To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Amendment/Extension #23-877-2 with Aliados Health
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 Amendment/Extension #23-877-2 with Aliados Health, a non-profit corporation, effective November 30, 2026, to increase the payment limit by $633,334, from $1,900,000 to a new total payment limit of $2,533,334 and extend the termination date to March 31, 2027 to continue providing basic primary care medical services to 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.
FISCAL IMPACT:
Approval of this amendment will result in additional expenditures of $633,334 in FY 26/27. These costs will be funded 100% by County General Fund.
BACKGROUND:
The County’s Health Services Department administers a program to provide basic primary care medical services to low-income, uninsured adults who do not qualify for Medi-Cal, Covered California, or other health insurance options. This program addresses a persistent gap in the local healthcare safety net, ensuring that vulnerable residents have access to essential medical care through a network of community-based clinics. Aliados Health, a non-profit corporation, serves as the coordinating entity for this network, which includes multiple federally qualified health centers with a longstanding presence in Contra Costa County. These health centers have demonstrated the capacity to deliver high-quality, culturally competent care to diverse populations, including individuals regardless of citizenship or immigration status. The County’s partnership with Aliados Health leverages this expertise to reach uninsured adults who might otherwise forgo necessary medical services.
The original contract...
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