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HEARING - Health and Human Services Agency (HHSA) recommending the Board:
1) Receive a fee study report dated July 20, 2022, performed by MGT Consulting for HHSA Public Health Clinic, Vital Statistics and Animal Services; and
2) Adopt and authorize the Chair to sign Resolution 119-2023 123-2023 establishing fees effective September 23, 2023, specific to the Animal Services Program;
3) Adopt and authorize the Chair to sign Resolution 120-2023 establishing fees effective September 23, 2023, specific to the Public Health Clinic and Vital Statistics Program.
FUNDING: 1991 Realignment, Federal Medi-Cal, State, County General Fund and Fees for Service.
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DISCUSSION / BACKGROUND:
A Public Health Clinic, Clinic Income based Sliding Scale, Vital Statistics and Animal Services Fee Study was completed in July of 2022 by MGT Consulting. The study was conducted to perform a cost-of-service study using actual expenditures, staffing costs, and operational information in order to assess fees charged for current services (Government. Code Section 54985) and align them with actual cost in accordance with Proposition 26 guidelines, industry best practices, as well State and Federal guidelines.
The resulting fee changes are a net reduction to overall program revenue. The primary changes will be the addition and removal of some services as recommended by the program staff based on current services provided to the community. Although it will be a small monetary change it should be considered a benefit to the community members.
Department fee recommendations would result in a net revenue reduction of $3,033. Clinic/Communicable Disease Treatment Services is recommending a $12,096 revenue increase, Vital Statistics is recommending no changes to their current fees and Animal Services is recommending a reduction on several of their fees since the full cost recovery was found to be higher than the current fees.
Legal, economic, and policy considerations were factors in...
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