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EXHIBIT A STATEMENT OF WORK Washington State TB Program Kittitas CountY Public Health DOH Contract Number CLH32635-0 PERIOD OF AGREEMENT: This agreement will commence on January 1,2026, and-will be effective until December 31, 2029, or until the Farties give each other written notice to terminate the agreement' This medication program is ongoing. After the initial three-year period of performance, this agreement will be on a five-yea...ui.*/ren"*A .yi" bui updated/amended as needed based on DOH and/or Health Resources and Services Administration office of phurrnucy Affairs (HRSA) 3408 changing requirements. PURPOSE AND SCOPE: The intent of this agreement is to: . define responsibilities of Parties participating in the HRSA 3408 Pricing Program under the DOH TB Program entitY. . ensure appropriate use of state taxpayer funds used to acquire tuberculosis (TB) medications' o maintain compliance with HRSA requirements for the 3408 Pricing Program entities and those participating under DOH TB Program entity as part of grantee combined purchasing and distribution model for TB medications. . support compliance with HRSA 3408 requirements of covered entities' The scope of this agreement covers TB medications used to treat active TB disease in patients who are under- or uninsured or who lack prescription coverage and are not covered by Medicaid or Apple Health' HRSA entities, including LHJs, are expected to be the payer of last resort." o Case-by-case exceptions may be made for Latent TB Infection (LTBI) patients who are likely to progress to TB disease or as announced by DOH' Being the payer oflast resort, public health agencies (local, state, or federal) should use their funding only after all reisonable payment sources have been exhausted' DOH TB PROGRAM RESPONSIBILITIES: . provide without charge TB medications as listed on their current formulary to Local Health Jurisdictions (LHJs). The formulary is posted on SharePoint. o DOH will cover the cost of the medication, shipping, and pharmacy' I Annually provide information (example: CDC Notice of Award Number) needed for the LHJ to recertifywithHRSAasafederalgranteeentityinthe3408program. LOCAL HEALTH RESPONSIBILITIES: LOCAI HCAIth JUTiSdiCtiONS WiII: Maintain auditable records for the duration identified by required applicable records retention schedules*. These records to include but not limited to are: a separate medication inventory tracking system with records tied to patients receiving the a o medication. DOH Contract CLH3263 5 -0 Iuly 2025 Page 8 of9