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Item M1 BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: October 17, 2014 Division: Monroe County Health Department Bulk Item: Yes x No _ Staff Contact: Mary Vanden Brook 809.5612 AGENDA ITEM WORDING: Approval of the contract between Monroe County Board of County Commissioners and the State of Florida,Department of Health for operation of the Monroe County Health Department— contract year 2014-2015. ITEM BACKGROUND: Review of annual contract and fee schedule for county funding of local health department. PREVIOUS RELEVANT BOCC ACTION: This is the annual renewal of an agreement between Monroe County and Florida Department of Health that has continued for 20+years. CONTRACT/AGREEMENT CHANGES: Fee schedules and attachments. STAFF RECOMMENDATIONS: Approval. TOTAL COST: $1,165,070.00 INDIRECT COST: BUDGETED: Yes X No COST TO COUNTY: $939,070.00 SOURCE OF FUNDS: REVENUE PRODUCING: Yes_ No AMOUNT PER MONTH Year APPROVED BY: County Atty OMB/Purchasing Risk Management DOCUMENTATION: Included X Not Required DISPOSITION: AGENDA ITEM# Revised 1109 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CONTRACT SUMMARY Contract with: MC Health Department Contract# Effective Date: October 1, 2014 Expiration Date: . September 30, 2015 Contract Purpose/Description: Approval of the contract between Monroe County Board of Commissioners and The State of Florida, Dgpartment of Health- for operation of the Monroe Countv.Health Devartment Contract year 2013-2014 Contract Manager: Mary Vanden 809-5612 MC Health Department Brook (Name) (Ext.) (Department/Stop#) I for BOCC meeting on 10/17/2014 Agenda Deadline: 9/30/14 CONTRACT COSTS Total Dollar Value of Contract: $ 1,165,070 Current Year Portion: $ Budgeted? YesX No F] Account Codes: Grant: $ 0 County Match: $ ADDITIONAL COSTS Estimated Ongoing Costs: $_/yr For: (Not included in dollar value above) (eg.maintenance,utilities,janitorial,salaries,etc.) CONTRACT REVIEW Changes Date Out Date In Needed Reviewer Division Director Yes n No Risk Management Yes[:]NoFj O.M.B./Purchasing YesFj NoE] County Attorney Yes[:]NoIA, Adj6� v -U—d T. Z'f® U Comments: OMB Form Revised 2/27/01 MCP#2 f J� CONTRACT BETWEEN MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AND STATE OF FLORIDA DEPARTMENT OF HEALTH FOR OPERATION OF THE MONROE COUNTY HEALTH DEPARTMENT CONTRACT YEAR 2014-2015 This agreement ("Agreement") is made and entered into between the State of Florida, Department of Health ("State") and the Monroe County Board of County Commissioners ("County"), through their undersigned authorities, effective October 1, 2014. RECITALS A. Pursuant to Chapter 154, Florida Statutes, the intent of the legislature is to "promote, protect, maintain, and improve the health and safety of all citizens and visitors of this state through a system of coordinated county health department services." B. County Health Departments were created throughout Florida to satisfy this legislative intent through "promotion of the public's health, the control and eradication of preventable diseases, and the provision of primary health care for special populations." C. Monroe County Health Department ("CHD") is one of the County Health Departments created throughout Florida. D. It is necessary for the parties hereto to enter into this Agreement in order to ensure coordination between the State and the County in the operation of the CHD. NOW THEREFORE, in consideration of the mutual promises set forth herein, the sufficiency of which are hereby acknowledged, the parties hereto agree as follows: 1. RECITALS. The parties mutually agree that the forgoing recitals are true and correct and incorporated herein by reference. 2. TERM. The parties mutually agree that this Agreement shall be effective from October 1, 2014, through September 30, 2015, or until a written agreement replacing this Agreement is entered into between the parties, whichever is later, unless this Agreement is otherwise terminated pursuant to the termination provisions set forth in paragraph 8, below. 3. SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD shall provide those services as set forth on Part III of Attachment II hereof, in order to maintain the following three levels of service pursuant to Section 154.01(2), Florida Statutes, as defined below: a. "Environmental health services" are those services which are organized and operated to protect the health of the general public by monitoring and regulating activities in the environment which may contribute to the occurrence or transmission of disease. ;a i rk i Environmental health services shall be supported by available federal, state and local funds and shall include those services mandated on a state or federal level. Examples of environmental health services include, but are not limited to, food hygiene, safe drinking water supply, sewage and solid waste disposal, swimming pools, group care facilities, migrant labor camps, toxic material control, radiological health, and occupational health. b. "Communicable disease control services" are those services which protect the health of the general public through the detection, control, and eradication of diseases which are transmitted primarily by human beings. Communicable disease services shall be supported by available federal, state, and local funds and shall include those services mandated on a state or federal level. Such services include, but are not limited to, epidemiology, sexually transmissible disease detection and control, HIV/AIDS, immunization, tuberculosis control and maintenance of vital statistics. c. "Primary care services" are acute care and preventive services that are made available to well and sick persons who are unable to obtain such services due to lack of income or other barriers beyond their control. These services are provided to benefit individuals, improve the collective health of the public, and prevent and control the spread of disease. Primary health care services are provided at home, in group settings, or in clinics. These services shall be supported by available federal, state, and local funds and shall include services mandated on a state or federal Revel. Examples of primary health care services include, but are not limited to: first contact acute care services; chronic disease detection and treatment; maternal and child health services; family planningi; nutrition; school health; supplemental food assistance for women, infants, and children; home health; and dental services. 4. FUNDING. The parties further agree that funding for the CHID will be handled as follows: a. The funding to be provided by the parties and any other sources are set forth in Part 11 of Attachment 11 hereof. This funding will be used as shown in Part I of Attachment 11. i. The State's appropriated responsibility (direct contribution excluding any state fees, Medicaid contributions or any other funds not listed on the Schedule C) as provided in Attachment 11, Part II is an amount not to exceed $ 4,438,817 (State General Revenue, State Funds, Other State Funds and Federal Funds listed on the Schedule C). The State's obligation to pay under this contract is contingent upon an annual appropriation by the Legislature. fl. The County's appropriated responsibility (direct contribution excluding any fees, other cash or local contributions) as provided in Attachment 11, Part II is an amount not to exceed $1,165,070 (amount listed under the "Board of County Commissioners Annual Appropriations section of the revenue attachment). b. Overall expenditures will not exceed available funding or budget authority, whichever is less, (either current year or from surplus trust funds) in any service category. Unless requested otherwise, any surplus at the end of the term of this Agreement in the County 2 r N V� Health Department Trust Fund that is attributed to the CHD shall be carried forward to the next contract period. c. Either party may establish service fees as allowed by law to fund activities of the CHD. Where applicable, such fees shall be automatically adjusted to at least the Medicaid fee schedule. As allowed by law, Monroe County Health Department has established Communicable disease control and Primary care services rates at 160% of the Medicare Fee Schedule, rounded up to the next whole dollar. Monroe County Health Department has established Environmental Health Services Fees in line with local recommendations t and economic factors. i d. Either party may increase or decrease funding of this Agreement during the term hereof by notifying the other party in writing of the amount and purpose for the change in funding. If the State initiates the increaseldecrease, the CHD will revise the Attachment II and send a copy of the revised pages to the County and the Department of Health, Office of (Budget and Revenue Management. If the County initiates the increase/decrease, the County shall notify the CHD. The CHD will then revise the Attachment II and send a copy of the revised pages to the Department of Health, Office of Budget and Revenue Management. e. The name and address of the official payee to who payments shall be made is: County Health Department Trust Fund Monroe County PO Box 6193 1100 Simonton Street Key West, FL 33040 5. CHD DIRECTORIADMIINISTRATOR. Both parties agree the director/administrator of the CHD shall be a State employee or under contract with the State and will be under the day-to-day direction of the Deputy Secretary for Statewide Services. The director/administrator shall be selected by the State with the concurrence of the County. The director/administrator of the CND shall ensure that non-categorical sources of funding are used to fulfill public health priorities in the community and the Long Range Program Plan. A report detailing the status of public health as measured by outcome measures and similar indicators will be sent by the CHD director/administrator to the parties no later than October 1 of each year(This is the standard quality assurance "County Health Profile"report located on the division of Public Health Statistics and Performance Management Intranet site). 6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that the following standards should apply in the operation of the CHD: a. The CHD and its personnel shall follow all State policies and procedures, except to the extent permitted for the use of county purchasing procedures as set forth in subparagraph b., below. All CHD employees shall be State or State-contract personnel subject to State personnel rules and procedures. Employees will report time in the Health Management System compatible format by program component as specified by the State. ,M=, .r,, r J i� b. The CHD shall comply with all applicable provisions of federal and state laws and regulations relating to its operation with the exception that the use of county purchasing procedures shall be allowed when it will result in a better price or service and no statewide Department of Health purchasing contract has been implemented for those goods or services. In such cases, the CHD director/administrator must sign a justification therefore, and all county-purchasing procedures must be followed in their entirety, and such compliance shall be documented. Such justification and compliance documentation shall be maintained by the CHD in accordance with the terms of this Agreement. State procedures must be followed for all leases on facilities not enumerated in Attachment IV. i c. The CHD shall maintain books, records and documents in accordance with those 1 promulgated by the Generally Accepted Accounting Principles (GAAP) and Governmental Accounting Standards Board (GASB), and the requirements of federal or state law. These records shall be maintained as required by the Department of Health Policies and Procedures for Records Management and shall be open for inspection at any time by the parties and the public, except for those records that are not otherwise subject to disclosure as provided by law which are subject to the confidentiality provisions of paragraph 6J., below. Books, records and documents must be adequate to allow the CHD to comply with the following reporting requirements: i. The revenue and expenditure requirements in the Florida Accounting System Information Resource (FLAIR). ii. The client registration and services reporting requirements of the minimum data set as specified in the most current version of the Client Information System/Health Management Component Pamphlet; iii. Financial procedures specified in the Department of Health's Accounting Procedures Manuals, Accounting memoranda, and Comptrollers memoranda; iv. The CHD is responsible for assuring that all contracts with service providers include provisions that all subcontracted services be reported to the CHD in a manner consistent with the client registration and service reporting requirements of the minimum data set as specified in the Client Information System/Health Management Component Pamphlet. d. All funds for the CHD shall be deposited in the County Health Department Trust Fund maintained by the state treasurer. These funds shall be accounted for separately from funds deposited for other CHDs and shall be used only for public health purposes in Monroe County. e. That any surplus/deficit funds, including fees or accrued interest, remaining in the County Health Department Trust Fund account at the end of the contract year shall be credited/debited to the state or county, as appropriate, based on the funds contributed by each and the expenditures incurred by eachi. Expenditures will be charged to the program accounts by state and county based on the ratio of planned expenditures in the core 4 contract and funding from all sources is credited to the program accounts by state and county. The equity share of any surplus/deficit funds accruing to the state and county is determined each month and at contract year-end. Surplus funds may be applied toward the funding requirements of each participating governmental entity in the following year. However, in each such case, all surplus funds, including fees and accrued interest, shall remain in the trust fund until accounted for in a manner which clearly illustrates the amount which has been credited to each participating governmental entity. The planned use of surplus funds shall be reflected in Attachment 11, Part I of this contract, with special capital projects explained in Attachment V. f. There shall be no transfer of funds between the three levels of services without a contract amendment unless the CHD director/administrator determines that an emergency exists wherein a time delay would endanger the public's health and the Deputy Secretary for Statewide Services has approved the transfer. The Deputy Secretary for Statewide Services shall forward written evidence of this approval to the CHD within 30 days after an emergency transfer. g. The CHD may execute subcontracts for services necessary to enable the CHD to carry out the programs specified in this Agreement. Any such subcontract shall include all aforementioned audit and record keeping requirements. h. At the request of either party, an audit may be conducted by an independent CPA on the financial records of the CHD and the results made available to the parties within 180 days after the close of the CHD fiscal year. This audit will follow requirements contained in OMB Circular A-133 and may be In conjunction with audits performed by county government. If audit exceptions are found, then the director/administrator of the CHD will prepare a corrective action plan and a copy of that plan and monthly status reports will be furnished to the contract managers for the parties. I. The CHD shall not use or disclose any information concerning a recipient of services except as allowed by federal or state law or policy. j. The CHD shall retain all client records, financial records, supporting documents, statistical records, and any other documents (including electronic storage media) pertinent to this Agreement for a period of five (5) years after termination of this Agreement. If an audit has been initiated and audit findings have not been resolved at the end of five (5) years, the records shall be retained until resolution of the audit findings. k. The CHD shall maintain confidentiality of all data, files, and records that are confidential under the law or are otherwise exempted from disclosure as a public record under Florida law. The CHD shall implement procedures to ensure the protection and confidentiality of all such records and shall comply with sections 384.29, 381.004, 392.65 and 456.057, Florida Statutes, and all other state and federal laws regarding confidentiality. All confidentiality procedures implemented by the CHD shall be consistent with the Department of Health Information Security Policies, Protocols, and Procedures. The CHD shall further adhere to any amendments to the State's security requirements and shall comply with any applicable professional standards of practice with respect to client confidentiality. 5 f I. The CHD shall abide by all State policies and procedures, which by this reference are incorporated herein as standards to be followed by the CHD, except as otherwise permitted for some purchases using county procedures pursuant to paragraph 6.b. hereof. m. The CHD shall establish a system through which applicants for services and current clients may present grievances over denial, modification or termination of services. The CHD will advise applicants of the right to appeal a denial or exclusion from services, of failure to take account of a client's choice of service, and of his/her right to a fair hearing to the final governing authority of the agency. Specific references to existing laws, rules or program manuals are included in Attachment I of this Agreement. n. The CHD shall comply with the provisions contained in the Civil Rights Certificate, hereby incorporated into this contract as Attachment III. o. The CHD shall submit quarterly reports to the county that shall include at least the following: i. The DE3851-1 Contract Management Variance Report and the DE580L1 Analysis of Fund Equities Report; ii. A written explanation to the county of service variances reflected in the DE3851-1 report if the variance exceeds or falls below 25 percent of the planned expenditure amount. However, if the amount of the service specific variance between actual and planned expenditures does not exceed three percent of the total planned expenditures for the level of service in which the type of service is included, a variance explanation is not required. A copy of the written explanation shall be sent to the Department of Health, Office of Budget and Revenue Management. 6 f p. The dates for the submission of quarterly reports to the county shall be as follows unless the generation and distribution of reports is delayed due to circumstances beyond the CHD's control: L March 1, 2015 for the report period October 1, 2014 through December 31, 2014; Ii. June 1, 2015 for the report period October 1, 2014 through March 31, 2015; �I iii. September 1, 2015 for the report period October 1, 2014 through June 30, 2015; and iv. December 1, 2015 for the report period October 1, 2014 through September 30, 2015. 7. FACILITIES AND EQUIPMENT. The parties mutually agree that: a. CHD facilities shall be provided as specified in Attachment IV to this contract and the county shall own the facilities used by the CHD unless otherwise provided in Attachment IV. b. The county shall ensure adequate fire and casualty insurance coverage for County- owned CHD offices and buildings and for all furnishings and equipment in CHD offices through either a self-insurance program or insurance purchased by the County. c. All vehicles will be transferred to the ownership of the County and registered as county vehicles. The county shall ensure insurance coverage for these vehicles is available through either a self-insurance program or insurance purchased by the County. All vehicles will be used solely for CHD operations. Vehicles purchased through the County Health Department Trust Fund shall be sold at fair market value when they are no longer needed by the CHD and the proceeds returned to the County Health Department Trust Fund. 8. TERMINATION. a. Termination at Will. This Agreement may be terminated by either party without cause upon no less than one-hundred eighty (180) calendar days notice in writing to the other party unless a lesser time is mutually agreed upon in writing by both parties. Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of delivery. b. Termination Because of Lack of Funds. In the event funds to finance this Agreement become unavailable, either party may terminate this Agreement upon no less than twenty-four (24) hours notice. Said notice shall be delivered by certified' mail, return receipt requested, or in person to the other party's contract manager with proof of delivery. c. Termination for Breach. This Agreement may be terminated by one party, upon no less than thirty (30) days notice, because of the other party's failure to perform an i obligation hereunder. Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of delivery. Waiver of breach of any provisions of this Agreement shall not be deemed to be a waiver of any other breach and shall not be construed to be a modification of the terms of this i Agreement. 9. MISCELLANEOUS. The parties further agree: a. Availability of Funds. If this Agreement, any renewal hereof, or any term, performance or payment hereunder, extends beyond the fiscal year beginning July 1, 2015, it is agreed that the performance and payment under this Agreement are contingent upon an annual appropriation by the Legislature, in accordance with section 287.0582, Florida Statutes. b. Contract Managers. The name and address of the contract managers for the parties under this Agreement are as follows: For the State: For the County: Mary Vanden Brook, J.D. Roman Gastesi Name Name Administrative Services Director County Administrator Title Title PO Box 6193 1100 Simonton Street 1100 Simonton Street Key West, FL 33040 Key West, FL 33040 Address Address 305-809-5612 305-292-4441 Telephone Telephone If different contract managers are designated after execution of this Agreement, the name, address and telephone number of the new representative shall be furnished in writing to the other parties and attached to originals of this Agreement. C. Captions. The captions and headings contained in this Agreement are for the convenience of the parties only and do not in any way modify, amplify, or give additional notice of the provisions hereof. f In WITNESS THEREOF, the parties hereto have caused this p page agreement to be executed by their undersigned officials as duly authorized effective the 1Fday of October, 2014. BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA FOR MONROE COUNTY DEPARTMENT OF HEALTH SIGNED BY: SIGNED BY: NAME: NAME: John H. Armstrona, MD TITLE: TITLE: Surneon General/Secretary of Health DATE: DATE: ATTESTED TO: SIGNED BY: SIGNED BY: NAME: NAME: Robert B. Eadie, J.D. TITLE: TITLE: CHD Director/Administrator DATE: DATE: ArZAV MONROE COUNTY ATTORNEY PROVED AST FMRW C tyN"TH1A L1RALL ASSISTANT COUNTY ATTORNEY I y I ATTACHMENT MONROE COUNTY HEALTH DEPARTMENT PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS Some health services must comply with specific program and reporting requirements in addition to the Personal Health Coding Pamphlet(DHP 50-20), Environmental Health Coding Pamphlet(DHP 50-21)and FLAIR requirements because of federal or state law, regulation or rule. If a county health department is funded to provide one of these services, it must comply with the special reporting requirements for that service. The services and the reporting requirements are listed below: Service Requirement 1. Sexually Transmitted Disease Requirements as specified in F.A.C.64D-3, F.S.381 and Program F.S.384. 2. Dental Health Periodic financial and programmatic reports as specified by the program office. 3. Special Supplemental Nutrition Service documentation and monthly financial reports as Program for Women, Infants specified in DHM 150-24*and all federal,state and county and Children(including the WIC requirements detailed in program manuals and published Breastfeeding Peer Counseling procedures. Program) 4. Healthy Start/ Requirements as specified in the 2007 Healthy Start Improved Pregnancy Outcome Standards and Guidelines and as specified by the Healthy Start Coalitions in contract with each county health department. 5. Family Planning Requirements as specified in Public Law 91-572,42 U.S.C. 300, et seq.,42 CFR part 59„subpart A,45 CFR parts 74& 92, 2 CFR 215(OMB Circular A-110)OMB Circular A-102, F.S. 381.0051, F.A.G.64F-7, F.A.C.64F-16, and F.A.C.64F- 19. Requirements and Guidance as specified in the Program Requirements for Title X Funded Family Planning Projects (Title X Requirements)(2014)and the Providing Quality Family Planning Services(QFP): Recommendations of CDC and the U.S.Office of Population Affairs published on the Office of Population Affairs website. Programmatic annual reports as specified by the program office as specified in the annual programmatic Scope of Work for Family Planning and Maternal Child Health Services, including the Family Planning Annual Report(FPAR),and other minimum guidelines as specified'by the Policy Web Technical Assistance Guidelines. 6. Immunization Periodic reports as specified by the department pertaining to immunization levels in kindergarten and/or seventh grade pursuant to instructions contained in the Immunization Guidelines-Florida Schools, Childcare Facilities and Family Daycare Homes(DH Form 150-615)and Rule 64D-3.046, F.A.C. In addition, periodic reports as specified by the department pertaining to the surveillance rivestigation of reportable vaccine-preventable diseases,adverse events, vaccine accountability, and assessment of immunization F ATTACHMENT I(Continued) i levels as documented in Florida.SHOTS and supported by CHD Guidebook policies and technical assistance guidance. 7. Environmental Health Requirements as specified in Environmental Health Programs Manual 150-4*and DHP 50-21* 1 8. HIV/AIDS Program Requirements as specified in F.S.384.25 and F.A.C.64D-3.030 and 64D-3.031.Case reporting should be on Adult HIV/AIDS Confidential Case Report CDC Form DH2139 and Pediatric HIV/AIDS Confidential Case Report CDC Form DH2140. Requirements as specified in F.A.C.64D-2 and 6413-3, F.S. 381 and F.S. 384. Socio-demographic and risk data an persons tested for HIV in CHD clinics should be reported on Lab Request DH Form 1628 in accordance with the Forms Instruction Guide. Requirements for the HIV/AIDS Patient Care programs are found In the Patient Care Contract Administrative Guidelines. 9. School Health Services Requirements as specified in the Florida School Health Administrative Guidelines(May 2012). Requirements as specified in F.S.381.0056, F.S.381.0057, F.S.402.3026 and F.A.C.64F-6. 10. Tuberculosis Tuberculosis Program Requirements as specified in F.A.C. 64D-3 and F.S. 392. 11. General Communicable Disease Control Carry out surveillance for reportable communicable and other acute diseases, detect outbreaks, respond to individual cases of reportable diseases, investigate outbreaks, and carry out communication and quality assurance functions,as specified in F.A.C. 64D-3, F.S. 381, F.S.384 and the CHD Epidemiology Guide to Surveillance and Investigations. 12. 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Ailr,A1,�,��vQ�' e,,,,�.� e 1.GENERAL REVENUE-STATE s 015040 AIDS PATIENT CARE 370,000 0 370,000 0 370,1100 015040 AIDS PREVENTION&SURVEILLANOE-GENERAL REVENUE 73,552 0 73,552 0: 73,552 015040 AIDS NETWORK REIMBURSEMENT 259,200 0 25R200 0 259,2011 015040 CHD•TB COMMUNITY PROGRAM 25,284 0 25,284 0 25,284 015040 SEXUALLY TRANSMITTED DISEASE CONTROL PROGRAM GR 16,755 U 16,755 0 16,755 015040 ALG/CESSPOOL IDENTIFICATION&ELIMINATION PROG 53,706 0 63.766 0 53766 015040 FAMILY PLANNING GENERAL REVENUE 25,360 0 25,360 0 25,360 015040 HEPATITIS AND LIVER FAILURE PREVENTION&CONTROL 72,000 0 72,000 0 7200 015040 PRIMARY CARE PROGRAM 199„742 0 199,742 0 199,742 016040 SCHOOL HEALTH SERVICES-GENERAL REVENUE 96,223 0 96,223 0 96,223 01505U CHD GENERAL REVENUE NON�CATEGORICAL 1.178,492 0 1,178,492 0 1,178,492 GENERAL REVENUE TOTAL 2,370,374 0 2,370,374 0 2,370,374 2.NON GENERAL REVENUE-STATE 016010 ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM 3,859 0 J1,859 0 3.869 015010 TOBACCO STATE AND COMMUNITY INTERVENTIONS 114,713 0 114,718 0 114,718 NON GENERAL REVENUE TOTAL 113.577 0 118.577 0 118.577 3.FEDERAL FUNDS-STATE 007,000 AIDS DRUG ASSISTANCE PROGRAM ADM1N 35,443 0 35,443 0 15,143 D07000 WIC BRE.ASTFEEDING PEER COUNSELING PROD 17,337 0 17,337 0 17,337 007000 COASTAL BEACH WATER QUALITY MONITORING 18,962 0 18,962 0 18,962 007000 d"OkAPREHENSIVE COMMUNITY CARDI0-PHBG 13,668 0 13,668 0 13„e168 007000 FAMILY PLANNING GENERAL REVENUE 8,628 0 8,828 0 8,828 007000 FAMILY PLANNING TITLE X-GRANT 60,184 0 60,184 0 60,184 007000 HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS 429,306 0 429,306 0 429,306 007000 IMMUNIZATION ACTION PLAN 8,624 0 8,624 0 8,624 007000 MCH SPECIAL PRJCT UNPLANNED PREGNANCY 17,701 U 17,701 0 17,701 007000 PHP PUBLIC HEALTH PREPAREDNESS BASE ALLOC 118,412 0 118,412 0 118,,112 007000 AIDS PREVENTION 127,268 0 127,268 0 127,268 007000 RYAN WHITE TITLE 11 CARE GRANT 76.596 0 76,596 0 76,596 007000 RYAN WHITE TITLE 11 GRANT/CHD CONSORTIAM 481,668 0 481,668 0 481,668 007000 WIC PROGRAM ADMINISTRATION 300,936 0 300,936 0 300,936 015075 INSPECTIONS OF SUYIMER FEEDING PROGRAM-DOE 268 0 268 0 268 015075 SUPPLEMENTAL SCHOOL HEALTH 123,839 0 123,839 0 123,839 016075 REFUGEE HEALTH SCREENING EXPENSE REIMBURSEMENT 25,000 0 25,000 0 25,000 015075 REFUGEE HEALTH SCREENING REIMBURSEMENT 75,000 0 75,000 0 75,000 FEDERAL FUNDS TOTAL 1,939„040 0 1,939,040 0 1.039„040 4.FEES ASSESSED BY STATE OR FEDERAL RULES-STATE 001020 CHD STATEWIDE ENVIRONMENTAL FEES 82.559 0 82,559 0 82,669 001092 CHD STATEWIDE ENVIRONMENTAL FEES 183,145 0 183,145 0 183145 0010:93 CHD STATEWIDE ENVIRONMENTAL FEES 36,556 0 36.556 0 36,556 0OU06 ON SITE SEWAGE DISPOSAL PERMIT FEES 10,000 0 10,000 41 10,000 Page 1 of 3 f,,; / r ,✓'r�dlr i, O,V I-"� rN)r1�l%;:.. r r r/ ! ,rrr.,,,, A//; / ry,:� f r /.:➢ jrt/i 6 r ,, f �sll / /I%J r V I�/V�I��f f I/ /�/i,�,,� II ,, a J / ,d r r.,/ rtl� R.it._r / ,,,, ,., .r,r✓;,// / .,,,1, .r ,,, u,,,/r„ / r 1 ,1,, ,i/,.. ,. � ,�.... i 1 / �l 5 ..,r.. /..y /. 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Y r l ✓of o f r J ,�I�lr r �, / 2 /11 �/�I J� r / � }n,l / ,,,,,r J�� / „r( r r,,r /r,/r .� /r to / or .V, /Y /✓ r1➢ r /��, ,,,: Y ri i ,, r ur�, , �+`( `� / .{ r� /r,d ,r ,x ) -r, Irh :'>, s* / / G 1 �/ ,,,,✓ J// ,,: r r,�. �/ Jr/rR.a. /lw,v ./ � ,... r ✓ l ,r f/ r I/�,:D .r r r.-r(e e r e�,: a.„� ,., x:V f, .f�i,�,7�(" Y, /✓' ,� ri r..:fi. r ,f r I /: r. ]4V � , r J :Ir ,,., 1 r..ra. )r � („�.➢1.✓ ��. r<. irk l...F � ,,r. r 9„ ,.a-r,dr, ,, ,, ! k /-„9xx,,:9✓V, ,Hum✓�/IY�Y���„�;xra F�IVI r„.r r„h4,�/1(J r/�,lN�r���Yr„uru�(H�d a11,.ra� r/ �u✓x,.� J'�,r/ /,o�a�� �V,Arr�`,,,.,� !r ✓,r/r)rd��� „�R� � : .. �,,,,wl�r'Y.ru.,x .J d,rx„s:l 001206 SANITATION CERTIFICATES GOOD INSPECTION) 2,350 0 2.360 0 2,350 001206 SEPTIC TANK RESEARCH SURCHARGE 200 0 200 0 200 001206 SEPTIC TANK VARIANCE FEES 50% 200 0 200 0 200 001206 PUBLIC SWIMMING POOL PERMIT FEES•10m HQ TRANSFER 6,300 0 5.300 0 5,300 001206 REGULATION OF BODY PIERCING SALONS 60 0 60 0 60 001206 TANNING FACILITIES 113 0 113 0 113 001206 TATTO PROGRAM ENVIRONMENTAL HEALTH 370 0 370 0 370 001206 MOBILE HOME&RV PARK FEES 3.742 0 3,742 0 3,742 FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 324.695 0 324,595 0 324.596 5.OTHER CASH CONTRIBUTIONS•STATE: 010304 CHD STATEWIDE ENVIRONMENTAL FEES 593 0 593 0 693 090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 88,935 0 88,936 0 88.935 OTHER CASH CONTRIBUTION TOTAL 0 0 0 0 0 6.MEDICAID-STATEICOUNTY' 001078 CHD CLINIC FEES 0 3,641 3„046 0 3,641 001083 CHD CLINIC FEES 0 61000 5,000 0 6,000 001087 CHD CLINIC FEES 0 100 100 0 100 001089 CHD CLINIC FEES 0 14,642 14,542 0 14,542 MEDICAID TOTAL 0 23,283 23,283 0 23,283 7.ALLOCABLE REVENUE-STATE: 0 0 0 0 0 MEDICAID TOTAL 0 0 0 0 0 8.OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND-STATE ADA' 0 0 0 479,474 479,474 PHARMACY DRUG PROGRAM 0 0 0 63,633 63,633 STD 0 0 0 0 0 WIC PROGRAM 0 0 0 859,810 859,810 BUREAU OF PUBLIC HEALTH LABORATORIES 0 0 0 18,662 18,662 IMMUNIZATIONS 0 0 0 1,266,400 1,266,400 OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 2,687,979 2,687,979 9,DIRECT LOCAL CONTRIBUTIONS-BCC/TAX DISTRICT 008030 CHD LOCAL REVENUE&EXPENDITURES 0 1.130,050 1,130,050 0 1,130,050 DIRECT COUNTY COA?TRIBUTIONSTOTAL 0 1,130,050 1,130,050 0 1,130,050 10.FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION•COUNTY 001025 CHD CLINIC FEES 0 1,200 1,200 0 1,200 001060 VITAL STATISTICS CERTIFIED RECORDS 0 2,000 2.000 0 2,000 001073 CHD CLINIC FEES 0 35A00 35,400 0 36,400 001077 CHD CLINIC FEES 0 93,204 93„204 0 93„204 001094 CHD STATEWIDE ENVIRONMENTAL FEES 0 119,928 110,928 0 119,928 001114 VITAL STATISTICS CERTIFIED RECORDS 0 17,200 17,200 0 17,200 Page 2 a13 ✓�iiioirn,ar/ i/irr//irr,//// ..rr„� // �„rk„ ,,,,r„ r. �,x r.... ......_ ri ar�r y/yr' r/ aJr rrrf�i/rlv/ r//4r on: r:�f,/ �' � �'�,�'f F/ :r r✓ rrrr 77l,.�u,� / 4 ,ti/%/ r r /f/./ rp r l x '���r ° ,1(a":% /t. r � rJ 1/rar r/ l�-0rIY,,„�r r 11LY�r•, r u / /� r%� //^'��.. 9/ r ,.,.: 1 I/ /r(r/. v;, N,,,;r, / , ,,..., , / % „rr y;'�k /`,q,,,. 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J:.. r. .IN. 7 -/,. ,.. .r. ,:,I/. .( ,,,/ ,L /./. .x r., ,rr.,,Yi1a ✓... /..,c✓dN,/� 4 rvc �Lr° f � o rW,/ /r rv^I t r .�,, /l/ ,r , , , ( / - ,Y ,t7v, '�i/k l , dH d >1 f r r f 1,r� /r1 / � r r / /i, � l �; � ,�r, V1 ()»/,,„/ (� cx a/✓ ro„ ;-�' r9 � #„r D d i ,✓,Jr-, la r�l/ �r or D r 6 ✓! /n /, ,ri ,,,,,,,, / rsr,,, ,c,,, ,r,,,/,r 9 -„,„ /r/ -rrr ir,''.:�„� v 1 l a//�,l II � ,r r r. 1,rr �'/rr// ,.r„t„ „, xrro„�... a�,,,, �+-,...:Gr �i„ ✓,,, ,u, a/ /..P //„ ,/,!r ,V, /;,:, Ir,rrl d�4 rrxl//i r r�IZM /�, r, J r/ 9 y// ,,,nDx" r1H..rr1.;r / mf:.J ,n ..,,,r,,, ,r. ,r. r rir: r r,,�,;. r � rs!.�{ � ,�✓, i,r,l 001116 VITAL STATISTICS CERTIFIED RECORDS 0 4.2,200 42,200 0 42,200 001117 VITAL STATISTICS CERTIFIED RECORDS 0 600 600 0 600 PPP FEES AUTHORIZED BY COUNTY TOTAL 0 311,732 311,732 0 311,732 11,OTHER CASH AND LOCAL CONTRIBUTIONS-COUNTY 001029 CUD CLINIC FEES 0 143,695 143,695 0 143,695 001090 CHD CLINIC FEES 0 87,295 87,295 0 37,295 005041 CHD LOCAL REVENUE&EXPENDITURES 0 7.300 7,300 0 7,300 006043 CHD LOCAL REVENUE&EXPENDITURES 0 10 10 0 10 007010 RYAN WHITE TITLE III•DIRECT TO CHD 0 457,509 457,609 0 457,509 007010 RYA.L1 WHITE TITLE III•DIRECT TO CHI) 0 95,000 95.000 0 96,000 010300 CHD STATEWIDE ENVIRONMENTAL FEES 0 683 683 0 683 010400 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 74,800 74,800 0 74,800 010500 IMMUNIZATION CAMPAIGN MONROE COUNTY BOCC a 226,000 226,000 0226,000 010500 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 68,425 68,425 0 68,4,25 011000 SMOKE FREE HOUSING GRANT 0 23,031 23,031 0 23,031 011001 CHD HEALTHY START COALITION CONTRACT 0 290,000 290,000 0 290,000 090002 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 454,387 454,387 0 454,387 OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 1,928.135 1.928,136 0 1.928,135 12.ALLOCABLE REVENUE•COUNTY 0 0 0 0 0 COUNTY ALLOCABLE REVENUE TOTAL 0 0 0 0 0 13.BUILDINGS-COUNTY ANNUAL RENTAL EQUIVALENT VALUE 0 0 0 5 so,199 580,199 OTHER(Specify) 0 0 0 0 0 UTILITIES 0 0 0 61,623 61,523 BUILDING MAINTENANCE 0 0 0 71,641 71,641 GROUNDS MAINTENANCE 0 0 0 112.200 112,200 INSURANCE 0 0 0 0 0 OTHER(Specify) 0 0 0 0 0 OTHER(Specify) 0 0 0 0 0 BUILDINGS TOTAL 0 0 0 826,563 825,563 14.OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND-COUNTY EQUIPMENT/VEHICLE PURCHASES 0 0 0 0 0 VEHICLE INSURANCE 0 0 0 0 0 VEHICLE MAINTENANCE 0 0 0 0 0 OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0 0 GRAND TOTAL CHD PROGRAM 4,842,114 3,393,200 8,235,314 3,513;,542 11„748.866 Page 3 of 3 /Iri%!r ✓ / ' } TTACfiMTs / J f ram,% I P �.;�9 i Ji l� !r )) ✓/,. /w�,. r 9,/% / / r / +++1r. I r r„a ,/ rr K�lyr �'// /"✓/ a fr/ lr ,Yr, i✓ti�/%II 7i J/; v r � N r / ri /y / r /..J l ,. r�.,,,„„ a �/ r ,,J �7 al vn�rrl ./� k r r ✓ �i�„ri � ,,,, F,,,- f /,"f,rr,rnA, e/, ! /[ � ,/ i; %t/rlr .! r r/;ffr�r ,/ r v„% „ ,. ,A V, ,S b..r. -s9� /. ,�tG ✓ „_,,, d .., .,;r ,i' ,e,,,.,..//.. / rr / a1 r. r ,J 1.,:, �'f�' /��� c l r ,°M..r J)! //,,.r 11 �r✓' Tk /,r ,.r0 J o ,.�r ,3'/r.. 1�,. r '� Yy..,,, r,.a r iJu p:�rr(Jfr�'�; a Mk�/Yr r /% r!l�1% F y.,.., r q, rrr &r r ,.r Iif r /rf', r✓���: //rii'N�-. �� J��Y f yr� (, Y�I %��/4�r r r�l/ r ,+4, %' / :F✓ ✓py r i all �r✓yl /r rr ✓/ � fif it �G „�„G ,:, 7r,r.,-�"/r rki �r. r/ H lrr //: ,,, /,. u �.✓, , r/( '"alJ rfr,/� ir11 r r %/%/�/r >//r, r(, " �'H,� I r+ rr ;pK,r�, rk'r° rf'rii r� v /�/�!17>'; �/rri/ /i',6„ H1Fr i Ii t,, ��/f� ri 7 hu tr /?„�/Lu%,rrr� Ir r 9 ',A: ,Or:: 7/� �,.. l �,/% % /�F' r ,i,G a ( f'r ✓I //i r%/i r�., 9!„ ,,SDI G i ,U r /( r d �:rvu;1/ If✓ :.J r ✓ T,�u" /q �11'�8' Cik4(r t' ���, r /End ri/i �$'&� v rr r;,:,� / �/ /�gr11 / r/yl. v r t �,:, i,'.{ A C014A1 I CABLE DISEASE CONTROL: IMMUNIZATION (101) 9.75 .5,064 7.333 244,885 209,848 244.886 244.791 9,624 915,785 944,409 SEXUALLY TRANS.DIS. (102) 1.66 230 450 35,031 30.019 35,031 35,018 16,756 118,344 135,099 HIMAIDS PREVENTION t03AD 3.94 352 587 80A78 68,963 8 A78 80^447 309,954 412 310,366 1 IIIV/AIDSSURVEILANCE (GJA2) 0,07 35 38 1,436 1,230 t,436 1.435 5,530 7 5,637 HiVtA;DS PATIENT CARE (03A3) 16.28 421 3,203 674,214 577.749 674.214 673,953 1,963.457 636,673 2,600,130 ADAP (03A4) L28 33 37 22,184 19,010 22,184 22.176 85,421 133 86,654 TUBERCULOSIS (104) 0.,44 12 29 10,489 8,988 10,489 10.484 40,404 46 40,450 COMM.DIS SURV. (106) 1,20 0 732 31,451 26,951 31,451 31.440 0 121,293 121.293 HEPATITIS (109) 095 250 226 212,415 19,208 22,415 22,406 86,343 100 86,443 PREPAREDNESS AND RESPONSE (1161 2,50 0 600 61,581 52,771 61.581 61,568 237,491 0 237,491 REFUGEE HEALTH (1.18) 1,33 259 1,979 46,068 38,620 45,068 45,,050 173,667 139 173,806 VITAL RECORDS (180) 1.42 t,700 4,064 26,065 22,327 26.055 26.0,15 38,482 62,000 100,482 COMMUNICABLE DISEASE SUBTOTAL 40,82 8,366 19.878 1,255,287 1.075,684 1.265,287 L254,802 2,960,128 1,874,D32 4,841,060 B. PRIMARY CARE: CHRONIC DISEASE PREVENTION PRO (210) 1.05 30 60 20.390 17,472 20.390 20,3+i2 13.668 64.966 78,631 WIC (21WI) 5.46 1„940 13.080 105,676 90„556 105„676 105.636 407,544 0 4,07„544 TOBACCO USE INTERVENTION(212) 2.31 0 47 ;14,609 38„227 44,609 44,592 114,718 G7,319 172.037 WICBREASTFEEDING PEER COUNSELING (21W2) 0.56 0 627 8,102 6,942 8,102 8.098 31.244 0 31,214 FA:viILYPLANNING (223) 3.90 1.146 2,085 100„674 86,270 100.674 100.634 112,073 276„179 388.252 IMPROVED PREGNANCY OUTCOME (225) 0.00 0 0 0 0 0 0 0 0 0 JILAI,TIIY START PRENATAI. (227) 2.88 632 3,440 58,223 49,892 58,223 58,200 0 224.538 224,538 COMPREHENSIVE CHILD HEALTH (229) 0.22 146 151 4,464 3.825 4,464 4,463 0 17,216 17„216 HEALTHY START CHILD (231) 220 532 2,705 38,769 33,222 38,769 38,766 0 149,516 149,616 SCHOOL HEALTH (234) 4.55 0 129.076 82,590 70,774 82.590 82,559 220,062 98,451 318.513 COMPREHENSIVE ADULT HEALTH (237) 6.08 600 2.811 148,666 127,395 148,666 1,18.607 309,252 264,082 573.334 COMMUNITY HEALTH DEVELOPMENT (238) 1.91 0 1.131 43,124 36,954 43,124 43.108 mr,,310 0 166,310 DENTAL HEALTH (240) 0,00 0 0 0 0 0 0 0 0 0 PRIMARY CARE SUBTOTAL 31.12 6.026 165.203 655,287 561,529 655,287 655„035 1,374.871 1,152,267 2,527,138 C„ ENVIRONMENTAL HEALTH: Water and Oneite Sewage Programs COSTAL BEACH MONITORING (3,17) 0.26 287 291 7.195 6,166 7.105 7,192 19,645 8,103 27,748 LIMITED USE PUBLIC WATER SYSTEMS (357) 0.00 0 0 0 0 0 0 0 0 0 PUBLIC WATER SYSTEM (358) 0.00 0 0 25 22 25 26 4 94 98 PRIVATE WATER SYSTEM (359) 0.00 0 0 0 0 0 0 0 0 0 ONSITE SEWAGE TREATMENT&DISPOSAL(361) 6.32 3,951 6,402 f07,422 92,053 1.07,422 107,381 259,470 154,808 414,278 Group Total 6.58 4,238 6,693 114642 98,241 114.642 114,599 279,119 163,005 442.124 Facility Programs TATTOO FACILITY SERVICES (344) 0,04 0 11 749 d'142 749 740 2,888 0 2,888 Page t of 2 f �� /,i J�//,/r'y� I/rn ,Mr r1/ i r. r f /I ka rw /, / � rn r,. V r,/� A ACH11riENT , l / /r r r J¢ f i r f✓, / ,% r'mkm91Jr r x,ar/"✓f �fi„ n<.1 r ,d,r:i f t ' .aY .. a n)( 1 ,1 ,'. a� d r r r .>w A r Y r Ir. ,y;%"�,r k: r /�'(./1 1 N.;�/X r .r r,,,�,' �,.:, / irw; � rlh ll,'.,r � AdV r o- ✓r✓, J / :f , d /�, l // r:, V ,,�: Nu � xr,�, +t/..r ,,.,r ,,. ,�, ,,, i l,�„+I/rrrf„r h:., r .! r:.✓�r14f ,// y, r 9,rr r/. %� r// �r�r Js. fr! rl k ,;;;IN /�l G.. ! r / �ih r,gl I. %! ,� s;(. Ni a ,{;!v'., Ir .r N r r .I r r l rs ✓:;.P� 1 �'' s �y� k"R�! wr.�. �:��.,lk^. //7' ,i',, k/.A ,,. � �� rJ 6� A i � r r� N�,NyI( k' r klk?/ it,/,.< ,o /r /f, ✓�ih. , „,'i i �^( 11/A� ,�Y I�„�,v,, l 1 wY`n r ld�,f / rf✓. 0 �' ' �,^� m /r/I ✓ r r �0�k / rN� a lrJt aW , „r,.,,�r ,'�rC I „q r.. rr ro ,o. LIJ ,�e...✓...r r,'�._,: .. ,.. < p a ...;./ v lr ,,:,. /,.:/, ,,,.. ./i r. ,. , r,, �/P�,..,... ,uV r,�r.,, 9 .;.f/ ✓/.,.._y,..r �r. „,I ul k., k v. rr :,. ..,. N i a K Y' r.a'. ,.,.w. e;�: Jas.%.0 fr, l r.,/� � a ri/ 1�... rs;rr?i !?,,,.v Jl /1... ',aT�,,I� f ,r-. . ,.,..</ ✓ ,., �'",; r A'rir�. I 1 /. .�. A ✓ f f r r r. ,l /. /. �.. /.. r ,.,. rNk;.�,9,_,L, .lY,.11,::.,,�% ,�LFmP ,, rr r d�.,,Y. t A.rf. d, ,�, � f ri ,:/ ,J ..r./ ;�./�a 1 Y r �.. W .r.% r r ., ,„dr ✓i eb a. „ ,.:..„? r� >f ��1✓:.�9,. U r .,.r..rw ,�,r�.r,X ,.. v„J,.. „r„,� v/ 1 „ra P ,p�,���'g' /1 ,ni .,rr, „a ,:..,.r l r.J. „rl,,; rrGJr''�r, �1 tali ✓ ! r, � oll, r �r a Ilia/u,,, � x,. I//r >< � /krv �$ �i rcr, �9klwA ,l/rri1 c, i ,�',.�„� , � ,,,,n a.;;s/a�'u!/%b,�vl✓ �hl(rJri,oue,F�I�„l,,,,,�/,w 1 s,„ ,° �d'� �p C(,� � 11LI4 `�f l 'ft!^r �kr,,r%� '� f,a, rr k( t ��mr rd�,k//ll�r �vrr „rf eOOD HYGIENE (348) 0.51 54 234 8,628 7,307 8,628 8,524 16,473 16,414 32.887 f BODY PIERCING FACILITIES SERVICES (349) 0.00 7 0 71 61 71 71 159 115 274 GROUP CARE FACILITY On) Ong 30 46 1,62I 1,389 1.621 1,619 262 5,998 6,250 MIGRANT LABOR CAMP 0'52) 0.00 0 0 0 0 0 0 0 0 0 HOUSING&PUB.BLDG (30 0101 1 1 216 185 216 217 22 812 834 MOBILE HOME AND PARK(354) 041 119 244 6,397 5,482 6„397 6,395 14,220 10,446 24.671 POOLSIBATIIINGPLACES (360) 1,46 616 1,418 24,324 20,844 24,324 24,316 49,441 44,367 93,808 BIOMEDICAL WASTE SERVICES (304) 0,23 180 1,",2 3,725 3„192 3,725 3,723 10,892 3.473 14,365 TANNING FACILITY SERVICES (369) 0.01 4 9 165 1 12 165 165 425 212 637 Group Total 2.76 961 2.096 45,796 39„244 45,796 45,778 94,778 81,836 176.614 Groundwator Contamination STORAGE TANK COMPLIANCESFRVICES (3P") 1,73 200 338 J4,862 29,874 3062 34,847 64,445 70.000 134,445 SUPER ACT SERVICES(356) 0,00 0 0 46 38 45 45 173 0 173 Group Total 1.73 200 356 34,907 29.912 34,907 34.892 64,618 70,000 134,618 Community Hygiene COMMUNITYENVIR.HEALTH (345) 0.29 0 12 033 5.941 6,933 6,932 Ni,739 0 26,739 INJURY PREVENTION (346) 0.00 0 0 0 0' 0 0 0 0 0 LEAD MONITORING SERVICES (350) 000 0 0 8 6 8 7 1 28 29 PUBLIC SEWAGE 062) 0.00 0 0 0 0 0 0 0 0 0 SOLID WASTE DISPOSAL SERVICE (363) 0.00 0 0 0 0 0 0 0 0 0 SANITARY NUISANCE (365) 0.1.6 40 100 2,808 2,406 2,80.8 2.807 10,829 0 10,829 RABIES SURVEILLANCE (366) 0.02 2 8 373 320 373 373 1,439 0 1,439 ARB0RVIRUS ;URVEIL, (367) 0.00 0 0 0 0 0 0 0 q, 0 RODENTARTHROPOD CONTROL (368) 0.00 0 0 0 0 0 0, 0 0 0 WATER POLLUTION (370) 0,00 0 0 15 13 16 16 59 0 59 INDOORAIR(371) 0,00 0 0 0 0 0 0 0 0 p RADIOLOGICAL HEALTH (372) 0'.00 0 0 0 0 0 0 0 0 p TOXIC SUBSTANCES (373) 0.64 368 369 13,569 11,628 13„56D 13,564 1.199 51,131 52,330 Group Total 1.11 410 489 23.706 20,314 23,706 23,699 40,266 51,159 91,425 "ENVIRONMENTAL HEALTH SUBTOTAL 12.18 61809 9,935 219,051 187,711 219,051 218,968 478,781 366.000 844,781 D. NON•OPERATlONAL COSTS: SPECIAL CONTRACTS(599) 0.00 0 0 0 0 0 0 0 0 p ENVIRONMENTAL HEALTH SURCHARGE (399) 0.00 0 0 6,791 4,063 5,791 5,790 22,335 0 22,336 MEDICAID BUYBACK(611) 0.00 0 0 0 0 0 0 0 0 D NONOPERATIONAL COSTS SUBTOTAL 0.00 0 0 5,791 4,963 5.791 6.790 22,335 0 22,336 TOTAL CONTRACT 64.12 19,191 194„716 2,135,416 1,829,887 2,135,416 2,134,595 4,842.115 3.393,199 8.235.314 Page 2 of 2 I ATTACHMENT III I MONROE COUNTY HEALTH DEPARTMENT CIVIL RIGHTS CERTIFICATE The applicant provides this assurance in consideration of and for the purpose of obtaining federal grants, loans, contracts (except contracts of insurance or guaranty), property, discounts, or other federal financial assistance to programs or activities receiving or benefiting from federal financial assistance. The provider agrees to complete the Civil Rights Compliance Questionnaire, DH Forms 946 A and B (or the subsequent replacement if adopted during the contract period), if so requested by the department. 1 The applicant assures that it will comply with: 1. Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C., 2000 Et seq., which prohibits discrimination on the basis of race, color or national origin in programs and activities receiving or benefiting from federal financial assistance. 2. Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 794, which prohibits discrimination on the basis of handicap in programs and activities receiving or benefiting from federal financial assistance. 3. Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 et seq., which prohibits discrimination on the basis of sex in education programs and activities receiving or benefiting from federal financial assistance. 4. The Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101 et seq., which prohibits discrimination on the basis of age in programs or activities receiving or benefiting from federal financial assistance. 5. The Omnibus Budget Reconciliation Act of 1981, P.L. 97-35, which prohibits discrimination on the basis of sex and religion in programs and activities receiving or benefiting from federal financial assistance. 6. All regulations, guidelines and standards lawfully adopted under the above statutes. The applicant agrees that compliance with this assurance.constitutes a condition of continued receipt of or benefit from federal financial assistance, and that it is binding upon the applicant, its successors, transferees, and assignees for the period during which such assistance is provided. The applicant further assures that all contracts, subcontractors, subgrantees or others with whom it arranges to provide services or benefits to participants or employees in connection with any of its programs and activities are not discriminating against those participants or employees in violation of the above statutes, regulations, guidelines, and standards. In the event of failure to comply, the applicant understands that the grantor may, at its discretion, seek a court order requiring compliance with the terms of this assurance or seek other appropriate judicial or administrative relief, to include assistance being terminated and further assistance being denied. ATTACHMENT IV MONROE COUNTY HEALTH DEPARTMENT FACILITIES UTILIZED BY THE COUNTY HEALTH DEPARTMENT Facility Description Location Owned B Gato Building 1100 Simonton Street Monroe County Administration Key West, FL 33040 Nursing Juvenile Justice Building 5503 College Road Monroe County Environmental Health Key West, FL 33040 Murray E. Nelson Government Center 102050 Overseas Highway Monroe County Environmental Health Key Largo, FL 33037 Roosevelt Sands Center 105 Olivia Street City of Key West Clinic Key West, FL 33040 subject to Inter-local Agreement with Monroe County for MCHD use Ruth Ivins Center 3333 Overseas Highway Monroe County Clinic Marathon, FL 33050 Environmental Health Roth Building 50 High Point Road Monroe County Clinic Tavernier, FL 33070 f9 ATTACHMENT V MONROE COUNTY HEALTH DEPARTMENT SPECIAL PROJECTS SAVINGS PLAN CASH RESERVED OR ANTICIPATED TO BE RESERVED FOR PROJECTS CONTRACT YEAR STATE COUNTY TOTAL 2013-2014* $ $ $ _ 2014-2015** $ $ $ _ 2015-2016*'* $ $ $ _ 2016-2017'*' $ $ $ _ PROJECT TOTAL $ N/A $ N/A $ N/A SPECIAL PROJECT CONSTRUCTION/RENOVATION PLAN PROJECT NUMBER: PROJECT NAME: LOCATION/ADDRESS: PROJECT TYPE: NEW BUILDING ROOFING RENOVATION PLANNING STUDY�'- NEW ADDITION OTHER SQUARE FOOTAGE: PROJECT SUMMARY: Describe scope of work in reasonable detail. START DATE(initial expenditure of funds) COMPLETION DATE: DESIGN FEES: $ CONSTRUCTION COSTS: $ FURNITURE/EQUIPMENT $ TOTAL PROJECT COST: $ COST PER SQ FOOT: $ N/A Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects and mobile health vans. *Cash balance as of 9/30/14. **Cash to be transferred to FCO account. ***Cash anticipated for future contract years. < a 0 0 m w 00 V V > rr N g = c > = m '-4 M C M —a lu 0 a c 0 o CL -00, m E; o a E; a 'Ej 7 3 a gr =0 w3 Fr 0 0 0 soomo r CL m M (D 00 0m CD 10 @ z .0 n- 0, 2 zt o y 1D Q 5 '05 0 zi 5 0 9 Ts 6 to 0 �(< V(A a & awa—b m a S o . - . 2 = U M P,3 % = m 0 0 m A 0 @ 11 �.m - -0 0. 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Q 71 z m o rn an m m rn rn m rn m m rn 0 m m 2 1- T n IN 0 hj 1-j IN 0 8 o a 0 0 m u c, M Ca 0 a 0S 0 m zz O .......... I I -A I ti f�f lit 1 i FEE RESOLUTIONS 2014-2015 ITV PURPOSE: To establish public health service fees in order to expand existing public health services to the community at large. A. PRIMARY CARE SERVICES. (1) Primary care and Ancillary services include well and sick adult and child health services and family planning services. These services will be charged at not more than 160%of the prevailing Medicare rate. Where there is no Medicare fee, the fee will be the Medicaid rate.Service levels will be determined utilizing current Medicare guidelines for coding and billing services provided. Discounting adjustments will be made to client fees based upon the current contract for services with Medicare and other 3`d party payers. In addition, sliding scale adjustments to fees for primary care services will be based upon Federal OMB guidelines and in accordance with State of Florida Department of Health Policy 56-66-08. Medicaid is billed at the current Medicaid Cost-based rate and reimbursement for these services is considered payment in full. (2) Pharmacy—Medications issued will be provided at the most recent cost. Medicaid is accepted as payment in full. (3) Injection fee for parenteral medications per injection $ 35.00 (4) Lab fees-All laboratory and pathology fees are subject to sliding scale fee adjustment based upon OMB Federal Guidelines. I. Specimens tested in clinic-(hemoglobin, urine, blood sugar, mono,wet mount, strep) $ 10.00 ii. Pregnancy test No charge B. COMMUNITY PUBLIC HEALTH SERVICES (1) Tuberculosis X-ray for suspected, confirmed or Symptomatic contact or case No charge (2) Tuberculosis Skin Test for suspected,confirmed or Symptomatic contact or case No charge (3) Tuberculosis(TB)Sputum Culture for suspected, confirmed, or symptomatic contact of case No charge (4) Tuberculin (TB)Skin Test, with reading,any other than listed above in C. (1). $ 35.00 (5) Tuberculin assessment of clients with a past history of positive skin test $ 35.00 (6) Sexually Transmitted Diseases—The fee below will be adjusted considering the client sliding fee group which is calculated at eligibility determination, based on Federal OMB Guidelines. Medicaid identification will be accepted as full payment in lieu of charges L Office/Outpatient Visit, New $ 178.00 Page 1 of 5 Monroe County Health Department Core Contract 2014-2015 Yr �F I 1 ii. Office/Outpatient Visit, Established $117.00 (7) Required Vaccines for children up to age 18 and eligible for the Vaccine for Children program No Charge (8) Vaccine administration fee(child or adult) $ 23.50 (9) Special vaccination campaigns allow for the acceptance insurance at contracted amount, no co-pay or deductible to client. Where manufacturer offers rebate,assistance or replacement plans,un-insured clients are eligible for no No Charge cost. (10) County Sponsored Vaccinations for TdAP, HPV and No Charge for Seasonal Flu residents earning 400%of Federal Poverty Level or less (11)Seasonal Flu vaccinations for those not covered in C.10 above $ 18.00 (12)All other Immunizations Cost of vaccine x 2+$ 23.50 injectiion fee (13)Class/Seminar attendance registration per person charge for health care,social)work and counseling employees i. AIDS 101 ii. AIDS 500 No Charge iiL AIDS 501 No Charge (14)Expendable medical/wound care supplies such as;Sponge No Charge Gauze, Bandages/Dressings, Gloves (15)International Certificates of Vaccination Cost x 3.5 Cost x 3.5 C. VITAL STATISTICS (1) Birth Certificates $ 16.00 (2) Additional Birth Certificate Copies $ 16.00 (3) Protective Covers $ 4.00 (4) Death Certificates—Certified Copy $ 13.00 (5) Additional Death Certificate Copies $ 13.00 (6) Express Fee $ 10.00 D. MEDICAL RECORDS Copying of Medical Record (per page) $ 1.00 E. PUBLIC RECORDS (1) Copying of Public Record (per page) $ 1.00 A service fee of F. RETURNED/DISHONORED CHECKS. (S 215.34(2)F.S) $15.00 or 5%of the face amount of the check, draft,or money order whichever is greater, not to Page 2 of 51 Monroe County Health Department Core Contract 2014-2015 (l i exceed $150.00 G. PUBLIC HEALTH AND MEDICAL PREPAREDNESS Submission and Review of Required Annual Comprehensive Emergency Management Plan for Home Health Agencies, Hospices, Nurse Registries, Home Medical Equipment Providers $ 65.00 Fee Schedule, Environmental Health County Fee List (In addition to State Fees on alternate Fee Schedule) I. ONSITE SEWAGE DIPOSAL PROGRAM(OSTDS) County Fee a. Application and plan review for construction permit for 100 new systems b. Application and approval for existing system, if system 10 inspection not required. c. Application and Existing System Evaluation with inspection 50 d. Application for permitting of an new Performance-based 75 treatment system e. Site Evaluation 0 f. Site re-evaluation 40 g. Permit or permit amendment for new systems 25 h. Initial system inspection 50 I. System re-inspection(stabilization, non-compliance, or 25 other inspection after initial inspection. j. Research fee (State Fee) 0 k. Repair Permit with Inspection 50 I. Application for system abandonment permit 45 m. Tank manufacturer's inspection per annum 20 n. Amendment to an Operating Permit 0 o. Septage Disposal Service Permit per annum 2X per yr 45 inspection p. Portable or temporary toilet service permit per annum 45 q. Additional charge per pump out vehicle 5 r. Annual operating permit industrial/manufacturing zoning 0 or commercial sewage waste s. Biennial Operating permit for aerobic treatment unit or 0 performance-based treatment system t. Aerobic treatment unit maintenance entity permit per 0 annum u. Variance application for a single family residence per each 100 lot or building site v. Variance application for a multifamily or commercial 140 building site w. Inspection for construction of an Injection well (FL Keys) 95 x. OSTDS Operating Permit Late Fee (45 days past due) 50 Page 3 of 5 Monroe County Health Department Core Contract 2014-2015 fj �1 f�rr III y. Per request-Expediting-Fast Track Permitting New& 500 Existing(48 hour turn-around) Charged in addition to state fee z. Letter of Coordination for development review 250 committees aa. Expedited OSTDS Variance Processing. Received within 6 500 dlays of monthly deadline. Charged in addition to state fee bb.OSTDS PBTS screening test fee 25 II. PUBLIC SWIMMING POOLS a. Annual permit-up to and including 25,000 gallons 115 b. Annual permit-more than 25,000 gallons 100 c. Non routine inspection(no charge for first inspection 100 d. Exempted condominiums/Cooperatives with over 32 units 25 III. MOBILE HOME& RECREATIONAL VEHICLE PARKS a. Annual permit for 5 to 25 spaces 125 b. Annual permit for 26 to 149spaces$3.50 per space c. Annual permit for 150 and above spaces 400 IV. FOOD ESTABLISHMENTS a. Annual Permit for Fraternal/Civic 35 b. Annual Permit School Cafeteria Operating for 9 months or 105 less c. Annual Permit School Cafeteria Operating for more than 9 125 months d. Annual Permit for Movie Theaters 0 e. Annual Permit for Jails/Prisons 0 f. Annual Permit for Bars/Lounges 35 g. Annual Permit for Residential Facilities 65 h. Annual Permit for Limited Food Service 115 i. Child care center 40 j. Caterer 45 k. Mobile Food Units 45 1. Other Food Service 35 m. Vending machine dispensing potentially hazardous food 0 n. Plan review per hour public schools,colleges,and 20 vocational teaching facilities are exempt from this fee o. Food establishment worker training course per person 0 p. Alcoholic beverage inspection approval 15 q. Request for inspection 10 r. Re-inspection (for each re-inspection after the first) 0 s. Temporary event food service establishment 100 (a)sponsor w/o existing sanitation,certificate t. b)vendor or booth at an establishment or location w/o an 50 existing sanitation certificate Page 4 of 5 Monroe County Health Department Core Contract 2014-2015 L r I% i u. Late renewals 15 V. BIOMEDICAL a. Generators 40 b. Storage Facilities 40 J c. Late Fee 20 VI. TANNING FACILITIES a. Annual Permit 100 b. Fee per Device 0 c. Consultation 50 d. Late Renewal Fee 0 VII. BODY PIERCING ESTABLISHMENTS a. License Fee 100 b. Temporary Establishment 15 c. Late fee 0 d. Consultation 50 Vill. HEALTHY HOMES PROGRAM a. Healthy home Assessment Voluntary Inspection living 300 unit(radon, CO2,Mold Safety) b.. Public Education-Per Attendee 25 Page 5 of 5 Monroe County Health Department Core Contract 2014-2015