SanDiegoCounty.gov
File #: 24-286    Version: 1
Type: Health and Human Services Status: Agenda Ready
File created: 4/22/2024 In control: BOARD OF SUPERVISORS
On agenda: 4/30/2024 Final action: 4/30/2024
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. BL HHSA Fees 2024, 2. Agenda Information Sheet HHSA Fees 2024, 3. Approval Log HHSA Fees 2024, 4. Attachment A Summary Comparison of Fees FY 24 25, 5. Attachment B Ordinance Amending Art XV C of SD Code Relating to HHSA Fees Clean, 6. Attachment C Ordinance Amending Art XV B of SD Code Relating to HHSA Fees Informational, 7. Attachment D Summary of Cost Recovery Proposal Actions FY 24 25, 8. 04302024 Ag30 Public Communication 1, 9. 04302024 Ag30 Public Communication 2, 10. 04302024 ag30 Ecomments, 11. 04302024 ag30 Exhibit, 12. 04302024 ag30 Speakers, 13. 0430204 ag30 Minute Order, 14. 04302024 ag30 Proof of Publication

DATE:
April 30, 2024 and May 21, 2024
30

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 are delivered by eight service departments to 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 three HHSA departments, Public Health Services, Medical Care Services, and Behavioral Health Services. The Board last approved revisions to HHSA fees and rates on May 23, 2023 (4).

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 93 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 30, 2024, 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 2...

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