Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
Cassius Lockett, 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, 2017.
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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), the Public Health Clinics, and Vital Statistics. Fee-based services include: clinical and environmental testing, vaccines, medical services, birth and death certificates, and Medical Marijuana identification cards.
On April 11, 2017, your Board approved the Public Health, Policy and Planning's (PHPP) request to adopt the updated Fee Schedule effective November 16, 2016.
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 Health Clinic fees are determined by historical benchmarking. Some immunization fees are based on materials provided by external agencies. Fees for lab tests provided by PHL are matched to the PHL fee schedule.
The PHL fees are calculated by allocating annual lab expenditures based on staff time to complete each test, the price of test kits, the category of test for which supplies are used, and the volumes for each test. Individual tests of public health importance may be discounted by the Health Officer or lab director.
The Vital Statistics fees are mandated by the California Department of Public Health, with some portion going to the State Registrar and the remainder to the Vital Statistics program.
Based on historical client...
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