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File #: 20-460    Version: 1 Name:
Type: Resolution Status: Passed
File created: 5/28/2020 Departments: HEALTH
On agenda: 6/30/2020 Final action: 6/30/2020
Title: Adopt a resolution updating the Public Health, Policy, and Planning Fee Schedule effective July 1, 2020.
Attachments: 1. 20200630_r_PHPP Fee Schedule_and Exh A
Special Notice / Hearing: None__
Vote Required: Majority

To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Cassius Lockett, Director, Public Health, Policy and Planning
Subject: Public Health, Policy, and Planning Fee Schedule Update

RECOMMENDATION:
title
Adopt a resolution updating the Public Health, Policy, and Planning Fee Schedule effective July 1, 2020.

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BACKGROUND:
The San Mateo County Public Health, Policy, and Planning (PHPP) Fee Schedule (Fee Schedule) includes fees charged by the Public Health Laboratory (PHL), 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 June 25, 2019 the Board approved a request made by Public Health, Policy, and Planning to adopt the updated Fee Schedule, effective July 1, 2020.

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 on 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 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:

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 the PHL are matched to the PHL fee schedule.

PHL fees are calculated by allocating annual l...

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