DATE: July 8, 2025
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Third Amendment to Agreement with Centro Binacional para el Desarrollo Indigena Oaxaque?o to Implement Department of Public Health's Community Health Worker Network Intervention Activities
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Amendment No. 3 to Agreement with Centro Binacional para el Desarrollo Indigena Oaxaque?o to continue providing health intervention activities for Fresno County's Community Health Worker Network, effective upon execution, extending the term by seven months from June 1, 2026, through December 31, 2026, which includes two optional one-year extensions, and increasing the maximum compensation by $430,737 to a total of $1,180,737.
REPORT
There is no additional Net County Cost associated with the recommended action, which will allow Centro Binacional para el Desarrollo Indigena Oaxaque?o (CBDIO) to continue providing essential services to residents of Fresno County experiencing health disparities through community health worker (CHW) interventions by increasing the term of the Agreement by seven months to align with new funding timelines and increasing CBDIO's budget by $430,737 to sustain program activities through the increased term. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended actions, this Agreement will be terminated early, as there will be no funding available to support program activities. Critical services that primarily serve rural indigenous communities with specific language needs in Fresno County will end.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. The maximum compensation of the Agreement with CBDIO will increase by $430,737 to $1,180,737 for the proposed increased term. The agreement will be fully funded with Population Health Management grant funds and supp...
Click here for full text