REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
November 4, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Agreement with American Medical Association to Utilize the Current Procedural Terminology Code Sets
End
RECOMMENDATION(S)
Recommendation
1. Approve Amendment No. 6 to Internal Use License Agreement No. 20-602 with the American Medical Association, effective as of November 4, 2025 for license access to Current Procedural Terminology code sets, increasing the agreement amount by $41,000 from $212,728 to $253,728 with no change to the agreement period beginning July 28, 2020, and continuing indefinitely until terminated by either party.
2. Authorize the ARMC Chief Executive Officer to approve and sign future annual amendments to Internal Use License Agreement No. 20-602 to incorporate updated royalty rates for the Current Procedural Terminology code sets, provided the total annual cost does not exceed $50,000, subject to review by County Counsel.
3. Direct the ARMC Chief Executive Officer to transmit all future amendments to Internal Use License Agreement No. 20-602 to the Clerk of the Board of Supervisors within 30 days of execution.
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The cost of the American Medical Association's (AMA) royalty rates for the Current Procedural Terminology (CPT) code sets is updated annually, which changes the total agreement amount with each amendment. Amendment No. 6 (Amendment) to Internal Use License Agreement No. 20-602 (Agreement) will increase the total amount of the Agreement by $41,000 from $212,728 to $2...
Click here for full text