Police Department
www.santa-ana.gov/pd
Item # 11
City of Santa Ana
20 Civic Center Plaza, Santa Ana, CA 92701
Staff Report
September 15, 2026
TOPIC: Inmate Health Care Services
AGENDA TITLE
Second Amendment to Agreement with California Forensic Medical Group, Inc. and Wellpath (General Fund)
RECOMMENDED ACTION
Authorize the City Manager to execute the second amendment to the agreement with California Forensic Medical Group, Inc. and Wellpath to continue providing health care services to inmates and arrestees housed at the Santa Ana Jail and exercise the second one-year renewal option to extend the term through September 30, 2027 in an annual amount of $3,664,243, for a total aggregate amount not to exceed $17,507,799 (Agreement No. A-2026-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 two additional one-year extension options 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 in a total amount not to exceed $10,070,246. CFMG's services include direct patient care, a sick call program, health assessments, administration of medications, on-site dental services, and mental health care.
On September 16, 2025, the City Council approved the first amendment to the agreement to exercise the first one-year renewal option and increase compensation by an additional $3,773,310. Medical staffing levels were also adjusted to address the increased workload and associated medical concerns while ensuring an appropriate standard of initial care,
Inmate Health Care Services
September 15, 2026
5 9
8 6
as the City's enforcement activity in the areas of frontline policing and public nuisances increased. CFMG has proven reliable and flexible through this patient profile evolution.
Throughout the term of this agreement, CFMG has provided exceptional service to the City. Therefore, the department recommends exercising the second and final one-year extension option to renew this agreement from October 1, 2026 through September 30, 2027 in an annual amount of $3,664,243. The total not-to-exceed amount for this agreement will increase to $17,507,799 inclusive of amounts for services as necessary at the City's sole discretion.
ENVIRONMENTAL IMPACT
There is no environmental impact associated with this action.
FISCAL IMPACT
Funding is available in the current FY 26-27 budget and funding for the subsequent fiscal year will be included in the proposed budget for City Council consideration.
EXHIBIT(S)
1. Second Amendment to Agreement with California Forensic Medical Group, Inc. and Wellpath
Submitted By: Robert Rodriguez, Police Chief
Approved By: Alvaro Nuñez, City Manager
Fiscal
Year
Accounting Unit -
Account No.
Fund
Description
Accounting Unit,
Account No.
Description
Amount
FY 26-27 01114475-62300 General Fund
Jail Operations,
Contract Services-
Professional
$2,748,182
FY 27-28 01114475-62300 General Fund
Jail Operations,
Contract Services-
Professional
$ 916,061
Total $3,664,243