BOARD OF SUPERVISORS

COUNTY OF SAN DIEGO BOARD OF SUPERVISORS REGULAR MEETING MEETING AGENDA TUESDAY, AUGUST 18, 2026, 9:00 AM COUNTY ADMINISTRATION CENTER BOARD CHAMBER, ROOM 310 1600 PACIFIC HIGHWAY SAN DIEGO, CA 92101 County of San Diego Board of Supervisors General Legislative Session Tuesday, August 18, 2026, 9:00 a.m. A. Roll Call B. Opening Ceremonial Matters 1) Invocation 2) Pledge of Allegiance 3) Presentation or Announcement of Proclamations and Awards C. Non-Agenda Public Comment Individuals can address the Board on topics within its jurisdiction that are not on the agenda. According to the Board’s Rules of Procedure, each person may speak at only one Non-Agenda Public Comment session per meeting. Speakers can choose to speak during either the General Legislative or Land Use Legislative Session. D. Approval of Statements of Proceedings/Minutes Approval of the Statement of Proceedings/Minutes for the sessions of June 24, 2026 and June 25, 2026. E. Consent Agenda All agenda items listed under this section are considered to be routine and will be acted upon with one motion. There will be no separate discussion of these items unless a member of the Board of Supervisors or the Chief Administrative Officer so requests, in which event, the item will be considered separately in its normal sequence. Tuesday, August 18, 2026 1

1. Sheriff - Request for Single Source Procurement of DNA Analysis Supplies from Promega Corporation (Districts: All) Recommendation by Sheriff: In accordance with Board Policy A-87, Competitive Procurement, approve and authorize the Director, Department of Purchasing and Contracting, to enter into negotiations with Promega Corporation and subject to successful negotiations and determination of fair and reasonable pricing, award a contract for DNA analysis supplies for a term of one year, with four option years, and a six-month extension if needed, and to amend the contract as needed to reflect changes to operational requirements and funding, subject to the approval of the Sheriff. 2. General Services - Approve Lease Amendments for the San Diego County Sheriff’s Office: North County Regional Gang Task Force and Miramar Training Facility; and CEQA Notices of Exemption (Districts: 2 & 5) Recommendation by Chief Administrative Officer: 1) Find the proposed lease amendment for the North County Regional Gang Task Force is exempt from the California Environmental Quality Act (CEQA) pursuant to State CEQA Guidelines Section 15301. 2) Find the action of approving an amendment and exercising an option to extend the term of an existing lease for the Marine Corps Air Station (MCAS) Miramar Training Facility is exempt from CEQA pursuant to State CEQA Guidelines Section 15301. 3) Approve and authorize the Director, Department of General Services (DGS), or designee, to execute the proposed lease amendment with the City of San Marcos for the North County Regional Gang Task Force leased space. 4) Approve the lease amendment with the Department of the Navy, which granted County options to extend the term of the lease for the MCAS Miramar Training Facility; and authorize the Director, DGS, or designee, to exercise all options granted by this amendment and execute any documents required by the Department of the Navy to effectuate such options. 3. Ratify Acceptance of a Donation Exceeding $5,000 from Yin C. and Gary D. Faunce to the Department of Animal Services (Districts: All) Recommendation by Chief Administrative Officer: 1) In accordance with County of San Diego Administrative Code Article III, Section 66, Acceptance of Gifts, and Board of Supervisors Policy A-112, Acceptance and Use of Gifts and Donations, ratify the acceptance of a donation from Yin and Gary Faunce in the amount of $10,000 for deposit into the Department of Animal Services’ Medical Expense “Spirit” Trust Fund. 2) Authorize the Chair of the Board of Supervisors to sign a letter of appreciation on behalf of the Board of Supervisors and the County of San Diego to Yin and Gary Faunce. Tuesday, August 18, 2026 2

4. Authorize Acceptance of Additional Public Health Infrastructure and Workforce Grant Funding (Districts: All) Overview The Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems grant (PHIG) is a groundbreaking investment that supports critical public health infrastructure needs of jurisdictions across the United States. This funding is intended to modernize public health jurisdictions to expand, improve, and strengthen public health services to better prepare and respond to future emergencies. The County of San Diego (County) Public Health Services Department (PHS) aligns with this action through its commitment to promote health and improve quality of life by preventing disease, injury and disability and by protecting against and responding to health threats and disasters. On January 24, 2023 (07), the San Diego County Board of Supervisors (Board) authorized the acceptance of $33,336,020 in Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems from the Centers for Disease Control and Prevention (CDC) for the term of December 1, 2022, through November 30, 2027. The $33,336,020 included $27,007,405 for PHIG Strategy A1: Workforce and $6,328,615 for PHIG Strategy A2: Foundational Capabilities. For PHIG Strategy A2: Foundational Capabilities, the actual award is more than the originally anticipated amount. With this additional funding, the County has exceeded the amount authorized in the prior Board action. This funding will enable us to sustain our current Public Health Infrastructure Initiatives by maintaining existing staff levels and supporting efforts necessary to continue delivering critical services. It will also ensure uninterrupted implementation of program activities while preserving the capacity needed to meet project objectives and community needs. Today’s action requests the Board authorize the acceptance of an additional estimated $3,799,610 in funding for PHIG Strategy A2: Foundational Capabilities, for a revised award amount of $10,128,225 for the period of December 1, 2022 through November 30, 2027 and to apply for additional funding opportunities to further develop and strengthen the public health workforce. Today's action supports the County vision of a just, sustainable, and resilient future for all, specifically, those communities and populations in San Diego County that have been historically left behind as well as our ongoing commitment to the regional Live Well San Diego vision of healthy, safe, and thriving communities. This will be accomplished by ensuring the local health department can continue to proficiently improve the health and well-being of San Diego County residents Recommendation by Chief Administrative Officer: 1) Authorize acceptance of an additional estimated $3,799,610 in Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems Grant-Strategy A2: Foundational Capabilities from the Centers for Disease Control and Prevention, for a revised total award of $10,128,225 for the period of December 1, 2022, through November 30, 2027, to modernize public health jurisdictions to expand, improve, and strengthen public health Tuesday, August 18, 2026 3

services to better prepare and respond to future emergencies, and authorize the Chief Administrative Officer, or designee, to execute all required funding documents, upon receipt, including any extensions, amendments, and/or revisions thereto that do not materially impact or alter the services or funding level. 2) Authorize the Chief Administrative Officer, or designee, to apply for any additional funding opportunities, if available, to further develop and strengthen the public health workforce and infrastructure. Equity Impact Statement The COVID-19 pandemic highlighted the importance of a robust public health workforce to address historical and current health inequities and disparities. In 2020, the Centers for Disease Control and Prevention (CDC) updated the 10 Essential Public Health Services framework, with ‘equity’ as the center. In 2021 the Council on Linkages updated the Core Competencies for Public Health Professionals to include a health equity skills domain. Additionally, in 2022 the Foundational Capabilities of Public Health were updated by the Public Health National Center for Innovations, and equity was underscored as a key component and foundational element of the capabilities. As such, the County of San Diego (County) Health and Human Services Agency, Public Health Services (PHS) intends to strengthen foundational capabilities through training, technical assistance, working group meetings, sharing of tools and resources as well as program and project-based efforts. The health equity goal of the grant funding will support local equity advancements in the community, improve data and health literacy, and provide access to participate in a national health equity working group to share best practices. In addition, PHS will expand the provision of forums and opportunities for direct access, conversation, and engagement with communities to identify and understand key health needs, gaps, and opportunities. Through the Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems grant, PHS will have the opportunity to be part of a national consortium of experts on health equity with other local health departments and the CDC. Acceptance of this grant funding allows for a more robust public health workforce to advance health equity, diversity, and inclusion in San Diego County. Grant funds will also assist the County’s public health workforce to receive training in the ten essential services, foundational capabilities, and core competencies, including equity skills such as data literacy, health literacy, cultural responsiveness, and racial equity. Sustainability Impact Statement Today’s action supports the County of San Diego (County) Sustainability Goal #1 to collaborate with community partners and advocate for environmental justice for communities that have been disproportionately impacted by pandemics, such as COVID-19, by expanding the provision of forums and opportunities for direct access, conversation, and engagement with communities and populations to identify and understand key health needs, gaps, and opportunities. Additionally, today’s action supports Sustainability Goal #2 to provide just and equitable access to services and Sustainability Goal #4 to protect health and wellbeing of everyone in the region by sustaining the capacity of the County Health and Human Services Agency, Public Health Services to support the region during public health emergencies or infectious disease outbreaks. Fiscal Impact Funds for this request are included in the Fiscal Year (FY) 2026-28 Operational Plan in the Health and Human Services Agency. If approved, this request will result in estimated costs and Tuesday, August 18, 2026 4

revenue of $2,217,517 in FY 2026-27 and estimated costs and revenue of $925,437 in FY 2027-28. This additional grant funding of $3,799,610 would bring the total grant award to $10,128,225. The funding source is the Centers for Disease Control and Prevention’s Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems grant. There will be no change in net General Fund cost and no additional staff years. Business Impact Statement N/A 5. Authorize Acceptance of the Black Infant Health and the Perinatal Equity Initiative Allocations from the California Department of Public Health (Districts: All) Overview The San Diego County Board of Supervisors (Board) has supported improving birth outcomes and reducing infant mortality for over three decades through the approval of the California Department of Public Health (CDPH) Maternal, Child, and Adolescent Health Division Title V Maternal and Child Health Block Grant (Title V MCH Block Grant) funding. Most recently, on October 21, 2025 (10), the Board authorized allocation agreements to accept MCH funding. The Title V MCH Block Grant funding addresses health and birth equity through a number of initiatives including the Black Infant Health (BIH) program in San Diego County, which was established over 35 years ago. The 2018-19 California State Budget Act established the California Perinatal Equity Initiative (PEI) to expand the BIH program to improve birth outcomes and reduce mortality in Black infants through evidence-based interventions. Counties that implemented BIH programs were eligible to receive PEI State General Funds (SGF). On June 28, 2022 (2), the Board approved the acceptance of the BIH allocation in the amount of $1,345,415 for the period of July 1, 2022, through June 30, 2023. In addition, on January 24, 2023 (8), the Board approved the acceptance of the BIH expansion allocation in the cumulative amount of $3,425,400 through June 30, 2026. On October 21, 2025 (10), the Board approved the acceptance of the PEI allocation in the amount of $484,310 for the period of July 1, 2025, through June 30, 2026. Today’s action requests the Board authorize the acceptance of BIH Title V and SGF allocations from CDPH for the period of July 1, 2026 through June 30, 2027 in the amount of $1,828,350, the acceptance of PEI SGF allocation in the amount of $484,310, and subsequent annual allocations of $1,828,350 and $484,310 for the period of July 1, 2027 through June 30, 2029 and to apply for additional funding opportunities to help improve health equity for San Diego County residents. This funding supports State-mandated Maternal, Child, and Family Health Services programs designed to improve the health of mothers, infants, children, adolescents, and their families. Today’s action supports the County vision of a just, sustainable, and resilient future for all, specifically those communities and populations in San Diego County that have been historically left behind, as well as our ongoing commitment to the regional Live Well San Diego vision of healthy, safe, and thriving communities. This will be accomplished by improving access to quality healthcare for mothers, infants, children, adolescents, and families. Tuesday, August 18, 2026 5

Recommendation by the Chief Administrative Officer: 1) Waive Board Policy B-29, Fees, Grants, and Revenue Contracts-Department Responsibility for Cost Recovery, which requires prior approval of grant applications and full-cost recovery of grants. 2) Authorize the acceptance of $1,828,350 in allocation funds from the California Department of Public Health, Maternal, Child, and Adolescent Health Division for the period of July 1, 2026 through June 30, 2027, and subsequent annual allocations of $1,828,350 for the period of July 1, 2027 through June 30, 2029 for the Black Infant Health (BIH) program, and authorize the Chief Administrative Officer, or designee, to execute all required allocation documents, upon receipt, including any extensions, amendments, and/or revisions thereto that do not materially impact or alter the services or funding level. 3) Authorize the acceptance of $484,310 in allocation funds from the California Department of Public Health, Maternal, Child, and Adolescent Health Division for the period of July 1, 2026 through June 30, 2027, and subsequent annual allocations of $484,310 for the period of July 1, 2027 through June 30, 2029 for the Perinatal Equity Initiative (PEI) program, and authorize the Chief Administrative Officer, or designee, to execute all required allocation documents, upon receipt, including any extensions, amendments, and/or revisions thereto that do not materially impact or alter the services or funding level. 4) Authorize the Chief Administrative Officer, or designee, to apply for any additional funding opportunity announcements, if available, to address preventive health care and early intervention and treatment programs for at-risk women, infants, children, and families in San Diego County for both BIH and PEI programs. Equity Impact Statement In 2024, 8.8% of infants born in San Diego County were born prematurely. Despite the overall improvements in birth rates, significant disparities persist, with African-American infants more than 60% more likely to be born preterm than White infants (11.8% compared to 7.2%, averaging 2022-2024). Similarly, 7.1% of infants in San Diego County were born with low birthweight in 2024, yet African-American infants were about twice as likely as White infants to be born with low birthweight (10.9% versus 5.3%, averaging 2022-2024). These disparities highlight the ongoing need for targeted, culturally responsive maternal and infant health interventions. The County of San Diego HHSA Public Health Services administers the Black Infant Health (BIH) program and the Perinatal Equity Initiative (PEI) to reduce perinatal morbidity and mortality among disadvantaged populations. Both programs work to address longstanding inequities in maternal and infant health by expanding access to quality prenatal and postpartum care, and community resources. . Through the joint BIH-PEI Community Advisory Board, stakeholders and community members provide critical guidance to ensure services reflect community needs and lived experiences. Sustainability Impact Statement Today’s proposed action supports the County of San Diego Sustainability Goal #1 to engage the community; Sustainability Goal #2 to provide just and equitable access; and Sustainability Goal Tuesday, August 18, 2026 6

#4 to protect the health and well-being of everyone in the region. This will be accomplished by ensuring that those eligible are provided access to services offered through the Black Infant Health (BIH) program, and partners of program participants are eligible to receive services through the Perinatal Equity Initiative (PEI) Fathers First program. Community engagement and input will continue to be supported through the BIH-PEI Community Advisory Board and the Family Support Connection collaborative. Fiscal Impact Recommendation #2: Accept Black Infant Health Title V and State General Funds Grant Funds for this request are included in the Fiscal Year (FY) 2026-28 Operational Plan in the Health and Human Services Agency. If approved, today’s actions will result in estimated costs of $3,065,487 and revenue of $2,638,665 in FY 2026-27, and estimated costs of $3,004,380 and revenue of $2,619,790 in FY 2027-28. The funding sources are Title V, State General Funds, and Title XIX. A waiver of Board Policy B-29 is requested because the funding does not offset all costs. These unrecovered costs are estimated at $426,822 in FY 2026-27 and $384,590 in FY 2027-28, for a total of $1,196,002 through FY 2028-29, which includes the matching requirement, the Title XIX component. The funding source for these costs will be existing Realignment. The public benefit for providing these services far outweighs the B-29 unrecoverable costs. There will be no change in net General Fund costs and no additional staff years. Recommendation #3: Accept Perinatal Equity Initiative State General Funds Grant Funds for this request are included in the FY 2026-28 Operational Plan in the Health and Human Services Agency. If approved, today’s actions will result in estimated costs of $1,064,001 and revenue of $662,578 in FY 2026-27, estimated cost of $1,109,487 and revenue of $685,355 in FY 2027-28. The funding sources are the Perinatal Equity Initiative State General Funds Grant from the California Department of Public Health and Title XIX. A waiver of Board Policy B-29 is requested because the funding does not offset all costs. These unrecovered costs are estimated to be $401,422 in FY 2026-27 and $424,132 in FY 2027-28, for a total of $1,271,960 through FY 2028-29, which includes the matching requirement, the Title XIX component. The funding source for these costs will be existing Realignment, General Fund, and Tobacco Settlement funds. The public benefit for providing these services far outweighs the B-29 unrecoverable costs. There will be no change in net General Fund costs and no additional staff years. Business Impact Statement N/A 6. Accept Maternal and Child Health Grant and Home Visiting Innovation Award (Districts: All) Recommendation by Chief Administrative Officer: 1) Waive Board Policy B-29, Fees, Grants, and Revenue Contracts-Department Responsibility for Cost Recovery, which requires prior approval of grant applications and full-cost recovery of grants. 2) Authorize the acceptance of Title V Maternal and Child Health Block Grant funding Tuesday, August 18, 2026 7

from the California Department of Public Health (CDPH), Maternal, Child, and Adolescent Health Division for $320,491 for July 1, 2026 through June 30, 2027, and subsequent annual allocations of $320,491 for the period of July 1, 2027, through June 30, 2029; and authorize the Chief Administrative Officer, or designee, to execute all required grant documents, including any annual extensions, amendments, and/or revisions thereto that do not materially impact or alter the services or funding level. 3) Authorize the acceptance of California Home Visiting Program State General Fund Innovation 3.0 funding from the California Department of Public Health, Maternal, Child, and Adolescent Health Division for a California Home Visiting Program Innovation grant for CDPH for $600,000 for the period of July 1, 2026, through June 30, 2027, and subsequent annual allocations of $600,000 for the period of July 1, 2027, through June 30, 2029, and authorize the Chief Administrative Officer, or designee, to execute all required grant documents, upon receipt, including any annual extensions, amendments, or revisions that do not materially impact or alter the services or funding level. 4) Authorize the Chief Administrative Officer, or designee, to apply for additional funding opportunities, if available, to improve health equity for San Diego County residents, with a focus on addressing the health of women of child-bearing age, pregnant and expecting parents, children, adolescents, and families in San Diego County. 7. Authorize an Exception to A-87 for Competitive Procurement and Approve a Single Source Contract with Jewish Family Service of San Diego (Districts: All) 8. Authorize Competitive Solicitation for the Transitional Youth Housing Program (Districts: All) Overview The County of San Diego (County) Health and Human Services Agency, Child and Family Well-Being (CFWB) provide services to Transition-Age Youth (TAY) involved with the child welfare and juvenile justice systems. These services support their successful transition to independent adulthood, with a focus on advancing educational attainment, employment readiness, emotional well-being, and long-term stability. The Transitional Youth Housing (TYH) program is a County-administered transitional housing program that supports improved outcomes for TAY. Since 2012, through partnerships with nonprofit agencies, CFWB has offered various transitional housing programs for youth ages 18 to 24, providing up to 36 months of affordable housing alongside comprehensive supportive services to help prevent homelessness and promote long-term stability. Eligible participants include current and former foster youth and out-of-home juvenile justice youth, prioritizing foster youth accessing services such as housing navigation and placement support. Unlike other transitional housing programs, TYH also serves youth who re-unified with family or entered guardianship after age 16, expanding access beyond traditional foster youth eligibility. In FY 2025-26, 92 youth received services through TYH, with approximately 51 unduplicated youth participating in any given month. The current TYH contract is set to expire on June 30, 2027. Tuesday, August 18, 2026 8

On June 8, 2021 (5), the San Diego County Board of Supervisors (Board) authorized a competitive solicitation for Transitional Youth Housing (TYH) services. Today’s action requests the Board to authorize the Director of the Department of Purchasing and Contracting to issue a new competitive solicitation for the TYH program. Today's action supports the County vision of a just, sustainable, and resilient future for all, specifically, those communities and populations in San Diego County that have been historically left behind as well as our ongoing commitment to the regional Live Well San Diego vision of healthy, safe, and thriving communities. This will be accomplished by expanding access to stable, affordable housing for TAY, strengthening pathways to independence, and preventing homelessness among youth transitioning from the foster care system. Recommendation by Chief Administrative Officer: In accordance with Section 401, Article XXIII of the County Administrative Code, authorize the Director, Department of Purchasing and Contracting, to issue competitive negotiated procurement for the Transitional Youth Housing Program, and upon successful negotiations and determination of a fair and reasonable price, award a contract(s) for the period of up to one year and up to four option years, and up to six additional months if needed, subject to the availability of funds; and to amend the contract(s) as required to reflect changes in services and funding allocations, subject to the approval of the Deputy Chief Administrative Officer, Health and Human Services Agency. Equity Impact Statement Research shows that Transition-Age Youth (TAY) leaving foster care continue to face significant challenges in finding stable housing, accessing education, and achieving long term well-being. Statewide data indicate that 22-30% of foster youth experience homelessness as they enter adulthood, compared to only 4% of the general population over their lifetime. Educational outcomes also differ greatly, with only 8-12% of foster youth earning a 2‑ or 4‑year degree by age 26, compared to 49% of their peers. In San Diego County, from 2019 to 2024, the number of youth experiencing homelessness increased by 130, partly due to a 49% rise in Fair Market Rent. As of 2025, approximately 31% of California transitional‑age foster youth experience homelessness, roughly one in three. To ensure equitable access to safe, stable, and affordable housing, CFWB continues to provide transitional housing programs for youth ages 18 to 24, supporting their transition from out-of-home placements to independent living and working to prevent homelessness. The Transitional Youth Housing Program aims to ensure that all participants, including subgroups such as Black, Indigenous, People of Color, Native Spanish speakers, and LGBTQ youth, have equal opportunity to secure stable housing by program exit and advance toward key life goals, including educational or employment attainment, positive physical and mental wellbeing, and meaningful connections to community. Sustainability Impact Statement Today’s actions support the County of San Diego (County) Sustainability Goal #2 to provide just and equitable access to County services and Sustainability Goal #4 to protect the health and well-being of everyone in the region. These goals will be accomplished by expanding access to Tuesday, August 18, 2026 9

stable, affordable housing and supportive services for Transition-Age Youth, strengthening pathways to independence, and preventing homelessness among youth transitioning from foster care and juvenile justice systems. Fiscal Impact Funds for this request are included in the Fiscal Year 2026-28 Operational Plan in the Health and Human Services Agency. If approved, this request will result in estimated annual costs and revenue of $2,671,200 in Fiscal Year 2026-27 and in FY 2027-28. The funding source is Transitional Housing Program Supplemental allocation of State General Fund (SGF) and existing Realignment. There will be no change in net General Fund costs and no additional staff years. Business Impact Statement N/A 9. Approve Intergovernmental Transfer Agreements with California Department of Health Care Services (Districts: All) Overview Medicaid is a means-tested entitlement program that finances the delivery of primary and acute medical services as well as long-term services and supports to an estimated 74.9 million people in the United States as of the February 2026 enrollment count. Medi-Cal is the Medicaid program for California, a public health insurance program that provides needed health care services to eligible seniors, persons with disabilities, families with children, foster care youth, pregnant women, and eligible individuals with diseases such as tuberculosis, breast cancer, or HIV/AIDS. Medi-Cal is financed through State and federal funds. To support increased State payments to Medi-Cal Managed Care Plans (MCPs), California counties participating in Medi-Cal Managed Care may enter into Intergovernmental Transfer (IGT) and Assessment Fee Agreements with the California Department of Health Care Services (DHCS). IGT agreements consist of the transfer of eligible local funding to DHCS, which the State then uses to increase the rates it pays the participating MCPs within an actuarially sound range. Historically, the San Diego County Board of Supervisors (Board) has supported the County of San Diego’s (County) participation in this program, with the most recent authorization approved on June 25, 2024 (3). Participating in an IGT Agreement allows the County to utilize local funds to increase federal matching dollars for Medicaid programs, which can then come to the County to support services provided to Medi-Cal Managed Care recipients including public health services, behavioral health services, and services provided to patients of the Edgemoor Distinct Part Skilled Nursing Facility. Today’s action requests the Board authorize the Chief Administrative Officer to pursue and execute IGT and Assessment Fee Agreements with DHCS for the IGT period covering January 1, 2025, through December 31, 2025, and to amend or execute new agreements as necessary with the participating MCPs. This would enable the Health and Human Services Agency (HHSA) to draw down approximately $25.7 million in new funding to recover enhanced reimbursement for Medi-Cal services provided and/or financed by the County to MCP members. Tuesday, August 18, 2026 10

Today’s action supports the County vision of a just, sustainable, and resilient future for all, specifically those communities and populations in San Diego County that have been historically left behind, as well as our ongoing commitment to the regional Live Well San Diego vision of healthy, safe, and thriving communities. This will be accomplished by using funds to support the accessibility and delivery of health-related services. Recommendation by Chief Administrative Officer: 1) Authorize the Chief Administrative Officer, or designee, to pursue Intergovernmental Transfer agreements with the California Department of Health Care Services. 2) Authorize the Chief Administrative Officer, or designee, upon receipt, to execute Intergovernmental Agreements Regarding Transfer of Public Funds with the California Department of Health Care Services for the transfer of approximately $16.5 million in local funds from the Health and Human Services Agency for the agreement covering the period of January 1, 2025 through December 31, 2025. 3) Authorize the Chief Administrative Officer, or designee, to execute Intergovernmental Transfer Assessment Fee Agreements with the California Department of Health Care Services for the transfer of approximately $1.4 million for the period of January 1, 2025 through December 31, 2025, from the Health and Human Services Agency to the California Department of Health Care Services, and related documents. 4) Authorize the Chief Administrative Officer, or designee, to amend or execute new agreements as necessary with Molina Healthcare of California, Community Health Group, Blue Shield of California Promise Health Plan, and Kaiser Foundation Health Plan, Inc., and to implement the Intergovernmental Transfer agreements. The agreements will disburse approximately $43.6 million of increased Medi-Cal Managed Care Plan reimbursement to the Health and Human Services Agency to support health services for Medi-Cal beneficiaries and other underserved populations, net of a 2-5% administrative fee calculated on the gross Intergovernmental Transfer agreement amount retained by the Medi-Cal Managed Care Plans. a. Agreements for Molina Healthcare of California, Community Health Group, Blue Shield of California Promise Health Plan cover the period of January 1, 2025 through December 31, 2025. b. The Agreement with Kaiser Foundation Health Plan, Inc. will be updated to an agreement that automatically renews for successive one-year terms, unless either party terminates the agreements based on one of three reasons: (1) participation in the program is no longer desired, (2) DHCS modifies program requirements, or (3) DHCS discontinues the program. 5.) Authorize the Chief Administrative Officer, or designee, to execute all required agreement documents, upon receipt, including any annual extensions, amendments and/or revisions thereto that do not materially impact or alter the services or funding level. Equity Impact Statement Medi-Cal is the Medicaid program for California, a public health insurance program that provides needed health care services to eligible individuals. As of March 2026, 890,974 individuals were enrolled in Medi-Cal in the county, representing roughly 27% of the county population and the fifth largest Medi-Cal population in California. Local data indicates that as of Tuesday, August 18, 2026 11

February 2026, individuals between 19 to 44 years old represent the largest Medi-Cal population in San Diego County (35%), followed by children 0 to 18 years old (33%), adults 45 to 64 years old (19%), and adults 65 years of age and older (13%). The County of San Diego (County) Health and Human Services Agency is committed to building a health and human service delivery system which supports the needs of all San Diegans, specifically those most vulnerable. Participating in an Intergovernmental Transfer (IGT) Agreement allows the County to utilize local funds to increase federal matching dollars for Medicaid programs, which can then come to the County to support services provided to Medi-Cal Managed Care recipients including public health services, behavioral health services, and services provided to patients of the Edgemoor Distinct Part Skilled Nursing Facility. The County prioritizes equity through the delivery of services, and funds received through IGT Agreements with the Department of Health Care Services support the accessibility and delivery of health-related services. Sustainability Impact Statement Today’s proposed actions support the County of San Diego Sustainability Goal #2 to provide just and equitable access, and Sustainability Goal #4 to protect the health and well-being of everyone in the region. This will be accomplished by maximizing resources available to provide health-related services to Medi-Cal eligible individuals. Fiscal Impact Funds for this request are included in the Fiscal Years (FYs) 2026-28 CAO Recommended Operational Plan in the Health and Human Services Agency. If approved, this request is expected to result in annual costs estimated at approximately $17.9 million in FY 2026-27 for the Intergovernmental Transfer (IGT) period covering January 1, 2025, through December 31, 2025. Of this amount, approximately $16.5 million would fund the IGT and $1.4 million would cover the State Assessment Fee. In return, the County of San Diego would receive approximately $43.6 million in revenue for the period from the Managed Care Plans, resulting in an estimated net increase of $25.7 million in new funds for the fiscal year. The funding sources for the IGT and State Assessment Fee are local funds, including Realignment. There will be no change in net General fund costs and no additional staff years. Business Impact Statement N/A 10. ..Title Adopt a Resolution for the Establishment of a Recorder Notification and Title Theft Prevention Program and an Ordinance to Add Section 86.7(Q) to the San Diego County Code of Administrative Ordinances Pursuant to Senate Bill No. 255. (08/18/2026- first reading; 09/01/2026- second reading, or at a later date if the ordinance is amended). (Districts: All) Recommendation by Assessor/Recorder/County Clerk: 1) Adopt a Resolution entitled: A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO AUTHORIZING THE ESTABLISHMENT OF A RECORDER NOTIFICATION AND TITLE THEFT PREVENTION PROGRAM AND RELATED Tuesday, August 18, 2026 12

RECORDING REQUIREMENTS PURSUANT TO SENATE BILL NO. 255. 2) Approve the introduction of the following Ordinance (first reading): AN ORDINANCE TO AMEND SECTION 86.7 OF THE SAN DIEGO CODE OF ADMINISTRATIVE ORDINANCES TO ADD SECTION 86.7(Q) RELATING TO FEES FOR THE RECORDER NOTIFICATION AND TITLE THEFT PREVENTION PROGRAM PURSUANT TO SENATE BILL NO. 255. If, on August 18, 2026, the Board takes action as recommended, then, on September 1, 2026: 3) Consider and adopt the Ordinance (second reading): AN ORDINANCE TO AMEND SECTION 86.7 OF THE SAN DIEGO CODE OF ADMINISTRATIVE ORDINANCES TO ADD SECTION 86.7(Q) RELATING TO FEES FOR THE RECORDER NOTIFICATION AND TITLE THEFT PREVENTION PROGRAM PURSUANT TO SENATE BILL NO. 255 11. Modernizing the County’s Property Assessment System and Protecting Property Tax Revenue (Districts: All) Recommendation by the Assessor, Recorder, County Clerk (ARCC): 1) In accordance with Section 401, Article XXIII of the County Administrative Code, authorize the Director, Department of Purchasing and Contracting, to issue a competitive procurement or procurements for the acquisition, implementation, licensing, and ongoing support of a modern Property Assessment System, including professional services for implementation, data migration, system integration, organizational change management, training, post-implementation support, and related services, and upon successful negotiations and determination of a fair and reasonable price, and contingent upon identification of funding and inclusion in a future Operational Plan, award contract(s), and amend the contract(s) as needed to reflect changes to services and funding, subject to the approval of the Chief Administrative Officer (CAO), as necessary, to reflect changes to services, funding and contract terms.1) ..End Equity Impact Statement The proposed Assessment System Replacement Project will enhance equitable access to property assessment services by providing a modern, stable, secure, and accessible technology platform for all County property owners. Modernization will improve timeliness, accuracy, and transparency of assessment information, strengthen language and accessibility capabilities, expand digital service options, and reduce barriers associated with manual and paper-based processes. These improvements will help ensure that taxpayers, regardless of their community, location, or background, receive consistent, transparent, and equitable access to property assessment services while supporting the County's commitment to the fair and equitable administration of California property tax laws. Enhanced data collection and analytics will also improve Tuesday, August 18, 2026 13

Assessor/Recorder/County Clerk’s (ARCC) ability to respond to emerging issues affecting property values and communities, including environmental impacts such as the Tijuana River sewage crisis, flooding, and fires, while supporting the administration of evolving tax relief programs and future legislative requirements. By improving operational efficiency and customer service, the new system will also provide ARCC employees with modern tools that streamline workflows, reduce reliance on outdated legacy applications, improve training and knowledge transfer, and enable more consistent service delivery to residents, businesses, and public agencies. Collectively, these improvements advance the County's Strategic Plan through enhanced transparency, operational excellence, innovation, and equitable access to public services. Sustainability Impact Statement The proposed Assessment System Replacement Project supports the County’s commitment to sustainability by modernizing a critical business system with a secure, resilient, and commercially supported cloud-based technology platform. Transitioning from aging mainframe and on-premises infrastructure to a cloud environment will improve energy efficiency, optimize computing resources, and reduce reliance on legacy hardware and data center infrastructure. The project will also expand digital workflows, electronic records, and online taxpayer services, reduce paper consumption, and minimize the need for in-person transactions where appropriate. Beyond environmental benefits, the project promotes the long-term sustainability of County operations by improving system resiliency, reducing technology obsolescence, and providing a scalable platform capable of adapting to future business, regulatory, and legislative requirements. By strengthening operational continuity, responsibly managing County resources, and supporting efficient service delivery, the project advances the County’s Strategic Plan and its commitment to sustainable, resilient, and innovative government operations. Fiscal Impact Funds for this request are not included in the Fiscal Year 2026-27 Operational Plan in the Assessor/ Recorder/ County Clerk. If approved, today’s action would result in no additional costs or revenue in Fiscal Year 2026-27. There is no change in staff years. There would be estimated costs of approximately $56.7 million in Fiscal Year 2027-28 for the implementation of the new assessment system, which is anticipated to be supported by long-term financing (bonds). Bond financing is contingent upon the approval of future Operational Plans and Board approval of the financing. Ongoing costs of approximately $4.2 million per year for hosting, licensing, and operations and maintenance are anticipated to begin in Fiscal Year 2029-30. Bond payments and the ongoing annual costs are anticipated to be funded primarily through a combination of SB 2557 Property Tax Administration Revenue, existing General Purpose Revenue made available through efficiencies and decommissioning of obsolete systems, and General Purpose Revenue growth from the collection of additional property taxes due to a more effective assessment system, as well as some one-time amounts funded by General Fund fund balance, which includes Fiscal Year 2025-26 Unlocked Reserves, during the transition from the legacy systems to the new system. The new assessment system is also anticipated to achieve significant cost avoidance by Tuesday, August 18, 2026 14

eliminating the need to continue the operation and maintenance of a physical data center necessary to retain the legacy systems. The final project and ongoing annual costs, once determined and subject to the approval of the Chief Administrative Officer, and revenues will be included for consideration in future Operational Plans. Business Impact Statement N/A Advisory Board Statement The Debt Advisory Committee, composed of the Chief Financial Officer, the Auditor and Controller, and the Treasurer-Tax Collector, concurs with this recommendation. Background The County of San Diego (County) Assessor/Recorder/County Clerk (ARCC) relies on a property assessment system that has supported the administration of California's property tax laws for more than three decades. Over time, the system has expanded to include numerous interconnected applications and custom-developed solutions supporting property assessment, assessment appeals, exemptions, ownership changes, mapping, business personal property, tax roll production, and other critical business functions. While these systems enabled ARCC to successfully administer one of the largest assessment rolls in California, they are becoming increasingly difficult and costly to maintain. It is also anticipated that a new system would achieve significant cost avoidance by eliminating the need for the County to continue the operation and maintenance of costly physical data centers that would have been necessary to retain the existing legacy systems. The current environment relies on legacy mainframe technology, legacy applications, custom programming, and complex system interfaces that require specialized technical expertise to support daily operations. As these technologies continue to age, the availability of skilled resources capable of maintaining them has significantly declined, increasing operational risk and reducing the ARCC's ability to adapt to evolving business needs and legislative requirements. In addition, the existing system architecture limits opportunities to automate manual processes, improve data accessibility, strengthen cybersecurity, and deliver the modern digital services expected by today's taxpayers and County employees. Each year, ARCC administers approximately 1.1 million real and business property assessments, producing the local property tax roll that generates more than $8 billion in annual property tax revenue supporting schools, cities, special districts, and essential County services. Given the critical role the assessment system plays in stabilizing this revenue, continued reliance on aging technology presents an increasing operational and financial risk to the County. Modern assessment systems have evolved significantly. They have become much more affordable and are now successfully supporting assessment operations in numerous California counties. These solutions incorporate industry best practices, provide enhanced security and resiliency, reduce dependence on custom programming, and offer ongoing vendor-supported enhancements that help agencies remain compliant with changing statutory and business requirements. A modern assessment system will improve operational efficiency, strengthen business continuity, enhance customer service, and position ARCC to meet future workload demands while maintaining high levels of service to the public. The recommended action authorizes the Director, Department of Purchasing and Contracting to Tuesday, August 18, 2026 15

issue a competitive solicitation for the procurement and implementation of a modern property assessment system Conducting an open procurement will allow ARCC to evaluate qualified vendors, identify the solution that best meets the County's operational and statutory requirements, and secure the best value combination of functionality, implementation expertise, long-term support, and overall costs. Linkage to the County of San Diego Strategic Plan This action supports the County of San Diego 2026-2031 Strategic Plan, with a focus on the Empower Initiative, by modernizing a critical County business system that strengthens operational excellence, transparency, innovation, and customer service. Replacing ARCC’s aging property assessment system with a modern, integrated platform will provide employees with timely, reliable, and accessible information to support informed decision-making, improve accountability, and enhance continuity of operations. The project will also expand digital services, improve customer experience for property owners, and position the County and ARCC to deliver efficient, secure, and resilient property assessment services while responsibly stewarding public resources and supporting future innovation. Respectfully submitted, 12. Declare Results of the June 2, 2026 Primary Election (Adopt Resolution) (Districts: All) Recommendation by Chief Administrative Officer: Adopt a Resolution entitled RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO DECLARING THE RESULTS OF THE JUNE 2, 2026 GUBERNATORIAL PRIMARY ELECTION RELATING TO COUNTY OF SAN DIEGO OFFICES (Attachment A, on file with Clerk of the Board). 13. Amend Sections of the Compensation Ordinance (8/18/2026 - First Reading; 9/1/2026 - Second Reading, unless the ordinance is modified on second reading) (Districts: All) Recommendation by Chief Administrative Officer: 1)Approve the introduction of the Ordinance (first reading): AN ORDINANCE AMENDING COMPENSATION ORDINANCE AND ESTABLISHING COMPENSATION 2) If on August 18, 2026, the Board takes action as recommended in item 1 above, then, on September 01, 2026, approve the adoption of the Ordinance (second reading): AN ORDINANCE AMENDING COMPENSATION ORDINANCE AND ESTABLISHING COMPENSATION 3) If the proposed ordinance is altered on September 1, 2026, then on that date a subsequent meeting date will be selected for adoption of the ordinance. Tuesday, August 18, 2026 16

14. Consider Adoption of Board Policy on Polling and Community Surveys (Districts: All) Recommendation by Chief Administrative Officer: Consider the adoption of Board Policy A-70, County Policy on Polling and Community Surveys. 15. Receive the County of San Diego Baseline Intersectional Gender Equity Analysis Report (Districts: All) Recommendation by Chief Administrative Officer: Receive the County of San Diego Baseline Intersectional Gender Equity Analysis Report in alignment with the Convention on the Elimination of All Forms of Discrimination Against Women Ordinance 16. Approve Disposition and Development Agreement and CEQA Exemptions for Development of Affordable Housing and a Health Care Facility on County Land at 3177 Ocean View Boulevard, San Diego (District: 1) Recommendation by Chief Administrative Officer: 1) Find that the proposed actions to authorize execution of a Disposition and Development Agreement (DDA) and ground leases for development of affordable housing and a health care facility at 3177 Ocean View Boulevard are exempt from the California Environmental Quality Act (CEQA) pursuant to CEQA Guidelines section 15332. 2) Authorize the Director, Department of General Services, to execute the DDA with BRIDGE Housing Corporation, or an affiliate entity, in partnership with San Ysidro Health, to execute one ground lease with BRIDGE Housing Corporation, or an affiliate, for the development of affordable housing, one ground lease with San Ysidro Health for the development of a health care facility, a restrictive covenant with San Ysidro Health restricting the use of the health care facility property to ensure the property is developed and maintained to serve a public purpose, and any other DDA attachments and perform any actions in furtherance of or necessary to administer or implement the DDA, each ground lease and the health care facility restrictive covenant, including but not limited to, approving, and executing amendments to the DDA, each Ground Lease, the health care facility restrictive covenant, and their attachments. 3) Find that so long as the ground lease for the health care facility is by a lessee who is an organization exempt from taxation pursuant to Section 501(c)(3) of the Internal Revenue Code that is organized to provide health and human services, and so long as the health care facility is operated by a federally qualified health center that provides comprehensive health care services for all patients including those that are underinsured, low income or uninsured, the ground lease for the health care facility serves a public purpose. 4) Authorize the Deputy Chief Administrative Officer, Health and Human Services Agency, or a designee, to execute the Regulatory Agreement and any amendments to the Regulatory Tuesday, August 18, 2026 17

Agreement on 3177 Ocean View Boulevard and perform any actions in furtherance of or necessary to administer or implement the DDA, Ground Leases, and Regulatory Agreement. 5) Authorize the deposit of all proceeds received per the requirements of the ground leases for both the affordable housing and health care facility at 3177 Ocean View Boulevard, including the deposit of approximately $500,000 in initial rent payments and $300 per year thereafter with an annual 3.5% increase to the Innovative Housing Trust Fund. (4 Votes) 17. Approving the Issuance of California Municipal Finance Authority Multifamily Housing Qualified 501(c)(3) Bonds in an Aggregate Principal Amount not to Exceed $16,565,000 for the Purpose of Financing and/or Refinancing the Acquisition and Improvement of a Mobile Home Park to be Known as Alpine Oaks Estate (District: 2) Overview The County of San Diego (“County”) has received a request from the California Municipal Finance Authority (“CMFA” or “Authority”) to approve the Authority’s issuance of multifamily housing qualified 501(c)(3) bonds in an aggregate principal amount not to exceed $16,565,000 (the “Bonds”), for the benefit of Augusta Communities II LLC, a California limited liability company, whose sole member is Augusta Homes, a California nonprofit public benefit corporation (the “Borrower”). The Borrower has requested that the Authority participate in the issuance of the Bonds to finance or refinance the acquisition and improvement of an approximately 66 space mobile home park located within the county at 3505 Alpine Boulevard, Alpine, California 91901 (the “Project”). The Authority is authorized to assist in financing for nonprofit public benefit organizations or for-profit corporations with a public benefit project wishing to issue multifamily housing qualified 501(c)(3) bonds, including the Borrower. In order to initiate such a financing, the Borrower is asking the County, a member jurisdiction in which the project resides to approve the Authority’s issuance of the Bonds. Although the Authority will be the issuer of the Bonds for the Borrower, the financing cannot proceed without the approval of an applicable legislative body. Pursuant to Section 147(f) of the Internal Revenue Code, a public hearing was held on August 4, 2026. There was one member of the public who was present and made a comment. Today’s recommendations will provide the Authority with the required authorization to pursue its determination to issue the Bonds on behalf of the Borrower for the Project. Recommendation by Chief Administrative Officer Adopt a Resolution entitled: RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO APPROVING THE ISSUANCE OF CALIFORNIA MUNICIPAL FINANCE AUTHORITY MULTIFAMILY HOUSING QUALIFIED 501(C)(3) BONDS IN AN AGGREGATE PRINCIPAL AMOUNT NOT TO EXCEED $16,565,000 FOR THE PURPOSE OF FINANCING AND/OR REFINANCING THE ACQUISITION AND IMPROVEMENT OF A MOBILE HOME PARK TO BE KNOWN AS ALPINE OAKS ESTATE Equity Impact Statement This financing will help in the acquisition and improvement of an approximately 66 space mobile home park located within San Diego County. The obligations will assist the Borrower to Tuesday, August 18, 2026 18

offer low-income living arrangements for households in San Diego County. Sustainability Impact Statement The proposed action would result in economic benefits for the community by allowing the borrower to serve 66 low-income households in the San Diego County. This financing will contribute to the County of San Diego’s Sustainability Goal No. 2, providing just and equitable access, by increasing investment in underserved communities of San Diego County. Fiscal Impact If approved, the proposal will result in approximately $991 of unanticipated revenue to be used to reimburse the County of San Diego (County) for staff costs associated with this non-County financing. There will be no change in net General Fund cost and no additional staff years. The Borrower will be responsible for the payment of all present and future costs in connection with the reissuance of the financing related to the Project. The County will incur no obligation of indebtedness as a result of today’s actions. Business Impact Statement N/A 18. Approving the Issuance and Reissuance of California Municipal Finance Authority Multifamily Housing Exempt Facility Bonds in an Aggregate Principal Amount Not to Exceed $13,000,000 for the Purpose of Financing and/or Refinancing the Acquisition, Development, Construction, and Equipping of a Qualified Residential Rental Project to be Known as the 2581 Commercial Street Apartments (District: 1) Overview The County of San Diego (“County”) has received a request from the California Municipal Finance Authority (“CMFA” or “Authority”) to approve the Authority’s issuance of exempt facility bonds in an aggregate principal amount not to exceed $13,000,000 (the “Bonds”), for the benefit of SLT 2581 Commercial St, LP, a California limited partnership (the “Borrower”). The Borrower has requested that the Authority participate in the issuance of the Bonds to finance or refinance the acquisition, development, construction, and equipping of a 70-unit (including one manager’s unit) multifamily rental housing project located within the County at 2581 Commercial Street, San Diego, California 92113 (collectively, the “Project”). The Authority is authorized to assist in financing for nonprofit public benefit organizations or for-profit corporations with a public benefit project wishing to issue revenue bonds, including the Borrower. In order to initiate such a financing, the Borrower is asking the County, a member jurisdiction in which the project resides to approve the Authority’s issuance of the Bonds. Although the Authority will be the issuer of the Bonds for the Borrower, the financing cannot proceed without the approval of an applicable legislative body. Pursuant to Section 147(f) of the Internal Revenue Code, a public hearing was held on March 3, 2026. There were no comments from the public at that hearing. The Board previously approved this issuance on March 24, 2026 (11), but the address listed on Tuesday, August 18, 2026 19

the documents was incorrect. The property's correct address is 2581 Commercial Street, San Diego, California 92113. This item is returning to the Board to approve the TEFRA resolution with the corrected address. Today’s recommendations will provide the Authority with the required authorization to pursue its determination to issue the Bonds on behalf of the Borrower for the Project. Recommendation by Chief Administrative Officer Adopt a Resolution entitled: RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO APPROVING THE ISSUANCE AND REISSUANCE OF CALIFORNIA MUNICIPAL FINANCE AUTHORITY MULTIFAMILY HOUSING EXEMPT FACILITY BONDS IN AN AGGREGATE PRINCIPAL AMOUNT NOT TO EXCEED $13,000,000 FOR THE PURPOSE OF FINANCING AND/OR REFINANCING THE ACQUISITION, DEVELOPMENT, CONSTRUCTION, AND EQUIPPING OF A QUALIFIED RESIDENTIAL RENTAL PROJECT TO BE KNOWN AS 2581 COMMERCIAL STREET APARTMENTS Equity Impact Statement This financing will help in the creation of quality, affordable housing for 69 low-income households in San Diego County. The bonds issued will be used to finance or refinance the acquisition, development, construction, and equipping of a multifamily rental housing project located at 2581 Commercial Street, San Diego, California. The obligations will assist the Borrower to offer low-income living arrangements for households in San Diego County. Sustainability Impact Statement The proposed action would result in economic benefits for the community by allowing the borrower to serve 69 low-income households in San Diego County This financing will contribute to the County of San Diego’s (County) Sustainability Goal No. 2, providing just and equitable access, by increasing investment in underserved communities of San Diego County. Fiscal Impact If approved, the proposal will result in approximately $991 of unanticipated revenue to be used to reimburse the County of San Diego (County) for staff costs associated with this non-County financing. There will be no change in net General Fund cost and no additional staff years. The Borrower will be responsible for the payment of all present and future costs in conne