10-27-2026 County of San Diego Board of Supervisors Meeting PM Session

At the October 27, 2026 afternoon session of the San Diego County Board of Supervisors, the board unanimously approved Item 22 to strengthen county purchasing standards, pursue better value than cooperative contracts where appropriate, and expand opportunities for small and local businesses. The discussion identified maintenance supplies and medical equipment as areas for improved pricing, and proposed targeted outreach, procurement events, and help with county vendor registration. A county employee speaking for SEIU Local 221 supported stronger contract oversight and accountability and urged the county to consider bringing some contracted services in-house; no specific spending amount or contract award was identified for this item.

The board also unanimously approved Item 23, authorizing the final pass-through payment model for the Sheriff’s Office amendment to its existing AmeriChoice administrative services contract. The county remains responsible for eligible healthcare provider claims, while AmeriChoice handles claims administration, provider-payment processing, reporting, and eligible billing; of an estimated $25 million in medical costs, about $1 million is budgeted for administration and staffing and $24 million for provider claims. The approved action retained existing reporting requirements and added detail on utilization, reimbursement efforts, projected budget shortfalls, and cost-control strategies. The Sheriff’s Office said implementation is important to pursue CalAIM reimbursements and avoid losses caused by filing deadlines; it planned to discuss the added reporting language with AmeriChoice, with a follow-up meeting noted. Other actions included directing staff to draft proposed ethics restrictions and renewing teleconference authorization for boards and commissions; no additional procurement decisions were identified.