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0 <br /> Kittitas County <br /> Public Health <br /> D epartment <br /> EXHIBIT A <br /> PH-DEPT-002 <br /> Fee Schedule Policy <br /> I. Purpose <br /> It is the purpose of this policy to clarify the authority of the Kittitas County Board of Health <br /> (BOH)to establish current fees for services provided by the Kittitas County Public Health <br /> Department (KCPHD), to provide guidelines for the determination of fees, and to establish <br /> service cost calculation, billing, and refund policies. <br /> II. Policy <br /> A. Board of Health: Per Revised Code of Washington 70.05.060, "each local board of health <br /> shall have supervision over all matters pertaining to the preservation of the life and <br /> health of the people within its jurisdiction and shall: Establish fee schedules for issuing <br /> or renewing licenses or permits or for such other services as are authorized by the law <br /> and the rules of the state board of health; provided that such fees for services shall not <br /> exceed the actual cost of providing any such services." <br /> B. Fee Schedule Development:The fee schedules shall be developed to allow KCPHD to <br /> recover its direct and indirect costs. KCPHD shall not operate on a for-profit basis, but <br /> shall seek not to operate at a loss. However, if a service primarily benefits the <br /> population by protecting them from health problems or hazards, the cost recovery rate <br /> may be lower (e.g. childhood immunizations). The Kittitas County BOH will have the <br /> primary decision-making authority and responsibility for subsidizing service fees at less <br /> than full cost recovery, except when grant funding is specified to support a service.Fees <br /> for services that benefit an individual or small class of individuals only, with no benefit <br /> to all the residents of Kittitas County, cannot be developed at less than full cost recovery <br /> or subsidized. <br /> C. Public Input: Public input in the form of a public hearing process shall be sought prior to <br /> completion of the draft fee schedule. Appropriate stakeholders shall be notified about <br /> the public hearing. Stakeholder lists are determined for each fee for service category, <br /> and these lists will be reviewed on an annual basis. KCPHD encourages stakeholders or <br /> any interested parties to sign up to receive online notifications at: <br /> https://www.co.kittitas.wa.us/oDt1default.aspx. Public notification of changes shall also <br /> be completed after the updated fees are adopted. <br /> 1 <br /> 3 <br />