Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
RESOLUTIONS - 01012003 - 2003-177
TIME BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY CALIFORNIA Adapted this Order on: May 13, 2003 By the following 'dote: AYES: St3I?UVISC>RS GIOIA, UTLKI1% & rpt NdES: t ABSENT: z ABSTAIN: SUPWISOR Desfflimm Resolution No. ZOOS \ 177 DISTRICT' III IS VA= SUBJECT: Amend the Itemized Professional and Service Rates for Contra Costa County Health Services Effective May 1, 2003, for Hazardous Material Programs and effective July 1, 2003, for all other fees. 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 2002/359 dated June 18, 2002. 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 Services Department effective May 1, 2003 and July 1, 2003 are established as follows: Reason for proposed rate chansaes: 1. Hospital: Increase inpatient room rates and ancillary services rates by 10% to ensure charges remain higher than expected Medi-Cal payments; no change to outpatient rates. 2. Mental Health Program: Update rates by 5% to ensure charges remain higher than expected Medi-Cal Schedule of Maximum Allowances Rates. 3. Alcohol and Other Drugs: Updated selected fees based on expected M-Cal schedule of allowance increases to ensure charges remain higher than Medi-Cal payment rates. 4. Contra Costa Health Plan: Increase Commercial and Individual Premiums by 16%, to accommodate projected increased expenses. 5. Public Health: Minor amendments to reflect fee changes for Immunizations, Nutrition Counseling, and Vital Statistic record fees. 6. Environmental Health: Increase fees by 5% to accommodate expected increased expenses. 7. Hazardous Materials Programs: Increase fees by 15% to accommodate expected increased expenses. S. Emergency Medical Services: No Changes Proposed. {1� Resolution: 2003\177 Hospital Inpatient Service Current Daily Rate For Recommended Daily Rate for Routine Room and Board Routine Room and Board Pediatrics $ 1,650.00 $ 1,850.00 Medical Ward $ 1,540.00 $ 1,700.00 Transitional Care Unit $ 1,540.00 $ 1,700.00 Nursery Bassinet $ 1,100.00 $ 1,200.00 Intensive Care $ 4,400.00 $ 4,850.00 Service Total Unit Rate Total Unit Rate Fixed all inclusive Obstetrics $ 6,000.00 $ 6,500.00 Routine Delivery with Tubal Legations $ 8,000.00 $ 9,000.00 Prior or Primary C-Section $ 13,000.00 $ 14,500.00 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 SERVICES Department 131111nu Unit Current Rate Recommended Rat* Anesthesiology 1st Hour $ 781.00 $ 859.00 Anesthesiology Each Addl 15 min. $ 193.00 $ 212.00 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 $ 83.00 $ 91.00 EKG Relative Value Units $ 24.00 $ 26.00 Laboratory(Hose&PH Lab) Relative Value Units $ 5.00 $ 6.00 Rehab. Therapy OT/ PT 30 minute intervals $ 266.00 $ 293.00 Speech 30 minute intervals $ 266.00 $ 293.00 Cardiopulmonary Relative Value Units $ 25.00 $ 28.00 Delivery Room 15 minute intervals $ 193.00 $ 212.00 Surgery Recovery Room Vt Hour $ 781.00 $ 859.00 Operating Room 1 st Hour $ 1,571.00 $ 1,728.00 Operating Room Each Addl 30 minutes $ 682.00 $ 750.00 Cast Room Unit $ 288.00 $ 317.00 Resolution: 2003\177 (2) r Professional Component Charles Per Medicare R.S.R.V.S. Amounts Dopartmant Durrant Rate Recommended Rate Medicine R.B.R.V.S. Pius 30% No Change Surgery R.B.R.V.S. Plus 30% No Change Radiology R.B.R.V.S. Plus 30% No Change Anesthesiology R.B.R.V.S. Pius 30% No Change Outside Services And Supplies Department Current Rate Recommended Rate Nuclear Medicine Cost Plus 35% No Change BEC 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 COM,none,D m n Room Rate .CQmDonant mensBoom RaLe Brief $ 35.00 $ 50.00 $ 85.00 No Change Expanded $ 57.00 $ 55.00 $112.00 No Change Detailed $84.00 $55.00 $139.00 No Change Comprehensive 1 $125.00 $55.00 $180.00 No Change Comprehensive 2 $182.00 $ 55.00 $217.00 No Change Es _bushed Minimal $ 17.00 $ 50.00 $ 67.00 No Change Brief $ 30.00 $ 55.00 $ 85.00 No Change Expanded $43.00 $ 55.00 $ 98.00 No Change Detailed $69.00 $ 55.00 $124.00 No Change Comprehensive $110.00 $ 55.00 $165.00 No Change Specialty/Others Brief $ 35.00 $ 85.00 $120.00 No Change Expanded $ 57.00 $100.00 $157.00 No Change Detailed $ 84.00 $115.00 $199.00 No Change Comprehensive 1 $125.00 $130.00 $255.00 No Change Comprehensive 11 $162.00 $130.00 $292.00 No Change Establlshped Minimal $ 17.00 $ 65.00 $ 82.00 No Change Brief $ 30.00 $ 85.00 $115.00 No Change Expanded $43.00 $100.00 $143.00 No Change Detailed $69.00 $115.00 $184.00 No Change Comprehensive $110.00 $130.00 $240.00 No Change (3) Resolution: 2003\177 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 Unit of Service Current Rate Recommended Rate Dental Per Fee Schedule current fee + 6% Photocopyllnu 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 $ 1,406.00 $ 1,550.00 Rehab Option bates Mental Health Services One Minute $ 2.63 $ 2.76 Case Management One Minute $ 2.04 $ 2.14 Medication Support One Minute $ 4.89 $ 5.13 Crisis Intervention One Minute $ 3.93 $ 413 Crisis Stabilization I Hour Increment $ 95.75 $ 100.54 Day Care, Intensive Full Day $ 205.02 $ 215.27 Day Care, Intensive Half Day $ 145.98 $ 153.28 Day Care, Habilitative Full Day $ 132.92 $ 139.57 Day Care Habilitative Half Day $ 85.17 $ 89.43 Adult Residential Patient Day $ 150.45 $ 157.97 Crisis Residential Patient Day $ 308.45 $ 323.87 Alcohol and other Drugs Services Residential Residential Troatment Unit of Service Current Raft Recommended Rate Alcohol/Drug Detox Day $ 60.00 $ 65.00 Alcohol/Drug Residential Tx Day $ 60.00 $ 65.00 Perinatal Residential TX Day $ 120.00 No Change Youth/Alcohol/Drug Residential TX Day $ 240.00 $ 250.00 Oppy Treatment Perinatal Day Treatment Visit $ 70.00 $ 80.00 (4) Resolution: 20031177 Unit Qf Service Current Rate Recommended Rate Clinic Treatment Individual Intake/Assessment Visit $ 60.00 $ 70.00 Individual Counseling Visit $ 60.00 $ 70.00 Collateral Service Visit $ 60.00 $ 70.00 Group Counseling Visit $ 36.00 No Change Acupuncture Treatment Visit $ 60.00 $ 70.00 Medical Assessment/Physical Exam Visit $ 100.00 No Change Outpallent Drug Free (Composite State Charge) Visit $ 100.00 $ 110.00 Perinatal Group Counseling Visit $ 48.00 $ 50.00 PC 1000 Drug Diversion Prouram Board Rates Level I Person $ 500.00 No Change Level 11 Person $ 800.00 No Change Driving Under The influence Program 'I't Offender(Level 1) Person $ 507.00 No Change 1st Offender(Level 11) Person $ 829.00 No Change 2'd Offender Person $1,759.00 No Change Wet and Reckless Person $ 186.00 No Change Methadone Maintenance Dose -AOD Dose $ 7.37 $ 9.39 Dose - LAAM Dose $ 19.20 $ 22.33 Dose - Perinatal Dose $ 8.49 $ 10.75 Individual Counseling-AOD 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 $ 161 No Change Group Counseling-Perinatal 10 Minutes $ 5.57 No Change Contra Costa 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 $ 205.58 $ 238.50 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: 20031177 Public Health Service Unit Of Service Current Rates Recommend Rate Immunization Typhoid (Ages 2 & Over) Each (injection) $ 45.00 $ 50.00 Typhoid ( Ages 6 & Over) Each (oral) $ 45.00 $ 50.00 Yellow Fever Each $ 65.00 $ 75.00 Meningococcal Each $ 75.00 No Change Immune Globulin Each $ 20.00 $ 35.00 Childhood Immunizatil-Qns Birth to 18 years Each(not to exceed$20.00 per family) $ 7.00 $ 10.00 Chickenpox (12 months and over; 2 doses required) 12 months -18 years Each(not to exceed$20.00 per family) $ 7.00 $ 10.00 19 years & over Each dose,unwalvable 2 doses $ 55.00 $ 60.00 Measles, M"mp* and Rubella Vaccine 12 months and over 1 st shot Each(not to exceed$20.00 per family) $ 7.00 $ 10.00 2nd Shot Each unwalvable Over 18 years, $ 26.00 $ 35.00 unless enrolled I at year college or equivalent,or out break where State recommends, Flu Vaccination 6 months and over Each $ 5.00 No Change Pneumococcal 23 Valent Vaccination 2 years and over Each $ 15.00 No Change Hepatitis A 2 - 18 years Each(not to exceed$20,00 per Family $ 7.00 $ 10.00 19 years & older Each Unwaivable $ 60.00 No Change Hypatitis 8 Birth to 18 years Each(not to exceed$20.00 per Family) $ 7.00 $ 10.00 19 years &over Each Unwaivable $ 45.00 $ 60.00 Post Blood Titers Each $ 40.00 $ 50.00 Tuberculin PPD Test Each Unwaivable $ 10.00 No Change CHS/TAP/Sunshine 011nics (Not applicable to school-based clinics and Juvenile Hall) Welliness lExaminations. ADorts 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: 2003\177 Family, Planning Privsto Pay Service Unit Of Service Current Rates Recommend Rate New Each per year $ 100.00 No Change Return Each per year $ 90.00 No Change Sexually Transmifted Disease Clinic Attendance Each $ 20.00 No Change Nutrition Services Per hour $ 55.00 $ 60.00 OSoMpational Health Each Cost + 10% No Change Public Health laboratory 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 Change Vital Stats Cornified Copies Death Each $ 12.50 $ 14.50 Fetal Death Each $ 10.50 No Change Birth — General Public Each $ 17.50 $ 19.50 Birth —Government Agency Each $ 9.00 $ 11.00 Pormit For Disposition of Human Remains Regular Each $ 7.00 $ 13.00 After Hours Each $ 7.00 $ 13.00 Cross Filing Each $ 10.00 $ 16.00 Environmental Health Division CYenoral Prouram Section- Service Fees & Penalties Current Rates Recommended Rate Application Fee (Non-refundable) $ 35.00 No Change Violation Re-inspection Fee $ 123.00 per hour No Change SReclal Services Fee at Hourly Rate With Minimums One - Hour Charge: $ 123.00 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 Two - Hour Charge: Health Officer Appeal Hearing $ 312.00 No Change {7} Resolution: 20031177 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 $123.00 fee will be charged for verified complaints at permitted and fee exempt facilities. NOTE: Additional charges will be incurred after the minimum hourly charges have been expended. Services provided after normal work hours will be charged at $156.00 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 4144-4.1019 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 Prouram Consumer Protection / Retail food fees are applicable to the Environmental Health permit year beginning July 1, 2003. Rnvironmen al Health Pormit lee: catenory Units GPclt3r Current Fees Recommended Pee Restaurants Seats 0 - 25 $ 387.00 $ 406.00 Restaurants Seats 26 -49 $ 495.00 $ 520.00 Restaurants Seats 50-149 $ 588.00 $ 617.00 Restaurants Seats 150 + $ 669.00 $ 702.00 (NOTE: Restaurants with drive-up window(base seating + $57) Drive Through Only/ Restaurant to go only $ 388.00 $ 407.00 Vending Machines Machines 1 - 4 $ 117.00 $ 123.00 Each Machine Over 4 4 + $ 20.00 $ 21.00 Tavern/Cocktail Lounge Bar $ 427,00 No Change Snack Sar $ 427.00 No Change Commissary $ 534.00 $ 561.00 Cart Commissary $ 237.00 $ 249.00 Catering $ 534.00 $ 561.00 Multi-Event Facility (up to 15 Hours) Hours New $ 123.00 per hour Category Units capacity Current Fees Recommended Fee Special Events Per Food Booth $ 74.00 $ 78.00 Retail Food MarketsSquare Foot <2,000 $ 361.00 $ 379.00 Retail Food Markets Square Foot 2,001 --4,000 $ 415.00 $ 436.00 Retail Food Markets Square Foot 4,001 - 6,000 $ 588.00 $ 617.00 Retail Food Markets Square Foot >6,000 $ 669.00 $ 702.00 Incidental Retail food Mkts $ 155.00 $ 163.00 (8) Resolution: 2001171 Certified Farmers Market (CFM) with Food Vendors: Category Units capacity Current Fees Recommended Fee Certified Farmer's Food Mkts (CFM)Booths 1 - 25 $ 213.00 $ 224,00 Certified Farmer's Food Mkts (CFM)Booths 26 - 45 $ 319.00 $ 335.00 Certified Farmer's Food Mkts (CFM)Booths 46 + $ 428.00 $ 447.00 Non Agricultural Food Vendor Booths 1 - 5 CFM Fee + $ 156.00 $ 164.00 Food Vendor Booths 6 -10 CFM Fee + $ 213.00 $ 224.00 Food Vendor Booths 11 + CFM Fee + $ 319.00 $ 335.00 Wiping Rags Business $ 200.00 $ 210.00 Roadside Stands $ 200.00 $ 210.00 Food Salvager $ 562.00 $ 590.00 Food Processing Establish Square Foot <2,000 $ 361.00 $ 379.00 Food Processing Establish Square Foot 2,001 -4,000 $ 415.00 $ 436.00 Food Processing Establish Square Foot 4,001 - 6,000 $ 588.00 $ 617.00 Food Processing Establish Square Foot >6,000 $ 669.00 $ 702.00 Food Demonstrator $ 188.00 $ 197.00 Retailer Food Vehicle (Delivery&Peddlers) $ 214.00 $ 225.00 Mobile Food Prep Units $ 401.00 $ 421.00 Retailer Food Vehicles(including catering trucks) $ 214.00 $ 226.00 Ice Cream Push Carts 1 - 4 $ 62.00 each $ 65.00 each Ice Cream Push Carts 5 - 10 $ 57.00 each $ 60.00 each Ice Cream Push Carts > 10 $ 52.00 each $ 55.00 each Bakery Square Foot <2,000 $ 361.00 $ 379.00 Bakery Square Foot 2,001 -4,000 $ 415.00 $ 436.00 Bakery Square Foot 4,001 -6,000 $ 588.00 $ 617.00 Bakery Square Foot >6,000 $ 669.00 $ 702.00 Wholesale Food Square Foot <2,000 $ 361.00 $ 379.00 Wholesale Food Square Foot 2,001 - 4,000 $ 415.00 $ 436.00 Wholesale Food Square Foot 4,001 - 6,000 $ 588.00 $ 617.00 Wholesale Food Square Foot >6,000 $ 669.00 $ 702.00 Ice Plant $ 154.00 $ 162.00 Regr4patilotmall-Health: Recreational Water Park One System $ 802.00 $ 842.00 Each Additional System $ 401.00 $ 421.00 Pool-Apartment,Motel,Hotel Multi - Use $ 464.00 $ 487.00 Each Additional Pool $ 133.00 $ 140.00 Spa Apartment,Motel,Hotel Multi-Use $ 401.00 $ 421.00 Each Additional Spa $ 133.00 $ 140.00 Fee Exempt fttiviltlos (Permit Fees Only): Food Facilities / Public Schools No Fee No Change Municipal/Non Profit Pools I Public Schools No Fee No Change Spas Public Schools No Fee No Change Small Water System Permit*: Non-Community,surface water system $ 324.00 $ 340.00 Resolution: 2003\177 Category Unitas Capacity Current Fees Recommended Fee Non-Community,Non-transient ground water system $ 412.00 $ 433.00 Non-Community,Non-transient ground water system,with treatment $ 412.00 $ 433.00 Non-Community,non-transient surface water system $ 412.00 $ 433.00 Non-Community,transient $ 324.00 $ 340.00 Community ground water system (15- 24 connections) $ 412.00 $ 433.00 Community ground water system with treatment (15- 24 connections) $ 412.00 $ 433.00 Community ground water system (25- 99 connections) $ 433.00 $ 455.00 Community ground water system with treatment (25- 99 connections) $ 433.00 $ 455.00 Community surface water system (25- 99 connections) $ 433.00 $ 455.00 Community ground water system (100-199 connections) $ 541.00 $ 558.00 Community ground water system with treatment (100-195 connections) $ 541.00 $ 558.00 Community surface water system (100-199 connections) $ 541.00 $ 568.00 Local small water system $ 139.00 $ 146.00 State small water system $ 237.00 $ 249.00 Non-Community ground water system with food preparation $ 324.00 $ 340.00 Non-Community ground water system with treatment $ 324.00 $ 340.00 Non-Community ground water system,prepackaged food only $ 100.00 $ 0.00 Public Water System - Plans Review:, New Community water system $ 515.00 $ 541.00 New Non-Community water system $ 309.00 $ 324.00 Amended permit because of ownership change $ 155.00 $ 163.00 Amended permit because of system change $ 258.00 $ 271.00 Enforcement actions pertaining specifically to small water systems $ 123.00 per Dour No Change Prp-Ratin±a Fees: Commencement of a new business: The full annual fee shell 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, aero. 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 Catenory Units capacity Current Fees Recommended Fee Local Entorcem*nt Agoncv Program: Solid Waste Tonnage Fee $ 1.20/ton No Change {10} Resolution: 2003\177 Category Units capacity Current Foos Recommended Fee Solid WM09 FoallLty F_"s., Closed. Illegal and Abandone!g Sites Annual Inspection-2 Hours $ 246.00 No Change Quarterly Inspections- 8 Hours $ 984.00 No Change Monthly Inspections- 16 Hours (see Note(a)below) $1,968.00 No Change 11311"911d Facility Sites Annual Inspection-2 Hours $ 246.00 No Change Quarterly Inspections-8 Hours $ 984.00 No Change Monthly Inspections-- 16 Hours $1,968.00 No Change NOTE (a): Any inspection conducted over and beyond the routine inspection is subject to the hourly rate of$123.00 an hour. Bio-Solid Facility Application and Revlow Fee With Public Hearings- 10 Hours $1,230.00 No Change Without Public Hearings- 5 Hours(see Note(b)below) $ 615.00 No Change Solid Waste Facility Permit Application / Review Fee (an Note(b)below) $1,230.00 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 $ 123.00 per hour No Change Medical Waste: Plan review(new facility/treatment system/permit revision $ 469.00 No Change Additional review(per hour) $ 123.00 per hour No Change Health Care Service Plan Facility $ 498.00 No Change Medical/Dental/Veterinary Clinic (>200 lbs./month) $ 387.00 No Change Medical/Dental/Veterinary Clinic (<200 lbs./month) $ 48.00 No Change Category Units capacity Current Fees. Recommended Fee Med/DentaiNeterinary Clinic s with on-site Treatment Systems (<200 lbs./month) $ 145.00 No Change Additional fee for large quality generators with on-site treatment $ 81.00 No Change Primary Care Clinic $ 498.00 No Change Intermediate Care Facility $ 419.00 No Change Acute Psychiatric Care $ 387.00 No Change Acute Care Hospital (251 + beds) $1,978.00 No Change Acute Care Hospital (200-250 beds) $1,414.00 No Change Acute Care Hospital (100-199 beds) $1,213.00 No Change Acute Care Hospital ( I - 99 beds) $ 850.00 No Change Skilled Nursing Facility (>200 lbs./month) $ 387.00 No Change Skilled Nursing Facility (<200 Ibs./month) $ 48.00 No Change Skilled Nursing Facility (With on-site treatment) (<200 lbs./month) $ 145.00 No Change Specialty Clinic (>200 lbs./month) $ 498.00 No Change Resolution: 2003\177 Category Units Capacity Current Fees Recommended Fee Clinical Lab (>200lbs./month) $ 387.00 No Change Clinical Lab (<200 lbs./month) $ 48.00 No Change Clinical Lab (With on-site treatment) (<200 lbs./month) $ 145.00 No Change Bio-med Producer (>200 lbs./month) $ 387.00 No Change Bio-med Producer (<200 lbs./month) $ 48.00 No Change Bio-med Producer With on-site treatment (<200 lbs./month) $ 145.00 No Change Common Storage Facility (50+ generators) $ 387.00 No Change Common Storage Facility (11 --49 generators) $ 134.00 No Change Common Storage Facility ( 2-10 generators) $ 145.00 No Change Description Current Fees Recommended Fees Limited Quantity Hauling Exemption $ 81.00 No Change Re-inspection Fee (per hour) $ 123.00 per hour No Change Certification Application Fee $ 35.00 No Change Tattoolnu, Body Pierelna and Permanent Cosmetics Facility Annual Fee $ 200.00 No Change Body Art Registration Fee $ 25.00 No Change Land Use Proms 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 420-8.7017 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 (I) 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 not listed will be charged at the rate of$123.00 per hour during normal business hours and the rate of$156.00 per hour after normal business hours. GENERAL: Current Fees Recommended Fees Individual Sewage Disposal Sv,tams: Preliminar[„Investigati©n Site evaluation (two hour minimum charge)(1) $ 246.00 $ 271.00 Percolation test-contractor with staff review $ 406.00 $ 447.010 Percolation test-staff performed $ 600.00 $ 580.00 Soil profile evaluation $ 246.00 $ 271.010 (12) Resolution: 2003\177 Descrl,ption Current Fess Rscommsnded Fees Standard/Conventional Systems Construction Permit (includes 1 hr. Plan Review) $ 492.00 $ 541.00 Additional Pian Review $ 123.00 per hour No Change Re-inspection/Cancellation/Rescheduling (Without confirmed notice) $ 123.00 per hour No Change Alternative Systems Construction Permit (includes 2 hr Pian Review) $ 701.00 $ 771.00 Additional Plan Review $ 123.00 per hour No Change Re-inspection/Cancellation/Rescheduling $ 123.00 per hour No Change Annual Operation Permit $ 218.00 $ 240.00 Related Septic System Activities Plan Review— Building additions $ 123.00 per hour No Change Septic System Abandonment Permit (Includes 1.5 hour staff time) $ 220.00 $ 242.00 Minor Repair Permit (includes 1 hr. staff time) $ 158.00 $ 174.00 Wells and Soil Borings. A well is any artificial excavation constructed by any method for the purpose of extracting water from, or injecting water or other liquid into the ground, for observation of groundwaters for any reason, for the exploration of the subsurface of the earth, for removal of substances from soil or groundwater, dewatering, or the cathodic protection. 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 geotechnical 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, dewatering wells, test holes, test wells and exploration holes. Current Fees Recommended Fees Individual Wells and Soil Borinas Permit for construction and /or reconstruction for $ 325.00 $ 358.00 individual wells, including monitoring wells. Site evaluation (Minimum 1 hr charge) (1) $ 123.00 per hour No Change Permit for soil borings (Per parcel) (1) $ 299.00 $ 329.00 Review of an existing water well (1 hr minimum) (1) $ 123.00 per hour No Change Inspection permit for abandoning and sealing of well (Fee includes 1 hr of staff time) $ 200.00 $ 220.00 Inspection permit for abandoning and sealing of well when done at same inspection of replacement well. No Charge No Change Subdivisions — Land Uses Prolects Community Development Department (CDD) report reviewed for land use permits; rezoning; developmental plans; EIR Review; lot line adjustments; and CDD variance requests. $ 123.00 per hour No Change Environmental Health review of CDD applications $ 35.00 No Change Resolution; 2003\177 Liguid Waste Disposal Permits: Sewage Pumps Company $ 375.00 $ 413.00 Septic System $ 123.00 $ 135.00 Portable Toilet Pumper Vehicle New $ 135.00 Other Prourams: 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 $281.00. Each additional hour is $123.00 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) $1,393.00 No Change Public Pool Complex(minimum deposit) $1,393.00 No Change Current Deposit Requirement Recommended Deposit Additions to original complex: Each pool, spa, wading,therapy, or diving pool $ 401.00 No Change Bathhouse $ 401.00 No Change Recreational water park complex (Minimum Deposit--5 times the annual pool permit) Hazardous Materials Programs Division Certified Unlf!pd Program (CUPA) Fes Schedule: The setting of fees authorized by California Code of Regulations (CCR), Title 27, section 15210 and Health & Safety Code 25404.55. Hazardoupc Material A82105 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 31 sx of the current 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). (14) Resolution. 2003/177 ' r Hazardous Material Invento Fee: Calendar Year 2002 Number Of Employees LESS.Of Material Current Fees Recommended Fee N/A < 1 K *A $ 142.00 No Change 0 to 4 > 1 K < 10K $ 151.00 No Change 5 to 9 > 1K- < 10K $ 207.00 No Change 10 to 19 > 1 K- < 10K $ 259.00 No Change 0 to 4 > 10K- {100K $ 516.00 No Change 5 to 9 ? 10K- <100K $ 600.00 No Change 10 to 19 > 10K- <100K $ 688.00 No Change 0 to 4 ;100K- <250K $ 900.00 No Change 5 to 9 >100K- <250K $ 1,002.00 No Change Number Of Employees LBS.Of Material Current Fees Recommended Fee 10 to 19 >100K- <250K $ 1,101.00 No Change 0 to 4 >250K- <500K $ 1,199.00 No Change 5 to 9 >250K- <500K $ 1,300.00 No Change 10 to 19 >250K- <500K $ 1,400.00 No Change > 20 and < 10K $ 751.00 No Change > 20 and > 10K- <100K $ 1,640.00 No Change > 20 and >100K- <250K $ 3,267.00 No Change > 20 and >250K- <500K $ 6,117.00 No Change N/A >500K- <2.5 M $ 15,557.00 No Change N/A ;2.5M - < 10M $ 30,644.00 No Change N/A >10M - doom $ 50,182.00 No Change N/A >100M - < 113 $ 66.907.00 No Change N/A > 1B - < 5B $ 83,635.00 No Change N/A > 513 $148,063.00 No Change All marine terminals and tank farms with secondary $ 42,041.00 No Change containment storing greater than or equal to 10M pounds of Hazardous Materials. All oil refineries and Class 1 off-site hazardous $ 164,941.00 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 Ownwehip- New Owner/ Operator: A Business Plan is required from a new owner/operator from the start of the business activity to December 31 st. 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 ontinuance 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. Resolution: 2003/177 r For businesses that discontinue doing business during a calendar year, the AB2185 fee will be pro-rated based on the prior year's Business Pian 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 pians 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. UN-Staffed Remote Facility Current Fees Recommended Fees 1. Exemption Processing Fee $ 130.00 No Change 2. Initial Notification or Inventory Change Processing Fee $ 130.00 No Change Accidental Repave Preven#lon Pragram (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-TBS x $200 )TRFj 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. (1 s) Resolution: 2003\177 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. 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. 5. Non-Profit Organizations: 1f 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. 6. Pro-Rata Refunds: The fiscal year begins on July 1't. 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. 7. 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. 8. 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 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. FPA. 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 (17) Resolution: 2003\177 Industrial Safety Ordinance Fee The fee schedule will be determined by the formula listed below: Fee = 113 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 Fees $ 130.00 par 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. Under-ground Storage Tank Program D.oscrlptlon Current Fees Recommended Fees Underground Storage Tank Annual Permit: Single tank of 1,040 gallons or less used solely in $ 262.00 $ 322.00 Connection with the occupancy of a residence First tank of 54,000 gallons or less (a) No Change Basic fee for tank of 50,000 gallons or less $ 446.00 $ 548.00 Each tank of 50,000 gallons or more $ 775.00 $ 953.00 (a) In addition to the basic fee, a surcharge of$200.00 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 $ 696.00 $ 856.00 Each additional Tank $ 141.00 $ 173.00 Unftrground Storage Tank Removal. 'temporary Closure or Abandonment' Single tank of 1,000 gallons or less, located at a 186.00 $ 229.00 Residence and used solely in connection with the occupancy of that residence. First Tank at a Site $ 432.00 $ 531.00 Each Additional Tank $ 186.00 $ 229.00 Pro-Ryta Fee Resolution: 2003/177 J r For Underground Storage Tank installations during the permit period of July 1 st through the following June 30th, the Annual Permit Fee shall be prorated for the number of months the tank was installed during the permit period. Inspection and Plan Review for Piping Replacement or Modification: Plan review and inspection of pipe replacement $ 510.00 $ 627.00 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 $ 92.00 $ 113.00 Underaround Tank Mo�,lificatign, Repair or Lining Permit: Includes review and inspection not exceeding four $ 408.00 $ 502.00 hours of staff time For each additional hour or fraction thereof of $ 130.00 No Change staff time. Description Current Fees Recommended Pees Contaminated Site Fee: Each hour or fraction thereof of service delivered $ 130.00 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 pr Time Use: Each hour or fraction thereof, of staff time, Monday $ 130.00 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 for 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 130.00 No Change through Friday between 8:00 a.m. and 5:00 p.m., (19) Resolution: 20031177 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: Penally 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 $ 130.00 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. Description Current Foes Recommended Fess Hourly rate for service time after 5:00 p.m. until $ 158,00 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 Reporting form provided by Hazardous Materials Programs Division. Hazardous Waste, Genorated: I) Less than 5 tons $ 131.00 $ 151,00 2) 5 or more tons, but less than 25 tons $ 249.00 $ 287.00 3) 25 or more tons, but less than 50 tons $ 2,000.00 $ 2,305.00 4) 50 or more tons, but less than 250 tons $ 4,997.00 $ 5,760.00 5) 250 or more tons, but less than 500 tons $24,990.00 $ 28,806.00 6) 500 or more tons, but less than 1000 tons $49,980.00 $ 57,613.00 7) 1000 or more tons, but less than 2000 tons $74,970.00 $ 86,419.00 8) 2000 or more tons $99,960.00 $116,963.00 "Late filing of Hazardous Waste Generator reporting forms beyond a 30 day notice of violation will be assessed a 50% late filing fee." Onsito Treatment Foes: Permit By Rule (Fixed Units) $ 1,363.00 per Nciiity No Change Conditional Authorization $ 1,363.00 per facility No Change Conditional Exemption and Commercial Laundry $ 50.00 per year No Change Conditional Exemption—Limited $ 50.00 per year No Change (20) Resolution: 2003/177 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. Q112 QE CERTIFW.12 Ut NIFI9 ,2HO , M (0 261 1 F 55099= Emergency Medical :services Agency Description Current Peers Recommended Pees Emergency Medical Technician (EMT1) Initial Certification ! Re-Certification* $ 30.00 No Change Replacement Card $ 10.00 No Change Paramedic Accreditation 1 Re-Accreditation* $ 50.00 No Change (lie-accrediation applies only if initial Accreditation lapses) Mobile Intensive Care Nurso tMICNI Authorization f Re-Authorization* $ 50.00 No Change EMS Co!Mtlnying Education Provider ** 4 year $ 100.00 No Change Non - Brrneri{encv Ambuignce Service Permit 3 year county—wide $1,500.00 No Change Emergency t Ambulanc2 Service Permit For. Each Emergency Response Area (3—year) $1,500.00 No Change EMS Aircraft Classification $ 250.00 No Change EMS Aircraf ,Authoriz inion 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 I 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. (21) Resolution: 2003\177 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 twelvemonth period, except those Fees set by Federal 1 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 the Center for Medi-Care and Medi-Caid Services 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 ensure customary 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. I hereby certify that this is a true and correct copy of an action taken and entered on the minut s of the Board of Supervisors on the date shown. Attested n1 3 John Sweeten Clerk of the Board of Supervisors and County Administrator ell ' BY Deputy Original: County Administrator cc: Health Services Director Health Services Administration Health Services Controller County Counsel County Auditor Contact: Patrick Godley, CFC}(370-5005) (22) Resolution: 2003/177