HomeMy WebLinkAboutMINUTES - 02132001 - SD.14 1
`!. Restating-Itemized Professional and Service Rate Charges For Contra Costa Health Services ID I
Z
I
THE BOARD OF SUPERVISORS
OF CONTRA COSTA COUNTY CALIFORNIA
Adopted this Order on: February Z 3 , 2 001 By the following Vote:
AYES: SUPERVISORS GIOIA, GERBER, DeSAULNIER, GLOVER and UILKEMA
NOES: NONE
ABSENT: NONE
ABSTAIN: NONE Resolution No, 200.1%59
SUBJECT: Amend the Itemized Professional and Service Rates for Contra Costa
County Health Services Effective February 1 , 2001.
The Health Services Department has submitted a recommendation to amend the schedule of
itemized service rate charges and fees, and to'restate unchanged rates for County Health Services
adopted by Board Resolution Number 2000/437 dated September 12, 2000.
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 the schedule of itemized rate charges for the Health IS.
Department
effective February 1, 2001 is established as follows:
Reason for proposed rate changes:
1. Hospital Inpatient: No Changes Proposed.
2. Mental Health.Program: No Changes Proposed.
3. Community Substance Abuse Services: No Changes Proposed.
4. Home Health Agency: No Changes Proposed
5. CCHP: No Changes Proposed.
6. Public Health: No Changes Proposed.
7. Environmental Health Programs: No Changes Proposed.
8. Hazardous Materials Programs: Impose "Unannounced Inspection Program " Mees
to finance this New Hazardous Materials Program authorized by the Board of Supervisors
in April 4, 2000. (SEE PAGE 16)
9. EMS: No Changes Proposed
Resolution: 2000\5 9
Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
Hospital Inpatient
Service Current Daily Rate For Recommended Daily Rate for
Routine Room and Board Routine Room and Board
Pediatrics $1,210.00 No.Change
Medical Ward $1,150.00 No Change
Transitional Care Unit $1,150.00 No Change
Nursery Bassinet $ 825.00 No Change
Intensive Care $3,325.00 No Change
Service Total Unit Rate Total Unit Rate
Fixed all inclusive @
Obstetrics $ 5,170.00 No Change
Routine Delivery with Tubal Legations $ 7,150.00 No Change
Prior or Primary C-Section $11,660.00 No Change
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 test
3. Nutrition Class
4. Early Pregnancy Class
5. Labor and Delivery Care, including C-Section
6. Back-up consultation service for complications of pregnancy, labor and delivery (does not
include transfer and care at high-risk facility, if necessary, for mother or baby).
7. Neonatal Care, including nursery care and pediatric consultation, if needed.
8. One PHN home visit.
9. One post-partum check with Family Physician, including birth control counseling.
10. Three return well-baby visits with Family Physician.
ANCILLARY SERVCES
Department Billing Unit Current Rate Recommended Rate
Anesthesiology 1St Hour $ 587.00 No Change
Anesthesiology Each Add'I 15 min. $ 145.00 No Change
Pharmacy Cost Plus % 120%Avg Wholesale Price No Change
Plus Administration Fee
Central Supply Cost Plus % Cost Plus 400 % No Change
Radiology Relative Value Units $ 62.32 No Change
EKG Relative Value Units $ 17.85 No Change
Laboratory(Hosp&PH Lab) Relative Value Units $ 3.75 No Change
Rehab. Therapy
OT/ PT 30 minute intervals $ 200.00 No Change
Speech 30 minute intervals $ 200.00 No Change
Cardiopulmonary Relative Value Units $ 18.46 No Change
Delivery Room 15 minute intervals $ 145.00 No Change
Surgery Recovery Room 1St Hour $ 587.00 No Change
Operating Room 1St Hour $1,180.00 No Change
Operating Room Each Add'I 30 minutes $ 513.00 No Change
Cast Room Unit $ 218.00 No Change
(2)
Resolution: 2000\5 9
Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
Professional Component Charges Per Relative Value Unit Based
Upon The California Medical Association Relative Value Stuclies
Department Current Rate Recommended Rate
Medicine $ 7.20 No Change
Surgery $175.90 No Change
Radiology $ 10.00 No Change
Anesthesiology $ 38.30 No Change
Outside Services And Supplies
Department Current Rate Recommended Rate
Nuclear Medicine Cost Plus 35% No Change
EEG Cost Plus 35% No Change
Blood Bank Cost Plus 35% No Change
Prosthesis Cost Plus 35% No Change
Laboratory Cost Plus CHS * No Change
* (CHS: Collection and Handling of Specimens)
OutPatient Visits
Family Practice
CURRENT RATES RECOMMENDED RATES
New Patient Professional Use of Treat- Combined Professional Use of Treat- Combined
Component . ment Room Rate Component ment Room . _Rate
Brief $ 35.00 $ 50.00 $ 85.00 No Change
Expanded $ 55.00 $ 55.00 $110.00 No Change
Detailed $ 74.00 $55.00 $129.00 No Change
Comprehensive 1 $100.00 $ 55.00 $155.00 No Change
Comprehensive 2 $125.00 $ 55.00 $180.00 No Change
Established
Minimal $ 17.00 $ 50.00 $ 67.00 No Change
Brief $ 30.00 $ 55.00 $ 85.00 No Change
Expanded $42.00 $ 55.00 $ 97.00 No Change
Detailed $ 60.00 $ 55.00 $115.00 No Change
Comprehensive 1 $95.00 $ 55.00 $150.00 No Change
Specialty/Others
Brief $ 35.00 $ 85.00 $120.00 No Change
Expanded $ 55.00 $100.00 $155.00 No Change
Detailed $ 74.00 $115.00 $189.00 No Change
Comprehensive 1 $112.00 $130.00 $242.00 No Change
Comprehensive 11 $139.00 $130.00 $269.00 No Change
Established
Minimal $ 17.00 $ 65.00 $ 82.00 No Change
Brief $30.00 $ 85.00 $115.00 No Change
Expanded $42.00 $100.00 $142.00 No Change
Detailed $64.00 $115.00 $179.00 No Change
Emergency Room Visits
Brief $ 38.00 $ 65.00 $103.00 No Change
Limited $ 50.00 $ 95.00 $145.00 No Change
Expanded $ 81.00 $145.00 $225.00 No Change
Detailed $106.00 $190.00 $296.00 No Change
Comp Admit HS&PX $144.00 $235.00 $379.00 No Change
(3)
Resolution: 2000\ 59
Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
Unit of Service . Current Rate Recommended Rate
Dental Per Fee Schedule No Change
Photocopying
Copy-Subpoena Req Per Page $ .10 No Change
Copy-All Other Papers Per Page $ 25 No Change
Microfilm Per Page $ .25 No Change
Staff Time Per Hour $ 16.00 No Change
Postage Actual Charge
Cafeteria
Average Charge $ 4.50 No Change
Mental Health Program Services
Daily Room Rate
Includes Professional Component
Unit of Service Current Rate Recommended Rate
Per Day $960.00 No Change
Rehab Option Rates
Mental Health Services One Minute $ 2.33 No Change
Case Management One Minute $ 1.82 No Change
Medication Support One Minute $ 4.32 No Change
Crisis Intervention One Minute $ 3.50 No Change
Crisis Stabilization 1 Hour Increment $ 85.00 No Change
Day Care, Intensive Full Day $182.00 No Change
Day Care, Intensive Half Day $130.00 No Change
Day Care, Habilitative Full Day $118.00 No Change
Day Care Habilitative Half Day $ 76.00 No Change
Adult Residential Patient Day $134.00 No Change
Crisis Residential Patient Day $276.00 No Change
Substance Abuse Program Services
Residential Treatment
Unit of Service Current Rate Recommended Rate
Alcohol/Drug Detox Day $ 60.00 No Change
Alcohol/Drug Residential Tx Day $ 60.00 No Change
Perinatal Residential TX Day $ 120.00 No Change
Youth/Alcohol/Drug Residential TX Day $ 240.00 No Change
Day Treatment
Perinatal Day Treatment Visit $ 70.00 No Change
Drug Free Outpatient
Unit of Service Current Rate Recommended Rate
Clinic Treatment
Individual Intake/Assessment Visit $ 60.00. No Change
Individual Counseling Visit $ 60.00 No Change
Collateral Service Visit $ 60.00 No Change
Group Counseling Visit $ 36.00 No Change
Acupuncture.Treatment Visit $ 60.00 No Change
Medical Assessment/Physical Exam Visit $ 100.00 No Change
(4)
Resolution: 2000\59
Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
Unit of Service Current Rate Recommended Rate
Outpatient Drug Free
(Composite State Charge) Visit $ 100.00 No Change
Perinatal Group Counseling Visit $ 48.00 No Change
PC 1000 Drug Diversion Program Board Rates
Assessment Person $ 40.00 No Change
Level I Person $ 310.00 No Change
Level II Person $ 510.00 No Change
Level III Person $ 860.00 No Change
Level IV Person $1220.00 No Change
Driving Under The Influence Program
1St Offender (Level 1) Person $ 490.00 No Change
1St Offender (Level II) Person $ 724.00 No Change
2nd Offender Person $1,756.00 No Change
Methadone Maintenance
Dose —AOD Dose $ 7.37 No Change
Dose - LAAM Dose $ 19.20 No Change
Dose — Perinatal Dose $ 8.49 No Change
Individual Counseling-ACD 10 Minutes $ 13.62 No Change
Individual Counseling-LLAM 10 Minutes $ 13.62 No Change
Individual Counseling-Perinatal 10 Minutes .$ 22.83 No Change
Group Counseling-AOD 10 Minutes $ 3.61 No Change
Group Counseling-LAAM 10 Minutes $ 3.61 No Change
Group Counseling-Perinatal 10 Minutes $ 5.57 No Change
Home Health Agency
Skilled Nursing Visit $ 154.00 No Change
Physical Therapy Visit $ 169.00 No Change
Speech Pathology Visit $ 170.00 No Change
Occupational Therapy Visit $ 169.00 No Change
Medical Social Service Visit $ 223.00 No Change
Home Health Aides Hour $ 79.00 No Change
Health Plan
Medicare Premium
Senior Health Basic Individual $ 41.00 No Change
Senior Health Individual $ 55.00 No Change
Senior Health Plus 40 Individual $ 79.00 No Change
Senior Health Plus 50 Individual $ 75.00 No Change
Commercial Group and Individual Monthly Premium for Health $ 175.00 No Change
Premium Costs
Monthly Revenue
Requirement
Rate Amendments: Authorize the Health Services Director or his designee to establish specific
premium rates for commercial group 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 costs loading; increase the revenue requirement as
appropriate by an amount not to exceed 1% cumulative per month.
(5)
Resolution: 2000\ 5 9
Restating Itemized Professional and Service Rate Changes For Contra Costa Health Services
Public Health
Immunization
Unit Of Service Current Rates Recommend Rate
Typhoid Each (Injection) $ 45.00 No Change
(Ages 2 & Over) Each (oral) $ 35.00 No Change
Yellow Fever Each $ 65.00 No Change
Meningococcal Each $ 75.00 No Change
Immune Globulin Each $ 20.00 No Change
Stamping of International travel cards Each $ 5.00 No Change
Childhood Immunizations
Birth to 18 years Each(not to exceed$13.00 per family) $ 7.00 No Change
Chickenpox (12 months and over; 2 doses required)
12 months -18 years Each (not to exceed$13.00 per family) $ 7.00 No Change
19 years & over Each dose,unwaivable 2 doses $ 55.00 No Change
Measles, Mumps and Rubella Vaccine
12 months and over 1 st shot Each(not to exceed$13.00 per family) $ 7.00 No Change
2nd Shot Each unwaivable Over 18 years, $ 26.00 No Change
unless enrolled 1 St year college or
equivalent,or out break where State recommends.
Lyme Vaccine
15 - 70 years Each unwaivable $ 75.00 No Change
Flu Vaccination
6 months and over Each $ 5.00 No Change
Pneumococcal 23 Valent Vaccination
2 years. and over Each $ 5.00 No Change
Hepatitis A
2 - 18 years Each(not to exceed$13.00 per Family $ 7.00 No Change
19 years & older Each Unwaivable $ 60.00 No Change
Hepatitis B
Birth to 18 years Each (not to exceed$13.00 per Family) $ 7.00 No Change
19 years & over Each Unwaivable $ 45.00 No Change
Tuberculin PPD Test Each Unwaivable $ 10.00 No Change
CHS/TAP/ Sunshine Clinics
(Not applicable to school -based clinics and Juvenile Hall)
Wellness Examinations, Sports and School Physicals
0 - 3 years Each $ 70.00 No Change
4 - 6 years Each $ 90.00 No Change
7 - 18 years Each $ 75.00 No Change
Return Clinic Visits Each $ 60.00 No Change
(6)
Resolution: 2000\5 9
Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
Unit Of Service Current Rates Recommend Rate
Family Planning Private Pay
New Each per year $ 100.00 No Change
Return Each per year $ 90.00 No Change
Occupational Risk Each Series $ 155.00 No Change
Post Blood Titers Each $ 40.00 No Change
Sexually Transmitted Disease Clinic Attendance $ 20.00 No Change
Nutrition Services Per hour $ 52.00 No Change
Occupational Health Each Cost + 10% No Change
Lab Tests Each Cost + 10% No Change
Rabies Test Each $ 80.00 No Change
Health Education Each Cost + 10% No Change
Material (videos, pamphlets) Each $ 8.00 No Chancre
Vital Stats Certified Copies
Death & Fetal Death Each $ 8.00 No Change
Birth —General Public Each $ 18.00 No Change
Birth — Government Agency Each $ 9.00 No Change
Permit For Disposition of Human Remains
Regular Each $ 7.00 No Change
After Hours Each $ 10.00 No Change
Cross Filing Each $ 10.00 No Change
Environmental Health Division
General Proa_ram Section - Service Fees & Penalties
Current Rates Recommended Rate
Application Fee (Non-refundable) $ 35.00 No Change
Violation Re-Inspection Fee $ 115.00 No Change
Special Services Fee at Hourly Rate With Minimum:
One - Hour Charge: $ 115.00 No Change
Applicable to:
Variance Requests
Violation Administrative Hearings
Field and Office Consultations
Non-Routine Site Evaluations
Non-routine Field Inspections (and/or) Re-inspections
Special Services Fee at Hourly Rate With Minimum:
Current Rate Recommended Rate
Two - Hour Charge:
Health Officer Appeal Hearing. $ 292.00 No Change
Overtime Charges (After Normal Business Hours) $ 146.00 No Change
Applicable to:
Plan Review Fees for Permit Fee Exempt Facilities
Plan Review and Site Evaluation Fees for Community Development Services
Second re-inspection of verified complaints will be charged to the property owner/responsible
party. A $115.00 fee will be charged for verified complaints at permitted and fee exempt facilities.
(7)
Resolution: 2000\5 9
. Restating Itemized Professional and Service Rate Charges For Contra Costa Health 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 $146.00 per hour.
Penalties: Penalties will be imposed for delinquent payments as provided in County Ordinance
No. 93-58, Article 413-3.1206.
Ordinance Code of Contra Costa County Section 414-4.1019
Enforcement— Penalties:
Any person violating this.chapter or regulations issued hereunder, by failing to submit plans,. obtain
necessary inspections and approvals, or pay fees, or by commencing or continuing construction or
remodeling in violation hereof, shall pay triple the appropriate fee as a penalty and remain subject
to other applicable penalties and enforcement procedures authorized by the state law and /or this
code.
Consumer Protection / Retail Food Program
Consumer Protection / Retail food fees are applicable to the Environmental Health permit year
beginning March 1, 2001
Environmental Health Permit Fee:
Category Units Capacity Current Fees Recommended Fee
Restaurants Seats 0 - 25 $ 360.00 No Change
Restaurants Seats 26 - 49 $ 460.00 No Change
Restaurants Seats 50-149 $ 547.00 No Change
Restaurants Seats 150 + $ 622.00 No Change
(NOTE: Restaurants with drive-up window (base seating + $50)
Drive Through Only $ 361.00 No Change
Vending Machines Machines 1 - 4 $ 109.00 No Change
Each Machine Over 4 4 + $ 19.00 No Change
Tavern/Cocktail Lounge Bar $ 397.00 No Change
Snack Bar $ 397.00 No Chancle
Commissary $ 497.00 No Change
Cart Commissary $ 220.00 No Chancle
Catering $ 497.00 No Chancle
Itinerant Food Facility
Special Events Per Food Booth $ 69.00 No Chancle
Retail Food MarketsSquare Foot <2,000 $ 336.00 No Chancle
Retail Food Markets Square Foot 2,001 —4,000 $ 386.00 No Chancle
Retail Food Markets Square Foot 4,001 — 6,000 $ 547.00 No Chancle
Retail Food Markets Square Foot >6,000 $ 622.00 No Chancle
Incidental Retail Food Mkts $ 144.00 No Chancle
Certified Farmer's Market (CFM) with Food Vendors:
Certified Farmer's Food Mkts (CFM)Booths 1 - 25 $ 198.00 No Change
Certified Farmer's Food Mkts (CFM)Booths 26 - 45 $ 297.00 No Change
Certified Farmer's Food Mkts (CFM) Booths 46 + $ 396.00 No Change
Certified Farmer's Market (CFM) with Food Vendors:
Food Vendor Booths 1 — 5 CFM Fee + $ 99.00 No Change
Food Vendor Booths 6 -10 CFM Fee + $ 198.00 No Change
Food Vendor Booths 11 + CFM Fee + $ 297.00 No Change
(8)
Resolution: 2000\5 9
a .,Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
Category .Units Capacity Current Fees Recommended Fee
Wiping Rags Business $ 186.00 No Change
Roadside Stands $ 186.00 No Change
Food Salvager $ 523.00 No Change
Food Processing Establish Square Foot <2,000 $ 336.00 No Change
Food Processing Establish Square Foot 2,001 -4,000 $ 386.00 No Change
Food Processing Establish Square Foot 4,001 - 6,000 $ 547.00 No Change
Food Processing Establish Square Foot >6,000 $ 622.00 No Change
Food Demonstrator $. 175.00 No Change
Retailer Food Vehicle (Delivery&Peddlers) $ 199.00 No Change
Mobile Food Prep Units $ 373.00 No Change
Retailer Food Vehicles(including catering trucks) $ 199.00 No Change
Ice Cream Push Carts 1 - 4 $ 58.00 each No Change
Ice Cream Push Carts 5 - 10 $ 53.00 each No Change
Ice Cream Push.Carts > 10 $ 48.00 each No Change
Bakery Square Foot <2,000 $ 336.00 No Change
Bakery Square Foot 2,001 -4,000 $ 386.00 No Change
Bakery Square Foot 4,001 - 6,000 $ 547.00 No Change
Bakery Square Foot >6,000 $ 622.00 No Change
Wholesale Food Square Foot <2,000 $ 336.00 No Change
Wholesale Food Square Foot 2,001 -4,000 $ 386.00 No Change
Wholesale Food Square Foot 4,001 - 6,000 $ 547.00 No Change
Wholesale Food Square Foot >6,000 $ 622.00 No Change
Ice Plant $ 143.00 No Change
Recreational Health;
Recreational Water Park One System $ 746.00 No Change
Each Additional System $ 373.00 No Change
Pool-Apartment,Motel, Hotel Multi - Use $ 432.00 No Change
Each Additional Pool $ 124.00 No Change
Spa Apartment,Motel, Hotel Multi- Use $ 373.00 No Change
Each Additional Spa $ 124.00 No Change
Fee Exempt Activities (Permit Fees Only):
Food Facilities / Public Schools No Fee No Change
Municipal / Non Profit
Pools / Public Schools No Fee No Change
Municipal/ Non-Profit
Spas / Public Schools No Fee No Change
Small Water System Permits:
Non-Community,surface water system $ 324.00 No Change
Non-Community,Non-transient ground water system $ 412.00 No Change
Non-Community,Non-transient ground water system,with treatment $ 412.00 No Change
Non-Community, non-transient surface water system $ 412.00 No Change
Non-Community,transient $ 324.00 No Change
Community ground water system (15- 24 connections) $ 412.00 No Change
Community ground water system with treatment ( 15- 24 connections) $ 412.00 No Change
Community ground water system (25- 99 connections) $ 433.00 No Change
Community ground water system with treatment (25- 99 connections) $ 433.00 No Change
Community surface water system (25- 99 connections) $ 433.00 No Change
Community ground water system (100-199 connections) $ 541.00 No Change
Community ground water system with treatment (100-199 connections) $ 541.00 No Change
Community surface water system (100-199 connections) $ 541.00 No Change
Local small water system $ 139.00 No Change
State small water system $ 237.00 No Change
Non-Community ground water system with food preparation $ 324.00 No Change
Non-Community ground water system with treatment $ 324.00 No Change
Non-Community ground water system,prepackaged food only $ 115.00 per hour No Change
(9)
Resolution: 2000\5 9
Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
Cate or Units Capacity Current Fees Recommended Fee
Public Water System — Plans Review:.
New Community water system $ 515.00 No Change
New Non-Community water system $ 309.00 No Change
Amended permit because of ownership change $ 155.00 No Change
Amended permit because of system change $ 258.00 No Change
Enforcement actions pertaining specifically to small water systems $ 115.00 per hour No Change
Pro-Rating Fees:
Commencement of a new business: The full annual fee shall be paid if the activity starts during
March through May; three-fourths if during June through August; one-half if during September
through November; and one-fourth if during December through February.
Permanent discontinuance or sale of a business — the portion of the annual fee available for
refund: If the Entity ceases to do business during March through May, three fourths; during June
through August, one-half; during September through November, one-fourth; and if during
December through February, zero.
Owners of businesses requesting a pro-rated refund must do so in writing within thirty days of sale
or permanent discontinuance of business. In the case of a business that has been sold, the owner
must include in the written request for a refund the name, address and telephone number of the
person to whom the business was sold.
Solid Waste Programs
Local Enf rcement Agency Program:
Solid Waste Tonnage Fee $ 1.20 /ton No Change
Solid Waste Facility Fees:
Closed. Illegal and Abandoned Sites
Annual Inspection — 2 Hours $ 230.00 No Change
Quarterly Inspections — 8 Hours $ 920.00 No Change
Monthly Inspections — 16 Hours (see Note(a)below) $1,840.00 No Change
Bio-Solid Eacility Sites
Annual Inspection — 2 Hours $ 230.00 No Change
Quarterly Inspections — 8 Hours $ 920.00 No Change
Monthly Inspections — 16 Hours $1,840.00 No Change
NOTE (a): Any inspection conducted over and beyond the routine inspection is subject to the
hourly rate of$115.00 an hour.
BI-Solid Facility Application and Review Fee
With Public Hearings — 10 Hours $1,150.00 No Change
Without Public Hearings — 5 Hours(see Note(b)below) $ 575.00 No Change
Solid Waste Facility Permit
Application / Review Fee (see Note(b)below) $1,150.00 No Change.
NOTE (b): Permit application / review fee includes 10 hour of service time. An additional deposit
fee may be required when initial deposit has been expended.
Mandatory Garbage Service Exemption $ 115.00 per hour No Change
Medical Waste:
Plan review(new facility/treatment system/permit revision $ 436.00 No Change
Additional review (per hour) $ 115.00 No Change
Health Care Service Plan Facility $ 463.00 No Change
Med ical/DentalNeterinary Clinic (>200 lbs./month) $ 360.00 No Change
Med ical/DentalNeterinary Clinic (<200 lbs./month) $ 45.00 No Change
With on-site treatment (<200 lbs./month) $ 135.00 No Chancle
(10)
Resolution: 2000\5 9
Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
Category Units Capacity Current Fees Recommended Fee
With on-site treatment medical waste treatment systems, i.e. $ 73.00 No Change
Autoclave, incinerator, Steam Sterilize additional fees required:
Primary Care Clinic $ 463.00 No Change
Intermediate Care Facility $ 390.00 No Change
Acute Psychiatric Care $ 360.00 No Change
Acute Care Hospital ( 251 + beds) $1 ,840.00 No Change
Acute Care Hospital (200—250 beds) $1 ,315.00 No Change
Acute Care Hospital (100— 199 beds) $1,128.00 No Change
Acute Care Hospital ( 1 - 99 beds) $ 791 .00 No Change
Skilled Nursing Facility (>200 lbs./month) $ 360.00 No Change
Skilled Nursing Facility (<200 lbs./month) $ 45.00 No Change
With on-site treatment (<200 lbs./month) $ 135.00 No Change
Specialty Clinic (>200 lbs./month) $ 463.00 No Change
Clinical Lab (>200lbs. /month) $ 360.00 No Change
Clinical Lab (<200 lbs./month) $ 45.00 No Change
With on-site treatment (<200 lbs./month) $ 135.00 No Change
Bio-med Producer (>200 lbs./month) $ 360.00 No Change
Bio-med Producer (200 lbs./month) $ 45.00 No Chance
With on-site treatment (<200 lbs./month) $ 135.00 No Change
Bio-med Producer with onsite treatment (>200 lbs./month) $ 450.00
Common Storage Facility (50 + generators) $ 360.00 No Change
Common Storage Facility (11 —49 generators) $ 180.00 No Change
Common Storage Facility ( 2— 10 generators) $ 135.00 No Change
Limited Quantity Hauling Exemption .$ 75.00 No Change
Re-inspection Fee (per hour) $ 115.00 No Change
Certification Application Fee $ 35.00 No Change
Tattooing, Body Piercing and Permanent Cosmetics
Facility Annual Fee $ 200.00 No Change
Practitioner's Annual Registration Fee $ 25.00 No Change
Land Use Programs
Penalties: Penalties will be imposed for delinquent payments as provided in County Ordiance No.
93-58, Article 413-3.1206.
Ordinance Code of Contra Costa County Section 420-6.707
Enforcement— Penalties: Any person violating this chapter or regulations issued hereunder, by
failing to submit plans, obtain necessary inspections and approval, or pay fees, or by commencing
or continuing construction or remodeling in violation hereof, shall pay triple the appropriate fee as a
penalty and remain subject to other applicable penalties and enforcement procedures authorized
by the state law and / or this code.
FEES FOR THE INSTALLATION OF INDIVIDUAL SEWAGE DISPOSAL
SYSTEMS, WATER WELLS AND SUBDIVISIONS OF LAND
In order to obtain approval for installation or repair of systems, the following fees must be paid prior
to any inspection or investigation of an individual parcel or minor subdivision.
IMPORTANT: Permit fees include a non-refundable $35.00 application.fee. A (1) indicates when
an additional or separate $35.00 initial application fee is required. Inspection and travel time
exceeding the hours provided in the service fees set below or provided for services riot listed will
be changed at the rage of$115.00 an hour during normal business hours and at the rate of
$146.00 an hour after normal business hours.
(11)
Resolution: 2000\5 9
Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
General
Wells and Soil Borings:
A well is any artificial excavation constructed by any method for the purpose of extracting waster
from, or injecting water or other liquid into the ground, for observation of ground-waters for any
reason, for the exploration of the subsurface of the earth, for removal of substances from soil or
groundwater, or for cathodic protection. This definition shall not include oil or gas wells or
geothermal wells constructed under the jurisdiction of the State Department of Conservation
This definition shall not include oil or gas wells or geothermal wells constructed under the
jurisdiction of the State Department of Conservation except when such wells are converted to use
as a well. This definition includes environmental and geothermal wells.
A soil boring is an uncased artificial excavation constructed by any method for the purpose of
obtaining information on subsurface conditions or for the purpose of determining the presence or
extent of contamination in subsurface soils or groundwater. This definition includes environmental
and geotechnical borings, test holes, test wells and exploration holes.
Individual Sewage Disposal System:
Current Rate Recommended Rate
Standard System Construction Permit $ 460.00 No Change
Site evaluation (two Hour minimum change) (1) $ 230.00 No Chance
Plan review— includes building additions $ 115.00 per hour No Change
Individual Wells and Soil Borings:
(Permit for construction and/or reconstruction for $ 299.00 No Change
individual wells including monitoring wells)
Site evaluation (minimum one-hour charge) (1) $ 115.00 per hour No Change
Permit for soil borings (per parcel) $ 299.00 No Change
Review.of an existing individual water system well (1) $ 115.00 No Change
(Inspection permit for abandoning and sealing of well $ 182.00 No Change
fee includes only one-hour staff time)
(Inspection permit for abandoning and sealing No Charge No Change
of well when done at the same inspection of replacement well)
Plan Review $ 115.00 No Change
Alternative system Construction Permit $ 657.00 No Change
Annual Operation Permit $ 218.00 No Change
Annual Operation Permit over two hours $ 115.00 per hour No Change
(Re-inspection/Cancellation/Rescheduling without $ 115.00 per hour No Change
8 — hour confirmed notice)
(Septic system abandonment permit $ 145.00 No Change
fee includes only one-hour staff time)
Minor repair permit (fee includes only one hour staff time) $ 145.00 No Change
Percolating test $ 734.00 No Change
Soil profile evaluation $ 230.00 No Change
Current Rate Recommended Rate
Subdivisions — Land Use Projects:
(Community Development Department (CDD) $ 115.00 per hour No Change
Report reviewed for land use permits; re-zoning;
developmental plans; EIR review; lot line adjustments;
and CDD variance requests).
Environmental Health review of CDD applications $ 30.00 No Change
(1 2)
Resolution: 2000\5 9 .
Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
Liquid Waste Disposal Permits:
Septic Tank / chemical toilet cleaner— Business (1) $ 345.00 No Change
Septic Tank/ chemical toilet cleaner—Vehicle(1) $ 115.00 No Change
Other Programs:
Plan Check:
Plan check deposit fees except those specifically listed, are three times the annual permit fee.
This includes plan check and all applicable inspections and consultations. An additional deposit
fee may be required when initial deposit has been expended. If deposit is not expended a refund
will be issued.
The initial fee for an "exempt facility" or a minor remodeling plan check is $265. Each additional
hour is $115.00 per hour.
Ordinance Code of Contra Costa County, Section 414-4.1019
Enforcement — Penalties: Any.person violating this chapter or regulations issued hereunder, by
failing to submit plans, obtain necessary inspections and approval, or pay fees, or by commencing
or continuing construction or remodeling in violation hereof, shall pay triple the appropriate fee as a
penalty and remain subject to other applicable penalties and enforcement procedures authorized
by the State Law and or this code.
Current Deposit Requirement Recommended Deposit
Public Pool (minimum deposit) $1,296.00 No Change
Public Pool Complex (minimum deposit) $1,296.00 No Change
Additions to original complex:
Each pool, spa, wading, therapy, or diving pool $ , 373.00 No Change
Bathhouse $ 373.00 No Change
Recreational water park complex (Minimum Deposit—5 times the annual pool permit)
Hazardous Materials Programs Division
Certified Unified Program (COPA) Fee Schedule:
The setting of fees authorized by California Code of Regulations (CCR), Title 27, section 15210
and Health & Safety Code 25404.55.
Hazardous Material AB2185 Program:
AB2185 fees for a current calendar year are based upon the following year's projected business
plan inventory of hazardous material and are billed to the business in the sixth month after
December 31St of the current calendar year Fee structure for businesses required to submit a
"Hazardous Material Business Plan".under Federal Sara Title II I Program and the California
Hazardous Materials Release Response and Inventory Program (AB 2185).
Hazardous Material Inventory Fee: (Calendar Year 1999)
Number Of Employees LBS. Of Material Current Fees Recommended Fee
N/A < 1K *A $ 142.00 No Change
0 to 4 > 1K < 10K $ 151.00 No Change
5 to 9 > 1K - < 10K $ 207.00 No Change
10 to 19 > 1K - < 10K $ 259.00 No Change
0 to 4 > 10K - <100K $ 311.00 No Change
5 to 9 > 10K - <100K $ 362.00 No Change
10 to 19 > 10K - <100K $ 415.00 No Change.
0 to 4 >100K - <250K $ 543.00 No Change
5 to 9 >100K - <250K $ 604.00 No Change
(13)
Resolution: 2000\5 9
Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
10 to 19 >100K - <250K $ 664.00 No Change
0 to 4 >250K - <500K $ 723.00 No Change
.5 to 9 >250K - <500K $ 784.00 No Change
10 to 19 >250K - <500K $ 844.00 No Change
> 20 and < 10K $ 453.00 No Change
> 20 and > 10K - <100K $ 989.00 No Change
> 20 and >100K - <250K $ 1,970.00 No Change
> 20 and >250K - <500K $ 3,689.00 No Change
N/A >500K - <2.5 M $ 9,381.00 No Change
N/A >2.5M - < 10M $18,479.00 No Change
N/A >10M - <100M $30,261.00 No Change
N/A >100M - < 1B $40,347.00 No Change
N/A > 1B - < 5B $50,434.00 No Change
N/A > 5B $89,286.00 No Change
All marine terminals and tank farms with secondary $25,352.00 No Change
containment storing greater than or equal to 10M
pounds of Hazardous Materials.
All oil refineries and Class 1 off-site hazardous $99,464.00 No Change
waste disposal sites
Liquefied carbon dioxide (CO2) shall be assigned a risk factor of 10%. In summing the total
pounds of hazardous material at a given facility as part of the fee determination, the pounds of
liquid (CO2) shall be multiplied by 10% and that amount used in the calculation of the aggregate
pounds for the site.
(A) Quantity at any one time during the reporting year equal to, or greater than, a total weight of .
500 pounds or a total volume of 55 gallons, or 200 cubic feet at standard temperature and
pressure for compressed gas.
Partial Year Ownership - New Owner/ Operator:
A Business Plan is required from a new owner/ operator from the start of the business activity to
December 31St. An annual AB2185 fee will be computed on the inventory of hazardous material
listed in the Business Plan, then pro-rated by the number of months covered by the Business Plan.
Discontinuance or Sale of Business:
Upon discontinuance or sale of a business, the owner/ operator is required to file a business Plan
for the period between the ending date of the proceeding business plan to the month in which the
business activity ceased or the business was sold. The annual AB2185 fee will be computed on
the inventory of hazardous material listed in the Business Plan then pro-rated based on the prior
year's Business Plan or a revised Business Plan approved by the Hazardous Materials Program
Director.
For businesses that discontinue doing business during a calendar year, the AB2185 -Fee will be
pro-rated based on the prior year's Business Plan or a revised Business Plan approved by the
Hazardous Materials Program Director.
The Fees shall be non-transferable, non-refundable and set on a facility basis.
Additional Administrative Fees Will Be Assessed.For:
1. Failure to respond to inquiries relating to compliance with these resolutions - 25% of fee.
2. Late filing of business plans beyond a 30 - day notice of violation - 50% of fee.
3. Failure to pay the fee within terms of the invoice - 25% of fee.
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.
(14)
Resolution: 2000\5 9
r,Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
UN-Staffed Remote Facility
Current Fees Recommended Fees
1. Exemption Processing Fee $ 113.00 No Change
2. Initial Notification or Inventory Change Processing Fee $ 113.00 No Change
Accidental Release Prevention Program (ARPP)
1. Fee Imposed: The California Accidental Release Prevention Program (CAIARP) Fees for
Contra Costa County are hereby imposed and assessed upon all stationary sources that
handle regulated substances.
2. Amount: The fee for a stationary source shall be determined as follows:
Fee = $200 + [(TC — TSS x $200 ) TRF] x RF
TC = Total cost of the County's CaIARP program
TSS = Total number of stationary sources in the County
TRF = "Total Risk Factor," or the sum of the Stationary Source Modified
Chemical Exposure Indexes ("SSMCEI") of all stationary sources in the county
RF = "Risk Factor," or a stationary source SSMCEI
The TRF for the County and RF of a stationary source ("SSMCEI") shall be determined
pursuant to the Contra Costa County Health Services Department's California Accidental
Release Prevention Program Relative Risk Determination Methodology, attached hereto as
Exhibit A and incorporated herein by this reference.
3. Exempt Stationary Sources: A stationary source may apply for an exemption from
preparing a Risk Management Plan under the California Accidental Release Prevention
Program. The exemption may be granted if the Health Services Director or his designee
determines, at his or her sole discretion, that the potential for an off-site consequence from
the stationary source is remote.
If a stationary source has not paid the annual CALARP fees pursuant to this resolution, the
stationary source shall pay an exemption review fee upon submittal of an exemption
application. The exemption application fee shall be $500.00 per regulated substance per
process. (For example, if a stationary source handles one regulated substance in one
process the fee is $500.00. if a stationary source handles one regulated substance in two
different processes the fee is $1,000.00). If a stationary source does not handle any
regulated substance in a process but stores regulated substances in a warehouse, the
review fee is $500.00 per warehouse where the regulated substances are stored.
If an exemption is not granted all of the exemption application fee shall be credited towards
the CALARP fees assessed upon the stationary source pursuant to this resolution.
An annual administrative fee of$75.00 is hereby assessed upon all stationary sources that
handle regulated substances on site but are exempt from preparing an RMP pursuant to this
resolution.
4. Maximum Fee: The maximum fee to be charged to any one stationary source for fiscal
year 1999-2000 is $48,000.00. This maximum fee shall increase by a factor of 10% per
year.
5. Multiple Stationary Sources: Companies that have multiple stationary sources that are
substantially identical, as determined at the sole discretion of the Director of Health
Services, or his designee, may be assessed a reduced fee. The Fee for such a company
shall be the full fee for the first stationary source, plus the greater of $75.00 or 10% of the
full fee for each additional substantially identical stationary source
6. Non-Profit Organizations: If a stationary source is owned by a non-profit organization
(Internal Revenue Service Code tax-exempt status number 501 C), the fee shall be the
greater of$75.00 or 10% of the full fee based on the stationary source's risk ranking.
(15)
Resolution: 2000\59
Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
7. Pro-Rata Refunds: The fiscal year begins on July 1St. If during a fiscal year a stationary
source discontinues handling a regulated substance, a pro-rata refund shall be issued. This
refund will be based on the pro-rated portion the fee attributable to the regulated substance.
8. Definitions: The terms used in this resolution shall have the meanings ascribed to them in
the Health and Safety Code Article 2, §25535.5 and §25404.5.
9. Authority: This resolution and the imposition of fees hereunder are authorized in part by
Health & Safety Code, Chapter 6.95, §25535.5 and §25404.5.
Unannounced Inspection Program " PROPOSED FEE SCHEDULE "
1. Fee Imposed: The Unannounced Inspection Program fees for Contra Costa County are
hereby imposed and assessed upon all stationary sources that handle regulated substances
and that must submit a Risk Management Plan to the U.S. EPA.
2. Amount: The fee for a stationary source shall be determined as follows:
Fee - $200 + [(TC - TSS x $200)TRF] x RF
TC = Total cost of the County's Unannounced Inspection Program
TSS = Total number of stationary sources in the County
TRF = "Total Risk Factor," or the sum of the Stationary Source Modified Chemical
Exposure Indexes ("SSMCEI") of all stationary sources in the county.
RF = "Risk Factor" or a stationary source SSMCEI
The TRF for the County RF of a stationary source ("SSMCEI") shall be determined pursuant to the
Costa County Health Services Department's California Accidental Release Prevention Program
Relative Risk Determination Methodology, attached hereto as Exhibit A and incorporated herein by
this reference.
3. Pro-Rata Refunds: The fiscal year begins on July 1 St. If during a fiscal year a stationary
source discontinues handling a regulated substance, a pro-rate refund shall be issued. This
refund will be based on the pro-rated portion of the fee attributable to the regulated
substance.
4. Definitions: The terms used in this resolution shall have the meanings ascribed to them in
the Health and Safety Code Chapter 6.95 §25404.5.
5. Authority: This resolution and the imposition of fees hereunder are authorized in part by
Health & Safety Code, Chapter 6.95, §25535.5 and §25404.5
Industrial Safety Ordinance Fee
The fee schedule will be determined by the formula listed below:
Fee = 1/3 ARP = (ARP/TRF) OMB
Fee = The regulated source's fee for Chapter 450-8 of the County Ordinance Code
ARP = The regulated source's fee for the CALARP Program
TRF = The sum of all of the regulated sources' CALARP Program fees that are
regulated by Chapter 450-8 of the county Ordinance Code.
OMB = Costs of the Ombudsperson Position
*Incident Investigation Fee Current Fees Recommended I=ees
$ 100.00 per hour No Change
*(Charged to a regulated source when an incident is investigated by the Contra Costa Health
Services Department).
Pro-Rata Fee: If the regulated source CALARP program fee changes, the Industrial Safety
Ordinance fee will be adjusted accordingly.
(16)
Resolution: 2000\5 9
.Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
Underground Storage Tank Program
Underground Storage Tank Annual Permit:
Description Current Fees Recommended Fees
Single tank of 1,000 gallons or less used solely in $ 196.00 No Change
Connection with the occupancy of a residence
First tank of 50,000 gallons or less (a) No Change
Basic fee for tank of 50,000 gallons or less $ 333.00 No Change
Each tank of 50,000 gallons or more $ 579.00 No Change
(a) In addition to the basic fee, a surcharge of$150.00 is applicable on the tank at each site which
has the earliest installation date.
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:
New Tank Facility, first tank $ 520.00 No Change
Each additional Tank $ 105.00 No Change
Underground Storage Tank Removal, Temporary Closure or Abandonment:
Description Current Fees Recommended Fees
Single tank of 1,000 gallons or less, located at a $ 139.00 No Change
Residence and used solely in connection with the
occupancy of that residence.
First Tank at a site $ 323.00 No Change
Each additional tank $ 139.00 No Change
Inspection and Plan Review for Piping Replacement or Modification:
Plan review and inspection of pipe replacement $ 381.00 No Change
or repair, including the installation of overfill
protection equipment and corrosion control devices
leak detection and monitoring equipment.
Permit Amendment or Transfer:
Permit amendment or transfer fee $ 69.00 No Change
Underground Tank Modification, Repair or Lining Permit:
Includes review and inspection not exceeding four $ 305.00 No Change
hours of staff time
For each additional hour or fraction thereof of $ 113.00 No Change
staff time
(17)
Resolution: 2000\5 9
s, Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
Description Current Fees Recommended Fees
Contaminated Site Fee:
Each hour or fraction thereof of service delivered $ 113.00 No Change
Monday through Friday between 8:00 a.m. and
5:00 p.m. 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
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.
Re-Inspection or Time Use:
Each hour or fraction thereof of staff time, Monday $ 113.00 No Change
Through Friday between 8:00 a.m. and 5:00 p.m.
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 inspection or four hours of onsite.
time is required in the case of tank installations
C. More than one re-inspection is required to determine
Compliance; and /or
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:
Each hour or fraction thereof of staff time, Monday $ 113.00 No Change
through Friday between 8:00 a.m. and 5:00 p.m.,
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.
PENALTY: The following penalty shall be applied and collectible from parties responsible for the
following actions:
Penalt
a.) Failure to file and report change in owner- $500.00 No Change
ship or operator of an underground tank(s)
This penalty is in addition to those that may be imposed under any other underground tank
regulation.
Incident Response:
Each hour or fraction thereof of service time $ 113.00 No Change
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. This includes
Responses to illegal drug labs.
(18)
Resolution: 2000\ 5 9
. ,Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
Description Current Fees Recommended Fees
Hourly rate for service time after 5:00 p.m. until $ 140.00 No Change
8:00 a.m.
Hazardous Waste Generator:
Every generator which produces hazardous waste shall pay a fee for each generator site for each
calendar year, or portion thereof. Generators are required to report the amount of waste
generated on a Hazardous Waste Generator Fee form provided by Hazardous Materials Programs
Division,
Hazardous Waste Generated:
1) Less than 5 tons $ 99.00 No Change
2) 5 or more tons, but less than 25 tons $ 188.00 No Change
3) 25 or more tons, but less than 50 tons $ 1,507.00 No Change
4) 50 or more tons, but less than 250 tons $ 3,766.00 No Change
5) 250 or more tons, but less than 500 tons $18,832.00 No Change
6) 500 or more tons, but less than 1000 tons $42,064.00 No Change
7) 1000 or more tons, but less than 2000 tons $56,496.00 No Change
8) 2000 or more tons $75,328.00 No Change
Reporting forms post marked after March 1St will be assessed a late fee of 50%.
Onsite Treatment Fees:
Permit By Rule (Fixed Units) $ 1,027.00 per facility No Change
Conditional Authorization $ 1,027.00 per facility No Change
Conditional Exemption and Commercial Laundry $ 38.00 per year No Change
Conditional Exemption — Limited $ 38.00 first year only No Change
Delinquent Payment Penalty:
A 25% delinquent payment penalty will be assessed to any fee or service rendered if not paid
within the payment terms or payment due date stated on the invoice.
END OF CERTIFIED UNIFIED PROGRAM (CUPA) FEE SCHEDULE
Emergency Medical Services Aqency
Emergency Medical Technician (EMT7)
Description Current Fees Recommended Fees
Initial Certification / Re-Certification* $ 30.00 No Change
Replacement Card $ 10.00 No Chancre
Paramedic
Accreditation / Re-Accreditation* $ 50.00 No Change
(Re-accrediation applies only if initial Accreditation lapses)
Mobile Intensive Gare Nurse (MICN)
Authorization / Re-Authorization* $ 50.00 No Change
EMS Continuing Education Provider **
4 year $ 100.00 No Change
Non - Emergency Ambulance Service Permit
3 year county — wide $1,500.00 No Change
(19)
Resolution: 2000\59
�• :.;1`.Restating Itemized Professional and Service Rate Charges For Contra Costa Health Services
Description Current Fees Recommended Fees
Emergency I Ambulance Service Permit For:
Each Emergency Response Area (3 — year) $1,500.00 No Change
EMS Aircraft Classification $ 250.00 No Change
EMS Aircraft Authorization
2 YEAR $1,300.00 No Change
Non - Emergency Paramedic Transfer Program
1 year including up to 50 transfers $3,000.00 No Change
Fee for each transfer over the first 50. / year $ 50.00 No Change
Renewal fees may be waived for employees of a service provider with an approved,
in-house program for maintaining required renewal records.
** Fee may be waived for non-commercial providers offering continuing education at no charge
to participants, or for providers offering continuing education to in-house employees only.
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 out weigh the County financial interests in collecting the fee.
Fee Amendments: The Health Services Director or his designee my increase or decrease as
needed, any specific fee by not more than 10% during the next twelve-month period, except: those
Fees set by Federal / State statute or regulation shall be effective concurrent with the date
specified in the applicable statue or regulation regardless of the amount of the increase or
decrease.
Medicaid Waiver: To insure compliance with.the Medicaid waiver granted by Health Care
Finance Agency to the State of California, the Health Director or his designee is granted the
authority to increase Inpatient rates for services at CCRMC to the level necessary to ensure
charges for service exceed expected Medi-Cal payments.
Fee Adjustment: 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.
The Public Hearing was CLOSED.
Original: County Administrator
cc: Health Services Director
Health Services Administration I hereby certify that this is a true and correct
Health Services Controller copy of an action taken and entered on the
minutes of the Board of Supervisors on the
County Counsel date shown.
County Auditor Attested: February 13 , 2001
Contact: Patrick Godley, CFO (370-5005)
Phil Batchelor,Clerk f the Board
of pervi ors and u �itor
By:
DepC rk
(20)
Resolution: 2000\59