To: Charles Winfrey, Human Services Committee Chairperson
From: Michelle Estell, RS, MSA, Health Officer
title
RE: Approval of a Subrecipient Contract Amendment between Genesee County's Health Department and Global Clinical LLC, in an amount not to exceed $119,570.00, to provide behavioral health services for the Healthy Start Initiative; the contract would be valid from April 1, 2026 through March 31, 2027; to be paid from account 2211-607.01-801.060
recommendation
BOARD ACTION REQUESTED:
Approval of a Subrecipient Contract Amendment between the Genesee County Health Department (GCHD) and Global Clinical LLC. Subrecipient will be paid $119,570.00 to provide behavioral health services for the Healthy Start Initiative. Contract would be valid from April 1, 2026 through March 31, 2027, to be paid from Funding Account- 2211-607.01-801.060 Funding Source Health Resources and Services Administration (HRSA) pending receipt of the FY26 grant agreement.
BACKGROUND:
HRSA requires all Healthy Start grantees to provide clinical services to Healthy Start participants. Behavioral health services serve as a way to treat perinatal mood disorders and other mental/behavioral issues that may contribute to poor maternal and infant outcomes. A request for proposals (RFP) for behavioral health services was initiated by Genesee County of behalf of the Healthy Start Initiative. Global Clinical LLC was selected to provide behavioral health services for the Healthy Start Initiative.
DISCUSSION:
Health Start is an infant mortality reduction program that uses a multidisciplinary approach to provide home visiting services to families in the Genesee County community. During home visits, participants are provided with case management services, health education, and referrals for current needs. On average participants will receive one to two home visits per month but can receive up to four depending on their risk assessment. Evaluation methods continue to be used to validate program outcomes. Genesee County Healthy Start received continued federal funding for cycle May 1, 2024, through March 31, 2029. No county appropriation is needed.
IMPACT ON HUMAN RESOURCES:
There is no expected impact on Human Resources.
IMPACT ON BUDGET:
All 2024 Healthy Start grantees received funding from federal funder HRSA to provide clinical services to program participants.
IMPACT ON FACILITIES:
There is no expected impact on facilities.
IMPACT ON TECHNOLOGY:
There is no expected impact on technology.
CONFORMITY TO COUNTY PRIORITIES:
Genesee County Healthy Start continues to support a Healthy, Livable, and Safe Community through the utilization of community resources. Home visiting services provided through the Healthy Start Initiative are shown to decrease maternal and infant mortality, therefore contributing to full term pregnancies and healthy infants.
resolution
TO THE HONORABLE CHAIRPERSON AND MEMBERS OF THE GENESEE COUNTY BOARD OF COMMISSIONERS, GENESEE COUNTY, MICHIGAN
LADIES AND GENTLEMEN:
BE IT RESOLVED, by this Board of County Commissioners of Genesee County, Michigan, that the request by the Health Officer to authorize amending the contract between Genesee County and Global Clinical LLC that provides behavioral health services for the Healthy Start Initiative, said amendment being necessary to extend the contract term one additional year commencing April 1, 2026, through March 31, 2027, at a total cost not to exceed $119,570.00 to be paid from account 2211-607.01-801.060 with no county appropriation, is approved (a copy of the memorandum request and supporting documents being on file with the official records of the April 8, 2026 meeting of the Human Services Committee of this Board), and the Chairperson of this Board is authorized to execute the amendment on behalf of Genesee County.