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Home My WebLink AboutMINUTES - 07201993 - H.2 r THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on July 20, 1993by the following vote: AYES: Supervisors Powers, Bishop, P1cPeak, Torlakson NOTES: None ABSENT: Supervisor Smith ABSTAIN: None RESOLUTION NO. 93/452 SUBJECT: Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Effective July 20, 1993. The Health Services Department has submitted a recommendation to amend the schedule of itemized service rate charges and fees and restate unchanged rates for County Health Services adopted by Board Resolution Number 92/807 dated November 17, 1992, Number 92/852 dated December 15, 1992 and Number 93/81 dated February 23, 1993. - The County Administrator has reviewed and recommended adoption of this proposed amendment. These recommendations have been considered. by the Board and IT IS BY THE BOARD RESOLVED that an amended and restated schedule of itemized rade charges for the Health Services Department effective July 20, 1993 is established as follows: HOSPITAL INPATIENT Daily Rate for Routine Service Room and Board Medical Ward $ 625 Nursery Bassinet $ 436 Intensive Care $ 1,825 Total Unit Rate Obstetrics Fixed all inclusive @ Routine delivery $ 4,064 Routine delivery with tubal ligation $ 5,464 Prior or primary C-Section $ 8,544 @ Services included: 1. Medical/Social intake and orientation with Medical Social Worker. 2. Choice of Family Practice Physician a. all required lab work b. all required lab tests 3. Nutrition Class 4. Early Pregnancy Class 6. Labor and Delivery Care, including C-Section 7. Back-up consultation services for complications of pregnancy, labor and delivery (does not include transfer and care at high risk facility if necessary for mother or baby) 8. Neonatal care, including nursery care and pediatric consultation, if needed. 9. One PHN home visit. 10. One post-partum check with Family Physician, including birth control counseling. 11. Three return well-baby visits with Family Physicians. * No rate change RESOLUTION 93/452 ANCILLARY SERVICES DEPARTMENT BILLING UNIT CHARGE Anesthesiology 15-Minute Intervals $67.00 Pharmacy Cost Plus % Cost plus 60% Central Supply Cost Plus % Cost plus 400% Radiology Relative Value Units $30.00 * EKG Relative Value Units $9.70 * Laboratory (Hose. & P.H. Lab) Relative Value Units $2.30 * Rehab. Therapy OT/PT 30-Minute Intervals $131.00 Speech 30-Minute Intervals $131.00 Cardiopulmonary Relative Value Units $10.00 * Delivery Room 15-Minute Intervals $89.00 Surgery Recovery Room 1st Hour $290.00 Each Add'I 15 Minutes $67.00 Operating Room Each 15 Minutes $105.00 Cast Room Unit $105.00 PROFESSIONAL COMPONENT CHARGES PER RELATIVE VALUE UNIT BASED UPON THE CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE STUDIES CHARGE Medicine $6.80 Surgery $167.50 Radiology $7.50 Anesthesiology $36.50 OUTSIDE SERVICES AND SUPPLIES CHARGE Nuclear Medicine Cost Plus 35% * EEG Cost Plus 35% Blood Bank Cost Plus 35% * Prosthesis Cost Plus 35% * Laboratory Cost Plus CHS (CHS - Collection and Handling of Specimens) CHARGE Professional Use of Outpatient Visits Component Treatment Room TOTAL New Patient Brief $35.00 $45.00 $80.00 Expanded $46.00 $45.00 $91.00 Detailed $62.00 $45.00 $107.00 Comprehensive 1 $80.00 $45.00 $125.00 Comprehensive II $104.00 $45.00 $149.00 * No rate change 2 AMBULATORY CLINIC RATES (cont.) CHARGE Professional Use of Outpatient Visits Component Treatment Room TOTAL Established Minimal $15.00 $45.00 $60.00 Brief $21.00 $45.00 $66.00 Expanded $31.00 $45.00 $76.00 Detailed $40.00 $45.00 $85.00 Comprehensive 1 $60.00 $45.00 $105.00 Comprehensive II $77.00 $45.00 $122.00 Dental Care Per Fee Schedule Emergency Room Visits Brief $36.00 $63.00 $99.00 Limited $48.00 $75.00 $123.00 Expanded $77.00 $100.00 $177.00 Detailed $101.00 $150.00 $251.00 Comp Admit HX & PX $137.00 $200.00 $337.00 UNIT OF Photocopying SERVICE CHARGE Copy Per Page $.10 * Microfilm Per Page $.25 * Staff Time Per Hour $16.00 * Postage Actual Charge * MENTAL HEALTH PROGRAM SERVICES UNIT OF SERVICE CHARGE Daily Room Rate Per day $720.00 (INCLUDES Professional Component) Rehab Option Rates Mental Health Services One minute $1.91 Case Management One minute $1.46 Medication Support One minute $3.54 Crisis Intervention One minute $2.86 Crisis Stabilization 4 hr. increment $240.00 Day Care, Intensive Full day $149.00 Day Care, Intensive Half day $106.00 Day Care, Habilitative Full day $96.00 Day Care, Habilitative Half day $62.00 Adult Residential Patient day $107.00 Crisis Residential Patient day $220.00 All Payors Collateral Visit $158.00 Assessment Visit $268.00 Individual Visit $192.00 Group Visit $124.00 Medication Visit $164.00 Crisis Visit $421.00 Day Care, Intensive/Adult Visit $190.00 Day Care, Intensive/Child Visit $118.00 Day Care, Habilitative Visit $99.00 Case Management Staff Hours $122.00 * No rate change 3 MENTAL HEALTH PROGRAM SERVICES (cont.) DETOXIFICATION SERVICES UNIT OF Medical Detoxification SERVICE CHARGE Services (21-day procedure) New Patient (1st 7 days) Visit $16.50 * New Patient (days 8-12) Visit $10.50 * Readmitted Patient (days 1-12) Visit $10.50 * Physician Re-examination Visit $20.00 * DRUG ABUSE PROGRAM SERVICES UNIT OF Residential Treatment SERVICE CHARGE Admission Fee Person $35.00 * Residential Treatment Month $2,400.00 * Drug Free Outpatient UNIT OF Clinic Treatment SERVICE CHARGE Individual Intake/Assessment Visit $165.00 * Individual Counseling Visit $107.00 Collateral Service Visit $107.00 Group Counseling Visit $42.00 * Acupuncture Treatment Visit $73.00 * Medical Assessment/ Physical Exam Visit $107.00 Outpatient Drug Free (Composite State Charge) Visit $107.00 Outpatient Methadone Maintenance Visit $10.00 ALCOHOL PROGRAM SERVICES Alcohol Information for UNIT OF Referral Service (AIRS) SERVICE CHARGE Individual Intake/Assessment Visit $165.00 Individual Counseling Visit $107.00 * Collateral Service Visit $107.00 Group Counseling Visit $42.00 * Medical Assessment/Physical Exam Visit $107.00 Outpatient Drug Free Visit $107.00 (Composite State Rate) Driving Under the UNIT OF Influence Program SERVICE CHARGE 1st Offender (Level 1) Person $350.00 1st Offender (Level 11) Person $550.00 2nd Offender Person $1,300.00 * No rate change 4 HOME HEALTH AGENCY UNIT OF SERVICE SERVICE CHARGE Skilled Nursing Visit $147.00 Physical Therapy Visit $141.00 Speech Pathology Visit $146.00 Occupational Therapy Visit $140.00 Medical Social Service Visit $203.00 Home Health Aides Hour $79.00 HEALTH PLAN UNIT OF Medicare Premium SERVICE CHARGE Senior Health Basic Individual $41.00 * Senior Health Individual $55.00 * Senior Health Plus 40 Individual $88.00 * Senior Health Plus 50 Individual $93.00 * Commercial Group and UNIT OF Individual Premium SERVICE CHARGE Monthly Revenue Requirement Monthly Premium for $95.86 Health Care Service Costs RATE AMENDMENTS: Authorize the Health Services Director or his designee to: establish specific premium rates for commercial groups and individuals including Senior Health members; use the "community rating by class" rate determination process for large groups; include an additional monthly premium factor for administrative cost loading; increase the revenue requirement as appropriate by an amount not to exceed 1% cumulative per month. PUBLIC HEALTH Family Planning CHARGE DESCRIPTION Pregnancy Test $14.00 Non Eligible $80.00 * New membership - first year Non Eligible $75.00 * Annual membership renewal Male visits and supplies $9.00 Child Screenina $10.00 * Children up to 2 years of age over 200% of poverty $15.00 * Children between 2 and 12 years of age over 200% poverty $20.00 * 12 years of age and older over 200% of poverty Scoliosis Screenina $1.50 Each (agreement with school district) Immunization a. Typhoid $10.00 * Each b. Stamping of Inter- national Travel Cards $5.00 * Each c. Childhood Immunizations $5.00 * Each person, not to exceed $10.00 per family * No rate change 5 PUBLIC HEALTH (cont.) CHARGE DESCRIPTION Immunization (cont.l d. Measles Vaccine (second shot) $5.00 * Each under 200% of poverty $26.00 * Each over 200% of poverty e. Immunization Record (duplicate) $5.00 * Each f. Flu Immunization $5.00 * Each g. Elderly Flu Shot $5.00 Requested h. Hepatitis B 1 - 19 yrs. old Cost * Each 20 yrs. & older Cost plus $15.00 Admin.* Each Occupational Risk $155.00 * Each series T.B. Skin Testina (P.P.D) $10.00 * Includes reading but no charge for contacts Venereal Disease $20.00 * Clinic attendance for any sexually transmitted disease Nutrition Services $52.00 Per hour consultation fee Occupational Health Services Cost + 10% Each Lab Tests Quantitative VDRL $6.50 * Each Qualitative VDRL $6.00 * Each Saline wet mount $16.00 * Each KOH wet mount $16.00 * Each Gram stain $16.00 * Each Darkfield $26.00 * Each Beta lactamese screen $12.50 * Each Screen 1 organism $19.50 * Each Chlamydia Culture - Iso $18.00 * Each Chlamydia - EIA $16.50 * Each Chlamydia direct $13.50 * Each KOH fungus $16.00 * Each Herpes direct $18.50 * Each Herpes Iso $28.50 * Each Treponema MHA-TP $20.50 * Each Hepatitis tests B. surface antibocfy $16.50 * Each B. core antibody $18.50 * Each B. surface antigen $18.00 * Each A IGM Antibody $17.50 * Each Anti HBC-IGM $17.00 Each E Antigen $18.00 * Each E Antibody $18.00 * Each Routine culture - Other $47.00 * Each Anaerobic Culture $47.50 * Each HIV - EIA $14.00 Each HIV - Confirmatory $30.00 Each Rabies (Low Risk Animal Tests- $80.00 * Each on Request) Health Education Material (i.e.: videos, posters, pamphlets, t-shirts, etc) Cost plus 10% * No rate change 6 PUBLIC HEALTH (cont. VITAL STATISTICS Certified Copies Charae Death and Fetal Death $8.00 * Birth - General Public $15.00 * Birth - Government Agency $8.00 * Permit for Disposition of Human Remains Charge Regular $7.00 * After Hours $7.00 * Cross Filing $10.00 * ENVIRONMENTAL HEALTH GENERAL PROGRAM SERVICE FEES Application Fee $25.00 * Violation Reinspection Fee $90.00 Special Services Fee at Hourly Rate with a Minimum One Hour Charge $90.00 * Variance Requests Violation Administrative Hearings Field Consultations Non-Routine Site Evaluations Non-Routine Field Inspections and/or Reinspections Special Services Fee at Hourly Rate with a Minimum Two Hour Charge $180.00 Plans Review Fees for Permit Fee Exempt Facilities Plans Review and Site Evaluation Fees for Community Development Services NOTE: Additional charges will be incurred after the minimum hourly charges have been expended. Services provided after normal work hours will be charged at one and one-half times the above hourly rate. CONSUMER PROTECTION PROGRAM - these fees are applicable to the Environmental Health permit year beginning March 1, 1994 Environmental Health Permit Fee: CategoU Units Capacity Char e Restaurants Seats 0-25 $312.00 Restaurants Seats 26-49 $398.00 Restaurants Seats 50-149 $473.00 Restaurants Seats 150+ $538.00 Vending Machines Machines 1-4 $ 86.00 Vending Machines Ea. add'l mach. over 4 4+ $ 16.00 Tavern/Cocktail Lounge Bar $344.00 Snack Bar $344.00 Drive-In/Take-Out $430.00 Drive-In/Take-Out & Restaurant Combination $495.00 Commissary $430.00 Catering $430.00 Itinerant Food Facility Special Events per food booth $ 80.00 Retail Food Markets Sq.Ft <2,000 $290.00 Retail Food Markets Sq.Ft. 2,000-4,000 $334.00 * No rate change 7 ENVIRONMENTAL HEALTH (cont.) CONSUMER PROTECTION PROGRAM (cont.) Environmental Health Permit Fee (cont.): CategoN Units Capacity Charge Retail Food Markets Sq.Ft. 4,001-6,000 $473.00 Retail Food Markets Sq.Ft. >6,000 $538.00 Incidental Retail Food Markets Sq.Ft. <50 $50.00 Incidental Retail Food Markets Sq.Ft. <100 $125.00 Certified Farmer's Food Markets Booths 1-25 $180.00 Certified Farmer's Food Markets Booths 26-45 $270.00 Certified Farmer's Food Markets Booths 46+ $360.00 Wiping Rags Business $161.00 Roadside Stands $161.00 Food Salvager $452.00 Food Processing Establishment Sq.Ft. <2,000 $290.00 Food Processing Establishment Sq.Ft. 2,000-4,000 $334.00 Food Processing Establishment Sq.Ft. 4,001-6,000 $473.00 Food Processing Establishment Sq.Ft. >6,000 $538.00 Food Demonstrator $151.00 Retailer Food Vehicle (Del & Ped) $172.00 Mobile Food Prep Units $323.00 Retail Food Vehicles (Ind CAT.Trk) $172.00 Bakery Sq.Ft. <2,000 $290.00 Bakery Sq.Ft. 2,000-4,000 $334.00 Bakery Sq.Ft. 4,001-6,000 $473.00 Bakery Sq.Ft. >6,000 $538.00 Wholesale Food Sq.Ft. <2,000 $290.00 Wholesale Food Sq.Ft. 2,000-4,000 $334.00 Wholesale.Food Sq.Ft. 4,001-6,000 $473.00 Wholesale Food Sq.Ft. >6,000 $538.00 Ice Plant $124.00 Septic Tank,Chemical Toilet Cleaner Business $172.00 Septic Tank,Chemical Toilet Cleaner Vehicle/ea $65.00 Pool-Apt, Motel,Hotel Multi-Use $323.00 Each Add'I Pool within Same Location $108.00 Spa-Apartment, Motel, Hotel Multi-Use $323.00 Each Add'I Spa within Same Location $108.00 Local Small Water Systems. Connections 2-14 $100.00 Community Water Systems Connections 15-24 $250.00 Community Water Systems Connections 25-99 $400.00 Community Water Systems Connections 100-199 $500.00 Non-Community Water Systems $300.00 SOLID WASTE PROGRAMS Local Enforcement Agency Program: Charae Solid Waste Tonnage Fee $1.00/ton* Solid Waste Facility Permit Application/Review Fee (see NOTE) $900.00 NOTE: Permit application/review fee includes 10 hours of service time, thereafter, additional time is charged at the normal or overtime hourly rate. Household Hazardous Waste Program: Solid Waste Tonnage Fee $2.12/ton* * No rate change 8 ENVIRONMENTAL HEALTH (cont.. SOLID WASTE PROGRAMS (cont.) Medical Waste: Category CHARGE Small quantity generator with onsite treatment $129.00 Limited quantity hauler $65.00 Common storage facilities Serving 2-10 generators $129.00 Serving 11-49 generators $312.00 Serving 50 or more generators $618.00 Transfer station Less than 200 lbs. per month $177.00 200 lbs. or more per month $355.00 Inpatient Facilities & Outpatient Clinics: Acute Care Hospitals: 1-99 beds $753.00 100-199 beds $1,074.00 200-250 beds $1,252.00 251 or more beds $1,752.00 Specialty Clinics $441.00 Skilled Nursing Facilities: 1-99 beds $344.00 100-199 beds $441.00 200 or more beds $497.00 Acute Psychiatric Hospital $247.00 Intermediate Care $371.00 Primary Care $441.00 Clinic Laboratory $247.00 Health Care Service Plan Facility $441.00 Veterinary Clinic or Hospital $247.00 Medical/Dental/Veterinary Office $247.00 (200 lbs. or more per month) RODENT PROGRAM Rodent Bait Cost plus 25% LAND USE PROGRAM Description CHARGE Water Hauling Water Hauler Business $172.00 Water Hauling Vehicle $65.00 /vehicle Sewage Disposal Systems and Water Wells: Subdivisions Proposing to Use Individual Sewage Disposal Systems and Water Site evaluation, per lot, 2-4 lots $180.00 Site evaluation, 5 or more lots, maximum $1,000.00 Percolation tests, per lot or building site (5 holes min.) $581.00 * No rate change 9 ENVIRONMENTAL HEALTH (cont.) LAND USE PROGRAM (cont.) Description CHARGE Sewage Disposal Systems and Water Wells (cont.): Subdivisions Proposing to Use Individual Sewage Disposal Systems and Water (cont.) Each add'1 percolation test $581.00 Appeal (hearings called pursuant to Section 420-6.513) $145.00 Subdivisions Proposing to Use Individual Sewage Disposal Systems Site evaluation, per lot, 2-4 lots $135.00 Site evaluation, 5 or more lots $800.00 Percolation tests, per lot or building site $581.00 Each add'I percolation test $581.00 Appeal (hearings called pursuant to Section 420-6.513) $145.00 Individual Sewage Disposal Systems Layout, permit and inspection of each individual sewage disposal system $387.00 Percolation test $581.00 Each add'l percolation test $581.00 Abandonment or sealing of septic tank; Permit No fee Inspection time (minimum 1 hr. charge) $ 90.00 Appeal (hearings called pursuant to Section 420-6.513) $145.00 Minor repair/rebuilding Permit No fee Inspection time (minimum one hour charge) $ 90.00 Subdivision Proposing to Use Wells Site evaluation, per lot, 2-4 lots $135.00 Site evaluation, 5 or more lots, maximum $800.00 Appeals [except hearings called pursuant to Section 41*4.1017(a)] $145.00 Individual Wells Layout, permit and inspection of ea. individual water system/well (see note) $242.00 Permit for monitoring well borings per parcel $242.00 Abandonment or sealing of well; Permit No fee Inspection time (minimum one hour charge) $90.00 Appeal [except hearings called pursuant to Section 414-4.1017(a)] $145.00 NOTE: Well permit fee includes up to 21/2 hours inspection and travel time, thereafter, additional time is charged at the normal or overtime hourly rate. * No rate change 10 ENVIRONMENTAL HEALTH (cont.) LAND USE PROGRAM (cont.j Public Water Systems - Plans Review New Community Water System $500.00 New Non-Community Water System $300.00 Amended permit because of ownership change $150.00 Amended permit because of system change $250.00 HAZARDOUS MATERIAL PROGRAM - these fees are applicable to the calendar year and are billed to the businesses in the fourth month following the close of the calendar year Fee structure for businesses required to submit a "Hazardous Material Business Plan" under Federal Sara Title III Program and the California Hazardous Materials Release Response and Inventory Program (AB 2185). Hazardous Material Inventory Fees: Number of Employees lbs. of Material Fee 1 - 4 and < 500K $183 5 - 9 and < 500K $340 10 - 19 and < 500K $456 < 20 and > 500K & < 2.5M $7,644 < 20 and > 2.5M & < 5M $15,058 < 20 and > 5M $29,889 >_ 20 and < 10K $456 >_ 20 and >_ 10K - < 100K $856 >_ 20 and >_ 100K - < 250K $1,705 >_ 20 and >_ 250K - < 500K $3,194 > 20 and >_ 500K - < 2.5M $7,644 >_ 20 and >_ 2.5M - < 5M $15,058 >_ 20 and >_ 5M $29,889 All oil refineries and all Class 1 off-site hazardous waste disposal sites $29,889 Each year the fee will cover the period commencing January 1 through December 31. New handlers starting business after July 1 of any calendar year will be assessed a six (6) month fee the first year. The fees shall be non-transferrable, non-refundable and set on a facility basis. Pursuant to Section 25535.2 an additional administrative fee of $90.00/hr. for staff review time will be assessed for each risk management prevention program submitted by owner or operator of a facility for certification. Additional administrative fees of 25% may be assessed for: 1. Failure to respond to inquiries relating to compliance with these resolutions 2. Late filing of business plans, beyond a 90-day notice of non-compliance 3. Failure to pay the fee in a timely manner. The administering agency reserves the right to adjust the fees dependent on total program cost and may adjust individual facility fees within the above schedule when the Health Officer determines that the fee is not equitable based on health risk. * No rate change 11 ENVIRONMENTAL HEALTH (cont.) RISK MANAGEMENT PREVENTION PROGRAM (RMPP) Pursuant to Health and Safety Code section 25535.2, annual fees are established to be collected from each business which may be required to submit an RMPP pursuant to Health and Safety Code article 2 (section 25531 et seq.). The fee assessed is based on the risk ranking assigned to the business as follows: Risk Rankina Annual Fee Greater than 400 $13,000 200-400 $6,500 100-199 $3,250 1-99 $650 0 $260 If it is determined that a particular business will not be required to prepare an RMPP (as explained in the RMPP exemption policy), the annual fee will be reduced to $65 to cover administrative processing expenses. To determine if a facility is exempt, there is a one time fee of $500 per acutely hazardous material per process. If a business is a non-profit business, their fee will be 10% of the fee based upon the business' risk ranking. For each additional substantially identical facility, the business will be charged full price for the first facility and 10% of that fee for each additional facility. A delinquency charge in the amount of$75.00 shall be assessed for failure to pay the fee within 30 calendar days following the date of mailing by the Director of Health Services. UNDERGROUND STORAGE TANK PROGRAM Underground Storage Tank Annual Permit (Tanks which do not have secondary containment and continuous monitoring equipment): FEES DESCRIPTION $120.00 Single tank of 1,000 gallons or less used solely in connection with the occupancy of a residence (a) First tank of 50,000 gallons or less $210.00 Basic fee for tank of 50,000 gallons or less $440.00 Each tank of 50,000 gallons or more (a) In addition to the basic fee, a surcharge of $125 is applicable on the tank at each site with or without secondary containment; which has the earliest installation date. Underground Storage Tank Annual Permit installed after January 1, 1984 (Tanks which have secondary containment and continuous monitoring equipment): FEES DESCRIPTION $ 60.00 * Single tank of 1,000 gallons or less used solely in connection with the occupancy of a residence (a) First tank of 50,000 gallons or less $170.00 Each additional tank of 50,000 gallons or less $300.00 Each tank of 50,000 or more (a) In addition to the basic fee, a surcharge of $125 is applicable on the tank at each site with or without secondary containment; which has the earliest installation date. * No rate change 12 ENVIRONMENTAL HEALTH (cont.) UNDERGROUND STORAGE TANK PROGRAM (cont.) Underground Storage Tank Installation Plan Review and Inspection: In addition to the applicable State surcharge prescribed by or pursuant to the law, the following fees shall be collected: FEES DESCRIPTION $450.00 New tank facility, first tank $ 90.00 Each additional tank Underground Storage Tank Removal, Temporary Closure or Abandonment: FEES DESCRIPTION $120.00 Single tank of 1,000 gallons or less, located at a residence and used solely in connection with the occupancy of that residence $280.00 First tank at a site $120.00 Each additional tank Inspection and Plan Review for Piping Replacement or Modification FEES DESCRIPTION $330.00 Plan review and inspection of pipe replacement or repair, including the installation of overfill protection equipment and corrosion control devices Permit Amendment or Transfer FEES DESCRIPTION $ 60.00 Permit amendment or transfer fee Underground Tank Modification. Repair or Lining Permit FEES DESCRIPTION $260.00 Includes review and inspection not exceeding four hours of staff time $ 90.00 * For each additional hour or fraction thereof of staff time Contaminated Site Fee FEES DESCRIPTION $ 90.00 * Each hour or fraction thereof of service delivered by the County Health Services Department in connection with the characterization or remediation of site contaminated by discharge of a hazardous substance, material or waste, if the owner, operator, or other responsible person in charge of the site requests assistance from the County or where an inspection or an emergency response is necessary to verify compliance with State and County regulations or to assure public safety * No rate change 13 ENVIRONMENTAL HEALTH (cont.) UNDERGROUND STORAGE TANK PROGRAM (cont.) Reinspection or Time Use FEES DESCRIPTION $ 90.00 * Each hour or fraction thereof of staff time provided shall be charged in the following cases: a. More than one inspection or two hours of onsite time is required in the case of tank removals b. More than two inspections or four hours of onsite time is required in the case of tank installations c. More than one reinspection is required to determine compliance d. Inspection, consultation or other services related to underground storage of hazardous substances or hazardous materials or wastes are provided and said services are not otherwise covered by this ordinance. Document Search FEES DESCRIPTION $ 90.00 * Each hour or fraction thereof of staff time shall be charged to any consulting firm, realtor, lending institute or other commercial enterprise for services performed in complying with document research requests for these enterprises. EMERGENCY RESPONSE $90.00 * Each hour or fraction thereof of service time delivered by the County Health Services Department in connection with the characterization or remediation of site contamination by discharge of a hazardous substance, material or waste, if the owner, operator or other responsible person in charge of the site requests assistance from the County or where an inspection or an emergency response is necessary to verify compliance with State and County regulations or to assure public safety $135.00/$180.00 * In addition to the regular hourly rate, a charge for overtime (11/2 or 2 times the regular hourly rate) as applicable and for the cost of emergency vehicles used in connection with the remediation of site contamination EMERGENCY MEDICAL SERVICES AGENCY Emergency Medical Technician-1 (EMT-1) FEE Certification $15.00* Recertification $15.00* Lost/Stolen Credit Card $10.00* Emergency Medical Technician-P (Paramedic) Certification and Accreditation $50.00* Recertification and Reaccreditation $40.00* Certification or Recertification Only $35.00* Mobile Intensive Care Nurse (MICN) Authorization $25.00* Reauthorization $20.00* * No rate change 14 WAIVER: The Health Officer or his designee may waive any of these fees in any individual case in which he determines that the advancement and protection of the public health will be better served thereby and that these considerations outweigh the County financial interests in collecting the fee. FEE AMENDMENTS: The Health Services Director or his designee may increase or decrease as needed, any specific fee by not more than 5% during the next twelve month period, except those fees set by Federal/State statute or regulation shall become effective concurrent with the date specified in the applicable statute or regulation regardless of the amount of increase or decrease. The Health Services Director or his,designee is authorized to adjust, waive or compromise the fee amount in those cases in which he determines that it is cost effective to do so. :vw Orig: County Administrator cc: Health Services Director Health Services Administration County Counsel i hereby certify that this Is a true and correct copy of an action taken and entered on the minutes of the County Auditor Boar' of Superviso on t e date shown. D LJ Contact: George Washnak (370-5036) ATTESTED: PHIL BA HELOR, Jerk of the Board of and County Administrator boR.doc 5,99 By y Deputy RESOLUTION NO. 93/452 15 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA July 20, 1993 Adopted this Order on , by the following vote: AYES: Supervisors Powers, Bishop, McPeak, Torlakson NOES: None ABSENT: Supervisor Smith ABSTAIN: pone SUBJECT: Amending Itemized Rate Charges for Health Services In addition..to approving fees for certain programs and services in the Health Services Department, the Board REQUESTED a report before the end of the year on procedures and fees for small business relating to hazardous materials. I hereby certify that this is a true and correct copy of an antion taken and entered on the minutes of the Boar+ of Supery rs on the ate shown.fq r, ATTESTED: "1 PHIL B CHELOR Clerk of the Boaro of Supe isors and County Administrator Orig. Dept.: cc: County Administrator Auditor-Controller Health Services Department f4 . Z, BOARD OF SUPERVISORS , CONTRA COSTA COUNTY , CALIFORNIA AFFIDAVIT OF MAILING In the Matter of ) I declare under penalty of perjury that I am now, and at all times herein mentioned have been, a citizen of the United States , over age 18; and that today I deposited in the United States Postal Service in Martinez . California , postage fully prepaid, a certified copy of to the following : DAVID LWON 7RE HOFMANN COMPANY PO BOX 907 CONCORD CA 94522 BUILDING INDUSTRY ASSOCIATION PO BOX 5160 SAN RAADN CA 94583 DENNIS J RAZZARI DAVIDON HOMES 1600 SOM MAIN ST #150 WMBUT CRffit CA 94596 RICHARD W. JENSEN BRADDOCK & LOGAN ASSOCIATES 4155 BLAC1HiAWK PLAZA CIRCLE, SUITE 201 DANVILLE, CA 94526 . I declare under penalty of perjury that the foregoing is true and correct. Dated— 99 at Martinez , California. Deputy Clerk 3 NOTICE OF PUBLIC HEARING Notice is hereby given that the Contra Costa County Board of Supervisors will hold a public hearing to consider increasing certain fees for various programs and services in the following Divisions of the Health Services Department: Hospital and Clinics, Mental Health, Substance Abuse, Home Health Agency, Contra Costa Health Plan, Public Health and Environmental Health. The hearing will be held July 20, 1993 at 11:00 a.m. in the Board Chambers, 651 Pine Street, Martinez. The proposed fee schedule is on file with the Clerk of the Board, 651 Pine Street, and with the Health Services Department at 20 Allen Street, Martinez. Dated: July 1 1993 X�Z 'Z' Mark Finucane, H alth Services Director noph7-20. • Contra Costa County The Board of Supervisors HEALTH SERVICES DEPARTMENT OFFICE OF THE DIRECTOR Tom Powers, 1st District Mark Finucane,Director Jeff Smith,2nd District Gayle Bishop,3rd District ;=_ ;=�� 20 Allen Street Sunne Wright McPeak.4th District ;'' Martinez,Cuiifornia 94553-3191 Tom Torlakson,5th District (510}370-5003 FAX(510)370-5098 County Administrator Phil Batchelor County Administrator July 1, 1993 Contra Costa Times P.Q. Box 4718 Walnut Creek, CA Attn: Legal Department Gentlemen: Please publish the attached public notice on July 9 and 14, 1993 and provide my office with two Affidavits of Publication. Thank you. Sincerely, Mark Finucane Health Services Director MF:BM:hh attachments cc: Jeanne Maglio, Clerk of the Board Merrithew Memorial Hospital&Clinics Public I lealth Menlal Heallh Substance Abuse Environmental Health Contra Costa Health Plan Emergency Medical Services • Home Health Agency Geriatrics A-44R 191011 PROOF OF PUBATION (2015.5 C.C.P.) STATE OF CALIFORNIA County of Contra Costa I am a citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years, and not a party to or interested in the above-entitled matter. I am the Principal Legal Clerk of the Contra Costa Times,a newspaper of general circulation, printed and published at 2640 Shadelands Drive in the City of Walnut Creek, County of Contra Costa, 94598. And which newspaper has been adjudged a newspaper of general circulation by the Superior Court of the County of Contra Costa, State of California, under the date of October 22, 1934. Case Number 19764.. The notice, of which the annexed is a printed copy(set in type not smaller than nonpareil), has been published in each regular and entire issue of said newspaper and not in any supplement thereof on the following dates, to-wit: ...9..r.1.q....................................... ................................................................................ all in the year of 19D I certify (or declare) under penalty of perjury that the foregoing is true and correct. Executed at Walnut Creek, California. rr�� On this thday of ..... . ............ gn ture Lesher Communications, Inc. Contra Costa Times P.O. Box 4147 Walnut Creek, CA 94596 (510) 935-2525 Proof of Publication of: (attached is a copy of the legal advertisement that pub- lished) NOTICE OF PUBLIC HEARING Notice is hereby given that the Contra Costa County Board of Su- pervisors will hold a public hear- ing to consider increasing certain fees for various programs and ser- vices in the following Divisions of the Health Services Department: Hospital and Clinics, Mental Health, Substance Abuse, Home Health Agency, Contra Costa Health Plan, Public Health and Environmental Health. The hear- ing will be held July 20, 1993 at 11:00 a.m. in the Board Cham- bers,651 Pine Street,Martinez. The proposed fee schedule is on file with the Clerk of the Board, 651 Pine Street, and with the Health Services Department at 20 Allen Street,Martinez. Dated:July 1,1993 N Mark Finucane Health Services Director Legal CCT 2378 Publish July 9,14,1993