To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract Amendment/Extension Agreement #76-604-4 with National Eye Care, Inc.
☒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/Extension Agreement #76-604-4 with National Eye Care, Inc., a corporation, effective March 31, 2024, to amend Contract #76-604-2 (as amended by Amendment Agreement #76-604-3), to increase the payment limit by $95,000, from $190,000 to a new payment limit of $285,000 and extend the term end date from March 31, 2024 to June 30, 2025.
FISCAL IMPACT:
Approval of this Amendment/Extension Agreement will result in additional expenditures of up to $95,000 and will be funded 100% by Hospital Enterprise Fund I. (No rate increase)
BACKGROUND:
Optometry Services are needed for inmates who are incarcerated at three (3) adult detention facilities in Contra Costa County. Services include eye care, eye exams, and eyeglasses. Title 16 regulations require timely access to essential health care for incarcerated inmates. Historically, optometry services have been difficult to obtain for inmates. This contract allows County to safely tend to the medical needs of inmates on-site. County has been contracting with National Eye Care, Inc. since April 1, 2022 to provide optometry services to inmates incarcerated at 3 detention facilities in Contra Costa Couty and perform these services at the Martinez Detention Facility.
In April 2022, the County Administrator approved and Purchasing Services Manager executed Contract #76-604-2 with National Eye Care, Inc., in an amount not to exceed $45,000 for the provision of optometry services including eye exams and eyeglasses for inmate/patient population at Martinez Detention Facility for the period April 1, 2022 through March 31, 2024.
In July 2023, the County Administrator approved and Purchasing Services Manager executed Amendment Agreement #76-604-3 with National Eye Care, Inc., effective December 1, 2022, to increase the payment limit by $145,000 to a new payment limit of $190,000 with no change in the term for additional optometry services.
Approval of Amendment/Extension Agreement #76-604-4 will allow the contractor to provide additional optometry services through June 30, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this amendment is not approved, inmates will not have access to optometry services further putting their health at risk.