To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Extension #74-757-1 with Bi-Bett
Recommendation: Recommendation of the County Administrator

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Extension #74-757-1 with Bi-Bett , a non-profit corporation, to amend Contract #74-757, to extend the termination date from December 31, 2026 to June 30, 2027, to continue providing substance use disorder (SUD) prevention and treatment services for County residents, with no change the payment limit of $638,784.
FISCAL IMPACT:
Approval of this Contract Extension will not result in a change to the budgeted expenditure of up to $638,784 funded 100% by Opioid Settlement Funds. (No rate increase)
BACKGROUND:
This Contract meets the social needs of the County’s population by providing specialized substance use disorder prevention and treatment services so that men and women, including women with children, are provided an opportunity to achieve and maintain sobriety and to experience the associated benefits of self-sufficiency, family reunification, cessation of criminal activity and productive engagement in the community. Contractor shall provide, operate, and administer SUD prevention and treatment program services as certified by the State of California and must operate under the terms and conditions of the Drug Medi-Cal Organized Delivery System (DMC-ODS) and Contractor’s services must be provided in Contractor’s facility(ies) referenced in County Health Services Alcohol and Other Drugs (AODS) Department’s Work Plan.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. The Behavioral Health’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. Per Administrative Bulletin 600.4, the Department has posted a continuous Request for Qualifications and maintains a current qualified list of vendors at all times.
On March 3, 2026, the Board of Supervisors approved Contract #74-757 with Bi-Bett, in an amount not to exceed $638,784, for the provision of SUD prevention and treatment services for County residents, for the period January 1, 2026 through December 31, 2026.
Approval of Contract Extension #74-757-1 will allow the Contractor to continue providing services through June 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Extension is not approved, County residents will not receive specialized substance abuse treatment services needed to provide them with an opportunity to achieve sobriety and recover from the effects of alcohol and other drug use, become self-sufficient, and return to their families as productive individuals.