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Community Development Agency <br />santa-ana.org/cd <br />Item # 32 <br />City of Santa Ana <br />20 Civic Center Plaza, Santa Ana, CA 92701 <br /> Staff Report <br />August 17, 2021 <br />TOPIC: Feasibility and Fiscal Evaluation for a Municipal Public Health Agency <br />AGENDA TITLE: <br />Approve an Agreement with Health Management Associates to Provide Feasibility and <br />Fiscal Evaluation Services for a Municipal Public Health Agency in an Amount not to <br />Exceed $180,830 for a One-Year Term (Revive Santa Ana Program) <br />RECOMMENDED ACTION <br />1. Authorize the City Manager to execute an agreement with Health Management <br />Associates, Inc. to provide feasibility and fiscal evaluation services for a municipal public <br />health agency for a one-year term beginning on August 18, 2021 and expiring on August <br />18, 2022, in an amount not to exceed $180,830, which includes a $10,000 contingency, <br />subject to non-substantive changes approved by the City Manager and City Attorney. <br />2. Approve the Project Cost for a total estimated cost of $200,000, which includes $19,170 <br />for contract administration and legal services and a $10,000 project contingency for any <br />additional services as directed by the City. <br />DISCUSSION <br />The COVID-19 pandemic and its aftermath have raised community and public awareness <br />of the importance of public health agencies. This unprecedented pandemic has also <br />raised the expectations for public health departments to address substantial local health <br />inequities amongst jurisdictions in Orange County. <br />The City of Santa Ana, like many other California jurisdictions, is considering whether the <br />current public health delivery structure is meeting the needs of its residents and requested <br />proposals from qualified firms to perform a feasibility and fiscal evaluation of creating its <br />own municipal public health agency. Currently, the County of Orange provides all public <br />health services to County residents, including Santa Ana. <br />Under California law, municipalities have responsibilities for public health functions; they <br />can transfer this authority to counties. Most communities have chosen to do this due to <br />the extent of duty, required infrastructure, and associated expenses.