To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract # 74-277-33 with Jackson & Coker Locumtenens, 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 #74-277-33 with Jackson & Coker Locumtenens, LLC, a limited liability company, in an amount not to exceed $4,000,000 to provide temporary psychiatric physician services and recruiting services for the County’s Mental Health Outpatient Clinics for the period January 1, 2026 through December 31, 2026.
FISCAL IMPACT:
Approval of this Contract will result in annual expenditures of up to $4,000,000 and will be funded as budgeted 100% by Mental Health Realignment.
BACKGROUND:
County’s Behavioral Health Services Division (BHSD)/ Mental Health has an obligation to provide psychiatric physician services to patients, including medication management and therapy services. Therefore, County contracts with temporary help firms to ensure patient care is provided during peak loads, temporary absences, vacations or emergency situations when full staffing is required. This Contractor has been providing temporary psychiatric physician services since July 1, 2006. This Contract is entered into under and subject to the following legal authorities: California Government Code §§31000 And 31000.4. The BHSD’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. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On November 12, 2024, the Board of Supervisors approved Contract #74-277-31 with Jackson & Coker Locumtenens, LLC, in an amount not to exceed $3,000,000, for the provision of temporary psychiatric physician services and recruitment services at County’s Mental Health Outpatient Clinics for the period January 1, 2025 through December 31, 2025.
On December 9, 2025 the Board of Supervisors approved Contract Amendment #74-277-32 with Jackson & Coker Locumtenens, LLC, effective November 1, 2025, to increase the payment limit by $500,000 to a new payment limit of $3,500,000 for additional temporary psychiatric physician and recruitment services with no change in term.
Approval of Contract #74-277-33 will allow the Contractor to continue providing temporary psychiatric physician services and recruitment services at County’s Mental Health Outpatient Clinics through December 31, 2026. This Contract includes services provided by represented classifications and the County has met its obligations with the respective labor partner(s).
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, Contractor will not provide temporary psychiatric physician services and recruitment services for County’s Mental Health Outpatient Clinics, which may delay services to patients.