Agenda 8-g - Health Services Agreement Amendments for the Orange County Detention Center

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ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: September 20, 2018 Action Agenda Item No. 8 -g SUBJECT: Health Services Agreement Amendments for the Orange County Detention Center DEPARTMENT: Sheriff's Office ATTACHMENT(S): Health Services Agreement Dated August 18, 2009 Amendment #1 Dated July 12, 2011 Amendment #2 with Effective Date October 15, 2018 1 INFORMATION CONTACT: Sheriff Charles S. Blackwood, 919.245.2900 Jennifer Galassi, Legal Advisor to the Sheriff, 919.245.2952 PURPOSE: To ratify a 2011 Amendment and to approve Amendment #2 to the Health Services Agreement for the Orange County Detention Center. BACKGROUND: Since 2009, the County has contracted with Southern Health Partners (SHP) to provide a structured and comprehensive medical program for inmates housed in the Orange County Detention Center (OCDC). A 2011 Amendment to the contract memorialized a new annualized contract price, which reflected a scheduled 3% renewal fee increase. Additionally, the Amendment introduced a two -tier Outside Cost Pool, instituting a cost - sharing arrangement with annual limits set at $60,000 (first tier) and $140,000 (second tier). Details related to the cost - sharing arrangement are set out below in Financial Impact. The proposed Amendment #2 incorporates updates to SHP's standard contract language while also, and more significantly, increasing medical and support personnel staffing from 12 hours per day, seven (7) days per week to 18 hours per day, seven (7) days per week. The staffing increase results in an additional annual cost to the County of $60,540.48. FINANCIAL IMPACT: Effective October 15, 2018, the total new contract price is $377,745.36, which includes a renewal contract price increase of 3% over the prior year and includes the increased staffing costs. Sufficient funds are available to cover these increased costs in FY 2018 -19 as the Sheriff's Office encumbered these funds in FY 2017 -18 for use in FY 2018 -19. The Agreement provides a $60,000 cost pool to cover costs associated with all medical, dental, and mental health services for inmates received outside of the OCDC. If these services exceed $60,000 in any contract year, SHP and the County will be equally responsible for excess costs up to $140,000. If costs exceed $140,000.00 in any contract year, the County will be responsible for one hundred percent (100 %) of the costs in excess of $140,000.