HomeMy WebLinkAboutMINUTES - 03111997 - SD5 I,
SD.5
THE BOARD OF SUPERVISORS OF
CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on March 11, 1997 by the following vote:
AYES: Supervisors Rogers, Uilkema, Gerber, Canciamilla and DeSaulnier
NOES: None
ABSENT: None
ABSTAIN: None
SUBJECT: Amending Itemized Professional and Service Rate Charges for
Contra Costa County Health Services Effective March 1, 1997.
This is the time noticed by the Clerk of the Board of Supervisors for a hearing .
on the recommendation of the Health Services,Department to amend the
schedule of itemized service rate charges and fees and restate unchanged rates
for County Health Services adopted by Board Resolution No. 95/303, dated
June 27, 1995.
George Washnak, Department of County Health Services, presented the
proposed Resolution.
Following the Board's discussion of the issue, and no persons appearing to speak
on the matter, Supervisor Uilkema moved that the public hearing be closed, and
that staff provide the Board with comparative documentation for the proposed
fees and rates, and that report be continued on the consent portion next week's
agenda.
Supervisor DeSaulnier moved that the motion include, as a matter of policy,
justification for increases in fees and/or charges.
Supervisor Canciamilla seconded the motion.
The Board considered the matter and took the following actions:
1. APPROVED the recommendations of the Health Services Department
amending the itemized professional and service rate charges for Contra
Costa County Health Services, effective March 1, 1997;
2. ADOPTED Resolution No. 96/116 (Attached) giving effect to the
amended charges;
3. DIRECTED that the Health Services staff provide to the Board on
March 18,1997, documentation for the rate schedule; and
4. As a matter of policy, DIRECTED that the Health Services staff provide
justification for fee increases, at future hearings.
I hereby certify that the foregoing 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(
Phil Batchelor, Clerk of the Board of
Supervisors and County Administrator
c.c. County Administrator
Auditor arbara S. Gran, D Clerk
Health Services Director
Health Services Administration
County Counsel
THE BOARD OF SUPERVISORS
OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on March 11,1997 by the following vote:
AYES: SUPERVISORS ROGERS , UILKEMA, GERBER , CANCIAMILLA and DeSAULNIER
NOES: NONE
ABSENT: NONE
ABSTAIN: NONE
RESOLUTION NO. 97/116
SUBJECT: Amending Itemized Professional and Service Rate Charges for Contra Costa
County Health Services Effective March 1, 1997.
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 95/303 dated June 27, 1995.
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 March 1, 1997, is established as follows:
HOSPITAL INPATIENT
Daily Rate for Routine
Service Room and Board
Pediatrics $ 788
Medical Ward $ 735
Transitional Care Unit $ 735
Nursery Bassinet $ 522
Intensive Care $ 2,146
Total Unit Rate
Obstetrics Fixed all inclusive @
Routine delivery $ 4,267
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.
*Rate Change 97/ 116
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 2
ANCILLARY SERVICES
Department Billing Unit Charge
Anesthesiology 1st Hour $ 400.00
Each Add'I 15 Minutes $ 100.00
Pharmacy Cost Plus % Avg. Wholesale Price
Admin Fee
Central Supply Cost Plus % Cost plus 400%
Radiology Relative Value Units $ 42.50
EKG Relative Value Units $ 12.16
Laboratory (Hosp & P.H. Lab) Relative Value Units $ 2.54
Rehab. Therapy
OT/PT 30-Minute Intervals $ 137.55
Speech 30-Minute Intervals $ 137.55
Cardiopulmonary Relative Value Units $ 12.50
Delivery Room 15-Minute intervals $ 98.00
Surgery Recovery Room 1st Hour $ 400.00
Each Add'I 15 Minutes $ 100.00
Operating Room 1st Hour $ 800.00
Each Add1 30 Minutes $ 350.00
Cast 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)
OUTPATIENT VISITS
Family Practice
Professional Use of
Component Treatment Room Total
New Patient
Brief $ 35.00 $ 45.00 $ 80.00
Expanded $ 55.00 $ 50.00 $ 105.00
*Rate Change
97/ 116
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 3
Family Practice (cont.)
Professional Use of
Component Treatment Room Total
Detailed $ 74.00 $ 50.00 $124.00
Comprehensive 1 $ 100.00 $ 50.00 $150.00
Comprehensive II $ 125.00 $ 50.00 $175.00
Established
Minimal $ 17.00 $ 45.00 $ 62.00
Brief $ 30.00 $ 50.00 $ 80.00
Expanded $ 42.00 $ 50.00 $ 92.00
Detailed $ 60.00 $ 50.00 $ 110.00
Comprehensive 1 $ 95.00 $ 50.00 $ 145.00
Dental Care Per Fee Schedule
Specialty/Others
Professional Use of
Component Treatment Room Total
New Patient
Brief $ 35.00 $ 78.00 $ 113.00
Expanded $ 55.00 $ 91.00 $ 146.00
Detailed $ 74.00 $ 104.00 $ 178.00
Comprehensive 1 $ 112.00 $ 117.00 $ 229.00
Comprehensive II $ 139.00 $ 117.00 $ , 256.00
Established
Minimal $ 17.00 $ 58.50 $ 75.50
Brief $ 30.00 $ 78.00 $ 108.00
Expanded $ 42.00 $ 91.00 $ 133.00
Detailed $ 64.00 $ 104.00 $ 168.00
Comprehensive 1 $ 103.00 $ 117.00 $ 220.00
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
Photocopying
Unit of
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
*Rate Change
97/ 116
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 4
CREEKSIDE CARE CENTER
Unit of
Service Charge
Daily Room Rate Per Day $ 200.00
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%
MENTAL HEALTH PROGRAM SERVICES
Unit of
Service Charae
Daily Room Rate Per Day $ 885.00
(Includes Professional
Component)
Rehab Option Rates
Mental Health Services One Minute $ 2.18
Case Management . One Minute $ 1.70
Medication Support One Minute $ 4.06
Crisis Intervention One Minute $ 3.27 `
Crisis Stabilization One Hour Increment $ 79.00
Day Care, Intensive Full Day $ 170.00
Day Care, Intensive Half Day $ 121.00
Day Care, Habilitative Full Day $ 110.00
Day Care, Habilitative Half Day $ 71.00
Adult Residential Patient Day $ 125.00 `
Crisis Residential Patient Day $ 256.00
SUBSTANCE ABUSE PROGRAM SERVICES
Unit of
Service Charge
Residential Treatment
Admission Fee Person $ 35.00
Residential Treatment Month $1,800.00 '
*Rate Change
97/116
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 5
SUBSTANCE ABUSE SERVICES (cont.)
Unit of
Service Charge
Drug Free Outpatient
Clinic Treatment
Individual Intake/Assessment Visit $ 180.00 *
Individual Counseling Visit $ 90.00 *
Collateral Service Visit $ 90.00 *
Group Counseling Visit $ 30.00 *
Acupuncture Treatment Visit $ 30.00 *
Medical Assessment/
Physical Exam Visit $ 90.00 *
Outpatient Drug Free
(Composite State Charge) Visit $ 90.00 *
Maintenance Visit $ 12.00 *
PC 1000 Drug Diversion
Program Board Rates
Assessment Person $ 40.00
Level Person $ 310.00
Level 11 Person $ 510.00
Level III Person $ 860.00
Level IV Person $ 1,220.00
Driving Under the
Influence Program
1 st Offender (Level 1) Person $ 404.00
1st Offender (Level 11) Person $ 593.00
2nd Offender Person $ 1,434.00
HOME HEALTH AGENCY
Unit of
Service Service Charge
Skilled Nursing Visit $ 154.00
Physical Therapy Visit $ 169.00
Speech Pathology Visit $ 170.00
Occupational Therapy Visit $ 169.00
Medical Social Service Visit $ 223.00
Home Health Aides Hour $ 79.00
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
*Rate Change
97/ 116
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 6
HEALTH PLAN (cont.)
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 $ 15.00
Non Eligible $ 100.00 * New membership - first year
Non Eligible $ 90.00 * Annual membership renewal
Male visits and supplies $ 10.00 *
Child Screenina
$ 10.00 Children up to 2 years of age
over 200% of poverty
$ 15.00 Children between 2 and 12 years
of age over 200% 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 (ages 2 & over) $ 35.00 * Each
Yellow Fever $ 45.00 * Each
Miningococcal $ 55.00 * Each
Immune Globulin $ 20.00 * Each
Stamping of International
Travel Cards $ 5.00 Each
Childhood Immunizations:
0-5 years Free * Each
6 years & over $ 7.00 * Each person, not to exceed $13.00
per family
Chickenpox (Varicella):
12-23 mo. Free * Each
11 yrs $ 7.00 * Each person, not to exceed $13.00
per family
All others $ 55.00 * Each dose, unwaivable. 12 &over
two doses required
Measles Vaccine (second $ 5.00 Each under 200% of poverty
shot) $ 26.00 Each over 200% of poverty
*Rate Change
97/116
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 7
PUBLIC HEALTH (cont.)
Charge Description
Immunization Record
(duplicate) $ 5.00 Each
Flu Immunization $ 5.00 Each
Elderly Flu Shot $ 5.00 Requested
Hepatitis A:
2-18 years $ 35.00 * Each
19 years & older $ 60.00 * Each
Hepatitis B:
1-18 years Free * Each
19 years Cost Each
20 years & over Cost plus $15.00 Each
Admin.
Occupational Risk $ 155.00 Each series
Post Blood Titers $ 40.00 * Each
T.B. Skin Testina
P.P.D. $ 10.00 Includes reading but no charge for
contacts
Venereal Disease $ 20.00 Clinic attendance for any sexually
transmitted disease
Nutrition Services $ 52.00 Per hour consultation fee
Occupational Health Svc Cost + 10% Each
Lab Tests Cost + 10% * Each
Rabies (low risk animal
tests on request) $ 80.00 Each
Health Education Material Cost + 10%
(i.e., videos, posters,
pamphlets; t-shirts, etc.)
Vital Statistics
(certified copies)
Death and Fetal Death $ 9.00
Birth - General Public $ 18.00
Birth - Government Agency $ 9.00
Permit for Disposition of
Human Remains
- Regular $ 7.00
- After Hours $ 10.00
- Cross Filing $ 10.00
97/ 116
*Rate Change
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 8
ENVIRONMENTAL HEALTH
GENERAL PROGRAM SECTION — SERVICE FEES
Application Fee $ 30.00
Violation Reinspection Fee $ 90.00
Special Services Fee at Hourly Rate with Minimum:
One-Hour Charge: $ 90.00/hr
Variance Requests
Violation Administrative Hearings
Field and Office Consultations
Non-Routine Site Evaluations
Non-Routine Field Inspections and/or Reinspections
Two-Hour Charge:
Plan Review Fees for Permit Fee Exempt Facilities
Plan Review and Site Evaluation Fees for Community
Development Services
Health Officer Appeal Hearing $270.00
Overtime Charges (After Normal Business Hours) $135.00/hr
Second reinspection of verified complaints will be charged to the property owner/responsible
party.
A $90.00 fee will be charged for verified complaints at permitted 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 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, 1996.
Environmental Health Permit Fee:
Category Units Capacity_ 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
Each add'I machine
over 4 4+ $ 17.00
Tavern/Cocktail Lounge Bar $361.00
Snack Bar $361.00
Drive-In/Take-Out $452.00
Drive-In/Take-Out &
Restaurant Combination $520.00
Commissary $452.00
Cart Commissary $200.00
Catering $452.00
Itinerant Food Facility
Special Events Per Food Booth $ 62.50
Retail Food Markets Square Foot < 2,000 $305.00
If
" 2,000-4,000 $351.00
it If 4,001-6,000 $497.00
*Rate Change
97/116
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 9
ENVIRONMENTAL SERVICES (cont.)
CONSUMER PROTECTION PROGRAM (cont.)
Category Units Capacity_ Charge
> 6,000 $565.00
Incidental Retail Food Mkt Square Foot < 50 $ 53.00
11 of < 100 $131.00
Certified Farmer's Food Mkts Booths 1-25 $180.00
If
26-45 $ 270.00
" If46 + $ 360.00
Wiping Rags Business $ 169.00
Roadside Stands $ 169.00
Food Salvager $ 475.00
Food Processing Establish. Square Foot < 2,000 $ 305.00
of
If
2,000-4,000 $ 351.00
If 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
If
If
2,000-4,000 $ 351.00
" of4,001-6,000 $ 497.00
" of > 6,000 $ 565.00
Wholesale Food Square Foot <2,000 $ 305.00
of
of
2,000-4,000 $ 351.00
If
of
4,001-6,000 $ 497.00
of
If
> 6,000 $ 565.00
Ice Plant $ 130.00
Recreational Water Park One System $ 678.00
Each Add'I System $ 339.00
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 *
Fee Exempt Activities (Permit Fees Only):
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
Penalties:
Penalties will be imposed for delinquent payments as provided in County Ordinance No. 93-58,
Article 413-3.1206.
*Rate Change 97/116
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 10
ENVIRONMENTAL SERVICES (cont.)
CONSUMER PROTECTION PROGRAM (cont.)
Prorating 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.
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 prorated refund must do so in writing within thirty days of sale
or discontinuance of business. In the case of a business that has been sold, the owner must
include in the written request for a refund the name, address and telephone number of the person
to whom the business was sold.
SOLID WASTE PROGRAMS
Local Enforcement Agency Program:
Solid Waste Tonnage Fee $1.00/ton
Solid Waste Facility Fees:
Closed, Illegal and Abandoned Sites
Annual Inspection - 2 Hours $ 180.00 *
Quarterly Inspections - 8 Hours $ 720.00 *
Monthly Inspections - 16 Hours (see Note (a) below) $1,440.00 *
Biosolid Facility Sites
Annual Inspection - 2 Hours $ 180.00 *
Quarterly Inspections - 8 Hours $ 720.00 *
Monthly Inspections - 16 Hours $1,440.00 *
NOTE (a): Any inspection conducted over and beyond the routine
inspection is subject to the hourly rate of$90.00/hour
Biosolid Facility Application and Review Fee
With public hearings - 10 hours $ 900.00 *
Without public hearings - 5 hours (see Note (b) below) $ 450.00 *
Solid Waste Facility Permit
Application/Review Fee (see note) $ 900.00
NOTE (b): Permit application/review fee includes 10 hours of service
time. An additional deposit fee may be required when initial
deposit has been expended.
Mandatory Service Exemption $ 90.00/hr
Medical Waste:
Plan review (new facility/permit revision/new treatment system) $ 360.00
Additional review (per hour) $ 90.00
'Rate Change
97/116
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 11
ENVIRONMENTAL SERVICES (cont.)
SOLID WASTE PROGRAMS (cont.)
Medical Waste: (cont.)
Health Care Service Plan Facility $ 463.00
Medical/Dental/Veterinary Clinic (> 200 lbs./month) $ 360.00
Medical/Dental/Veterinary Clinic (< 200 lbs./month) $ 45.00
Medical/Dental/Veterinary Clinic (< 200 lbs./month) w/on-site treatment $ 135.00
Large Quantity Generators (> 200 lbs./month) w/on-site medical waste
treatment systems (i.e., autoclave, incinerator, steam sterilizer). Additional fee required. $ 60.00
Primary Care Clinic $ 463.00
Intermediate Care Facility $ 360.00
Acute Care Hospital (251 + beds) $1,840.00
Acute Care Hospital (200-250 beds) $ 1,315.00
Acute Care Hospital (100-199 beds) $1,128.00
Acute Care Hospital (1-99 beds) $ 791.00
Skilled Nursing Facility (> 200 lbs./month) $ 360.00
Skilled Nursing Facility (< 200 lbs./month) $ 45.00
Specialty Clinic $ 463.00
Clinical Lab (> 200 lbs./month) $ 360.00
Clinical Lab (< 200 lbs./month) $ 45.00
Biomed Producer (> 200 lbs./month) $ 360.00 *
Biomed Producer (< 200 lbs./month) $ 45.00 *
Biomed Producer (< 200 lbs./month) w/on-site treatment $ 135.00 *
Common Storage Facility (50 + generators) $ 649.00
Common Storage Facility (11-49 generators) $ 360.00
Common Storage Facility (2-10 generators) $ 270.00
Limited Quantity Hauling Exemption $ 75.00
Reinspection Fee (per hour) $ 90.00
Certification Application Fee $ 30.00
Penalties:
Penalties will be imposed for delinquent payments as provided in County Ordinance No. 93-58,
Article 413-3.1206.
LAND USE PROGRAMS
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 $30.00 application fee and up to 2-1/2 hours
of inspection and travel time. Thereafter, time is charged at the rate of$90.00/hr. or the time and
1/2 overtime rate after normal business hours. A(') indicates when an additional or separate
$30.00 initial application fee is required.
*Rate Change
97/116
�r
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 12
ENVIRONMENTAL HEALTH (cont.)
LAND USE PROGRAMS (cont.)
General: Fee
Individual Wells and Soil Borings
Permit for construction and/or reconstruction for individual wells,
including monitoring wells $ 272.00
Site evaluation (minimum one-hour charge) $ 90.00/hr
Permit for soil borings (per parcel) $ 272.00
Review of an existing individual water system/well $ 90.00/hr
Inspection permit for abandoning and sealing of well
(fee includes only one hour staff time) $ 120.00
Inspection permit for abandoning and sealing well when
done at same inspection of replacement well No Charge
Plan Review $ 90.00/hr
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.
Individual Sewage Disposal Systems: Fee
Permit $ 297.00
Site evaluation (one hour minimum charge) $ 90.00/hr
Plan review - includes building additions $ 90.00/hr *
Reinspection, cancellation/rescheduling without 8-hr $ 90.00 *
confirmed notice
Septic system abandonment permit (fee includes only $ 120.00/hr
one hour staff time)
Minor repair permit (fee includes only one hour staff time) $ 120.00/hr
Percolation test $ 611.00
Soil profile evaluation $ 180.00
Subdivisions - Land Use Projects:
Community Development Department (CDD) report reviewed $ 90.00/hr
for Land Use Permits, rezoning, developmental plans, EIR
review, lot line adjustments, and CDD variance requests.
Environmental health review of CDD applications $ 30.00
Liquid Waste Disposal Permits:
Septic tank/chemical toilet cleaner- business $ 270.00
Septic tank/chemical toilet cleaner- vehicle(') $ 90.00
Rate Change Q7/ 116
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 13
ENVIRONMENTAL HEALTH (cont.)
LAND USE PROGRAMS (cont)
Fee
Small Water Systems Permits:
Non-community surface water system $ 315.00
Non-community, non-transient ground water system $ 400.00
Non-community, non-transient ground water
with treatment system $ 400.00
Non-community, non-transient surface water system $ 400.00
Community ground water system (15-24 connections) $ 263.00
Community ground water system
with treatment (15-24 connections) $ 263.00
Community surface water system (15-24 connections) $ 263.00
Community ground water system (25-99 connections) $ 420.00
Community ground water system
with treatment (25-99 connections) $ 420.00
Community surface water system (25-99 connections) $ 420.00
Community ground water system (100-199 connections) $ 525.00
Community ground water system
with treatment (100-199 connections) $ 525.00
Community surface water system (100-199 connections) $ 525.00
Local small water system $ 135.00
State small water system $ 230.00
Non-community ground water system with food preparation/
open food $ 315.00
Non-community ground water system with treatment $ 315.00
Non-community ground water system, prepackaged food only $ 180.00
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
Penalties Penalties will be imposed for delinquent payments as provided in County Ordinance
No. 93-58, Article 413-3.1206.
Plan Check :
Plan check deposit fees 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.
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.
*Rate Change
97/116
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 14
ENVIRONMENTAL HEALTH (cont.)
HAZARDOUS MATERIAL AB2185 PROGRAM: These fees are applicable to the preceding
calendar year Business Plan inventory of
hazardous material 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 > (A) < 500K $ 183.00
5-9 < 500K $ 340.00
10-19 and < 500K $ 456.00
z20 and < 10K $ 456.00
k20 and z 10K - < 100K $ 856.00
z20 and z 100K - < 250K $ 1,705.00
z20 and z 250K - < 500K $ 3,194.00
N/A z 500K - < 2.5M $ 7,644.00
N/A Z 2.5M - < 10M $ 15,058.00
N/A z 10M - < 100M $ 24,659.00
N/A z 100M - < 113 $ 32,878.00
N/A z 1B - < 5B $ 41,097.00
N/A z 5B $ 72,756.00
All marine terminals and tank farms with secondary
containment storing greater than or equal to 10
million pounds of hazardous materials $ 20,659.00
All oil refineries and all Class 1 off-site hazardous
waste disposal sites $ 72,756.00
(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. An annual AB2185 fee will be computed on the inventory of hazardous material
listed in the Business Plan then prorated 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 preceding business plan to the month in which the
business activity ceased or the business was sold. The annual AB2185 fee will be computed on
*Rate Change
97/ 116
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 15
ENVIRONMENTAL HEALTH (cont.)
HAZARDOUS MATERIAL AB2185 PROGRAM (cont.)
the inventory of hazardous material listed in the Business Plan then prorated by the number of
months covered by the Business Plan.
The fees shall be non-transferrable, non-refundable and set on a facility basis.
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 30-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 (RMPP)
Pursuant to Health and Safety Code Section 25535.2, annual fees are established to be collected
from each business which may be required to submit an RMPP pursuant to Health and Safety
Code Article 2 (Section 25531 et seq.).
The fee assessed is based on the risk ranking assigned to the business as follows:
Risk Ranking Annual Fee
Greater than 400 $15,600.00
200-400 $ 7,800.00
100-199 $ 3,900.00
1-99 $ 780.00
0 $ 312.00
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.
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 of 25% 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)
*Rate Change
97/116
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 16
ENVIRONMENTAL HEALTH (cont.)
UNDERGROUND STORAGE TANK PROGRAM (cont.)
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
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
*Rate Change
97/ 116
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 17
ENVIRONMENTAL HEALTH (cont.)
UNDERGROUND STORAGE TANK PROGRAM (cont.)
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
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
*Rate Change
97/116
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 18
ENVIRONMENTAL HEALTH (cont.)
UNDERGROUND STORAGE TANK PROGRAM (cont.)
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. This includes responses to illegal drug labs.
$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
EMERGENCY MEDICAL SERVICES AGENCY
Emergency Medical Technician (EMT-1) Fee
Initial Certification/Recertification * $ 15.00
Paramedic
Accreditation/Re-accreditation * $ 35.00
Mobile Intensive Care Nurse (MICN)
Authorization/Re-authorization * $ 25.00
EMS Continuing Education Provider ** $100.00
* 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 Contra Costa
County EMS System responders.
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.
*Rate Change
97/ 116
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 19
FEE AMENDMENTS: The Health Services Director or his designee may increase or decrease
as needed, any specific fee by not more than 10% during the next twelve-month period, except
those fees set by Federal/State statute or regulation shall be effective concurrent with the date
specified in the applicable 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.
Orig: County Administrator
cc: Health Services Director
Health Services Administration
County Counsel
County Auditor
Contact: Patrick Godley (370-5005) The foregoing is a true and correct copy ofan action taken
and entered on the minutes of the Board of Supervisors
on the date shown. q 197�y
1&t44114 /
Phil Batchelor,Clerk of the Board of
Supervisors and County Administrator
Barbara S.Grant, p lark
*Rate Change
97/116
a. ...v.. _. 7-.
PROOF OF PUBLICATION
NOTICE OF
(2015-5 C_C_P_) PUBLIC HEARING
Notice is hereby given that
• the Contra Costa County
STA l�• OF CAUFORNIA Board of Supervisors will hold
a public hearing to consider'
County Of Contra Costa changes in certain fees for
various programs and servic-
es in the following Divisions of
1 am a citlzern of the United States and a resident of the the Health Services Depart-
ment:Coun aforesaid; ( am over the a of el hteen eats, Hospital and Come
County g Q y Public Health, the Home
and not a to or-interested In the above-ent(tled Health Agency, Mental
ply Health Substance Abuse
matter. and environmental Health.
The hearing will be held
March 11,1997 at 10:30 a.m.
m
I athe Principal Legal Clerk of the Contra Costa Times, in the Board Chambers,651
a newspaper of oeneral circulation, printed and pub- Pine Street,Martinez.
fished at 2640 Shadetands Drive in the City of-Walnut Dated:February 19 1997
George Wash ak,
Geek, County of Contra Costa, 94598. Controller
Contra Costa County
Health Services
And which newspaper has been adjudged a nevv-spaper g Department
Superior of genera( circuiatlort by the Court of the County Le ush February 25;March .,
Of Contra Costa, State of California, under the date of 1997
-.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 reou(ar and entire Issue of said newspaper and not
In any supplement t�he'rAeo(f on the following dates, to-wit.
•--- -------•-.�""
i-- �`!,
all In the year of 19...97
I certify (or declare) under penalty .of perjury that the
foregoing is true and correct.
Executed ►ayyt Walnut Creek, Califomia.
On this
Ql....-l. day O l.h�Ul.......-
• .............. ..........""......• ••........
Slonature
Contra Costa Times
P.O. Box 4447
Walnut Creek, CA 94596
(510).935-2525
Proof of Publication of:
.(attached is a copy of the legal advertisement that pub-
([shed)
a
4
BOARD OF SUPERVISORS , CONTRA COSTA COUNTY , CALIFORNIA
AFFIDAVIT OF MAILING
In the Matter of )
Fees for Public Health Services )
Hearing 3/11/97 )
I declare under penalty of perjury that I am now, and
at all times herein mentioned have been , a citizen of the
United States , over age 18; and that today I deposited in the
United States Postal Service in Martinez , California , postage
fully prepaid , a certified copy of
to the following :
Home Builders Association Jeff Lawrence
of Northern California Braddock & Logan
P.O. Box 5160 4155 Blackhawk Plaza Cir.
San Ramon, CA 94583 Suite 201
Danville, CA 94506
Albert D. Seeno Const. Co.
Attn: Legal Dept.
4021 Port Chicago Highway
Concord, CA 94524
David Lennon
Hofmann Company
P.O. Box 907
Concord, CA 94522
Dennis J. Razzari
Davidon Homes
1600 So. Main Street #150
Walnut Creek, CA 94596
I declare under penalty of perjury that the foregoing
is true and correct.
Dated February 24, 1997 at Martinez , California.
J
Ann CAFvelli, Deputy Clerk
3
4
NOTICE OF PUBLIC HEARING
Notice is hereby given that the Contra Costa County Board of Supervisors will hold a public hearing
to consider changes in certain fees for various programs and services in the following Divisions of
the Health Services Department: Hospital and Clinics, Public Health,the Home Health Agency,
Mental Health, Substance Abuse and Environmental Health. The hearing will be held March 11,
1997 at 10:30 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: February 19, 1997 a�
George Washnak, Controller
Contra Costa County
Health Services Department
Health Services Department
�' '�• ^ ='' OFFICE OF THE DIRECTOR
Administrative Offices
20 Allen Street
Martinez,California 94553.3191
Phone: (510) 370-5036
Fax: (510)370-5098
co
February 19, 1997
Contra Costa Times
P.O. Box 4718
Walnut Creek CA 94596
Attn: Legal Department:
Please publish the enclosed public notice on February 25, 1997 and March 4, 1997 and provide
this office with two Affidavits of Publication.
Thank you.
Sincerely,
George Washnak, Controller
Contra Costa Health Services
GW:mg
Attachment
cc: Jeanne Maglio, Clerk of the Board
A-345A ,4,92, Contra Costa County.,,
NOTICE OF PUBLIC HEARING
Notice is hereby given that the Contra Costa County Board of Supervisors will hold a public hearing
to consider changes in certain fees for various programs and services in the following Divisions of
the Health Services Department: Hospital and Clinics, Public Health, the Home Health Agency,
Mental Health, Substance Abuse and Environmental Health. The hearing will be held March 11,
1997 at 10:30 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: February 19, 1997
George Washnak, Controller
Contra Costa County
Health Services Department