Sponsor: Public Health
Title
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2025 Single Source Agreements with Community Clinics for Healthcare Services
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Recommendation
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1. Approve agreements with the following community clinics for health care to low-income, uninsured and under-insured residents of Ramsey County, for the period from June 3, 2025 through December 31, 2025, with the option to renew for up to four one-year periods, in accordance with the annual rates established in the agreements:
a. Face to Face Health and Counseling Service, Inc., 1165 Arcade Street, Saint Paul, MN 55106, in an amount not to exceed $35,190;
b. Open Cities Health Center, Inc., 409 North Dunlap, Saint Paul, MN 55104, and 916 Rice Street, Saint Paul, MN 55117, in an amount not to exceed $189,555;
c. Riverland Community Health (formerly United Family Medicine) 1026 West Seventh Street, Saint Paul, MN 55102, in an amount not to exceed $109,726 and
d. West Side Community Health Services dba Minnesota Community Care, 153 Cesar Chavez Street, Saint Paul, MN 55107, in an amount not to exceed $415,978.
2. Authorize the Chair and Chief Clerk to execute the agreements.
3. Authorize the County Manager to approve amendments to agreements in accordance with the county’s procurement policies and procedures, provided the amounts are within the limits of available funding.
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Background and Rationale
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Ramsey County provides levy funding to community clinics on a fee-for-service reimbursement basis. Payments to the community clinics are made through a system of partial reimbursement for visits made by Ramsey County residents who are unable to pay the cost of the service due to insufficient financial resources (either personal or third party).
The agreements are with clinics that meet the definition of "community clinic":
• Incorporated as a non-profit corporation under Minnesota Statutes, Chapter 317A.
• Exempt from federal income tax under IRS Code of 1986, section 501(c)(3).
• Provides outpatient primary medical, dental or mental health care.
• Uses licensed medical, dental or mental health professionals to provide the outpatient primary medical, dental or mental health care described herein.
• Established to provide outpatient primary health care services to low-income population groups.
• Offers health services on a sliding-fee scale basis.
The collected data from the community clinics enables the county to analyze the use of levy funds for services to uninsured and under- insured residents and ensure funding is distributed appropriately.
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County Goals (Check those advanced by Action)
☒ Well-being ☒ Prosperity ☒ Opportunity ☒ Accountability
Racial Equity Impact
Through the community clinic annual agreements, each community clinic is required to provide data that includes the number of uninsured and underinsured patient visits, total number of visits, and race and ethnicity of patients. In 2024, the estimated percent of clients who identified as racially and ethnically diverse, including those who identified as Unknown/Other was over 80%. Subsidizing these clinics allows open access to health care services and contributes to efforts to advance racial and health equity.
Community Participation Level and Impact
The mission of these community clinics is to strengthen the health and well-being of the community through accessible healthcare. These agencies strive to include patients and community members on their board.
☒ Inform ☐ Consult ☐ Involve ☐ Collaborate ☐ Empower
Fiscal Impact
Funding for these services, in the amount of $750,449 per year, is included in the 2025 approved Public Health department budget.
Last Previous Action
On January 14, 2020, the Ramsey County Board of Commissioners approved agreements with the community clinics (Resolution B2020-013).
Attachments
1. Single Source Agreement with Face to Face Health and Counseling Service
2. Single Source Agreement with Open Cities Health Center
3. Single Source Agreement with Riverland Community Health
4. Single Source Agreement with West Side Community Health Services