Upon approval, this action will have an approximate annual cost of $4,604,219 with pension costs of $994,730 already included. The costs will be entirely offset with Federally Qualified Health Care revenues.

The Health Services Department is requesting to add 35 positions allocated to the Brentwood Health Center to meet the increased volume and patient care demand associated with the Affordable Care Act and the resulting growth of membership in the Contra Costa Health Plan. Data shows the majority of members reside in East Contra Costa County, and to accommodate this growth, the Department is expanding its ambulatory care patient services in Antioch, Pittsburg, and Brentwood Health Centers. The Department is submitting individual position adjustment resolutions for each health center expansion in several phases.  
  
The Brentwood Health Center is currently undergoing construction to add 12 examination rooms for Family Practice Medicine. Family Practice Clinics will increase its weekly hours from 200 to 608 with full capacity and serve a weekly average of 1,520 patient visits. These expanded services will be implemented in three phases with the initial 35 positions added in Phase I. Subsequent requests will be submitted at a later date.