To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #76-847-2 with Kyaw Lin, DO Inc.
Recommendation: Recommendation of the County Administrator
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment #76-847-2 with Kyaw Lin, DO Inc., a professional corporation, (formerly Kyaw Lin, M.D.) effective October 1, 2026, to amend Contract #76-847, to increase the payment limit by $20,000, from $630,000 to an amount not to exceed $650,000, to provide additional neurology and pain management services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, with no change in the term ending November 30, 2026.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional expenditures of up to $20,000 and will be funded 100% by Hospital Enterprise Fund I. (No rate increase)
BACKGROUND:
Due to the limited number of specialty providers available within the community, CCRMC and Contra Costa Health Centers rely on contractors to provide necessary specialty health services to its patients. Contractor will provide neurology and pain management services including, but not limited to: clinic coverage, consultation, training, and medical and surgical procedures. CCRMC has been contracting with Dr. Lin for neurology and pain management services since December 1, 2023.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; and Health and Safety Code § 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. CCRMC’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 600.4, CCRMC Physician services are exempt from Solicitation requirements.
On December 12, 2023, the Board of Supervisors approved Contract #76-847 with Kyaw Lin, M.D., in an amount not to exceed $630,000, for the provision of neurology and pain management services at CCRMC and Contra Costa Health Center for the period December 1, 2023 through November 30, 2026.
In February 2024, the County Administrator approved and executed Assignment #76-847-1, effective February 1, 2026, to reflect the new business name of the Contractor, Kyaw Lin, DO Inc., for neurology and pain management services at CCRMC and Contra Costa Health Centers, with no change in the payment limit or term.
Approval of Contract Amendment #76-847-2 will allow the Contractor to provide additional neurology and pain management services at CCRMC and Contra Costa Health Centers through November 30, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, the necessary additional specialty neurology and pain management 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.