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Tulare County adopts broad Health & Human Services fee changes, raises clinic rates to 200% of Medicare
Summary
The Tulare County Board of Supervisors held a public hearing and voted unanimously to adopt 392 fee adjustments proposed by the Health & Human Services Agency, including raising county clinic rates to 200% of Medicare and new environmental health charges. Changes take effect July 1, 2025.
Tulare County supervisors voted unanimously on April 8 to adopt a set of fee changes proposed by the county Health & Human Services Agency (HHSA), approving 392 adjustments that agency staff said are needed to better match program costs.
The changes affect public guardian representative-payee services, the county-operated health care centers, immunization services and environmental health permitting and inspections. Rob Stewart, HHSA fiscal operations director, told the board the package includes 69 new fees, 249 increases, 60 decreases, 5 deletes and 9 description updates.
Why it matters: county staff said the last comprehensive update to the clinic fee methodology was in 2012 and that many fees have not kept pace with the actual cost of providing services. The board approved the package and authorized HHSA to implement the fees effective July 1, 2025.
“What you’ll see today is a sample,” Rob Stewart said during the hearing. “All of…
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