Attachment_III_-_Proposed_Costs.xlsx

This is a proposed budget attachment for a Rapid Antiretroviral Therapy (Rapid ART) Protocol Development initiative issued by the Orange County Health Care Agency (HCA) in California. The solicitation seeks applications from licensed hospital emergency departments to develop practical and sustainable protocols for initiating Rapid ART for individuals newly diagnosed with HIV or re-engaging in care. The project deliverables include executing the contract, drafting the Rapid ART protocol within 90 days of contract execution, developing an implementation plan within 120 days, creating an evaluation plan within 150 days, and finalizing the Rapid ART protocol within 180 days. An optional sixth deliverable includes ART medication packets upon protocol execution. The initiative aims to establish feasible workflows for providing ART within seven days of diagnosis, disclosure, or re-engagement, with the goal of improving linkage to care for newly diagnosed individuals and people living with HIV (PLWH) who are re-engaging in treatment.

The total proposed cost for this opportunity cannot exceed $150,000. The budget template provided indicates a cost per deliverable structure, though specific costs are not populated in the submitted attachment. This effort focuses on protocol development and implementation planning rather than direct clinical service delivery. The initiative addresses a significant public health need in Orange County, where 6,955 PLWH are aware of their status, approximately 1,706 remain unaware of infection, and 230 individuals were newly diagnosed in 2024. Selected applicants will collaborate with HCA to design patient-centered procedures that integrate into existing clinical operations and improve treatment outcomes, particularly among the 24% of newly diagnosed individuals who are concurrently diagnosed with AIDS.