DATE: May 6, 2025
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Amendment to Master Schedule of Fees, Charges, and Recovered Costs
RECOMMENDED ACTION(S):
TITLE
Conduct second hearing to amend the Master Schedule of Fees, Charges, and Recovered Costs Ordinance by amending Section 2100 - Public Health, subsections 2102 and 2107 (the Ordinance); and waive reading of the Ordinance in its entirety; and adopt proposed Ordinance.
REPORT
There is no increase in Net County Cost associated with the recommended actions. Approval of the recommended actions will revise Section 2100 - Public Health of the Master Schedule of Fees, Charges and Recovered Costs (MSF) Ordinance, last amended 2017-18, to enable full cost recovery, delete inapplicable rates, reduce where necessary, or adjust when related to added services. 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 Infectious Materials Inspections and Permits, as well as providing paramedic training and certification or accreditation of EMTs, paramedics, base hospital physicians, Emergency Medical Services (EMS) dispatchers, and Mobile Intensive Care Nurses (MICNs). For subsection 2107, fees have increased from 20%-183% for certifications and accreditations, normalizing the fees across certification type, and decreased 11% for paramedic training tuition.
DISCUSSION:
On April 22, 2025, your Board conducted the first hearing for the recommended updates to the MSF for Section 2100 - Public Health. All rates were approved as recommended and are identified in Exhibit...
Click here for full text