SanDiegoCounty.gov
File #: 25-175    Version: 1
Type: Health and Human Services Status: Discussion Item
File created: 4/14/2025 In control: BOARD OF SUPERVISORS
On agenda: 4/22/2025 Final action:
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. HHSA BL APPROVE AN ORD AMENDING ART XVB OF THE SD CO ADMIN CODE RELATING TO HHSA CHARGES AND FEES, 2. AIS HHSA Fees Charges 4.22.25 Final, 3. EA 4.22.25 HHSA Charges and Fees, 4. Attachment A Summary Comparison of Current and Proposed Fees, 5. Attachment B An Ordinance Amending the San Diego County Administrative Code Article XVB, 6. Attachment C An Ordinance Amending the San Diego County Administrative Code Article XVB, 7. Attachment D Summary of Cost Recovery Proposal Actions and Alignment of Fees to Section 239
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DATE:
April 22, 2025, and May 6, 2025
18

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
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 April 22, 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 May 6, 2025, the proposed ordinance will be brought back to the Board for con...

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