DATE: October 20, 2026
TO: Board of Supervisors
SUBMITTED BY: John Zanoni, Sheriff-Coroner-Public Administrator
SUBJECT: Retroactive Revenue Agreement with California Health and Recovery Solutions, P.C.
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a Retroactive Revenue Agreement with the California Health and Recovery Solutions, P.C. (CHRS) for administering Early Access and Stabilization Services, effective July 1, 2026, through June 30, 2027, total not to exceed $418,000; and
Adopt Budget Resolution increasing FY 2026-27 appropriations and estimated revenues for the Sheriff-Coroner-Public Administrator Org 3111 in the amount of $418,000 for Retroactive Revenue Agreement with CHRS (4/5 vote).
REPORT
There is no additional Net County Cost associated with the recommended actions. The Agreement, if approved, will allow the County to invoice California Health and Recovery Solutions (CHRS) for the costs of services provided by correctional officers utilized by CHRS in the West Annex Jail (WAJ) for the purposes of administering Early Access and Stabilization Services (EASS), for people found by the courts to be Incompetent to Stand Trial (IST) under Penal Code section 1370. The services in the recommended agreement for the first recommended action will allow for immediate psychiatric stabilization and assessment program designed to reduce wait times for intensive restoration treatment to competency treatment services. Approval of the second recommended action will increase the FY 2026-27 appropriations and estimated revenues for the Sheriff-Coroner-Public Administrator Org 3111 in the amount of $418,000. This item is countywide.
ALTERNATIVE ACTION(S):
There is no alternative action. If your Board does not approve the recommended actions, CHRS will not be able to continue to provide early access and stabilization services to felony IST patient incarcerated persons participating in EASS.
RETROACTIVE AGREEMENT:
The recommended re...
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