To: Charles Winfrey, Human Services Committee Chairperson
From: Brian Hunter M.D.
title
RE: Approval of a contract extension between Genesee County and National Medical Services (NMS), in an amount not to exceed $218,000.00 ($180,000.00 in county testing & $38,000.00 for out of county testing), to provide toxicology services to the Medical Examiner’s Office
recommendation
BOARD ACTION REQUESTED:
Approve contract extension with associated budget amendment with NMS for toxicology services.
BACKGROUND:
Toxicology is a critical component of determining the cause of death in Medical Examiner cases and is performed on every autopsy.
DISCUSSION:
The medical examiner’s office requests to extend its contract with NMS for two additional years. Total cost of the contract not to exceed $218,000.00 annually ($180,000 in county toxicology and $38,000.00 out of county toxicology) to be paid from 1010-648.00-801.036 and 1010-648.00-801.037 with a purchase order being issued at the beginning of each fiscal year. Due to a price increase associated with the extension, a budget amendment of $33,000.00 is necessary, $20,000.00 to 1010-648.00-801.036 toxicology fees and $13,000.00 to 1010-648.00-801.037 out of county toxicology.
IMPACT ON HUMAN RESOURCES:
None
IMPACT ON BUDGET:
An increase of $28,000.00 is needed due to an increase in pricing.
IMPACT ON FACILITIES:
None
IMPACT ON TECHNOLOGY:
None
CONFORMITY TO COUNTY PRIORITIES:
Medical Examiner's Office plays a crucial role in helping communities live healthy and safe by providing several important functions such as monitoring drug-related deaths: Medical examiners often play a crucial role in monitoring and addressing drug-related deaths within a community. By conducting toxicology screenings and analyzing the cause of death in cases where substance abuse may be involved, they can help identify high-risk substances, evaluate the impact of drug epidemics, and guide public health interventions, such as drug education programs or targeted enforcement efforts.
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 Medical Examiner’s Office to authorize extending the contract between Genesee County and National Medical Services (NMS), whereby the contractor will provide Toxicology services for the two-year extension period commencing October 1, 2025, through September 30, 2027, at a cost not to exceed $218,000.00 annually ($180,000 in county toxicology and $38,000.00 out of county toxicology) to be paid from accounts 1010-648.00-801.036 and 1010-648.00-801.037, with the associated budget increase of $33,000.00 ($20,000.00 to 1010-648.00-801.036 and $13,000.00 to 1010-648.00-801.037, with a purchase order being issued at the beginning of each fiscal year, is approved (a copy of the memorandum request and supporting documents being on file with the official records of the September 17, 2025 meeting of the Human Services Committee of this Board), the Chairperson of this Board is authorized to execute the contract on behalf of Genesee County, and the Chief Financial Officer is directed to record the attached budget amendment.