Agenda

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Consent-Health & Human Services # 26.

Board of Supervisors

Meeting Date:	09/24/2019
Brief Title: First Amendment CFMG Medical Services FY19-20
From:	Karen Larsen, Director, Health and Human Services Agency
Staff Contact:	Brian Vaughn, Community Health Branch Director, Health and Human Services Agency, x8771
Supervisorial District Impact:

Subject

Approve first amendment to Agreement No. 16-194 with California Forensic Medical Group, Inc. to extend the term of the agreement through June 30, 2020, and add funding in the amount of $3,837,741 for 2019-20, for a new contract maximum of $13,235,963, for the provision of comprehensive medical services to the detainees of the Yolo County Jail and Juvenile Detention Facility for the period December 1, 2016 through June 30, 2020. (General fund impact $3,837,741) (Larsen)

Recommended Action

Approve first amendment to Agreement No. 16-194 with CFMG to extend the term of the agreement through June 30, 2020, and add funding in the amount of $3,837,741 for FY 2019-20, for a new contract maximum of $13,235,963 for the provision of comprehensive medical services to the detainees of the Yolo County Jail and JDF for the period December 1, 2016 through June 30, 2020; and
Delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to exercise the option year(s) and execute related option year letter notices for a one (1) twelve (12) months period with payment obligation not to exceed $3,952,873 per fiscal year and total maximum payment obligation after including all option years not to exceed $17,188,836. (Please see Section 3. of Att. A. First Amendment.)

Strategic Plan Goal(s)

Operational Excellence
Thriving Residents
Safe Communities

Reason for Recommended Action/Background

Yolo County (“the County”) is mandated to provide effective and quality comprehensive medical health services to detainees of the Yolo County Jail and Juvenile Detention Facility. In an effort to provide high quality care and to ensure continuous compliance with federal and state regulations, the Yolo County Health and Human Services Agency (HHSA) along with the Probation Department and Sheriff’s Department have reviewed medical services provided to this population and explored options to best serve detainees in the County.

Diligent analysis of the situation led the County to release a Request for Proposal (RFP) seeking a provider to arrange quality medical services for inmates, which in turn resulted in a contract with CFMG for these critical services.

Staff recommends approval of this amendment to enable the County to continue to provide these mandated services to detainees through Fiscal Year 2019-20.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.

Competitive Bid Process

On December 3, 2015, the Yolo County Health and Human Services Agency issued a Request for Proposals (RFP) to solicit professional medical services for the inmates in Yolo County Jail and Juvenile Detention Facility. HHSA received two proposals is response to this solicitation. A review team composed of representative from HHSA, Probation, Sheriff, the County Administrator’s Office and an outside agency evaluated responses to the RFP. The proposal submitted by CFMG was ranked higher out of the two submissions.

On March 9, 2016, HHSA issued an intent to award letter to CFMG. After contract negotiations, this agreement came into effect for its initial term from December 1, 2016 through June 30, 2019.

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 3,837,741
Amount budgeted for expenditure:		$ 3,837,741
Additional expenditure authority needed:		$
One-time commitment	Yes

Source of Funds for this Expenditure

$3,837,741

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

General fund in the amount of $3,837,741 is required for this action. This action will increase the total contract maximum amount to $13,235,863 for the period of December 1, 2016 through June 30, 2020 with an amount $3,837,741 for the fiscal year 2019-20. The amount of $3,837,741 has been included in the HHSA adopted budget for FY19-20.

The following is the breakdown of funding for this agreement.

Fiscal Year 2016-17 December 1, 2016 through June 30, 2017	Fiscal Year 2017-18 July 1, 2017 through June 30, 2018	Fiscal Year 2018-19 July 1, 2018 through June 30, 2019	Fiscal Year 2019-20 July 1, 2019 through June 30, 2020	Total
$ 2,054,821	$3,617,439	$3,725,962	$3,837,741	$13,235,963

The agreement also includes an option to extend the Agreement for one (1) additional 12-month period from July 1, 2020 through June 30, 2021, in an amount less than or equal to $3,952,873, as follows:

Option Year/ Fiscal Year	Maximum Agreement Term Extension Per Option Year/Fiscal Year	Increased Funding Amount Per Option Year/ Fiscal Year	Revised Agreement Lifetime Maximum
First (FY 2020-21)	On or before June 30, 2021	Less than or equal to $3,952,873	Less than or equal to $17,188,836

In no event shall the term of the agreement extend beyond June 30, 2021 nor shall the total contract maximum exceed, the amount of $17,188,836, unless otherwise agreed to in writing by the parties and in conformity with then-current Yolo County Procurement Policy approved by the Board of Supervisors.

Attachments
Att. A. Amendment

Form Review

Inbox	Reviewed By	Date
Financial Services	crinde	09/18/2019 03:01 PM
County Counsel	Hope Welton	09/18/2019 03:03 PM
Form Started By: tchawla		Started On: 06/21/2019 12:54 PM
Final Approval Date: 09/18/2019