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New Health Services Referral Agreement Between County and American Indian Health and Services

Original title: Consider recommendations regarding County Health Department (CHD) and American Indian Health and Services Memorandum of Understanding (MOU), as follows: a) Approve and authorize the Chair to execute the MOU between the CHD and American Indian Health and Services to facilitate patient referrals between the agencies resulting in shared access to dental services at American Indian Health and Services and Specialty and Obstetrics services at CHD for the period of July 1, 2026 through June 30, 2028; b) Approve and authorize the County Health Director to extend the MOU between CHD and American Indian Health and Services for up to an additional term of two years through June 30, 2030 in accordance with Section 6.A of the MOU, and to make immaterial changes pursuant to Section 6.K of the MOU, upon review and approval by the Auditor-Controller, Risk Management, and County Counsel, subject to the Board’s ability to rescind the delegation at any time; and c) Determine that the recommended actions do not constitute a “Project” within the meaning of the California Environmental Quality Act (CEQA), and are exempt pursuant to Section 15378(b)(4) of the CEQA Guidelines, since the recommended actions are the creation of government funding mechanisms or other government fiscal activities that do not involve any commitment to any specific project which may result in a potentially significant physical impact on the environment.

Record date · June 23, 2026

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What This Bill Does

The Board of Supervisors is considering a two-year agreement to allow patient referrals between the County Health Department and American Indian Health and Services. This partnership would provide patients with shared access to dental services at American Indian Health and Services and specialty and obstetrics services at the County Health Department.

Why it matters

This agreement establishes a formal referral network for dental and specialty health services for patients of both agencies from July 1, 2026, through June 30, 2028, with an option to extend until 2030.

Who It Affects

Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.

Directly affected

County Health Department patients

Patients may be referred to American Indian Health and Services for dental care.

Directly affected

American Indian Health and Services patients

Patients may be referred to the County Health Department for specialty and obstetrics care.

Key Facts

  • The agreement facilitates patient referrals between the County Health Department and American Indian Health and Services.
  • Patients will gain shared access to dental services at American Indian Health and Services.
  • Patients will gain shared access to specialty and obstetrics services at the County Health Department.
  • The initial term of the agreement is July 1, 2026, through June 30, 2028.
Show all 8 facts
  • The County Health Director is authorized to extend the agreement for an additional two years, through June 30, 2030.
  • The County Health Director may make immaterial changes to the agreement with approval from the Auditor-Controller, Risk Management, and County Counsel.
  • The Board of Supervisors retains the authority to rescind the delegation of authority to the County Health Director at any time.
  • The action is determined to be exempt from the California Environmental Quality Act (CEQA) under Section 15378(b)(4) as a fiscal activity.

Frequently Asked Questions

What services are included in this referral agreement?
The agreement covers dental services at American Indian Health and Services and specialty and obstetrics services at the County Health Department.
How long will this agreement last?
The initial term is two years, from July 1, 2026, to June 30, 2028, with an option to extend until June 30, 2030.

What else do you want to know?

News Coverage

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Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift100% confidence

Delegation of Authority

The Board is delegating the power to extend the contract and make minor changes to the County Health Director, while retaining the right to rescind that power.

Connected Entities

American Indian Health and Services, California Environmental Quality Act, County Health Department and 1 more
OrganizationAmerican Indian Health and Services“Partner agency providing dental services.”Map →
otherCalifornia Environmental Quality Act“Regulatory framework cited for exemption status.”Map →
OrganizationCounty Health Department“Primary county health agency providing specialty and obstetrics services.”Map →
OrganizationBoard of Supervisors“Governing body authorizing the agreement.”Map →

Sources

Open source document

webapi.legistar.com

Analysis Score

0–100
  • Significance40
    How much this matters to a regular citizen
  • Controversy5
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz10
    Current news / social attention level

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