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, increa...
Click here for full text