To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #77-298-2 with Exact Sciences Laboratories, LLC
☒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 #77-298-2 with Exact Sciences Laboratories, LLC, a limited liability company, in an amount not to exceed $350,000, to provide outside diagnostic laboratory testing services including colorectal cancer screening, for Contra Costa Health Plan (CCHP) members and County recipients, for the period December 1, 2024 through November 30, 2026.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $350,000 over a two-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain outside diagnostic lab testing services including colorectal cancer screening for its members under the terms of their Individual and Group Health Plan membership contracts with the County. 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 a part of the CCHP Provider Network providing these services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since October 1, 2020. 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 currently cooperates with and participates 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 January 2023, the County Administrator approved and the Purchasing Services Manager executed Contract #77-298-1 with Exact Sciences Laboratories, LLC, in an amount not to exceed $80,000, for the provision of diagnostic laboratory testing services for CCHP members and County recipients, for the period December 1, 2022 through November 30, 2024.
Approval of Contract #77-298-2 will allow the Contractor to continue providing outside diagnostic laboratory testing services including colorectal cancer screening for CCHP members and County recipients through November 30, 2026. This Contract was delayed due to review of contract language taking longer than anticipated.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain outside diagnostic laboratory testing services including colorectal cancer screening for CCHP members under the terms of their Individual and Group Health Plan membership contracts with the County will not be provided and may cause a delay in services to CCHP members.