Title
Adopt a Resolution amending Article I.d. of the Monterey County Master Fee Resolution effective July 1, 2014, to adjust certain fees related to the Health Department's Clinic Services Bureau pursuant to the attached Fee Schedule.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Adopt a Resolution amending Article I.d. of the Monterey County Master Fee Resolution effective July 1, 2014, to adjust certain fees related to the Health Department's Clinic Services Bureau pursuant to the attached Fee Schedule.
SUMMARY/DISCUSSION:
The Health Department's Clinic Services Bureau (Clinic Services) periodically reviews its fee schedule to ensure its appropriateness, and to ensure that it accurately reflects the costs of services provided. The Board previously approved the Health Department's recommendations to amend specific fees and charges applicable to the Federally Qualified Health Center- Look Alike (FQHC-LA) clinics on April 14, 2009, and again on June 14, 2011. Recently, Clinic Services updated its schedule to be in synchronization with either the Medicare or Medi-Cal fee schedules applicable to situations of the appropriate FQHC clinics.
The calculations and documents in support of all fee adjustments recommended herein are attached hereto and/or on file with the Clerk to the Board. In all cases, the proposed fees reflect no more than the actual, reasonable, fully loaded costs of the services provided to the payor/applicant. By definition, these service charges are not a 'tax' and are exempt from voter approval pursuant to Article XIII C section 1(e)(1)-(2) of the California Constitution ('Prop. 26': charge imposed for specific benefit conferred/privilege/service or product provided or granted to the payor).
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed the proposed schedule of fees and charges and Resolution. A copy of the Proposed Resolution, Proposed fee schedule (comparison to current and clean versions) i...
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