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SanDiegoCounty.gov
File #: 25-265    Version: 1
Type: Health and Human Services Status: Consent Agenda
File created: 5/9/2025 In control: BOARD OF SUPERVISORS
On agenda: 5/20/2025 Final action:
Title: ADMINISTRATIVE ITEM: SECOND CONSIDERATION AND ADOPTION OF ORDINANCE: 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 Ordinance Amending the San Diego County Administrative Code Article XVB, Relating To Health and Human Services Charges and Fees Clean Copy, 6. Attachment C An Ordinance Amending the San Diego County Administrative Code Article XVB, Relating To Health and Human Services Charges and Fees Informational Copy, 7. Attachment D Summary of Cost Recovery Proposal Actions and Alignment of Fees to Section 239, 8. 05202025 ag01 Public Communication 1, 9. 05202025 ag01 Ecomments, 10. 05202025 ag01 Speakers, 11. 05202025 ag01 Minute Order, 12. 05202025 ag01 Proof of Publication, 13. 05202025 ag01 Ord 10940 Signed

DATE:
May 6, 2025, and May 20, 2025
01

TO:
Board of Supervisors

SUBJECT
Title
ADMINISTRATIVE ITEM:
SECOND CONSIDERATION AND ADOPTION OF ORDINANCE:
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
On May 6, 2025 (12), the Board of Supervisors took action to further consider and adopt the Ordinance on May 20, 2025.

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 D...

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