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Home My WebLink AboutMINUTES - 03181997 - C84 r THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on March 18, 1997 by the following vote: AYES: Supervisors Rogers, Uilkema, Gerber, Canciamilla, DeSaulnier NOES: None ABSENT: None ABSTAIN: None RESOLUTION NO. 97/142 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 4. 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 Add'I 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 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 Photocopvina 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 Amending Itemized Professional and Service Rate Changes for Contra Costa County Health Services Page 4 CREEKSIDE CARE CENTER Unit of Current Service Char a Rate Daily Room Rate Per Day $200.00 * new ANCILLARY SERVICES Current Department Charae Rate Pharmacy Cost Plus 300% new Supplies Cost Plus 300% new Laboratory Cost Plus 300% new X-Ray Cost Plus 300% new Physical Therapy Cost Plus 300% new Occupational Therapy Cost Plus 300% new Speech Therapy Cost Plus 300% new Oxygen Cost Plus 300% new MENTAL HEALTH PROGRAM SERVICES Unit of Current Service Charae Rate Daily Room Rate Per Day $ 885.00 * $805.00 (Includes Professional Component) Rehab Option Rates Mental Health Services One Minute $ 2.18 * 2.10 Case Management One Minute $ 1.70 * 1.61 Medication Support One Minute $ 4.06 * 3.91 Crisis Intervention One Minute $ 3.27 * 3.16 Crisis Stabilization One Hour Increment $ 79.00 * 75.00 Day Care, Intensive Full Day $ 170.00 * 164.00 Day Care, Intensive Half Day $ 121.00 * 117 .00 Day Care, Habilitative Full Day $ 110.00 * 106.00 Day Care, Habilitative Half Day $ 71.00 * 68.00 Adult Residential Patient Day $ 125.00 * 119.00 Crisis Residential Patient Day $ 256.00 * 243.00 SUBSTANCE ABUSE PROGRAM SERVICES Unit of Current Service Charae Rate Residential Treatment Admission Fee Person $ 35.00 Residential Treatment Month $1,800.00 * $2,400.00 *Rate Change Amending Itemized Professional and Service Rate Changes for Contra Costa County Health Services Page 5 SUBSTANCE ABUSE SERVICES (cont.) Unit of Current Service Charge Rate Drug Free Outpatient Clinic Treatment Individual Intake/Assessment Visit $ 180.00 * $165.00 Individual Counseling Visit $ 90.00 * 108.00 Collateral Service Visit $ 90.00 * 108.00 Group Counseling Visit $ 30.00 * 42.00 Acupuncture Treatment Visit $ 30.00 * 108.00 Medical Assessment/ Physical Exam Visit $ 90.00 * 108.00 Outpatient Drug Free (Composite State Charge) Visit $ 90.00 * 108.00 Maintenance Visit $ 12.00 * 10.00 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 1st Offender (Level 1) Person $ 404.00 1 st,Offender (Level I I) Person $ 593.00 2nd Offender Person $ 1,434.00 HOME HEALTH AGENCY Unit of Current Service Service Charge Rate Skilled Nursing Visit $ 154.00 * $147.00 Physical Therapy Visit $ 169.00 * 141.00 Speech Pathology Visit $ 170.00 * 146.00 Occupational Therapy Visit $ 169.00 * 140.00 Medical Social Service Visit $ 223.00 * 203.00 Home Health Aides Hour $ 79.00 HEALTH PLAN Unit of Service Charae Medicare Premium Senior Health Basic Individual $ 41.00 Senior Health Individual $ 55.00 Senior Health Plus 40 Individual $ 88.00 Rate Change 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 Current har a Rate Description Family Planning Pregnancy Test $ 15.00 Non Eligible $ 100.00 * 80.00 New membership - first year Non Eligible $ 90.00 * 75.00 Annual membership renewal Male visits and supplies $ 10.00 * 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 (ages 2 & over) $ 35.00 * 10.00 Each Yellow Fever $ 45.00 * new Each Miningococcal $ 55.00 * new Each Immune Globulin $_ 20.00 * new Each Stamping of International Travel Cards $ 5.00 Each Childhood Immunizations: 0-5 years Free * 5.00 Each 6 years & over $ 7.00 * new Each person, not to exceed $13.00 per family Chickenpox (Varicella): 12-23 mo. Free * new Each 11 yrs $ 7.00 * new Each person, not to exceed $13.00 per family All others $ 55.00 * new 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 Chane Amending Itemized Professional and Service Rate Changes _ for Contra Costa County Health Services Page 7 PUBLIC HEALTH (cont.) Current Charge Rate 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 * new Each 19 years & older $ 60.00 * new Each Hepatitis B: 1-18 years Free * cost 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 * new Each 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 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 * 16.00 Birth - Government Agency $ 9.00 Permit for Disposition of Human Remains - Regular $ 7.00 -After Hours $ 10.00 * 7.00 - Cross Filing $ 10.00 '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: Cateaory 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 2,000-4,000 $351.00 " 4,001-6,000 $497.00 *Rate Change Amending Itemized Professional and Service Rate Changes for Contra Costa County Health Services Page 9 ENVIRONMENTAL SERVICES (cont.) CONSUMER PROTECTION PROGRAM (cont.) Current Category Units Capacity Charae Rate If of > 6,000 $565.00 Incidental Retail Food Mkt Square Foot < 50 $ 53.00 " It < 100 $131.00 Certified Farmer's Food Mkts Booths 1-25 $180.00 26-45 $270.00 46 + $360.00 Wiping Rags Business $169.00 Roadside Stands $169.00 Food Salvager $475.00 Food Processing Establish. Square Foot < 2,000 $305.00 to . " 2,000-4,000 $351.00 " it4,001-6,000 $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 11 2,000-4,000 $351.00 to 4,001-6,000 $497.00 of > 6,000 $565.00 Wholesale Food Square Foot <2,000 $305.00 " If 2,000-4,000 $351.00 to of 4,001-6,000 $497.00 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 * 170.00 Spa-Apt, Motel, Hotel Multi-Use $339.00 Each Add'I Spa $113.00 * 170.00 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 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 Current Rate 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 * new Quarterly" Inspections - 8 Hours $ 720.00 * new Monthly Inspections - 16 Hours (see Note (a) below) $440.00 * new Biosolid Facility Sites Annual Inspection - 2 Hours $ 180.00 * new Quarterly Inspections - 8 Hours $ 720.00 * new Monthly Inspections - 16 Hours $,440.00 * new 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 * new Without public hearings - 5 hours (see Note (b) below) $ 450.00 * new 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 Amending Itemized Professional and Service Rate Changes for Contra Costa County Health Services Page 11 ENVIRONMENTAL SERVICES (cont.) SOLID WASTE PROGRAMS (cont.) Current Rate 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 * new Large Quantity Generators (> 200 lbs./month) w/on-site medical waste treatment systems (i.e., autoclave, incinerator, steam sterilizer). Additional fee required. $ 60.00 '` new Primary Care Clinic $ 463.00 Intermediate Care Facility $ 360.00 * 390.00 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 * new 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 $ 75.0.0 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. AO) indicates when an additional or separate $30.00 initial application fee is required. •Rate Change Amending Itemized Professional and Service Rate Changes , for Contra Costa County Health Services Page 12 ENVIRONMENTAL HEALTH (cont.) LAND USE PROGRAMS (cont.) Current General: Fee Rate 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 * new 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. Current Individual Sewage Disposal Systems: Fee Rate Permit $ 297.00 Site evaluation (one hour minimum charge) �'� $ 90.00/hr Plan review - includes building additions $ 90.00/hr * new Reinspection, cancellation/rescheduling without 8-hr $ 90.00 * new 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 * new 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 Amending Itemized Professional and Service Rate Changes for Contra Costa County Health Services Page 13 ENVIRONMENTAL HEALTH (cont.) LAND USE PROGRAMS (cont) Current Fee Rate 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 * new 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 Amending Itemized Professional and Service Rate Changes for Contra Costa County Health Services Page 14 ENVIRONMENTAL HEALTH (cont.) HAZARDOUS MATERIAL AB2185 PRO RAM• 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 >20 and > 10K - < 100K $ 856.00 >20 and > 100K - < 250K $ 1,705.00 >20 and > 250K - < 500K $ 3,194.00 NIA > 500K - < 2.5M $ 7,644.00 NIA > 2.5M - < 10M $ 15,058.00 N/A > 10M - < 100M $ 24,659.00 NIA > 100M - < 1 B $ 32,878.00 N/A > 1B - < 513 $ 41,097.00 N/A > 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 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 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 $44.0.00 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 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 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 (MIC 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 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. 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