HomeMy WebLinkAbout3.01 (2) %3T7- Clerk of the Board Use Only
0
a
� '�` �` Butte County Board of Supervisors Agenda Item:
Agenda Transmittal 3.01
Subject: Blue Shield of California Foundation Grant- Rural Safety Net Integration
Department: Behavioral Health Meeting Date Requested: 1/8/13
Contact: Anne Robin, Director Phone: 891-2850 Regular Agenda ❑ Consent Agenda
Department Summary: (Information provided in this section will be included on the agenda.Attach explanatory memorandum and
other background information as necessary).
The Rural Safety Net Integration Grant from Blue Shield of California Foundation provides funding to improve the ability of
California's healthcare safety net to coordinate care for low-income populations. Funding is focused on the State's small,
rural counties using new strategies that strengthen the bond between community health centers (CHCs), safety net hospitals
and county-operated safety net providers.
Butte County Department of Behavioral Health (BCDBH) requests approval from the Board of Supervisors for the revenue
agreement with Blue Shield of California Foundation. Grant funds from Blue Shield will be disbursed to BCDBH upon
execution of the agreement, for purposes of BCDBH participation in multiple trainings and webinars on strategies and
telehealth technology, and to install the requisite bandwidth connectivity to BCDBH sites on Rio Lindo Ave. Chico. The term
of this agreement begins October 1, 2012 and will terminate September 30, 2013. The maximum amount receivable for this
term $125,000.
Fiscal Impact:
Revenue of$125,000.00. This agreement has no impact on the County General Fund.
Personnel Impact:
Does not apply.
Action Requested:
Approve the agreement and authorize the Chair to sign subject to review by County Counsel and Auditor-Controller.
Administrative Office Review: Sang Kim, Deputy Chief Administrative Officer
E
Grant#7114304
September 24,20121Y 2 ����
Page 1 t�#i'!�'
Blue Shield of California Foundation Grant Agreemen r Ali10RAL
Date: September 24, 2012
Grant#: 7114304 #OCT Grantee: Butte County Department of Behavioral Health 109 Parmac, Suite 2 9
Chico, CA 95926 ey 201�
Grant Amount: $125,000
Grant Term: 12 months, 10/01/12 to 09/30/13
Payment Schedule: Payment in full of$125,000 Issued upon receipt of signed
grant agreement
Reporting Schedule: Interim 411113
Final 1111113
Grant Title: Rural Safety Net Integration 2012
Purpose of Grant: To improve the ability of California's healthcare safety net to coordinate care for
low-income populations in the state's small, rural counties through
implementation of new strategies that strengthen the integration of community
health centers (CHCs), safety net hospitals and county-operated safety net
providers.
Key Objectives: By November 30, 2012, and throughout the grant period, participate in webinars
and convenings held by the California State Rural Health Association on
strategies to promote rural healthcare safety net integration.
By December 31, 2012, install the requisite bandwidth connectivity to the Butte
County Department of Behavioral Health (BCDBH) sites on Rio Linda (crisis
services, drug treatment court, and the psychiatric health facility).
By March 31, 2013, provide intensive training to at least 150 staff(psychiatrists,
nurse practitioners, physicians, nurses, and psychiatric technicians)from BCDBH
and Ampla Health in how to use the telehealth technology.
By March 31, 2013, provide intensive training to at least 150 BCDBH and Ampla
Health staff regarding strategies for using telehealth technology to increase
integration of primary care and behavioral health services
By September 30, 2013, document telehealth usage between Ampla Health and
BCDBH, create a report summarizing usage data, and disseminate the report
among local safety net providers in Butte County.
This is a legally binding agreement ("Agreement'). It will be effective upon our receipt of an original of
this Agreement, signed by an authorized representative of your organization. We will arrange for
payment of the first installment of the grant within 30 days of our receipt of a signed original.
Review the terms and conditions of this Agreement very carefully, including its reporting requirements.
The Foundation will not consider grant renewals for grantees who fail to meet reporting requirements.
BSCF Grant Agreement-PYL.doc
Grant##7114304
September 24,2012
Page 2
Blue Shield of California Foundation Grant Agreement
TERMS AND CONDITIONS
I. Use of Funds. Grantee shall use the grant funds only for the purposes of the specific project
described above and substantially in accordance with the approved budget included with
Grantee's proposal. Grantee shall repay to the Foundation any portion of the grant funds which
are not spent or committed, or which are not used for the specific project described in this
Agreement. Any significant changes in the purpose for which grant funds are spent or in the
budget or grant period must be approved in writing by the Foundation before the funds are spent.
2. Reporting. Report(s) are to be furnished to the Foundation no later than the date(s) indicated
above.
In addition to the required report(s), BSCF may contact you mid-course of the grant term to
inquire about the status of the project.
The purpose of these report(s) is to permit the Foundation to learn from its experience as a
grantmaker and to meet its obligations under federal and state regulations. Failure to submit
these report(s) may disqualify Grantee from receiving future funding from the Foundation.
3. Evaluation and Monitoring. The Foundation may monitor and conduct an evaluation of
operations under this grant. This may include a visit from Foundation staff, Trustees, and/or
Foundation advisors, to observe Grantee's program, discuss the program with Grantee's
personnel, and review financial and other records and materials connected with the activities
financed by this grant. In addition, Grantee shall provide to the Foundation copies of any
publications or other materials produced, in full or in part, with Foundation funds.
4. Recordkeeping. Grantee shall keep adequate records to substantiate expenditures from grant
funds. Grantee shall make its books and records pertaining to the grant funds available to the
Foundation at reasonable times for review and audit, and shall comply with all reasonable
requests of the Foundation for information and interviews regarding use of grant funds. Grantee
shall keep copies of all books and records related to this grant and all reports to the Foundation
for at least four years after Grantee has expended the last of the grant funds.
5. Sub-grantees. Grantee shall retain full discretion and control over the selection of any sub-
grantees or sub-contractors to carry out Grantee's charitable purposes and shall act completely
independently of the Foundation. The Foundation and Grantee acknowledge that there is no
agreement, written or oral, by which the Foundation may cause Grantee to choose any particular
sub-grantee or sub-contractor. Grantee shall require that any sub-grantee or sub-contractor be
subject to the requirements of Paragraphs 1, 2, 3, 4, 7, 10, 11, 12 and 13 of this Agreement,
substituting Grantee for the Foundation and the sub-grantee or sub-contractor for Grantee, as
applicable. All obligations of Grantee under these Paragraphs shall remain in full force and
effect.
6. Funds Not Earmarked; Grantee Representation. The grant funds are not earmarked to be
used in any attempt to influence legislation within the meaning of Internal Revenue Code ("IRC")
Section 4945(e), The Foundation and Grantee have made no agreement, oral or written, to that
effect. Grantee represents that the statements made in Grantee's grant request and proposed
budget, as to the amount budgeted by Grantee for project activities that are not attempts to
influence legislation are accurate. In reliance on such representation, the Foundation has
determined that this grant is not earmarked for influencing legislation within the meaning of IRC
Section 4945(e), and the Foundation and Grantee have made no agreement, oral or written, to
that effect. Thus, any use of grant funds by Grantee for such activities constitutes a decision of
Grantee that is wholly independent of the Foundation.
BSCF Grant Agreement-PYL.doc
Grant#7144304
September 24,2012
Page 3
Blue Shield of California Foundation Grant Agreement
7. Prohibited Uses, Grantee shall not use any portion of the funds granted:
a. To influence the outcome of any specific election for candidates to public office, or to
carry on, directly or indirectly, a voter registration drive within the meaning of IRC Section
4945(d)(2), as interpreted by its accompanying regulations;
b. To undertake an activity for any purpose other than a religious, charitable, scientific,
literary, educational, or other purpose specified in IRC Section 170(c)(2)(B); or
C. To induce or encourage violations of law or public policy, to cause any private inurement
or improper private benefit to occur, or to take any other action inconsistent with IRC
Section 501(c)(3).
8. Grant Announcements. Grantee shall submit in advance to the Foundation, for review and
revision at the sole discretion of the Foundation, any announcements Grantee intends to make
regarding the grant, and any publications referring to the grant Grantee intends to publish other
than in its annual reports or tax returns. The Foundation may include information on the grant in
its periodic public reports and may also refer to the grant in a press release. If there are special
considerations concerning the public announcement of this grant, or if Grantee would like to
coordinate a public announcement of the grant with the Foundation, Grantee may contact the
Foundation to discuss Grantee's plans.
9. Representation and Warranty Regarding Tax Status. By entering into this Agreement, Grantee
represents and warrants that Grantee is exempt from federal income tax under IRC Section
501(c)(3) or in the absence of such a determination, that Grantee is a state or any political
subdivision thereof within the meaning of Code Section 170(c)(1), or a state college or university
within the meaning of Code Section 511(a)(2)(B) (referred to hereafter as a "Public Charity") and
that it is not a private foundation as defined in IRC Section 509(a) (i.e., that it is a "Public
Charity"). Such representation and warranty shall continue through the completion date of this
grant.
10. Publications; License. Any information contained in publications, studies, or research funded
by this grant shall be made available to the public following such reasonable requirements or
procedures as the Foundation may establish from time to time. Grantee grants to the Foundation
an irrevocable, nonexclusive license to publish any publications, studies, or research funded by
this grant at its sole discretion.
11. Violation of Terms; Change of Status. In the case of any violation by Grantee of the terms and
conditions of the grant, including but not limited to not executing the work of the grant in
substantial compliance with the proposal, or in the event of any change in or challenge by the
Internal Revenue Service of Grantee's status as a Public Charity, the Foundation reserves the
right in its absolute discretion to terminate the grant as provided in Paragraph 16. The
Foundation's determination will be final and will be binding and conclusive upon Grantee.
Grantee shall give the Foundation immediate written notice of any change in Grantee's tax
exempt or Public Charity status. If final or interim reports are not received in a timely manner, the
Foundation may withhold payment until the outstanding report is received, and may terminate the
grant as provided in Paragraph 16 if any such report is not received within a reasonable time (no
more than sixty[60] days) following the date on which it was due.
12. No Agency. Grantee is solely responsible for all activities supported by the grant funds, the
content of any product created with the grant funds, and the manner in which such products may
be disseminated. This Agreement shall not create any agency relationship, partnership, or joint
venture between the parties, and Grantee shall make no such representation to anyone.
BSCF Grant Agreement-PYL.doc
Grant#7114304
September 24, 2012
Page 4
Blue Shield of California f=oundation Grant Agreement
13. Terrorist Activity. Grantee agrees that the grant funds will be used in compliance with all
applicable anti-terrorist financing and asset control laws, regulations, rules and executive orders.
14. Further Assurances. Grantee acknowledges that it understands its obligations imposed by this
Agreement, including but not limited to those obligations imposed by reference to the IRC.
Grantee agrees that if Grantee has any doubts about its obligations under this Agreement,
including those incorporated by reference to the IRC, Grantee will promptly contact the
Foundation or legal counsel.
15. Indemnification. Grantee irrevocably and unconditionally agrees, to the fullest extent permitted
by law, to defend, indemnify, and hold harmless the Foundation, its officers, directors, employees,
and agents, from and against any and all claims, liabilities, losses, and expenses (including
reasonable attorneys' fees) directly, indirectly, wholly, or partially arising from or in connection
with any act or omission of Grantee, its employees, or agents, in applying for or accepting the
grant, or in expending or applying the grant funds or carrying out any project or program to be
supported by the grant, except to the extent that such claims, liabilities, losses, or expenses arise
from or in connection with any act or omission of the Foundation, its officers, directors,
employees, or agents.
16. Remedies. If the Foundation determines, in its sole discretion, that Grantee has substantially
violated or failed to carry out any provision of this Agreement, including but not limited to failure to
submit reports when due, the Foundation may, in addition to any other legal remedies it may
have, refuse to make any further grant payments to Grantee under this or any other grant
agreement, and the Foundation may demand the return of all or part of the grant funds not
properly spent or committed to third parties, which Grantee shall immediately repay to the
Foundation. The Foundation may also avail itself of any other remedies available by law.
17. Captions. All captions and headings in this Agreement are for the purposes of reference and
convenience only. They shall not limit or expand the provisions of this Agreement.
18. No Waivers. The failure of the Foundation to exercise any of its rights under this Agreement shall
not be deemed to be a waiver of such rights.
19. Entire Agreement. This Agreement supersedes any prior or contemporaneous oral or written
understandings or communications between the parties and constitutes the entire agreement of
the parties with respect to its subject matter. This Agreement may not be amended or modified,
except by written mutual agreement by both parties.
20. Governing Law; Venue. This Agreement shall be governed by the laws of the State of California
applicable to contracts to be perforated entirely within the State. For the purpose of any action or
proceeding arising out of or relating to this Agreement, each of the parties hereto irrevocably (a)
submits to the exclusive jurisdiction of the state courts of California and to the jurisdiction of the
United States District Court for the District of Northern California and (b) agrees that all claims in
respect of such action or proceeding shall be heard and determined exclusively in any California
state or U.S. federal court sifting in the City and County of San Francisco, California.
BSCF Grant Agreernent-PYL.doc
Grant#7114304
September 24,2012
Page 5
Blue Shield of California Foundation Grant Agreement
Have one copy of this agreement reviewed and signed where indicated by an authorized officer of
Grantee and returned to the attention of Gwyneth Tripp, Grants Administrator. Once countersigned, a
final copy of the agreement will be posted to our online system and a notice emailed to the grantseeker
for download at any time, using the link and grantseeker credentials noted in the letter accompanying this
agreement. If, during the life of this grant you have questions or if changes in circumstance arise, contact
Richard Thomason, Program Officer.
ACCEPTED AND AGREED:
Grantee: Butte County Department of Behavioral Health
EIN: 946000506
By: �
Si tr a of person authorized to sign on behalf of the grantee
Printed
Name: Anne Tz�i Y y, m F 1
Title:
Date: (o
Foundation:
By:
Name: Peter V. Long, Ph.D.
Title: President and CEO
Date: �U A
NOTE: Payment(s) on this grant will be delivered to your organization's bank account by electronic funds
transfer, using the information your organization provides in the required ACH form. Once funds have
been transmitted, a notice will be emailed to the grantseeker contact.
BSCF Grant Agreement-PYL.doc
COUNTY OF BUTTE
Steve Lambert, Chair Date
Butte County Board of Supervisors
Paul Hahn, Chief Administrative Officer Date
By Cleric of the Board of Supervisors
Approved for fiscal control, subject to
Budget appropriation.Auditors Office:
Approved as to Form, County Counsel by: