Title
Consider recommendations regarding a proposed Ordinance to adjust the Public Health Department (PHD) Health Care Center Medical Services Fees, to increase fees for medical services to 180% of the established Medicare Physician Fee Schedule and to amend the sliding fee scale discounts for indigent and uninsured patients under 200% of federal poverty level, as follows:
a) Approve the adoption (second reading) of an Ordinance to increase PHD Medical Services fees and amend the Sliding Fee Scale discounts;
b) Allow the Public Health Director to establish any new or additional services at either the lesser of the internally calculated fees (which is based on actual costs) or 180% of the Medicare Physician Fee Schedule; and
c) Determine that these activities are exempt from California Environmental Quality Act (CEQA) review per CEQA Guideline Section 15378(b)(4), as a governmental funding mechanism or fiscal activity which does not involve any commitment to a specific project which may result in a potentially significant effect on the environment.