To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #74-277-32 with Jackson & Coker Locumtenens, LLC
☒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 #74-277-32 with Jackson & Coker Locumtenens, LLC, a limited liability company, effective November 1, 2025, to amend Contract #74-277-31, to increase the payment limit by $500,000, from $3,000,000 to a new payment limit of $3,500,000, to provide additional temporary psychiatric physician services at County’s Mental Health Outpatient Clinics and recruitment services with no change in the term ending December 31, 2025.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional annual budgeted expenditures of up to $500,000 and will be funded 100% by Mental Health Realignment funds. (No rate increase)
BACKGROUND:
County’s Behavioral Health Services Division (BHSD)/ Mental Health has an obligation to provide psychiatric physician services to patients, including medication management and therapy services. Therefore, County contracts with temporary help firms to ensure patient care is provided during peak loads, temporary absences, vacations or emergency situations when full staffing is required. This Contractor has been providing temporary psychiatric physician services since July 1, 2006. This Contract is entered into under and subject to the following legal authorities: California Government Code §§31000 And 31000.4. The BHSD’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. Health Services Personnel approved this contract to ensure no conflicts with labor relations. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On November 12, 2024, the Board of Supervisors approved Contract #74-277-31 with Jackson & Coker Locumtenens, LLC, in an amount not to exceed $3,000,000 for the provision of temporary psychiatric physician services and recruitment services at County’s Mental Health Outpatient Clinics for the period January 1, 2025 through December 31, 2025.
Approval of Contract Amendment #74-277-32 will allow the Contractor to provide additional temporary psychiatric physician services and recruitment services at County’s Mental Health Outpatient Clincs through December 31, 2025. This Contract Amendment was delayed due to unexpected additional locums coverage needed. This Contract includes services provided by represented classifications and the County has met its obligations with the respective labor partner(s).
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, psychiatric services will not be available to patients at mental health outpatient clinics.