HomeMy WebLinkAboutRESOLUTIONS - 01012004 - 2004-233 THE BOARD OF SUPERVISORS
OF CONTRA COSTA COUNTY CALIFORNIA
Adopted this Order on: By the following Vote:
AYES: s[7L'ERV ams GZOTA, unm A, a G, Descugm and Gwen
NOES: MM
ABSENT: Nm
ABSTAIN: NM Resolution No. 20041233
SUBJECT: Amend the Itemized Professional and Service Rates for Contra Costa
County Health Services effective July 1, 2004.
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 2003/177 dated May 13, 2003.
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 July 1, 2004 are established as follows:
Reason for proposed rate chances:
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 expectedM-Cal schedule of
allowance increases to ensure charges remain higher than Medi-Cal payment rates.
4. Contra Costa Health Plan: No Changes Proposed
5. Public Health: Minor amendments to reflect fee changes for Immunizations, Nutrition
Counseling, and Vital Statistic record fees.
6. Environmental Health: Minor changes to reflect new fees for food stands and Alternative
Waste System initial plan review; and increase selected fees for waste system and water well
review/ evaluations.
7. Hazardous Materials Programs: No changes Proposed.
8. Emergency Medical Services: No Changes Proposed.
RESO=ON NO. 2004/233
Resolution: 2004/233
Hospital Impatient
Service Current Daily Rate For Recommended Daily Rate for
Routine Room and Board Routine Room and Board
Pediatrics $ 1,850.00 $ 2,100.00
Medical Ward $ 1,700.00 $ 1,900.00
Transitional Care Unit $ 1,700.00 $ 1,900.00
Nursery Bassinet $ 1,200.00 $ 1,300.00
Intensive Care $ 4,850.00 $ 5,300.00
Psychiatric Unit $ 1,550.00 $ 1,700.00
Service Total Unit Rate Total Unit Rate
Fixed all inclusive
Obstetrics $ 6,500.00 $ 7,200.00
Routine Delivery with Tubal Legations $ 9,000.00 $ 10,000.00
Prior or Primary C-Section $ 14,500.00 $ 16,000.00
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 Billing Unit Current Rate Recommended Rate
Anesthesiology Vt Hour $ 859.00 $ 945.00
Anesthesiology Each Add115 min. $ 212.00 $ 233.00
Pharmacy Cost Plus % 120%Avg wholesale Price No Change
Plus Administration Fee
Central Supply Cost Plus % Cost Pius 400% No Change
Radiology Relative Value Units $ 91.00 $ 104.00
EKG Relative Value Units $ 26.00 $ 29.00
Laboratory(Hose&PH Lab) Relative Value Units $ 6.00 $ 7.00
Rehab. Therapy
OT/ PT 30 minute intervals $ 293.00 $ ' 322.00
Speech 30 minute intervals $ 293.00 $ 322.00
Cardiopulmonary Relative Value Units $ 28.00 $ 31.00
Delivery Room 15 minute intervals $ 212.00 $ 233.00
Surgery Recovery Room 1st Hour $ 859.00 $ 945.00
Operating Room 1 st Hour $ 1,728.00 $ 1,901.00
Operating Room Each Add'l 30 minutes $ 750.00 $ 825.00
Cast Room Unit $ 317.00 $ 349.00
(2)
Resolution: 2004\233
Professional Component Charges Per Medicare R.B.R.V.S. Amounts
Department Current Rate Recommended Rate
Medicine R.B.R.V.S. (a) Pius 30% No Change
Surgery R.B.R.V.S. Plus 30% No Change
Radiology R.B.R.V.S. Pius 30% No Change
Anesthesiology R.B.R.V.S. Pius 30% No Change
(a)Resource based relative value system
Outside Services And Supplies
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 meet Room Rate
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 $162.00 $55.00 $217.00 No Change
Established
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
Specilalt /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
New Patient Professional Use of Treat- Combined Professional Use of Treat- Combined
Component ment Room Rate Component ment Room Rate
Established
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: 2004\233
Emergency Room Visits
Brief $ 38.00 $ 65.00 $103.00 No Change
Limited $ 50.00 $ 95.00 $145.00 No Change
Expended $ 81.00 $145.00 $225.00 No Change
Detailed $106.00 $190.00 $296.00 No Change
Camp Admit HS&PX $144.00 $235.00 $379.00 No Change
Unit of Service Current Rate Recommended Rate
Dental Per Medi-Cal Fee Schedule Current Medi-Cal fee+6% No Change
Photoco wing
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 $ 19.20
Postage Actual Charge
Cafeteria
Average Charge $ 4.50 No Change
Mental Health Pro ram Services
Rehabilitation Caption Rates
Mental Health Services One Minute $ 2.76 $ 2.90
Case Management One Minute $ 2.14 $ 2.25
Medication Support One Minute $ 5.13 $ 5.87
Crisis Intervention One Minute $ 4.13 $ 4.34
Crisis Stabilization 1 Hour Increment $ 100.54 $ 105.57
Day Care, Intensive Full Day $ 215.27 $ 226.03
Day Care, Intensive Half Day $ 153.28 $ 160.94
Day Care, Habilitative Full Day $ 139.57 $ 146.55
Day Care Habilitative Half Day $ 89.43 $ 93.90
Adult Residential Patient Day $ 157.97 $ 165.87
Crisis Residential Patient Day $ 323.87 $ 340.07
Alcohol and other Drugs Services
Residential Treatment
Unit of Service Current Rate Recommended Rate
Alcohol/Drug Detox Day $ 65.00 $ 75.00
Alcohol/Drug Residential TX Day $ 65.00 $ 75.00
Perinatal Residential TX Day $ 120.00 No Change
Youth/Alcohol/Drug Residential TX Day $ 250.00 No Change
Clay Treatment
Perinatal Day Treatment Visit $ 80.00 No Change
IndividualIntake/Assessment Visit $ 70.00 $ 75.00
Individual Counseling Visit $ 70.00 $ 75.00
Collateral Service Visit $ 70.00 $ 75.00
Group Counseling Visit $ 36.00 No Change
Acupuncture Treatment Visit $ 70.00 No Change
Medical Assessment/Physical Exam Visit $ 100.00 No Change
(4)
Resolution: 2004/233
Perinatal Services
Individual Counseling Visit $ 110.00 No Change
Perinatal Group Counseling Visit $ 50.00 $ 55.00
PC 1000 Drug Diversion Program Dowd Rates
Level I Person $ 500.00 No Change
Level 11 Person $ 800.00 No Change
Driving Under The Influence Program
1st Offender(Level 1) Person $ 507.00 No Change
1st Offender (Level II) 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 $ 9.39 $ 9.58
Dose — LAAM Dose $ 22.33 $ 22.61
Dose— Perinatal Dose $ 10.75 No Change
Individual Counseling-AOD 10 Minutes $ 13.62 $ 14.05
Individual Counseling-LAAM 10 Minutes $ 13.62 $ 14.05
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 $ 5.91
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 $ 238.50 No Change
PremiumCosts 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 I% cumulative per month.
(5)
Resolution: 2004\233
Public Health
Service Unit Of Service Current Rates Recommend Rate
Immunization
[Fees Walvable for Required Childhood Immunization if unable to Pav)
Typhoid (Ages 2 & Over) Per Dose (Injection) $ 50.00 No Change
Typhoid ( Ages 6 & Over) Per Dose package(oral) $ 50.00 No Change
Yellow Fever Per Dose $ 75.00 No Change
Meningococcal Per Dose $ 75.00 No Change
Immune Globulin Per Dose $ 35.00 No Change
Rabies Vaccine (Human) Per Dose New $ 135.00
Tetanus Per Dose New $ 15.00
Childhood Immunizations
Birth to 18 years Per Dose(not to exceed$20.00 per family) $ 10.00 $ 20.00
Chickenpox (12 months and over; 2 doses required)
12 months -18 years Per Dose(not to exceed$20.00 per family) $ 10.00 $ 20.00
19 years & over Per Dose (2 doses) $ 60.00 $ 70.00
Measles. Mumps and Rubella Vaccine
12 months and Over 1 st shot Per dose(not to exceed$20.00 per family) $ 10.00 $ 20.00
2nd Shot Per dose Over 1$years, $ 35.00 No Change
unless enrolled 1st year college or
equivalent,or out break where State recommends.
Flu Vaccination
6 months and over Per Dose $ 5.00 No Change
Pneumococcal 23 Valent Vaccination
2 years and over Per Dose $ 15.00 No Change
Hepatitis A
2 - 18 years Per Dose(not to exceed$20.00 per Family) $ 10.00 $ 20.00
19 years & older Per Dose $ 60.00 No Change
Hepatitis B
Birth to 18 years Per Dose(not to exceed$20.00 per Family) $ 10.00 $ 20.00
19 years & over Per Dose $ 60.00 No Change
Post Blood Titers Per Test $ 50.00 No Change
Tuberculin PPD Test Per Test $ 10.00 No Change
(Nutrition Services Per Hour $ 60.00 No Change
Occupational_Health Per Exam Cost + 10% No Change
Public Health Laboratory
Lab Tests Per Test Cost + 10% No Change
Rabies Test (animal) Per Test $ 80.00 No Change
(6)
Resolution: 2004\233
Health Education Each Cost + 10% No Change
Material (videos, pamphlets) Each $ 8.00 No Change
Vital Stats Certified 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
Permit For Dis=position 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
General Program Section--Service Fees & Penaities
Current Rates Recommended Rate
Application Fee (Nora-refundable) $ 35.00 No Change
Violation Re-Inspection Fee $ 123.00 per hour No Change
Special Services Fee at Hourly Rate With Minimum.
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
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 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.
(7)
Resolution: 2004\233
Consumer Protection / Retail Food Program
Consumer Protection / Retail food fees are applicable to the Environmental Health permit year
beginning July 1, 2004.
Environmental Health Permit Fes:
Category Units Cavity Current Fes Recommended Fee
Restaurants Seats 0 - 25 $ 406.00 No Change
Restaurants Seats 26 - 49 $ 520.00 No Change
Restaurants Seats 50-149 $ 617.00 No Change
Restaurants Seats 150 + $ 702.00 No Change
(NOTE: Restaurants with drive-up window (base seating + $57)
Drive Through Only/ Restaurant to go only $ 407.00 No Change
Vending Machines Machines 1 - 4 $ 123.00 No Change
Each Machine Over 4 4 + $ 21.00 No Change
Tavern/Cocktail Lounge Bar $ 427.00 No Change
Snack Bar $ 427.00 No Change
Commissary $ 561.00 No Change
Cart Commissary $ 249.00 No Change
Catering $ 561.00 No Change
Multi-Event Facility (up to 15 Hours) Hours $ 123.00 per hour No Change
Special Events Per Food Booth $ 78.00 No Change
Retail Food MarketsSquare Foot <2,000 $ 379.00 No Change
Retail Food Markets Square Foot 2,001 -4,000 $ 436.00 No Change
Retail Food Markets Square Foot 4,001 -6,000 $ 617.00 No Change
Retail Food Markets Square Foot >6,000 $ 702.00 No Change
Incidental Retail Food Mkts $ 163.00 No Change
Certified Farmer's Market (CFM) with Food Vendors:
Category Units Capacity Current Fees Recommended Fee
Certified Farmer's Food Mkts (CFM)Booths 1 - 25 $ 224.00 No Change
Certified Farmer's Food Mkts (CFM)Booths 26 - 45 $ 335.00 No Change
Certified Farmer's Food Mkts (CFM)Booths 46 + $ 447.00 No Change
Non Auricuitural
Food Vendor Booths 1 - 5 CFM Fee + $ 164.00 No Change
Food Vendor Booths 6 -10 CFM Fee + $ 224.00 No Change
Food Vendor Booths 11 + CFM Fee + $ 335.00 No Change
Wiping Rags Business $ 210.00 No Change
Roadside Stands $ 210.00 No Change
Food Salvager $ 590.00 No Change
Food Processing Establish Square Foot <2,000 $ 379.00 No Change
Food Processing Establish Square Foot 2,001 -4,000 $ 436.00 No Change
Food Processing Establish Square Foot 4,001 - 6,000 $ 617.00 No Change
Food Processing Establish Square Foot >6,000 $ 702.00 No Change
Food Demonstrator $ 197.00 No Change
Retailer Food Vehicle (Delivery&Peddlers) $ 225.00 No Change
Mobile Food Prep Units $ 421.00 No Change
Retailer Food Vehicles(including catering trucks) $ 225.00 No Change
Vehicle Commissary(Fee Exempt) New No Fee
Ice Cream Push Carts 1 - 4 $ 65.00 each No Change
Ice Cream Push Carts 5 - 10 $ 60.00 each No Change
Ice Cream Push Carts > 10 $ 55.00 each No Change
Bakery Square Foot <2,000 $ 379.00 No Change
Bakery Square Foot 2,001 -4,000 $ 436.00 No Change
(8)
Resolution: 2004/233
Category Units Capacity Current Pees Recommended Pee
Bakery Square Foot 4,001 - 6,000 $ 617.00 No Change
Bakery Square Foot >6,000 $ 702.00 No Change
Wholesale Food Square Foot <2,000 $ 379.00 No Change
Wholesale Food Square Foot 2,001 -4,000 $ 436.00 No Change
Wholesale Food Square Foot 4,001 -6,000 $ 617.00 No Change
Wholesale Food Square Foot >6,000 $ 702.00 No Change
Ilce Plant $ 162.00 No Change
Swap MeeYFlea Market Pre-packaged Food Stand<20,000 sq ft New $ 1,000.00
Swap Meet/Flea Market Pre-packaged Food Stand>20,000 sq ft New $ 2,000.00
Recreational Health.-
Recreational
ealth:Recreational Water Park One System $ 842.00 No Change
Each Additional System $ 421.00 No Change
Pool-Apartment,Motel,Hotel Multi-Use $ 487.00 No Change
Each Additional Pool $ 140.00 No Change
Spa Apartment,Motel,Hotel Multi--Use $ 421.00 No Change
Each Additional Spa $ 140.00 No Change
Pee Exempt Activities {Permit l=ees Only):
Food Facilities / Public Schools No Fee No Change
Municipal/Non profit
Fools ! Public Schools No Fee No Change
Spas ( Public Schools No Fee No Change
Small Water System Permits.-
Non-Community,
ermits:Non-Community,surface water system $ 340.00 No Change
Non-Community,Non-transient ground water system $ 433.00 No Change
Non-Community,Non-transient ground water system,with treatment $ 433.00 No Change
Non-Community,non-transient surface water system $ 433.00 No Change
Non-Community,transient $ 340.00 No Change
Community ground water system (15- 24 connections) $ 433.00 No Change
Community ground water system with treatment (15- 24 connections) $ 433.00 No Change
Community ground water system (25- 99 connections) $ 455.00 No Change
Community ground water system with treatment (25- 99 connections) $ 455.00 No Change
Community surface water system (25- 99 connections) $ 455.00 No Change
Community ground water system (100-199 connections) $ 568.00 No Change
Community ground water system with treatment (100-199 connections) $ 568.00 No Change
Community surface water system (100-199 connections) $ 568.00 No Change
Local small water system $ 146.00 No Change
State small water system $ 249.00 No Change
Non-Community ground water system with food preparation $ 340.00 No Change
Non-Community ground water system with treatment $ 340.00 No Change
Non-Community ground water system,prepackaged food only $ 0.00 No Change
Public Water.System--Plans Review:.
New Community water system $ 541.00 No Change
New Non-Community water system $ 324.00 No Change
Amended permit because of ownership change $ 163.00 No Change
Amended permit because of system change $ 271.00 No Change
Enforcement actions pertaining specifically to small water systems $ 123.00 per hour No Change
(9)
Resolution: 20041233
........
_.
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 Wash Programs
Category Unites Capa Current Pees Recommended Fee
Local Enforcement Agency Program:
Solid Waste Tonnage Fee $ 1.20 /ton No Change
Category Units capaclty Current Fees Recommended Fee
Solid Waste Facility Fees.-
Closed,
ees:+dosed. 111enal and Abandoned 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
Blo-Solid 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.
Blo-Solid Facility Application and Review 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 (see 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
(10)
Resolution: 2004\233
Medical Waste:
Pian 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/DentaVVeterinary Clinic (>200 lbs./month) $ 387.00 No Change
Medical/Dental/Veterinary Clinic (<200 lbs./month) $ 48.00 No Change
CateporY Units Caps1c tv Current Fees Recommended Fee
Med/Dentai/Veterinary 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 ( 1 - 99 beds) $ 850.00 No Change
Skilled Nursing Facility (>200 lbs./month) $ 387.00 No Change
Skilled Nursing Facility (<200 lbs./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
Cateuoorr5 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) $ 194.00 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
Tattooina, Body Piercina and Permanent Cosmetics
Facility Annual Fee $ 200.00 No Change
Body Art Registration Fee $ 25.00 No Change
Land Use Programs
Penalties: Penalties will be imposed for delinquent payments as provided lin County Ordinance
No. 93-58, Article 413-3.1206.
Ordinance Cade of Contra Costa County Section 420-6.707
(11)
Resolution: 2004/233
Enforcement-- Penalties: Any person violating this chapter or regulationsissued 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 levy 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. 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 Systems:
Preliminary Investigation
Site evaluation (two hour minimum charge) $ 271.00 $ 306.00
Percolation test-contractor with staff review $ 447.00 $ 306.00
Percolation test— staff performed $ 880.00 No Change
Soil profile evaluation $ 271.00 $ 306.00
Description Current Fees Recommended Fees
Standard/Conventional Systems
Construction Permit (includes 1 hr. Plan Review) $ 492.00 $ 541.00
Additional Plan Review $ 123.00 per hour No Change
Re-inspection/Cancellation/Rescheduling
(Without confirmed notice) $ 123.00 per hour No Change
Alternative Systems
Initial Plan Review New $ 281.00
Construction Permit $ 771.00 No Change
Additional Plan Review $ 123.00 per hour No Change
Re-inspection/Cancellation/Rescheduling $ 123.00 per hour No Change
Annual Operation Permit $ 240.00 No Change
Related Septic System Activities
Plan Review Building additions $ 123.00 per hour $ 281.00
Septic System Abandonment Permit
(Includes 1.5 hour staff time) $ 242.00 No Change
Minor Repair Permit (includes 1 hr. staff time) $ 174.00 No Change
Wells and Soil Barings:
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.
(12)
Resolution: 2004/233
A soil boring is an encased 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 definitionincludes environmental
and geotechnical borings, dewatering wells, test holes, test wells and exploration holes.
Individual Wells and Soil Borings
Permit for construction and /or reconstruction for $ 358.00 No Change
individual wells, including monitoring wells.
Site evaluation (Minimum 1 hr charge) $ 123.00 per hour $ 158.00
Permit for soil borings (Per parcel) $ 320.00 No Change
Review of an existing water well (1 hr minimum) $ 123.00 per hour $ 158.00
Inspection permit for abandoning and sealing of
well (Fee includes 1 hr of staff time) $ 220.00 No Change
Inspection permit for abandoning and sealing of well
when done at same inspection of replacement well. No Fee No Change
Subdivisions — Land Uses Projects
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
Current Fees Recommended Fees
Liquid Waste Disposal Permits:
Sewage Pumper Company $ 413.00 No Change
Sewage Pumper Vehicle $ 135.00 No Change
Portable Toilet Pumper Vehicle $ 135.00 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 $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
(13)
Resolution: 2004/233
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
CerEifled Unified Program (CUPA) Fee Schedulle:
The setting of fees authorized by California Code of Regulations (CCR), Title 27, section 15210
and Health & Safety Code 25404.55.
Hazardous Material A82185 Prouram
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"f 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).
Hazardous Material Inventory Fee: Malendar'Year 2003)
Number Of Employees LBS. 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 > 1K - < 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
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 - <100M $ 50,182.00 No Change
NIA >100M - < 1B $ 66,907.00 No Change
N/A > 113 - < 5B $ 83,635.00 No Change
N/A > 5B $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
(14)
Resolution: 2004\233
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 31*gt. 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.
UN-Staffed Remote Facili#y
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 Release Prevention Program jARPP
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
{15}
Resolution: 2004/233
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 submittalof 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. 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. 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.
6. 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.
7. 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. 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
(16)
Resolution: 20041233
.....
_..
Program Relative Risk Determination Methodology, attached hereto as Exhibit A and
incorporated herein by this reference.
3. Definitions: The terms used in this resolution shall have the meanings ascribed to them in
the Health and Safety Code Chapter 6.55 §25404.5.
4. Authority: This resolution and the imposition of fees hereunder aro 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
regulatedby Chapter 450-8 of the county Ordinance Code.
OMB = Costs of the Ombudsperson Position.
*Incident Investigation Fee Current Fees Recommended Fees
$ 130.00 per hour No Change
*(Charged to a regulated source when an incident is investigated by the Contra Costa Health
Services Department).
Underground Storage Tank Program
Description Current Fees Recommended Fees
Underground Storage Tank Annual Permit:
Single tank of 1,000 gallons or less used solely in $ 322.00 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 $ 548.00
Each tank of 50,000 gallons or more $ 953.00 No Change
(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 $ 856.00 No Change
Each additional Tank $ 173.00 No Change
Underground Storage Tank Removal, Temp_erary Closure or Abandonment:
Single tank of 1,000 gallons or less, located at a $ 229.00 No Change
Residence and used solely in connection with the
occupancy of that residence.
First Tank at a Site $ 531.00 No Change
Each Additional Tank $ 229.00 No Change
Resolution: 2004\233
Description Current Fees Recommended Fees
Pro-Rata Fee
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 Modificatlon:
Plan review and inspection of pipe replacement $ 627.00 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 $ 113.00 No Change
Underground Tank Modification, Repair or UnIna Permit:
Includes review and inspection not exceeding four $ 502.00 per tank No Change
hours of staff time
For each additional hour or fraction thereof of $ 130.00 No Change
staff time.
Contaminated Site fare:
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 or Time Use.-
Each
lse: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 /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.
(18)
Resolution: 2004/233
Description Current Fees Recommended Fees
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.,
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:
Penalty
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.
Hourly rate for service time after 5:00 p.m. until $ 158.00 No Change
8:00 a.m. and Saturday, Sunday and County Holidays.
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 Wastes Generated:
1) Less than 5 tons $ 151.00 No Change
2) 5 or more tons, but less than 25 tons $ , 287.00 No Change
3) 25 or more tons, but less than 50 tons $ 2,305.00 No Change
4) 50 or more tons, but less than 250 tons $ 5,750.00 ;No Change
5) 250 or more tons, but less than 500 tons $ 28,806.00 No Change
6) 500 or more tons, but less than 1000 tons $ 57,613.00 No Change
7) 1000 or more tons, but less than 2000 tons $ 86,419.00 No Change
8) 2000 or more tons $116,953.00 No Change
"Late filing of Hazardous Waste Generator reporting forms beyond a 30 day notice of violation will
be assessed a 50% late fining fee."
Onsite Troatment Fees:
Permit 6y Rule (Fixed Units) $ 1,363.00 per faciiity 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
(19)
Resolution: 20041233
......... ...._. ._. _..
. ..... ....... ........ .... ...
........ ........ ... ...-_...__....._..
Description Current Fees Recommended Fees
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.
EI ID OE C RTIBED UNBEEI PROGRAM ICUPAI FEE SQUE ULE
Emergency Medical Services Agency
Emergency Medical Technician (EMT1)
Initial Certification / Re-Certification* $ 30.00 No Change
Replacement Card $ 10.00 No Change
Paramedic
Accreditation / Re-Accreditation* $ 50.00 No Change
(Re-accrediation applies only if initial Accreditation lapses)
EMS Continuing Education Provider **
4 year $ 100.00 No Change
Non - Emergency Ambulance Service Permit
3 year county--wide $1,500.00 No Change
Emergency/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 $1,800.00 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 courses at no charge
to participants, or for providers offering courses 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.
(20)
Resolution: 2004\233
Fee Amendments: The Health Services Director or his designee my increase or decrease as
needed, any speck fee by not more than 10% during the next twelve-month period, except these
Fees set by Federal l 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 minutes of the Board of Supervisors on the date shown.
Attested 'fiMb A VIVA
John Sweeten Clerk of the Board of Supervisors and County Administrator
BY— r�/ ff Deputy
Original: County Administrator
cc: Health Services Director
Health Services Administration
Health Services Controller
County Counsel
County Auditor
Contact: Patrick Godley, CFO (370-5005)
(29)
Resolution: 20041233