Consider recommendations regarding a First Amendment to Sensibill Services, Inc. Agreement for CalAIM Justice Involved Medi-Cal Billing to Replace Exhibit D: HIPAA Business Associate Agreement, as follows: a) Approve and authorize the Chair to execute the First Amendment to the Agreement with Sensibill Services, Inc. (Sensibill) for California Advancing and Innovating Medi-Cal (CalAIM) Justice Involved (JI) third party Medi-Cal billing services to delete the current Exhibit D, Business Associate Agreement, in its entirety and replace it with the updated Exhibit D, Business Associate Agreement, with no change to the Agreement term or total maximum contract amount not to exceed $540,000.00; b) Approve and authorize the County Health Director, or designee, to execute any future non-material amendments or administrative updates to the Agreement, including updates to attachments or exhibits that do not change the term, scope, or total maximum contract amount, upon review and concurrence by the Auditor-Controller’s Office, Risk Management, and County Counsel’s Office, subject to the Board’s ability to rescind this delegated authority at any time; and c) Determine that the recommended actions do not constitute a “Project” within the meaning of the California Environmental Quality Act (CEQA), and are exempt pursuant to Section 15378(b)(4) of the CEQA Guidelines, since the recommended actions are the creation of government funding mechanisms or other government fiscal activities that do not involve any commitment to any specific project which may result in a potentially significant physical impact on the environment.

Administrative Item Agenda Ready Introduced June 12, 2026

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