Sec. 15-1. - Assistance to needy persons; qualifications for participants; prescribing regulations and payment.

(a)

Pursuant to the provisions of section 3, paragraph 12 of the charter of the city, needy persons who are in need of the basic necessities of life due to incapacity or unemployability because of physical or mental illness or handicap or disabling accident, or who are in such need because of the death, desertion, incarceration or enforced absence of the head of a family, and who are in such need because they are not eligible for assistance under the provisions of the state welfare act or under the provisions or any of the laws of the state, shall be eligible for public assistance funds appropriated by the city to provide for them the basic necessities of life.

(b)

The director of welfare shall prescribe specific eligibility requirements and payments, which may be more restrictive than those contained in this section, subject to approval of the city manager

(Code 1959, § 18-4; Ord. No. 23885, 1, 11-1-56; Ord. No. 36767, § 1, 8-22-68)

Sec. 15-2. - Fees for services from health department.

(a)

In cases of appropriate covered Medicaid Dental Services the city dental clinic fees will equal the community's prevailing Medicaid reimbursement rate. Fees will be assessed on a sliding scale based on the patient's family income. In addition to the sliding fee scale all patients will be required to pay a ten dollar ($10.00) appointment fee. No patient otherwise qualified to receive dental health clinic services will be denied said services based on an ability to pay the established fee.

(b)

Individuals who receive vaccinations from the health department will reimburse the health department based on the current fee schedule of the vaccine used, plus all applicable administrative fees.

(c)

All individuals, organizations and and/or businesses, including foster homes, requesting health department inspections for any type of facility or establishment not currently regulated or licensed elsewhere in this Code shall pay a forty-five dollar ($45.00) fee for the initial inspection. Correction of violation(s) is to be verified by the health department after receiving written notification from the permit holder that the violations have been eliminated or at the end of the specified period of time and be noted on the inspection report and in the health department's records. All fees shall be paid before the inspections are performed. Fees collected under this section shall be deposited into the city general fund.

(d)

Non-food or environmental re-inspections, which shall include but not be limited to the re-inspection of swimming pools and spas, day care facilities, foster homes, hotels/motels, rendering, smoking violations, air pollution sources, and mobile living parks, are established as follows:

Cost of reinspection shall be:

First reinspection .....$45.00

Second reinspection .....75.00

Third reinspection .....100.00

Fourth reinspection .....120.00

(e)

The fee charged by the health department for Quantiferon testing is hereby established at thirty dollars ($30.00).

(f)

The fee charged by the health department for Legionella Culture testing is hereby established at one hundred dollars ($100.00).

(g)

The administrative service fee charged by the health department for all office visits for non Medicaid patients is hereby established at fifteen dollars ($15.00).

(h)

A fee of two dollars ($2.00) is hereby established for a protective cover for birth and death certificates.

(i)

The fee charged by the health department for T-Spot.®TB ELISPOT interferon gamma releasing assay (IGRA) for Tuberculosis testing is hereby established at sixty-nine dollars ($69.00).

(Code 1959, § 18-5; Ord. No. 54275, §§ 7-9, 9-17-81; Ord. No. 57568, §§ 6, 7, 9-15-83; Ord. No. 67911, § 9, 9-15-88; Ord. No. 71256, 3-22-90; Ord. No. 72269, § 11, 9-13-90; Ord. No. 76476, §§ 6, 7, 9-10-92; Ord. No. 86606, §§ 20, 22, 9-11-97; Ord. No. 90494, §§ 13, 14, 9-16-99; Ord. No. 94584, § 12, 9-20-01; Ord. No. 98187, § 9, 9-18-03; Ord. No. 101405, §§ 11, 12, 9-15-05; Ord. No. 2006-09-07-1002, § 2, 9-7-06; Ord. No. 2006-09-07-1003, §§ 3, 4, 9-7-06; Ord. No. 2007-09-13-0973G, § 9, 9-13-07; Ord. No. 2009-09-17-0731F, § 1, 9-17-09; Ord. No. 2011-09-15-0752, § 1(Att. B), 9-15-11)

Sec. 15-3. - Fees for emergency medical services.

(a)

The fee for the transportation (transport) of patients requiring basic life support emergency medical services is five hundred ten dollars ($510.00) per patient plus twelve dollars ($12.00) per mile. The fee for the transportation (transport) of patients requiring advanced life support level I emergency medical services is five hundred forty-five dollars ($545.00) per patient plus twelve dollars ($12.00) per mile. The fee for the transportation (transport) of patients requiring advanced life support level II emergency medical services is seven hundred thirty-five dollars ($735.00) per patient plus twelve dollars ($12.00) per mile. In addition to the transportation fee, a surcharge of one hundred dollars ($100.00) is assessed to each nonresident patient who is transported for emergency medical services. A nonresident is any person who does not permanently reside within the territorial limits of the city or who resides within the territorial limits of an adjoining incorporated city which does not have a contract with the city to provide emergency medical services.

(b)

The fee for an emergency medical services call which does not require transportation (nontransport) is ninety dollars ($90.00) per patient.

(c)

The fee for the transportation of a deceased person to the morgue is seventy dollars ($70.00).

(d)

There is hereby established the following schedule of fees to be paid to the city by each patient who is provided or administered the listed emergency medical supplies, medications, or services, per each use:

(Code 1959, § 18-7; Ord. No. 55322, 5-13-82; Ord. No. 57563, §§ 1—3, 9-15-83; Ord. No. 61332, § 1, 8-29-85; Ord. No. 63240, § 1, 7-16-86; Ord. No. 74297, § 2, 9-12-91; Ord. No. 74298, § 2, 9-12-91; Ord. No. 76470, § 1, 9-10-92; Ord. No. 84793, §§ 1, 2, 9-19-96; Ord. No. 88493, §§ 1, 2, 9-17-98; Ord. No. 92523, §§ 1, 2, 9-14-00; Ord. No. 94583, § 1, 9-20-01; Ord. No. 98191, § 1, 9-18-03; Ord. No. 99746, § 1, 9-16-04; Ord. No. 101394, § 1, 9-15-05; Ord. No. 2006-09-07-1001, § 1, 9-7-06; Ord. No. 2007-09-13-0973F, § 2, 9-13-07; Ord. No. 2008-09-11-0777, § 4, 9-11-08; Ord. No. 2009-09-17-0731E, § 2, 9-17-09; Ord. No. 2010-09-16-0791, § 1(Att. A), 9-16-10; Ord. No. 2011-09-15-0752, § 1(Att. A), 9-15-11)

Sec. 15-4. - Fee for water bacteriology test.

A fee in the amount of twenty dollars ($20.00) per test is hereby established for all persons requesting a water bacteriology test from the health department laboratory except water purveyors submitting twenty-five (25) to fifty (50) samples for testing at one time will be charged twelve dollars and fifty cents ($12.50) per test and water purveyors submitting greater than fifty (50) tests at one time will be charged ten dollars ($10.00) per test. No fee will be required for water bacteriology tests performed for units of state or local health departments so long as the health department laboratory is classified as a regional contract laboratory by the state department of health.

(Ord. No. 61333, § 2, 8-29-85; Ord. No. 67911, § 10, 9-15-88; Ord. No. 84794, § 2, 9-19-96; Ord. No. 98187, § 11, 9-18-03; Ord. No. 2007-09-13-0973G, § 10, 9-13-07)

Sec. 15-5. - Fee for water lead test.

A fee in the amount of twenty dollars ($20.00) per test is hereby established for all persons requesting a water lead test from the health department laboratory. Fees collected under this section shall be deposited into the city general fund.

(Ord. No. 67911, § 11, 9-15-88; Ord. No. 94584, § 14, 9-20-01)

Sec. 15-6. - Consulting fee.

(a)

There is hereby established a consulting fee to be charged institutions, organizations and/or individuals who utilize health department data, patients and/or facilities in research and/or demonstration projects. This consulting fee shall be two hundred fifty dollars ($250.00) per project or .5% of the total project cost, whichever is higher. Fees collected under this section shall be deposited in the city general fund.

(b)

Consulting fees shall not be charged to research and/or demonstration projects that are cosponsored by the health department and in which the health department receives other project related financial support.

(c)

All potential research and/or demonstration projects that will utilize health department data, patients and/or facilities must be reviewed by the health department institutional review board, receive approval from the said board and pay the established consulting fee before project activities related to the health department can take place.

(Ord. No. 67911, § 12, 9-15-88)

Sec. 15-7. - Immunization record copy fee.

Individuals requesting copies of immunization records shall pay a fee of four dollars ($4.00) per record issued. Fees will only be charged for replacement records; the initial immunization record will be issued at no charge as a part of the routine immunization process.

(Ord. No. 67911, § 13, 9-15-88; Ord. No. 94584, § 16, 9-20-01; Ord. No. 99735, §§ 5, 6, 9-16-04)

Secs. 15-8—15-17. - Reserved.

Sec. 15-18. - Cross connection survey fees.

All individuals or businesses requesting a cross connection survey inspection from the health department shall pay a ninety-five dollar ($95.00) fee for each cross connection survey inspection performed. Fees shall be paid before surveys or inspections are performed. Fees collected under this section shall be deposited into the city general fund.

(Ord. No. 74294, § 9, 9-12-91; Ord. No. 94584, §§ 17, 18, 9-20-01; Ord. No. 98187, § 13, 9-18-03)

Sec. 15-19. - Asbestos inspection fee.

All individuals and/or businesses requesting an asbestos demolition inspection from the health department shall pay a ninety-five dollar ($95.00) fee for each site inspected. Fees shall be paid before inspections are performed. Fees collected under this section shall be deposited into the city general fund.

(Ord. No. 74294, § 10, 9-12-91; Ord. No. 94584, §§ 19, 20, 9-20-01; Ord. No. 98187, § 15, 9-18-03)

Sec. 15-20. - Fee for health profiles.

A fee in the amount of five dollars ($5.00) for a CD ROM copy and fifteen dollars ($15.00) for a bound copy of the annual Health Profiles published by the San Antonio Metropolitan Health District is hereby established for all persons requesting the annual report on the health of the community. Fees collected under this section shall be deposited into the city general fund.

(Ord. No. 94584, §§ 27, 28, 9-20-01)