Title
a. Approve and authorize the Director of Health Services or designee to execute a Standard Agreement with LocumTenens.com, LLC to refer locum tenens psychiatric service providers for the provision of mental health treatment services to adults and children with psychiatric impairments and disabilities for a total Agreement not to exceed $7,000,000 for the term of July 1, 2025 through June 30, 2028; and
b. Approve and authorize the Director of Health Services or designee, to approve up to three (3) future amendments that do not exceed (10%) ($700,000) of the original Agreement amount, do not significantly alter the scope of services, and do not exceed the total not-to-exceed amount of $7,700,000.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
a. Approve and authorize the Director of Health Services or designee to execute a Standard Agreement with LocumTenens.com, LLC to refer locum tenens psychiatric service providers for the provision of mental health treatment services to adults and children with psychiatric impairments and disabilities for a total Agreement not to exceed $7,000,000 for the term of July 1, 2025 through June 30, 2028; and
b. Approve and authorize the Director of Health Services or designee, to approve up to three (3) future amendments that do not exceed (10%) ($700,000) of the original Agreement amount, do not significantly alter the scope of services, and do not exceed the total not-to-exceed amount of $7,700,000.
SUMMARY/DICUSSION:
This new Standard Agreement with LocumTenens.com, LLC replaces Agreement A 15808, which expires on June 30, 2025. LocumTenens.com, LLC provides temporary physician placement services to deliver temporary medical services in accordance with applicable Federal, State, and County laws, rules, regulations, and policies. Locum tenens are licensed Physicians and Healthcare Professionals who are Board Certified or Board Eligible or have equivalent training and experience. The County of Monterey engages physicians who provide locum tenens services in areas of critical medical need where sufficient permanent staffing is not available. It is critical that the County provide a continuity of mental health care pursuant to the requirements of the Bronzan-McCorquodale Act (California Welfare & Institutions Code Section 5600 et seq.), Part 2.5 of Division 5 of the California Welfare & Institutions Code, and Titles 9 and 22 of the California Code of Regulations.
This Agreement contains the County’s standard 30-day “no cause” provision (Section 7.01), a “good cause” provision effective immediately (Section 7.02), and a defunding provision (Section 7.03).
This work supports the County of Monterey Health Department 2025-2028 Strategic Plan Goals(s): 3. Build Community Power and Partners’ Capacity to Increase Equity and Improve Health. It also supports one of the ten essential public health services, specifically: 8. Assure competent public and personal health care workforce.
OTHER AGENCY INVOLVEMENT:
The Office of the County Counsel and Auditor-Controller have reviewed and approved this Agreement as to legal form and fiscal provisions, respectively.
FINANCING:
This Agreement is funded by Realignment and Federal Financial Participation (FFP). The funds for this Agreement are included in the Health Department Behavioral Health Bureau (HEA012, Unit 8410) Fiscal Year (FY) 2025-26 Requested Budget. Any unused contract authority will be fully budgeted in the subsequent FYs, through the term of the Agreement.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐ Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐ Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability, and transparency.
☒ Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐ Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐ Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses, and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Charise Walters, Management Analyst II, 755-4708
Approved by: Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachment:
Board Report
Agreement