Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Tamarra Jones, Director, Public Health, Policy, & Planning
Subject: Agreements with El Concilio of San Mateo County, Puente de la Costa Sur, and Youth Leadership Institute for Community Health Assessment Community Engagement Strategy Services
RECOMMENDATION:
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Adopt a resolution authorizing agreements with trusted messenger organizations El Concilio of San Mateo County, Puente de la Costa Sur, and Youth Leadership Institute, to provide expertise in engaging the community for the upcoming Community Health Assessment (CHA) for the term November 17, 2026 through December 31, 2028 in an amount not to exceed $102,518 per agreement, an aggregate not-to-exceed amount of $307,554.
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BACKGROUND:
The San Mateo County Community Health Assessment (CHA) is a systematic, multi-year process of collecting, analyzing, and reporting data to identify health needs, strengths, and assets of residents in San Mateo County.
In 2024, the Department of Health Care Services updated its Population Health Management Policy Guide to include requirements for Managed Care Plans (MCPs) to meaningfully participate in the Local Health Jurisdiction (LHJ) CHA and Community Health Improvement Plan (CHIP). To support the alignment of planning, MCPs are required to support CHA/CHIP-related activities. In San Mateo County, the MCPs are Health Plan of San Mateo (HPSM) and Kaiser Permanente. A total of $400,000 was received from the MCPs to support these activities.
The CHIP Steering Committee is the planning body convened to support implementation of CHA and CHIP activities and has identified funding recommendations to carry out such activities. On October 23, 2025, the CHIP Steering Committee approved $255,000 of the $400,000 available for its trusted messenger agreements.
On June 26, 2026, San Mateo County Health, Public Health, Policy & Planning (PHPP) released a Request for Proposals (RFP) for organizations able to support the CHA community engagement strategy, specifically seeking a partnership with trusted messenger organizations to support engagement for the upcoming CHA.
On September 11, 2026, PHPP’s evaluation committee elevated the top five proposers to participate in a final panel interview and selected - El Concilio of San Mateo County, Puente de la Costa Sur, and Youth Leadership Institute - based on the criteria listed in the RFP.
On September 24, 2026, the CHIP Steering Committee voted to reallocate unexpended funds of $52,553 in CHA funding to add to the original $255,000 allocated for the trusted messenger agreements, increasing the total funding to $307,554.
DISCUSSION:
The three selected local community-based nonprofit organizations will serve as trusted messengers between San Mateo County communities and the County and will help plan and conduct community engagement for the County’s next CHA, with planning beginning after contract execution and major engagement/data collection activities occurring in 2027-2028. The CHA is expected to conclude in December 2028.
PHPP plans to use the selected trusted messenger organizations, and the community members they will help engage, to launch important CHA phases and achieve key milestones: structuring the assessment component, convening subcommittees, and making critical decisions about the assessment itself.
Each agreement with the three selected trusted messenger organizations will be for a term of November 12, 2026 through December 31, 2028, in an amount not to exceed $102,518, an aggregate not-to-exceed amount of $307,554 thus, this item is being presented to this Board because the total aggregate amount of the proposed agreements exceeds $200,000, and Administrative Memorandum B-1 requires that solicitations resulting in multiple contracts that, in the aggregate, exceed $200,000 be approved by this Board.
The resolution contains the County’s standard provisions allowing amendment of the County’s maximum fiscal obligation by no more than $25,000 (in aggregate) per agreement.
The resolution and agreements have been reviewed and approved by the County Attorney as to form.
PHPP anticipates 90% of 300 CHA community members will be engaged, with an emphasis on priority populations and in accordance with contract deliverables and reporting guidelines.
PERFORMANCE MEASURE:
|
Measure |
FY 2026-27 Estimated |
FY 2027-28 Projected |
FY 2028-29 Projected |
|
Percentage and number of CHA community members engaged, with an emphasis on priority populations and in accordance with contract deliverables and reporting guidelines |
50% 150 out of 300 community members |
70% 210 out of 300 community members |
90% 270 out of 300 community members |
COMMUNITY IMPACT:
CHA community engagement strategy services will positively impact San Mateo County residents because it will increase engagement with priority communities to identify assets and needs to improve community health. The resulting community-informed data will be used to shape the CHA and guide the development of health priorities for the CHIP, helping the County target future strategies and resources where they are most needed. Ensuring community voice in the implementation of this process on the outset is a best practice for local health jurisdictions.
FISCAL IMPACT:
The CHA agreement(s) will be for an amount not to exceed $102,518 each, with an aggregate not-to-exceed amount of $307,554. These agreements are funded by the HPSM and Kaiser Permanente to support the development of the CHA. Budgetary appropriations for these agreements will be included in the PHPP FY 2026-27 Adopted Budget. There is no Net County Cost associated with this item.