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. - oR,=E COI <br />BCiF!] (7 ca- ,- 1ISSI0 &'7 s nc-;orzx Agenda <br />Item 1ti0. <br />AGTIC�; F»EVC -N ITDI A ST11-PIC-C <br />r te, 1_AT% November 15, 1983 <br />Subject:: Family Planning Fees <br />yes X <br />peps ent: Health r <br />A± l�r+pnt(s): None Contact" Jerry Robinson <br />? <br />�p� Zviarrn gxtension 311 <br />PURPOSE: The Board of Health at its October- 30, 1983 meeting voted to request that the <br />Commissioners adopt the Federally mandated change in the Family Planning self <br />pay fees to be effective January 1, 1984. The self pay fee increase is 7 %; <br />as follows: <br />(scale slides with number <br />of people in family) <br />Unemancipated Minors* <br />Below 125% of poverty* <br />125 - 145% of poverty <br />145 _ 165% of poverty <br />165 - 1851 of poverty <br />186 - 200% of poverty <br />200% and above poverty <br />awl <br />a <br />I <br />1 <br />Service 1 <br />0 <br />(Complete <br />physical <br />plus prescription) <br />Present Fee New Fee <br />0 <br />0 <br />0 <br />0 <br />13.43 <br />14.37 <br />26.85 <br />28.73 <br />40.28 <br />43.10 <br />53.70 <br />57.46 <br />67.13 <br />71.83 <br />service 2 <br />(Exam with pelvic <br />plus prescription) <br />Present Fee New Fee <br />Service 3 <br />(Exam without pelvic <br />(plus prescription) <br />Present Fee New Fee <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />4.99• <br />5.34 <br />2.69 <br />2.87 <br />•9,97 <br />10.68 <br />5.37 <br />5.75- <br />14.96 <br />16.00 <br />8.06 <br />8,62 <br />19.94 <br />.21.34 <br />10.74 <br />11.0 <br />24.93 <br />26.68 <br />13.43 <br />14.37 <br />The self pay fee scale adjustment is a federal mandate. <br />IMPACT: Minimal impact: Of our patients, 73.2% do not self pay any fees; 10.6% pay <br />the lowest fees; possibly the fee income would increase by $700 - $900 if <br />collections proceed as usual. <br />IL^G7:T?ri ?1�iG:�(s): Adopt as recommended by the Board of Health. <br />* Medicaid, Title XX, and the Federal Grant subsidity pays towards the cost of � -hese <br />services. <br />