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File #: 26-760    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 2/10/2026 In control: BOARD OF SUPERVISORS
On agenda: 3/3/2026 Final action:
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Aliados Health, in an amount not to exceed $1,900,000 to provide basic primary care medical services for low income, uninsured individuals in Contra Costa County who are ineligible for Medi-Cal, Covered California, or any other health insurance coverage for the period December 1, 2025 through November 30, 2026. (100% General Fund)
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To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #23-877-1 with Aliados Health
?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 #23-877-1 with Aliados Health, a non-profit corporation, in an amount not to exceed $1,900,000, to provide basic primary care medical services for low income, uninsured individuals over age 19 residing in Contra Costa County, who are ineligible for Medi-Cal, Covered California, or any other health insurance coverage for the period December 1, 2025 through November 30, 2026.

FISCAL IMPACT:
Approval of this Contract will result in annual budgeted expenditures of up to $1,900,000 and will be funded 100% by General Fund.

BACKGROUND:
Aliados Health estimates that 2,800 County residents receive care at one of the nine community clinics operated by three community-based, community-governed non-profit health centers that are members of Aliados Health: Brighter Beginnings, La Clinica, and LifeLong Medical Care. For decades, these health centers have provided essential primary care to low-income, uninsured residents with and without citizenship or legal permanent residency. As federally qualified health centers, they meet the same federal quality standards as the County's medical system. This contract will financially support care for residents choosing to utilize the community health centers.

This Contract was entered into under and subject to the following legal authorities: California Government Code ?? 26227 and 31000. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Division Contract monitoring staff meet on a regular basis to ensure monitoring of performance measures set forth in the contract are upheld.

On April 15, 2025, the Board of Supervisors approved Contract #23-877 with Aliados He...

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