Legislation Details

File #: 26-4940    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 10/29/2026 In control: BOARD OF SUPERVISORS
On agenda: 11/17/2026 Final action:
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Exact Sciences Laboratories, LLC, in an amount not to exceed $2,800,000 to provide outside diagnostic laboratory testing services including colorectal cancer screening services for Contra Costa Health Plan members for the period December 1, 2026 through November 30, 2028. (100% Contra Costa Health Plan Enterprise Fund II)
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To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract # 77-298-4 with Exact Sciences Laboratories, LLC
Recommendation: Recommendation of the County Administrator
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RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #77-298-4 with Exact Sciences Laboratories, LLC, a limited liability company, in an amount not to exceed $2,800,000, to provide outside diagnostic laboratory testing services including colorectal cancer screening services, for Contra Costa Health Plan (CCHP) members, for the period December 1, 2026 through November 30, 2028.

FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $2,800,000 over a two-year period and will be funded by 100% CCHP Enterprise Fund II revenues.

BACKGROUND:
CCHP has an obligation to provide certain specialized outside diagnostic laboratory testing services including, but not limited to, colorectal cancer screening services for its members under the terms of their Individual and Group Health Plan membership contracts with the County, therefore, the County contracts with outside laboratory testing services in order to provide testing services not available at County facilities, to ensure patient care is provided as required. As part of the CCHP Provider Network, this Contractor has delivered these services since December 2020 developing a strong understanding of CCHP’s mission, values, and long-term objectives.

CCHP must also maintain network adequacy in accordance with applicable state and federal requirements, ensuring members have timely access to clinically appropriate services. The Contractor supports CCHP in meeting these obligations by providing specialized offerings that are limited within the local market, thereby helping CCHP uphold access-to-care standards and avoid delays in service delivery.

This Contract is entered into under and subject to the fo...

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