PHOENIX CHILDREN'S HOSPITAL AMENNDMENT 2 FOR SIGNATURE.PDF

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SECOND AMENDMENT 
TO 
AGREEMENT FOR SERVICES FOR MINOR VICTIMS 
BETWEEN 
MARICOPA COUNTY, BY AND THROUGH MARICOPA COUNTY ATTORNEY’S 
OFFICE AND 
PHOENIX CHILDREN’S HOSPITAL 
 
This Second Amendment to the Agreement, Maricopa County, through the Maricopa County 
Attorney’s Office (“MCAO”) and Phoenix Children’s Hospital, Inc. (“PCH”) (collectively referred to 
as the “Parties”), is effective upon approval by the Maricopa County Board of Supervisors. 
 
RECITALS 
 
WHEREAS, the Parties entered into a certain Agreement regarding professional services for medical 
evaluation and examination in cases of child and other sexual abuse, effective July 1, 2023 (the 
“Agreement”); and 
 
WHEREAS, the Parties previously amended the Agreement through a First Amendment modifying the 
compensation and reimbursement provisions contained in Attachment B of the Agreement; 
 
WHEREAS, the Parties now desire to further amend the Agreement as set forth in this Second 
Amendment; 
 
NOW, THEREFORE, the Parties hereto amend the Agreement according to the terms and conditions 
set forth below: 
 
 
3.0. COMPENSATION AND REIMBURSEMENT  
 
As compensation and reimbursement for the services, MCAO shall pay PCH as set forth in    
Attachment B. 
 
 
ATTACHMENT B - COMPENSATION AND REIMBURSEMENT: Amend sections 
2.0., 3.0., 4.0., 4.1., 4.2., 4.3., 4.3.1., 4.4., 4.5., 4.6., 4.7. and 4.8. to read as set forth below. 
All other sections of Attachment B remain unchanged. The revised Attachment B is attached 
to this Second Amendment. 
 
 
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4.0. ADDITIONAL TERMS AND CONDITIONS 
 
4.6. TERM OF AGREEMENT 
 
This Agreement is effective as of July 1, 2026, and shall continue until June 30, 2027 (the 
“Term”) unless terminated by either Party in accordance herewith.  Upon full execution and 
approval by MCAO, this Agreement shall remain in effect through June 30, 2027, unless 
terminated in accordance with its terms. 
 
4.7. OPTION TO EXTEND  
 
MCAO may, at its option and with the agreement of PCH, extend the period of this 
Agreement up to a maximum of three (3) additional one (1) year periods. MCAO must notify 
PCH of its intention to extend this Agreement; such notice shall be delivered not less than 
thirty (30) calendar days prior to the expiration of this Agreement. The terms and conditions 
of any such extension of this Agreement, including any associated pricing, shall be subject 
to a mutual written agreement of the parties.  
 
Except as expressly amended by this Second Amendment, all other terms and conditions of the 
Original Agreement shall remain in full force and effect. 
 
 
PHOENIX CHILDREN’S HOSPITAL 
 
 
 
 
 
 
Chad Johnson 
SVP, PCCN & PCMG Operations 
 
 
 
 
 
 
Date 
 
 
MARICOPA COUNTY, ARIZONA 
 
 
 
 
 
 
Chair, Board of Supervisors
 
 
 
 
 
 
Date 
 
MARICOPA COUNTY ATTORNEY 
 
 
 
 
 
 
Rachel H. Mitchell 
 
 
 
 
 
 
 
Date 
 
 
ATTEST: 
 
 
 
 
 
 
Clerk of the Board 
 
 
 
 
 
 
Date 
 
 
 
 
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ATTACHMENT B - COMPENSATION AND REIMBURSEMENT: 
1. 
MCAO will reimburse PCH at a rate of $900 for services under Attachment A, Section 3 
above.  This includes a one-hour pretrial interview with defense counsel, consultation with 
the assigned prosecutor, and all court testimony, including any retrials. 
 
2. 
MCAO will reimburse PCH at a rate of $365 per interview for Forensic Interview services 
under Attachment A, Section 12 above.  This includes a one-hour pretrial interview with 
defense counsel, consultation with the assigned prosecutor, and all court testimony, including 
any retrials. 
 
3. 
If the interview is conducted in Spanish, MCAO will reimburse the Contractor $400.00 per 
interview for Forensic Interview Services provided by the Contractor as described in 
Attachment A, Section 12.  This includes a one-hour pretrial interview with defense counsel, 
consultation with the assigned prosecutor, and court testimony, including any retrials. 
 
 
4. 
In addition to the rate of reimbursement enumerated in Attachment B, Sections 1 and 2 above, 
MCAO will reimburse PCH for: 
 
4.1. 
The actual cost of laboratory tests, but MCAO will not be required to reimburse any costs 
over $365 per case, provided that a minimum/flat fee of $315 per case shall apply to lab 
costs in each sexual abuse case.  The Parties understand that the nature and number of 
laboratory tests to be provided are dependent upon many variables, including the patient’s 
presentation and history, or the request of the law enforcement agency; therefore, the 
Parties agree that in those cases that the Parties mutually agreed upon in advance, 
additional laboratory tests may be conducted. 
 
4.2. 
MCAO will reimburse PCH $850 for each postmortem skeletal examination in cases of 
suspicious deaths of children under two years old without having to consult the Medical 
Examiner’s Office to gain approval to do the postmortem skeletal survey. 
 
4.3. 
Medical records review and consultation with prosecutors during case preparation for 
cases not originally brought to PCH for services described in Attachment A, Section 13 
above. These services will be charged at a not-to-exceed rate of $500 per hour. Medical 
records reviews shall include providing MCAO with a written opinion upon completion 
and testifying in court as necessary. 
 
4.3.1. At the request of MCAO, and for records reviewed as outlined in Attachment A, 
Section 13 above, PCH shall provide, through the Team members, expert witness 
testimony in court and depositions; attend and participate in joint interviews with both 
prosecution and defense counsel present; assist prosecutors with pretrial preparation; 
consult with representatives of law enforcement; and participate in case staffing, upon 
reasonable notice and accommodation of the Team member’s hospital schedules. 
 
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4.4. 
Sexual Maturity Rating services to determine gender and maturity levels based on 
evidence shall be provided only upon the request of law enforcement at a not-to-exceed 
amount of $300 per case. 
 
4.5. 
Review of non-medical records to determine the existence of risks to the health and well-
being of a child at the request of law enforcement, AND with prior approval from MCAO, 
shall not exceed $300 per case. 
 
4.6. 
Expert testimony by a medical provider shall be provided upon request by MCAO at a rate 
of $316 per hour, prorated in 30‑minute increments after the initial hour. This fee applies 
only to cases not originally brought to PCH for the Services described in Attachment A, 
Section 7 above. 
 
The defense shall pay for any pretrial interview requested by the defense at a rate of $250 
per hour, prorated in 30‑minute increments after the initial hour. If the defense attorney is 
from the Office of Public Defender Services (OPDS), PCH will bill MCAO. If the defense 
attorney is private, MCAO will notify the defense of the need to pay PCH in advance for 
the interview, based on the length of the interview requested by the defense. 
 
4.7. 
Expert testimony by a Forensic Interviewer shall be provided upon request by MCAO at 
a rate of $316 per hour, prorated in 30‑minute increments after the initial hour. This fee 
applies only to cases not originally brought to PCH for the Services described in 
Attachment A, Section 12 above. 
 
The defense shall pay for any pretrial interview requested by the defense at a rate of $200 
per hour, prorated in 30‑minute increments after the initial hour. If the defense attorney is 
from the Office of Public Defender Services (OPDS), PCH will bill MCAO. If the defense 
attorney is private, MCAO will notify the defense of the need to pay PCH in advance for 
the interview, based on the length of the interview requested by the defense. 
 
4.8. 
PCH assumes sole and exclusive responsibility for payment of any federal and state 
income taxes, federal social security taxes, and other mandatory governmental deductions 
or obligations, including worker's compensation for any and all of its employees, and 
agrees to hold Maricopa County and MCAO harmless for any and all liability which 
Maricopa County or MCAO incurs due to PCH’s failure to pay such taxes or obligations. 
 
 
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METHOD OF PAYMENT, INVOICE, AND TIMELINESS REQUIREMENTS 
PCH will submit a statement or invoice for services performed the previous month by the 15th of 
each month.  The invoice shall include, at a minimum, the following information regarding each 
case for which payment is claimed for the Records Review and Reporting or Expert Witness 
Related Services: 
 
• the name of the Provider(s); 
• the type of Service provided (Records Review and Reporting or Expert Witness Related 
Service(s); 
• the date(s) on which each Service was provided.  
• the number of hours devoted by each Provider to furnishing the Service on each date; 
and, 
• the name of the MCAO Deputy County Attorney or another representative who 
requested the service described on the invoice.  
 
MCAO will, within thirty (30) business days from the date of receipt of the PCH statement or 
invoice, process and remit to PCH a warrant for payment. Should Maricopa County make a 
disallowance in the claim, in whole or in part, PCH may dispute the disallowance. If PCH has not 
yet received payment, PCH will notify Maricopa County of any unpaid invoices within forty-five 
(45) days of the invoice being sent to facilitate a timely resolution. 
 
PCH understands and agrees that Maricopa County will only honor claims for payment submitted 
within 6 months of the service date.  PCH understands and agrees that Maricopa County will only 
process claims for payment for Services rendered after the termination date of this Agreement, 
submitted more than sixty (60) days after such termination date, with the approval of MCAO. 
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