Good morning, everyone.

If you could please take your seat, we're gonna go ahead and get started.

I'd like to welcome everyone in person and participating remotely to Alameda County Board of Supervisors special joint meeting with Public Protection Committee as well as Health Committee.

This is the morning of September 29th.

I'd like to welcome everyone, and if we could please start with the roll call.

Supervisor Tam.

Present.

Supervisor Miley, excused Supervisor Marquez.

Present.

Thank you so much.

And if the clerk could please share the announcement once we get to public comment after we hear the informational items for those that would like to make a comment in person or online.

For in-person participation.

The meeting site is open to the public.

If you'd like to speak on an item, please fill out a speaker's card in the front of the room and hand it to the clerk for remote participation.

You can use the raise your hand function, and we will have comment after both items.

After both informational items as well as public comment.

Thank you so much, Tisa.

Again, good morning to everyone in person and online.

We have called the special joint meeting of the Health and Public Protection Committees because access to quality health care at Santa Rita Jail is a fundamental responsibility and value for Alameda County.

For context, on March 25th, 2025, the Public Protection Committee passed a motion to advance this critical conversation to a joint meeting with the health committee.

The first joint committee meeting was held on May 16, 2025 and featured presentations by the Alameda County Sheriff's Office and neutral third-party health care consultants, Forvis Mazars, to discuss quality assurance findings and improvement recommendations for medical services at Santa Rita.

Today, Alameda Health Alameda County Health will discuss its assessment of Well Path's corrective action plan submitted in July.

Alameda County Health is currently serving as an interim third-party reviewer as the Sheriff's Office develops its next RFP for medical quality assurance services.

I want to thank Sheriff Sanchez for her commitment and partnership to ensure transparency, accountability, and improvement in care for those in our custody.

This includes protecting the integrity of the procurement process required to develop the next jail medical services contract.

I also want to thank her dedicated team and Alameda County Health's leaderships team for their extensive preparation to support a comprehensive discussion about the state of health care access and quality at Santa Rita Jail.

In July, in partnership with the Sheriff's Office, my office also convened a listening session that brought together a broad group of stakeholders, including Alameda County Sheriff's Office, the Alameda County Health Officer, County Behavioral Health Department leadership, including Forensic Services, County Council, the National Union of Healthcare Workers, a representative with lived experience around the impacts of the criminal justice system, and community coalition advocates.

This was a very candid and collaborative dialogue, helping all stakeholders with better understanding of the county's responsibilities, process, and coordination opportunities ahead.

To the community members and advocates who have continuously engaged our board, agency leadership and regional counterparts, please know this.

We are here today to go beyond listening.

Our charge is to identify how we can make the necessary changes to close gaps in care, strengthen cross-agency coordination, and ensure opportunities for the community to meaningfully engage with our shared objectives.

Your participation is essential to this multi-prong process to improve medical care at the jail and improve and more importantly, protect the dignity for justice involved individuals.

Like any other county service, I remain committed along with my colleagues to hold Alameda County and its partners to the highest standards of care at Santa Rita Jail, including a comprehensive and sound procurement process.

Thank you again to Sheriff Sanchez for her deep partnership as well as Health Chair Supervisor Miley and Supervisor Tam as we continue to move towards that goal.

With that said, I would like to introduce our first informational item, procurement timeline for comprehensive medical services at Santa Rita Jail.

I'd like to welcome Director Gasway, who is participating remotely.

Welcome, Director Gasway.

And let's just um before I advance, can someone give us a thumbs up that the audio is coming in clear online.

Yes, I can hear.

Perfect.

Thank you.

Thank you, supervisor.

Um, so we have a uh slide deck to put online on the screen.

Please confirm.

I think we're gearing that up.

Okay.

So I'm Kimberly Gasway, director of GSA and also the county's purchasing agent.

And I'm here to um talk about the current medical services contract, which expires uh September 30th, 2027, and the procurement methods we're going through right now to procure the next services.

So this is a um basically a generic timeline for a procurement of this um complexity.

And so the first thing is in the past presentation, we had a timeline for spec development, but in conversations with the sheriff's department as well as our procurement team, I changed the date to for spec development to be determined.

They are the sheriff is already engaged with the procurement department to work on the spec development and um in discussions about how the process will run through, but they are just now, they are in the process of working on that.

Additionally, they're looking at bringing on a consultant to help review the specifications to ensure it meets um the needs of the jail population.

So once they finalize that, a procurement of this type typically can take up to 12 months.

Some of our less complex procurements take less time.

So this is just a rough order of what we think how long we think it will take.

So we're more than um, because we're almost two years out, we have plenty of time to get this procurement done as well as offer up a transition time between the current provider and the new provider who is selected.

So we finalize the specification.

County council reviews the posting before it goes online, and that could take back and forth not always two months.

Our council is pretty timely in responding to us, but we did put that in just in case.

Um there's a mandatory bidder's conference, and everyone will need site clearances to go to the jail, and that could take up to a month to schedule the event, get all the clearances.