DATE: January 6, 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. for administering Early Access and Stabilization Services, effective July 1, 2022, through June 30, 2026, total not to exceed $1,636,000.
REPORT
There is no additional Net County Cost associated with the recommended action. 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 Stabilizations Services (EASS), for people found by the courts to be Incompetent to Stand Trial (IST) under Penal Code section 1370. The services in this agreement will allow for immediate psychiatric stabilization and assessment program designed to reduce wait times for intensive restoration treatment to competency treatment services. This item is countywide.
ALTERNATIVE ACTION(S):
There is no alternative action. If your Board does not approve the recommended action, the County will not be able to invoice CHRS for services already provided by the Sheriff's Office, and 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 revenue Agreement is retroactive to July 1, 2022, so the Sheriff's Office will be able invoice CHRS for all services rendered and not previously invoiced. The Sheriff's Office has been tracking labor costs, using the Sheriff's Office Master Schedule of Fees, when the services began in September 2022, totaling approximately $376,000 dollars. EASS needed to be in...
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