DEPARTMENT: Health
DEPARTMENT HEAD: Jennifer Herriot, MPH
COUNCIL DISTRICTS IMPACTED: Citywide
SUBJECT:
Extension of Interlocal Agreement with University Health System
SUMMARY:
This Ordinance authorizes an amendment to the Interlocal agreement with the Bexar County Hospital District, d/b/a University Health System (UHS) to extend the term of the agreement and authorize the acceptance of compensation from UHS in the amount of $190,768.08 for the period April 1, 2019 through March 31, 2020 for services provided by the City of San Antonio through the San Antonio Metropolitan Heath District (Metro Health) with an option to renew for an additional one year term upon agreement of the parties.
BACKGROUND INFORMATION:
Since 1965, Bexar County, and later UHS, has contracted with the City of San Antonio for Metro Health to provide certain public health services to residents of unincorporated Bexar County. These services include dental screening and treatment, sexually transmitted disease control, tuberculosis control, emergency preparedness and response, and health education programs. In the past the fees charged for these services were adjusted annually to reflect the costs of providing them. The amount paid by UHS to the City has not changed significantly since 2012; however, the City and UHS continue to explore new opportunities to collaborate on new initiatives. (added May 2, 2019)
For example, discussions between Metro Health and UHS regarding UHS’s increased role in support of the work being done around Adverse Childhood Experiences and the Trauma Informed Care Consortium are currently underway. (added May 2, 2019)
The responsibilities of both parties are defined in an Interlocal agreement that currently extends through March 31, 2019. This Ordinance amends the current Interlocal agreement to extend the term and set out fees for the period April 1, 2019 through March 31, 2020.
ISSUE:
Metro Health is requesting City Council authorization of an amendment to extend the term of the existing Interlocal agreement between Metro Health and UHS and to authorize the acceptance of compensation from UHS in the amount of $190,768.08 for services provided during the period April 1, 2019 through March 31, 2020 with the option to renew for an additional one year term.
ALTERNATIVES:
Without the proposed amendment, the City of San Antonio will not be authorized to accept payments from University Health System after March 31, 2019 for various public health services provided by Metro Health to residents of unincorporated Bexar County.
FISCAL IMPACT:
Metro Health is requesting City Council authorization of an amendment to extend the term of the existing Interlocal agreement between Metro Health and the University Health System and the acceptance of compensation from UHS in the amount of $190,768.08. In calculating the compensation amount for the extended term, totals were based on the previously agreed to formula taken from prior fiscal year estimates. Revenues generated from this agreement will be deposited back into the General Fund.
RECOMMENDATION:
Staff recommends approval of an amendment to the Interlocal agreement with University Health System and acceptance of compensation in the amount of $190,768.08 for public health services provided to residents of unincorporated Bexar County for the period April 1, 2019 through March 31, 2020 with the option to renew for an additional one year term.