Legislation Details

File #: A 26-095    Name: Awender Chiropractic Health, Inc Amendment No. 2
Type: BoS Agreement Status: Passed
File created: 3/20/2026 In control: Board of Supervisors
On agenda: 4/14/2026 Final action: 4/14/2026
Title: Approve and authorize the Director of Health Services or designee to execute Amendment No. 2 to Agreement with Awender Chiropractic Health Services, Inc.(“Awender”), extending the term  for two (2) additional years with a term of April 15, 2024 to April 30, 2028 and increasing the contract amount by $2,000,000 for a revised contract amount not to exceed $2,916,240 for on-site licensed chiropractors.
Attachments: 1. Board Report, 2. Amendment No.2, 3. Amendment No.1, 4. Agreement, 5. Completed Board Order Item No. 31
Related files: A 25-162
Title

Approve and authorize the Director of Health Services or designee to execute Amendment No. 2 to Agreement with Awender Chiropractic Health Services, Inc.(“Awender”), extending the term  for two (2) additional years with a term of April 15, 2024 to April 30, 2028 and increasing the contract amount by $2,000,000 for a revised contract amount not to exceed $2,916,240 for on-site licensed chiropractors.

Report

RECOMMENDATION:

It is recommended that the County of Monterey Board of Supervisors:

Approve and authorize the Director of Health Services or designee to execute Amendment No. 2 to Agreement with Awender Chiropractic Health Services, Inc.(“Awender”), extending the term  for two (2) additional years with a term of April 15, 2024 to April 30, 2028 and increasing the contract amount by $2,000,000 for a revised contract amount not to exceed $2,916,240 for on-site licensed chiropractors.

SUMMARY:

The County of Monterey Health Department Clinic Services Bureau (Clinic Services) operates twelve community clinic sites designated as Federally Qualified Health Centers (FQHCs) which provide preventive, primary, and specialty medical care services, including chiropractic services.

Approval of this Agreement with Awender Chiropractic Health Services, Inc (Awender) will allow continued chiropractic care with a focus on serving low-income, uninsured, and underserved Californians, offering a drug-free approach to health and wellness for individuals who might otherwise have limited or no access to such services.

SUMMARY:

Clinic Services entered into a Standard Agreement with Awender to provide on-site chiropractic care through licensed practitioners, for a term of April 15, 2024, to April 30, 2026, with a contract amount not to exceed $198,000. In response to a 2024 patient survey results, this Agreement served as a pilot program offering chiropractic services, Complementary and Alternative Medicine at the Seaside Family Health Center. The pilot was su...

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