File #: A 22-119    Name: CRLA Amendment No 4
Type: BoS Agreement Status: Passed - Health Department
File created: 3/15/2022 In control: Board of Supervisors
On agenda: 4/19/2022 Final action: 4/19/2022
Title: Approve and authorize the Director of Health or their designee to sign Amendment No. 4 to Agreement No. A-14311 ("Agreement") with California Rural Legal Assistance (CRLA) Medical-Legal Partnership (MLP) extending the term to January 31, 2023, for a revised full term of May 21, 2019 through January 31, 2023 and increasing the total contract amount by $271,000 for a new agreement total of $933,445 for continued legal services to patients of the Monterey County Health Department Clinic Services Bureau ("Clinic Services") to address social determinants of health.
Attachments: 1. Board Report, 2. Amendment No 4, 3. Amendment No 3, 4. Amendment No 2, 5. Amendment No 1, 6. Agreement, 7. Completed Board Order Item No. 55
Related files: A 20-328, A 19-125, A 23-038
Title
Approve and authorize the Director of Health or their designee to sign Amendment No. 4 to Agreement No. A-14311 ("Agreement") with California Rural Legal Assistance (CRLA) Medical-Legal Partnership (MLP) extending the term to January 31, 2023, for a revised full term of May 21, 2019 through January 31, 2023 and increasing the total contract amount by $271,000 for a new agreement total of $933,445 for continued legal services to patients of the Monterey County Health Department Clinic Services Bureau ("Clinic Services") to address social determinants of health.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Director of Health or their designee to sign Amendment No. 4 to Agreement No. A-14311 ("Agreement") with California Rural Legal Assistance (CRLA) Medical-Legal Partnership (MLP) extending the term to January 31, 2023, for a revised full term of May 21, 2019 through January 31, 2023 and increasing the total contract amount by $271,000 for a new agreement total of $933,445 for continued legal services to patients of the Monterey County Health Department Clinic Services Bureau ("Clinic Services") to address social determinants of health.

SUMMARY/DISCUSSION:
The Health Department Clinic Services Bureau (Clinic Services) operates ten community clinic sites designated as Federally Qualified Health Centers (FQHCs) which provide preventive, primary, and specialty medical care services.

As health care systems continue to gain depth as patient centered medical homes for patients, primary care providers are incorporating legal services on-site. CRLA is a non-profit legal service program created to help low-income individuals and communities throughout California.

In December 2017, CRLA began providing on-site legal services to County patients at the Alisal Health Center clinic and has since expanded its services to three different sites and added additional CRLA staff to support growing patient caseloads. ...

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