HomeMy WebLinkAbout930094.tiff RESOLUTION
RE: APPROVE CONTRACT WITH COLORADO DEPARTMENT OF HEALTH FOR 1993 HIV
COUNSELING AND TESTING AND AUTHORIZE CHAIRMAN TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado,
pursuant to Colorado statute and the Weld County Home Rule Charter, is vested
with the authority of administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Contract between Colorado
Department of Health and Weld County Health Department for 1993 HIV counseling
and testing, commencing January 1, 1993, and ending December 31, 1993, with the
further terms and conditions being as stated in said contract, and
WHEREAS, after review, the Board deems it advisable to approve said
contract, a copy of which is attached hereto and incorporated herein by
reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Contract between Colorado Department of Health and
Weld County Health Department for 1993 HIV counseling and testing be, and hereby
is, approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is,
authorized to sign said contract.
The above and foregoing Resolution was, on motion duly made and seconded,
adopted by the following vote on the 25th day of January, A.D. , 1993, nunc pro
tunc January 1, 1993.
ATTEST: WW1? BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
Weld County Clerk to the Board
Constance/L. Harbert,
BY: / tii ,i/ N/l )2.6
eputy C1er o the Boar W. H. Webster, Pro-Tem Yv
APPROVED AS FORM:
G orge E. Saxte
ounty Attorney
/Barbara J. Kirkmeye 6
930094
iIr�a�i; = HI 5779-7
Fmm 6-AC-02A(R 1/88) - - I
DEPARTMENT OR AGENCY NUMBER
1 26000--FAA
•
CI E. CONTRACT ROUTING NUMBER
930840
CONTRACT
THIS CONTRACT, made this 1st thy of January, 1992, by and between the State of
Colorado for the use and benefit of the Department of Health, 4300 Cherry Creek Drive South,
Denver, Colorado 80222-1530 hereinafter referred to as the State, and Weld County Health
Department, 1517 16th Avenue Court, Greeley, CO 80631 hereinafter referred to as the
contractor.
WHEREAS, authority exists in the Law and Funds have been budgeted, appropriated
and otherwise made available and a sufficient unencumbered balance thereof remains available
for payment in Fund Number 100 , APPR code 365 , Contract Encumbrance Number FAA
SOD930840; and
WHEREAS, the State has formulated comprehensive plans relative to the statewide
control of Sexually Transmitted Disease (STD) and Human Immunodeficiency Virus (HIV)
Infection; and
WHEREAS, in order to implement said comprehensive plan, the State has established
provisions by which to provide supplementary support to various local health departments and
community based service organizations; and
WHEREAS, the Contractor, a County Health Department, is considered by the State to
be an appropriate agency to provide the services as herein set forth,
NOW THEREFORE, it is hereby agreed that for and in consideration of their mutual promises
to each other, hereinafter stated, the parties hereto agree as follows:
1. The Contractor agrees to provide confidential counseling and testing services for antibody
to HIV;
a. Funds will support two basic types of testing programs, Provider Initiated testing
and Patient Initiated testing. Provider Initiated testing will consist of testing at facilities that
provide routine risk assessment and ongoing medical care (family planning clinics, STD clinics,
etc.). Patient Initiated testing consists of testing at Counseling and Testing Sites (CTS) where
clients go to receive HIV testing services only;
Page I of 9 Pages
2. The Contractor agrees that counseling and testing services for each individual will include
the following: a) the administration of an approved informed consent, (sample attached and by
this reference made part hereof as Attachments A and B), b) a risk assessment, c) a discussion
and development of a risk reduction plan for the client, d) drawing blood sample for laboratory
processing, e) transportation of blood to laboratory, f) informing clients in person of test results,
g) explaining the significance of both positive and negative test results to the client, h) referring
clients who test positive for follow-up medical and counseling services as appropriate, i)
ensuring that all clients who test HIV positive receive posttest counseling,j) ensuring that those
positive clients who do not return for results or are lost for follow-up are referral to the
Colorado Department of Health and k) ensuring that all positive clients are referred to Disease
Intervention Specialists for sex and needle share partner referral;
3. The Contractor agrees that reimbursement for testing services will be based on service
units. A pretest counseling session is considered one service unit; a posttest counseling session
is considered another service unit;
4. The Contractor further agrees that reimbursement will also be based on client risk.
"High/increased risk" clients have a history since 1978 or since their last valid negative test
as reported by the client, of one or more of the following: 1) injection drug use, 2) sex with a
person with HIV/AIDS, 3) sex with a man who has sex with men, 4) sex with an injection drug
user, 5) more than three sex partners in the last year, 6) an STD, 7) receiving money or drugs
for sex. Persons with low/no risk are those individuals who have received blood or blood
products between 1978 and 1986 and who report no history of the above listed risks;
a. Valid negative test is defined as a negative test done six months or more after the
client's last reported unsafe behavior.
5. For Provider Initiated (non-CTS, family planning clinics, STD clinics etc.) and Patient
Initiated testing the following standards apply:
a. Contractor will be reimbursed at a rate of fifteen dollars ($15.00) per pretest
service unit for high/increased risk clients as defined in this contract.
b. Contractor will be reimbursed at a rate of five dollars ($5.00)per posttest service
unit for high/increased risk clients as defined in this contract.
c. Contractor may choose to charge clients as outlined in paragraph seven of this
contract;
6. For CTS only, Contractor agrees to separate personal identifiers from risk/demographic
information listed on the HIV laboratory report form in such a manner as to make re-linking
impossible. This separation will occur within sixty days of testing;
Page 2 of 9 Pages
7. Contractors may (but are not required to) charge clients. Contractors choosing to collect
fees may do so by the method they find most convenient (sliding scale, flat administrative fee,
donation, etc.). A fee waiver is left to the Contractor's discretion. Clients who are referred by
the Colorado Department of Health as sex/needle share partners of HIV infected persons will
not be denied services because of inability to pay;
8. The Contractor agrees to provide to the State an annual report of fees collected within
thirty days of the end of the contract period. Fees collected plus contract reimbursement for
services provided should not exceed an annual average of fifteen dollars ($15.00) per service
unit;
9. All counselors providing counseling and testing services must have successfully completed
the Centers for Disease Control (CDC) course "HIV Serologic Test Counseling" or an approved
equivalent. All counselors providing ten or more pre or posttest counseling sessions per
calendar quarter (every 4 months) are required to attend one State approved HIV Counselor
Update per year. Those Contractors which do not have any counselors providing ten or more
pre or posttest counseling sessions per calendar quarter are required to have a minimum of one
counselor per year attend a State approved HIV Counselor Update;
10. The Contractor agrees to maintain internal medical and administrative records (labslips,
counseling session notes) in a manner which ensures confidentiality and security and is consistent
with procedures for clinical services;
11. Contractors shall designate an HIV Counseling and Testing Coordinator and provide the
name of this person, as well as the name of all employees providing counseling and testing
services, to the State within thirty days of the effective date of this contract. The Coordinator
will serve as the contact person with State staff to resolve operational issues. Such issues will
include but not be limited to: laboratory report form completion, billing and reimbursement,
counselor training, evaluation and modification of counseling services;
12. All counselors providing counseling and testing must be evaluated annually by the HIV
Coordinator or his/her designee with an evaluation instrument provided by the State. Copies of
completed evaluations will be submitted to the State;
13. The Contractor agrees to fully and legibly complete for each person tested the HIV 1
Serology lab slip. All lab slips must specify the source of the client services (where they were
tested) along with the provider. Specific codes used to indicate the source of the client services
are as follows:
Source Code
CTS 0214
STD 0114
FP 1213
Page 3 of 9 Pages
14. The Contractor further agrees, for each client posttest counseled, to fully and legibly
complete the lower perforated portion (Counseling Follow-up form) of the provider copy (top
white copy) of the HIV 1 Serology lab slip provided by the State. The completed Counseling
Follow-up forms shall be submitted to the State within forty-five days after the date of pretest
counseling. If a clients returns for posttest counseling more than 30 days after their pretest, the
Contractor will not be eligible for reimbursement for that posttest counseling session. The State
shall provide to the Contractor a monthly Testing Site Activity Report within sixty days
following the end of the month;
15. The State shall provide free laboratory services, regardless of risk, for all persons
accepting HIV antibody testing;
16. The State will, in consideration of all services outlined in this contract, cause to be paid
to the Contractor a sum not to exceed $3.018.00 (Three Thousand Eighteen Dollars) for the
period beginning January 1, 1993, and continuing through December 31, 1993, subject to change
based upon differences between estimated and actual funding appropriations and legislative
approval, and conditioned upon affirmation by the State that services were rendered in
accordance with this contract as follows:
a. The State will provide a monthly statement of reimbursement eligibility by the
eleventh working day of the end of the month for which reimbursement is to be
provided. These monthly statements will reflect the number of pretest and posttest
counseling sessions (service units) eligible for reimbursement during that month. The
Contractor will have seven working days in which to verify these statements by signature
or inform the State of any discrepancies;
17. The following budget shall govern the expenditure of funds by the Contractor, as well
as subsequent reimbursement by the State:
a. Pretest counseling for all persons with high/increased risk accepting HIV
antibody testing at the CHID clinic at fifteen dollars ($15.00) per service unit.
b. Posttest counseling for all persons with high/increased risk accepting HIV
antibody testing at the CHD clinic at five dollars ($5.00) per service unit.
c. A base amount of$400.00 will be provided for testing site operation.
18. Payment pursuant to this contract will be made as earned, in whole or in part from
available State funds encumbered not to exceed $1574.263 (Three-Million-Five-Hundred-
Seventy-Four-Thousand Two-Hundred-Sixty-Three Dollars) for the purchase of AIDS prevention
services. It is further understood and agreed that the maximum amount available for the
purchase of AIDS prevention services is$3.574.263(Three-Million-Five-Hundred-Seventy-Four-
Thousand Two-Hundred-Sixty-Three Dollars) or such lesser amount as may be mandated by
Page 4 of 9 Pages
executive order or legislative action. The liability of the State, at any time, shall be limited to
the unencumbered remaining in such funds;
19. The term of this contract is beginning January 1, 1993, and continuing through December
31, 1993;
20. Changes in total reimbursement amounts for above named services in consideration of
increased or decreased levels of utilization in the original contract shall be made by a mutually
signed Letter of Approval which shall include the following:
a. Identification of contract by contract number and number of affected paragraph;
b. Amount of increase or decrease in funding and amount of change in number of
clients to be served;
c. Effective date of funding change;
d. Authorized signatures of the Contractor, the Program, the Health Department and
the State Controller. It is understood that no change except funding amounts and
the resulting change in client numbers, may be made through the Letter of
Approval. Any other changes will be made by an amendment to this contract;
21. The State and Contractor agree that additional funds may be awarded to expand or extend
activities. Should such funds become available, they will be awarded by an amendment to this
contract.
Page 5 of 9 Pages
COLORADO DEPARTMENT OF HEA' "r - hereinafter, under the Gene- ' Provisions referred to as
"Health" .
GENERAL PROVISIONS -- page 1 of 2 pages
1. The contractor shall perform its duties hereunder as an independent contractor and
not as an employee, Neither the contractor nor any agent or employee of the contractor
shall be or shall be deemed to be an agent or employee of the state. Contractor shall
pay when due all required employment taxes and income tax withholding. shall provide and
keep in force workers' compensation (and show proof of such insurance) and unemployment
compensation insurance in the amounts required by law. Contractor will be solely
responsible for its acts and the acts of its agents, employees, servants and
subcontractors during the performance of this contract.
2. Contractor authorizes Health, or its agents, to perform audits and to make
inspections for the purpose of evaluating performance under this contract.
3. Either party shall have the right to terminate this agreement by giving the other
party thirty days notice by registered mail, return receipt requested. If notice is so
given, this agreement shall terminate on the expiration of the thirty days, and the
liability of the parties hereunder for the further performance of the terms of this
agreement shall thereupon cease, but the parties shall not be relieved of the duty co
perform their obligations up to the date of termination.
4. This agreement is intended as the complete integration of all understandings
between the parties. No prior or contemporaneous addition, deletion, or ocher amendment
hereto shall have any force or effect whatsoever, unless embodied herein in writing. No
subsequent novation, renewal, addition, deletion, or other amendment hereto shall have
any force or effect unless embodied in a written contract executed and approved pursuant
co the State Fiscal Rules.
5. If this contract involves the expenditure of federal funds, this contract is
contingent upon continued availability of federal funds for payment pursuant to the
terms of this agreement. Contractor also agrees to fulfill the requirements of:
a) Office of Management and Budget Circulars A-87, A-21 or A-122, and A-102 or
A-110, 'whichever is applicable;
b) the Hatch Act (5 USC 1501-1508) and Public Law 95-454 Section 4728. These
statutes state that federal funds cannot be used for partisan political purposes of any
kind by any person or organization involved in the administration of federally-assisted
programs;
c) the Davis-Bacon Act (40 Scat. 1494, Mar. 3, 1921, Chap. 411, 40 USC
276A-276A-5) . This act requires that all laborers and and mechanics employed by
contractors or sub-contractors to work on construction projects financed by federal
assistance must be paid wages not less than those established for the locality of the
project by the Secretary of Labor;
d) 42 USC 6101 et seq, 42 USC 2000d, 29 USC 794. These acts require that no
person shall, on the grounds of race, color, national origin, age, or handicap, be
excluded from participation in or be subjected to discrimination in any program or.
activity funded, in whole or in part, by federal funds; and
•
Page 6 of 9 Pages
Rev. 06/01/92
GENERAL PROVISIONS--Page 2 L. 2 pages
e) the Americans with Disabilities Act (Public Law 101-336; 42 USC 12101, 12102,
12111 - 12117, 12131 - 12134, 12141 - 12150, 12161 - 12165, 12181 - 12189, 12201 - 12213
and 47 USC 225 and 47 USC 611.
f) if the contractor is acquiring real property and displacing households or
businesses in the performance of this contract, the contractor is in compliance with the
Uniform Relocation Assistance and Real Property Acquisition Policies Act, as amended
(Public Law 91-646, as amended and Public Law 100-17, 101 Stat. 246 - 256) ;
g) when applicable, the contractor is in compliance with the provisions of the
•Uniform Administrative Requirements for Grants and Cooperative Agreements to State and
Local Governments (Common Rule) .
6. By signing and submitting this contract the contractor states that:
a) the contractor is in compliance with the requirements of the Drug-Free
Workplace Act (Public Law 100-690 Title V, Subtitle D, 41 USC 701 et seq. ) ;
b) the contractor is not presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from covered transactions by any federal
department or agency.
7. To be considered for payment, billings for payment pursuant to this contract must
be received within 60 days after the period for which payment is being requested and
final billings on the contract must be received by Health within 60 days after the end
of the contract term.
8. If applicable, Local Match is to be submitted on the monthly payment statements, in
the column provided, as required by the funding source.
9. If Contractor receives $25,000.00 or more per year in federal funds in the
aggregate from Health, Contractor agrees to have an annual audit, by an independent
certified public accountant, which meets the requirements of Office of Management and
Budget Circular A-128 or A-133, whichever applies. If Contractor is required to submit
an annual indirect cost proposal to Health for review and approval, Contractor's auditor
will audit the proposal in accordance with the requirements of OMB Circular A-87, A-21
or A-122. Contractor agrees to furnish one copy of the audit reports to the Health
Department Accounting Office within 30 days of their issuance, but not later than nine
months after the end of Contractor's fiscal year. Contractor agrees to take appropriate
corrective action within six months of the report's issuance in instances of
noncompliance with federal laws and regulations. Contractor agrees to permit Health or
its agents to have access to its records and financial statements as necessary, and
further agrees to retain such records and financial statements for a period of three
years after the date of issuance of the audit report. This contract does /DD7D
contain federal funds as of the date it is signed. This requirement is in addition to
any other audit requirements contained in other paragraphs wiLhsn this contract.
10. Contractor agrees to not use federal funds to satisfy federal cost sharing and
matching requirements unless approved .in writing by the appropriate federal agency.
Page 7 of 9 Pages
Rev. 06/01/92
Form 6-AC-028
SPECIAL PROVISIONS
CONTROLLER'S APPROVAL
I. This contract shall not be deemed valid until it shall have been approved by the Controller of the State of Colorado or such assistant as he may designate.Tits
provision is applicable to any contract involving the payment of money by the State.
FUND AVAILABILITY
2. Financial obdgauons of the State payable after the current fiscal year are contingent upon funds for that purpose being appropriated,budgeted and other•se
made available.
'BOND REQUIREMENT
3. If this contract involves the payment of more than fifty thousand dollars for the construction,erection,repair,maintenance,or improvement of any buildirt
road,bridge,viaduct,tunnel,excavation or other public works for this State.the contractor shall,before entering the performance of any such won include:in_s
contract-duly execute aria ceiiver to and file with the official whose signature appears below for the State,a good and surliicient bond or other acceptable surety:o at
approved by said official in a penal sum not less than one-half of the total amount payable by the terms of this contract Such bond shall be duly executed by a
qualified corporate surety.conditioned for the due and faithful performance of the contract and in addition.shall provide that if the contractor or his subcontractors
fail to duly pay for any labor.materials,team hire.sustenance,provisions,provendoror other supplies used or consumed by such contractor or his subcontractor
performance of the won contracted to be done.the surety will pay the same in an amount not exceeding the sum specified in the bead together with interest at_.:
rate of eight percent per annum. Unless such bond.when so required,is executed,delivered and filed,no claim in favor of the contractor arcing under=is contract
shall be audited allowed or prod.A certified or cashier's check or a bank money order payable to the Treasurer of the State of Colorado may be accepted in:feu of:
bond This provision is in compliance with 38-26.106 CRS.as amended
LIDEMNIFICATION
4. To the extent authorized by law, the contractor shall indemnify,save and hold harmless the State,its employees and agents.against any and ail;:airs.
damages.liability and court awards including costs.expenses.and attorney fees incurred as a result of any act or omission by the contractor,or is employers.
agents. subcontractors, or assignees pursuant to the terms of this contract.
DISCRIMLNATION AND AFFIRMATIVE ACTION
5. The contractor agrees to comply with the letter and spirit of the Colorado Antidiscrimination Act of 1957,as amended and other applicable law re:ec:n:
discrimination and unfair emvicyment practices 123.3.1-:02.CRS 1982 Replacement Vol.),and as required by Executive Omer.Equal Opportunity anti Affirm:-
dye.Action- dated April 16. :975. Pursuant thereto. ;me jbllowing provisions shall Se contained in all State contracts or suo-conrracs.
During the performance of this contract the contractor agrees as follows:
(I) The contractor will not discriminate against any employee or applicant for employment because of race.need-color.national origin,sex,marital status.
retiport ancestry.mental or physical handicap.or age.The contractor will take atfirnauve action to insure that appiicans are employed,and that empioyees are
treated aunng employinent without regard to the acove mentioned characteristics-Sucre action shall include,but not be limited:o the following employment
uograaing,;emotion,or transfer.recruitment or recruitment aaverusing;layoffs or terminations:rates of pay or ether forms of compensation:and sele::on for
training,including acprenucesrup.The contractor age=to post in conspicuous places,available toempiovees and applicants for employment,notices to be nrc-
viced by me contracting officer setting forth provisions of this non-discrimination clause.
12) The contractor wul,n ail solicitations or advertisements for employees placed by or on behalf of the contractor.statethat all qualified apt teams will receive
constaeration :or employment without regard to race. creed, color, national origin, sex, marital status, religion, ancestry, mental or physical :tomato- . :r
aae.
r1 The contractor w,il send to each labor union or representative ofwoners with which he Etas collective bargaining agte--ment orotner contract or tinders tart
Ina,notice to ce?rovrdec Sir tae contracting officer-aaysing the labor union or workers'representauve of the contractors commitment under the Executive
Order, Equal Opportunity and Affirmative Action. atea Apni I6. !975. and of the rules. regulations,and relevant Orders of the Governor..
di The contractor ana lacer unions will furnish all in:araauon ana reverts required by Executive Order.Equal Opportunity and Affirmative Action of Acni''-.
:975.ana by the vies.:eguiations and Orders of the Governor.or pursuant mereto,and will permit access to his books,records,and accounts by the contractor.
agency and tae office of the Governor or his designee for purposes of investigation to ascertain compliance with such rules, regulations and orders.
x.5) A labor oreanrzauon will not exclude any Individual otherwise qualifies from full membership rights in such labor organization.or expel any such individual
from membersnip m sucn iacor organization or discnmmate against any of its members in the full enjoyment of won oppomrmty,because of race.zeta.color.
sex, national origin- or ancestry.
6) A labor organization.or the employees or members thereof will not aid-abet,incite.compel or coerce the doing of any act defined in this contract to Pe cis-
caminatory or cosmic:or prevent any person from complying with the provisions of this contractor any order issued thereunder or attempt either directly or
inoirecuy, to commit any act defined in this contract to be discriminatory.
395-`3 )1-i0:_
Revised ?S page _ S of 9 pages
Fenn 6-AC-02C - ••:•.�_=uw-:•;r-:�. c _. ..
(7) In the event&the contractor's non-compliance with the non-disc' clauses of this contractor or with any ofineb rules, u ad nz contract may be cancelled,terminated or suspended in whole or in part and the eaeeacor in artad this
with procedures,undated in Exeeadw Order.Equal it 16,1975 ineligible for smha Stitt contracts aomul at ee
in accordance therewith,and such other sanctions as ay Opportunity
aeon a invoked
aspr and the rules.the Order. or olden r promulgated
and
Affirmative Anion of April 16, 1975,or by rules. regulations, or orders promulgated may accordance therewith,i in aeG Order.Equal bylaw.
aoo
or a otherwise provided by law.
regulations,The o coononr adcstracts will
include u the mruFsionso ppc h(I)tMxugh(8)in every msmetraa and subeontraear Pntlase order unless esented by rules.
rponeion,,oro,d. bor lued pursuant
xectiveor willneuqual peonaction i yandAtfrmativeActionofApril16.1975.wthatnuhprovisionsWibebinding
teepee to any sub-conn'aaiog or purchase order a the mmrartin may
dins a a means of aub:ma;such provisions.including saneness for non-compfssncc provided however,that in the event the contractor bee mnsimdved
in.or is threatened with,Ideation with the subcoeau ar or vendor as a result of such distance by the Counting agency,the eaecaaormay request the State
of Colorado to enter into such !ideation to protect the interest of the Stec of Cacaos.
COLORADO LABOR PREFERENCE
6a. Provisions of 8-(7-W I*102.CRS for prefer=of Colorado labor are applicable to this corer=if public works within the State am undertaken hereun-
der and are financed :r wnale or in part by State funds.
b. When c nett=a.neat:.r a public project is to be awarded to a biddera resident bidder shall be allowed a pretence amine a non-resident bidder
soma state or darn._army equal to the preference given or required by the use a fanivi t country in which the non-residue bidder is a resident Irk is deter-
. mined by the officer:euentuble for awarding the bid that compiiaoce with this subseccn.06 may cause denial dfederal funds winch would otherwise be avail-
: aele or wmoneys orotherwsese inainsistent with r u of federal law,this atbsecion sited be suspended.but only to the exteu aeeassry to prevent denial of
ate the incamistency with federal requieemmn(section 3-19-101 and 102, CRS).
GENERAL
7. The laws of the Sure of Colorado and rules and regulations Ward pursuant that shall be applied in the inteptetmm,execution and=besmear of this
contain_Any provision of this contract whether or not incorporated herein by reference which provide for arbitration by any extayudiey body or person or
wnicn is otherwise in conE to with said laws rules and regulations shall be considers coil and void.Nothing corn--'is any provision incorporated herein by
reference which purports to oespse this or any other special provision in withers'in partsnail be valid or enforwble a available in any action at law whether by
way of compsamt.defense orone:wise.Any provision rendered null and void by the opeatian aids provision will=invalidate the remaindera/this contract to
the anent that cite z-to is capable of execution.3. At ail times duet;Save been or� hereafter the x esu ued
anthis Contra=the Caaeacar shall=key where to ad applicable federal and state Laws,rates and regulations that
9. The sigramnes saem aver that they are familiarised 18-3.701.et seq.,(Bribery am Cornea Influenced and 13-S-t01.et sin.(Abuse or Public Office I.
CRS 1973 Replacement '"aL and that on violation of soca provisions is present.
Ill. The signasnes Der Mat CO their knowicge, no stye employee has a ;es:mai or beneficial interest whanpeyer in the service or property
descbec herein:
LN WT TN. WHEREOF. the parties hereto have executed this Contract on the:ay first above wham
Contractor.
(F•ud Lana Name) Weld County Health Dept
TATS OF COLORADO
14/04 County Board of Comm'ssioners ROY ROMER. GOVERNOR
.4A 3y ��-} rv'^-`Lsi.�_ cD r
01/27/93 -_YttrriDIREC.OR.
Position(Tibet Chairman -
846000813B
N
viola//( JEPART11ENT
(if Corporauona
OF LiEAL'.I
Attest(seal! WELD COUNTY HEALTH DEPARTMENT
(7)lt41!ENBy � "� f By: �.
iE9;xll§l1rfS!tr€
acme.Can to Board olph rdoa, M.D., H.P.H.
Director
.APPROVALS
•
ATTORNEY GENERAL GALE A. NORTON c:rra a
c� �o JD
�_ 9y 'l 1 P.,4-
l b �'
A5sistanl Ailonley General CLIFFORD W. ALL
General Legal Services
PRCGne:;t APPROVAL:
'+a 9 .men n ow mw a 0 nth r)
;91•!1Jr•,0101 apnea L ere' .n',wauw on mere'a
x.:a::ot..r
T. Z: CHMENT A
Colorado Department of Health
HIV Antibody Pretest Information
The HIV Antibody Test and AIDS
The test that you are about to have is a test for the HIV (Human Immunodeficiency
Virus) antibody. HIV is the virus which can cause AIDS.
AIDS (acquired immunodeficiency syndrome) is a serious disease that is caused
when HIV damages a part of the body's immune system (its natural defenses). This
makes it difficult for the body to fight off other diseases.
It is not known whether everyone infected with the virus will develop AIDS. Some
people have had the virus for many years without becoming sick. Even though these
people are healthy, they can pass the virus to others through sex or shared needles. A
woman infected with HIV can pass the virus to her baby during pregnancy. Anyone who
has the virus can pass it on.
The HIV antibody test is a simple blood test. When someone is infected with the
virus, the body makes a kind of protein called antibody. It will take at least one month or
as long as six months after infection for the antibodies to appear. If the test finds
antibody in your blood, this means you have the virus and can pass it on. The results of
this test are very good. However, no test is 100% correct. If you think your results are
wrong, please request a repeat test. This test cannot tell you whether you have AIDS or if
you will develop AIDS.
In order to do the test for HIV, about a tablespoon of blood will be taken from your
arm with a sterile needle. As a result of this procedure, you may experience some
temporary discomfort and bruising.
Reasons You May Want to Take This Test
HIV infection is an important medical problem. If you have the virus you need to
know. You will want to learn about healthcare measures that may help you stay healthy
and keep from developing AIDS.
If you find out you have the virus, you will want to tell your sex partner(s) or people
you have shared needles with so they can get tested too. You will need to learn about
"safer sex" and other ways to protect your partner's health and to keep yourself from
becoming exposed again. If you find out you do not have the virus, your counselor will
discuss ways to avoid getting HIV, the virus that causes AIDS.
Reasons You May Not Want to Take This Test
Finding out that you have the virus (HIV) can be upsetting. You might become
worried about developing AIDS or infecting others. For this reason it is important to
consider who in your life is available to talk to and help you when you receive your results.
Also, there are counselors, volunteers and support groups to help you with these feelings.
(over)
The Counseling and Testing Process
In a short time, you will go to a private room where a trained counselor will talk
with you about HIV and AIDS. At this confidential testing site, you are asked to give
identifying information, such as name, address, birth date and telephone number. The
information that is collected during confidential testing is useful if the site needs to contact
you if there is a problem with your test result and retesting is needed or if new information
about HIV infection becomes available that would be helpful to you. The counselor will
talk about what you do or have done that puts) you at risk for HIV infection. This
information is important in determining your risk and interpreting your test results. You are
encouraged, but not required, to give information about risk, your sex, race/ethnicity or
sexual orientation. Together you will develop a plan to decrease your risk. S/he will also
talk with you about the test and answer any questions you may have about HIV and AIDS.
The counselor will take some blood from your arm and send it to the lab for testing. Your
test results will be back in this office in 10-14 days, and you must return for the results in
• person.
Confidentiality
This test becomes part of your confidential medical record and is protected by
Colorado law CRS 18-4-412. Medical records can be released with your informed consent
and are also subject to some discovery actions. In addition, a paper copy of this test will
be kept in locked files at the Colorado Department of Health. If your test is positive, a
complete record with all the information on the laboratory form will be kept in locked files
indefinitely. If your test is negative, the paper copy of the test will be kept in locked files
for 60 days and then destroyed. After that time, a record of your name, address and
phone number along with the results of this test will be kept by the Colorado Department
of Health for two (2) years and then the record will be destroyed. Information about your
sexual orientation and risk behaviors will be kept in separate files that cannot be linked to
your name or other identifying information. This information will be used for statistical
purposes only.
Only authorized health workers have access to these records. Colorado law forbids
release of your test results to any other government agency, person, doctor, hospital,
clinic, employer, or insurance company. Written test results can be provided, but only
directly to you and in person. Unless you tell someone, no one else will know your test
results.
The results of this test will be given to you only in person, not by phone or mail.
This is done to be sure that the results go only to vou.
I have read the information in this form and have had a chance to have my
questions answered.
Signature Date
Revised 8/92 gnwococmma,!0.892 (ongoing care(
.,1"i AC H.NENT B
Colorado Department of Health
• HIV Antibody Pretest Information
The HIV Antibody Test and AIDS
The test that you are about to have is a test for the HIV (Human Immunodeficiency
Virus) antibody. HIV is the virus which can cause AIDS.
AIDS (acquired immunodeficiency syndrome) is a serious disease that is caused
when HIV damages a part of the body's immune system (its natural defenses). This
makes it difficult for the body to fight off other diseases.
It is ,ot known whether Everyone infected with the virus will develop AIDS. Some
people have had the virus for many years without becoming sick. Even though these
people are healthy, they can pass the virus to others through sex or shared needles. A
woman infected with HIV can pass the virus to her baby during pregnancy. Anyone who
has the virus can pass it on.
The HIV antibody test is a simple blood test. When someone is infected with the
virus, the body makes a kind of protein called antibody. It will take at least one month or
as long as six months after infection for the antibodies to appear. If the test finds
antibody in your blood, this means you have the virus and can pass it on. The results of
this test are very good. However, no test is 100% correct. If you think your results are
wrong, please request a repeat test. This test cannot tell you whether you have AIDS or if
you will develop AIDS.
In order to do the test for HIV, about a tablespoon of blood will be taken from your
arm with a sterile needle. As a result of this procedure, you may experience some
temporary discomfort and bruising.
Reasons You May Want to Take This Test
HIV infection is an important medical problem. If you have the virus you need to
know. You will want to learn about healthcare measures that may help you stay healthy
and keep from developing AIDS.
If you find out you have the virus. you will want to tell your sex partner(s) or people
you have snared needles with so they can get tested too. You will need to learn about
"safer sex" and other ways to protect your partner's health and to keep yourself from
becoming expos=o again. If you find out you do not have the virus, your counselor will
discuss ways to avoid getting HIV, the virus that causes AIDS.
Reasons You May Not Want to Take This Test
Finding out that you have the virus (HIV) can be upsetting. You might become
worried about developing AIDS or infecting others. For this reason it is important to
• consider who in your life is available to talk-to-and help you when you receive your results.
Also, there are counselors, volunteers and support groups to help you with these feelings.
(over)
The Counseling and Testing Process
In a short time, you will go to a private room where a trained counselor will talk
with you about HIV and AIDS. At this confidential testing site, you are asked to give
identifying information, such as name, address, birth date and telephone number. The
information that is collected during confidential testing is useful if the site needs to contact
you if there is a problem with your test result and retesting is needed or if new information
about HIV infection becomes available that would be helpful to you. The counselor will
talk about what you do or have done that put(s) you at risk for HIV infection. This
information is important in determining your risk and interpreting your test results. You are
encouraged, but not required, to give information about risk, your sex, race/ethnicity or
sexual orientation. Together you will develop a p/an to decrease your risk. Sihe will also
talk with you about the test and answer any questions you may have about HIV and AIDS.
The counselor will take some blood from your arm and send it to the lab for testing. Your
test results wiil be back in this office in 10-14 days, and you must return for the results in
person.
Confidentiality
A paper copy of this test will be kept in locked files at the Colorado Department of
Health and at this Counseling and Testing Site. If your test is positive, a complete record
with all the information on the laboratory form will be kept in locked files indefinitely. If
your test is negative, the paper copy of the test will be kept in locked files for 60 days
and then destroyed. After that time, a record of your name, address and phone number
along with the results of this test will be kept by this test site and the Colorado
Department of Health for two (2) years and then the record will be destroyed. Information
about your sexual orientation and risk behaviors wiil be kept in separate files that cannot
be linked to your name or other identifying information. This information will be used for
statistical purposes only.
Only authorized health workers have access to these records. Colorado law forbids
release of your test results to any other government agency, person, doctor, hospital,
clinic, employer, or insurance company. Written test results can be provided, but only
directly to you and in person. Unless you teil someone, no one else will know your test
results.
The results of this test will be given to you only in person, not by phone or mail.
This is done to be sure that the results go only to you.
I have read the information in this form and have had a chance to have my
questions answered.
Signature Date
flwnnd 5/92 g:twoaoa.cnot sd92 (CTS ONLY1
4(ti' MEMORAnDU
Wilk To Constance L. Harbert, Chairman
Board of County Commissioners Date January 19, 1993
COLORADO Jeannie K. Tacker, Business Manager, Weld County Health Dept.
From
1993 HIV Counseling & Testing Contract
Subject:
Enclosed for Board approval and signature is the 1993 AIDS Counseling and Testing
contract between the Weld County Health Department and the Colorado Department
of Health.
The rate of reimbursement per test is $15.00 for each pretest and posttest
counseling session which represents an increase of $2.00 per test from the prior
year's contract. A reimbursement of $400.00 will be provided as a base for
participation as a testing site operation. The total contract reimbursement
amount shall be $3,018.00 for the period January 1, 1993 through December 31,
1993. This level of reimbursement represents an increase of $1,063.00 over the
prior year's contract.
I would recommend approval of this contract.
If you have any questions, please feel free to contact me.
S=CC S4
1-J-/ r() /PC
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