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County moves to clarify SJ Health governance, co‑applicant agreement and supplemental-funding allocations
Summary
County staff outlined proposed changes to the co-applicant agreement with the San Joaquin County Clinics board, said they will seek board approval of an updated agreement and MOU, and previewed a proposed three‑year extension of the hospital management services agreement.
County officials told the Health Care Services Review Project Committee they will seek changes to the governance and operating agreements that underlie the county-run clinic system (SJ Health) to improve oversight, clarify fiscal authority and align incentives across the county's clinics and hospital.
Brandy Hopkins, speaking for county administration, said the county is the HRSA designee for the county clinics (FQHC look‑alikes) while the San Joaquin County Clinics (SJCC) board — a 501(c)(3) created to serve as the co‑applicant — fulfills HRSA’s requirement that the clinic governing board include a majority of patients. Hopkins said the county and SJCC board approved a set of proposed co‑applicant agreement revisions on April 9, and county administration will present recommended…
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