To: Board of Supervisors
From: Marla Stuart, Employment and Human Services Director
Report Title: LifeLong Medical Care No-Cost Amendment Extension
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to execute a contract amendment with LifeLong Medical Care to extend the term from June 30, 2026, through June 30, 2027, with no change to the payment limit of $400,200 to provide employment training panel workforce advancement fund training for healthcare workers.
FISCAL IMPACT:
No fiscal impact.
BACKGROUND:
On October 30, 2023, the Workforce Development Board of Contra Costa County (WDBCCC) was awarded state training funds through the Employment Training Panel - High Road: Workforce Advancement Fund (ETP-HWAF) to expand the Healthcare Initiative. On August 12, 2025, the Board approve item C.15 to execute a contract with LifeLong Medical Care in the amount of $400,200 to implement the Healthcare Initiative on behalf of WDBCCC for the term July 1, 2025, through June 30, 2026.
This action is to extend the term through June 30, 2027, with no change to the payment limit to allow the contractor additional time to fully expend training funds and complete program activities, as initial program launch timelines extended beyond original projections.
The Medical Assistant Training Program provides performance-based, customized training designed to offset the high cost of training for individuals facing significant barriers to employment. This program focuses on upskilling incumbent workers and supporting advancement from Medical Assistant (MA) 1 to MA 2 and MA 3.
LifeLong Medical Care was selected via a sole source justification, as it is the only nonprofit community health clinic in Contra Costa County capable of delivering the required number of training hours to the targeted number of participants, while also meeting the performance and reporting requirements associated with ETP-HWAF funding.
This contract continues to play a critical role in a broader Healthcare Initiative that seeks to ensure emergency and medical personnel in Contra Costa County reflect the diversity of the communities they serve.
CONSEQUENCE OF NEGATIVE ACTION:
Failure to approve this no-cost extension would limit WDBCCC’s ability to fully expend awarded funds and meet grant performance requirements, potentially resulting in unspent funds and reduced program impact.
CHILDREN'S IMPACT STATEMENT:
This Contract supports three of Contra Costa County’s community outcomes of the Children’s Report Card, (3) "Families that are Economically Self-Sufficient"; (4) "Families that are Safe, Stable and Nurturing"; and (5) "Communities that are Safe and Provide a High Quality of Life for Children and Families”.