To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #76-651-6 with Children’s Hospital & Research Center at Oakland (dba UCSF Benioff Children’s Hospital)
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment #76-651-6 with Children’s Hospital & Research Center at Oakland (dba UCSF Benioff Children’s Hospital), a non-profit corporation, effective July 9, 2025, to amend Contract #76-651-3 (as amended by Contract Amendment #76-651-5), to increase the payment limit by $155,000, from $300,000 to a new payment limit of $455,000 to provide additional prenatal hemoglobinopathy screening services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers with no change in the term ending June 30, 2026.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional budgeted expenditures of up to $155,000 and will be funded 100% by Hospital Enterprise Fund I. (No rate increase)
BACKGROUND:
CCRMC and Contra Costa Health Centers have an obligation to provide medical laboratory testing services for patients. Therefore, when specialized patient specimen testing is required for patient care and when the required testing equipment is not available at County facilities, the County contracts with outside laboratory testing services to provide specialized testing services. Contractor has been providing laboratory testing services since 2017 formerly under a purchase order with CCRMC.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. CCRMC’s Quality Management, Utilization Management and Contract Monitor Staff meet on a regular basis to ensure monitoring and performance measures in the Contract are upheld. Per Administrative Bulletin 600.3 Intergovernmental service contracts are exempt from Solicitation requirements.
In July 2023, the County Administrator approved, and the Purchasing Services Manager executed Contract #76-651-3 with Children’s Hospital & Research Center at Oakland (dba UCSF Benioff Children’s Hospital), in an amount not to exceed $195,000, for the provision of prenatal hemoglobinopathy screening services for the period July 1, 2023 through June 30, 2026.
On September 24, 2024, the Board of Supervisors approved Contract Amendment #76-651-5, with Children’s Hospital & Research Center at Oakland (dba UCSF Benioff Children’s Hospital), effective June 1, 2024, to amend Contract #76-651-3, to increase the payment limit by $105,000 to a new payment limit of $300,000 to provide additional prenatal hemoglobinopathy screening services with no change in the term ending June 30, 2026.
Approval of Contract Amendment #76-651-6 will allow the Contractor to provide additional services through June 30, 2026. The delay of this Contract Amendment was due to a lack of real time expenditure tracking. There was an increase in the need for additional testing services and the payment limit depleted faster than anticipated.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved the necessary prenatal hemoglobinopathy screening services needed for patient care will not be available or will create increased wait times due to the limited number of specialty providers available within the community.