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File #: 25-229    Version: 1
Type: Health and Human Services Status: Discussion Item
File created: 4/25/2025 In control: BOARD OF SUPERVISORS
On agenda: 5/6/2025 Final action: 5/6/2025
Title: APPROVE AN ORDINANCE AMENDING ARTICLE XV-B OF THE SAN DIEGO COUNTY ADMINISTRATIVE CODE RELATING TO HEALTH AND HUMAN SERVICES CHARGES AND FEES (DISTRICTS: ALL)
Attachments: 1. APPROVE AN ORDINANCE AMENDING ARTICLE XVB OF THE SAN DIEGO COUNTY ADMINISTRATIVE CODE RELATING TO HEALTH AND HUMAN SERVICES CHARGES AND FEES, 2. HHSA Charges and Fees Agenda Info Sheet, 3. EA Charges and Fees 5.6.25 and 5.20.25, 4. Attachment A Summary Comparison of Current and Proposed Fees, 5. Attachment B An Ord Amending the SD County Admin Code Article XVB Relating To HHS Charges and Fees clean, 6. Attachment C An Ord Amending the SD County Admin Code Article XVB Relating To HHS Charges and Fees, 7. Attachment D Summary of Cost Recovery Proposal Actions and Alignment of Fees to Section 239, 8. 05062025 ag12 Speakers, 9. 05062025 ag12 Ecomments, 10. 05062025 ag12 Minute Order

DATE:
May 6, 2025, and May 20, 2025
12

TO:
Board of Supervisors

SUBJECT
Title
APPROVE AN ORDINANCE AMENDING ARTICLE XV-B OF THE SAN DIEGO COUNTY ADMINISTRATIVE CODE RELATING TO HEALTH AND HUMAN SERVICES CHARGES AND FEES (DISTRICTS: ALL)

Body
OVERVIEW
This item was continued from the April 22, 2025 (18) General Legislative Session.

The County of San Diego (County) Health and Human Services Agency (HHSA) is an integrated health, housing, and social service organization with a robust service network that spans across the San Diego County region and contributes to making people's lives healthier, safer, and self-sufficient. Services provided by HHSA provide vital resources and care to some of the most vulnerable San Diego County residents. Today's action requests the San Diego County Board of Supervisors (Board) approve amendments to Article XV-B of the San Diego County Administrative Code related to fees and rates established for services delivered in two HHSA departments, Public Health Services and Behavioral Health Services. The Board last approved revisions to HHSA fees and rates on May 21, 2024 (5).

The proposed ordinance represents a comprehensive package that seeks to support the cost of providing services, while maintaining fees that are fair and reasonable for customers and the public. In accordance with Board Policy B-29 (Fees, Grants, and Revenue Contracts - Department Responsibility for Cost Recovery), HHSA recently conducted a review of HHSA fees and rates, in order to ensure costs are fully recovered for services provided to agencies or individuals. A total of 127 HHSA fees and associated costs were reviewed, resulting in proposed additions, adjustments, and determinations to maintain existing fees.

Today's action requires two steps. On May 6, 2025, it is requested that the Board consider an ordinance amending sections of the San Diego County Administrative Code related to HHSA fees. If the Board takes the action as recommended, then on...

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