Agenda

Return

D.3

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	March 30, 2021

Contra

Costa

County

Subject:

Vaccine Memorandum of Agreement with the State of California

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/30/2021

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Anna Roth, 925-957-2670
cc:	L Walker M Wilhelm

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: March 30, 2021
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a memorandum of understanding and a related addendum with the State of California establishing the State's conditions for allocating and providing COVID-19 vaccines to the County to administer to eligible individuals.

FISCAL IMPACT:

There is no fiscal impact for this action.

BACKGROUND:

This is a non-fiscal memorandum of understanding and a related addendum between the County, through Contra Costa Health Services, and the State, through the State’s Government Operations Agency. The purpose of the MOU and addendum is to establish the State’s expectations and conditions for the County’s continued eligibility to receive allocations of COVID-19 vaccine.

BACKGROUND: (CONT'D)

Under the MOU, the State will continue to supply the County with the COVID-19 vaccine to administer to its patients in connection with its ongoing vaccination efforts. The State will make efforts to assure that County is allocated sufficient doses of the vaccine for administration to eligible individuals by the County as a health care provider. The State does not guarantee any minimum or maximum amount of vaccine that may be allocated to the County. Blue Shield is the State’s third-party administrator of the statewide vaccinating provider network, and the MOU requires the State to ensure that Blue Shield understands that the County is dependent on a sufficient supply of the vaccine from the State for its ongoing vaccine administration. In turn, the MOU requires the County to recognize that the State is dependent on the federal government for allocation of vaccine and that changing circumstances in the pandemic may require reallocation of vaccine to providers and to communities that are suffering from significant outbreaks of COVID-19 or where the local health care system is stressed. The MOU allows the State to change the amount or type of vaccines that may be allocated to the County at any time.

The addendum requires the State to endeavor to ensure that the County receives proportional doses given its focus on serving the segments of the populations most impacted by COVID-19. The State’s allocations to the County are required to reflect both the County’s population and the County’s existing role in serving the highest risk communities and coordinating its vaccination efforts. The addendum also requires the State to include all County-supported vaccination sites when considering the State’s allocation to the County. The addendum allows the County to distribute portions of vaccines allocated to the County to County-supported sites. Further, the addendum requires Blue Shield and the County to jointly and directly propose to the State allocation distributions for all vaccine providers participating in the statewide network of vaccination providers within the County.

The MOU requires the County to use MyTurn or another technology platform as directed by the State to submit data to the State. The addendum allows County-operated clinics to delay transitioning to MyTurn until the County and the State agree that the use of MyTurn will not interfere with the vaccine distribution efforts of County clinics. The MOU also requires the County to establish and maintain an electronic interface to either the State Immunization Registry or an appropriate County Immunization Registry, and to MyTurn. The MOU also requires the County to follow criteria established by the State Department of Public Health in determining individuals’ eligibility for vaccination appointments and prioritization of appointments.

The MOU is effective until completion of COVID-19 vaccination services, unless the County or the State withdraws from the MOU earlier by providing 60 days advance notice.

CONSEQUENCE OF NEGATIVE ACTION:

The MOU and addendum would not be signed.