Title
a. Approve and authorize the Director of Health or Assistant Director of Health to sign a Standard Agreement (“Agreement”) with California Rural Legal Assistance (CRLA) Medical-Legal Partnership (MLP) to provide legal services to patients of the Clinic Services Bureau to address social determinants of health, for the term August 1, 2023, through June 30, 2024 and an Agreement amount not to exceed $125,000;
b. Approve the recommendation of the Director of Health to approve the following non-standard risk provisions regarding indemnification and business automobile liability insurance; and
c. Authorize the Director of Health or Assistant Director of Health to sign up to three (3) future amendments where the total amendments do not exceed 10% ($12,500) of the agreement amount, do not exceed the total revised liability of $137,500, and do not significantly change the scope of work.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health or Assistant Director of Health to sign a Standard Agreement (“Agreement”) with California Rural Legal Assistance (CRLA) Medical-Legal Partnership (MLP) to provide legal services to patients of the Clinic Services Bureau to address social determinants of health, for the term August 1, 2023, through June 30, 2024 and an Agreement amount not to exceed $125,000;
b. Approve the recommendation of the Director of Health to approve the following non-standard risk provisions regarding indemnification and business automobile liability insurance; and
c. Authorize the Director of Health or Assistant Director of Health to sign up to three (3) future amendments where the total amendments do not exceed 10% ($12,500) of the agreement amount, do not exceed the total revised liability of $137,500, and do not significantly change the scope of work.
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.
CRLA is a non-profit legal service program created to help low-income individuals and communities throughout California.
CRLA began providing on-site legal services at the Alisal Health Center clinic in December 2017 and has since expanded its services to three different sites and added additional CRLA staff to support growing patient caseloads. Services are provided at no cost to patients to help address a wide variety of legal issues facing them which can adversely affect their ability to improve their health and well-being. Many of these issues arise from social determinants of health, including workplace safety, environmental health, exposure to violence, and lack of adequate housing. Referrals are also provided to other legal service organizations for immigration, criminal, and other legal needs.
Since December 2017 through April 2023, approximately 700 Clinic Services’ patients have accessed the legal services available to them at no-cost through this Medical-Legal Partnership (MLP).
This work supports the Monterey County Health Department 2018-2022 Strategic Plan initiatives: 2. Enhance community health and safety through prevention; and 3. Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports one or more of the ten essential public health services, specifically: 4. Mobilize community partnerships and action to identify and solve health problems, and 7. Link people to needed personal health services and assure the provision of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment as to form. Auditor-Controller has reviewed and approved as to fiscal provisions. This Amendment has been reviewed by Public Health in relation to the funding component.
FINANCING:
This Agreement will be fully funded with Whole Person Care funds. Appropriations for this Agreement are included in the Health Department’s (023-4000-8473-HEA017) FY 2023-24 Adopted Budget.
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: Stacey Fiess, Management Analyst II, 796-1329
Approved by:
___________________________ Date ____________________
Elsa Mendoza Jimenez, Director of Health, 755-4526
Attachment(s):
Board Report
Standard Agreement