DATE: August 11, 2026
TO: Board of Supervisors
SUBMITTED BY: Joe Prado, Director, Department of Public Health
SUBJECT: Amendment to Master Schedule of Fees, Charges, and Recovered Costs
RECOMMENDED ACTION(S):
TITLE
1. Conduct first hearing to amend the Fresno County Master Schedule of Fees, Charges, and Recovered Costs Ordinance by amending Section 2100 - Public Health, subsection 2107; and waive reading of the Ordinance in its entirety and set second hearing for August 25, 2026;
2. Designate County Counsel to prepare a fair and adequate summary of the proposed Ordinance; and
3. Direct the Clerk of the Board to post and publish the required summary in accordance with Government Code, section 25124(b)(1).
REPORT
There is no increase in Net County Cost associated with the recommended actions. Approval of the first recommended action will revise Section 2100 - Public Health of the Master Schedule of Fees, Charges and Recovered Costs (MSF) Ordinance, last amended 2024-25, to enable full cost recovery, delete inapplicable rates, reduce where necessary, or adjust when related to added services, and schedule the second hearing for August 25, 2026. The proposed amendment to subsection 2107 will allow for greater cost recovery of the paramedic training program operated by the Department. Approval of the second and third recommended actions satisfies the legal requirement to publicize the proposed service rates for the identified services provided by the Department of Public Health. This item is countywide.
ALTERNATIVE ACTION(S):
Your Board may direct staff to not change the rates, change a portion of the rates, or propose alternative rates; however, these alternatives will not recover the full costs of services.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. It is anticipated the proposed fee increases, if approved by your Board, will allow the recovery of the full costs of providing paramedic training, increasing paramedic training tuition in subsection 2107 by 18%.
DISCUSSION:
The recommended rates in Exhibit A consist of applicable direct and indirect salaries, benefits, services and supplies, including departmental and countywide overhead costs. Attachment A provides detail of the changes proposed to the existing rates for comparative purposes, which includes revised, reduced, increased, and deleted fees as well as the addition of new fees. The last time these Public Health fees were updated was FY 2024-25.
The proposed amendment to Section 2100 is recommended to recover 100% direct and indirect costs for services. The Department completed its Public Health Fee Study for EMS paramedic training in subsection 2107 in 2026. In June 2026, the Auditor-Controller/Treasurer-Tax Collector reviewed and approved the methodology and calculation of the permit rates.
The recommended rates, including their calculation, and the methodology applied for cost recovery, have been reviewed and approved by the Auditor-Controller/Treasurer Tax-Collector. If approved, the second hearing will be scheduled for August 25, 2026.
ATTACHMENTS INCLUDED AND/OR ON FILE:
Ordinance
Attachment A
On file with Clerk - Summary of Ordinance
CAO ANALYST:
Ronald Alexander