To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #74-446-16 with Neil Sachs, M.D.
Recommendation: Recommendation of the County Administrator
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #74-446-16 with Neil Sachs, M.D., an individual, in an amount not to exceed $250,000, to provide outpatient psychiatric care services to adults with mental illness in West Contra Costa County, for the period October 1, 2026 through September 30, 2027.
FISCAL IMPACT:
Approval of this Contract will result in annual budgeted expenditures of up to $250,000 and will be funded 100% by Mental Health Realignment Funds.
BACKGROUND:
This Contract meets the social needs of County’s population by providing outpatient psychiatric services including, but not limited to: diagnosing, counseling, evaluating, medication management and providing medical and psychiatric therapeutic treatment for adults with mental illness in West Contra Costa County. The Behavioral Health Division has been contracting with Neil Sachs, M.D., since October 2012.
This Contract is entered into under and subject to the following legal authorities: Welfare and Institutions Code, § 5600 et seq. (The Bronzan-McCorquodale Act) and California Government Code §§ 26227 and 31000. 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. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. Per Administrative Bulletin 600.4, these Physician services are exempt from solicitation requirements.
On October 7, 2025, the Board of Supervisors approved Contract #74-446-15 with Neil Sachs, M.D., in an amount not to exceed $250,000, for the provision of outpatient psychiatric care services to adults with mental illness in West Contra Costa County for the period October 1, 2025 through September 30, 2026.
Approval of Contract #74-446-16 will allow Contractor to continue providing outpatient psychiatric care services through September 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, the necessary psychiatric services needed for patient care will not be available or will create increased wait times due to the limited number of specialty providers available within the community.