REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
September 23, 2025
FROM
JOSHUA DUGAS, Director, Department of Public Health
SUBJECT
Title
Non-Financial Memorandum of Understanding with Local Hospitals for Continuity of Care of Federally Qualified Health Center Patients
End
RECOMMENDATION(S)
Recommendation
1. Approve non-financial Memoranda of Understanding, for the continuity of care of Federally Qualified Health Center patients, for the period of November 1, 2025 through October 31, 2030 with the following hospitals:
a. Desert Valley Hospital, LLC
b. Pomona Valley Hospital Medical Center
c. San Antonio Regional Hospital
d. St. Mary Medical Center
2. Approve Amendment No. 1 to non-financial Memorandum of Understanding No. 25-92 with Montclair Hospital Medical Center for the continuity of care of Federally Qualified Health Center patients, removing the billing arrangements provision, with no change to the term of February 15, 2025 through February 14, 2030.
(Presenter: Joshua Dugas, Director, 387-9146)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
Pursue County Goals and Objectives by Working with Other Agencies and Stakeholders.
FINANCIAL IMPACT
The Memoranda of Understanding (MOUs) are non-financial in nature and will not result in the use of Discretionary General Funding (Net County Cost).
BACKGROUND INFORMATION
The Department of Public Health (DPH) currently operates four Federally Qualified Health Centers (FQHCs) located in the cities of Adelanto, Hesperia, Ontario, and San Bernardino. The FQHCs are required to follow the United States Department of Health and Human Services, Health Resources and Services Administration (HRSA) regulations. These regulations require agreements with local hospitals to establish procedures for referrals, hospitalization, and emergency department visits, including me...
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