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Approve a first contract amendment with Chiropractic Integrative Partners, Inc. for $200,000 for a total contract amount of $952,000 to provide chiropractic services for the Solano County Family Health Services clinics for the current period through June 30, 2026; Delegate authority to the County Administrator to execute the amendment and any subsequent amendments, with County Counsel concurrence, up to an aggregate of $74,999 per fiscal year; and Approve an Appropriation Transfer Request for $200,000 to increase appropriations for the amended contract utilizing revenue generated by the contract (4/5 vote required)
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Published Notice Required? Yes ___ No _X_
Public Hearing Required? Yes ___ No _X_
DEPARTMENTAL RECOMMENDATION:
The Department of Health and Social Services recommends that the Board of Supervisors:
1. Approve a first contract amendment with Chiropractic Integrative Partners, Inc. for $200,000 for a total contract amount of $952,000 to provide chiropractic services for the Solano County Family Health Services clinics for the current period through June 30, 2026;
2. Delegate authority to the County Administrator to execute the amendment and any subsequent amendments, with County Counsel concurrence, up to an aggregate of $74,999 per fiscal year; and
3. Approve an Appropriation Transfer Request for $200,000 to increase appropriations for the amended contract utilizing revenue generated by the contract (4/5 vote)
SUMMARY/DISCUSSION:
Chiropractic Integrative Health Partners, Inc. (CIP) provides chiropractic services to clients at Solano County Family Health Services clinics. Due to demand exceeding initial projections, the Department of Health and Social Services (H&SS) is requesting approval of a contract amendment to increase the total contract amount, ensuring continuity of services through June 30, 2026. The services provided by CIP help address pain management needs for clients and support Family Health Services (FHS) providers in addressing musculoskeletal symptoms. These chiropractic services complement the osteopathic services that Touro University California currently provides.
The Board of Supervisors approved the initial contract with CIP in the amount of $752,000 in February 2025.
FINANCIAL IMPACT:
An Appropriations Transfer Request (ATR) is needed to cover the additional cost of the amendment which will be offset by Federally Qualified Health Centers (FQHC) payor revenues received from Partnership HealthPlan and Medi-Cal reimbursements.
ALTERNATIVES:
The Board may choose not to approve this first contract amendment. This is not recommended, as these services address clients' clinical care needs and are a reimbursable service.
OTHER AGENCY INVOLVEMENT:
None.
CAO RECOMMENDATION:
APPROVE DEPARTMENTAL RECOMMENDATION