COUNTY OF SAN DIEGO BOARD OF SUPERVISORS

REGULAR MEETING

MEETING AGENDA

TUESDAY, MARCH 24, 2026, 9:00 AM

COUNTY ADMINISTRATION CENTER

BOARD CHAMBER, ROOM 310

1600 PACIFIC HIGHWAY

SAN DIEGO, CA 92101

GENERAL LEGISLATIVE SESSION

TUESDAY, MARCH 24, 9:00 AM

Order Of Business

Roll Call

Invocation

Pledge of Allegiance

Presentation or Announcement of Proclamations and Awards

Non-Agenda Public Communication: Individuals can address the Board on topics within its

jurisdiction that are not on the agenda. According to the Board’s Rules of Procedure, each

person may speak at only one Non-Agenda Public Communication session per meeting.

Speakers can choose to speak during either the General Legislative or Land Use Legislative

Session.

Approval of the Statement of Proceedings/Minutes for the sessions of March 10, 2026 and

March 11, 2026.

Consent Agenda

Discussion Items

Time Certain: 3:00 p.m.

Item 18: FISCAL YEAR 2026-27 BUDGET STRATEGY PRESENTATIONS ON

REQUESTS FOR DISCRETIONARY FUNDING

Time Certain: 6:00 p.m.

Item 17: NOTICED PUBLIC HEARING:

TRUTH ACT COMMUNITY FORUM REGARDING IMMIGRATION AND CUSTOMS

ENFORCEMENT ACCESS TO INDIVIDUALS DURING 2025

Time Certain: 9:00 a.m., Wednesday, March 25, 2026

Item 26: RECEIVE UPDATE AND PRESENTATION FROM THE AD HOC

SUBCOMMITTEE ON SOCIAL SAFETY NET AND BEHAVIORAL HEALTH

SYSTEMS TRANSFORMATION

Board Member Committee Updates. This is an opportunity for Members of the Board to provide

informational updates on their committee assignments. No action may be taken.

Recess to Wednesday, March 25, 2026, at 9:00 AM for the Land Use Legislative Session

Viewing Agenda Materials

All documents and attachments related to agenda items are available for public viewing. You can access

them online at www.sandiegocounty.gov/cob, or in person at the Clerk of the Board’s Office, located at

1600 Pacific Highway, Room 402, San Diego, CA 92101. The Board Meeting calendar is online at

www.sandiegocounty.gov/bos/calendar.html.

How to Speak at a Board Meeting

If you would like to speak at the meeting, either in person or by phone, you can sign up by visiting

https://PublicComment.SanDiegoCounty.gov. On the form, you will be asked to enter your name and

choose how you would like to participate, either by attending in person or calling in virtually. If you

choose to speak by phone, please make sure to enter a valid phone number so we can identify you when

you call. You will also be asked to select the agenda item or items you wish to comment on and indicate

whether you are in favor, opposed, or neutral. Once you submit the form, you will receive a

confirmation email. If you need the information on the website in another language, simply click the

Translate button at the top of the page and select your preferred language.

You can also submit a comment in writing at www.sandiegocounty.gov/ecomment, via email to

PublicComment@sdcounty.ca.gov, or by mail to 1600 Pacific Highway, Room 402, San Diego, CA

92101.

Board Actions and Recommendations

The Board of Supervisors may take action on any item listed on the meeting agenda. While each agenda

item includes recommendations, these are only suggestions and do not limit what the Board may

ultimately decide. Individuals should not assume that the Board will follow the recommendations.

Accessibility Accommodations

The County is committed to making Board meetings accessible to everyone. If you need

accommodations to participate, please contact us at least three days before the meeting by calling

619-531-5434 (TTY 619-531-4803) or emailing PublicComment@sdcounty.ca.gov. If you need a sign

language interpreter, you can call 619-531-4908. Assistive Listening Devices are also available from the

Clerk of the Board’s Office in Room 402.

Language Interpretation Services

The County of San Diego wants everyone to be able to participate in Board meetings—no matter what

language they speak. A Spanish interpreter is available at every Board of Supervisors meeting to assist

those who wish to speak to the Board in Spanish. If you need interpretation in another language, please

request it at least 72 hours before the meeting by calling 619-531-5434 or emailing

PublicComment@sdcounty.ca.gov.

In addition, the County can provide space in the Board Chamber’s Observation Balcony for those

providing or receiving interpretation, supporting the use of personal devices like phones or headsets, or

help connect you to outside interpretation services for other languages. Please contact the Clerk of the

Board in advance so we can make the necessary arrangements. Interpretation must not interrupt the

meeting, in accordance with Government Code Section 54957.95.

Levine Act Notice – Campaign Contribution Disclosures

Under the Levine Act (Government Code § 84308), anyone involved in a proceeding before the Board,

such as for a license, permit, or other entitlement for use, must disclose any campaign contributions over

$500 made to Board Members within the past 12 months. This includes contributions made by the

parties themselves or their agents. The disclosure must include the name of the contributor and

recipient, the amount, and the date of the contribution. Disclosures can be made orally during the

meeting or in writing on the request-to-speak form.

Board of Supervisors' Agenda Items

Subject

Category

Public Safety

DISTRICT ATTORNEY - RATIFICATION OF APPLICATION AND

REQUEST TO ACCEPT GRANT FUNDING FROM THE CALIFORNIA

GOVERNOR’S OFFICE OF EMERGENCY SERVICES, FAMILY

JUSTICE CENTER (FJ) PROGRAM GRANT

SHERIFF - NEW USER AGREEMENTS FOR THE CALIFORNIA

IDENTIFICATION SYSTEM/REMOTE ACCESS NETWORK

SHERIFF - REQUEST APPROVAL TO AUTHORIZE AN AMENDMENT

WITH UNITED HEALTHCARE (AMERICHOICE) AND AUTHORIZE A

COMPETITIVE SOLICITATION FOR AN ADMINISTRATIVE

SERVICES ORGANIZATION

(4 VOTES)

SHERIFF - REQUEST APPROVAL FOR NEW REGIONAL

COMMUNICATIONS SYSTEM CUSTOMER REVENUE

AGREEMENTS WITH AMERICAN MEDICAL RESPONSE, SAN

DIEGO GAS & ELECTRIC, AND SAN DIEGO METROPOLITAN

TRANSIT SYSTEM

SECOND CONSIDERATION AND ADOPTION OF AN ORDINANCE:

ADOPT AN ORDINANCE ADDING ARTICLE IIIx TO THE SAN

DIEGO COUNTY ADMINISTRATIVE CODE RELATED TO THE SAN

DIEGO REGIONAL HUMAN TRAFFICKING AND COMMERCIAL

SEXUAL EXPLOITATION OF CHILDREN ADVISORY COUNCIL AND

AUTHORIZE APPLYING FOR HUMAN TRAFFICKING-RELATED

GRANTS (3/03/26 First Reading; 3/24/26 Second Reading); APPROVAL

OF BYLAWS

Health and

Human Services

ADOPT AN ORDINANCE REPEALING AND REPLACING ARTICLE

XV OF THE SAN DIEGO COUNTY ADMINISTRATIVE CODE

REGARDING THE HEALTH AND HUMAN SERVICES AGENCY AND

ADDING ARTICLE XVII REGARDING THE BEHAVIORAL HEALTH

SERVICES DEPARTMENT

AUTHORIZE AMENDMENT TO EXTEND EXISTING BEHAVIORAL

HEALTH ADMINISTRATIVE SERVICES ORGANIZATION

CONTRACT AND AUTHORIZE EXECUTION OF THE BEHAVIORAL

HEALTH SERVICES PERFORMANCE CONTRACT AGREEMENT

WITH THE STATE

Financial and

General

Government

SAN DIEGO COUNTY COMMISSION ON THE STATUS OF WOMEN

AND GIRLS’ BYLAWS UPDATE FOR APPROVAL

APPROVING THE ISSUANCE OF EXEMPT FACILITY BONDS BY

THE CALIFORNIA MUNICIPAL FINANCE AUTHORITY IN AN

AGGREGATE PRINCIPAL AMOUNT NOT TO EXCEED $72,000,000

FOR THE PURPOSE OF FINANCING OR REFINANCING THE

ACQUISITION, CONSTRUCTION, IMPROVEMENT AND EQUIPPING

OF THE TROLLEY STOP APARTMENT PROJECT

10.

11.

12.

13.

APPROVING THE ISSUANCE OF EXEMPT FACILITY BONDS BY

THE CALIFORNIA MUNICIPAL FINANCE AUTHORITY IN AN

AGGREGATE PRINCIPAL AMOUNT NOT TO EXCEED $40,000,000

FOR THE PURPOSE OF FINANCING OR REFINANCING THE

ACQUISITION AND REHABILITATION OF THE QUALIFIED

RESIDENTIAL RENTAL 707 BY VINTAGE APARTMENT PROJECT

APPROVING THE ISSUANCE OF EXEMPT FACILITY BONDS BY

THE CALIFORNIA MUNICIPAL FINANCE AUTHORITY IN AN

AGGREGATE PRINCIPAL AMOUNT NOT TO EXCEED $13,000,000

FOR THE PURPOSE OF FINANCING OR REFINANCING THE

ACQUISITION, DEVELOPMENT, CONSTRUCTION, AND EQUIPPING

OF THE 2851 COMMERCIAL APARTMENT PROJECT

APPROVING THE ISSUANCE OF EXEMPT FACILITY BONDS BY

THE CALIFORNIA MUNICIPAL FINANCE AUTHORITY IN AN

AGGREGATE AMOUNT NOT TO EXCEED $20,000,000 FOR THE

PURPOSE OF FINANCING OR REFINANCING THE ACQUISITION,

CONSTRUCTION, IMPROVEMENT AND EQUIPPING OF THE 5370

NAPA APARTMENT PROJECT

ADMINISTRATIVE ITEM:

SECOND CONSIDERATION AND ADOPTION OF AN ORDINANCE:

AN ORDINANCE AMENDING THE COMPENSATION ORDINANCE

AND ESTABLISHING COMPENSATION RELATED TO THE

RATIFIED TENTATIVE AGREEMENT FOR THE EMPLOYEE

BARGAINING UNITS - DS AND SM REPRESENTED BY DEPUTY

SHERIFFS’ ASSOCIATION OF SAN DIEGO COUNTY AND

AMENDING A SALARY GRADE (3/3/2026- First Reading; 3/24/2026-

Second Reading, unless the ordinance is modified on second reading)

14.

ADMINISTRATIVE ITEM:

SECOND CONSIDERATION AND ADOPTION OF AN ORDINANCE:

AN ORDINANCE AMENDING THE COMPENSATION ORDINANCE

AND ESTABLISHING COMPENSATION RELATED TO THE

RATIFIED TENTATIVE AGREEMENT FOR THE EMPLOYEE

BARGAINING UNIT - SO REPRESENTED BY SAN DIEGO COUNTY

SUPERVISING PROBATION OFFICERS’ ASSOCIATION (3/3/2026-

First Reading; 3/24/2026- Second Reading, unless the ordinance is modified

on second reading)

Appointments

15.

APPOINTMENTS: VARIOUS

Communications 16.

Received

COMMUNICATIONS RECEIVED

Public Safety

17.

NOTICED PUBLIC HEARING:

TRUTH ACT COMMUNITY FORUM REGARDING IMMIGRATION

AND CUSTOMS ENFORCEMENT ACCESS TO INDIVIDUALS

DURING 2025

Financial and

General

Government

18.

19.

20.

21.

FISCAL YEAR 2026-27 BUDGET STRATEGY PRESENTATIONS ON

REQUESTS FOR DISCRETIONARY FUNDING

ESTABLISHING A COUNTY CONSUMER FAIRNESS & PUBLIC

PROTECTION UNIT TO PROTECT RESIDENTS AND ENFORCE THE

RULE OF LAW USING DEDICATED SETTLEMENT FUNDS

ESTABLISHING A FRAMEWORK FOR BOARD OF SUPERVISORS

AD HOC SUBCOMMITTEES THAT DEMONSTRATES

TRANSPARENCY AND ACCOUNTABILITY

OPTIMIZING COUNTY FLEET MANAGEMENT TO CAPTURE

MILLIONS IN ONGOING TAXPAYER SAVINGS

22.

23.

ENHANCED PROTECTIONS FOR OUTDOOR CEMETERY WORKERS

PROVIDING DIRECTION ON THE FUTURE OF COUNTY

TECHNOLOGY

Health and

24.

NOTICED PUBLIC HEARING:

Human Services

FISCAL YEAR 2026-27 ANNUAL PLAN FOR THE COMMUNITY

DEVELOPMENT BLOCK GRANT, HOME INVESTMENT

PARTNERSHIPS, EMERGENCY SOLUTIONS GRANT, AND

HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS;

REALLOCATION OF PROGRAM FUNDS; A RESOLUTION OF THE

SAN DIEGO COUNTY BOARD OF SUPERVISORS APPROVING THE

FISCAL YEAR 2026-27 ANNUAL PLAN; AUTHORIZE APPLICATIONS

FOR ADDITIONAL FUNDING OPPORTUNITIES TO SUPPORT

FUTURE HOUSING OR COMMUNITY DEVELOPMENT

25.

26.

RESTORING HOMEOWNERSHIP FOR SAN DIEGANS

RECEIVE UPDATE AND PRESENTATION FROM THE AD HOC

SUBCOMMITTEE ON SOCIAL SAFETY NET AND BEHAVIORAL

HEALTH SYSTEMS TRANSFORMATION

27.

28.

RETURN BACK ON OPTIONS FOR ESTABLISHING A SAFETY NET

BRIDGE PROGRAM TO ADDRESS ANTICIPATED GAPS IN

SERVICES FOR RESIDENTS DISENROLLED FROM BENEFIT

PROGRAMS AND AUTHORIZE IMPLEMENTATION PLANNING FOR

A SAFETY NET BRIDGE PROGRAM PILOT

RECEIVE THE UPDATE ON CREATING A CHILDREN, YOUTH, AND

TRANSITION AGE YOUTH BEHAVIORAL HEALTH CONTINUUM

FRAMEWORK FOR SAN DIEGO COUNTY; AUTHORIZE

COMPETITIVE PROCUREMENTS FOR BEHAVIORAL HEALTH

SERVICES; DIRECT THE ESTABLISHMENT OF DATA-SHARING

AGREEMENTS AMONG COUNTY OF SAN DIEGO DEPARTMENTS;

AND DIRECT FORMAL DISCUSSION AND ESTABLISHMENT OF

DATA-SHARING AGREEMENTS AMONG LOCAL HOSPITALS AND

MANAGED CARE PLANS TO IMPROVE CARE COORDINATION FOR

YOUTH IN SAN DIEGO COUNTY

Financial and

General

Government

29.

30.

RENAMING CÉSAR CHÁVEZ DAY AS FARMWORKERS DAY AT

THE COUNTY OF SAN DIEGO, ADOPTION OF A RESOLUTION

CALLING ON THE STATE OF CALIFORNIA AND THE UNITED

STATES FEDERAL GOVERNMENT TO RENAME CÉSAR CHÁVEZ

DAY AS FARMWORKERS DAY, AND A-72 WAIVER

Closed Session

CLOSED SESSION

CONSENT AGENDA

All agenda items listed under this section are considered to be routine and will be acted upon with

one motion. There will be no separate discussion of these items unless a member of the Board of

Supervisors or the

Chief Administrative Officer so requests, in which event, the item will be considered separately in

its normal sequence.

SUBJECT:

DISTRICT ATTORNEY - RATIFICATION OF APPLICATION AND

REQUEST TO ACCEPT GRANT FUNDING FROM THE CALIFORNIA

GOVERNOR’S OFFICE OF EMERGENCY SERVICES, FAMILY

JUSTICE CENTER (FJ) PROGRAM GRANT - (DISTRICTS: ALL)

OVERVIEW

As the largest provider of local victim services in San Diego County, the Office of the San Diego

County District Attorney (SDCDA) assists over 16,000 crime victims annually. Since July 2022,

the District Attorney has opened two Family Justice Centers to further expand the services

provided. The Family Justice Centers are regionalized hubs that provide acute crisis-care, case

management, counseling and linkages to justice systems and supportive services for victims of

crime. On January 28, 2020 (13), the Board of Supervisors (Board) approved the lease

agreement for a facility located in the North County region in the City of San Marcos. On June

27, 2023 (12), the Board also approved a lease to establish a new Family Justice Center to serve

crime victims in the South County region, located in National City. Both One Safe Place North

(OSP-N) and One Safe Place South (OSP-S) provide critical services to victims of domestic

violence, intimate partner violence, sexual assault, child abuse, elder abuse, transnational

abandonment, and human trafficking.

The 2025-2026 State Budget Act appropriated funds to provide grants to Family Justice Centers

throughout the state. Today’s request is to ratify the application for the California Governor’s

Office of Emergency Services (Cal OES) Family Justice Center (FJ) Program grant, to accept

$625,000 in grant funding to support services at OSP-N and OSP-S, and authorize the District

Attorney and her designees to apply for and accept grant funding to support services for victims

of crime in the future. A waiver of Board Policy B-29, Fees, Grants, Revenue Contracts - which

requires prior approval of grant applications is requested as this funding request was not received

by the Board of Supervisors at least fifteen days in advance of the date on which the grant

application was submitted.

RECOMMENDATION(S)

DISTRICT ATTORNEY

1. Ratify the submission of the grant application for the California Governor’s Office of

Emergency Services Family Justice Center (FJ) Program grant in the amount of $625,000

for the period beginning April 1, 2026, through March 31, 2028, to support services for

victims of crime.

2. Authorize the District Attorney and her designees to accept grant funds in the estimated

amount of $625,000 from the California Governor’s Office of Emergency Services

Family Justice Center (FJ) for the period of April 1, 2026, through March 31, 2028.

3. Authorize the District Attorney and her designees to apply for and accept grant funds for

the California Governor’s Office of Emergency Services Family Justice Center (FJ)

Program from the California Governor’s Office of Emergency Services in subsequent

years provided there are no material changes to the grant terms or funding level.

4. Approve and authorize the District Attorney or her designees including the Chief District

Attorney Administrative Officer, the District Attorney Legal Operations Administrator,

and Finance Officer, in this year and subsequent years to review and execute all required

or related grant documents, including agreements for the financial administration and

distribution of funds where necessary to carry out the purposes of the program, and any

annual extensions, grant subaward amendments, and/or revisions that do not materially

impact either the program or funding levels of the Family Justice Center (FJ) Program

grant.

5. Authorize the District Attorney and her designees through June 20, 2031 to submit grant

applications for grant funding to support services for victims of crime.

6. Waive Board Policy B-29 Fees, Grants, Revenue Contracts - Department Responsibility

for Cost Recovery, which requires docketing at least 15 days in advance of the date on

which the grant request must be received by the granting agency.

EQUITY IMPACT STATEMENT

The District Attorney focuses on policies and practices that ensure equal access to victim

services. District Attorney victim advocates are located regionally to ensure all victims are

offered support and needed services. Approximately 23% of the County’s residents are

immigrants who speak many different languages. To address language needs in serving victims,

the District Attorney hires a diverse workforce with many bilingual victim advocates, utilizes

contracted translation services, and launches informative digital and printed media campaigns in

other languages. Victim advocates assist victims from all walks of life and experiences,

regardless of age, background, and/or immigration status. The District Attorney’s Office

responds with culturally competent, trauma informed care to individuals harmed by crime. Since

victims and survivors of trauma frequently intersect with the criminal justice system, their

perspective is critical to achieving racial and social equity and fair and equitable justice. The

proposed action to apply for and accept grant funding from California Governor’s Office of

Emergency Services supports the District Attorney’s efforts to make victim services more

accessible and equitable throughout San Diego County and supports the District Attorney’s

endeavor of fair and equal justice for all.

SUSTAINABILITY IMPACT STATEMENT

The provision of the California Governor’s Office of Emergency Services (Cal OES) funding for

the Family Justice Center (FJ) Program contributes to the County of San Diego’s Sustainability

initiative by supporting resiliency of victims and witnesses across the region. Through FJ

Program grant funding, the District Attorney’s Office is prepared to respond to urgent needs of

victims and witnesses of crime. The Family Justice Centers provide emergency assistance in

areas such as food, basic necessities, relocation, etc. Victim advocates provide other services

which include crisis intervention, referral assistance to local community providers, and referrals

for mental health counseling to respond to the emotional, psychological, or physical needs of

victims/witnesses. The District Attorney’s Office seeks to encourage individuals and families to

stabilize their lives after victimization and strives to restore a measure of safety and security for

the victim/witness.

FISCAL IMPACT

Funds for this request are partially included in the Fiscal Year 2025-26 Operational Plan for the

District Attorney’s Office. If approved, this request will result in current year’s estimated costs

and revenue of $108,000 based on a grant award from the California Governor’s Office of

Emergency Services. Costs and revenue, estimated at $517,000, for the remainder of the grant

period of July 1, 2026 through March 31, 2028, will be included in future operational plans for

the District Attorney’s Office. The funding source will be a grant from the California Governor’s

Office of Emergency Services Family Justice Center Program. There will be no change in net

General Fund cost and no additional staff years.

BUSINESS IMPACT STATEMENT

N/A

SUBJECT:

SHERIFF - NEW USER AGREEMENTS FOR THE CALIFORNIA

IDENTIFICATION SYSTEM/REMOTE ACCESS NETWORK

(DISTRICTS: ALL)

OVERVIEW

The California Identification System/Remote Access Network (Cal-ID/RAN) is a statewide

system, maintained by the California Department of Justice, that provides local law enforcement

agencies with direct access to local, state, and federal automated fingerprint, palm print, photo

systems and databases. This statewide system allows for the rapid identification of persons

booked into detention facilities and latent prints lifted from crime scenes. The Sheriff’s Office

serves as San Diego County’s Cal-ID/RAN administrator, and membership includes all 18 cities

in the region.

Cal-ID/RAN is funded in part by user fees collected from the cities. User agreements between

the County and the cities outline agency contributions towards the shared costs of the program

which is estimated to be $9 million for Fiscal Year 2026-27. On February 26, 2019 (3), the

County of San Diego Board of Supervisors (Board) authorized the current user agreements, for a

five-year period beginning July 1, 2019, through June 30, 2024. On May 21, 2024 (1), the Board

authorized extending the agreements for two additional years. The agreements are set to expire

on June 30, 2026. It is necessary to establish a new set of five-year agreements with regional

Cal-ID/RAN participating cities to ensure continued fingerprint, palm print, and photo inquiry

services can be provided.

Today’s actions request the County of San Diego Board of Supervisors to approve and authorize

new Cal-ID/RAN user agreements for a period of five years, beginning July 1, 2026, through

June 30, 2031. This request includes a fee adjustment to ensure revenue from participating cities

within the San Diego region to offset Cal-ID/RAN operational costs. Additionally, a waiver of

Board Policy B-29 is requested, as the Cal-ID/RAN program is not full cost-recovery.

RECOMMENDATIONS

SHERIFF

1. Approve and authorize the Clerk of the Board to accept and execute, upon receipt,

California Identification System/Remote Access Network (Cal-ID/RAN) user agreements

with the cities of Carlsbad, Chula Vista, Coronado, Del Mar, El Cajon, Encinitas,

Escondido, Imperial Beach, La Mesa, Lemon Grove, National City, Oceanside, Poway,

San Diego, San Marcos, Santee, Solana Beach, and Vista for a period of five years from

July 1, 2026, through June 30, 2031, and authorize the Sheriff, or designee, to execute

amendments as needed.

2. Approve and authorize the Sheriff’s Office to reassess and adjust user fees to offset

Cal-ID/RAN operational expenses. Estimated amounts of revenue based on user fees for

Fiscal Year 2026-27 are Carlsbad ($30,600), Chula Vista ($68,700), Coronado ($5,700),

Del Mar ($1,000), El Cajon ($29,300), Encinitas ($14,300), Escondido ($42,100),

Imperial Beach ($6,000), La Mesa ($16,400), Lemon Grove ($7,600), National City

($19,200), Oceanside ($50,900), Poway ($9,400), San Diego ($407,700), San Marcos

($19,900), Santee ($12,100), Solana Beach ($3,100), and Vista ($23,400).

3. Waive Board Policy B-29, Fees, Grants, and Revenue Contracts - Department

Responsibility for Cost Recovery.

EQUITY IMPACT STATEMENT

Offender identification is crucial in the criminal justice process to deliver offender accountability

and bring justice and healing to victims. The California Identification System/Remote Access

Network program provides local law enforcement agencies with direct and quick access to local,

state, and federal automated fingerprint, palm print, photo systems and databases. Since this

statewide system allows for the rapid identification of persons booked into detention facilities

and latent prints lifted from crime scenes, law enforcement agencies can more efficiently identify

individuals involved in crimes and exonerate the innocent. This creates a more equitable process

when using fingerprints to identify individuals involved in crime cases.

SUSTAINABILITY IMPACT STATEMENT

Today’s action to authorize user agreements supports the County of San Diego’s Sustainability

goal of providing just and equitable access for victims of crimes and those that may have

wrongfully been accused in a crime. The California Identification System/Remote Access

Network program ensures that there is expedient and accurate identification, which is a critical

component of serving justice and holding the responsible parties accountable for their actions.

Additionally, today’s actions will support the County’s Sustainability goal of maintaining fiscal

stability and ensure long-term solvency by adjusting fees to ensure full cost recovery.

FISCAL IMPACT

There is no fiscal impact associated with this request in the current year. If approved, this request

will result in estimated costs and revenue of $767,400 in Fiscal Year 2026-27 from Carlsbad

($30,600), Chula Vista ($68,700), Coronado ($5,700), Del Mar ($1,000), El Cajon ($29,300),

Encinitas ($14,300), Escondido ($42,100), Imperial Beach ($6,000), La Mesa ($16,400), Lemon

Grove ($7,600), National City ($19,200), Oceanside ($50,900), Poway ($9,400), San Diego

($407,700), San Marcos ($19,900), Santee ($12,100), Solana Beach ($3,100), and Vista

($23,400). Remaining Fiscal Year 2026-27 Cal-ID/RAN program costs, estimated at $9,616,500,

will be included in the Fiscal Years 2026-28 CAO Recommended Operational Plan for the

Sheriff’s Office. The funding sources will be the Sheriff Fingerprint ID Trust Fund ($8,041,100)

and General Purpose Revenue ($808,000). A waiver of Board Policy B-29 is requested, as the

Cal-ID/RAN program is not full cost-recovery. Anticipated costs and revenue for the contract

years through June 30, 2031, will be included in future Operational Plans for the Sheriff’s

Office. The funding sources will be Cal-ID/RAN user fees collected from participating cities,

Sheriff Fingerprint ID Trust Fund and General Purpose Revenue. There will be no change in net

General Fund costs and no additional staff years.

BUSINESS IMPACT STATEMENT

N/A

SUBJECT:

OVERVIEW

The San Diego Sheriff’s Office (Sheriff’s Office) has a need for an Administrative Services

Organization (ASO) to support the Medical Services Division and seeks approval to negotiate

with United HealthCare Services, Inc. (AmeriChoice) for the management of health care

services provided to individuals in custody. The Sheriff’s Office contracted medical services

provider, NaphCare, currently performs limited administrative functions related to off‑site

medical care; however, the operational needs of the Sheriff’s Office have significantly evolved

due to increasing need for hospital care for incarcerated individuals, higher‑acuity cases, and the

expanded requirements of California Advancing and Innovating Medi-Cal (CalAIM).

The Sheriff’s Office is currently facing three significant challenges under the existing contract:

(1) administrative and operational capacity is no longer sufficient to manage the increased

volume and acuity of off‑site hospital care; (2) lack of implementation of CalAIM prerelease

Medi‑Cal claiming, resulting in potentially missing reimbursement opportunities and compliance

risk that will take effect in the future; and (3) off‑site medical expenditures are trending toward

exceeding NaphCare’s annual $20,600,000 cap, creating substantial unbudgeted fiscal burden

for the Sheriff’s Office. Therefore, the Sheriff’s Office requires an ASO with the expertise and

infrastructure to manage off‑site medical services, process timely CalAIM billing and claims,

and support the Medical Services Division moving forward. Contracting with an ASO, such as

AmeriChoice, will also provide the Sheriff’s Office with enhanced authority and flexibility to

negotiate agreements with hospitals and health care organizations. AmeriChoice’s established

provider network and contracting expertise will enable the Sheriff’s Office to negotiate more

favorable rates with hospitals and specialty providers, improving cost control and access to care.

This approach aligns with the County’s strategic goals of improving health equity and fiscal

sustainability by leveraging AmeriChoice’s experience to streamline care coordination and

reduce off-site medical costs. In addition to reducing expenditures, this approach will enhance

fiscal oversight, improve operational control, and ensure continuity of high-quality care for

individuals in custody.

To ensure immediate CalAIM compliance and alignment with countywide Medi‑Cal claiming

requirements, today’s action requests to establish appropriations of $13,800,000 in the Sheriff’s

Office, for medical and mental health services for the incarcerated population, to bridge the costs

that have exceeded NaphCare’s off-site medical cap of $20,600,000. Today’s action also

requests to authorize the Director of Purchasing and Contracting to amend the competitively

procured administrative service organization contract (#574374) with AmeriChoice, managed by

the Health and Human Services Agency (HHSA), to include the San Diego Sheriff’s Office

participation and align with the existing HHSA contract term, which ends June 30, 2030, and to

amend the contract as required to reflect changes in services and funding allocations subject to

the approval of the Sheriff’s Office.

In anticipation of future billing opportunities through CalAIM, HHSA included an option in this

procurement to add a future scope of work for CalAIM billing. Approval of this agreement will

ensure continuity of care for individuals in custody, maintain compliance with legal and

regulatory mandates, safeguard the County’s financial and operational interests, and partially

mitigate the excess costs identified in the Fiscal Year 2025-26 Second Quarter Operational Plan

Status Report. With the addition of the Sheriff's Office scope of work, HHSA’s ASO contract is

projected to increase by approximately $25,000,000 annually. It is with the understanding that

the Sheriff’s Office will assume as the lead Contracting Officer Representative (COR) role

moving forward to avoid any operational challenges for HHSA. The Sheriff’s Office will

discontinue the administrative services portion of the NaphCare contract upon transition of ASO

services to the HHSA contract, eliminating exposure to over‑cap charges under NaphCare’s

$20,600,000 annual hospital cost cap and annual fixed rate charge of $19,349,255. When

comparing avoided over‑cap liabilities and the costs embedded within the current comprehensive

medical contract, transitioning these functions to AmeriChoice is expected to result in a net

fiscal benefit.

In addition, recognizing the countywide need to maximize efficiencies through a unified ASO

model, today’s action requests authority for the Director, Department of Purchasing and

Contracting to conduct a future countywide competitive solicitation for ASO services on behalf

of the County, in coordination with the Sheriff's Office, HHSA, and/or the Probation Department

and any other department requiring ASO services. This two‑phase approach ensures immediate

CalAIM readiness through the amendment to the existing HHSA contract, while enabling a

future competitive process that provides consistent opportunities across County justice‑involved

and health programs, ensuring long‑term alignment, and operational efficiency in how off‑site

medical services and Medi‑Cal claims are administered.

RECOMMENDATIONS

SHERIFF

1. Establish appropriations of $13,800,000 in the San Diego Sheriff's Office (Sheriff's

Office), Other Charges, for medical and mental health services for the incarcerated

population, based on Local Revenue Fund 2011, Community Corrections Subaccount. (4

VOTES)

2. Waive Board Policy A-87, Competitive Procurement, and approve and authorize the

Director, Department of Purchasing and Contracting, subject to successful negotiations

and a determination of a fair and reasonable price, to amend the administrative service

organization contract (#574374) with United HealthCare Services, Inc. (AmeriChoice),

managed by the Health and Human Services Agency (HHSA), to include the Sheriff’s

Office’s participation and align with the existing contract term; and amend the contract

as required in order to reflect changes to services and funding allocations, subject to the

approval of Sheriff's Office.

3. In accordance with Section 401, Article XXIII of the County Administrative Code,

authorize the Director, Department of Purchasing and Contracting, to conduct a future

Countywide competitive solicitation at the conclusion of the existing administrative

service organization contract (#574374) for administrative services organization services

on behalf of the County and upon successful negotiations and determination of a fair and

reasonable price, award contracts for a term of one initial year, with four option years,

and up to an additional six months if needed, and to amend the contract to reflect changes

in program, funding, or service requirements, subject to the availability of funds and the

approval of the Sheriff's Office.

EQUITY IMPACT STATEMENT

This request for AmeriChoice to act as an administrative services organization (ASO) for the

San Diego County Sheriff’s Office (Sheriff’s Office). Medical Services builds greater health

equity for our incarcerated population. The Sheriff's Office prioritizes the health and safety of

those in custody and an ASO would streamline and enhance delivery of services, which will

improve outcomes and reduce health disparities. Above and beyond the constitutional minimum

requirements, jail facilities should reflect the community standard of integrated health care and

support incarcerated persons with a holistic approach.

SUSTAINABILITY IMPACT STATEMENT

The San Diego County Sheriff’s Office is continually creating efficiencies in County of San

Diego (County) detention facilities to enhance the level of care, ensure timeliness of delivery,

and increase access. This request supports the County's sustainability goal of providing just and

equitable access by improving service delivery to those in its custodial care. An administrative

services organization (ASO) such as AmeriChoice would be providing essential administration

and management of the medical and mental health contracted services which are necessary to the

health and well-being of all incarcerated persons. With this amendment, the Sheriff’s Office will

discontinue payment for the administrative services component currently embedded in the

NaphCare contract. These services will transition to AmeriChoice, and the Sheriff’s Office will

no longer incur over‑cap costs above the $20,600,000 annual threshold under NaphCare’s

off‑site medical structure. This approach maximizes the service delivery to incarcerated persons

and better supports reentry to the community upon release. The Sheriff's Office is dedicated to

advancing health equity outcomes for incarcerated persons and having an ASO allows timely

and effective management and accountability of contracted services.

FISCAL IMPACT

Funds for this request are partially included in the Fiscal Year 2025-26 Operational Plan for the

San Diego County Sheriff’s Office (Sheriff's Office). If approved, this request will result in costs

and revenue of $13,800,000 in Fiscal Year 2025-26. The funding source will be Local Revenue

Fund 2011, Community Corrections Subaccount. The requested amendment will increase the

overall value of the existing administrative service organization contract (#574374) with United

HealthCare Services, Inc. (AmeriChoice), managed by the Health and Human Services Agency,

by approximately $25,000,000 annually from July 1, 2026, thru June 30, 2030, to incorporate the

Sheriff’s Office scope of work. The current comprehensive medical services contract with

NaphCare includes a fixed annual allocation of $19,349,255 for off‑site hospital and specialty

care; under the proposed action, this fixed payment will be discontinued and replaced with an

estimated $25,000,000 annual cost for AmeriChoice to administer and manage off‑site medical

services and claims. In addition, there is also a cap of $20,600,000, which once met, any

additional off‑site medical expenditures become the direct responsibility of the Sheriff’s Office,

contributing to the significant liabilities. Those overages will be avoided in the future contract.

Future year costs associated with ongoing operational needs and off-site hospital costs and

related medical claims, through the remaining contract term with AmeriChoice, will be included

in future Operational Plans for the Sheriff’s Office. There will be no additional staff years

associated with this action.

BUSINESS IMPACT STATEMENT

N/A

SUBJECT:

SHERIFF - REQUEST APPROVAL FOR NEW REGIONAL

COMMUNICATIONS SYSTEM CUSTOMER REVENUE

AGREEMENTS WITH AMERICAN MEDICAL RESPONSE, SAN

DIEGO GAS & ELECTRIC, AND SAN DIEGO METROPOLITAN

TRANSIT SYSTEM (DISTRICTS: ALL)

OVERVIEW

The Regional Communications System (RCS) provides public safety and public service radio

communications services to San Diego and Imperial Counties, 24 incorporated cities, and

numerous other local, state, federal, and tribal government agencies in the San Diego County and

Imperial County regions, supporting operational, tactical, and emergency communications.

These services are governed by formal customer service agreements, all of which are set to

expire on June 30, 2026. On October 8, 2025, the RCS Board of Directors approved the renewal

of these agreements for a five-year term, covering the period from July 1, 2026, to June 30,

2031. New agreements will be prepared for each renewed customer. Three agencies, American

Medical Response (AMR), San Diego Gas & Electric (SDG&E), and San Diego Metropolitan

Transit System (MTS), have more than $250,000 estimated maximum annual revenue. However,

County Administrative Code Section 123 requires that any revenue agreement over this amount

must come to the Board of Supervisors (Board) for approval.

Today's actions request the Board approve new revenue agreements between the County of San

Diego Sheriff's Office, and the three agencies: American Medical Response, San Diego Gas &

Electric, and San Diego Metropolitan Transit System, for wireless radio communications for the

period of July 1, 2026, through June 30, 2031.

RECOMMENDATIONS

SHERIFF

1. Approve and authorize the Clerk of the Board of Supervisors to sign, upon receipt, the

“San Diego County - Imperial County Regional Communications System Customer

Agreement” with American Medical Response for the estimated total amount of up to

$3,008,520 for the period July 1, 2026, through June 30, 2031.

2. Approve and authorize the Clerk of the Board of Supervisors to sign, upon receipt, the

“San Diego County - Imperial County Regional Communications System Customer

Agreement” with San Diego Gas & Electric for the estimated total amount of up to

$5,014,200 for the period July 1, 2026, through June 30, 2031.

3. Approve and authorize the Clerk of the Board of Supervisors to sign, upon receipt, the

“San Diego County - Imperial County Regional Communications System Customer

Agreement” with San Diego Metropolitan Transit System for the estimated total amount

of up to $1,880,325 for the period July 1, 2026, through June 30, 2031.

4. Authorize the Clerk of the Board to sign all extensions, amendments, and/or revisions to

the agreements that do not materially impact either the program or funding level.

EQUITY IMPACT STATEMENT

The San Diego County-Imperial County Regional Communications System (RCS) radio network

serves most of the public safety (law enforcement and fire) and public service (transportation

and schools) users in the San Diego region. Approving these RCS agreements ensures equitable

access to quality and uninterrupted services delivered to the agencies and their regional

customers. By having these communication services, these agencies will have increased

reliability in operations and responsiveness to emergencies and disasters, guaranteeing their

ability to provide services to the people of San Diego County.

SUSTAINABILITY IMPACT STATEMENT

Approving these three RCS agreements with its customer agencies furthers the County’s

Sustainability Goals of providing just and equitable access to programs and services and

protecting the health and well-being of residents who rely on these agencies to provide their

services with continuity of communication and capability.

FISCAL IMPACT

If approved, today’s request will result in total estimated revenue of up to $9,903,045 for the

five-year period from July 1, 2026, to June 30, 2031, based on the maximum radios authorized

in each agreement. The funding source is estimated revenue from American Medical Response

(up to $3,008,520), San Diego Gas & Electric (up to $5,014,200), and San Diego Metropolitan

Transit System (up to $1,880,325). Estimated revenue of up to $1,909,509 for the first year, will

be included in the Fiscal Year 2026-27 Operational Plan for the Sheriff’s Office but will be

adjusted dependent on the actual number of active radios. The first year’s revenue consists of

maximum estimated revenues of $580,104 from AMR, $966,840 from SDG&E, and $362,565

from MTS. Remaining estimated revenue of up to $7,993,536 for July 1, 2027 through June 30,

2031, covering the second through fifth years, will be included in future year Operational Plans

for the Sheriff’s Office. The second year’s estimated maximum revenues are $590,904 from

AMR, $984,840 from SDG&E, and $369,315 from MTS. The third year’s estimated maximum

revenues are $601,704 from AMR, $1,002,840 from SDG&E, and $376,065 from MTS. The

fourth year’s estimated maximum revenues are $612,504 from AMR, $1,020,840 from SDG&E,

and $382,815 from MTS. The fifth and final year’s estimated maximum revenues are $623,304

from AMR, $1,038,840 from SDG&E, and $389,565 from MTS. There will be no change in net

General Fund cost and no additional staff years. Pursuant to Board Policy B-29, Fees, Grants,

and Revenue Contracts - Department Responsibility for Cost Recovery the agreements with

AMR, SDG&E, and MTS are full cost recovery.

BUSINESS IMPACT STATEMENT

N/A

SUBJECT:

ADOPT AN ORDINANCE ADDING ARTICLE IIIx TO THE SAN

DIEGO COUNTY ADMINISTRATIVE CODE RELATED TO THE SAN

DIEGO REGIONAL HUMAN TRAFFICKING AND COMMERCIAL

SEXUAL EXPLOITATION OF CHILDREN ADVISORY COUNCIL

AND AUTHORIZE APPLYING FOR HUMAN

Second Reading); APPROVAL OF BYLAWS (DISTRICTS: ALL)

OVERVIEW

On March 3, 2026 (03) the Board of Supervisors took action to further consider and adopt the

Ordinance on March 24, 2026.

On June 14, 2011 (9), the Board of Supervisors (Board) established the San Diego Regional

Human Trafficking and Commercial Sexual Exploitation of Children (CSEC) Advisory Council

(Advisory Council) to collaboratively create long-term, systemic changes to effectively address

human trafficking and the commercial sexual exploitation of children. The Board directed that

the Advisory Council include members from law enforcement agencies, victim services

organizations, the education community, and volunteer and community groups. At that time, the

Advisory Council was comprised of representatives of subcommittees, which were informal and

formal groups generally self-organized by the sectors involved in combating and responding to

human trafficking and CSEC. Subcommittees elected two members from ten sector groups, for a

total of twenty members. As the Advisory Council’s work and membership have evolved, the

Advisory Council and County staff recommend codifying its purpose, structure, membership

application process, and appointing authorities, while maintaining representation from the same

ten sectors, business, child and family well-being, community, education, health services, law

enforcement, prosecution, research and data, survivor voices, and survivor services. To

formalize these changes, an ordinance, and accompanying bylaws to implement the ordinance,

are required.

Today's request is to approve the introduction of an ordinance to amend the San Diego County

Administrative Code to formally establish the membership and organization of the Advisory

Council. If approved on March 3, 2026, the Board will subsequently consider on March 24,

2026, the adoption of the ordinance and Advisory Council bylaws. The bylaws reflect the

procedures and new membership appointment practices established in the ordinance. A waiver

of Board Policy B-29, which requires prior approval of grant applications, is requested to

authorize the Deputy Chief Administrative Officer for Public Safety, the Deputy Chief

Administrative Officer for Health and Human Services Agency, and/or the District Attorney, or

their designees, to apply for grant funding through June 30, 2031 to support human trafficking or

commercial sexual exploitation of children prevention and intervention activities and/or services

for adult and youth victims and survivors.

RECOMMENDATION(S)

CHIEF ADMINISTRATIVE OFFICER

1. Consider and adopt the Ordinance:

AN ORDINANCE ADDING ARTICLE IIIx TO THE SAN DIEGO COUNTY

ADMINISTRATIVE CODE RELATING TO THE SAN DIEGO REGIONAL HUMAN

TRAFFICKING AND COMMERICIAL SEXUAL EXPLOITATION OF CHILDREN

ADVISORY COUNCIL

2. Approve The San Diego Regional Human Trafficking and Commercial Sexual

Exploitation of Children Advisory Council Bylaws.

EQUITY IMPACT STATEMENT

The proposed action to formally establish the membership and organization of the San Diego

Regional Human Trafficking and Commercial Sexual Exploitation of Children Advisory

Council seeks to improve coordination, prevention, and response efforts related to human

trafficking throughout the region. Anyone can be a victim of human trafficking; however,

available data show that certain populations experience disproportionate impacts, including

youth involved in the child welfare and/or juvenile justice systems, runaway and homeless

youth, Black individuals, migrant laborers, LGBTQ+ individuals, survivors of sexual or

domestic violence, and individuals experiencing addiction. A 2016 regional study also found

that while trafficking occurs countywide, victims are overrepresented in specific ZIP codes. The

proposed action supports efforts to better identify and address the needs of communities at

elevated risk, strengthen regional collaboration, and improve outcomes for individuals

vulnerable to continued marginalization.

SUSTAINABILITY IMPACT STATEMENT

The implementation of an Ordinance to update the San Diego Regional Human Trafficking and

Commercial Sexual Exploitation of Children (CSEC) Advisory Council supports the County of

San Diego’s Sustainability Vision by fostering inclusive, resilient, and equitable communities.

This action aligns by engaging the community in meaningful ways and seeking diverse

stakeholder input to inform regional strategies addressing human trafficking. The Advisory

Council brings together representatives from multiple sectors-including law enforcement,

education, health, and survivor services-to collaborate on sustainable, community-centered

solutions. It also promotes equitable access to services, policy development, and resources that

support individuals at risk of exploitation. Through coordination and collaboration, the Advisory

Council contributes to long-term social sustainability by strengthening community capacity,

reducing systemic inequities, and enhancing safety and well-being for all residents.

FISCAL IMPACT

There is no fiscal impact associated with these recommendations. Staff will return to the Board

of Supervisors as necessary to accept grant awards and to establish appropriations. There is no

change in net General Fund costs and no additional staff years.

BUSINESS IMPACT STATEMENT

N/A

SUBJECT:

ADOPT AN ORDINANCE REPEALING AND REPLACING ARTICLE

XV OF THE SAN DIEGO COUNTY ADMINISTRATIVE CODE

REGARDING THE HEALTH AND HUMAN SERVICES AGENCY AND

ADDING ARTICLE XVII REGARDING THE BEHAVIORAL HEALTH

SERVICES DEPARTMENT (DISTRICTS: ALL)

OVERVIEW

On August 26, 2025 (24), the San Diego County Board of Supervisors (Board) approved the

establishment of an Ad Hoc Subcommittee on Social Safety Net and Behavioral Health Systems

Transformation (Subcommittee) to explore, study, plan and recommend actions to support and

strengthen the County of San Diego’s social safety net and behavioral health system. The

Subcommittee was tasked with, among other efforts, advising the Board on transforming the

Behavioral Health Services (BHS) department into a distinct organization.

To establish BHS as a distinct organizational structure, County Administrative Code must be

amended. Today’s action brings forward an ordinance to repeal and replace County

Administrative Code Article XV related to the Health and Human Services Agency (HHSA) to

remove the duties and responsibilities of BHS, as defined by applicable laws and regulations,

and establish a new County Administrative Code Article XVII that sets out the duties and

responsibilities of BHS as a standalone organizational structure distinct from HHSA. The

proposed action requires two steps. Today’s first action requests the Board to approve the

introduction of an Ordinance amending the County Administrative Code relating to HHSA and

adding a new Administrative Code article related to BHS (first reading). If the Board approves

today’s recommended action, then on April 21, 2026, the Board is requested to consider and

adopt the Ordinance.

If approved, these actions will advance the transformation of BHS into a distinct organization

and support a more optimal operational structure that is positioned to support better health

outcomes, a better experience of care for beneficiaries, and more efficient use of resources.

RECOMMENDATION(S)

CHIEF ADMINISTRATIVE OFFICER

On March 24, 2026:

1. Approve the introduction of the Ordinance (First Reading):

AN ORDINANCE REPEALING AND REPLACING ARTICLE XV OF THE

SAN DIEGO COUNTY ADMINISTRATIVE CODE REGARDING THE

HEALTH AND HUMAN SERVICES AGENCY AND ADDING ARTICLE

XVII REGARDING THE BEHAVIORAL HEALTH SERVICES

DEPARTMENT

If, on March 24, 2026, the Board takes action within recommendation #1 above, then on April

21, 2026:

1. Consider and adopt the Ordinance (second reading):

AN ORDINANCE REPEALING AND REPLACING ARTICLE XV OF THE

SAN DIEGO COUNTY ADMINISTRATIVE CODE REGARDING THE

HEALTH AND HUMAN SERVICES AGENCY AND ADDING ARTICLE

XVII REGARDING THE BEHAVIORAL HEALTH SERVICES

DEPARTMENT

EQUITY IMPACT STATEMENT

The County of San Diego (County) Behavioral Health Services (BHS) serves as the specialty

mental health plan for Medi-Cal eligible residents, providing a comprehensive system of care for

mental health and substance use needs. BHS strives to ensure services are accessible, culturally

responsive, and aligned with the unique needs of San Diego’s diverse communities, while

equitably distributing resources to reach those most in need.

In 2023, nearly one in three San Diegans were Medi-Cal eligible, with Hispanic/Latino residents

having the highest eligibility rate at 38%. For Medi-Cal members experiencing serious mental

illness or substance use challenges, BHS delivers care through County-operated and contracted

programs, designed to address social determinants of health. As a specialty mental health plan,

BHS is re-organizing internally to strengthen its ability to allocate resources equitably and design

services that are impactful and responsive to community needs by maintaining and expanding

access to treatment and care for populations historically underserved by behavioral health

systems.

SUSTAINABILITY IMPACT STATEMENT

Today’s actions support to the County of San Diego (County) Sustainability Goal #2 to provide

just and equitable access to County services and Sustainability Goal #4 to protect the health and

well-being of everyone in the region. These goals will be advanced by strengthening the

behavioral health system of care to ensure long-term sustainability of accessible and culturally

responsive services. By transforming into a distinct organization, BHS is building a more

optimized organizational structure for delivering mental health and substance use services. This

will allow for more efficient allocation of resources, enhanced care coordination, and greater

capacity to reach historically underserved communities.

FISCAL IMPACT

There is no fiscal impact associated with these recommendations. There will be no change in net

General Fund costs and no additional staff years.

BUSINESS IMPACT STATEMENT

N/A

SUBJECT:

AUTHORIZE AMENDMENT TO EXTEND EXISTING BEHAVIORAL

HEALTH ADMINISTRATIVE SERVICES ORGANIZATION

CONTRACT AND AUTHORIZE EXECUTION OF THE BEHAVIORAL

HEALTH SERVICES PERFORMANCE CONTRACT AGREEMENT

WITH THE STATE (DISTRICT: ALL)

OVERVIEW

The County of San Diego (County) Behavioral Health Services (BHS) department contracts with

an administrative services organization (ASO) to provide specialized and technical operational

support services that assist with maintaining BHS requirements to function as a specialty

behavioral health plan. On August 4, 2015 (4), the San Diego County Board of Supervisors

(Board) authorized the competitive solicitation of an ASO for these services. Since then, the

Board has approved two contract extensions to support new requirements related to

implementation of the Drug Medi-Cal Organized Delivery System, CalAIM, and actions to align

with payment reform, among others.

The current ASO contract is with United Behavioral Health (dba Optum) through June 30, 2027,

and up to an additional six months, if needed. The contract provides required specialized

infrastructure, technical expertise, and dedicated resources that support BHS’ foundational and

evolving behavioral health plan administrative needs. ASO services include:

· Clinical management services,

· 24/7 Behavioral Health Access and Crisis Line,

· Utilization management services,

· Management of the BHS contracted fee-for-service provider network,

· Claims and billing support for in- and out-of-network providers and facilities,

· Management information system support services, and

· Credentialing and Medi-Cal provider enrollment services.

Today’s action recommends the Board authorize an extension of the current contract up to June

30, 2030, and up to an additional six months, if needed, to allow operational continuity of the

ASO, while concurrent actions advance the transformation of BHS into a standalone department.

Extending the ASO contract allows BHS to develop a scope of work reflective of new and

evolving policy and organizational changes, while minimizing compliance and fiscal risks as

organizational roles and responsibilities are realigned. This will ensure the future ASO

solicitation reflects realistic contractual scope, inclusive of service levels, staffing expectations,

and budget requirements. It also maintains critical support to the network and preserves

institutional knowledge during the transition.

Other systemwide updates include the implementation of the Behavioral Health Services Act

(BHSA), which is State law passed by voters in March 2024, and outlines how counties will

utilize various behavioral health funding sources to meet statewide and local outcome measures,

reduce disparities, and address unmet needs. With the implementation of BHSA, the California

Department of Health Care Services (DHCS) has introduced a new three-year Performance

Contract Agreement, establishing the County’s responsibility to provide an integrated and

coordinated range of services appropriate to meet the needs of clients and to implement

systemwide performance outcome measurements in San Diego County. Today’s action requests

the Board to authorize execution of the Fiscal Years 2026-27 through 2028-29 Performance

Contract Agreement with DHCS.

RECOMMENDATION(S)

CHIEF ADMINISTRATIVE OFFICER

1. In accordance with Board Policy A-87, Competitive Procurement, and Administrative

Code Section 401, authorize the Director, Department of Purchasing and Contracting to

amend and extend contract #553848 with United Behavioral Health (dba Optum) for the

behavioral health administrative services organization up to June 30, 2030, and up to an

additional six months if needed; subject to the availability of funds; and to amend the

contract as required to reflect changes to services and funding allocations, subject to the

approval of the Director, Behavioral Health Services.

2. Approve and authorize the Clerk of the Board to execute, upon receipt, the County

Performance Contract for Fiscal Years 2026-27 through 2028-29 with the California

Department of Health Care Services, amendments thereto, and future years’ agreements

and amendments provided terms, conditions, and funding are not materially impacted

subject to the approval of the Director, Behavioral Health Services.

EQUITY IMPACT STATEMENT

The County of San Diego (County) Behavioral Health Services (BHS) is the delivery system for

mental health and substance use care for Medi-Cal eligible residents, focused on ensuring

services are accessible, culturally responsive, aligned with the needs of diverse populations, and

equitably distributed to reach those most in need.

In 2023, nearly one in three San Diegans were eligible for Medi-Cal. Among Hispanic/Latino

residents, Medi-Cal eligibility was the highest, at 38% in 2023. For Medi-Cal eligible residents

who experience serious mental illness or have a substance use care need, BHS offers

County-operated and BHS-contracted programs that address the social determinants of health by

being accessible, capable of meeting the needs of diverse populations, and culturally responsive

with the intent to equitably distribute services to those most in need.

In doing so, BHS strives to reduce behavioral health inequities, identifying needs and designing

services in a manner most impactful, equitable, and that will yield meaningful outcomes for

those served. The services described in today’s recommendation are vital for BHS to continue to

provide access to treatment and care for populations who are underserved by social and

behavioral health resources.

SUSTAINABILITY IMPACT STATEMENT

Today’s actions support the County of San Diego (County) Sustainability Goal #2 to provide just

and equitable access to County services, and Sustainability Goal #4 to protect the health and

wellbeing of everyone in the region. This will be achieved by ensuring that critical behavioral

health services are accessible, culturally responsive, and aligned with the needs of the most

vulnerable communities. Today’s action promotes the health and wellbeing of Medi-Cal eligible

residents by helping to maintain a comprehensive continuum of mental health and substance use

services that are tailored to meet the needs of historically underserved populations.

FISCAL IMPACT

Recommendation #1: Authorize amendment to extend existing Behavioral Health

Administrative Services Organization Contract

Funds for this request are included in the Fiscal Year (FY) 2025-27 Operational Plan in the

Health and Human Services Agency (HHSA). If approved, this will result in no change in costs

and revenues in FY 2025-26 and FY 2026-27 and annual cost and revenues of approximately

$40 million starting FY 2027-28 through FY 2029-30. Funds for subsequent years will be

incorporated into future operational plans. The funding sources are Behavioral Health Services

Act, Realignment, Short-Doyle/Medi-Cal, and Drug Medi-Cal Organized Delivery System.

There will be no change in net General Fund cost and no additional staff years.

Recommendation #2: Authorize execution of the Performance Contract Agreement with the

State

There is no fiscal impact from this action. There will be no change in net General Fund cost and

no additional staff years.

BUSINESS IMPACT STATEMENT

N/A

SUBJECT:

SAN DIEGO COUNTY COMMISSION ON THE STATUS OF WOMEN

AND GIRLS’ BYLAWS UPDATE FOR APPROVAL (DISTRICTS: ALL)

OVERVIEW

The San Diego County Commission on the Status of Women and Girls (Commission) was

established by the County of San Diego (County) Board of Supervisors (Board) on May 26,

1970. The operations are set forth in San Diego Administrative Code, Article IV, Section 85,

effective September 4, 1975. The Administrative Code establishing the Commission also

governs some of the practical ways the Commission is run, some of which are also reflected in

the San Diego County Commission on the Status of Women and Girls Bylaws (Bylaws),

effective November 2006.

Section E.7. Bylaws of Advisory Committees of Board Policy A-74: Participation in County

Boards, Commissions, and Committees states that each advisory committee will prepare bylaws,

which must be reviewed by County Counsel and approved by the Board.

Today's action seeks Board approval of the revisions to the Commission’s Bylaws (Attachment

A). The Commission’s Governance Committee met and forwarded their recommendations to the

Commission. The Commission reviewed the recommended changes and voted to approve the

Bylaws at its March 6, 2026 meeting. The motion to approve the Bylaws and forward to the

Board of Supervisors for approval passed with a majority vote of members present. The vote was

as follows: 10 Yes, 0 Abstain, 0 Oppose.

RECOMMENDATION(S)

CHIEF ADMINISTRATIVE OFFICER

Approve the revisions to the San Diego County Commission on the Status of Women and Girls

Bylaws.

EQUITY IMPACT STATEMENT

The San Diego County Commission on the Status of Women and Girls (Commission) was

established to promote policy and to provide an open forum for discussion and action to identify

the needs and problems of women and girls throughout the county that are affected by public

policy decisions, and to eliminate the practice of discrimination and prejudice on the basis of

sex . The updates to the Commission’s Bylaws streamline and align them with current best

practices. These changes will ensure that the Commission continues to operate efficiently and

effectively to identify the needs and problems of women and girls throughout the county.

SUSTAINABILITY IMPACT STATEMENT

The proposed action to update the San Diego County Commission on the Status of Women and

Girls’ (Commission) Bylaws contribute to many of the County of San Diego Sustainability

Goals: Engage the community; Provide just and equitable access; and Protect health and

wellbeing. In terms of sustainability in equity, economy, and health/wellbeing, it will support the

Commission in ensuring Commissioners are able to identify and promote the needs of all women

and girls throughout the county.

FISCAL IMPACT

There is no fiscal impact associated with these actions. There will be no change in net General

Fund cost and no additional staff years.

BUSINESS IMPACT STATEMENT

N/A

SUBJECT:

APPROVING THE ISSUANCE OF EXEMPT FACILITY BONDS BY

THE CALIFORNIA MUNICIPAL FINANCE AUTHORITY IN AN

AGGREGATE PRINCIPAL AMOUNT NOT TO EXCEED $72,000,000

FOR THE PURPOSE OF FINANCING OR REFINANCING THE

ACQUISITION, CONSTRUCTION, IMPROVEMENT AND EQUIPPING

OF THE TROLLEY STOP APARTMENT PROJECT (DISTRICT: 1)

OVERVIEW

The County of San Diego (“County”) has received a request from the California Municipal

Finance Authority (“CMFA” or “Authority”) to approve the Authority’s issuance of exempt

facility bonds in an aggregate principal amount not to exceed $72,000,000 (the “Bonds”), for the

benefit of San Ysidro Pacific Associates LP, a California limited partnership (the “Borrower”).

The Borrower has requested that the Authority participate in the issuance of the Bonds to finance

or refinance the acquisition, development, construction, improvement, and equipping of a

multifamily rental housing project, the Trolly Stop Apartment project, located within the County

at 3145 & 3167 Beyer Boulevard, San Diego, California 92154 (collectively, the “Project”).

The Authority is authorized to assist in financing for nonprofit public benefit organizations or

for-profit corporations with a public benefit project wishing to issue revenue bonds, including

the Borrower. In order to initiate such a financing, the Borrower is asking the County, a member

jurisdiction in which the project resides to approve the Authority’s issuance of the Bonds.

Although the Authority will be the issuer of the Bonds for the Borrower, the financing cannot

proceed without the approval of an applicable legislative body.

Pursuant to Section 147(f) of the Internal Revenue Code, a public hearing was held on March 3,

2026. There were no comments from the public at that hearing.

Today’s recommendations will provide the Authority with the required authorization to pursue

its determination to issue the Bonds on behalf of the Borrower for the Project.

RECOMMENDATION(S)

CHIEF ADMINISTRATIVE OFFICER

Adopt a Resolution entitled:

RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO

APPROVING THE ISSUANCE OF CALIFORNIA MUNICIPAL FINANCE AUTHORITY

EXEMPT FACILITY BONDS IN AN AGGREGATE PRINCIPAL AMOUNT NOT TO

EXCEED $72,000,000 FOR THE PURPOSE OF FINANCING OR REFINANCING THE

ACQUISITION, CONSTRUCTION, IMPROVEMENT AND EQUIPPING OF The Trolley

Stop Apartment PROJECT

EQUITY IMPACT STATEMENT

This financing will help in the creation of quality, affordable housing for 330 low-income

households in San Diego County. The bonds issued will be used to finance or refinance the

acquisition, construction, improvement, and equipping of a multifamily rental housing project

located at 3145 & 3167 Beyer Boulevard, San Diego, California 92154. The obligations will

assist the Borrower to offer low-income living arrangements for households in San Diego

County.

SUSTAINABILITY IMPACT STATEMENT

The proposed action would result in economic benefits for the community by allowing the

borrower to serve 330 low-income households in San Diego County. This financing will

contribute to the County’s Sustainability Goal No. 2, providing just and equitable access, by

increasing investment in underserved communities of San Diego County.

FISCAL IMPACT

If approved, the proposal will result in approximately $991 of unanticipated revenue to be used

to reimburse the County of San Diego (County) for staff costs associated with this non-County

financing. There will be no change in net General Fund cost and no additional staff years.

The Borrower will be responsible for the payment of all present and future costs in connection

with the reissuance of the financing related to the Project. The County will incur no obligation

of indebtedness as a result of today’s actions.

BUSINESS IMPACT STATEMENT

N/A

10.

SUBJECT:

APPROVING THE ISSUANCE OF EXEMPT FACILITY BONDS BY

THE CALIFORNIA MUNICIPAL FINANCE AUTHORITY IN AN

AGGREGATE PRINCIPAL AMOUNT NOT TO EXCEED $40,000,000

FOR THE PURPOSE OF FINANCING OR REFINANCING THE

ACQUISITION AND REHABILITATION OF THE QUALIFIED

RESIDENTIAL RENTAL 707 BY VINTAGE APARTMENT PROJECT

(DISTRICT: 1)

OVERVIEW

The County of San Diego (“County”) has received a request from the California Municipal

Finance Authority (“CMFA” or “Authority”) to approve the Authority’s issuance of exempt

facility bonds in an aggregate principal amount not to exceed $40,000,000 (the “Bonds”), for the

benefit of Vintage Housing Holdings LLC, a California limited liability corporation (the

“Borrower”). The Borrower has requested that the Authority participate in the issuance of the

Bonds to finance or refinance the acquisition and rehabilitation of a 202-unit (including a two

manager’s units) multifamily rental housing project located within the County at 707 Broadway,

San Diego, California, 92101 (collectively, the “Project”).