1. Orange County Health Department Fee Schedule Update Presentation to Board of County Commissioners August 5, 2008

2. Presentation Outline Florida Statute Background Information New/Increased Fee Structure Requested Board Action Proposed Fee Schedule

4. F.S. Chapter 154 Establishes and strengthens the partnership between the Board of County Commissioners and local health departments through a contract Gives authority to establish services and collect fees Proposed Fee Schedule

6. Proposed New & Increased Fees Background Information: –Presentation in May 2008 on proposed State and Federal funding reduction –Presentation on July 22, 2008 $1,590,992 reduction in State and Federal dollars $950,000 new operation costs Proposed strategy to close the gap –Funding from the county of $525,000 –Draw down of the trust fund –New and Increased Fees

7. Proposed Fee Schedule

8. New Environmental Health Fees Fee TypeState Fee Cost AnalysisProposed Surcharge/ Fee Permit SurchargeVarious $55 - $185 $ 56.63 Average $ 57.00 Surcharge Commercial Indoor Air Inspection $ 0.00$ 56.65 per hour $ 57.00 Per Hour Well Abandonment Fee $ 0.00$54.13 per hour $ 57.00 Per Hour Monitoring Well Permit Fee $ 0.00$ 78.89$ 80.00 Proposed Fee Schedule

9. FEE TYPEState Fee Cost AnalysisProposed Fee Septic Program Timed Inspection Fee $ 0.00$56.61$ 57.00 Lead Sample Testing $ 0.00$1.00 per item Non Human Contact Rabies Testing $ 0.00$124.92$ 125.00 Meth Lab Remediation and Risk Assessment Fee $ 0.00$651.00$650.00 New Environmental Health Fees

10. Proposed Fee Schedule Increased Fees Fee TypeCurrent Fee Cost Analysis Proposed Fee Lead & Nitrate Water Testing $ 56.00$ 87.34$ 88.00 International and Adult Immunizations $14.00$20.00

11. Increased fees needed to: Meet increasing demand for services and growth in Orange County Cover rising costs associated with testing supplies for Environmental Health To avoid using patient care dollars for Environmental Health Services Proposed Fee Schedule

13. Requested Board Action Approve request for new and increased fees for Environmental Health and Immunizations Proposed Fee Schedule