TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Summer Isham, Contracts Supervisor
SUBJECT: Tobacco Master Settlement Agreement, Mental Health Services Act, and Opioid Settlement Funds Multi-Year Grant Awards
RECOMMENDATION
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Approve and authorize 36 agreements for services supporting Community Health Improvement Plan objectives funded through Tobacco Master Settlement Agreement, Mental Health Services Act and Opioid Settlement Funds totaling $10,824,956 for terms from July 1, 2024 through June 30, 2027. (Fiscal Impact: $10,824,956; Health and Human Services Agency Fund and General Fund; Budgeted; Discretionary).
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BACKGROUND
On June 4, 2024, the Board heard and approved Napa County HHSA staff recommendations for leveraging funding to support objectives of the Community Health Improvement Plan (CHIP), specifically approving the recommendations for Tobacco Master Settlement Agreement (MSA) grant awards. The CHIP is a 3-year plan that has been developed from data gathered from the Community Health Assessment (CHA) and Napa Older Adults Assessment (NOAA) processes. As an integrated agency administering social, public health, and behavioral health services and funding, HHSA strategically aligned three funding streams, Tobacco Master Settlement Agreement (MSA), Mental Health Services Act (MHSA), and Opioid Settlement Funds (OSF) to target the five priority areas identified in the CHIP: Access to Health Services, Housing, Race Equity and LGBTQ Inclusion, Economic Stability, and Behavioral Health. The MSA grant process evaluated and recommended projects aligned with the first four of these priority areas, and MHSA and OSF funds were directed to support the priority area of Behavioral Health.
For the MSA grant process, the Board made $5M in MSA funds available over a 3-year period (FY 24/25 to FY 26/27). As was shared with the board on June 4, seven of the seventeen programs recommended for funding were already contracted for funding into FY 24/25 and/or FY 25/26 as part of previously awarded multi-year contracts. To ensure continued alignment with CHIP objectives and facilitate ongoing administration of the contracts, the allocated funding has been appropriately incorporated in new, 3-year contracts for these 7 organizations, and the prior contracts are recommended for termination. For this reason, the total amount across all 17 contracts is $5,755,990; $5M of which represents the new funding this Board made available for over the next three years, and $755,990 representing funding already awarded in prior multi-year contracts.
These contracts represent a unique and innovative approach regarding the allocation of MSA, MHSA, and OSF funding to operationalize CHIP objectives. As such, carefully developed logic models and performance measures have been incorporated into these contracts to measure outcomes and progress towards impacting this community’s needs expressed in the CHIP objectives.
Requested Actions:
Approve and authorize the following 36 MSA, MHSA, and OSF funded grant awards for terms from July 1, 2024 through June 30, 2027:
1. Terminate Agreement No. 230062B and replace it with Agreement No. 250079B with Providence Community Health Foundation Napa Valley (formerly Collabria Care) for a maximum of $513,664 for the Napa County Information and Assistance Program;
2. Agreement No. 250080B with Community Action of Napa Valley (CANV) for a maximum of $300,000 for the Food Bank and Meals on Wheels;
3. Agreement No. 250081B with Community Resources for Children for a maximum of $454,830 for Delivering Economic Stability for Childcare Providers;
4. Agreement No. 250082B with Downtown Napa Farmers Market for a maximum of $244,238 for Nourishing Connections: Napa County Food Security Coalition Local Food Systems Initiative;
5. Agreement No. 250083B with Feeding It Forward for a maximum of $460,985 for Fighting Food Insecurity through Food Recovery;
6. Agreement No. 250084B with Greater Napa Valley Fair Housing for $237,500 for Displacement and Homelessness Prevention;
7. Terminate Agreement No. 230055B and replace it with Agreement No. 250085B with Molly’s Angels for a maximum of $394,730 for Molly’s Angels Transportation Program;
8. Agreement No. 250086B with Napa Valley Child Advocacy Network, Inc., dba ParentsCAN, for a maximum of $173,263 for Family Stability Program;
9. Agreement No. 250087B with Napa Valley Community Organizations Active in Disaster for a maximum of $254,965 for Cultivating Connections: Creating a Community Liaison Program and Cultural Hubs;
10. Agreement No. 250088B with Napa Valley Education Foundation for a maximum of $255,000 for Newcomers Pathway Program;
11. Terminate Agreement No. 230057B and replace it with Agreement No. 250089B with NEWS for a maximum of $710,297 Domestic Violence Housing First;
12. Terminate Agreement No. 240045B and replace it with Agreement No. 250090B with OLE Health, dba CommuniCare OLE, for a maximum of $452,738 for Dental Access Program;
13. Agreement No. 250091B with On the Move, Inc., for a maximum of $187,205 for the Napa Housing Stabilization Program;
14. Agreement No. 250092B with On the Move, Inc., for a maximum of $356,775 for LGBTQ School Support Program;
15. Terminate Agreement No. 240043B and replace it with Agreement No. 250093B with Puertas Abiertas Community Resource Center for a maximum of $99,750 for Feeding Our Families: Napa Farmers Market Fruit and Veggies Bucks;
16. Terminate Agreement No. 230056B and replace it with Agreement No. 250094B with Share the Care Napa Valley for a maximum of $207,500 for Yvonne's Front Porch Resource Advocate Role and Transitional Fall Prevention;
17. Terminate Agreement No. 240037B and replace it with 250095B with UpValley Family Centers of Napa County for a maximum of $452,550 for Increasing Housing Stability and Preventing Homelessness in UpValley;
18. Agreement No. 250055B with Aldea, Inc., for a maximum of $500,800 for the provision of specialized services to identify and treat children and youth with early signs of psychosis and mood disorders;
19. Agreement No. 250128B with Mentis, Inc., for a maximum of $311,600 for the provision of specialized services and brief treatment through the Bridges Community Mental Health Program;
20. Agreement No. 250131B with Providence Queen of the Valley Medical Center for a maximum of $421,058 for bilingual behavioral health screenings and referrals;
21. Amendment No. 2 to Agreement No. 230171B with Mentis, Inc., for a maximum of $386,574 for the continuation of Napa County Suicide Prevention Plan and facilitation of the Napa County Suicide Prevention Coalition;
22. Amendment No. 1 to Agreement No. 230355B with UpValley Family Centers of Napa County for a maximum of $274,040 for the continuation of the Senior Wellness Program;
23. Agreement No. 250121B with Napa Valley Child Advocacy Network, Inc., dba ParentsCAN, for a maximum of $133,466 for the provision of stress management education for parents of children with disabilities;
24. Agreement No. 250122B with Napa Valley Education Foundation for a maximum of $180,000 for the American Canyon Middle School Access to Mental Health Programs;
25. Agreement No. 250123B with On the Move, Inc., for a maximum of $86,956 for the administration of the VOICES Napa County Guaranteed Income for Foster Youth Program;
26. Agreement No. 250124B with Cope Family Center for a maximum of $240,000 for the provision of Cope Family Center’s Pathways to Family Mental Health and Wellbeing Program to bolster mental wellbeing and services to under-resourced families;
27. Agreement No. 250125B with UpValley Family Centers of Napa County for a maximum of $166,450 for the provision of parent education services to parents and caregivers through evidence-based Triple P Collaborative Program;
28. Agreement No. 250126B with Napa Valley Child Advocacy Network, Inc. dba ParentsCAN, for a maximum of $167,009 for the provision of parent education services to parents and caregivers through evidence-based Triple P Collaborative Program;
29. Agreement No. 250127B with Cope Family Center for a maximum of $450,130 for the provision of parent education services to parents and caregivers through evidence-based Triple P Collaborative Program;
30. Agreement No. 250129B with Mentis, Inc., for a maximum of $317,348 for the provision of a Middle School Wellness Program to address mental health needs of youth by providing a Positivity Project (P2) curriculum;
31. Agreement No. 250130B with Molly’s Angels for a maximum of $288,000 for outreach, engagement, screening, referrals, and other resources for people of color and other older adults;
32. Agreement No. 250132B with Planned Parenthood Northern California for a maximum of $305,536 for crisis counseling, ongoing supportive therapy, and warm handoffs to a program therapist for Napa County patients;
33. Agreement No. 250039B with On the Move, Inc., for $324,362 for VOICES Opioid Prevention Support;
34. Agreement No. 250040B with Providence Queen of the Valley Medical Center for $134,269 for Substance Use Navigation in the Emergency Department;
35. Agreement No. 250041B with The Michael Leonardi Foundation for $254,818 for Opioid Awareness, Prevention, and Education Program; and
36. Agreement No. 250042B with UpValley Family Centers of Napa County for $ 126,550 for Opioid Addiction Prevention Education and Outreach in UpValley.
FISCAL & STRATEGIC PLAN IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
Revenue and expenses from the National Tobacco Master Settlement Agreement are budgeted within the General Fund - Tobacco Settlement subdivision. Opioid Settlement Funds and Mental Health Services Act are budgeted within the Health and Human Services Agency fund. |
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Is it Mandatory or Discretionary? |
Discretionary |
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Discretionary Justification: |
Approval of the requested action is discretionary because there is no mandate to award contracts to these specific entities; however, the County is under contract with the State to fulfill the requirements of the MHSA Prevention and Early Intervention and Community Services and Supports components. Services to be provided through these agreements are consistent with those requirements. For OSF funds the award of these funds to community providers is in accordance with the State’s Department of Health Care Services’ requirements as the oversight and monitoring entity for these funds. |
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Is the general fund affected? |
Yes |
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Future fiscal impact: |
Appropriations have been included in the approved Fiscal Year 2024-2025 budget and future fiscal years will be appropriated accordingly. |
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Consequences if not approved: |
If the Board does not approve the recommended contracts funds will not be distributed to organizations to operationalize CHIP objectives. |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not subject to the California Environmental Quality Act pursuant to State CEQA Guidelines section 15060(c)(2), as activities that will not result in a direct or a reasonably foreseeable indirect physical change in the environment.