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File #: 26-250    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 1/8/2026 In control: BOARD OF SUPERVISORS
On agenda: 1/20/2026 Final action:
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Usha Murphy, M.D. Inc, to increase the payment limit by $300,000 to an amount not to exceed $2,200,000 to provide additional radiology services for patients at Contra Costa Regional Medical Center and Health Centers with no change in the term ending December 31, 2026. (100% Hospital Enterprise Fund I)
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To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #76-849-2 with Usha Murphy, M.D. Inc
?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 Amendment #76-849-2 with Usha Murphy, M.D. Inc, a professional corporation, effective January 1, 2026, to amend Contract #76-849, to increase the payment limit by $300,000, from $1,900,000 to a new payment limit of $2,200,000, to provide additional radiology services for Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Center patients, with no change in the term ending December 31, 2026.

FISCAL IMPACT:
Approval of this Contract Amendment will result in additional expenditures of up to $300,000 funded 100% by Hospital Enterprise Fund I. (No rate increase)

BACKGROUND:
Due to the limited number of specialty providers available within the community, CCRMC and Health Centers rely on Contractors to provide necessary radiology specialty health services to their patients. Contractor has provided radiology services, including but not limited to: clinic coverage, consultation, and on-call coverage for CCRMC since January 2024. This Contract is entered into under and subject to the following legal authorities: California Government Code ?? 26227 and 31000; and Health and Safety Code ? 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. CCRMC'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. Per Administrative Bulletin 600.3, CCRMC Physician services are exempt from Solicitation requirements.

On January 16, 2024, the Board of Supervisors approved Contract #76-849 with Usha Murphy, M.D., in an amount not to exceed $1,900,000, for the provision...

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