SIGNED FINAL 11-13-2024 -FIRST AMENDMENT TO THE NURSE-FAMILY PARTNERSHIP IMPLEMENTATION AGREEMENT (NFPx)

Page 1 of 3
FIRST AMENDMENT TO THE NURSE-FAMILY PARTNERSHIP
IMPLEMENTATION AGREEMENT (NFPx)
This Amendment (the “First Amendment”) is between the Sauk County Health Department
(“Agency”) and Nurse-Family Partnership ("NFP"), a Colorado nonprofit corporation, (together the
“Parties.”) and is effective as of November 1st, 2024.
RECITALS
Whereas the Parties entered into an agreement (the “Agreement”) for the period of (Enter dates from
original agreement), with automatic renewal of the Agreement on each (Enter date) for successive
one-year periods, for the purpose of implementing the Nurse-Family Partnership Program®
(“Program”).
Whereas Network Partner wishes to participate in NFPx (the “Initiative”), which incorporates late
enrollment (after the end of the 28th week of pregnancy and before the baby’s birth) and multiparous
clients (women who have had a previous live birth) into the Initiative. The Initiative is designed to
serve and measurably improve the health and well-being of women experiencing adversities that put
them at higher risk for poor pregnancy and birth outcomes, and their baby through the child’s second
birthday, by providing prenatal and early childhood nurse home visiting services.
Whereas Network Partner desires to participate in the Initiative in accordance with the Agreement
and the additional terms set forth in this Amendment.
Whereas NFP desires to support Network Partner’s participation in the Initiative.
Whereas the Parties wish to memorialize the mechanisms and means by which Network Partner shall
implement the Initiative during the Initiative and NFP shall support such implementation.
NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which is
hereby acknowledged, the Parties agree as follows:
1. The Agreement is hereby amended to include the following additional Network Partner obligations
as new Section III(J)
Network Partner agrees as part of the NFPx Initiative to:
a. Complete NFPx education, required by NFP, prior to enrollment of NFPx families.
b. Implement the Initiative in accordance with guidance from NFPx Education
sessions.
c. Participate in the NFPx Community of Practice.
d. Participate in data gathering (usage of NFPx forms, interviews, focus groups,
surveys, etc.); as requested.
e. Collaborate with NFP on future planning based on data and practice.
The Parties agree that NFP, using reasonable judgment, may discontinue offering
enrollment to late enrollments and/or multiparous clients. If NFP does discontinue
this offering it will give Network Partner 60 day advance notice to stop enrolling new
NFPx clients; however, continuation of services to current families would be
permitted.
2. The Agreement is hereby amended to include the following Section IV Fees and Payments as
paragraph G
Docusign Envelope ID: 086A3CB0659B3E8B-8-0E890AA-4-42514C7--ABBB7656--8119A815384CC2AF2036C48D
Page 2 of 3
Agency will pay for participation in the NFPx Initiative in accordance with the fee
schedule attached hereto as Exhibit C-1 and incorporated by reference.
3. If any language in the Agreement conflicts with language in this First Amendment, the language in
this First Amendment shall apply; and
4. All other terms and conditions of the Agreement remain in full force and effect.
IN WITNESS WHEREOF, the Parties hereto have caused this Amendment to be executed as of the
date set forth herein by their duly authorized representatives.
For NFP: For Network Partner:
By: ______________________________ By: ______________________________
Signature
Charlotte Min-Harris, President & CEO
Signature
Date: ____________________________ Date: ____________________________
Docusign Envelope ID: 8AC05BEB-080A-4547-BB66-19858C2F0648
11/12/2024
063B6938-8E9A-421C-AB75-81A134CA23CD
11/13/2024
Brent Miller,
Page 3 of 3
Exhibit C-1
NFPx Fee Schedule
The National Service Office (NSO) for Nurse-Family Partnership and Child First is an independent nonprofit
organization that exists to license and help replicate the NFP program and the NFPx Initiative. The NSO provides
research and education and supports implementation and improvements to ensure the model continues to
produce positive results for moms, babies, families, and communities in a rapidly changing society. As an
independent nonprofit, the NSO receives no ongoing government funding for the NFP or NFPx programs or the
NSO. And although the NSO helps obtain and sustain funding that network partners receive to implement the
program, such as MIECHV, it does not directly receive any of those funds. Fees represent a way for network
partners to contribute to the overall shared costs of the NFP and NFPx model they implement.
Fees will be assessed based on the NSO’s Fee Schedule in effect at the time when charges are incurred.
Established Fee Schedules are outlined below.
EDUCATION FEES
Education courses are required for all new nurses and nurse supervisors who will be serving NFPx Families.
• Fees are charged per attendee.
• Required materials are included in the fees.
NFPx (expanded eligibility) Education Recipient CY2024 CY2025 CY2026
Serving Late Registrants
Nurse Home Visitors and
Supervisors $278 $286 $295
Serving Multiparous Parents for NHVs Nurse Home Visitors $1,392 $1,434 $1,477
Serving Multiparous Parents for Supervisors Supervisors $1,392 $1,434 $1,477
NFPx ANNUAL SUPPORT FEES
• NFPx support fees are charged annually per Team, for any Team with nurses authorized by NSO to participate
in NFPx.
• Updated NFPx support fees will be assessed at the new rate beginning July 1, 2024. Billing will occur on the
original Implementation Agreement anniversary date annually.
• These fees are assessed annually based on the number of NFP Nurse Home Visitor (NHV) positions per Team
authorized to participate in NFPx as part of the NFP program. All NFP NHV positions are included when
determining Team size, regardless of whether a position might be temporarily vacant or filled by a nurse on a
leave of absence. A Team is defined as a single Nurse Supervisor and up to 8 NFP NHVs reporting to that
supervisor. The Nurse Supervisor is not counted when determining Team size.
Team Size 07/01/2024 -
12/31/2024
01/01/2025 -
12/31/2025
01/01/2026 -
12/31/2026
2 NHV Team $ 3,379 $ 3,480 $ 3,585
3 NHV Team $ 3,518 $ 3,624 $ 3,732
4 NHV Team $ 3,658 $ 3,768 $ 3,881
5 NHV Team $ 3,797 $ 3,911 $ 4,028
6 NHV Team $ 3,941 $ 4,059 $ 4,181
7 NHV Team $ 4,080 $ 4,202 $ 4,328
8 NHV Team $ 4,219 $ 4,346 $ 4,476
Fees for time periods after those indicated above will be based on NFP’s current fee schedule at the time of
assessment. Please note that all NFPx education and support fees are incremental and not in lieu of any regular
fees.
Docusign Envelope ID: 086A3CB0659B3E8B-8-0E890AA-4-42514C7--ABBB7656--8119A815384CC2AF2036C48D