DATE: April 7, 2026
TO: Board of Supervisors
SUBMITTED BY: Paul Nerland, County Administrative Officer
SUBJECT: Jail Medical Care Feasibility Study Memorandum of Understanding
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a Memorandum of Understanding (MOU) with Golden State Finance Authority (GSFA) to provide cost reimbursement for participation in a regional Jail Medical Care Feasibility Study focused on evaluating long-term, sustainable alternative for jail medical service delivery, effective upon execution and remaining in effect until completion of services or June 30, 2028, total not to exceed $201,523.
REPORT
There is no increase in Net County Cost (NCC) associated with the recommended action. Approval of the recommended action will authorize the County's participation in a regional feasibility study administered by the GSFA to evaluate long-term sustainable alternatives for the delivery of jail medical services. The study will analyze current service delivery models, assess operational and fiscal considerations, and identify potential alternative approaches that could improve efficiency, service quality, and long-term sustainability utilizing cost saving measures. This item is countywide.
ALTERNATIVE ACTION(S):
Your Board may choose not to approve the recommended action. If the recommended action is not approved, the County will not participate in the regional feasibility study evaluating long-term sustainable alternatives for jail medical services and will not receive the analysis and findings developed through the study that could inform future services delivery decisions.
FISCAL IMPACT:
The NCC associated with this agreement is $51,000 for FY 2025-26. Participation in the feasibility study includes a total regional cost of $320,000 for the Central Valley region, with the County's proportional share estimated at $201,523 (62.98%) for the entire term of the agreement. Sufficient appropriations and estimated revenues...
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