Memorandum
Date: April 7, 2026
To: The Honorable Brad Rasmussen, Chair, Lake County Board of Supervisors
From: Stephen Carter, Interim Health Services Director
Subject: Approve Amendment No. 3 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 4% ($176,060.54) for the period of January 1, 2026 through December 31, 2026 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% CPI increase. Application of the 4% increase of $176,060.54 revises the base annual amount for professional health care services rendered at the Lake County Detention Facility beginning January 1, 2026, through December 31, 2026, from $4,401,513.50 to $4,577,574.04. The per diem will adjust from $4.91 to $5.11.
Additionally, participation in Behavioral Health Court is removed upon request from the Behavioral Health Department, and a requirement for contracts allowing local pharmacy access is included per the request of the Lake County Grand Jury.
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.- and/or Consultant Selection Policy-Compliant (describe process undertaken in "Executive Summary")
? Section 2-38 Exemption from Competitive Bidding (rationale in "Executive Summary," attach documentation, as needed)
? For Technology Purchases: Vetted and Supported by the Technology Gover...
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