To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Rescind Prior Board Action Pertaining to Contracted Services with Marie M. Guptill, LAC (dba Optima Wellness Acupuncture)
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
RESCIND Board action of April 28, 2025 (C.39), which pertained to a Contract with Marie M. Guptill, LAC (dba Optima Wellness Acupuncture); and APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Contract #77-055-5 with Marie M. Guptill, LAC (dba Optima Wellness Acupuncture), a sole proprietor, in an amount not to exceed $300,000, to provide acupuncture services for Contra Costa Health Plan (CCHP) members and County recipients, for the period May 1, 2025 through April 30, 2027.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $300,000 over a two-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain acupuncture services including but not limited to nutrition and counseling services for its members under the terms of their Individual and Group Health Plan membership Contracts with the County. This Contractor has been a part of CCHP Provider Network providing acupuncture services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since March 2017.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Contractor will cooperate with and participate in CCHP’s Quality Management Program which consists of quality improvement activities to improve the quality of care and services and member experience. Cooperation includes collection and evaluation of performance measurement data and participation in the organization’s clinical and service measure Quality Improvement Programs. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
In May 2023, the County Administrator approved and the Purchasing Services Manager executed Contract #77-055-4 with Marie M. Guptill, LAC (dba Optima Wellness Acupuncture), in an amount not to exceed $90,000, for the provisions of acupuncture services for CCHP members for the period May 1, 2023 through April 30, 2025.
On April 28, 2025, the Board of Supervisors approved C.39 to renew Contract #77-055-5, however the Division later changed the term of the Contract from a three-year period to a two-year period. Approval of Contract #77-055-5 will allow the Contractor to continue to provide acupuncture services for CCHP members and County recipients through April 30, 2027.
This Board Order will rescind the incorrect Board Order and allow the Department to correct the term for the period May 1, 2025 through April 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this recommendation is not approved, the prior incorrect Board action will stand and the department will not have Board authorization for the correct term which was agreed upon by both parties.