To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Agreement Modification #78-047-1 with Advocates for Human Potential, Inc.
☒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 Agreement Modification #78-047-1 with Advocates for Human Potential, Inc., to amend Agreement #78-047, to modify the statement of work to decrease budgeted infrastructure spending and increase the amount applied directly to program operations for the Behavioral Health Bridge Housing (BHBH) Program, with no change in the amount payable to the County of $20,488,722 or term ending June 30, 2027.
FISCAL IMPACT:
Approval of this Agreement Modification has no fiscal impact.
BACKGROUND:
In September 2022, the BHBH Program was signed into law under Assembly Bill (AB) 179 (Ting, Chapter 249, Statues of 2022) to provide immediate housing and treatment needs for people experiencing homelessness who have serious behavioral health conditions.
The BHBH Program compliments significant capital funding from the State intended to create housing and treatment settings such as Homekey, Community Care Expansion, the Behavioral Health Continuum Infrastructure Project and the Care Act by providing funding for operational costs and services. The Health Services Department’s Behavioral Health Division will coordinate efforts with the Health Housing and Homeless Division and other interested County Departments. This Agreement allows for additional staff including a project coordinator, housing navigation specialists, and subcontracts for board and care services and sober living environment providers.
On November 7, 2023, the Board of Supervisors approved Agreement #78-047 with Advocates for Human Potential, Inc., in an amount payable to the County not to exceed $20,488,722 for the County to provide housing and treatment for homeless individuals who have serious behavioral health conditions for the period June 23, 2023 through June 30, 2027. The Agreement includes a provision requiring County to indemnify and hold harmless Advocates for Human Potential, Inc. and the Department of Health Care Services for any claims arising out of the performance of the Agreement.
Approval of Agreement Modification #78-047-1 will allow County and Advocates for Human Potential, Inc. to modify the statement of work to decrease the budgeted infrastructure spending and increase the amount applied directly to program operations through June 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Agreement Modification is not approved, the Agreement will not reflect the needed budget reallocations.