Public Hearings 13.
Regular Board of Supervisors Meeting
Health & Social Services
- Meeting Date:
- 01/08/2013
- Title:
- STD Testing & Treatment Schedule of Fees
- Submitted By:
- Jennifer Steiger, Health & Social Services
- Department:
- Health & Social Services
Presentation:
PowerPoint
Recommendation:
Approve
Document Signatures:
BOS Signature Required
# of ORIGINALS
Submitted for Signature:
Submitted for Signature:
1
NAME
of PRESENTER:
of PRESENTER:
Radi Ann Porter
TITLE
of PRESENTER:
of PRESENTER:
Director of Nursing
Mandated Function?:
Federal or State Mandate
Source of Mandate
or Basis for Support?:
or Basis for Support?:
ADHS
Docket Number (If applicable):
Information
Agenda Item Text:
Adopt Resolution 13-01 to establish a schedule of fees for STD Testing Services provided by Cochise Health & Social Services for testing, education, screening and treatment of clients for sexually transmitted diseases, effective on and after February 11, 2013.
Background:
CHSS has received funds from the ADHS for many years to provide screening, laboratory testing, treatment, and follow-up for sexually transmitted diseases (STDs) primarily Gonorrhea, Chlamydia, and Syphilis. Through this contract the CHSS is funded to ensure availability of STD care, treatment and services to our community. In recent years this funding has decreased dramatically while demand for testing has increased. Currently this grant covers approximately 48% of direct cost of services without factoring in staffing costs. There is cash carry forward in this grant in the amount of $13,977.00 as of July 30, 2012. If demand for services remains at the current level the spend down in this budget will leave $11,116.00 at the end of this calendar year, and assuming no change in cost or demand for services, this budget will be depleted in 2016. The shortfall for services will then shift to general fund dollars or the services will be eliminated. This fee proposal is based on prevailing charges in other counties and allows for services to continue to be provided free of charge to individuals under age 19, and those who report inability to pay. The anticipated income from charging for services will subsidize STD services but is not anticipated to return a profit. The implementation of a sliding fee schedule will prevent the provision of STD services from becoming a fiscal burden on the general fund and preserving the cash carry forward into future revenue cycles beyond 2016. The addition of a fee schedule will allow for testing of individuals who do have insurance but do not want to seek testing and treatment in their medical home due to privacy issues, improving the overall health of the citizens of Cochise County. See Exhibit A (attached) for the detailed STD Proposed Fee Schedule.
Department's Next Steps (if approved):
Your approvals are respectfully requested.
Impact of NOT Approving/Alternatives:
Not approving this fee schedule could cause the STD services to become a fiscal burden on the general fund and preserving the cash carry forward into future revenue cycles beyond 2016 will not be possible. The addition of a fee schedule will allow for testing of individuals who do have insurance but do not want to seek testing and treatment in their medical home due to privacy issues, improving the overall health of the citizens of Cochise County, which would not be possible as the program is currently.
To BOS Staff: Document Disposition/Follow-Up:
1 original resolution, with Exhibit A attached, sent to BOS for signature on 12/18/12. Please return one fully executed copy for filing purposes.
Budget Information
Information about available funds
Budgeted:
Funds Available:
Adjustment:
Amount Available:
Unbudgeted:
Funds NOT Available:
Amendment:
Account Code(s) for Available Funds
- 1:
Fund Transfers
Fiscal Year: 2012-2013
One-time Fixed Costs? ($$$):
Ongoing Costs? ($$$):
County Match Required? ($$$):
A-87 Overhead Amt? (Co. Cost Allocation $$$): 114
Source of Funding?: ADHS
Fiscal Impact & Funding Sources (if known):
Currently this grant covers approximately 48% of direct cost of services without factoring in staffing costs. There is cash carry forward in this grant in the amount of $13,977.00 as of July 30, 2012. If demand for services remains at the current level the spend down in this budget will leave $11,116.00 at the end of this calendar year, and assuming no change in cost or demand for services, this budget will be depleted in 2016. The shortfall for services will then shift to general fund dollars or the services will be eliminated.Small grant rate used for subsidy calculation since there are no salaries/ERE's.
Grant:ADHS
Amount: $ 2,271
Salaries/ERE's: $0
Authorized OH: $0
Small Grant OH @ 5%: $114
Net County Subsidy: $114