DATE:
December 9, 2025
03
TO:
Board of Supervisors
SUBJECT
Title
SHERIFF - REQUEST FOR AUTHORIZATION TO ISSUE A COMPETITIVE SOLICITATION FOR PHARMACY SERVICES AT DETENTION FACILITIES (DISTRICTS: ALL)
Body
OVERVIEW
The Sheriff's Office (Sheriff) provides comprehensive health care services to incarcerated persons in custody at all seven Sheriff's detention facilities across San Diego County as required by Title 15 of the California Code of Regulations. Impacts from Assembly Bill 109, enacted in 2011, which mandated the Sheriff's Office house defendants convicted of less serious felonies to serve their time in local county jail rather than in state prison, include elevated medical needs of the incarcerated population. As the incarcerated population needs have changed and obligations for medical services have increased to address complex diagnoses, there has been a fundamental shift of health service delivery from ad-hoc acute care services in an ambulatory setting to comprehensive, preventive, and chronic care services in a structured institutional environment.
On August 4, 2020 (1), the Board of Supervisors approved the Sheriff's request to issue a competitive solicitation for health care services. On April 26, 2022, the County awarded a contract for consolidated health care delivery to Naphcare, Inc. and services began on June 1, 2022. The contract for comprehensive health care services includes provisions for pharmacy services which encompasses on-site medication administration and pharmaceutical operations. On January 26, 2023, California received federal approval to offer Medicaid services to Medi-Cal eligible youths and adults in correctional facilities, to include county jails, for up to 90 days prior to release through the Justice-Involved Reentry Initiative also known as Medi-Cal Transformation Initiative. Pharmacy services are required as per this initiative. The California Department of Health Care Services (DHCS) requires correctional fac...
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