To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #74-463-17 with Bi-Bett
☒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 #74-463-17 with Bi-Bett, a non-profit corporation, effective April 1, 2026, to amend Contract #74-463-16, to increase the payment limit by $43,786, from $293,999 to a new payment limit of $337,785, for additional transitional housing services for homeless adult males who have recently completed substance use treatment, including referrals from County’s Assembly Bill (AB) 109 program with no change in the term ending June 30, 2026.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional budgeted expenditures of up to $43,786 funded 100% by AB 109 revenues. (No rate increase)
BACKGROUND:
This Contract meets the social needs of County’s population by providing specialized transitional housing services for homeless adult males who are active in intensive outpatient or outpatient substance use disorder treatment and who may be referred from County’s AB 109 Program and other substance use disorder treatment programs. Contractor’s program is designed to help residents maintain sobriety and other gains achieved in treatment while they participate in employment and self-sufficiency services designed to support their transition to permanent housing and productive community engagement. The County has been contracting with Bi-Bett since July 2013.
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 600.3, the Department has posted a continuous Request for Qualifications and maintains a current qualified list of vendors at all times.
On October 7, 2025, the Board of Supervisors approved Contract #74-463-16 with Bi-Bett, in an amount not to exceed $293,999, for transitional housing services for homeless adult males who have recently completed substance use treatment for the period July 1, 2025 through June 30, 2026.
Approval of Contract Amendment #74-463-17 will allow the Contractor to provide additional transitional housing services through June 30, 2026. The delay of this Contract Amendment was due to ongoing negotiations between the Division and the Contractor.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, homeless adult males will not have access to Contractor’s transitional housing services further putting their health at risk.