To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment Agreement #26-995-23 with George Lee, M.D.
☒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 Agreement #26-995-23 with George Lee, M.D., an individual, effective March 1, 2024, to amend Contract #26-995-21 (as amended by Amendment Agreement #26-995-22), to increase the payment limit by $520,000, from $2,160,000 to a new payment limit of $2,680,000, with no change in the original term of June 1, 2022 through May 31, 2025.
FISCAL IMPACT:
Approval of this amendment will result in additional contractual service expenditures of up to $520,000 and will be funded as budgeted 100% by Hospital Enterprise Fund I. (No rate increase)
BACKGROUND:
Due to the limited number of specialty providers available within the community, Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers relies on contracts to provide necessary specialty health services to its patients. CCRMC has contracted with George Lee, M.D., for anesthesiology services since August 12, 2002.
On June 21, 2022, the Board of Supervisors approved Contract #26-995-21 with George Lee, M.D., in an amount not to exceed $1,850,000 to provide anesthesiology services at CCRMC and Contra Costa Health Centers, for the period June 1, 2022 through May 31, 2025.
On June 13, 2023, the Board of Supervisors approved Amendment Agreement #26-995-22 with George Lee, M.D., effective May 1, 2023, to increase the payment limit by $310,000, from $1,850,000 to a new payment limit of $2,160,000, to provide additional anesthesiology services at CCRMC and Health Centers with no change in the term of June 1, 2022 through May 31, 2025.
Approval of Amendment Agreement #26-995-23 will allow the contractor to provide additional anesthesiology services through May 31, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this amendment is not approved, the necessary specialty anesthesiology 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.