COMPLETED BOARD ORDER"�|E��26
Before the Board of Supervisors in and for the
County of Monterey, State of California
Resolution 11-146
Amending Article I.b. of the Monterey County Master
Fee Resolution effective July 1, 2011, to adjust the
Sexual Assault Response Team examination fee
pursuant to the Fee Schedule
THE MONTEREY COUNTY BOARD OF SUPERVISORS FINDS:
26
A. Section 1.40.010 of Chapter 1.40 of Monterey County Code provides that all fees, penalties,
refunds, reimbursements and charges of any kind by the County may be specified in the Monterey
County Fee Resolution.
B. The Health Department has Sexual Assault Response Team SART) examination and service fees
which are appropriate pursuant to Penal Code section 13823.95 to specify in the Monterey County
Master Fee Resolution, Article I.b. for fiscal year 2011-12.
C. This action to modify charges to meet operational expenses is statutorily exempt from
environmental review Pub Res. Code sec. 21080 subd. b)(8)].
D. Any and all adjustments to charges for SART related services reflect no more than the actual cost
of the service or benefit received by the payor.
E. By definition, these SART service charges are not a tax' and are exempt from voter approval
pursuant to Section 1 a)(4) of Article XIII C section 1(e)(2)-(3) of the California Constitution
Prop. 26; charge imposed for specific service or reasonable regulatory/investigatory costs
provided to or for the payor).
THE MONTEREY COUNTY BOARD OF SUPERVIOSRS RESOLVES:
1. Article I.b. of the Monterey County Fee Resolution is amended effective July 1, 2011 for Fiscal
Year 2011-12 with all schedules, tables, fees, taxes, penalties, and charges contained therein are
hereby adopted as described in the attachment to this resolution.
II. All prior resolutions regarding such fees are hereby repealed.
PASSED AND ADOPTED on this 17th day of May, 2011, upon motion of Supervisor Salinas, seconded
by Supervisor Armenta, by the following vote, to wit:
AYES: Supervisors Armenta, Calcagno, Salinas, Parker, and Potter
NOES: None
ABSENT: None
I, Gail T. Borkowski, Clerk of the Board of Supervisors of the County of Monterey, State of California, hereby certify that
the foregoing is a true copy of an original order of said Board of Supervisors duly made and entered in the minutes thereof
of Minute Book 75 for the meeting on May 17, 2011.
Dated: May 18, 2011 Gail T. Borkowski, Clerk of the Board of Supervisors
County of Monterey, State of California
B
Y
Deputy
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COMPLETED BOARD ORDER"�|E��ARTICLE I.b.
HEALTH DEPARTMENT
PUBLIC HEALTH
SCHEDULE OF FEES AND CHARGES
CATEGORY/SERVICE DESCRIPTION FEE
ATTACHMENT A
PER
PUBLIC HEALTH NURSING
Note: If the client requests and is eligible, the attached Public Health Sliding Fee Schedule is applied.
Public Health Nurse Home Visit $ 367.84 Visit
CHILDREN'S MEDICAL SERVICES
USUAL AND CUSTOMARY FEES:
Treatment initial 1 or 2) $ 75.42 Visit
Treatment each additional 1 $ 37.71 Visit
Evaluation initial 1 or 2) $ 93.51 Visit
Evaluation each additional $ 46.75 Visit
Case Conference initial 1 or 2) $ 75.42 Visit
Case Conference each additional 1) $ 37.71 Visit
Consultation 1 or more $ 75.42 Visit
Field Visit $ 37.50 Visit
Mileage $ 11.63 Visit
HEALTH
Medical Marijuana Identification Card Processing
Statutorily required 50% fee discount for Medi-Cal Beneficiaries. $ 50.00 Application
Medical Marijuana State Processing Fee
Statutorily required 50% fee discount for Medi-Cal Beneficiaries. $ 66.00 Application
Article I.b. Monterey County Master Fee Resolution effective July 1, 2011
Health Department: Public Health Division Page 1 of 14
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COMPLETED BOARD ORDER"�|E��Category/Service Description Fee Per
PUBLIC HEALTH LABORATORY
BACTERIOLOGY:
Pertussis Smear $ 85.00 Each
Pertussis Culture $ 26.00 Each
Screening Culture Campy/E. Coli) $ 26.00 Each
Misc Culture $ 33.00 Each
Bacterial ID $ 82.00 Each
Urine Culture $ 26.00 Each
Serogroup $ 33.00 Each
Gram stain $ 20.00 Each
Identification by Conventional Methods $ 49.00 Each
Nucleic Acid Amplification $ 85.00 Each
Salm/Shigella Culture $ 91.00 Each
PARASITES:
O&P Complete $ 104.00 Each
Trichrome $ 59.00 Each
Formalin Ethyl Acetate Concentration $ 111.00 Each
Insect ID $ 17.00 Each
Blood Smear $ 98.00 Each
Pinworm $ 15.00 Each
Crypto/Cycles or Crrypto/Giardia $ 114.00 Each
MYCOLOGY:
Fungus ID Conventional $ 82.00 Each
Fungus Culture $ 43.00 Each
Fungus Smear $ 20.00 Each
Fungus Culture Panel $ 78.00 Each
Article l.b. Monterey County Master Fee Resolution effective July 1, 2011
Health Department: Public Health Division Page 2 of 14
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COMPLETED BOARD ORDER"�|E��Category/Service Description Fee Per
Detection by Nucleic Acid Amplification $ 85.00 Each
Identification by NA Probe $ 52.00 Each
MYCOBACTERIOLOGY:
Smear $ 20.00 Each
Culture $ 49.00 Each
Mtb Complex $ 72.00 Each
M. Avium Complex $ 72.00 Each
M. Gordonae $ 72.00 Each
Other Mycobacteria sp Actual
Shipping/Handling
Each
TB Nucleic Acid Amplification $ 85.00 Each
Identification by Conventional Methods Actual
Shipping/Handling
Each
TB Sensitivity Panel $ 56.00 Each
TB Identification by Probe $ 72.00 Each
TB/AFB Primary Culture includes ID and Sensitivities) $ 56.00 Each
Acid Fast Identification by Probe Culture for
Identification of M.gordonae, M. avium, M. tuberculosis)
$ 136.00 Each
SEROLOGY:
Quantiferon only 1 18 samples) $ 70.00 Each
Quantiferon only 19 + samples) $ 41.00 Each
est Nile Virus IFA Actual
Shipping/Handling
and Testing
Charges
Each
HIV ORAL AND SERUM:
Screening Alone $ 17.00 Each
Screening with Confirmatory $ 21.00 Each
HIV Serum includes screening and confirmatory) $ 76.00 Each
HIV IFA serum Actual
Shipping//Handling
Each
Article l.b. Monterey County Master Fee Resolution effective July 1, 2011
Health Department: Public Health Division Page 3 of 14
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COMPLETED BOARD ORDER"�|E��Category/Service Description Fee Per
Confirmatory alone Western Blot oral) Actual
Shipping/Handling
Each
RABIES $ 98.00 Each
SYPHILIS SEROLOGY:
Quantitative Actual
Shipping/Handling
Each
Qualitative Actual
Shipping/Handling
Each
HA TP Actual
Shipping/Handling
and Testing
Charges
Each
MOLECULAR:
Infectious Agent Amplification Detection $ 108.00 Each
Infectious Agent Identification by Nucleic Acid Probe $ 59.00 Each
VIROLOGY
Influenza A by PCR $ 85.00 Each
Influenza B by PCR $ 85.00 Each
Influenza Sub-typing by PCR $ 85.00 Each
FOOD PROCESSING
Food Exam Processing $ 49.00 Each
Selective Culture $ 17.00 Each
Enriched Culture $ 33.00 Each
PHLEBOTOMY $ 17.00 Each
VALIDATION OF TESTING METHODS $ 195.00 Per Hour
The fees for the followinq tests will be based on current Medical reimbursement rates.
BLOOD LEAD:
9 mcg/dl
10-14 mcg/dl
15-19 me/dl
20-24 me/dl
Each
Each
Each
Each
Article I.b. Monterey County Master Fee Resolution effective July 1, 2011
Health Department: Public Health Division Page 4 of 14
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COMPLETED BOARD ORDER"�|E��Category/Service Description Fee Per
25-44 mc-q/dl Each
45-69 mcg/dl Each
70 mcg/dI Each
HERPES Each
Strep Culture Each
Enteric Culture Each
CHLAMYDIA: Each
Chlamydia Positive Each
Chlam dia Negative Each
Chlam dia Indeterminate Each
GONORRHEA CULTURE: Each
GC Positive Each
GC Negative Each
GC Indeterminate Each
GC Smear Each
GC Culture Each
Article l.b. Monterey County Master Fee Resolution effective July 1, 2011
Health Department: Public Health Division Page 5 of 14
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COMPLETED BOARD ORDER"�|E��Category/Service Description
ENVIRONMENTAL LABORATORY
Consulting Fee Database search, historical summary,
consumer confidence reports, special projects, training,
etc.)
Fee Per
$ 161.00
Hour
Additional copies of lab reports 2 copies included in fee
for analysis)
Individual copy of archived lab reports
Sample Collection
Summary of lab reports
HANDLING FEES:
Synthetic Organic Compounds
Volatile Organic Compounds
Standard Compounds
EXPEDITED HANDLING FEES:
1 Day or less
3 Days
5 Days
$ 5.00 Each
$ 25.00 Each
$ 171.00 Visit
$ 25.00 Each
$ 30.00 Each
$ 20.00 Each
$ 10.00 Each
3 times the
corresponding fee
from above Each
2 times the
corresponding fee
from above Each
1.5 times the
corresponding fee
from above t Each
* Denotes tests that may be referred to outside laboratories. Fee will be based on actual
shipping/handling and outsource lab testing fee.
CHEMISTRY PANELS:
CCR Title 22 Secondary aesthetics). Includes general
physical color, odor, turbidity), general mineral alkalinity,
bicarbonate, calcium, carbonate, chloride, conductivity,
copper, corrosivity, hardness, hydroxide, iron, magnesium,
manganese, ph, potassium, silver, sodium, sulfate,
surfactants MBAS), total dissolved solids and zinc).
Aluminum must be ordered separately if needed.
Note: Thiobencarb EPA 507) and MTBE EPA 502.2)
must be ordered separately if needed.
$ 203.00 Panel
Article I.b. Monterey County Master Fee Resolution effective July 1, 2011
Health Department: Public Health Division Page 6 of 14
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COMPLETED BOARD ORDER"�|E��Category/Service Description Fee Per
CCR Title 22 Primary inorganic chemicals). Includes
aluminum, antimony, arsenic, barium, beryllium, cadmium,
chromium, cyanide, fluoride, mercury, nickel, nitrate,
nitrite, selenium, thallium.
Note: Asbestos must be ordered separately.
250.00
anel
CCR Title 22 Combined general mineral, general physical
and inorganics X-T22).
$ 331.00
Panel
CCR Title 22 Synthetic Organic Compounds. Includes
ethylenedibromide and dibromochloropropane EPA 504),
organochlorine pesticides EPA 505), phenoxy acid
herbicides EPA 515.1), semivolatile organic compounds
by GC/MS EPA 525), carbamates EPA 531), glyphosate
EPA 547), endothall EPA 548), diquat EPA 549) and
dioxin EPA 1613).*
Note: Diuron EPA 632) is an unregulated chemical and
monitoring is not required for systems under 10,000
connections; must be ordered separately if needed.
ctual
Shipping/Handling
and Outsource lab
charges
nel
CR Title 22 Volatile Organic Compounds EPA 502.2).*
Note: If chlorinated, need 1 250 ml amber glass with
Ascorbic acid. Actual
Shipping/Handling
and Outsource lab
charges
anel
CR Title 22 Radiological gross alpha) Analysis* Actual
Shipping/Handling
and Outsource lab
charges
anel
CR Title 22 Asbestos* Actual
Shipping/Handling
and Outsource lab
charges
anel
UCMR State Panel-UCMR 524.2, 1,2,3 TCP-by PT-
GC/MS, Boron by 200.7, Vanadium by 200.7, Perchlorate
by 314.0 and UCMR 524.2 Oxygenates.* Actual
Shipping/Handling
and Outsource lab
charges
anel
CMR State-Chromium VI by 218.6* Actual
Shipping/Handling
and Outsource lab
charges
anel
CMR State-Combined Basic panel and Chromium VI)* Actual
Shipping/Handling
and Outsource lab
charges
anel
Domestic Panel. Includes coliforms, nitrate, hardness,
manganese and iron.
$ 124.00
Panel
General Physical color, odor, turbidity) $ 55.00 Panel
Article I.b. Monterey County Master Fee Resolution effective July 1, 2011
Health Department: Public Health Division Page 7 of 14
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COMPLETED BOARD ORDER"�|E� �Category/Service Description Fee Per
General Mineral total alkalinity, chloride, conductivity,
sulfate, TDS, MBAs Surfactants, silver, calcium, copper,
iron, potassium, ma nesium, manganese, sodium, zinc)
$ 290.00
Panel
Irrigation Suitability. Includes pH, alkalinity, bicarbonate,
carbonate, conductivity, total dissolved solids TDS),
calcium, magnesium, sodium, potassium, boron, chloride,
sulfate, nitrate, nitrite, sodium adsorption ratio SAR),
adjusted sodium adsorption ratio and hardness.
139.00
anel
Pathogens. Includes Generic E.coli culture,
Enterohemorrhagic E.coli, E.coli 0157, and Salmonella
culture. 1 5 Samples)
$ 146.00
Panel
Pathogens 6 10 Samples) $ 92.00 Panel
Pathogens 11 + Samples) $ 81.00 Panel
Coliform and Nitrate $ 52.00 Panel
Storm Drain Analysis. Includes total suspended solids,
pH, total organic carbon* and conductivity.
$ 104.00
Panel
Anions chloride, nitrate and sulfate. $ 57.00 Panel
Partial nitrate, chloride and conductivity $ 62.00 Panel
Complete cations, anions, conductivity, pH and alkalinity $ 173.00 Panel
Nutrients Includes nitrate, ammonia, and
orthophosphates
$ 94.00
Panel
Corrosivity Langelier Index). Includes pH, Alkalinity,
Calcium and TDS $ 77.00
Panel
Lead/Copper rule $ 48.00 Panel
pH and Alkalinity $ 25.00 Panel
Total Nitrogen. Includes TKN*, nitrate, nitrite. $ 85.00 Panel
NPDES Municipal Water Supply Panel Includes SM311
Ca, Mg, Na, Fe), EPA 300 NO3, SO4, CI), boron,
alkalinity, total dissolved solids, pH, SEC
$ 200.00
Panel
NPDES Influent Panel add $11.00 if Boron & Sulfate
are required) Includes EPA 300 Cl, NO3, NO3 N]), EPA
300/4500 B, SO4), total settleable solids, total suspended
solids, *BOD, *TKN
207.00
anel
Article I.b. Monterey County Master Fee Resolution effective July 1, 2011
Health Department: Public Health Division Page 8 of 14
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COMPLETED BOARD ORDER"�|E�
�Category/Service Description Fee Per
NPDES Effluent Panel add $11.00 if Boron & Sulfate
are required) Includes EPA 300 Cl, NO3, NO3 N]),
EPA 300/4500 B, S04), total suspended solids, total
dissolved solids, sodium, NO2 N), NH3, Total N), *BOD,
*TKN
236.00
anel
NPDES Waste Water Metals Includes aluminum,
antimony, arsenic, barium, beryllium, cadmium, chromium,
copper, cyanide, fluoride, lead, mercury, nickel, selenium,
thallium, zinc
244.00
anel
NPDES Ground Water Monitoring Panel add $11.00 f
Boron & Sulfate are required) Includes EPA 300 Cl,
NO3, NO3 N]), EPA 300/4500 B, SO4), total dissolved
solids, pH, sodium, NO2 N), Total N), *TKN
164.00
anel
Recreational Water. Includes Total Coliform Quantitray),
Enterococcus with dilution.
$ 72.00
Panel
BACTERIOLOGY:
Enterococcus $ 35.00 Each
Enterococcus with dilution $ 41.00 Each
Total Plate Count $ 29.00 Each
Aerobic Culture $ 27.00 Each
Cl. Perfringens Spores $ 86.00 Each
Coliform; Quantitray for irrigation water 1 5 Samples) $ 30.00 Each
Coliform; Quantitray for irrigation water 6 10 Samples) $ 26.00 Each
Coliform; Quantitray for irrigation water 11 + Samples) $ 16.00 Each
Coliform; Quantitray for recreational water $ 41.00 Each
Coliform; MMO-MUG 1 5 Samples) $ 25.00 Each
Coliform; MMO-MUG 6 10 Samples) $ 22.00 Each
Coliform; MMO-MUG 11 + Samples) $ 14.00 Each
Coliform; MTF total or fecal 15 tube multiple tube
fermentation for wastewater and source water)
$ 43.00
Each
Coliforms; total, Fecal & E. coli 20 tube multiple tube
fermentation for wastewater and source water)
$ 54.00
Each
E. coli Solids $ 54.00 Each
Article I.b. Monterey County Master Fee Resolution effective July 1, 2011
Health Department: Public Health Division Page 9 of 14
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COMPLETED BOARD ORDER"�|E�
�Category/Service Description Fee Per
E, coli 0157 Culture $ 27.00 Each
Heterotrophic Plate Aerobic) with dilution $ 35.00 Each
Heterotrophic Plate Anaerobic) with dilution $ 35.00 Each
GENERAL CHEMISTRY:
Alkalinity, total as CaCO3) $ 25.00 Each
Agriculture Conductivity $ 19.00 Each
Ammonia $ 30.00 Each
Anions Individual Bromide, Chloride, Fluoride, Nitrate,
Nitrite as Nitrogen and Sulfate) $ 27.00
Each
Antimony $ 30.00 Each
Boron Drinking Water $ 30.00 Each
Boron Recreational Water $ 33.00 Each
Color $ 17.00 Each
Conductivity $ 19.00 Each
Free Chlorine $ 9.00 Each
Cations Individual arsenic, barium, beryllium,, cadmium,
calcium, chromium, copper, iron, lead, magnesium,
manganese, mercury, nickel, potassium, selenium, silver,
sodium, thallium, zinc)
30.00
ach
MBA Surfactants $ 45.00 Each
Microscopic $ 27.00 Each
NAA Shigatoxin 1 and 2 with heat extraction $ 81.00 Each
Nucleic Acid Amplification Environmental $ 51.00 Each
Odor $ 19.00 Each
il and Grease* Actual
Shipping/Handling
and Outsource Lab
charges
ach
Orthophosphate as P $ 27.00 Each
Article l.b. Monterey County Master Fee Resolution effective July 1, 2011
Health Department: Public Health Division Page 10 of 14
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COMPLETED BOARD ORDER"�|E�
�Category/Service Description Fee Per
pH Laboratory $ 14.00 Each
Salmonella Culture $ 27.00 Each
Sample Prep/Acid Digestion $ 11.00 Each
Sample Prep/Filtration $ 9.00 Each
Conductivity $ 19.00 Each
Total Chlorine $ 9.00 Each
Total Dissolved Solids $ 22.00 Each
Total Phosphorus $ 41.00 Each
Total Settable Solids $ 11.00 Each
Total Suspended Solids $ 22.00 Each
Turbidity $ 19.00 Each
Please note:
Special Project Pricing for Public and Environmental Health Laboratory services is available
through a contractual agreement.
New tests may be added to Fee Schedule to help meet the needs of the public as related to
emerging issues. Fees will be assigned using the same procedure used to establish the above
fees Procedure Time Value Study and Time Ladder Studies).
Article I.b. Monterey County Master Fee Resolution effective July 1, 2011
Health Department: Public Health Division Page 11 of 14
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COMPLETED BOARD ORDER"�|E�
�Category/Service Description Fee Per
HEALTH PROMOTION/WELLNESS
Wellness Health Screening $ 150.00 Person
The following classes are charged per class not individual) and include materials. Available class
subjects: Back Injury Prevention, Cancer Prevention, Ergonomics, Exercise & Fitness, Heart Disease
Prevention, Nutrition, Better Medical Decisions, Safety & Injury Prevention, Stress Management.
1 Hour Class $ 235.00 Class
1.5 Hour Class $ 353.00 Class
3 Hour Class $ 705.00 Class
5 Hour Class $1,175.00 Class
8 Hour Class $1,880.00 Class
Self-Help Kits:
5-A-Day Kit $ 1.50 Each
Breast Health Kit $ 1.25 Each
Brown Bag Lunch Ideas $ 1.00 Each
Child Safety Kit $ 1.00 Each
Eating for Energy Kit $ 1.00 Each
Exercise LITE $ 1.00 Each
Fitness Kit $ 1.50 Each
Food of Kids Kit $ 1.00 Each
For Men Only $ 1.25 Each
Home Safety Kit $ 1.50 Each
Label Reading Made Easy $ 1.50 Each
Lowering Your Blood Pressure Kit $ 1.50 Each
Lowering Your Cholesterol Kit $ 1.50 Each
Personal Protection $ 1.50 Each
Skin Health Kit $ 1.50 Each
Shop, Cook and Dine LEAN $ 1.00 Each
Article I.b. Monterey County Master Fee Resolution effective July 1, 2011
Health Department: Public Health Division Page 12 of 14
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AI101805-U03
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5/26/2011-U04
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COMPLETED BOARD ORDER"�|E��Category/Service Description Fee Per
Taking Care of Stress $ 1.50 Each
Time Management Kit $ 1.50 Each
Walking Kit $ 1.50 Each
Where's the Fat? $ 1.00 Each
When to Go to the Doctor, When to Self-Treat $ 1.25 Each
SEXUAL ASSAULT RESPONSE TEAM SART) FEE SCHEDULE Penal Code section 13823.95)
Effective July 1, 2011
SERVICE PROVIDED FEE
Victim Examination including photography, SART Program Service Charge $925.00
Suspect Examination including photography, SART Program Service Charge $925.00
Readiness Retainer Fee per participating law enforcement agency/fiscal year) $2,000.00
RESEARCH/EVALUATION AND INFORMATION TECHNOLOGY FEE SCHEDULE
Effective January 1, 2008
CATEGORY/SERVICE DESCRIPTION FEE PER
Data analysis for syndromic surveillance Early Aberation
Reporting System, EARS) $ 95.00 Hour
Technical support for syndromic surveillance EARS)
including general research and evaluation of analyses $ 107.00 Hour
General research, evaluation and data analysis support
exceeding two hours performed by Research Analyst) $ 94.00 Hour
General research, evaluation and data analysis support
exceeding two hours performed by Branch Manager-
Department Lead Epidemiologist) $ 122.00 Hour
Article l.b. Monterey County Master Fee Resolution effective July 1, 2011
Health Department: Public Health Division Page 13 of 14
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COMPLETED BOARD ORDER"�|E��MONTEREY COUNTY HEALTH DEPARTMENT
SLIDING FEE SCALE
2007 Effective 04-01-2007
**********ANNUAL INCOME LEVEL*********************
FAMILY 200% % of 185% % of 133% % of 120% % of 100% % Below %
Fee Fee Fee Fee
SIZE Poverty Paid Poverty Paid Poverty Paid Poverty Paid Poverty Fee Poverty Fee
20,421 18,889- 13,579- 12,252- 10,210-
1 and over 100% 20,420 80% 18,888 60% 13,578 40% 12,251 20% 0-10,209 free
27,381 25,327- 18,208- 16,429- 13,691-
2 and over 100% 27,380 80% 25,326 60% 18,207 40% 16,428 203'o 0-13,690 free
27,381 25,327- 18,208- 16,429- 13,691-
2 Adults and over 100% 27,380 80% 25,326 60% 18,207 40% 16,428 20% 0-13,690 free
34,341 31,765- 22,837- 20,605- 17,171-
3 and over 100% 34,340 80% 31,764 60% 22,836 40% 20,604 20% 0-17,170 free
41,301 38,203- 27,466- 24,781- 20,651-
4 and over 100% 41,300 80% 38,202 60% 27,465 40% 24,780 20% 0-20,650 free
48,261 44,641- 32,094- 28,957- 24,131-
5 and over 100% 48,260 80% 44,640 60% 32,093 40% 28,956 20% 0-24,130 free
55,221 51,079- 36,722- 33,133- 27,611-
6 and over 100% 55,220 80% 51,078 60% 36,721 40% 33,132 20% 0-27,610 free
62,181 57,517- 41,350- 37,309- 31,091-
7 and over 100% 62,180 80% 57,516 60% 41,349 40% 37,308 20% 0-31,090 free
69,141 63,955- 45,979- 41,485- 34,571-
8 and over 100% 69,140 80% 63,954 60% 45,978 40% 41,484 20% 0-34,570 free
9 76,101
and over
100% 70,915-
76,100
80% 52,939-
70,914
60% 48,445-
52,938
40% 41,531-
48,444
20%
0-41,530
free
83,061 77,875- 59,899- 55,405- 48,491-
10 and over 100% 83,060 80% 77,874 60% 59,898 40% 55,404 20% 0-48,490 free
additional
Each additional
person 6,960 100% 6,960 80% 6,960 60% 6,960 40% 6,960 20% 6,960 free
* Based upon 2007 Federal Poverty Level Guidelines, released 3-13-2007
% Fee Percentage of the total cost of the fee that patient is required to pay.
Free Patient is not required to pay all fees are waived.
Fee calculated by taking office charge X % required to pay $ patient is responsible to pay
Example: Office Visit $60.00 X.80 $48.00 patient responsible for. Patient may be billed if they
are not able to pay at the time of visit.
Article I.b. Monterey County Master Fee Resolution effective July 1, 2011
Health Department: Public Health Division Page 14 of 14
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COMPLETED BOARD ORDER"�|E��MONTEREY COUNTY BOARD OF SUPERVISORS
MEETING: May 17, 2011 Consent AGENDA NO.: 26
SUBJECT: Adopt a Resolution amending Article I.b. of the Monterey County Master Fee
Resolution effective July 1, 2011, to adjust the Sexual Assault Response Team
examination fee pursuant to the attached Fee Schedule.
DEPARTMENT: Health Administration
RECOMMENDATION:
It is recommended that the Board of Supervisors adopt a Resolution amending Article I.b. of the
Monterey County Master Fee Resolution effective July 1, 2011, to adjust the Sexual Assault Response
Team examination fees pursuant to the attached Fee Schedule.
SUMMARY
The Health Department has operated the Sexual Assault Response Team SART) Program since July
1, 2007, and no adjustments have been made to the fee schedule since July 2007. Pursuant to Penal
Code section 13823.95, the County charges local law enforcement agencies in order to recover a
portion of the cost associated with performing forensic examinations and testifying in court at their
request. The Health Department requests that the existing fees for examination including photography
fee be increased to $925.00 from $625.00 in order to more closely represent the actual cost of the
service and recoup, while not exceeding the reasonable costs to the County for that service. We are
also requesting a SART readiness retainer fee be added to the fee resolution.
DISCUSSION:
The Sexual Assault Response Team SART) has existed in the County of Monterey since 1998. It was
initially managed under the auspices of the Natividad Medical Center Foundation, then in 2000 it was
managed by the Visiting Nurses Association through a contract with the County of Monterey Office of
the District Attorney, and then in 2007 the program was transferred to the Health Department.
When the Health Department took over operation of SART on July 1, 2007, there was a transfer in
appropriation of $211,214 of Tobacco Master Settlement Agreement Funds from the Office of the
District Attorney to the Health Department to cover costs associated with operating SART. Combined
with the recovery of fees from law enforcement allowed pursuant to Penal Code section 13823.95, the
SART program has been traditionally fully funded with no need for a supplemental General Fund
contribution.
The cost to operate Health Department programs has continued to rise and is expected to continue at
the current level of increase in FY 2011-12. As a result, the Health Department's cost for providing
services across the board is being evaluated to ensure that fees are reflective of current operation costs.
Due to an increase in baseline costs and a reduction of Tobacco Master Settlement Agreement Funds
to $160,000 for Fiscal Year 2011-12, the Health Department is now requesting that the SART fees be
adjusted to more closely reflect while still not fully meeting) the cost for providing those specific
services. It is therefore requested that the SART's victim and suspect examination including
photography fee be increased to $925.00 from $625.00 per exam, and that the fee schedule have added
to it an annual readiness retainer fee of $2,000 per law enforcement agency per year in order to
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COMPLETED BOARD ORDER"�|E��continue to fund the SART program through the collection of reasonable fees that do not exceed the
cost of the services provided to that payor. The readiness retainer fee will be invoiced to each law
enforcement agency at the beginning of each fiscal year, which will be credited for services provided
up to this amount.
If the proposed fee adjustment is not approved by your Board, the Health Department will need to
make operational adjustments to the SART program to reduce expenditures with an associated
reduction in service level. The requested adjustments facilitate only the cost recovery of the
reasonable costs associated with the service, but do not exceed, the fully loaded costs associated with
the program, and more accurately reflect the burden on the program associated with the level of use by
each of the payors.
The current cost per exam is approximately $3,600 and with the use of $160,000 Tobacco Settlement
the recommended fees are estimated to cover the remaining costs. It is requested that the fees take
effect July 1, 2011. A copy of the fee schedule is on file with the Clerk of the Board.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed, and approved as to legal form, the proposed amendment to the
Monterey County Master Fee Resolution. SART staff and oversight committee Chair Chief Lawson
met with the Police Chiefs and they have taken a position of support.
FINANCING:
The recommended fee adjustment is intended to assist in recapturing, but not exceeding the County's
reasonable costs associated with the provision of SART examination and court testimony services
pursuant to Penal Code section 13823.95, and do not actually meet or exceed actual costs for
providing these services. Anticipated revenues resulting from proposed fee adjustment are included in
the FY 2011-12 Recommended Budget. The proposed fee assures a more accurate allocation of the
costs of the program to those entities that use the service, without requiring a subsidy from the County
General Fund.
Prepared by: Approved by:
Elsa M. JirierVz, 755-47,
Man agemen Analyst II
Date: gyh,
Ray Bullick 755-4526
Director of Health
Date: Y5-111
Attachments: Attachment A Schedule of Fees and Charges clean on file with the Clerk of the Board
Attachment B Schedule of Fees and Charges strike-through on file with the Clerk of the Board
cc: Charles J. McKee, County Counsel
Michael Miller, Auditor Controller
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