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Agenda Item Number <br />ORANGE COUNTY BOARD OF HEALTH <br />AGENDA ITEM SUMMARY <br />Meeting Date: <br />Agenda Item Subject: <br />Attachment(s): <br />Staff /Board Member Reporting <br />February 24, 2016 <br />FY 2016 -17 Fee Schedule <br />Fee Schedule & Requested Changes <br />Colleen Bridger, Health Director <br />Purpose /Recommended Action: Action /Approve <br />x Action /Approve & forward to Board of Commissioners <br />Information with possible action <br />Accept as information <br />Revise & schedule for future action <br />Summary Information: <br />In reviewing Health Department fee schedules, which are done on an annual basis, the <br />Department would like to make multiple fee changes in Personal Health, and continue with <br />Phase II of the planned fee increases in the Environmental Health division. The proposed <br />changes are detailed below: <br />Personal Health <br />Personal Health proposes the implementation of a minimum charge for laboratory procedures <br />to recoup a small portion of labs performed for primary care patients. The average primary <br />care patient requires multiple labs per visit, equating to between $24 and $185, or an average <br />of $102 in charges. Patients pay for these labs according to where they fall on the sliding fee <br />scale, however 0% pay patients do not pay anything for labs. The proposed minimum fee of <br />$20 would be equal to other minimum fees within the Health Department for MNT and DSME <br />services, which have both proven to not be cost prohibitive for clients. <br />Personal Health also requests fee increases for multiple vaccines that are rising in cost and <br />adjustments to our fees for 340B drugs (Family Planning drugs not including birth control pills) <br />to make them match the county's cost to purchase them, as required by the state and federal <br />government. This will have very little impact on both the department and patients as only 10% <br />of self -pay patients pay more than $0 for Family Planning drugs or procedures and of that 10% <br />we had no patients in prior years that have had to pay 100% of the cost. <br />Personal Health Fee Changes <br />Name of Fee 2015 -16 Rate 1 2016 -17 Proposed Anticipated Revenue from <br />