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SANTABARBARA (SANTABARBARA COUNTY)local legislationAgenda Ready

Update to Privacy Agreement for Medi-Cal Billing Services

Original title: Consider recommendations regarding a First Amendment to Sensibill Services, Inc. Agreement for CalAIM Justice Involved Medi-Cal Billing to Replace Exhibit D: HIPAA Business Associate Agreement, as follows: a) Approve and authorize the Chair to execute the First Amendment to the Agreement with Sensibill Services, Inc. (Sensibill) for California Advancing and Innovating Medi-Cal (CalAIM) Justice Involved (JI) third party Medi-Cal billing services to delete the current Exhibit D, Business Associate Agreement, in its entirety and replace it with the updated Exhibit D, Business Associate Agreement, with no change to the Agreement term or total maximum contract amount not to exceed $540,000.00; b) Approve and authorize the County Health Director, or designee, to execute any future non-material amendments or administrative updates to the Agreement, including updates to attachments or exhibits that do not change the term, scope, or total maximum contract amount, upon review and concurrence by the Auditor-Controller’s Office, Risk Management, and County Counsel’s Office, subject to the Board’s ability to rescind this delegated authority 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.

June 23, 2026

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The Frame

What this does

This action updates the legal privacy requirements for handling sensitive health information of justice-involved individuals under the program without changing the $540,000 contract limit.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Sensibill Services, Inc.

The company must adhere to the updated HIPAA Business Associate Agreement terms for handling health data.

Justice-involved individuals

Their health information is processed by the contractor under the updated privacy terms.

What changed

Last recorded activity June 23, 2026.

What's next

Next step not available in the current record.

Summary

The Board of Supervisors is considering an amendment to an existing contract with Sensibill Services, Inc. to update the regarding Medi-Cal billing for justice-involved individuals. The amendment does not change the contract's total cost of $540,000 or its duration.

Key Facts

  • The Board is replacing the existing Exhibit D (HIPAA Business Associate Agreement) in the contract with Sensibill Services, Inc.
  • The total maximum contract amount remains capped at $540,000.00.
  • The term (duration) of the agreement remains unchanged.
  • The County Health Director is granted authority to approve future non-material administrative updates to the agreement.
  • Future administrative updates require review and concurrence by the Auditor-Controller, Risk Management, and County Counsel.
  • The Board retains the authority to rescind the delegated administrative update power at any time.
  • The action is determined to be exempt from the California Environmental Quality Act (CEQA) as a fiscal activity.

Frequently Asked Questions

Does this amendment increase the cost of the contract?
No, the total maximum contract amount remains $540,000.00.
What is the purpose of this change?
The amendment replaces the existing (Exhibit D) with an updated version.
Who is authorized to make future changes to this contract?
The County Health Director may execute non-material administrative updates, provided they do not change the contract's scope, term, or total cost, and have been reviewed by the Auditor-Controller, Risk Management, and County Counsel.

Why It Matters

This action updates the legal privacy requirements for handling sensitive health information of justice-involved individuals under the program without changing the $540,000 contract limit.

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Sponsors

Discoveries

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

policy shift90% confidence

Delegation of Administrative Authority

The Board is shifting from direct approval of all contract amendments to delegating non-material administrative updates to the County Health Director.

Connected Entities

personCounty Health DirectorAuthorized to execute future non-material administrative updates to the agreemenMap →
organizationSensibill Services, Inc.Third-party billing service provider for CalAIM Justice Involved Medi-Cal servicMap →
organizationBoard of SupervisorsThe governing body reviewing and authorizing the contract amendment.Map →

Sources

Open source document

webapi.legistar.com

Analysis Score

0–100
  • Significance20
    How much this matters to a regular citizen
  • Controversy5
    Intensity of disagreement among stakeholders
  • Entertainment0
    Compellingness for a non-policy-wonk reader
  • Buzz5
    Current news / social attention level

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