HomeMy WebLinkAboutItem 13 - First Amendment to Agreement for Inmate Health Care ServicesPolice Department
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Item # 13
or City of Santa Ana
20 Civic Center Plaza, Santa Ana, CA 92701
Staff Report
September 16, 2025
TOPIC: Inmate Health Care Services
AGENDA TITLE
First Amendment to Agreement with California Forensic Medical Group, Inc. and
Wellpath (General Fund)
RECOMMENDED ACTION
Authorize the City Manager to execute the first amendment to the agreement with
California Forensic Medical Group, Inc. and Wellpath to continue to provide heath care
services to inmates and detainees housed at the Santa Ana Jail and exercise the first
one-year renewal option to extend the term through September 30, 2026 in an annual
amount of $3,523,310 and an additional $250,000 for emergency services as necessary
and at the City's sole discretion, for a total aggregate amount not to exceed
$13,843,556 (Agreement No. A-2025-XXX).
GOVERNMENT CODE §84308 APPLIES: Yes
DISCUSSION
California's Board of State and Community Corrections (BSCC) requires agencies to
provide basic and emergency health care services for all incarcerated individuals held
within their custody. Current City initiatives addressing quality of life and public
nuisances have necessitated an elevated level of care for short-term arrestees.
On September 20, 2022, the City Council approved a three-year agreement with
California Forensic Medical Group, Inc. and Wellpath (CFMG) to provide these services
at the Santa Ana Jail after a competitive request for proposals process. CFMG's
services include direct patient care, a sick call program, health assessments,
administration of medications, on -site dental services, and mental health care.
Throughout the past three years, as the City's enforcement activity placed greater
emphasis on quality -of -life issues and public nuisances, medical staffing levels have
been adjusted to address the increased workload and associated medical concerns
while ensuring an appropriate standard of initial care. Additionally, the rise in overall
Inmate Health Care Services
September 16, 2025
Page 2
arrests during this period further necessitated enhancements to medical staffing to
maintain timely and effective services. CFMG has proven reliable and flexible in the
face of changing patient needs.
During the initial term of this agreement, CFMG has provided exceptional service to the
City. Therefore, the department recommends exercising the first one-year extension
option to renew this agreement from October 1, 2025 through September 30, 2026 in an
annual amount of $3,523,310. The total not -to -exceed amount for this agreement will
increase to $13,843,556 and includes an additional $250,000 for emergency or other
necessary services provided by CFMG at the City's sole discretion during the term of
the agreement.
ENVIRONMENTAL IMPACT
There is no environmental impact associated with this action.
FISCAL IMPACT
Funding is available in the current FY 2025-26 budget and funding for subsequent fiscal
year will be included in the proposed budget for City Council consideration.
Accounting Unit,
Fiscal
Accounting Unit
Fund
Account No.
Year
— Account No.
Description
Description
Amount
FY 25-26
01114475-62300
General Fund
Jail Operations, Contract
$2 842,482
Services -Professional
FY 26-27
01114475-62300
General Fund
Jail Operations, Contract
$ 930,828
Services -Professional
Total
$3,773,310
The amounts above include estimates for possible emergency or other necessary
services and are subject to change.
EXHIBIT(S)
1. First Amendment to Agreement with California Forensic Medical Group, Inc. and
Wellpath
Submitted By: Robert Rodriguez, Police Chief
Approved By: Alvaro Nunez, City Manager
Docusign Envelope ID:4E85DF72-FC46-4EC7-841A-13E64o46841F EXHIBIT 1
FIRST AMENDMENT TO THE AGREEMENT WITH
CALIFORNIA FORENSIC MEDICAL GROUP, INC. AND WELLPATH
FOR INMATE HEALTH CARE SERVICES
THIS FIRST AMENDMENT to the above -referenced agreement is entered into on September
16, 2025, by and between California Forensic Medical Group, Inc., and Wellpath (hereinafter referred
to as, "Contractor" or "CFMG" ), a California Professional Medical Corporation and the City of Santa
Ana, a charter city and municipal corporation organized and existing under the Constitution and laws
of the State of California ("City").
WHEREAS, the parties entered into Agreement No. A-2022-187 on September 20, 2022, by
which CFMG agreed to provide quality health chare to Inmates and Detainees ("City
Inmates/Detainees") housed at the Santa Ana Detention Facility ("Agreement"); and
WHEREAS, the term of the Agreement commenced on October 1, 2022 and continues for a
three-year period until September 30, 2025 with the option to renew the tern of the Agreement for up
to two (2) additional one-year periods; and
WHEREAS, the Agreement is current and in -effect and the parties agree to exercise the first
one-year renewal of the Agreement, and the Contractor has agreed to continue providing services
during that period; and
WHEREAS, the Parties have mutually agreed to recognize modifications to the staffing matrix
more effectively aligning resources to needs, and have determined these changes to be cost -neutral;
and
WHEREAS, in accordance with Section 11.17, the Parties desire to amend the Agreement to
memorialize such changes.
NOW, THEREFORE, in consideration of the mutual covenants herein contained and other
good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the
City and Contractor agree as follows:
1. AMEND SECTION 9.0, TERM. The parties agree to exercise the first of two (2)
additional one-year periods to renew the tern of the Agreement through September
30, 2026.
2. AMEND ARTICLE VIII — COMPENSATION AND ADJUSTMENTS.
Pursuant to Section 9.0.1. upon the renewal of the Agreement, the parties agree to
amend Article VIII - Compensation and Adjustments. In accordance with the
provisions of Section 9.0.1.1 — CPI INCREASES, the annual compensation amount
is increased by 4%, resulting in an annual amount of $3,523,309.92, payable in 12
monthly installments of $293,609.16. The total amount to be expended during the
term of this Agreement is amended to $13,843,555.92 inclusive of an additional
$250,000 for emergency or other necessary services provided by CFMG, during the
term of this Agreement, at the City's sole discretion.
3. AMEND SECTION 2.0, STAFFING HOURS. The Parties agree that the Staffing
Docusign Envelope ID: 4E85DF72-FC46-4EC7-841A-1 3E64046841 F
Matrix attached hereto as Exhibit A -I to this First Amendment shall replace the
previous Staffing Matrix, as defined in Section 2.0 of the Agreement and identified
as Exhibit A. This change being cost -neutral to the Agreement.
4. SEVERABILITY. If any terms or provisions of this Amendment or the application
thereof to any person or circumstance shall to any extent be invalid or unenforceable,
the remainder of this Amendment or the application of such term or provision to
person or circumstances other than those as to which it is held invalid or
unenforceable shall not be affected thereby and each term and provision of this
Amendment shall be valid and enforceable to the fullest extent permitted by law.
5. DEFINITIONS. Capitalized terms used but not defined herein shall have the
meaning ascribed to them under the Agreement.
6. REMAINING PROVISIONS. The remaining provisions of the Agreement not
amended by this Amendment shall remain in full force and effect.
IN WITNESS WHEREOF, the Parties have caused this First Amendment to be executed in their
names or their official acts by their respective representatives, each of whom is duly authorized to
execute the same, on the date and year first written above.
ATTEST
JENNIFER L. HALL
City Clerk
APPROVED AS TO FORM:
SONIA R. CARVALHO
>< Att//�orney
TAMARA BOGOSIAN
Senior Assistant City Attorney
RECOMMENDED FOR
APPROVAL:
ROBERT RODRIGUEZ
Chief of Police
CITY OF SANTA ANA
ALVARO NUNEZ
City Manager
CFMG
Signed by:
gy; el
Title: President
Docusign Envelope ID:4E85DF72-FC46-4EC7-841A-13E64046841F
EXHIBIT A-1
Staffing Matrix
Medical Director
4
4
0.10
Mid -Level Provider NP/PA
8
8
8
24
0.60
Health Services
Administrator
8
8
8
8
8
40
1.00
RN
12
12
1 12
12
1 12
12 1
12
84
2.10
RN
10
10
10
10
40
1.00
Licensed Vocational Nurse
24
24
24
24
24
24
24
168
4.20
Administrative Assistant
8
8
8
24
0.60
Psychiatric ARNP
8
8
0.20
Dentist
8
8
0.20
Dental Assistant
8
8
0.20
Mental Health Professional
10
10
10
10
10
10
10
70
1.75
Day Shift Subtotal
Nights
RN 12 12 12 12 12 12
12
478
84
11.95
2.10
Licensed Vocational Nurse
24 24 24
24 1 24 24
24
168
4.20
Subtotal
TOTALMain Jail
252
6.30
'