To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #76-682-5 with Regents of the University of California, on behalf of UC Davis 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 Amendment #76-682-5 with Regents of the University of California, on behalf of UC Davis Health, a government agency, to amend Contract #76-682-4, effective August 15, 2025, to increase the payment limit by $10,000, from $13,000 to a new payment limit of $23,000 to provide additional specialized outside laboratory testing services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers with no change in the term ending October 31, 2025.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional contractual service expenditures of up to $10,000 and will be funded 100% by Hospital Enterprise Fund I. (No rate increase)
BACKGROUND:
CCRMC and Contra Costa Health Centers have an obligation to provide laboratory testing services to patients. Therefore, the County contracts with outside laboratory testing services in order to provide testing services not available at County facilities, to ensure patient care is provided as required. This Contractor has been providing outside laboratory testing services since November 1, 2019.
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. CCRMC’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 600.3 Intergovernmental service contracts are exempt from Solicitation requirements.
On March 11, 2025, the Board of Supervisors approved Contract #76-682-4, with Regents of the University of California, on behalf of University of California Davis Health, in an amount not to exceed $13,000, for the provision of specialized outside laboratory testing services at CCRMC and Contra Costa Health Centers for the period November 1, 2024 through October 31, 2025. This Contract included mutual indemnification to hold harmless both parties for any claims arising out of the performance under this Contract.
Approval of Contract Amendment #76-682-5 will allow the Contractor to provide additional specialized outside laboratory testing services at CCRMC and Contra Costa Health Centers through October 31, 2025. The delay of this Contract Amendment was due to higher than anticipated increase in outside laboratory testing services needed for patient care.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, patients requiring specialized outside laboratory testing services at CCRMC and Contra Costa Health Centers will not have access to Contractor’s infectious disease testing services.