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Lawmakers press ADH on contact-tracing contracts, staffing and CARES spending

PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE · July 23, 2020
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Summary

Committee members questioned the Department of Health about expedited contact-tracing contracts, contractor staffing and CARES Act allocations; ADH said contracts have been awarded, contractors are hiring hundreds of tracers, and additional funding requests are pending.

Lawmakers pressed the Arkansas Department of Health about the design, procurement and costs of statewide contact-tracing contracts as the committee considered whether the state has the capacity to notify and isolate cases quickly enough.

Stephanie Williams said ADH used an expedited procurement process to award contracts to stand up statewide tracing operations. ADH reported $22 million in CARES Act funding allocated to contractors so far; Williams said a supplemental $16 million was requested to allow contractors to scale beyond the initial hiring target, and $5 million was provided to the UAMS College of Public Health for higher-education tracing support.

Williams and other ADH staff described an expected structure of two main contractors with capacity to serve the entire state. In the first weeks after award, one contractor had hired roughly 305 staff; ADH said about 201 of those hires were Arkansans. The combined contract target is about 700 contact tracers (350 per contractor), plus an additional cohort of nurses for case investigation.

Members asked how contractors are being supervised, where hires are sourced, and whether the state is protecting personally identifiable health data collected by third-party contractors. ADH acknowledged security and uptime standards in the contracts and said identifying information in the monitoring system will be purged after cases are released from isolation/quarantine; ADH agreed to provide the committee copies of contractor agreements and the intake questionnaire.

Some legislators urged the department to ensure contractors can operate statewide and to avoid piecemeal local solicitations that duplicate capability. ADH said the contractors are expected to cover the state, and that supplemental community proposals (for example, a Northwest Arkansas proposal) would be coordinated with the primary contracts and must meet the same expectations.

The committee asked for further written documentation: contractor lists and scope, staffing counts and hires by location, contractual security and retention clauses for personal data, and planned metrics for measuring timeliness and effectiveness of tracing.