To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #74-174-52 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 #74-174-52 with Bi-Bett, a non-profit corporation, in an amount not to exceed $24,045,316, to provide substance use disorder (SUD) prevention, treatment, and detoxification services for County residents referred through the Behavioral Health Access Line, for the period July 1, 2026 through June 30, 2029.
FISCAL IMPACT:
Approval of this Contract will result in annual budgeted expenditures of up to $24,045,316 and will be funded by 15% Substance Abuse Treatment and Prevention Block Grant; 84% Federal Medi-Cal and 1% 2011 Public Safety Realignment, AB 109 revenues.
BACKGROUND:
This Contract meets the social needs of County’s population by providing specialized substance use disorder treatment services so that men and women, including women with children, are provided an opportunity to achieve and maintain sobriety and to experience the associated benefits of self-sufficiency, family reunification, cessation of criminal activity and productive engagement in the community. County has been contracting with Contractor since May 2002 to provide, operate, and administer SUD prevention and treatment program services as certified by the State of California and Contractor must operate under the terms and conditions of the Drug Medi-Cal Organized Delivery System (DMC-ODS) and must be provided in its facility(ies) referenced in County Health Services Alcohol and Other Drugs (AODS) Department’s Work Plan.
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 September 16, 2025, the Board of Supervisors approved Contract #74-174-51, with Bi-Bett, in an amount not to exceed $7,137,079, to provide SUD prevention, treatment, and detoxification services for County residents referred through the Behavioral Health Access Line, for the period July 1, 2025 through June 30, 2026.
Approval of Contract #74-174-52 will allow the Contractor to continue providing SUD treatment services through June 30, 2029.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, County residents referred through the Behavioral Health Access Line will not receive SUD treatment services from this Contractor, resulting in an overall reduction of services to a community at risk for incarceration.
CHILDREN’S IMPACT STATEMENT:
This Alcohol and Drug Abuse prevention program supports the Board of Supervisors’ “Families that are Safe, Stable, and Nurturing” and “Communities that are Safe and Provide a High Quality of Life for Children and Families” community outcomes by providing individual, group, and family counseling; substance abuse education; rehabilitation support services; and substance abuse prevention services. Expected outcomes include increased knowledge about the impact of addiction; decreased use of alcohol, tobacco and other drugs; increased use of community-based resources; and increased school and community support for youth and parents in recovery.