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Agenda Report
August 24, 2026
TO: hlonorable Mayor and City Council
THROUGH: Finance Committee
FROM: Department of Public Health
SUBJECT: AUTHORIZE THE CITY MANAGER TO EXECUTE AN AGREEMENT
WITH PASADENA COMMUNITY FOUNDATION TO SUPPORT
IMPLEMENTATION OF THE TUBERCULOSIS CLINICIAN
ENGAGEMENT AND ACTION FOR RESPONSE ("TB CLEAR")
PROGRAM FOR AN AMOUNT NOT-TO-EXCEED $518,869 FOR TWO
YEARS AND RECOGNIZE AND APPROPRIATE $254,754 TO THE
FISCAL YEAR 2027 PUBLIC HEALTH DEPARTMENT OPERATING
BUDGET AND INCREASE THE PERSONNEL ALLOCATION BY 1.0
FULL-TIME EQUIVALENT
RECOMMENDATION:
It is recommended that the City Council:
1. Find that the proposed actions are not a project subject to the California Environmental Quality Act (CEQA) pursuant to Section 21065 of CEQA and Sections 15060(c)(2), 15060(c)(3), and 15378 of the State CEQA Guidelines and, as such, no environmental document pursuant to CEQA is required;
2. Authorize the City Manager to execute an agreement with the Pasadena Community Foundation ("PCF") to accept and administer $518,869 in UniHealth Foundation grant funds on behalf of the City of Pasadena to expand tuberculosis program services through June 30, 2028;and
3. Amend the Fiscal Year 2027 Public Health Department operating budget by recognizing and appropriating $254,754 in the hlealth Fund (203) and increase the personnel allocation by 1.0 full-time equivalent ("FTE") limited-term grant-funded position.
MEETING OF.8/24/2026AGENDA ITEM NO.5
Authorization to Execute an Agreement with Pasadena Community Foundation August 24, 2026
BACKGROUND:
Tuberculosis (TB) cases in California have increased by 26% since 2020, with 2,150 reported cases in 2025. Most cases (83%) resulted from the progression of latent TB infection to active TB disease. TB is a deadly disease if not treated timely and effectively.
Treatment for active TB is intensive requiring strict adherence to a multi-drug regimen for up to 18 months. Since 2020, the Pasadena Public hlealth Department has investigated and supported 11 pulmonary TB cases and more than 375 non-pulmonary TB clinical infections.
According to the U.S. Census, nearly 94% of Pasadena adults have health insurance.
Insured and uninsured patients alike can be susceptible to lapses in effective treatment which can increase TB disease severity, increase drug-resistance, and increase the number of people exposed to the disease. TB is considered rare so physicians may be less experienced in TB care best practices. Primary care providers may also be generally less comfortable treating TB, referring patients to the Pasadena Public Health Department where care is provided as a safety net service without reimbursement for treatment costs.
The proposed TB CLinician Engagement and Action for Response ("TB CLEAR") program would offer enhanced clinician case management and outreach led by the Pasadena Public Health Department. The program is designed to promote and foster evidence-based management of tuberculosis by clinicians and other healthcare professionals in a patient's medical home.
Using evidence-based curricula, the proposed program will support local health providers to build their capacity for delivering TB care. The curricula will include a series of training, educational materials, and one-on-one technical assistance to shift quality TB care back to medical homes. Providers will have access to a clinician experienced in TB treatment who will help ensure patients get the care they need to improve their health and prevent the spread ofTB. The TB CLEAR initiative is expected to empower primary medical homes and managed care plans to provide evidence-based TB clinical care.
UniHealth Foundation is funding the TB Clear program through the Pasadena Community Foundation "PCF", which is serving as a fiscal sponsor and evaluator. If approved, the department will add 1.0 FTE grant-funded limited-term position Nurse Practitioner and the funding will support 0.50 FTE of an existing Community Services Representative III.
Additional appropriations will support operating costs including supplies, staff travel for trainings and conferences, and programmatic meetings.
COUNCIL POLICY CONSIDERATION:
The proposed contract amendment aligns with the City Council's strategic plan goal to ensure public safety.
ENVIRONMENTAL ANALYSIS:
CEQA excludes, from environmental review, actions that are not "projects" as defined by CEQA Guidelines Section 21065 and within the meaning of Section 15378. Sections Authorization to Execute an Agreement with Pasadena Community Foundation August 24,2026
21065 and 15378 define a project as an action which may cause either a direct physical change in the environment, or a reasonably foreseeable indirect physical change in the environment. Section 15378 excludes from the definition of "project" organizational or administrative governmental activities that do not result in physical changes to the environment. The actions proposed herein, authorizing the City Manager to execute all grant-related documents and amending the Public Health Department's operating budget, are organizational or administrative governmental activities that do not result in physical changes to the environment, and therefore are not a "project" as defined by CEQA. Since the actions are not a project subject to CEQA, no environmental document is required.
FISCAL IMPACT:
It is anticipated that the grant award of $254,754 will be received and spent in Fiscal Year 2027. If approved, the Department's Fiscal Year 2027 Operating Budget will be increased by $254,754 for project implementation. This action will increase the Department's personnel allocation by 1.0 FTE. No net impact to the unappropriated fund balance is anticipated. Remaining grant funding will be appropriated and recognized in the annual budget submission in future fiscal years.
Respectfully submitted,
MANUEL CARMONA, MPH, MPA
Director of Public Health
Prepared by:
l\?latthew Feaster, PhD, MPH
Division Manager
Department of Public Health
Approved by:
^
MATfHEW £. HAWKESWORTH
Interim City Manager