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File #: 25-605    Version: 1 Name:
Type: Action Item Status: Agenda Ready
File created: 6/3/2025 In control: BOARD OF SUPERVISORS
On agenda: 6/10/2025 Final action:
Title: Approve Amendment No. 2 to the Agreement for Medical Services in Lake County Detention Facility by and between California Forensic Medical Group, Inc. ("CFMG") and the County of Lake for an increase of 6.5% and a new base sum of $4,401,513.50 for the period of January 1, 2025 through December 31, 2025 and authorize the Chair to sign.
Sponsors: Health Services
Attachments: 1. CFMG Amendment 2, 2. Amendment 1_CFMG_Health, 3. California Forensic Medical Group - signed
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Memorandum

 

 

Date:                     June 10th, 2025                     

 

To:                                          The Honorable Lake County Board of Supervisors

 

From:                                          Anthony Arton, Health Services Director

 

Subject:                     Approve  Amendment No. 2 to the Agreement for Medical Services in Lake County Detention Facility by and between California Forensic Medical Group, Inc. ("CFMG") and the County of Lake for an increase of 6.5% and a new base sum of $4,401,513.50 for the period of January 1, 2025 through December 31, 2025 and authorize the Chair to sign.

 

 

Executive Summary:

 

As your Board is aware, California Forensic Medical Group (CFMG) is the contractor providing medical services in the Lake County Detention Facility. Each year, CFMG requests an adjustment to the base compensation amount and per diem rate based on the Medical Care Component of the Consumer Price Index (CPI) for Urban Consumers as specified in the contract. This year, CFMG has requested a 4.3% CPI increase. Additionally, CFMG has requested an additional 2.2% increase due to an extraordinary increase in inflation and operational costs for a total increase of 6.5%. Application of the 6.5% increase revises the base annual amount for professional health care services rendered at the Lake County Detention Facility beginning January 1, 2025, through December 31, 2025, from $4,132,876.50 to $4,401,513.50. The per diem will adjust from $4.71 to $4.91.

 

Additionally, Exhibit A - Administration, Section 16 is amended to clarify the 24-hour notification contacts in the event of an inmate death and collaboration with the County Public Health Officer and/or Director of Nursing in mortality reviews.

 

 

If not budgeted, fill in the blanks below only:

Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ 

 

Purchasing Considerations (check all that apply):                                           Not applicable

Fully Article X. <https://library.municode.com/ca/lake_county/codes/code_of_ordinances?nodeId=COOR_CH2AD_ARTXPU_S2-38EXCOBI>- and/or Consultant Selection Policy <http://lcnet.co.lake.ca.us/Assets/Intranet/Policy/Policies+$!26+Procedures+Manual/Ch4_2021v2.pdf>-Compliant (describe process undertaken in “Executive Summary”)                     

Section 2-38 <https://library.municode.com/ca/lake_county/codes/code_of_ordinances?nodeId=COOR_CH2AD_ARTXPU_S2-38EXCOBI> Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)                     

For Technology Purchases: Vetted and Supported by the Technology Governance Committee <http://lcnet.co.lake.ca.us/Assets/Intranet/Intranet+Forms/Information+Technology/AdvPlan.pdf> (“Yes,” if checked)

Other (Please describe in Executive Summary)

 

Consistency with Vision 2028 <http://www.lakecountyca.gov/Government/Directory/Administration/Visioning/Vision2028.htm> (check all that apply):                                                                Not applicable

Well-being of Residents                                           Public Safety                                                                Disaster Prevention, Preparedness, Recovery                     

Economic Development                                           Infrastructure                                                                County Workforce                     

Community Collaboration                      Business Process Efficiency                      Clear Lake                                                               

 

Recommended Action:  Approve  Amendment No. 2 to the Agreement for Medical Services in Lake County Detention Facility by and between California Forensic Medical Group, Inc. ("CFMG") and the County of Lake for an increase of 6.5% and a new base sum of $4,401,513.50 for the period of January 1, 2025 through December 31, 2025 and authorize the Chair to sign.