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Home My WebLink AboutMINUTES - 05231995 - H2 (a THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on May 23 , 1995 by the following vote: AYES: Supervisors Rogers , DeSaulnier, Torlakson and Bishop NOES: None ABSENT: None ABSTAIN: Supervisor Smith RESOLUTION NO. 95/232 SUBJECT: Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Effective July 1, 1995. The Health Services Department has submitted a recommendation to amend the schedule of itemized service rate charges and fees and restate unchanged rates for County Health Services adopted by Board Resolution Number 94/360 dated July 12, 1994. The County Administrator has reviewed and recommended adoption of this proposed amendment. These recommendations have been considered by the Board and IT IS BY THE BOARD. RESOLVED that an amended and restated schedule of itemized rate charges for the Health Services Department effective July 1, 1995 is established as follows: HOSPITAL INPATIENT Daily Rate for Routine Service Room and Board Pediatrics $ 750 Medical Ward $ 700 Nursery Bassinet $ 497 Intensive Care $2,044 Total Unit Rate Obstetrics Fixed all inclusive @ Routine delivery $4,267 J Routine delivery with tubal ligation $5,904 Prior or primary C-Section $9,632 @ Services included: 1. Medical/Social intake and orientation with Medical Social Worker. 2. Choice of Family Practice Physician a. all required lab work b. all required lab tests 3. Nutrition Class 4. Early Pregnancy Class 5. Labor and Delivery Care, including C-Section 6. Back-up consultation services for complications of pregnancy, labor and delivery (does not include transfer and care at high risk facility if necessary for mother or baby). 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. 95/232 ANCILLARY SERVICES Department Billing Unit Charge Anesthesiology 1st Hour $375.00 Each Add'I 15 Minutes $150.00 Pharmacy Cost Plus % Avg. Wholesale Price + Admin Fee Central Supply Cost Plus % Cost plus 400% Radiology Relative Value Units $ 40.50 EKG Relative Value Units $ 11.16 Laboratory (Hosp & P.H. Lab) Relative Value Units $ 2.42 Rehab. Therapy OT/PT 30-Minute Intervals $131.00 Speech 30-Minute Intervals $131.00 Cardiopulmonary Relative Value Units $ 11.50 Delivery Room 15-Minute Intervals $ 98.00 Surgery Recovery Room 1st Hour $350.00 Each Add'I 15 Minutes $100.00 Operating Room 1st Hour $750.00 Each Add'I 30 Minutes $300.00 Cash Room Unit $150.00 PROFESSIONAL COMPONENT CHARGES PER RELATIVE VALUE UNIT BASED UPON THE CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE STUDIES Charge Medicine $ 7.20 Surgery $175.90 Radiology $ 10.00 Anesthesiology $ 38.30 OUTSIDE SERVICES AND SUPPLIES Charge Nuclear Medicine Cost Plus 35% EEG Cost Plus 35% Blood Bank Cost Plus 35% Prosthesis Cost Plus 35% Laboratory Cost Plus CHS (CHS: Collection and Handling of Specimens) CHARGE Professional Use of Outpatient Visits Component Treatment Room Total New Patient Brief $ 37.00 $55.00 $ 92.00 Expanded $ 48.00 $55.00 $103.00 Detailed $ 65.00 $55.00 $120.00 Comprehensive 1 $ 84.00 $55.00 $139.00 Comprehensive II $109.00 $55.00 $164.00 2 95/232 AMBULATORY CLINIC RATES (cont.) CHARGE Professional Use of Outpatient Visits Component Treatment Room Total Established Minimal $16.00 $55.00 $ 71.00 Brief $22.00 $55.00 $ 77.00 Expanded $33.00 $55.00 $ 88.00 Detailed $42.00 $55.00 $ 97.00 Comprehensive 1 $63.00 $55.00 $118.00 Comprehensive II $81.00 $55.00 $136.00 Dental Care Per Fee Schedule Emergency Room Visits Brief $ 38.00 $ 60.00 $ 98.00 Limited $ 50.00 $ 85.00 $135.00 Expanded $ 81.00 $130.00 $211.00 Detailed $106.00 $175.00 $281.00 Comp Admit HX & PX $144.00 $215.00 $359.00 Unit of Photocopying Service Charge Copy-Subpoena Req. Per Page $ .10 * Copy-All Other Papers Per Page $ .25 Microfilm Per Page $ .25 Staff Time Per Hour $16.00 Postage Actual Charge Cafeteria Avg. Charge $ 4.50 REGENCY HILLS CONVALESCENT HOSPITAL Unit of Service Charge Daily Room Rate Per Day $193.00 ANCILLARY SERVICES Department Charge Pharmacy Cost Plus 300% * Supplies Cost Plus 300% * Laboratory Cost Plus 300% * X-Ray Cost Plus 300% * Physical Therapy Cost Plus 300% * Occupational Therapy Cost Plus 300% * Speech Therapy Cost Plus 300% * Oxygen Cost Plus 300% * 'Rate Change 3 95/232 / MENTAL HEALTH PROGRAM SERVICES Unit of Service Charge Dail/ Room Rate Per Day $805.00 * (Includes Professional Component) Rehab Option Rates Mental Health Services One Minute $ 2.10 * Case Management One Minute $ 1.61 * Medication Support One Minute $ 3.91 * Crisis Intervention One Minute $ 3.16 * Crisis Stabilization One Hour Increment $ 75.00 * Day Care, Intensive Full Day $164.00 * Day Care, Intensive Half Day $117.00 * Day Care, Habilitative Full Day $106.00 * Day Care, Habilitative Half Day $ 68.00 * Adult Residential Patient Day $119.00 * Crisis Residential Patient Day $243.00 * Medical Detoxification Services (21-Day Proced.). New Patient (1st 7 Days) Visit $16.50 New Patient (Days 8-12) Visit $10.50 Readmitted Patient (Days 1-12) Visit $10.50 Physician Re-examination Visit $20.00 DRUG ABUSE PROGRAM SERVICES Unit of Service Charge Residential Treatment Admission Fee Person $ 35.00 Residential Treatment Month $2,400.00 Drug Free Outpatient Clinic Treatment Individual Intake/Assessment Visit $165.00 Individual Counseling Visit $108.00 * Collateral Service Visit $108.00 * Group Counseling Visit $ 42.00 Acupuncture Treatment Visit $108.00 * Medical Assessment/ Physical Exam Visit $108.00 * Outpatient Drug Free (Composite State Charge) Visit $108.00 * Maintenance Visit $ 10.00 •Rate Change 4 95/232 DRUG ABUSE PROGRAM SERVICES (cont.) Unit of Service Charae PC 1000 Drug Diversion Program Board Rates Assessment Person $ up0.00 * Level I Person $ 310.00 * Level II Person $ 510.00 * Level III Person $ 860.00 * Level IV Person $1,220.00 * ALCOHOL PROGRAM SERVICES Unit of Service Charae Alcohol Information for Referral Service (AIRS Individual Intake/Assessment Visit $165.00 Individual Counseling Visit $108.00 * Collateral Service Visit $108.00 * Group Counseling Visit $ 42.00 Medical Assessment/ Physical Exam Visit $108.00 * Outpatient Drug Free (Composite State Rate) Visit $108.00 * Driving Under the Influence Program 1 st Offender (Level 1) Person $ 404.00 1 st Offender (Level 11) Person $ 593.00 2nd Offender Person $1,434.00 HOME HEALTH AGENCY Unit of Service Service Charge Skilled Nursing Visit $147.00 Physical Therapy Visit $141.00 Speech Pathology Visit $146.00 Occupational Therapy Visit $140.00 Medical Social Service Visit $203.00 Home Health Aides Hour $ 79.00 *Rate Change 5 95/232 HEALTH PLAN Unit of Service Charge Medicare Premium Senior Health Basic individual $41.00 Senior Health Individual $55.00 Senior Health Plus 40 Individual $88.00 Senior Health Plus 50 Individual $93.00 Commercial Group and Individual Premium Monthly Revenue Monthly Premium $105.98 Requirement for Health Care Costs RATE AMENDMENTS; Authorize the Health Services Director or his designee to establish specific premium rates for commercial groups and individuals including Senior Health members; use the "community rating by class" rate determination process for large groups; include an additional monthly premium factor for administrative cost loading; increase the revenue requirement as appropriate by an amount not to exceed 1% cumulative per month. PUBLIC HEALTH Charge Description Family Planning Pregnancy Test $14.00 Non Eligible $80.00 New membership - first year Non Eligible $75.00 Annual membership renewal Male visits and supplies $ 9.00 Child Screening $10.00 Children up to 2 years of age over 200% of poverty $15.00 Children between 2 and 12 years of age over 200% of poverty $20.00 12 years of age and older over 200% of poverty Scoliosis Screening $ 1.50 Each (agreement with school district) Immunization Typhoid $10.00 Each Stamping of International Travel Cards $ 5.00 Each Childhood Immunizations $ 5.00 Each person, not to exceed $10.00 per family Measles Vaccine (second $ 5.00 Each under 200% of poverty shot) $26.00 Each over 200% of poverty Immunization Record (duplicate) $ 5.00 Each Flu Immunization $ 5.00 Each Elderly Flu Shot $ 5.00 Requested 6 95/232 PUBLIC HEALTH (cont.) Charge Description Hepatitis B 1-19 yrs. old Cost Each 20 yrs & older Cost plus $15.00 Each Admin. Occupational Risk $155.00 Each series T.B. Skin Testing P.P.D. $10.00 Includes reading but no charge for contacts Venereal Disease $20.00 Clinic attendance for any sexually transmitted disease Nutrition Services $52.00 Per hour consultation fee Occupational Health Svc Cost + 10% Each Lab Tests Quantitative VDRL $ 6.50 Each Qualitative VDRL $ 6.00 Each Saline wet mount $16.00 Each KOH wet mount $16.00 Each Gram stain $16.00 Each Darkfreld $26.00 Each Beta lactamese screen $12.50 Each Screen 1 organism $19.50 Each Chlamydia culture - Iso $18.00 Each Chlamydia - EIA $16.50 Each Chlamydia direct $13.50 Each KOH fungus $16.00 Each Herpes direct $18.50 Each Herpes Iso $28.50 Each Treponema MHA-TP $20.50 Each Hepatitis tests B surface antibody $16.50 Each B core antibody $18.50 Each B surface antigen $18.00 Each A IGM antibody $17.50 Each Anti HBC-IGM $17.00 Each E antigen $18.00 Each E antibody $18.00 Each Routine culture - Other $47.00 Each Anaerobic culture $47.50 Each HIV- EIA $14.00 Each HIV- Confirmatory $30.00 Each Rabies (low risk animal tests on request) $80.00 Each Health Education Material Cost + 10% (i.e., videos, posters, pamphlets, t-shirts, etc.) 95/232 PUBLIC HEALTH (cont.) Charge Vital Statistics (certified copies) Death and Fetal Death $ 9.00 Birth - General Public $16.00 Birth - Government Agency $ 9.00 Permit for Disposition of Human Remains - Regular $ 7.00 -After Hours $ 7.00 - Cross Filing $10.00 ENVIRONMENTAL HEALTH GENERAL PROGRAM SERVICE FEES Application Fee $ 25.00 Violation Reinspection Fee $ 90.00 Special Services Fee at Hourly Rate with Minimum One-Hour Charge: $90.00 Variance Requests Violation Administrative Hearings Field Consultations Non-Routine Site Evaluations Non-Routine Field Inspections and/or Reinspections Special Services Fee at Hourly Rate with Minimum Two-Hour Charge: $180.00 Plan Review Fees for Permit Fee Exempt Facilities Plan Review and Site Evaluation Fees for Community Development Services NOTE: Additional charges will be incurred after the minimum hourly charges have been expended. Services provided after normal work hours will be charged at one and one-half times the above hourly rate. CONSUMER PROTECTION PROGRAM These fees are applicable to the Environmental Health permit year beginning March 1, 1995. Environmental Health Permit Fee: Category Units Ca ci Charge Restaurants Seats 0-25 $328.00 Restaurants Seats 26-49 $418.00 Restaurants Seats 50-149 $497.00 Restaurants Seats 150 + $565.00 Vending Machines Machines 1-4 $ 90.00 of Each add'I machine over 4 4+ $ 17.00 Tavern/Cocktail Lounge Bar $361.00 8 95/232 ENVIRONMENTAL SERVICES (cont.) CONSUMER PROTECTION PROGRAM (cont.) Category Units Ca aci Charge Snack Bar $361.00 Drive-In/Take-Out $452.00 Drive-In/Take-Out & Restaurant Combination $520.00 Commissary $452.00 Catering $452.00 Itinerant Food Facility Special Events Per Food Booth $ 80.00 Retail Food Markets Square Foot < 2,000 $305.00 It " 2,000-4,000 $351.00 " " 4,001-6,000 $497.00 " > 6,000 $565.00 Incidental Retail Food Mkt Square Foot < 50 $ 53.00 " " < 100 $131.00 Certified Farmer's Food Mkts Booths 1-25 $180.00 " of 26-45 $270.00 if of46 + $360.00 Wiping Rags Business $169.00 Roadside Stands $169.00 Food Salvager $475.00 Food Processing Establish. Square Foot < 2,000 $305.00 " it2,000-4,000 $351.00 " 4,001-6,000 $497.00 > 6,000 $565.00 Food Demonstrator $159.00 Retailer Food Vehicle (Del & Ped) $181.00 Mobile Food Prep Units $339.00 Retail Food Vehicles (incl. Cat. Trk) $181.00 Bakery Square Foot < 2,000 $305.00 " " 2,000-4,000 $351.00 " " 4,001-6,000 $497.00 of " > 6,000 $565.00 Wholesale Food Square Foot <2,000 $305.00 to if 2,000-4,000 $351.00 it " 4,001-6,000 $497.00 of " > 6,000 $565.00 Ice Plant $130.00 Septic Tank, Holding Tank, Interceptor or Chemical Toilet Pumping/Cleaning Business $270.00 Septic Tank, Holding Tank, Interceptor or Chemical Toilet Pumping/Cleaning Business Vehicle/ea. $ 90.00 Pool-Apt, Motel, Hotel Multi-Use $339.00 Each Add'I Pool $113.00 Spa-Apt, Motel, Hotel Multi-Use $339.00 Each Add'I Spa $113.00 9 95/232 ENVIRONMENTAL HEALTH (cont.) CONSUMER PROTECTION PROGRAM (cont.) Category Units Capacity_ Charge Local Small Water Systems Connections 2-14 $105.00 Community Water Systems Connections 15-24 $263.00 it 25-99 $420.00 100-199 $525.00 Non-Community Water Systems $315.00 Non-Community, Non-Transient Water Systems $400.00 Fee Exempt Activities: Food Facilities Public Schools/ Municipal/Non-Profit No Fee Pools Public Schools/Municipal Non-Profit No Fee Spas Public Schools/Municipal Non-Profit No Fee Community Water Systems Public Schools/Municipal No Fee Penalties: Penalties will be imposed for delinquent payments. SOLID WASTE PROGRAMS Local Enforcement Agency Program: Solid Waste Tonnage Fee $1.00/ton Solid Waste Facility Permit Application/Review Fee (see note) $900.00 NOTE: Permit application/review fee includes 10 hours of service time; thereafter, additional time is charged at the normal or overtime hourly rate. Household Hazardous Waste Program: Solid Waste Tonnage Fee $2.12/ton Medical Waste: Category Small quantity generator with on-site treatment $135.00 Limited quantity hauler $ 68.00 Common Storage Facilities Serving 2-10 generators $135.00 Serving 11-49 generators $328.00 Serving 50 or more generators $649.00 10 95/232 ENVIRONMENTAL HEALTH (cont.) SOLID WASTE PROGRAMS (cont:) Transfer Station Less than 200 lbs. per month $186.00 200 lbs. or more per month $373.00 Inpatient Facilities & Outpatient Clinics Acute Care Hospitals: 1-99 beds $ 791.00 100-199 beds $1,128.00 200-250 beds $1,315.00 251 or more beds $1,840.00 Specialty Clinics $ 463.00 Skilled Nursing Facilities: 1-99 beds $ 361.00 100-199 beds $ 463.00 200 or more beds $ 523.00 Acute Psychiatric Hospital $ 259.00 Intermediate Care $ 390.00 Primary Care $ 463.00 Clinic Laboratory $ 259.00 Health Care Service Plan Facility $ 463.00 Veterinary Clinic or Hospital $ 259.00 Medical/Dental/Veterinary Office $ 259.00 (200 lbs. or more per month) LAND USE PROGRAM Septic Systems and Sewage Disposal: Site evaluation (one hour minimum charge) $ 90.00/hr Soil profiles (two-hour minimum charge) $ 90.00/hr Percolation test $581.00/test Septic system permit for installation or repair (includes up to 2-1/2 hours inspection/travel time) $ 267.00 Septic tank destruction permit (includes up to one hour inspection/travel time) $ 90.00 Minor piping repair permit (includes up to one hour inspection/travel time) $ 90.00 Misc. consulting, plan review, inspection time, and abatement activities (one hour minimum charge) $ 90.00/hr Appeal (except hearings called pursuant to Section 420-6.026) $ 270.00 Subdivision and Community Development Projects: Subdivision report preparation, 2-4 lots $ 180.00 Subdivision report preparation, 5 or more lots maximum $ 800.00 All Subdivision on both public sewer and water $ 180.00 95/232 ENVIRONMENTAL HEALTH (cont.) LAND USE PROGRAM (cont.) 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, or for cathodic protection. This definition shall not include oil or gas wells or geothermal wells constructed under the jurisdiction of the State Department of Conservation 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, test holes, test wells and exploration holes. Well construction/reconstruction permit (includes up to 2-1/2 hours inspection/travel time) $242.00/well Soil boring construction permit (includes up to 2-1/2 hours inspection/travel time) $242.00/parcel Well destruction permit (includes up to 1 hour of inspection/travel time) $ 90.00/well Misc. consulting, plan review, inspection time, and abatement activities (1 hour minimum) $ 90.00 Appeal (hearing called pursuant to Section 414-4.1019(b)) $270.00 Public Water Systems - Plans Review: New Community Water System $500.00 New Non-Community Water System $300.00 Amended permit because of ownership change $150.00 Amended permit because of system change $250.00 Enforcement actions pertaining specifically to small water systems $ 90.00/hr HAZARDOUS MATERIAL PROGRAM These fees are applicable to the calendar year and are billed to the business in the fourth month following the close of the calendar year. Fee structure for businesses required to submit a "Hazardous Material Business Plan" under Federal Sara Title III Program and the California Hazardous Materials Release Response and Inventory Program (AB 2185). Hazardous Material Inventory Fees: Number of Employees Lbs. of Material Fee 0-4 < 500K $ 183.00 5-9 < 500K $ 340.00 10-19 and < 500K $ 456.00 < 20 and > 500K & < 2.5M $ 7,644.00 < 20 and > 2.5M & < 5M $15,058.00 < 20 and > 5M $29,889.00 12 95/.232 ENVIRONMENTAL HEALTH (cont.) HAZARDOUS MATERIAL PROGRAM (cont.) Hazardous Material Inventory Fees: (cont.) Number of Employees Lbs. of Material Fee z 20 and z 10K - < 100K $ 856.00 z 20 and z 100K - < 250K $ 1,705.00 z 20 and z 250K - < 500K $ 3,194.00 z 20 and z 500K - < 2.5M $ 7,644.00 z 20 and z 2.5M - < 5M $15,058.00 z 20 and z 5M $29,889.00 All oil refineries and all Class 1 off- site hazardous waste disposal sites $29,889.00 Each year the fee will cover the period commencing January 1 through December 31. New handlers starting business after July 1 of any calendar year will be assessed a six (6) month fee the first year. The fees shall be non-transferrable, non-refundable and set on a facility basis. Pursuant to Section 25535.2, an additional administrative fee of$90.00/hr. for staff review time will be assessed for each risk management prevention program submitted by owner or operator of a facility for certification. Additional administrative fees of 25% may be assessed for: 1. Failure to respond to inquiries relating to compliance with these resolutions. 2. Late filing of business plans, beyond a 90-day notice of non-compliance. 3. Failure to pay the fee in a timely manner. The administering agency reserves the right to adjust the fees dependent on total program cost and may adjust individual facility fees within the above schedule when the Health Officer determines that the fee is not equitable based on health risk. RISK MANAGEMENT PREVENTION PROGRAM (RMPPI Pursuant to Health and Safety Code Section 25535.2, annual fees are established to be collected from each business which may be required to submit an RMPP pursuant to Health and Safety Code Article 2 (Section 25531 et seq.). The fee assessed is based on the risk ranking assigned to the business as follows: Risk Rankina Annual Fee Greater than 400 $13,000.00 200-400 $ 6,500.00 100-199 $ 3,250.00 1-99 $ 650.00 0 $ 260.00 If it is determined that a particular business will not be required to prepare an RMPP (as explained in the RMPP exemption policy), the annual fee will be reduced to $65 to cover administrative processing expenses. To determine if a facility is exempt, there is a one-time fee of$500 per acutely hazardous material per process. 13 95/232 1 ENVIRONMENTAL HEALTH (cont.) RISK MANAGEMENT PREVENTION PROGRAM (RMPP) (cont.) If a business is a non-profit business, their fee will be 10% of the fee based upon the business' risk ranking. For each additional substantially identical facility, the business will be charged full price for the first facility and 10% of that fee for each additional facility. A delinquency charge shall be assessed for failure to pay the fee within 30 calendar days following the date of mailing by the Director of Health Services. UNDERGROUND STORAGE TANK PROGRAM Underground Storage Tank Annual Permit: (Tanks which do not have secondary containment and continuous monitoring equipment) Fees Description $120.00 Single tank of 1,000 gallons or less used solely in connection with the occupancy of a residence (a) First tank of 50,000 gallons or less $210.00 Basic fee for tank of 50,000 gallons or less $440.00 Each tank of 50,000 gallons or more (a) In addition to the basic fee, a surcharge of$125 is applicable on the tank at each site with or without secondary containment; which has the earliest installation date. Underground Storage Tank Annual Permit Installed After January 1. 1984: (Tanks which have secondary containment and continuous monitoring equipment) Fees Description $ 60.00 Single tank of 1,000 gallons or less used solely in connection with the occupancy of a residence (a) First tank of 50,000 gallons or less $170.00 Basic fee for tank of 50,000 gallons or less $300.00 Each tank of 50,000 gallons or more (a) In addition to the basic fee, a surcharge of$125 is applicable on the tank at each site with or without secondary containment; which has the earliest installation date. Underground Storage Tank Installation Plan Review and Inspection: In addition to the applicable State surcharge prescribed by or pursuant to the law, the following fees shall be collected: Fees Description $450.00 New tank facility, first tank $ 90.00 Each additional tank Underground Storage Tank Removal, Temporary Closure or Abandonment: Fees Description $120.00 Single tank of 1,000 gallons or less, located at a residence and used solely in connection with the occupancy of that residence $280.00 First tank at a site $120.00 Each additional tank 14 95/232 ENVIRONMENTAL HEALTH (cont.) UNDERGROUND STORAGE TANK PROGRAM (cont.) Inspection and Plan Review for Piping Replacement or Modification: Fees Description $330.00 Plan review and inspection of pipe replacement or repair, including the installation of overfill protection equipment and corrosion control devices Permit Amendment or Transfer: Fees Description $ 60.00 Permit amendment or transfer fee Underground Tank Modification. Repair or Lining Permit: Fees Description $260.00 Includes review and inspection not exceeding four hours of staff time $ 90.00 For each additional hour or fraction thereof of staff time Contaminated Site Fee: Fees Description $ 90.00 Each hour or fraction thereof of service delivered by the County Health Services Department in connection with the characterization or remediation of site contaminated by discharge of a hazardous substance, material or waste, if the owner, operator, or other responsible person in charge of the site requests assistance from the County or where an inspection or an emergency response is necessary to verify compliance with State and County regulations or to assure public safety Reinspection or Time Use: Fees Description $ 90.00 Each hour or fraction thereof of staff time provided shall be charged in the following cases: a. More than one inspection or two hours of onsite time is required in the case of tank removals b. More than two inspections or four hours of onsite time is required in the case of tank installations c. More than one reinspection is required to determine compliance d. Inspection, consultation or other services related to underground storage of hazardous substances or hazardous materials or wastes are provided and said services are not otherwise covered by this ordinance is 95/232 ENVIRONMENTAL HEALTH (cont.) UNDERGROUND STORAGE TANK PROGRAM (cont.) Document Search: Fees Description $ 90.00 Each hour or fraction thereof of staff time shall be charged to any consulting firm, realtor, lending institute or other commercial enterprise for services performed in complying with document research requests for these enterprises. Penalties: The following penalties shall be applied and collectible from parties responsible for the following actions: Penalty a) Failure to pay any fee in a timely manner 25% penalty b) Failure to file and report change in ownership or operator of an underground tank(s) $500.00 These penalties are in addition to those that may be imposed under any other underground tank regulation. INCIDENT RESPONSE Fees Description $ 90.00 Each hour or fraction thereof of service time delivered by the County Health Services Department in connection with the characterization or remediation of site contamination by discharge of a hazardous substance, material or waste, if the owner, operator or other responsible person in charge of the site requests assistance from the County or where an inspection or an emergency response is necessary to verify compliance with State and County regulations or to assure public safety $135.00/$180.00 In addition to the regular hourly rate, a charge for overtime (1-1/2 or 2 times the regular hourly rate) as applicable and for the cost of emergency vehicles used in connection with the remediation of site contamination 16 95/232 EMERGENCY MEDICAL SERVICES AGENCY Emergency Medical Technician (EMT-1) Fee Certification $15.00 Recertification $15.00 Lost/Stolen Credit Card $10.00 Emergency Medical Technician-P (Paramedic) Certification and Accreditation $50.00 Recertification and Reaccreditation $40.00 Certification or Recertification Only $35.00 Mobile Intensive Care Nurse (MICN) Authorization $25.00 Reauthorization $20.00 WAIVER: The Health Officer or his designee may waive any of these fees in any individual case in which he determines that the advancement and protection of the public health will be better served thereby and that these considerations outweigh the County financial interests in collecting the fee. FEE AMENDMENTS: The Health Services Director or his designee may increase or decrease as needed, any specific fee by not more than 5% during the next twelve-month period, except those fees set by Federal/State statute or regulation shall be effective concurrent with the date specified in the applicable statute or regulation regardless of the amount of increase or decrease. The Health Services Director or his designee is authorized to adjust, waive or compromise the fee amount in those cases in which he determines that it is cost effective to do SO. :mg I hereby certify that this Is a true and correct COPY of an salon taken and entered on the minutes of the Orig: County Administrator Board of supervisors on ure data ahown.� cc: Health Services Director ATTESTED. ' 192 S PHIL BAT OR, e*of the Board Health Services Administration superW countyAd niatracor County Counsel i County Auditor By =- ,Depu* Contact: Patrick Godley (370-5005) 17 95/232 v BOARD OF SUPERVISORS , CONTRA COSTA COUNTY , CALIFORNIA AFFIDAVIT OF MAILING In the Matter of ) Increase in Fees for various programs and services in Divisions of Health Services I declare under penalty of perjury that I am now, and at all times herein mentioned have been , a citizen of the United States , over age 18; and that today I deposited in the United States Postal Service in Martinez , California , postage fully prepaid , a certified copy of Notice of Hearing to the following : Jeff Lawrence Braddock & Logan 415.5 Blackhawk Plaza Cir. Suite 201 Danville , CA 94506 The Hofmann Company Attn:David Lennon P.O. Box 907 Concord, CA 94522 r•, Dennis J. Razzari Davidon Homes 1600 South Main St. #150 Walnut Creek, CA 94596 I declare under penalty of perjury that the foregoing , is true and correct. Dated May 3 ,. 1995 at Martinez, California. Deputy er 3 NOTICE OF PUBLIC HEARING Notice is hereby given that the Contra Costa County Board of Supervisors will hold a public hearing to consider increasing certain fees for various programs and services in the following Divisions of the Health Services Department: Hospital and Clinics, Mental Health, Drug Abuse Program and Alcohol Program. The hearing will be held May 23, 1995 at 11:00 a.m. in the Board Chambers, 651 Pine Street, Martinez. The proposed fee schedule is on file with the Clerk of the Board, 651 Pine Street, and with the Health Services Department at 20 Allen Street, Martinez. l Dated: May 1, 1995 7 Mark Finucane, Health Services Director NOTICE OF PUBLIC HEARING Notice is hereby given that the Contra Costa County Board of Supervisors will hold a public hearing to consider increasing certain fees for various programs and services in the following Divisions of the Health Services Department: Hospital and Clinics, Mental Health, Drug Abuse Program and Alcohol Program. The hearing will be held May 23, 1995 at 11:00 a.m. in the Board Chambers, 651 Pine Street, Martinez. The proposed fee schedule is on file with the Clerk of the Board, 651 Pine Street, and with the Health Services Department at 20 Allen Street, Martinez. Dated: May 1, 1995 Mark Finucane, Health Services Director PROOF OF PUBLICATION (2015.5 C.C.P.) 'STATE OF CALIFORNIA County of Contra Costa I am a citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years, and not a party to or interested in the above-entitled matter. I am the Principal Legal Clerk of the Contra Costa Times, a newspaper of general circulation, printed and pub- lished at 2640 Shadelands Drive in the City of Walnut Creek, County of Contra Costa, 94598. And which newspaper has been adjudged.a newspaper of general circulation by the Superior Court of the County of Contra Costa, Mate of California,.under the date of October 22, 1934. Case Number 19764. The notice, of which the annexed is a printed copy(set in type not smaller than nonpareil), has been published in each regular and entire issue of said newspaper and not in any suppl ment thereof on the following dates, to-wit: all intfie year of 19... . I certify (or declare) under penalty of perjury that the foregoing is true and correct. Executed at Walnut Creek, California. On this . . - ................. Sigpature Lesher Communications, Inc. Contra Costa Times P.O. Box 4147 Walnut Creek, CA 94596 (510) 935-2525 Proof of Publication of: (attached is a copy of the legal advertisement that pub- lished) NOTICE OF PUBLIC HEARING Notice is hereby given that the Contra Costa County Board of Supervisors will hold a public hearing to consider - increasing certain fees for various programs and servic- es in the following Divisions of - the Health Services Depart- ment: Hospital and Clinics, Mental Health, Drug Abuse - Program and Alcohol Pro- gram. TYhe hearin5g will be aem.ild n the Board9Chamberrs 651 Pine Street;Martinez. The proposed fee schedule is on file with the Clerk of the Board, 651 Pine Street, and with the Health Services De- partment at 20 Allen Street, Martinez. Dated:May 1,1995 /s/ Mark Finucane, Health Services Director Legal CCT 5766 Publish May 9,16,1995 PROOF OF PUBLICATION (2015.5 C.C.P.) STATE OF CALIFORNIA County of Contra Costa I am a citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years, and not a party to or interested in the above-entitled matter. I am the Principal Legal Clerk of the Contra Costa Times, a newspaper of general Circulation, printed and pub- lished at 2640 Shadelands Drive in the City of Walnut Creek, County of Contra Costa, 94598. And which newspaper has been adjudged a newspaper of general circulation by the Superior Court of the County of Contra Costa, State of California, under the date of October 22,,1934, Case Number 19764. The notice, of which the annexed is a printed copy(set in type not smaller than nonpareil), has been published in each regular and entire issue of said newspaper and not in any suppl ment thereof on the following dates, to-wit: hri .. ...1. .. ...................................................... all in tKe year of 19. .5 certify (or declare) ,under penalty of perjury that the foregoing is true and correct. ExecutedatWalnut Creek, California. Ont By of .�/( . . ..., 19..` - ... .- . ................ Sigpature Lesher Communications, Inc. Contra Costa Times P.O. Box 4147 Walnut Creek, CA 94596 (510) 935-2525 Proof of Publication of: (attached is a copy of the legal advertisement that pub- lished) NOTICE OF PUBLIC HEARING Notice is hereby given that the Contra Costa County Board of Supervisors will hold a public hearing to consider - increasing certain fees for various programs and servic- es in the following Divisions of the Health Services Depart- ment: Hospital and Clinics, - Mental Health, DruAbuse Program and Alcohg ol Pro- gram. The hearing will be eld May 23, 1995 at 11:00 a.m,in the Board Chambers, 651 Pine Street,Martinez. The proposed fee schedule is on file with the Clerk of the Board, 651 Pine Street, and with the Health Services De- partment at 20 Allen Street, Martinez. Dated:May 1,1995 /s/ Mark Finucane, Health ' Services Director Legal CCT 5766 Publish May 9,16,1995 Contra Costa County The Board of Supervisors HEALTH SERVICES DEPARTMENT OFFICE OF THE DIRECTOR Jim Rogers, 1st District Mark Finucane, Director Jeff Smith,2nd District <`_``— 20 Allen Street Gayle Bishop,3rd District Mark DeSaulnier,4th District t , Martinez, California 94553-3191 Tom Torlakson,5th District _ (510) 370-5003 County Administrator i FAX (510) 370-5098 Phil Batchelor rti;'> County Administrator May 1, 1995 Contra Costa Times P.O. Box 4718 Walnut Creek CA 94596 Attn: Legal Department: Please publish the enclosed public notice on May 9 and 16, 1995, and provide my office with two Affidavits of Publication. Thank you. Sincerely, Mark Finucane Health Services Director MF:mg Attachment cc: Jeanne Maglio, Clerk of the Board Merrithew Memorial Hospital&Clinics Public Health • Mental Health Substance Abuse Environmental Health Contra Costa Health Plan Emergency Medical Services • Home Health Agency • Geriatrics A-345 (12/94) NOTICE OF PUBLIC HEARING Notice is hereby given that the Contra Costa County Board of Supervisors will hold a public hearing to consider increasing certain fees for various programs and services in the following Divisions of the Health Services Department: Hospital and Clinics, Mental Health, Drug Abuse Program and Alcohol Program. The hearing will be held May 23, 1995 at 11:00 a.m. in the Board Chambers, 651 Pine Street, Martinez. The proposed fee schedule is on file with the Clerk of the Board, 651 Pine Street, and with the Health Services Department at 20 Allen Street, Martinez. Dated: May 1, 1995 Mark Finucane, Health Services Director