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Tulare County adopts Health & Human Services fee changes affecting records, clinics and environmental permits
Summary
The Tulare County Board of Supervisors adopted a range of fee adjustments for the Health & Human Services Agency that update record‑request charges, clinic billing methodology, and multiple environmental and animal‑service fees; most changes take effect July 1, 2026.
The Tulare County Board of Supervisors on April 14 adopted a package of fee schedule changes for the county Health & Human Services Agency (HHSA) that officials said are intended to align charges with statutory limits and recover a greater share of service costs.
Rob Stewart, HHSA director of fiscal operations, told the board the proposal covers general administration (records requests and subpoenas), public guardian charges, health care center clinic rates, public health laboratory services, environmental health permits, and animal services procedures. Stewart said the county published public notices and reviewed the proposal with county auditors and counsel before the hearing.
Stewart highlighted several specific items: establishing a paper copy fee for medical and behavioral health records consistent with the California Health and Safety Code (up to $0.25 per page); an…
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