMINU AGEN(:Y will authorize their staff to attend training, conferences, and meetings for which funds were budgeted and approved by RECEIVING AGENCY. 3- SECTION IV. BUDGET: Personnel $.00 Fringe Benefits .00 Travel .00 Equipment .00 Supplies 700.00 Contractual 46,494.00 Other .00 Total Direct Costs $47,194.00 Indirect .00 TOTAL $47,194.00 Financial status reports (FSRs) are due the 00th of January and April and the 15th of May. Total reimbursements will not exceed $47,194.00. -4-