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EMERGENCY MANAGEMENT <br /> Staff spent an extensive amount of time reviewing fire inspection and emergency medical <br /> service fees. Proposed revisions to the 1996-97 fire inspection fee schedule are included <br /> in another report on the May 14, 1996 Commissioners' agenda. Staff and the Emergency <br /> Medical Services Advisory Council have been working during the past year on <br /> recommended changes to the EMS delivery system and financing mechanisms. A <br /> proposed EMS fee schedule for implementation in Fall 1996 will be presented with the <br /> Manager's Recommended 1996-97 Budget. <br /> The Director of Emergency Management identified several potential additional revenue <br /> sources, including possible fees for registering security alarms and/or for false alarms. <br /> Staff have not proposed specific fees of this nature,but can investigate this further if the <br /> Board feels that is appropriate. <br /> SHERIFF <br /> Many Sheriff fees are regulated by North Carolina General Statutes. The existing fee <br /> structure seems to be working well and no changes are proposed at this time. <br /> HEALTH <br /> All Health Department fees are recommended by the Health Board and have been <br /> adjusted periodically. The majority of the fees charged within the Health Department -- <br /> clinics are based upon an individual's ability to pay(sliding scale) and the amount of <br /> Medicaid reimbursement which can be received. Fee schedule modifications that would <br /> make market adjustments for dental services are scheduled to be considered by the Board <br /> of Health at their May meeting. These proposed adjustments are included in our <br /> proposed fee schedule for 1996-97. <br /> EFLAND SEWER <br /> We did not review Efland Sewer fees,which are elements of the Efland Sewer Enterprise <br /> Fund. <br />