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MINUTES - 06082004 - SD5
THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY CALIFORNIA Adoptedthis Order on: By the following Vote: AYES: MWnSORS GIOIA, ice, GRMgMG, DeSMJLNM and MOM NOES: i ABSENT: mm ABSTAIN: NM Resolution No. 3004 / 233 SUBJECT: Amend the Itemized Professional and Service Rates for Contra Costa County Health Services effective July 1, 2004. The Health Services department has submitted a recommendation to amend the schedule of itemized service rate charges and fees, and to restate unchanged rates for County Health Services adopted by Board Resolution Number 2003/177 dated May 13, 2003. The County Administrator has reviewed and recommended adoption of this proposed amendment. These recommendations have been considered by the Board and IT IS BY THE BOARD RESOLVED that the schedule of itemized rate charges for the Health Services Department effective July 1, 2004 are established as follows: Reason for proposed rate changes: 1. Hospital: Increase inpatient room rates and ancillary services rates by 10% to ensure charges remain higher than expected Medi-Cal payments; no change to outpatient rates. 2. Mental Health Program: Update rates by 5% to ensure charges remain higher than expected Medi-Cal Schedule of Maximum Allowances Rates. 3. Alcohol and Other drugs: Updated selected fees based on expected'M-Cal schedule of allowance increases to ensure charges remain higher than Medi-Cal payment rates. 4. Contra Costa Health Plan: No Changes Proposed 5. Public Health: Minor amendments to reflect fee changes for Immunizations, Nutrition Counseling, and Vital Statistic record fees. 6. Environmental Health: Minor changes to reflect new fees for food stands and Alternative Waste System initial plan review; and increase selected fees for waste system and water well review/ evaluations. 7. Hazardous Materials Programs: No changes Proposed. 8. Emergency Medical' Services: No Changes Proposed. RESG= N NO. 2004/233 Resolution: 2004/233 ......... ......... ......... ......... ......... ........................_..._.._....... ._...._.. ......... ......... ......... ................. . . . .. .............................................................................................. Hospital Inpatient Service Current Daily Rate For Recommended Daily Rate for Routine Room and Board Routine Room and Berard Pediatrics $ 1,850.00 $ 2,100.00 Medical Ward $ 1,700.00 $ 1,900.00 Transitional Care Unit $ 1,700.00 $ 1,900.00 Nursery Bassinet $ 1,200.00 $ 1,300.00 Intensive Care $ 4,850.00 $ 5,340.00 Psychiatric Unit $ 1,550.00 $ 1,700.00 Service Total Unit Rate Tatar Unit Rate Fixed all inclusive Obstetrics $ 6,500.00 $ 7,200.00 Routine Delivery with Tubal Legations $ 9,000.00 $ 10,000.00 Prior or Primary C-Section $ 14,500.00 $ 16,000.00 Services included: 1. Medical/Social intake and orientation with Medical Social Worker, 2. Choice of Family Practice Physician. a. All required lab work b. All required lab test 3. Nutrition Class 4. Early Pregnancy Class 5. Labor and Delivery Care, including C-Section 6. Back-up consultation service for complications of pregnancy, labor and delivery (does not include transfer and care at high-risk facility, if necessary, for mother or baby). 7. Neonatal Care, including nursery care and pediatric consultation, if needed. 8. One PHN home visit. 9. One post-partum check with Family Physician, including birth control counseling. 10. Three return well-baby visits with Family Physician. ANCILLARY SERVICES Department BillingL Unit Current Rate Recommended Rate Anesthesiology 1st Hour $ 859.00 $ 945.00 Anesthesiology Each Add'l 15 min. $ 212.00 $ 233.00 Pharmacy Cost Plus % 120%Avg Wholesale Price No Change Plus Administration Pee Central Supply Cost Plus % Cost Plus 400% No Change Radiology Relative value Units $ 91.00 $ 100.00 EKG Relative Value Units $ 26.00 $ 29.00 Laboratory(Hasp&PH Lab) Relative Value Units $ 6.00 $ 7.00 Rehab. Therapy OT/ PT 30 minute intervals $ 293.00 $ ' 322.00 Speech 30 minute intervals $ 293.00 $ 322.00 Cardiopulmonary Relative Value Units $ 28.00 $ 31.00 Delivery Room 15 minute intervals $ 212.00 $ 233.00 Surgery Recovery Room I st Hour $ 859.00 $ 945.00 Operating Room 1st Hour $ 1,728.00 $ 1,901.00 Operating Roam Each Add'l 30 minutes $ 750.00 $ 825.00 Cast Room Unit $ 317.00 $ 349.00 (2) Resolution: 2004/233 Professional Component Charges Per Medicare R.S.RX.S. Amounts Department Current Rate Recommended Rats Medicine R.B.R.V.S. (a) Plus 30% No Change Surgery R.B.R.V.S. Pius 3o% No Change Radiology R.B.R.V.S. Pius 3o% No Change Anesthesiology R.B.R.V.S. Pius 30% No Change tat Resource based relative value system Outside Services And Supplies Nuclear Medicine Cost Pius 35% No Change EEG Cost Pius 35% No Change Blood Bank Cost Plus 35% No Change Prosthesis Cost Plus 35% No Change Laboratory Cost Plus CHS * No Change * (CHS: Collection and Handling of Specimens) OutPatient Visits Family Practice CURRENT RATES RECOMMENCE©RATES New Patient Professional Use of Treat. Combined Professional Use of Treat- Combined Component ment Room Rate Component ment Room Rate Brief $35.00 $50.00 $ 85.00 No Change Expanded $57.00 $55.00 $112.00 No Change Detailed $84.00 $55.00 $139.00 No Change Comprehensive 1 $125.00 $55.00 $180.00 No Change Comprehensive 2 $162.00 $55.00 $217.00 No Change Established Minimal $ 17.00 $50.00 $ 67.00 No Change Brief $30.00 $55.00 $ 85.00 No Change Expanded $43.00 $55.00 $ 98.00 No Change Detailed $69.00 $55.00 $124.00 No Change Comprehensive $110.00 $55.00 $165.00 No Change Spec alt Others Brief $ 35.00 $ 85.00 $120.00 No Change Expanded $ 57.00 $100.00 $157.00 No Change Detailed $ 84.00 $115.00 $199.00 No Change Comprehensive 1 $125.00 $130.00 $255.00 No Change Comprehensive It $162.00 $130.00 $292.00 No Change New Patient Professional Use of Treat- Combined Professional Use of Treat- Combined Component ment Room Rate Component meat Room Rate Established Minimal $ 17.00 $ 65.00 $ 82.00 No Change Brief $30..00 $ 85.00 $115.00 No Change Expanded $43.00 $100.00 $143.00 No Change Detailed $69:.00 $115.00 $184.00 No Change Comprehensive $110.00 $130.00 $240.00 No Change (3) Resolution: 2004\233 ............................................................................... .............................................. Emeruency Room Visits Brief $ 38.00 $ 65.00 $103.00 No Change Limited $ 50.00 $ 95.00 $145.00 No Change Expanded $ 81.00 $145.00 $225.00 No Change Detailed $106.00 $190b0 $296.00 No Change Comp Admit HS&PX $144.00 $235.00 $379.00 No Change Unit of Service Current Rate Recommended Rate Dental Per Medi-Cal Fee Schedule Current Medi-Cal fee+6% No Change Photocepyina Copy-Subpoena Req Per Page $ .10 No Change Copy-All Other Papers Per Page $ 25 No Change Microfilm Per Page $ .25 No Change Staff Time Per Hour $ 16.00 $ 19.20 Postage Actual Charge Cafeteria Average Charge $ 4.50 No Change Mental Health Program Services Rehabilitation Option Rates Mental Health Services One Minute $ 2.76 $ 2.90 Case Management One Minute $ 2.14 $ 2.25 Medication Support One Minute $ 5.13 $ 5.87 Crisis Intervention One Minute $ 4.13 $ 4.34 Crisis Stabilization 1 Hour Increment $ 100.54 $ 105.57 Day Care, Intensive Full Day $ 215.27 $ 226.03 Day Care, Intensive Half Day $ 153.28 $ 160.94 Day Care, Habilitative Full Day $ 139.57 $ 146.55 Day Care Habilitative Half Day $ 89.43 $ 93.90 Adult Residential Patient Day $ 157.97 $ 165.87 Crisis Residential Patient Day $ 323.87 $ 340,07 Alcohol and other Drugs Services Residential Treatment Unit of Service Current Rate Recommended Rate Alcohol/Drug Detox Day $ 65.00 $ 75.00 Alcohol/Drug Residential TX Day $ 65.00 $ 75.00 Perinatal Residential TX Day $ 120.00 No Change Youth/Alcohol/Drug Residential TX Day $ 250.00 No Change Day Treatment Perinatal Day Treatment Visit $ 80.00 No Change Individual Intake/Assessment Visit $ 70.00 $ 75.00 Individual Counseling Visit $ 70.00 $ 75.00 Collateral Service Visit $ 70.00 $ 75.00 Group Counseling Visit $ 36.00 No Change Acupuncture Treatment Visit $ 70.00 No Change Medical Assessment/Physical Exam Visit $ 100.00 No Change (4) Resolution: 2004\233 ......... ......... ......... ......... ......... ......._..._. ..... ................._.. .._.._... ......... ....._..... ......... ......... ......... ............... - .... . ....................................................................................................... . .................................. Perinatal Services Individual Counseling Visit $ 110.00 No Change Perinatal Group Counseling Visit $ 50.00 $ 55.00 PC 1000 Drug Diverstan Program Board Rates Level l Person $ 500.00 No Change Level 11 Person $ 800.00 No Change Drivina Under The Influence Program 1s Offender (Level 1) Person $ 507.00 No Change 1st Offender (Level 1'1) Person $ 829.00 No Change 2nd Offender Person $1,759.00 No Change Wet and Feckless Person $ 186.00 No Change Methadone Maintenance Dose—AOD Dose $ 9.39 $ 9.58 Dose— LAAM Dose $ 22.33 $ 22.61 Dose Perinatal Dose $ 10.75 No Change Individual Counseling-AOD 10 Minutes $ 13.62 $ 14.05 Individual Counseling-LAAM 10 Minutes $ 13.62 $ 14.05 Individual Counseling-Perinatal 10 Minutes $ 22.83 No Change Group Counseling-AOD 10 Minutes $ 3.61 No Change Group Counseling-LAAM 10 Minutes $ 3.51 No Change Group Counseling-Perinatal 10 Minutes $ 5.57 $ 5.91 Contra Costa Health Plan Medicare Premium Senior Health Basic Individual $ 41.00 No Change Senior Health Individual $ 55.00 No Change Senior Health Plus 40 Individual $ 79.00 No Change Senior Health Plus 50 Individual. $ 75.00 No Change Commercial Group and Individual Monthly Premium for Health $ 238.50 No Change PremiumCosts Monthly Revenue Requirement Rate Amendments: Authorize the Health Services Director or his designee to establish specific premium rates for commercial group and individuals including Senior Health Members; use the "community rating by class„ rate determination process for large groups; include an additional monthly premium factor for administrative costs loading; increase the revenue requirement as appropriate by an amount not to exceed 1% cumulative per month. (5) Resolution: 2004/233 Public Health Service Unit Of Service Current Rates Recommend Rate Irnrnunizatinn (FeesWaiveble for Regn#red'Childhood Immunization If unable to Pay) Typhoid (Ages 2 & Over) Per Dose (injection) $ 50.00 No Change Typhoid ( Ages 6 & Over) per Dose package(oral) $ 50.00 No Change Yellow Fever Per Dose $ 75.00 No Change Meningococcal Per Dose $ 75.00 No Change Immune Globulin Per Dose $ 35.00 No Change Rabies Vaccine (Human) Per Dose New $ 135.00 Tetanus Per Dose New $ 15.00 Childhood Immunizations Birth to 18 years Per[lose(not to exceed$20.40 per family) $ 10.00 $ 20.00 Chickenpox (12 months and over; 2 doses required) 12 months -18 years Per loose(not to exceed$20.00 per family) $ 10.00 $ 20.00 19 years & over Per Dose (2 doses) $ 60.00 $ 70.00 Measles. Mumps and Rubella Vaccine 12 months and over 1 st shot Per dose(not to exceed$20.00 per family) $ 10.00 $ 20.00 2"d Shot Per dose over 18 years, $ 35.00 No Change unless enrolled 1st year college or equivalent,or out break where State recommends. Flu Vaccination 6 months and over Per Dose $ 5.00 No Change Pneumococcal 23 Valent Vaccination 2 years and over Per Dose $ 15.00 No Change Hepatitis A 2 -- 18 years Per Dose(not to exceed$20.00 per Family) $ 10.00 $ 20.00 19 years & older Per Dose $ 60.00 No Change Hepatitis 8 Birth to 18 years Per Dose(not to exceed$20.00 per Family) $ 10.00 $ 20.00 19 years & over Per Dose $ 60.00 No Change Post Blood Titers Per Test $ 50.00 No Change Tuberculin PPD Test Per Test $ 10.00 No Change Nutrition Services Per Hour $ 60.00 No Change Occupational Health Per Exam Cost + 10% No Change Public Health Lab*ratory Lab Tests Per Test Cost + 10% No Change Rabies Test (animal) Per Test $ 80.00 No Change (6) Resolution: 20041233 Health Education Each Cost + 10% No Change Material (videos, pamphlets) Each $ 8.00 No Change Vital Stats Certified Conies Death Each $ 12.50 $ 14.50 Fetal Death Each $ 10.50 No Change Birth -- General Public Each $ 17.50 $ 19.50 Birth -- Government Agency Each $ 9.00 $ 11.00 Permit For`Disposltion of Human Remains Regular Each $ 7.00 $ 13.00 After Hours Each $ 7.00 $ 13.00 Cross Filing Each $ 10.00 $ 16.00 Environmental Health division General Program Section -'Service Faros & Penalties Current Rates Recommended Rate Application Fee (Non-refundable) $ 35.00 No Change Violation Re-inspection 'Fee $ 123.00 per hour No Change Special Services Fee at Hourly Rate Wfth Minimum One Hour Charge: $ 123.00 No Change Applicable to: Variance Requests Violation Administrative Hearings Field and Office Consultations Non-Routine Site Evaluations Non-Routine Field Inspections (and/or) Re-Inspections Two - Hour Charge: Health Officer Appear Hearing $ 312.00 No Change Applicable to: Pian Review Fees for Permit Fee Exempt Facilities Plan Review and Site Evaluation Fees for Community Development Services Second re-inspection of verified complaints will be charged to the property owner/responsible party. A $1``23.00 fee will be charged for verified complaints at permitted and fee exempt facilities. NOTE: Additional charges will be incurred after the minimum hourly charges have been expended. Services provided after normal work hours will be charged at $156.00 per hour. Penalties Penalties will be imposed for delinquent payments as provided in County Ordinance No. 93-58, Article 413-3.1206. Ordinance Code of Contra Costa County Section 414-4.1019 Enforcement—Penalties: Any person violating this chapter or regulations issued hereunder, by failing to submit plans, obtain necessary inspections and approvals, or pay fees, or by commencing or continuing construction or remodeling in violation hereof, shall pay triple the appropriate fee as a penalty and remain subject to other applicable penalties and enforcement procedures authorized by the state law and /or this code. (7) Resolution: 2004/233 ...... ......... ......... ......... ......... ......... ......... . ..... .. .. ......................__.. ......... ......... ......... ......... ......... ......... ......... ......._. ... ................................................................................................................ Consumer Protection 1 'Retail Food Program Consumer Protection/ Retail food fees are applicable to the Environmental Health permit year beginning July 1, 2004. Environmental Health Permft Fee: Catenary Units Capacity Current Fees Recommended Fee Restaurants Seats 0 - 25 $ 406.00 No Change Restaurants Seats 26 -49 $ 520.00 No Change Restaurants Seats 50-149 $ 617.00 No Change Restaurants Seats 150 + $ 702.00 No Change (NOTE: Restaurants with drive-up window (base seating + $57) Drive ThroughOnly/ Restaurant to go only $ 407.00 No Change Vending Machines Machines 1 -4 $ 123.00 No Change Each Machine Over 4 4 + $ 21.00 No Change Tavern/Cocktail Lounge Bar $ 427.00 No Change Snack Bar $ 427.00 No Change Commissary $ 561.00 No Change Cart Commissary $ 249.00 No Change Catering $ 561.00 No Change Multi-Event Facility (up to 15 Hours) Hours $ 123.00 per hour No Change Special Events Per Food Booth $ 78.00 No Change Retail Food MarketsSquare Foot <2,000 $ 379.00 No Change Retail Food Markets Square Foot 2,001 -4,000 $ 436.00 No Change Retail Food Markets Square Foot 4,001 -6,000 $ 617.00 No Change Retail food Markets Square Foot >6,000 $ 702.00 No Change Incidental Retail Food Mkts $ 163.00 No Change Certified Farmer's Market (CFM) with Food Vendors: Category Units Capacity Current Fees Recommended Fee' Certified Farmer's Food Mkts (CFM)Booths 1 - 25 $ 224.00 No Change Certified Farmer's food Mkts (CFM)Booths 26 - 45 $ 335.00 No Change Certified Farmer's Food Mkts (CFM)Booths 46 + $ 447.00 No Change Non Aurlcuiitural Food Vendor Booths 1 - 5 CFM Fee + $ 164.00 No Change Food Vendor Booths 6 -10 CFM Fee + $ 224.00 No Change Food Vendor Booths 11 + CFM Fee + $ 335.00 No Change Wiping Rags Business $ 210.00 No Change Roadside Stands $ 210.00 No Change Food Salvager $ 590.00 No Change Food Processing Establish Square Foot <2,000 $ 379.00 No Change Food Processing Establish Square Foot 2,001 -4,000 $ 436.00 No Change Food Processing Establish Square Foot 4,001 - 6,000 $ 617.00 No Change Food Processing Establish Square Foot >6,000 $ 702.00 No Change Food Demonstrator $ 197.00 No Change Retailer Food Vehicle (Delivery&Peddlers) $ 225.00 No Change Mobile Food Prep Units $ 421.00 No Change Retailer Food Vehicles(including catering trucks) $ 225.00 No Change Vehicle Commissary(Fee Exempt) New No Fee Ice Cream Push Carts 1 - 4 $ 65.00 each No Change Ice Cream Push Carts 5 - 10 $ 60.00 each No Change Ice Cream Push Carts > 10 $ 55.00 each No Change Bakery Square Foot <2,000 $ 379.00 No Change Bakery Square Foot 2,001 -4,000 $ 436.00 No Change (8) Resolution: 2004\233 Category Units Capacity Current Fees Recommended Fee Battery Square Foot 4,001 -6,000 $ 617.00 No Change Battery Square Foot >6,000 $ 702.00 No Change Wholesale Food Square Foot <2,000 $ 379.00 No Change Wholesale Food Square Foot 2,001 -4,000 $ 436.00 No Change Wholesale Food Square Foot 4,001 -6,000 $ 617.00 No Change Wholesale Food Square Foot >6,000 $ 702.00 No Change lice Piant $ 162.00 No Change Swap Meet/Flea Market Pre-packaged Food Stand<20,000 sq ft New $ 1,000.00 Swap Meet/Flea Market Pre-packaged Food Stand>20,000 sq ft New $ 2,000.00 Recreational Health. Recreational Water Park One System $ 842.00 No Change Each Additional System $ 421.00 No Change Pool-Apartment,Motel,Hotel Multi-Use $ 487.00 No Change Each Additional Pool $ 140.00 No Change Spa Apartment,Motet,Hotel Multi-Use $ 421.00 No Change Each Additional Spa $ 140.00 No Change Fee•lExempt Activities {Permit Fees Only}: Food Facilities f Public Schools No Fee No Change Municipal l Non Profit Pools / Public School's No Fee No Change Spas / Public Schools No Fee No Change Small Water System Perm ts: Non-Community,surface water system $ 340.00 No Change Non-Community,Non-transient ground water system $ 433.00 No Change Non-Community,Non-transient ground water system,with treatment $ 433.00 NO Change Non-Community,non-transient surface water system $ 433.00 No Change Non-Community,transient $ 340.00 No Change Community ground water system (15- 24 connections) $ 433.00 No Change Community ground water system with treatment (15- 24 connections) $ 433.00 No Change Community ground water system (25 99 connections) $ 455.00 No Change Community ground water system with treatment (25- 99 connections) $ 455.00 No Change Community surface water system (25- 99 connections) $ 455.00 No Change Community ground water system (100-199 connections) $ 568.00 No Change Community ground water system with treatment (100-199 connections) $ 568.00 No Change Community surface water system (100-199 connections) $ 568.00 No Change Local small water system $ 146.00 No Change State small water system $ 249.00 NO Change Non-Community ground water system with food preparation $ 340.00 No Change Non-Community ground water system with treatment $ 340.00 No Change Non-Community ground water system,prepackaged food only $ 0.00 No Change Public Water System - Plans Review;. New Community water system $ 541.00 No Change New Non-Community water system $ 324.00 No Change Amended permit because of ownership change $ 163.00 No Change Amended permit because of system change $ 271.00 No Change Enforcement actions pertaining specifically to small water systems $ 123.00 per hour No Change (9) Resolution: 20041233 Pro-Rating lees: Commencement of a now business: The full annual fee shall be paid if the activity starts during March through May; three-fourths if during June through August; one-half if during September through November; and one-fourth if during December through February. Permanent discontinuance or sale of a business -the portion of the annual fee available for refund: If the Entity ceases to do business during March through May, three fourths; during June through August, one-half; during September through November, one-fourth; and if during December through February, zero. Owners of businesses requesting a pro-rated refund must do so in writing within thirty days of sale or permanent discontinuance of business. In the case of a business that has been sold, the owner must include in the written request for a refund the name, address and telephone'number of the person to whom the business was sold. Solid Waste Programs Category Units Capacity Current Fees Recommended Fee Local Enforcement Anencv Program: Solid Waste Tonnage Fee $ 1.20 /ton No Change Category Units Capacity Current Fees Recommended Fee Solid Waste Facililty Fees.- Closed, ees:Closed, Illegal and Abandoned Sltos Annual Inspection—2 Hours $ 246.00 No Change Quarterly Inspections-8 Hours $ 984.00 No Change Monthly Inspections -16'Hou rs (see Note(a)below) $1,968.00 No Change Elio-Solid Faclift Sites Annual Inspection—2 Hours $ 246.00 No Change Quarterly Inspections—8 Hours $ 984.00 No Change Monthly Inspections— 16 Hours $1,968.00 No Change NOTE (a): Any inspection conducted over and beyond the routine inspection is subject to the hourly rate of$123.00 an hour. Bio-Solid Facliity Application and Review Fee With Public Hearings- 10 Hours $1,230.00 No Change Without Public Hearings -- 5 Hours(see Note(b)below) $ 615.00 No Change Solid Waste Facility Permit Application / Review Fee (see Note(b)below) $1,230.00 No Change NOTE (b): Permit application / review fee includes 10 hour of service time. An additional deposit fee maybe required when initial deposit has been expended. Mandatory Garbage Service Exemption $ 123.00 per hour No Change (10) Resolution: 2004/233 ......... ......... ......... ......... ........ . ..............__....... _........ ......... ......... ......... ......... ......... ............._... . ................................................................................................................................. . ................................................... Medical Waste: Plan review(new facility/treatment system/permit revision $ 469.00 No Change Additional review(per hour) $ 123.00 per hour No Change Health Care Service Plan Facility $ 498.00 No Change Medical/DentalNeterinary Clinic (>200 lbs./month) $ 387.00 No Change Medical/DentaiNeterinary Clinic (<200 lbs./month) $ 48.00 No Change Cate Units capacity Current Fees Recornmer►ded Fee Med/DentalNeter€nary Clinic s with on-site Treatment Systems (<2001bs.1month) $ 145.00 No Change Additional fee for large quality generators with on-site treatment $ 81.00 No Change Primary Care Clinic $ 498.00 No Change Intermediate Care Facility $ 419.00 No Change Acute Psychiatric Care $ 387.00 No Change Acute Care Hospital (251 + beds) $1,978.00 No Change Acute Care Hospital (200-250 beds) $1,414.00 No Change Acute Care Hospital (100- 199 beds) $1,213.00 No Change Acute Care Hospital ( 1 - 99 beds) $ 850.00 No Change Skilled Nursing Facility (>200 lbs./month) $ 387.00 No Change Skilled Nursing Facility (<200 lbs./month) $ 48.00 No Change Skilled Nursing Facility (With on-site treatment) (<200 lbs./month) $ 145.00 No Change Specialty Clinic (>200 lbs./month) $ 498.00 No Change Categnry Units Capacity Current Fees Recommended Fee Clinical Lab (>200lbs./month) $ 387.00 No Change Clinical Lab (<200 lbs./month) $ 48.00 No Change Clinical Lab(With on-site treatment) (<200 lbs./month) $ 145.00 No Change Bio-med Producer (>200 lbs./month) $ 387.00 No Change Bio-med Producer (e200 lbs./month) $ 48.00 No Change Bio-med Producer With on-site treatment (<200 lbs./month) $ 145.00 No Change Common Storage Facility (50+ generators) $ 387.00 No Change Common Storage Facility (11 -49 generators) $ 194.00 No Change Common Storage Facility { 2-10 generators) $ 145.00 No Change Descri -t€€on Current Fees Recommended Fees Limited Quantity Hauling Exemption $ 81.00 No Change Re-inspection Fee (per hour) $ 123.00 per hour No Change Certification Application Fee $ 35.00 No Change TattoWnu._Body Plerc#nu and Permanent Cosmetics Facility Annual Fee $ 200.00 No Change Body Art Registration Fee $ 25.00 No Change Land Use Programs Penalties. Penalties will be imposed for delinquent payments as provided in County Ordinance No. 93--58, Article 413-3.1>206. Ordinance Code of Contra Costa County 8ectian 420-6.707 {11) Resolution: 2004/233 Enforcement— Penalties: Any person violating this chapter or regulations issued hereunder, by failing to submit plans, obtain necessary inspections and approval, or pay fees, or by commencing or continuing construction or remodeling in violation hereof, shall pay triple the appropriate fee as a penalty and remain subject to other applicable penalties and enforcement procedures authorized by the state law and /or this code. FEES FOR THE INSTALLATION OF INDIVIDUAL SEWAGE DISPOSAL SYSTEMS, WATER WELLS AND SUBDIVISIONS OF LAND In order to obtain approval for installation or repair of systems, the following fees must be paid prior to any inspection or investigation of an individual parcel or minor subdivision. IMPORTANT: Permit fees include a non-refundable $35.00 application fee. Inspection and travel time exceeding the hours provided in the service fees set below or provided for services not listed will be charged at the rate of$123.00 per hour during normal business hours and the rate of $156.00 per hour after normal business hours: GENERAL: Current Fess Recommended Fees Individual Sewage Disposal Systems: Preliminary inv+esti cation Site evaluation (two hour minimum charge) $ 271.00 $ 306.00 Percolation test-contractor with staff review $ 447.00 $ 306.00 Percolation test—staff performed $ 880.00 No Change Soil profile evaluation $ 271.00 $ 306.00 Description Current Fees Recommended Fees Standard/Conventional Systems Construction Permit (includes 1 hr. Plan Review) $ 492.00 $ 541.00 Additional Plan Review $ 123.00 per hour No Change Re-inspection/Cancellation/Rescheduling (Without confirmed notice) $ 123.00 per hour No Change Alternative Systems Initial Plan Review New $ 281.00 Construction Permit $ 771.00 No Change Additional Flan Review $ 123.00 per hour No Change Re-inspection/Cancellation/Rescheduling $ 123:00 per Dour No Change Annual Operation Permit $ 240.00 No Change Related Septic System Activities Plan Review—Building additions $ 123.00 per hour $ 281.00 Septic System Abandonment Permit (includes 1.5 hour staff time) $ 242.00 No Change Minor Repair Permit (includes 1 hr. staff time) $ 174.00 No Change Weis and Soil Borings: A well is any artificial excavation constructed by any method for the purpose of extracting water from, or injecting water or other liquid into the ground, for observation of groundwaters for any reason,for the exploration of the subsurface of the earth, for removal of substances from soil or groundwater, dewatering, or the cathodic protection. This definition shall not include oil or gas wells or geothermal wells constructed under the jurisdiction of the State Department of Conservation except when such wells are converted to use as a well. This definition includes environmental and geotechnical wells. (12) Resolution: 2004\233 ...................................................................................................''I'll'', ............................................................. A soil boring is an uncased artificial excavation constructed by any method for the purpose of obtaining information on subsurface conditions or for the purpose of determining the presence or extent of contamination in subsurface soils or groundwater. This definition includes environmental and geotechnical borings, dewatering wells, test holes, test wells and exploration holes. Individual Wells and Soll.Borings Permit for construction and /or reconstruction for $ 358.00 No Change individual wells, including monitoring wells. Site evaluation (Minimum 1 hr charge) $ 123.00 per hour $ 158.00 Permit for soil borings (Per parcel) $ 329.00 No Change Review of an existing water well (1 hr minimum) $ 123.00 per hour $ 158.00 Inspection permit for abandoning and sealing of well (Fee includes 1 hr of staff time) $ 220.00 No Change Inspection permit for abandoning and sealing of well when done at same inspection of replacement well. No Fee No Change Subdivisions —Land Uses Projects Community Development Department (CDD) report reviewed for land use permits; rezoning; developmental plans; EIR Review; lot line adjustments; and ODD variance requests. $ 123.00 per hour No Change Environmental Health review of ODD applications $ 35.00 No Change Current Fees Recommended Fees 1-lauld Waste Disposal Permits:, Sewage Pumper Company $ 413.00 No Change Sewage Pumper Vehicle $ 135.00 No Change Portable Toilet Pumper Vehicle $ 135.00 No Change Other PMgrams: Plan Check: Plan check deposit fees, except those specifically listed, are three times the annual permit fee. This includes plan check and all applicable inspections and consultations. An additional deposit fee may be required when initial deposit has been expended. If deposit is not expended, a refund will be issued. The initial fee for an "exempt facility" or a minor remodeling plan check is $281.00. Each additional hour is $123.00 per hour. Ordinance Code of Contra Costa County, Section 414-4.1019 Enforcement—Penalties: Any person violating this chapter or regulations issued hereunder, by failing to submit plans, obtain necessary inspections and approval, or pay fees, or by commencing or continuing construction or remodeling in violation hereof, shall pay triple the appropriate fee as a penalty and remain subject to other applicable penalties and enforcement procedures authorized by the State Law and or this code. Current Deposit Requirement 'Recommended Deposit Public Pool (minimum deposit) $1,393.00 No Change Public Pool Complex (minimum deposit) $1,393.00 :No Change (13) Resolution: 2004\233 Current Dewsit Requirement Recommended Deposit Additions to original complex: Each pool, spa, wading,therapy, or diving pool $ 401.00 No Change Bathhouse $ 401.001 No Change Recreational water park complex (Minimum Deposit—5 times the annual pool permit) Hazardous Materials Programs division CertMed UnNiled''Program (CUPA)Fee Schedule: The setting of fees authorized by California Code of Regulations (CCR), Title 27, section 15210 and Health'& Safety Code 25404.55. Hazardous'`Material A82185 Pr Gramm AB2185 fees for a current calendar year are based upon the following year's projected business plan inventory of hazardous material and are billed to the business in the sixth month after December 31 sc of the current calendar year fee structure for businesses required to submit a "Hazardous Material Business Plan" under Federal Sara Title Ill Program and the California Hazardous Materials Release Response and Inventory Program (AB 2185). Hazardous Material Inventory Fee.! (Calendar''Year 213 Number of Employees LBS.Of Material Current Fees Recommended Fee N/A < 1 K *A $ 142.00 No Change 0 to 4 > 1 K < 10K $ 151.00 No Change 5 to 9 > 1K - < 10K $ 207.00 No Change 10 to 19 > 1 K - < 10K $ 259.00 No Change 0 to 4 > 1 OK- <100K $ 516.00 No Change 5 to 9 > 10K - <100K $ 600.00 No Change 10 to 19 > 10'K <100K $ 688.00 No Change 0 to 4 >1OOK - <250K $ 900.00 No Change 5 to 9 >1OOK - <250K $ 1,002.00 No Change 10 to 19 >1 OOK - <250K $ 1,101.00 No Change 0 to 4 >250K - <500K $ 11199.00 No Change 5 to 9 >250K- <500K $ 1,300.00 No Change 10 to 19 >250K - <50'0K $ 1,400.00 No Change > 20 and < 1OK $ 751.00 No Change > 20 and > 1OK - <100K $ 1,640.00 No Change > 20 and >1OOK - <250K $ 3,267.00 No Change > 20 and >250K - <500K $ 6,117.00 No Change N/A >500K - <2.5 M $ 15,557.00 No Change N/A >2.5M - < 10M $ 30,644.00 No Change N/A >1'0M - <144M $ 50,182.00 No Change N/A >104M - < 113 $ 66,907.00 No Change NIA > 1B - < 5B $ 83,635.00 No Change N/A > 5B $148,063.00 No Change All marine terminals and tank farms with secondary $ 42,041.00 No Change containment storing greater than or equal to I OM pounds of Hazardous Materials. All oil refineries and Class 1 off-site hazardous $ 164,941.00 No Change waste disposal sites (14) Resolution: 2004\233 Liquefied carbon dioxide (CO2)shall be assigned a risk factor of 10%. In summing the total pounds of hazardous material at a given facility as part of the fee determination, the pounds of liquid (CO2) shall be multiplied by 10% and that amount used in the calculation of the aggregate pound's for the site. (A) Quantity at any one time during the reporting year equal to, or greater than, a total weight of 500 pounds or a total volume of 55 gallons, or 200 cubic feet at standard temperature and pressure for compressed gas. Partial Year Ownership-- New Owner/ Operator: A Business Plan is required from a new owner/ operator from the start of the business activity to December 31 st. An annual AB2185 fee will be computed on the inventory of hazardous material listed in the Business Plan, then pro-rated by the number of months covered by the Business Plan. Dlscontinuance or Sale of Business: Upon discontinuance or sale of a business, the owner f operator is required to file a Business Plan for the period between the ending date of the proceeding business plan to the month in which the business activity ceased or the business was sold. The annual AB2185 fee will be computed on the inventory of hazardous material listed in the Business Plan then pro-rated based on the prior year's Business Plan or a revised Business Plan approved by the Hazardous Materials Program Director. For businesses that discontinue doing business during a calendar year, the AB2185 fee will be pro-rated based on the prior year's Business Plan or a revised Business Plan approved by the HazardousMaterials Program Director. The Fees shall be non-transferable, non-refundable and set on a facility basis. Additional Administrative Fees Will Be Assessed For: 1. Failure to respond to inquiries relating to compliance with these resolutions-25% of fee. 2. Late filing of business plans beyond a 30 -day notice of violation -50% of fee. 3. Failure to pay the fee within terms of the invoice -2'5% of fee. The administering agency reserves the right to adjust the fees dependent on total program cost and may adjust individual facility fees within the above schedule when the Health Officer determines that the fee is not equitable based on health risk. UN-Staffed 1,Romote Facility Current Fees Recommended Fees 1. Exemption Processing Fee $ 130.00 No Change 2. Initial Notification or Inventory Change Processing Fee $ 130.00 No Change Accidental Release Prevention Prouram (ARPP) 1. Fee Imposed: The California Accidental Release Prevention Program (CAIARP) Fees for Contra Costa County are hereby imposed and assessed upon all stationary sources that handle regulated substances. 2. Amount: The fee fora stationary source shall be determined as follows:' Fee = $200'+ [(TC-TSS x $200 )TRF] x RF TC - Total cost of the County's CalARP program TSS = Total number of stationary sources in the County TRF = "Total Risk Factor," or the sum of the Stationary Source Modified Chemical' Exposure Indexes ("SSMCEI") of all stationary sources in the county RF = "Risk Factor," or a stationary source SSMCEI (1 s) Resolution: 2004/233 The TRF for the County and RF of a stationary source ("SSMCEI") shall be determined pursuant to the Contra Costa County Health Services Department's California Accidental Release Prevention Program Relative Risk Determination Methodology, attached hereto as Exhibit A and incorporated herein by this reference. 3. Exempt Stationary Sources: A stationary source may apply for an exemption from preparing a RiskManagement Plan under the California Accidental Release Prevention Program. The exemption may be granted if the Health Services Director or his designee determines, at his or her sole discretion, that the potential for an off-site consequence from the stationary source is remote. If a stationary source has not paid the annual CALARP fees pursuant to this resolution,the stationary source shall pay an exemption review fee upon submittal of an exemption application. The exemption application fee shall be $500.00 per regulated substance per process. (For example, if a stationary source handles one regulated' substance in one process the fee is $500.00. if a stationary source handles one regulated substance in two different processes the fee is $1,000.00). If a stationary source does not handle any regulated substance in a process but stores regulated substances in a warehouse, the review fee is $500.00 per warehouse where the regulated substances are stored. If an exemption is not granted all of the exemption application fee shall be credited towards the CALARP fees assessed'upon the stationary source pursuant to this resolution. An annual administrative fee of$75.00 is hereby assessed upon all stationary sources that handle regulated' substances on site but are exempt from preparing an RMP pursuant to this resolution. 4. Multiple Stationary Sources: Companies that have multiple stationary sources that are substantially identical, as determined at the sole discretion of the director of Health Services, or his designee, may be assessed a reduced fee. The Fee for such a company shall be the full fee for the first stationary source, plus the greater of$75.00 or 10% of the full fee for each additional substantially identical stationary source. 5. Non-Profit Organizations: If a stationary source is owned by a non-profit organization (Internal Revenue Service Code tax-exempt status number 501 C), the fee shall be the greater of$75.00 or 10% of the full fee based on the stationary source's risk ranking. 6. Definitions: The terms used in this resolution shall have the meanings ascribed to them in the Health and Safety Code Article 2, §25535.5 and §25404.5. 7. Authority: This resolution and the imposition of fees hereunder are authorized in part by Health & Safety Code, Chapter 5.95, §25535.5 and §25404.5. Unannounced Inspection Prod 1. Fee imposed: The Unannounced Inspection Program fees for Contra Costa County are hereby imposed and assessed upon all stationary sources that handle regulated substances and that must submit a Risk Management Plan to the U.S. EPA. 2. Amount: The fee for a stationary source shall be determined as follows: Fee = $200 + [(TC -TSS x $200)TRF] x RF TC = Total cost of the County's Unannounced Inspection Program TSS = Total number of stationary sources in the County TRF = `Total Risk Factor," or the sum of the Stationary Source Modified Chemical Exposure Indexes ("SSMCEI")of all stationary sources in the county. RF = "Risk Factor" or a stationary source SSMCEI The TRF for the County RF of a stationary source ("SSMCEI") shall be determined pursuant to the Costa County Health Services Department's California Accidental Release Prevention Resolution: 2004 t 233 Program Relative Risk Determination Methodology, attached hereto as Exhibit A and incorporated herein by this reference. 3. Definitions: The terms used in this resolution shall have the meanings ascribed to them in the Health and Safety Code Chapter 6.95 §25404.5. 4. Authority: This resolution and the imposition of fees hereunder are authorized in part by Health & Safety Code, Chapter 6.95, §25535.5 and §254034.5. Industrial Safety Ordinance Fee The fee schedule will be determined by the formula listed below: Fee = 1/3 ARP = (ARP/TRF) OMB Fee = The regulated source's fee for Chapter 450-8 of the County Ordinance Code ARP = The regulated source's fee for the CALARP Program TRF = The sum of all of the regulated sources' CALARP Program fees that are regulated by Chapter 450-8 of the county Ordinance Cade. OMB = Costs of the Ombudsperson Position. *Incident Investigation Fee Current Fees Recommended Fees $ 130.00 per hour No Change *(Charged to a regulated source when an incident is investigated by the Contra Costa Health Services Department). Underground Storage Tank Pro-gram Description Currant Fees Recommended Fess Underground Storage Tank Annual Permit: Single tank of 1,000 gallons or less used solely in $ 322.00 No Change Connection with the occupancy of a residence First tank of 50,000 gallons or less (a) No Change Basic fee for tank of 50,0300 gallons or less $ 548.00 Each tank of 501,000 gallons or more $ 953.00 No Change (a) In addition to the basic fee, a surcharge of$200.04 is applicable on the tank at each site which has the earliest installation date. Underground Storacle Tank Installation Plan Review and Inspection: In addition to the applicable State surcharge prescribed by or pursuant to the law, the following'; fees shall be collected: New Tank Facility, first tank $ 855.00 No Change Each additional Tank $ 173.00 No Change Underground Stora ne Tank Removal, Temnorary Closure or Abandonment. Single tank of 1,000 gallons or less, located at a $ 229.00 No Change Residence and used solely in connection with the occupancy of that residence. First Tank at a Site $ 531.00 No Change Each Additional Tank $ 229.00 No Change Resolution: 2004\233 Description Current Fees Recommended Fees Pro-Rete Fes For Underground Storage Tank installations during the permit period of July 1 st through the following June 30th, the Annual Permit Fee shall be prorated for the number of months the tank was installed during the permit period. Inspection and Pian Review for Piping Replacement or Modification: Plan review and inspection of pipe replacement $ 627.00 No Change or repair, including the installation of overfill protection equipment and corrosion control devices leak detection"and monitoring equipment. Permit Amendment or Transfer. Permit amendment or transfer fee $ 113.00 No Change Underuround Tank Modification. Repair or Lining Permit: Includes review and inspection not exceeding four $ 502.00 per tank No Change hours of staff time For each additional hour or fraction thereof of $ 130.00 No Change staff time. Contaminated Site Fee: Each hour or fraction thereof of service delivered $ 130.00 No Change Monday through Friday between 8.00 a.m. and 5:00 p.m. by the County Health Services Department in connection with the characterization or remediation of site contaminated by discharge of a hazardous substance,`material or waste, if the owner, operator other'responsible person in charge of the site requests assistance from the County or where an inspection or an emergency response is necessary to verify compliance with State and County regulations or to assure Public Safety. Re-inspection or Time'Use: Each hour or fraction thereof, of staff time, Monday $ 130.00 No Change through Friday between 8:00'a.m. and 5:00 p.m. shall be charged in the following cases: a. More than one inspection or two hours of onsite time is required in the case of tank removals b. More than two inspection or four hours of onsite. time is required in the case of tank installations C. More than one re-inspection is required to determine Compliance; and /or d. Inspection, consultation or other services related to underground storage of hazardous substances or hazardous materials or wastes are provided and said services are not otherwise covered by this ordinance. ('18) Resolution: 20041233 .................... ............................................................................................................................... ................................................................................. ............ Description Current Fees Recommended Fees Document Search: Each hour or fraction thereof of staff time, Monday $ 130.00 No Change through Friday between 8:00 a.m. and 5:00 p.m., shall be charged to any consulting firm, realtor, lending institute or other commercial enterprise for services performed in complying with document research requests for these enterprises. PENALTY. The following penalty shall be applied and collectible from parties responsible for the following actions: Pe a.) Failure to file and report change in owner- $500.00 No Change ship or operator of an underground tank(s) This penalty is in addition to those that may be imposed under any other underground tank regulation. Incident Response: Each hour or fraction thereof of service time $ 130.00 No Change Delivered by the County Health Services Department in connection with the characterization Or remediation of site contamination by discharge of a hazardous substance, material or waste, if the owner, operator or other responsible person in charge of the site requests assistance from the County or where an inspection or an emergency response is necessary to verify compliance with State and County regulations or to assure public safety. This includes Responses to illegal drug labs. Hourly rate for service time after 5:00 p.m, until $ 158.00 No Change 8:00 a.m. and Saturday, Sunday and County Holidays. Hazardous Waste Generator: Every generator which produces hazardous waste shall pay a fee for each,generator site for each calendar year, or portion thereof. Generators are required to report the amount of waste generated on a Hazardous Waste Generator Reporting form provided by Hazardous Materials Programs Division. Hazardous Waste Generated-. 1 Less than 5 tons $ 151.00 No Change 2) 5 or more tons, but less than 25 tons $ , 287.00 No Change 3) 25 or more tons, but less than 50 tons $ 2,305.00 No Change 4) 50 or more tons, but less than 250 tons $ 5,760.00 No Change 5) 250 or more tons, but less than 500 tons $ 28,806.00 No Change 6) 500 or more tons, but less than 1000 tons $ 57,613.00 No Change 7) 1000 or more tons, but less than 2000 tons $ 86,419.00 No Change 8) 2000 or more tons $116,953.00 No Change "Late filing of Hazardous Waste Generator reporting forms beyond a 30 day notice of violation will be assessed a 50% late filing fee." Onsite Treatment Foes: Permit By Rule (Fixed Units) $ 1,363.00 per facwty No Change Conditional Authorization $ 1,363.00 per facitity No Change Conditional Exemption and Commercial Laundry $ 50.00 per year No Change Conditional Exemption—Limited $ 50.00 per year No Change (19) Resolution: 2004\233 Description Current Fees Recommended Fees dellnam mt''Payment Penalty: A 25% delinquent payment penalty will be assessed to any fee or service rendered if not paid within the payment terms or payment due date stated on the invoice. END 0E GERTIFIED UNIFIED PROGRAM (CUP'A) FEE SOW= Emergency Medical Services Ager c Emergency Medical Technician (E'MT1) Initial Certification /Re-Certification* $ 30.00 No Change Replacement Card $ 10.00 No Change Paramedic Accreditation / Re-Accreditation* $ 50.00 No Change (Re-accrediation applies only if initial Accreditation lapses) EMS Continuine'Education Provider ** 4 year $ 100.00 No Change Non--''Emergency Ambulance Semice Permit 3 year county—wide $1,500.00 No Change Emer+aencv/Ambulance Service Permit For.- Each or.Each Emergency Response Area (3— year) $1,500.00 No Change EMS Aircraft Classification $ 250.00 No Change EMS aircraft Authorization 2 YEAR $1,800.00 No Change Non Emergency Paramedic Transfer Program 1 year including up to 50 transfers $3,000.00 No Change Fee for each transfer over the first 50/year $ 50.00 No Change * Renewal fees may be waived for employees of a service provider with an approved', in-house program for maintaining required renewal records. ** Fee maybe waived for non-commercial providers offering courses at no charge to participants, or for providers offering courses to in-hoose employees only. Waiver. The Health Officer or his designee may waive any of these fees in any individual case in which he determines that the advancement and protection of the public health will be better served thereby and that these considerations out weigh the County financial Interests in collecting the fee. (20) Resolution: 2004 t 233 Fee Amendments: The Health Services director or his designee my increase or decrease as needed, any specific fee by not more than 10% during the next twelve-month period, except those Fees set by Federal J State statute or regulation shall be effective concurrent with the date specified in the applicable statue or regulation regardless of the amount of the increase or decrease. Medicaid''Waiver: To insure compliance with the Medicaid waiver granted by the Center for Medi-Care and Medi-Caid Services to the State of California, the Health Director or his designee is granted the authority to increase Inpatient rates for services at CCRMC to the level necessary ensure customary charges for service exceed expected Medi-Cal payments. Fee Adjustment: The Health Services Director or his designee is authorized to adjust, waive or compromise the fee amount in those cases in'which he determines that it is cost effective to do so. I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. Attested Ames R. 'Y John Sweeten Clerk of the Board of Supervisors and County Administrator E . BY 4A, Deputy Original: County Administrator cc: Health Services Director Health Services Administration Health Services Controller County Counsel County Auditor Contact: Patrick Godley,CFO(370-5005) {21} Resolution: 2004/233