To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Interagency Agreement #78-083 with Local Educational Agencies
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
RESCIND prior Board Action of July 22, 2025, (C. 85) which approved and authorized the Interim Health Services Director, or designee, to execute on behalf of the County Interagency Agreement #78-083 with Contra Costa County Office of Education, an educational institution, for County to provide Public Health Services and programs including medical/dental services and preventative health screenings, health outreach, education, and promotion, youth development programs, and technical assistance and support to low-income students in designated school districts for the period July 1, 2025 through June 30, 2030; and APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Interagency Agreement #78-083 with Local Educational Agencies, political subdivisions of the State of California, for County to provide Public Health services and programs including medical/dental services and preventative screenings, health outreach, education and promotion, youth development programs, and technical assistance and support to low-income students in designated school districts for the period July 1, 2025 through June 30, 2030.
FISCAL IMPACT:
This is a non-financial agreement.
BACKGROUND:
This Interagency Agreement will assist in improving the health and wellbeing of children and young people in Contra Costa County, with a focus on lower-income communities, through the provision of services and programming in public schools. These services include primary health care services, preventive health screenings, well-child examinations, confidential reproductive services, preventative dental services, health education and promotion activities, outreach, youth development programs and technical assistance and support for school immunization requirements. Services may be provided in Contra Costa Health mobile clinics or licensed stationary clinic sites, classrooms or other campus areas at specially designated times and locations. Contra Costa Health will collaborate with each Local Educational Agency, i.e., each school district or school site participating under the agreement to create a tailored annual work plan that outlines the specific services to be provided at each site to ensure that the unique needs of each school district or school site are addressed, while also meeting any specified program requirements and capacity. The Local Educational Agencies included in the agreement are: Acalanes Unified School District, Antioch Unified School District, Brentwood School District, Byron Unified School District, Canyon School District, John Swett Unified School District, Knightsen Elementary District, Lafayette Unified High School District, Liberty Union High School District, Martinez Unified School District, Moraga School District, Mt. Diablo School District, Oakley Union School District, Orinda Unified School District, Pittsburg Unified School District, San Ramon Valley School District, Walnut Creek School District, and West Contra Costa Unified School District,
Approval of Interagency Agreement #78-083 will allow County to provide Public Health services and programs to low-income students in designated school districts for the period July 1, 2025 through June 30, 2030. This Agreement includes County agreeing to defend, indemnify and hold harmless the school districts for any claims arising from County’s performance under the Agreement.
CONSEQUENCE OF NEGATIVE ACTION:
If this Interagency Agreement is not approved, low-income students will not receive medical, dental and other valuable services provided by County.
CHILDREN’S IMPACT STATEMENT:
This program supports the following Board of Supervisors’ community outcomes: “Children Ready For and Succeeding in School” and “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include an increase in the number of healthy children within the Districts.