Vote — approved

Steve Gallardo	abstain
Bill Gates	abstain
Clint Hickman	abstain
and Steve Gallardo	yes
and Clint Hickman	yes
Denny Barney	abstain
Steve Chucri	yes

40.AGREEMENT FOR OUTPATIENT SAMPLE PROGRAM WITH OTSUKA AMERICA PHARMACEUTICAL, INCAdopt a Resolution which authorizes an Agreement between Otsuka America Pharmaceutical, Inc. and Maricopa County through the Department of Correctional Health Services, for the purpose of a free medication for psychiatric patients. Approve and authorize, by Resolution, Maricopa County by and through its Department of Correctional Health Services (MCDCHS), to process a non-financial Outpatient Sample Program (OSP) f

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40. AGREEMENT FOR OUTPATIENT SAMPLE PROGRAM WITH OTSUKA AMERICA PHARMACEUTICAL, INC Adopt a Resolution which authorizes an Agreement between Otsuka America Pharmaceutical, Inc. and Maricopa County through the Department of Correctional Health Services, for the purpose of a free medication for psychiatric patients. Approve and authorize, by Resolution, Maricopa County by and through its Department of Correctional Health Services (MCDCHS), to process a non-financial Outpatient Sample Program (OSP) form (ONRHA052A 32176004) with Otsuka America Pharmaceutical, Inc., for free samples of ABILIFY MAINTENA (APRIPIPRAZOLE) for extended-release injectable suspension. This Agreement is non-financial and is effective from June 27, 2018 until June 27, 2023. Long acting injectable (LAI) antipsychotic medications are used frequently in the community for psychiatric conditions, including schizophrenia, schizoaffective disorder, and bipolar disorder. Given the large number of jail inmates with psychiatric conditions who get treated with LAI medications in the community, best practices dictate that these medications be continued in jail for patients who are stable and compliant on LAIs. The cost of LAIs is significant. On average, 200 patients per month are receiving injectable antipsychotic medications in Maricopa County Jails. This comprises 20% of the monthly pharmacy budget for a jail population of 7500. Fortunately, pharmaceutical companies understand the burden that LAIs have on county budgets and have programs designed specifically to provide medications, free of charge, to incarcerated populations. Creating a partnership with these companies will allow for continuity of care on patients, while in jail, who are stable and compliant in the community with LAI medications. It will also allow for ‘new starts’ on patients who are good candidates (either those who have been on LAIs in the past, or who may benefit from doing a trial of LAIs for the first time). (C-26-18-007-3-00)

Attachments (2)

Vote — approved

Steve Gallardo	abstain
Bill Gates	abstain
Clint Hickman	abstain
Gallardo Equipment Services	yes
and Clint Hickman	yes
Denny Barney	abstain
Steve Chucri	yes

27.BUDGET ADJUSTMENT FOR DONATION OF LONG ACTING INJECTABLESPursuant to A.R.S § 42-17106 (B) approve the following appropriation adjustments:1) Increase revenue and expenditure in the Correctional Health (D260) Correctional Health Grant Fund (292) Operating (OPER) appropriation by $887,4942) Increase revenue and expenditure in the Correctional Health (D260) Correctional Health Grant Fund (292) Graves (GRV0) appropriation by $2,096,964This is a recurring donation, non-competitive award, effective

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27. BUDGET ADJUSTMENT FOR DONATION OF LONG ACTING INJECTABLES Pursuant to A.R.S § 42-17106 (B) approve the following appropriation adjustments: 1) Increase revenue and expenditure in the Correctional Health (D260) Correctional Health Grant Fund (292) Operating (OPER) appropriation by $887,494 2) Increase revenue and expenditure in the Correctional Health (D260) Correctional Health Grant Fund (292) Graves (GRV0) appropriation by $2,096,964 This is a recurring donation, non-competitive award, effective from June 27, 2018 until June 27, 2023. There is no in-kind matching requirement or indirect costs associated with these donations. There will be future ongoing contributions required after the donation period ends to comply with the mandated Graves judgement of $2,096,964. Donations are not local revenues for the purpose of the constitutional expenditure limitation, and therefore, expenditure of the funds is not prohibited by the budget law. These budget adjustments do not alter the budget containing the expenditure of local revenues duly adopted by the Board pursuant to A.R.S. § 42-17105. The LAI donations were previously approved under the following tracking numbers: C-26-18-007-3-00, C-26-18-008-3-00, and C-26-18-009-3-00 and will be booked as revenue and expenditures in the financial system. (C-26-19-007-D-00)

Attachments (4)

Vote — approved

Steve Gallardo	abstain
Jack Sellers	abstain
Bill Gates	abstain
Clint Hickman	yes
Gallardo Juvenile Probation	yes
Steve Chucri	yes

23.BUDGET ADJUSTMENT FOR DONATION OF LONG ACTING INJECTABLESPursuant to A.R.S § 42-17106 (B) approve the following appropriation adjustment:Increase revenue and expenditure in the Correctional Health (D260) Correctional Health Grant Fund (292) Graves (GRV0) appropriation by $3,600,000.This is a recurring donation, non-competitive award, effective from June 27, 2018 until June 27, 2023. There is no in-kind matching requirement or indirect costs associated with these donations. There will be futur

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23. BUDGET ADJUSTMENT FOR DONATION OF LONG ACTING INJECTABLES Pursuant to A.R.S § 42-17106 (B) approve the following appropriation adjustment: Increase revenue and expenditure in the Correctional Health (D260) Correctional Health Grant Fund (292) Graves (GRV0) appropriation by $3,600,000. This is a recurring donation, non-competitive award, effective from June 27, 2018 until June 27, 2023. There is no in-kind matching requirement or indirect costs associated with these donations. There will be future ongoing contributions required after the donation period ends to comply with the mandated Graves judgment of $3,600,000. Donations are not local revenues for the purpose of the constitutional expenditure limitation, and therefore, expenditure of the funds is not prohibited by the budget law. These budget adjustments do not alter the budget containing the expenditure of local revenues duly adopted by the Board pursuant to A.R.S. § 42-17105. Also, approve a waiver for the annual request for monthly donation reporting per the Donation Policy (A2508, V.E.2) that requires a department that accepts cash and non-cash donations to provide an itemized listing to the Office of the Clerk of the Board, by the 5th working day of the month for Board approval. The LAI donations were previously approved under the following tracking numbers: C-26-18-007-3-00, C-26-18-008-3-00, and C-26-18-009-3-00 and will be booked as revenue and expenditures in the financial system. (C-26-20-007-D-00)

Attachments (4)

Vote — approved

Steve Gallardo	yes
Jack Sellers	yes
Bill Gates	yes
Clint Hickman	yes
Steve Chucri	yes

41.BUDGET ADJUSTMENT FOR DONATION OF LONG ACTING INJECTABLES Pursuant to A.R.S § 42-17106 (B) approve the following appropriation adjustment: Increase revenue and expenditure in the Correctional Health (D260) Correctional Health Grant Fund (292) Graves (GRV0) appropriation by $3,600,000. Maricopa County Department of Correctional Health Services (MCDCHS) will utilize LAI medications to treat patients who may benefit from these types of pharmaceuticals. Donations are not local revenues for the pu

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41. BUDGET ADJUSTMENT FOR DONATION OF LONG ACTING INJECTABLES Pursuant to A.R.S § 42-17106 (B) approve the following appropriation adjustment: Increase revenue and expenditure in the Correctional Health (D260) Correctional Health Grant Fund (292) Graves (GRV0) appropriation by $3,600,000. Maricopa County Department of Correctional Health Services (MCDCHS) will utilize LAI medications to treat patients who may benefit from these types of pharmaceuticals. Donations are not local revenues for the purpose of the constitutional expenditure limitation, and therefore, expenditure of the funds is not prohibited by the budget law. These budget adjustments do not alter the budget containing the expenditure of local revenues duly adopted by the Board pursuant to A.R.S. § 42-17105. The LAI donations were previously approved under the following tracking numbers: C-26-18-007-3-00, C-26-18-008-3-00, and C-26-18-009-3-00 and will be booked as revenue and expenditures in the financial system. Also, approve a waiver for the annual request for monthly donation reporting per the Donation Policy (A2508, V.E.2) that requires a department that accepts cash and non-cash donations to provide an itemized listing to the Office of the Clerk of the Board, by the 5th working day of the month for Board approval. (C-26-21-000-X-00)

Attachments (4)

Vote — approved

Thomas Galvin	yes
Jack Sellers	yes
Bill Gates	yes
Clint Hickman	yes

37.WAIVER TO DONATION POLICY FOR LONG ACTING INJECTABLES Approve a waiver for the annual request for monthly donation reporting per the Donation Policy (A2508, V.E.2) that requires a department that accepts cash and non-cash donations to provide an itemized listing to the Office of the clerk of the Board, by the 5th working day of the month for Board Approval. Maricopa County Department of Correctional Health Services (MCDCHS) will utilize LAI medications to treat patients who may benefit from t

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37. WAIVER TO DONATION POLICY FOR LONG ACTING INJECTABLES Approve a waiver for the annual request for monthly donation reporting per the Donation Policy (A2508, V.E.2) that requires a department that accepts cash and non-cash donations to provide an itemized listing to the Office of the clerk of the Board, by the 5th working day of the month for Board Approval. Maricopa County Department of Correctional Health Services (MCDCHS) will utilize LAI medications to treat patients who may benefit from these types of pharmaceuticals. Donations are not local revenues for the purpose of the constitutional expenditure limitation, and therefore, expenditure of the revenues are not prohibited by the budget law. The approval action requested does not alter the budget constraining the expenditure of local revenues duly adopted by the Board pursuant to A.R.S. § 42-17105. The LAI donations were previously approved under the following tracking numbers: C-26-18-007-3-00, C-26-18-008-3-00, and C-26-18-009-3-00 and will be booked as revenue and expenditures in the financial system. (C-26-23-001-X-00)

Attachments (3)