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File #: A 21-186    Name: PHA PILOT Project Amendment 4
Type: BoS Agreement Status: Passed - Natividad Medical Center
File created: 5/3/2021 In control: Board of Supervisors
On agenda: 5/25/2021 Final action: 5/25/2021
Title: Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute amendment No. 4 to the agreement (A-13598) with Pacific Health Alliance for project administration ("PA") services for the County of Monterey's Esperanza Care Program (Pilot Project for the Remaining Uninsured), extending the agreement an additional twelve (12) month period (January 1, 2022 through December 31, 2022) for a revised full agreement term of August 1, 2017 through December 31, 2022, and adding $300,000 for a revised total agreement amount not to exceed $1,450,000.
Attachments: 1. Board Report, 2. PHA PILOT Project Agreement, 3. PHA PILOT Project Amendment 1, 4. PHA PILOT Project Amendment 2., 5. PHA PILOT Project Amendment 3., 6. PHA PILOT Project Amendment 4., 7. Completed Board Order Item No. 19
Title
Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute amendment No. 4 to the agreement (A-13598) with Pacific Health Alliance for project administration ("PA") services for the County of Monterey's Esperanza Care Program (Pilot Project for the Remaining Uninsured), extending the agreement an additional twelve (12) month period (January 1, 2022 through December 31, 2022) for a revised full agreement term of August 1, 2017 through December 31, 2022, and adding $300,000 for a revised total agreement amount not to exceed $1,450,000.

Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute amendment No. 4 to the agreement (A-13598) with Pacific Health Alliance for project administration ("PA") services for the County of Monterey's Esperanza Care Program (Pilot Project for the Remaining Uninsured), extending the agreement an additional twelve (12) month period (January 1, 2022 through December 31, 2022) for a revised full agreement term of August 1, 2017 through December 31, 2022, and adding $300,000 for a revised total agreement amount not to exceed $1,450,000.

SUMMARY/DISCUSSION:

The Affordable Care Act (ACA) was enacted to provide Medicaid (Medi-Cal) and other coverage options through the exchange to many low-income individuals with the goal of decreasing the number of uninsured individuals. However, many Monterey County residents remain uninsured and unable to pay for costly medical care, procedures and prescription medications. Of the uninsured, it is estimated that there are approximately 30,000 to 50,000 adult residents over the age of 25 living in Monterey County without any medical insurance due to their documentation status.
In response to this need, the Board of Supervisors approved an allocation of $500,000 from the general fund in August 2015 establishing the County's Pilot Project for...

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