To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #26-563-16 with Total Renal Care, 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 Contract Amendment #26-563-16 with Total Renal Care, Inc., a corporation, effective November 1, 2025, to amend Contract #26-563-14, to include dialysis therapy services for inmates at West County Detention Facility and extend the termination date from February 19, 2026 to February 29, 2028, with no change in the payment limit of $1,074,500.
FISCAL IMPACT:
Approval of this Contract Amendment will not impact the payment limit of $1,074,500 which is funded 100% by the County General Fund. (Rate increase)
BACKGROUND:
The Code of Federal Regulations Title 16 requires timely access to essential health care for incarcerated inmates. Blood services have been very complicated to obtain for inmates at the County’s Detention Facilities, compromising the health of seriously ill inmates. This Contract will allow inmates at both Martinez Detention Facility and West County Detention Facility to receive blood services at a cost approximately 60% less than transporting inmates to outside vendors. Contractor provides an essential service at County’s detention facilities allowing health services to attend to the medical needs of chronically ill inmates on-site. This Contractor has been providing services to the County since 2006.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. 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. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. Per Administrative Bulletin 600.3 CCRMC, Physician services are exempt from solicitation requirements.
On February 28, 2023, the Board of Supervisors approved Contract #26-563-14 with Total Renal Care, Inc., in an amount not to exceed $1,074,500, to provide blood services, including dialysis, for inmates at the Martinez Detention Facility for the period from February 20, 2023 through February 19, 2026.
Approval of Contract Amendment #26-563-16 will allow the Contractor to provide additional dialysis therapy services at both Martinez Detention Facility and West County Detention Facility through February 29, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, County inmates at West County Detention Facility will not receive blood treatment services from this Contractor putting their health at serious risk.