Police Department
www.santa-ana.org/pd
Item # 13
City of Santa Ana
20 Civic Center Plaza, Santa Ana, CA 92701
Staff Report
September 16, 2025
TOPIC: Inmate Health Care Services
AGENDA TITLE
First Amendment to Agreement with California Forensic Medical Group, Inc. and Wellpath (General Fund)
RECOMMENDED ACTION
Authorize the City Manager to execute the first amendment to the agreement with California Forensic Medical Group, Inc. and Wellpath to continue to provide heath care services to inmates and detainees housed at the Santa Ana Jail and exercise the first one-year renewal option to extend the term through September 30, 2026 in an annual amount of $3,523,310 and an additional $250,000 for emergency services as necessary and at the City’s sole discretion, for a total aggregate amount not to exceed $13,843,556 (Agreement No. A-2025-XXX).
GOVERNMENT CODE §84308 APPLIES: Yes
DISCUSSION
California’s Board of State and Community Corrections (BSCC) requires agencies to provide basic and emergency health care services for all incarcerated individuals held within their custody. Current City initiatives addressing quality of life and public nuisances have necessitated an elevated level of care for short-term arrestees.
On September 20, 2022, the City Council approved a three-year agreement with California Forensic Medical Group, Inc. and Wellpath (CFMG) to provide these services at the Santa Ana Jail after a competitive request for proposals process. CFMG’s services include direct patient care, a sick call program, health assessments, administration of medications, on-site dental services, and mental health care.
Throughout the past three years, as the City’s enforcement activity placed greater emphasis on quality-of-life issues and public nuisances, medical staffing levels have been adjusted to address the increased workload and associated medical concerns while ensuring an appropriate standard of initial care. Additionally, the rise in overall
Inmate Health Care Services
September 16, 2025
5 3
2 2
arrests during this period further necessitated enhancements to medical staffing to maintain timely and effective services. CFMG has proven reliable and flexible in the face of changing patient needs.
During the initial term of this agreement, CFMG has provided exceptional service to the City. Therefore, the department recommends exercising the first one-year extension option to renew this agreement from October 1, 2025 through September 30, 2026 in an annual amount of $3,523,310. The total not-to-exceed amount for this agreement will increase to $13,843,556 and includes an additional $250,000 for emergency or other necessary services provided by CFMG at the City’s sole discretion during the term of the agreement.
ENVIRONMENTAL IMPACT
There is no environmental impact associated with this action.
FISCAL IMPACT
Funding is available in the current FY 2025-26 budget and funding for subsequent fiscal year will be included in the proposed budget for City Council consideration.
Fiscal
Year
Accounting Unit
– Account No.
Fund
Description
Accounting Unit,
Account No.
Description Amount
FY 25-26 01114475-62300 General Fund Jail Operations, Contract Services-Professional $2,842,482
FY 26-27 01114475-62300 General Fund Jail Operations, Contract Services-Professional $ 930,828
Total $3,773,310
The amounts above include estimates for possible emergency or other necessary services and are subject to change.
EXHIBIT(S)
1. First Amendment to Agreement with California Forensic Medical Group, Inc. and Wellpath
Submitted By: Robert Rodriguez, Police Chief
Approved By: Alvaro Nuñez, City Manager