TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Amendments to Agreements with St. Helena Hospital dba Adventist Health St. Helena/Adventist Health Vallejo and Aurora Santa Rosa Hospital
RECOMMENDATION
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Approve and authorize Amendment No. 2 to Agreement No. 240035B with St. Helena Hospital dba Adventist Health St. Helena and Adventist Health Vallejo to increase the contract maximum from $700,000 to $750,000 for Fiscal Year 2024-2025 and each subsequent renewal; approve and authorize Amendment No. 1 to Agreement No. 210351B with Aurora Santa Rosa Hospital to increase the contract maximum from $490,000 to $950,000 for Fiscal Year 2024-2025 and each subsequent renewal; and approve related Budget Amendments to increase appropriations $510,000 by use of available fund balance. (Fiscal Impact: $510,000 Expense; Health and Human Services Agency Fund; Not Budgeted; Mandatory)
[4/5 vote required]
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BACKGROUND
Through these agreements, the County’s Health and Human Services Agency’s (HHSA) Behavioral Health Division provides state-mandated inpatient psychiatric hospitalization for individuals who are gravely disabled or at risk of harming themselves or others. Services are available to both Medi-Cal beneficiaries and uninsured (indigent) clients, ensuring compliance with state requirements. The proposed increases to the contract maximums are based upon an increase in inpatient hospital rates and higher utilization.
These amendments are necessary to ensure ongoing access to inpatient psychiatric beds and continued compliance with State mandates for crisis mental health services.
Requested Actions:
1. Approve and authorize Amendment No. 2 to Agreement No. 240035B with St. Helena Hospital dba Adventist Health St. Helena and Adventist Health Vallejo to increase the contract maximum by $50,000 for a new contract maximum of $750,000 for Fiscal Year 2024-2025, and each subsequent automatic renewal; and
2. Approve and authorize Amendment No. 1 to Agreement No. 210351B with Aurora Santa Rosa Hospital to increase the contract maximum by $460,000 for a new contract maximum of $950,000 for Fiscal Year 2024-2025, and each subsequent automatic renewal.
3. Approve related Budget Amendments to increase appropriations $510,000 by use of available fund balance.
FISCAL & STRATEGIC PLAN 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: |
These agreements contain a provision for automatic annual renewal. Appropriations for future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
If not approved, HHSA’s capacity to provide mandated inpatient psychiatric hospitalization services would be severely limited resulting in extended stays in the County’s Crisis Stabilization Services Prorgram. |
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.