Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Tamarra Jones, Director, Public Health, Policy and Planning
Subject: Public Health, Policy and Planning Fee Schedule Update
RECOMMENDATION:
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Adopt a resolution updating the Public Health, Policy and Planning Fee Schedule effective July 1, 2025.
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BACKGROUND:
The San Mateo County Public Health, Policy and Planning Fee Schedule (Fee Schedule) includes fees charged by the Public Health Laboratory (PHL), Public Health Clinics, and Vital Records. Fee-based services include clinical and environmental testing, vaccines, medical services, birth and death certificates, and medical marijuana identification cards.
The fees charged are determined by considering the cost of providing services and the need to prevent fees from becoming a barrier to testing for communicable diseases. Some fees may be waived for persons determined to be at risk for transmitting a communicable disease to others.
DISCUSSION:
The Fee Schedule is updated annually to add fees for new services, eliminate fees that are no longer necessary and align fees with changing costs. A cost-based methodology is used for transparency and to help Public Health, Policy and Planning (PHPP) determine the financial viability of services. The fees do not exceed the cost of providing the product or the service of enforcing the regulation for which the fees are levied. The methods used to determine the fees for each program are as follows:
Public Health Clinics fees are determined by order pricing from our primary supplier via San Mateo Medical Center. Some immunization fees are based on materials provided by external agencies. Fees for lab tests in the Clinics provided by the PHL are matched to the PHL fee schedule.
PHL clinical testing fees are aligned with the Centers for Medicare and Medicaid Services' 2025 Clinical Laboratory Fee...
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