Consider recommendations regarding the First Amendment to the Hospitalist and Outpatient Professional Services Agreement with Santa Barbara Cottage Hospital, as follows: (4/5 Vote Required) a) Approve, ratify, and authorize the Chair to execute the First Amendment to the Professional Services Agreement with Santa Barbara Cottage Hospital (a local vendor) for hospitalist and outpatient professional services. The Amendment will authorize the County to receive an amount not to exceed $88,000.00 from Santa Barbara Cottage Hospital, and revise the Statement of Work for the period of July 1, 2026, to June 30, 2027; b) Approve and authorize Budget Revision BJE No. 0011111 in the amount of $88,000.00 to increase revenue and expenditure allocations in the County Health Department’s Fiscal Year 2026-2027 budget; and c) Determine that the recommended actions do not constitute a “Project” within the meaning of the California Environmental Quality Act (CEQA), pursuant to Section 15378(b)(4) of the CEQA Guidelines, because the actions consist of the creation of government funding mechanisms or other government fiscal activities, which 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 July 2, 2026

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