2015-11-24-minutes-joint-boh-and-bocc-special-meeting

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Board of Health Minutes November 24, 2015 2 of 4 Robin Read stepped to the microphone and introduced herself. Ms. Read noted that there were two actions that the department would like the boards to consider. First, the department would like to ask for approval of the amendment to the 2015 Public Health Fee Schedule. The 2015 Public Health Fee Schedule is amended to add water mitigation package A- $3,080.00, and water mitigation package B- $3,995.00 and an annual metering fee of $180.00 for the water program that starts December 2. Ms. Read briefly reviewed a breakdown of fees and methodology used to develop the costs. The department would also like to remove the leased mitigation fee since this will no longer be an option for the public as it is replaced with new water purchasing options. Ms. Read noted that the health department has not done a major overhaul on fees and will not do so until the new fee methodology is established. Ms. Read reviewed the following fees to be incorporated in 2016:  Preliminary plat, cluster plat 5+ Lots: $540.00  Final plat: $260.00  Pre-application meeting: $145.00  Preliminary site analysis: $50.00 The following are fee changes to be implemented in 2016:  The department will no longer require payment for on-site septic records as this is public record.  The short plat fee has been clarified to be consistent with Community Development Service’s language to indicate that this is the same for the short plats, short plat amendments, cluster plats with four or fewer lots, and large lots.  All land use review fees have been combined into one fee for clarification since they all involve the same activities, and clarification will be added to indicate what activities are covered under the land use review fee.  The brief and limited office visit fees have been removed since insurance companies do not pay for these visits when just vaccines are administered.  The vaccine administration charge has been rounded down to $23.00 for convenience and ease of making change. The following are fee policy changes to be implemented in 2016:  Indicate that stakeholders shall be notified about public hearings affecting the fee schedule.  Clarify which fees qualify for the sliding fee scale.  Clarify which fees can be waived based on a client’s indication of an inability to pay.  Reflect the current Medicaid eligibility guidelines for the sliding fee scale and the sliding fee scale income table will be removed from the policy since the Federal Poverty Level guidelines are updated in the middle of the calendar year.  Reflect current forms of payment accepted.  Outline how specific clinic services will be billed and/or charged depending on the age, risk level, and health insurance status of the patient.  Clarify how annual operating permits are pro-rated outside of the permitting year.  Specify how and when vaccine fees are updated.  Clarify how fees are applied to off-site clinics. Commissioner Gary Berndt opened the meeting for public comment at 1:19 p.m. Public comment closed at 1:20 p.m.