TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Amendment No. 3 to Agreement No. 230240B with Traditions Psychiatry Group, PC dba Traditions Behavioral Health
RECOMMENDATION
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Approve and authorize Amendment No. 3 to Agreement No. 230240B with Traditions Psychiatry Group, PC dba Traditions Behavioral Health, to increase the contract maximum from $2,669,570 to $2,749,644 for Fiscal Year 2026-2027, and each subsequent renewal, for the continued provision of on-site psychiatrists and a psychiatric medical director for Napa County’s Health and Human Services Agency’s Behavioral Health Medication Clinic. (Fiscal Impact: $80,074 Expense; Health and Human Services Agency Fund; Budgeted; Mandatory)
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BACKGROUND
In 2023, Health and Human Services Agency (HHSA) transitioned the provision of medical doctor psychiatry services to a contracted provider staffing model to enhance continuity of patient care and staffing stability. Traditions Behavioral Health (TBH) has delivered such services and provided administrative oversight for all County medication clinic responsibilities, including maintaining a fully staffed clinic with onsite psychiatrists and a psychiatric medical director. This amendment reflects an increase to the contract maximum to account for a 3 percent increase to psychiatrist and psychiatric medical director hourly rates.
Requested Actions:
1. Approve and authorize Amendment No. 3 to Agreement No. 230240B with Traditions Psychiatry Group, PC dba Traditions Behavioral Health, to increase the contract maximum by $80,074 for a new contract maximum of $2,749,644 for Fiscal Year 2026-2027, and each subsequent renewal, for the continued provision of a on-site psychiatrists and a psychiatric medical director for Napa County HHSA’s Behavioral Health Medication Clinic.
FISCAL IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
Health and Human Services Agency, Behavioral Health Division |
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Is it Mandatory or Discretionary? |
Mandatory |
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Is the general fund affected? |
No |
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Future fiscal impact: |
This agreement contains a provision for automatic annual renewal. Appropriations have been included in the proposed 2026-2027 budget and future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
If not approved, HHSA’s Medication Clinic would not be able to accommodate rate revisions that would directly affect the ability to provide timely and reliable access to psychiatry services negatively impacting patient care and risk of regulatory sanctions. |
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Additional Information |
Strategic Initiative: Compassion & Access |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.