Title
a. Authorize the County Counsel to execute amendment No. 9 to the agreement (A-13923) with Best Best & Krieger, LLP for legal advice related to healthcare services, adding $300,000, for a total revised agreement amount of $1,295,000, with no change to the term of May 1, 2017 through April 30, 2026; and
b. Authorize the County Counsel to execute up to one (1) future amendment that does not exceed 10% ($8,000) of the original Agreement amount, does not significantly alter the scope of work, and does not exceed a revised maximum amount of $1,303,000.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
a. Authorize the County Counsel to execute amendment No. 9 to the agreement (A-13923) with Best Best & Krieger, LLP for legal advice related to healthcare services, adding $300,000, for a total revised agreement amount of $1,295,000, with no change to the term of May 1, 2017 through April 30, 2026; and
b. Authorize the County Counsel to execute up to one (1) future amendment that does not exceed 10% ($8,000) of the original Agreement amount, does not significantly alter the scope of work, and does not exceed a revised maximum amount of $1,303,000.
SUMMARY/DISCUSSION:
Best Best & Krieger, LLP provides advice and consultation with the Office of the County Counsel on a variety of healthcare-related issues to Natividad Medical Center. The firm performs specialized legal attorney services related to healthcare law, including, but not limited to, the Health Insurance Portability and Accountability Act (HIPAA), Stark and Anti-Kickback laws and laws pertaining to intellectual property law. They provide guidance on Business Associate Agreements, commercial law, and a variety of issues related to confidentiality of medical information.
OTHER AGENCY INVOLVEMENT:
County Counsel reviewed and approved this renewal and amendment No. 9 as to legal form, and the Auditor-Controller reviewed and approved as to payment provisions. The amendment No. 9 was reviewed and approved by NMC’s Finance Committee and Board of Trustees on June 13, 2025.
FINANCING:
The cost for this amendment No. 9 is $300,000 of which $300,000 is included in the Fiscal Year 2025-2026 Recommended Budget. Funding will be provided from NMC’s Enterprise Fund 451-9600-6613
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
This agreement is for legal consulting services regarding healthcare related matters on an as needed basis, the outcome of which will contribute to assisting NMC run efficient business operations.
__ Economic Development
X Administration
__ Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Daniel Leon, Chief Financial Officer, 783-2561
Approved by: Charles R. Harris, M.D., Chief Executive Officer, 783-2504
Attachments:
Amendment No. 9 to Best Best & Krieger Agreement
Amendment No. 8 to Best Best & Krieger Agreement
Amendment No. 7 to Best Best & Krieger Agreement
Amendment No. 6 to Best Best & Krieger Agreement
Renewal and Amendment No. 5 to Best Best & Krieger Agreement
Amendment No. 4 to Best Best & Krieger Agreement
Amendment No. 3 to Best Best & Krieger Agreement
Amendment No. 2 to Best Best & Krieger
Amendment No. 1 to Best Best & Krieger
Original Agreement Best Best & Krieger
Attachments on file with the Clerk of the Board