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 and Planning
Subject: Measure K: Amendment to the Memorandum of Agreement with the San Mateo County Health Commission Regarding Housing Services Program Funded by Measure K
RECOMMENDATION:
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Measure K: Adopt a resolution authorizing a seventh amendment to the memorandum of agreement between the County of San Mateo and the San Mateo County Health Commission to extend the term through June 30, 2027, to replace Exhibit A.3 with Exhibit A.4 (Rev. 2/12/2026) to include Orthodontia Access Pilot and Vision to Learn, and to increase the fiscal obligation by $4,000,000 in Measure K funds, in an amount not to exceed $40,333,453.
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BACKGROUND:
To support housing services for high-risk clients, the Board approved Measure K funding of $1 million in FY 2016-17 and $2 million annually thereafter. On June 6, 2017, the Board also approved a Memorandum of Agreement (MOA) with the Health Plan of San Mateo (HPSM) to implement housing subsidies as a strategy to increase access to and maintain engagement in healthcare services with this funding.
The MOA has been amended several times to update program scope, funding, and administrative details:
* March 6, 2018: Added and clarified the scope of work, care coordination approach, and payment plan.
* December 10, 2019: Updated recuperative care start-up costs, reporting requirements, and payment plan.
* March 9, 2021: Extended the agreement through June 30, 2022; increased funding by approximately $6.0 million (to $30.3 million); and reorganized key documents into exhibits.
* January 3, 2022: Reallocated $300,000 in Measure K funds to expand access to vision services for up to 3,000 Medi-Cal beneficiaries in county school districts.
* June 28, 2022: Extended the agreement through June 2025; increased funding by $6...
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