To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #23-877-1 with Aliados Health
☒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 #23-877-1 with Aliados Health, a non-profit corporation, in an amount not to exceed $1,900,000, to provide basic primary care medical services for low income, uninsured individuals over age 19 residing in Contra Costa County, who are ineligible for Medi-Cal, Covered California, or any other health insurance coverage for the period December 1, 2025 through November 30, 2026.
FISCAL IMPACT:
Approval of this Contract will result in annual budgeted expenditures of up to $1,900,000 and will be funded 100% by General Fund.
BACKGROUND:
Aliados Health estimates that 2,800 County residents receive care at one of the nine community clinics operated by three community-based, community-governed non-profit health centers that are members of Aliados Health: Brighter Beginnings, La Clinica, and LifeLong Medical Care. For decades, these health centers have provided essential primary care to low-income, uninsured residents with and without citizenship or legal permanent residency. As federally qualified health centers, they meet the same federal quality standards as the County's medical system. This contract will financially support care for residents choosing to utilize the community health centers.
This Contract was entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Division Contract monitoring staff meet on a regular basis to ensure monitoring of performance measures set forth in the contract are upheld.
On April 15, 2025, the Board of Supervisors approved Contract #23-877 with Aliados Health, in an amount not to exceed $750,000 to provide basic primary care services for uninsured persons who do not qualify for health insurance, for the period December 1, 2024 through November 30, 2025.
On December 16, 2025, the Board of Supervisors allocated $1,900,000 to Aliados Health and directed Contra Costa Health to administer the contract for Aliados Health’s Community Health Centers to provide basic primary care services for uninsured persons who do not qualify for health insurance.
Approval of Contract #23-877-1 will allow Contractor to continue to provide basic primary care services to low income, uninsured individuals through November 30, 2026. This Contract is retroactive due to prolonged negotiations between the County and Contractor following the Board’s approval of the allocation in December 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, low income, and uninsured adults will not have access to Contractor’s basic primary care services in Contra Costa County.