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File #: 23-1870    Version: 1
Type: Bill Status: Passed
File created: 11/21/2023 In control: Safety, Housing, Education & Homelessness Committee
On agenda: 11/27/2023 Final action: 12/5/2023
Title: A bill for an ordinance approving a proposed First Amendment to Fiscal Year 2023 Amendment to the Second Amended and Restated Operating Agreement between the City and County of Denver and Denver Health and Hospital Authority, providing for the amounts to be paid for services by the City and County of Denver and by the Denver Health and Hospital Authority for Fiscal Year 2024. Amends the 2023 Denver Health and Hospital Authority operating agreement to update language related to allocation of funds within specific sections of the agreement. No change to contract amount or duration. ENVHL-202371258. The last regularly scheduled Council meeting within the 30-day review period is on 12-18-2023. President Torres approved direct filing this bill on 11-22-2023.
Sponsors: Shontel Lewis, Sarah Parady
Attachments: 1. BR23-1870_DDPHE DHHA 2023 OA Amendment Request, 2. 23-1870 Bill_DHHA_11.16.pdf, 3. 23-1870 Amendment_DHHA 202371258-34, 4. 23-1870 Filed Bill_DHHA_11.16.23, 5. 23-1870_signed, 6. 23-1870 For an ordinance approving a proposed First Amendment to Fiscal Year 2023

Contract Request Template (Contracts; IGAs; Leases)

 

Date Submitted: 11-27-2023

 

Requesting Agency: DDPHE

                               Division:

 

Subject Matter Expert Name: Meggan Parezo
Email Address: Meggan.parezo@denvergov.org
Phone Number:

 

Item Title & Description:

(Do not delete the following instructions)

These appear on the Council meeting agenda. Initially, the requesting agency will enter a 2-3 sentence description. Upon bill filling, the City Attorney’s Office should enter the title above the description (the title should be in bold font).

 

Both the title and description must be entered between the red “title” and “body” below.  Do not at any time delete the red “title” or “body” markers from this template.

title

A bill for an ordinance approving a proposed First Amendment to Fiscal Year 2023 Amendment to the Second Amended and Restated Operating Agreement between the City and County of Denver and Denver Health and Hospital Authority, providing for the amounts to be paid for services by the City and County of Denver and by the Denver Health and Hospital Authority for Fiscal Year 2024.

Amends the 2023 Denver Health and Hospital Authority operating agreement to update language related to allocation of funds within specific sections of the agreement. No change to contract amount or duration. ENVHL-202371258. The last regularly scheduled Council meeting within the 30-day review period is on 12-18-2023. President Torres approved direct filing this bill on 11-22-2023.

body

 

Affected Council District(s) or citywide?

citywide

Contract Control Number:

202371258

Vendor/Contractor Name (including any “DBA”):

Denver Health and Hospital Authority

Type and Scope of services to be performed:

There is no amendment to the services provided in the scope of work for the 2023 Operating Agreement. The City and the Authority have agreed to shift unspent 2023 Operating Agreement funding from two sections/programs of the 2023 Operating Agreement (Public Health Clinics and Denver CARES) to the Patient Care Services (aka the Medically Indigent (MI) payment) section of the agreement. Based on DHHA grant funding secured, vacancy savings, and efficiencies, DHHA has unspent funds in two program areas (Public Health Clinics and Denver CARES) that allows the city to shift $1,800,000 from those programs into the Patient Care Services portion of the 2023 Operating Agreement budget to cover additional uncompensated care in 2023.

 

Broadly the scope of the DHHA Operating Agreement provides medical, public health, and mental health services to Denver residents and City agencies, and the City provides some services to DHHA mostly related to supporting the remaining career service employees who work at DHHA.                     

 

Services are divided into Core Services and Non-Core Services.

                     Core services include the Patient Care (MI) Payment, Emergency Medical Services, Public Health Clinics, Denver CARES, prisoner medical services at DHHA (CCMF), etc.

                     Non-Core services include Nurseline, jail medical services, Center for Occupational Health (COSH) & OUCH Line, etc.

 

City also provides services to DHHA including payroll and legal services related to Career Service employees at DHHA (total of 46 CSA employees), radio support, fuel, 911 call taker, etc.

Location (if applicable):

 

WBE/MBE/DBE goals that were applied, if applicable (construction, design, Airport concession contracts):

N/A

Are WBE/MBE/DBE goals met (if applicable)?

N/A

Is the contract new/a renewal/extension or amendment?

Amendment

Was this contractor selected by competitive process or sole source?

                     Sole source

For New contracts

Term of initial contract:

 

Options for Renewal:

                     How many renewals (i.e. up to 2 renewals)?

                     Term of any renewals (i.e. 1 year each):

 

Cost of initial contract term:

 

Cost of any renewals:

 

Total contract value council is approving if all renewals exercised:

 

For Amendments/Renewals Extensions:

Is this a change to cost/pricing; length of term; terms unrelated to time or price (List all that apply)?

 

If length changing

What was the length of the term of the original contract?

 

What is the length of the extension/renewal?

 

What is the revised total term of the contract?

 

If cost changing

What was the original value of the entire contract prior to this proposed change?

 

What is the value of the proposed change?

 

What is the new/revised total value including change?

 

If terms changing

Describe the change and the reason for it (i.e. compliance with state law, different way of doing business etc.)

 

The City and the Authority have agreed to shift unspent 2023 Operating Agreement funding from two sections/programs of the 2023 Operating Agreement (Public Health Clinics and Denver CARES) to the Patient Care Services (aka the Medically Indigent (MI) payment) section of the agreement. Based on DHHA grant funding secured, vacancy savings, and efficiencies, DHHA has unspent funds in two program areas (Public Health Clinics and Denver CARES) that allows the city to shift $1,800,000 from those programs into the Patient Care Services portion of the 2023 Operating Agreement budget to cover additional uncompensated care in 2023.

 

The original ordinance approved the appendices to the Operating Agreement between the City and Denver Health and Hospital Authority for fiscal year 2023. The contract amount is for the City to expend funds of $69,745,033for DHHA services and the City to receive funds of $3,238,200 for City services provided to DHHA.