DATE: September 23, 2025
TO: Board of Supervisors
SUBMITTED BY: Joe Prado, Interim Director, Department of Public Health
SUBJECT: Amendments to Agreements for Rural Mobile Health Program
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute Amendment No. 1 to Agreement No. 23-020 with Saint Agnes Medical Center for Rural Mobile Health program services, effective upon execution, extending the term by approximately one year from November 13, 2025, through December 31, 2026, and increasing the maximum compensation by $200,000 to a total of $1,238,211; and
2. Approve and authorize the Chairman to execute Amendment No. 1 to Agreement No. 23-021 with The Regents of the University of California, San Francisco for Rural Mobile Health program services, effective upon execution, extending the term by approximately one year from November 13, 2025, through December 31, 2026, and increasing the maximum compensation by $800,000 to a total of $4,944,993.
REPORT
There is no Net County Cost associated with the recommended actions. Approval of the recommended actions will increase the maximum compensation and extend the terms of the agreements with Saint Agnes Medical Center (SAMC) and The Regents of the University of California, San Francisco (UCSF) by approximately one year. Approval of the recommended actions will allow SAMC and UCSF to continue providing Rural Mobile Health (RMH) program services including health screenings, immunizations, and linkage for patients to primary care clinics in the County's disadvantaged communities. This item is countywide.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should your Board elect not to approve the recommended actions, RMH services will end November 12, 2025. This will leave a gap in health care services to Fresno County's vulnerable populations who already have limited access to proper health care.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the reco...
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