Legislation Details

File #: 26-4541    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 9/30/2026 In control: BOARD OF SUPERVISORS
On agenda: 10/20/2026 Final action:
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with 18 Reasons, in an amount not to exceed $300,000 to provide Perinatal Equity Initiative nutrition support services including home delivered meals for new mothers from birth to twelve weeks postpartum who are enrolled in the Black Infant Health Program in West County for the period October 1, 2026 through June 30, 2027. (100% Perinatal Equity Initiative Fund)
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To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #72-239-1 with 18 Reasons
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 #72-239-1 with 18 Reasons, a non-profit corporation, in an amount not to exceed $300,000, to provide Perinatal Equity Initiative (PEI) nutrition support services including home delivered meals for new mothers from birth to twelve (12) weeks postpartum who are enrolled in the Black Infant Health (BIH) Program in West Contra Costa County, for the period October 1, 2026 through June 30, 2027.

FISCAL IMPACT:
Approval of this Contract will result in contractual expenditures of up to $300,000 over an eight-month period and will be funded 100% by the Perinatal Equity Initiative Fund revenues.

BACKGROUND:
County Public Health Division’s Family, Maternal and Child Health (FMCH) Program supports the California Perinatal Equity Initiative (PEI) signed into legislation in 2018 to address the high prevalence of premature birth, low birth weight, and high infant mortality rates in Black communities. The FMCH Program surveyed communities and identified food insecurity in East and West County as an area of focus to improve outcomes in the community. This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. The Public Health Division’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. Contractor has provided these services while fostering a deep understanding of Public Health’s mission, values, and long-term objectives since October 2024.

In April 2024, FMCH emailed a Request for Proposal (RFP) for Pe...

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