Title
Authorize the Contracts/Purchasing Officer to sign Amendment No. 4 to 340B Prime Vendor Participation Agreement Nos. A-12009 and A-12010 with Cardinal Health 110, Inc. and Cardinal Health 411, Inc. for the purchase of discounted outpatient pharmaceuticals for the Federally-Qualified Health Center Look-alike clinics, with a shipping location at the Alisal Health Center, extending the term one (1) additional year, for a revised term of March 24, 2011 to June 30, 2018.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Authorize the Contracts/Purchasing Officer to sign Amendment No. 4 to 340B Prime Vendor Participation Agreement Nos. A-12009 and A-12010 with Cardinal Health 110, Inc. and Cardinal Health 411, Inc. for the purchase of discounted outpatient pharmaceuticals for the Federally-Qualified Health Center Look-alike clinics, with a shipping location at the Alisal Health Center, extending the term one (1) additional year, for a revised term of March 24, 2011 to June 30, 2018.
SUMMARY/DISCUSSION:
The Health Department Clinic Services Bureau (Clinic Services) operates nine community clinic sites designated as Federally Qualified Health Center Look-Alikes (FQHC-LA). Under the direction of the County and governance of the Community Health Center Board, the clinics provide preventative, primary, and specialty medical care services.
On June 21, 2011, the Board of Supervisors approved Agreement Nos. A-12009 and A-12010 with Cardinal, enabling Clinic Services FQHC-LA clinics, pursuant to Section 340B of the Federal Public Health Services Act, to purchase outpatient drugs for eligible patients at discounted rates from drug manufacturers that enter into drug purchasing agreements with the United States Health Resources and Services Administration (HRSA).
The initial term of the Agreement was March 24, 2011 to June 30, 2013 and, since then, has been amended through Amendment Nos. 1, 2 and 3 to extend the term and modify the facility list. Amendment No. 4 extends the term for an additional one (1) year period to June 30, 2018, for a new term of March 24, 2011 to June 30, 2018.
This work supports the Monterey County Health Department 2011-2015 Strategic Plan Initiatives: (1) Empower the community to improve health through programs, policies, and activities; and (2) enhance community health and safety by emphasizing prevention. 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 and the Auditor-Controller have reviewed this Amendment No. 4 as to legal form and fiscal provisions, respectively. The original Agreement included deviations from the County’s standard insurance and indemnification provisions, which the Board of Supervisors accepted on June 21, 2011.
FINANCING:
Sufficient appropriations are available in the FY 2017-18 Health Department Clinic Services Recommended Budget, (4000-HEA007). The Agreement is funded by revenues from Medi-Cal and Medicare. There is no financial impact to the General Fund resulting from approval of this 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: Sheena Morales, Management Analyst III, x1393
Approved by: Elsa Jimenez, Director of Health, x4526
Attachments:
Amendment No. 4 is on file with the Clerk of the Board
Amendment No. 3 is on file with the Clerk of the Board
Amendment No. 2 is on file with the Clerk of the Board
Amendment No. 1 is on file with the Clerk of the Board
Agreement is on file with Clerk of the Board