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Buncombe County board adopts FY2027 billing guide, adds PrEP and environmental health fees
Summary
The Buncombe County Health & Human Services Board unanimously approved the FY2027 billing guide, adding fees for self-pay PrEP services (with a sliding-fee option), new environmental health charges and late-permit penalties; the board was told clinic assistance programs and vaccine programs keep services accessible.
The Buncombe County Health & Human Services Board unanimously approved the department's FY2027 billing guide and fee schedule after a presentation and brief questions about access and cost.
Paul Watson, who presented the annual update required by accreditation and state rules, said the county annually adjusts its sliding-fee scale to match changes in federal poverty levels and proposed several specific additions for 2027. New items include fees for self-pay PrEP services (with the sliding-fee protections that can reduce cost to $0 for people with no income), a tattoo convention fee replacing the prior "temporary tattoo…
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