Agenda Item   

AGENDA STAFF REPORT

 

                                                                                                                        ASR Control  26-000022

 

MEETING DATE:

04/14/26

legal entity taking action:

Board of Supervisors

board of supervisors district(s):

All Districts

SUBMITTING Agency/Department:

Health Care Agency   (Approved)

Department contact person(s):

Veronica Kelley (714) 834-7024 

 

 

Jennifer Sarin (714) 834-4099

 

 

Subject:  Renewal of Contract for Tobacco Cessation Services

 

     ceo CONCUR

County Counsel Review

Clerk of the Board

          Concur

Approved Agreement to Form

Discussion

 

 

3 Votes Board Majority

 

 

 

    Budgeted: N/A

Current Year Cost:  N/A

Annual Cost: FY 2026-27 $500,000

 

 

 

    Staffing Impact:

No

# of Positions:           

Sole Source:   No

    Current Fiscal Year Revenue: N/A

   Funding Source:    State: 100% (Tobacco Settlement Revenue Measure H)

County Audit in last 3 years: No

   Levine Act Review Completed: Yes

 

    Prior Board Action:         2/25/2025 #13, 5/10/2022 #32

 

RECOMMENDED ACTION(S):

 

 

1.

Approve Amendment No. 3 to renew the Contract with AHMC Anaheim Regional Medical Center for provision of Tobacco Cessation Services, for the term July 1, 2026, through June 30, 2027, for an amount not to exceed $500,000, for a revised cumulative amount not to exceed $2,500,000.

 

2.

Authorize the County Procurement Officer or Deputized designee to execute Amendment of the Contract with AHMC Anaheim Regional Medical Center, as referenced in the Recommended Action above.

 

 

 

 

SUMMARY:

 

Approval of Amendment No. 3 to renew the Contract with AHMC Anaheim Regional Medical Center for the provision of Tobacco Cessation Services will help reduce tobacco and vaping prevalence, morbidity and mortality in Orange County.

 

 

 

BACKGROUND INFORMATION:

 

The Orange County Health Care Agency (HCA) Tobacco Use Prevention Program (TUPP) aims to reduce tobacco and vape use, prevent youth initiation, and support cessation across Orange County. Despite long-term declines in tobacco and vape use, disparities persist among youth, low-income residents, and communities with limited access to cessation services.

 

AHMC Anaheim Regional Medical Center (AHMC) serves high-need Orange County residents, including adults and youth. AHMC has existing clinical infrastructure and experience providing education and counseling. Prior to the contract expiration, HCA plans to conduct a solicitation to continue services.

 

The below actions were executed pursuant to proper authorities. The Orange County Preference Policy is not applicable to this amendment.

Prior Actions:

Board Date

Contract/Amendment

Action

Term

May 10, 2022

Contract for Tobacco Cessation Services

Board Approved – Contract

July 1, 2022 – June 30, 2025

N/A

Amendment No. 1

 

 

Deputy Purchasing Agent (DPA) Authority Approved – Administrative Revisions

July 1, 2022 – June 30, 2025

February 25, 2025

Amendment No. 2

Board Approved - Contract Renewal

July 1, 2025 - June 30, 2026

 

The proposed Amendment No. 3 to renew the Contract will allow the continuation of the provision of tobacco cessation services through June 30, 2027.

 

Scope of Services

 

Under the proposed contract renewal, AHMC will provide:

 

•

Tobacco and vaping cessation counseling for adults and youth in individual and group cessation programs.

•

Nicotine replacement therapy including nicotine replacement patches and nicotine gum for adults age 18 and older.

•

Screening, assessment, and personalized tobacco and vaping cessation plans.

•

Relapse prevention and extended follow-up support.

•

Community awareness and referral linkages.

 

These services directly support national and state priorities to reduce preventable illness and strengthen community health. Since 2001, utilizing a portion of Tobacco Settlement Revenue Measure H funds for prevention and control efforts, HCA’s TUPP program has contracted with community-based organizations to provide cessation services for tobacco and vape users who wish to quit. This ensures that activities such as preventing tobacco and vape use, reducing exposure to tobacco smoke, and supporting cessation services are funded as part of the County of Orange (County) allowable health programs. Services follow recommendations of the Centers for Disease Control and Prevention, and the U.S. Preventive Services Taskforce, including the provision of behavioral interventions, pharmacotherapy for cessation to adults 18 and older who use tobacco and vaping and combining the implementation of youth school-based interventions with awareness campaigns and other community efforts.

 

Through the contract with AHMC, which hosts and manages Orange County’s 1-866-NEW-LUNG helpline for quitting smoking and vaping, staff provide tobacco and vape cessation services for adults and youth. Modalities used include telephone counseling, in-person and virtual counseling, a seminar, a class series and access to nicotine patches or nicotine gum. For youth, cessation services include an in-person seminar and a class series. Services for adults are provided in multiple threshold languages.

 

  Tobacco Cessation Services Performance Outcomes - All Modalities Combined:

 

The program has been successful and overall county rates of tobacco and vape use have decreased resulting in lower participation numbers. In FY 2024–25, adult targets were exceeded through strengthened outreach, while youth enrollment was lower due to various factors including reduced tobacco and vape use and expanded school-based programs. Targets for FY 2025–26 are adjusted to align with current demand.

 

   Tobacco Cessation Services Satisfaction Survey Outcomes – Adults:

FY

Surveys Completed

Rate of Program Satisfaction

FY 2023-24

486

88.9%

FY 2024-25

842

92.1%

FY 2025-26 (YTD)

360

93.3%

 

   Tobacco Cessation Services Satisfaction Survey Outcomes – Youth:

FY

Surveys Completed

Rate of Program Satisfaction

FY 2023-24

431

95.3%

FY 2024-25

331

91.6%

FY 2025-26 (YTD)

245

78.8%

 

In FY 2025-26, AHMC is on track to meet its targets.

 

The success of tobacco and vaping and prevention efforts indicates that cessation services are effectively supporting the County’s broader tobacco prevention and control efforts by offering accessible, local, in-person assistance to individuals who use tobacco or vaping products. Youth survey responses show strong program impact, with nearly 80 percent of participants reporting satisfaction.

 

This Contract does not include subcontractors. The Contractor's performance has been confirmed as satisfactory. HCA has verified there are no concerns that must be addressed with respect to Contractor's ownership/name, litigation status or conflicts with County interest.

HCA requests that the Board approve the renewal to the Contract for the provision of Tobacco Cessation Services, as referenced in the Recommended Actions.

 

 

 

FINANCIAL IMPACT:

 

Appropriations for this Contract will be included in Budget Control 042 FY 2026-27 Budget.

 

The Contract includes provisions allowing HCA to terminate the Contract, reduce the level of services, and/or renegotiate the level of services provided, as necessary. This includes a notice that allows HCA adequate time to transition or terminate services to clients, if necessary.

 

 

 

STAFFING IMPACT:

 

An analysis was completed to verify the Contract provides the County with persons specially trained, experienced, expert and competent to perform the special services in accordance with the law.

 

 

 

ATTACHMENT(S):

 

Attachment A - Amendment No. 3 to Contract MA-042-22011163 for Tobacco Cessation Services with AHMC Anaheim Regional Medical Center
Attachment B - Contract Summary Form