Orange County NC Website
Page 4 of 5 <br />Revised June 2019 <br />2. If the assessment results in compliance concerns, the TATP Nurse Consultant shall conduct <br />conference calls with the Local Health Department to provide technical assistance in order to rectify <br />the concerns. <br />VI. Funding Guidelines or Restrictions: <br />1. Requirements for pass-through entities: In compliance with 2 CFR §200.331 – Requirements for <br />pass-through entities, the Division of Public Health provides Federal Award Reporting Supplements <br />to the Local Health Department receiving federally funded Agreement Addenda. <br />a. Definition: A Supplement discloses the required elements of a single federal award. Supplements <br />address elements of federal funding sources only; state funding elements will not be included in <br />the Supplement. Agreement Addenda (AAs) funded by more than one federal award will receive <br />a disclosure Supplement for each federal award. <br />b. Frequency: Supplements will be generated as the Division of Public Health receives information <br />for federal grants. Supplements will be issued to the Local Health Department throughout the <br />state fiscal year. For federally funded AAs, Supplements will accompany the original AA. If <br />AAs are revised and if the revision affects federal funds, the AA Revisions will include <br />Supplements. Supplements can also be sent to the Local Health Department even if no change is <br />needed to the AA. In those instances, the Supplements will be sent to provide newly received <br />federal grant information for funds already allocated in the existing AA. <br />2. Expenses related to allowable activities may be reimbursed retroactively to January 20, 2020. <br />3. As the Local Health Department is a subrecipient of a grant or cooperative agreement awarded by the <br />Department of Health and Human Services (HHS) with funds made available under the Coronavirus <br />Preparedness and Response Supplemental Appropriations Act, 2020 (P.L. 116-123); the Coronavirus <br />Aid, Relief, and Economic Security Act, 2020 (the “CARES Act”) (P.L. 116-136); and/or the Paycheck <br />Protection Program and Health Care Enhancement Act (P.L. 116-139) the LHD agrees as applicable to <br />the award, to: <br />a. comply with existing and/or future directives and guidance from the HHS Secretary regarding control <br />of the spread of COVID-19; <br />b. in consultation and coordination with HHS, provide, commensurate with the condition of the <br />individual, COVID-19 patient care regardless of the individual’s home jurisdiction and/or <br />appropriate public health measures (e.g., social distancing, home isolation); and <br />c. assist the United States Government in the implementation and enforcement of federal orders related <br />to quarantine and isolation. In addition, to the extent applicable, Recipient will comply with Section <br />18115 of the CARES Act, with respect to the reporting to the HHS Secretary of results of tests <br />intended to detect SARS– CoV–2 or to diagnose a possible case of COVID–19. Such reporting shall <br />be in accordance with guidance and direction from HHS and/or CDC. <br />d. consistent with the full scope of applicable grant regulations (45 C.F.R. 75.322), the purpose of this <br />award, and the underlying funding, the subrecipient is expected to provide to CDC, through DPH, <br />copies of and/or access to COVID-19 data collected with these funds, including but not limited to <br />data related to COVID-19 testing. CDC will specify in further guidance and directives what is <br />encompassed by this requirement. <br />4. In addition to their local procurement rules/policies, the Local Health Department shall comply with the <br />following rules, applying the most restrictive standard where there is a difference between any of the <br />standards: <br />a. Federal Uniform Administrative Requirements for Procurement, 45 CFR Part 75 §75.327- <br />335, https://www.ecfr.gov/cgi-bin/text-idx?node=pt45.1.75&rgn=div5#se45.1.75_1326 <br />DocuSign Envelope ID: 7198D781-BEA6-4795-A20A-3948F519ECD6