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(k) Appropriate services in the field of family planning, which may include:
(1) Promotion of availability of program elements such as:
(A) Assembling knowledge about family planning, attitudes, values, and information held by population groups.
(B) Public and professional educational services about the health benefits of family planning and fertility control methods.
(C) Professional services for sterility correction,fertility control and genetic counseling for all segments of the population, making available methods acceptable to families of any religious persuasion.
(D) Evaluation of the adequacy of the community's family planning efforts.
(2) Provision of program elements which are not otherwise likely to be made available, including family planning services for those groups who cannot reasonably obtain them.
(l) Public health nursing services to provide for the preventive and therapeutic care of the population served.
Note: Authority cited: Sections 208, 1111 and 1130, Health and Safety Code. Reference: Sections 1111, 1112, 1113, 1130, 1155, 1555.5 and 1155.6, Health and Safety Code.
s 1300. Health Officer.
The health officer shall be a graduate of a medical school of good standing and repute and shall be eligible for a license to practice medicine and surgery in the State of California; provided however that those health officers on a full-time basis as of September 19, 1947, shall be considered as meeting the requirements of this section.
Note: Authority cited: Sections 208, 1111 and 1130, Health and Safety Code. Reference: Sections 454 and 1130, Health and Safety Code.
s 1301. Director of Public Health Nursing.
(a) A director of public health nursing shall be a public health nurse who has:
(1) Completed a baccalaureate program of study in public health nursing accredited by the National League for Nursing and has had three years of progressively responsible experience in public health nursing or
(2) A Masters Degree with preparation in Nursing Administration, Supervision or Consultation from a program accredited by the National League for Nursing or the American Public Health Association and at least three years of progressively responsible experience in public health nursing.
Note: Authority cited: Sections 208, 1111 and 1130, Health and Safety Code. Reference: Sections 600, 601, 602, 603, 604 and 1130, Health and Safety Code.
s 1302. Director of the Public Health Laboratory.
The director of a principal public health laboratory shall be a certified Public Health Microbiologist whose qualifications conform with the specifications for this position as established by the Department, pursuant to the provisions of the Health and Safety Code. The director shall have had four or more years of experience in public health laboratory work. The quality, variety and currency of this experience shall be satisfactory to the Department.
Note: Authority cited: Sections 208, 1111 and 1130, Health and Safety Code. Reference: Sections 1000, 1002 and 1130, Health and Safety Code.
s 1302.1. Director of a Branch Public Health Laboratory.
The director of a branch public health laboratory shall be a certified Public Health Microbiologist whose qualifications conform with the specifications for this position as established by the Department, pursuant to the provisions of the Health and Safety Code. The director shall have had two or more years experience in public health laboratory work. The quality, variety and currency of this experience shall be satisfactory to the Department.
Note: Authority cited: Sections 208, 1111 and 1130, Health and Safety Code. Reference: Sections 1000, 1002 and 1130, Health and Safety Code.
s 1303. Health Educator.
A health educator shall hold a master's degree with specialization in public or community health education awarded upon completion of a program of study accredited by the American Public Health Association.
Note: Authority cited: Sections 208, 1111 and 1130, Health and Safety Code. Reference: Section 1130, Health and Safety Code.
s 1304. Director of Health Education.
A director of health education appointed after November 1, 1962 who is responsible for the supervision of other professional staff shall have had, in addition to the professional training specified above, three or more years full-time paid experience in public health education, preferably in a local public health department.
Note: Authority cited: Sections 208, 1111 and 1130, Health and Safety Code. Reference: Section 1130, Health and Safety Code.
s 1305. Public Health Nurse.
(a) A public health nurse shall be currently licensed to practice as a registered nurse in California and shall:
(1) Possess a California Public Health Nurse Certificate issued prior to March 5, 1954, or a Public Health Nurse Certificate issued under the provisions of Section 4500 et seq: and
(2) By October 1, 1987 acquire training in the detection, prevention, reporting requirements and treatment of child abuse and neglect in accordance with Section 4501 of this chapter of working for a local health jurisdiction on or after January 1, 1981.
(A) Directors of Public Health Nursing as defined in Section 1301 shall have the responsibility for verifying that all members of their Public Health Nursing Staff who have received Public Health Nurse Certificates prior to October 1, 1987, have received training which satisfies the requirement in Section 4501(a)(4).
(B) The Department of Health Services shall have the responsibility for verifying that all nurses who receive a Public Health Nurse Certificate after October 1, 1987 have received training which satisfies the requirements in Section 4501(a)(4).
Note: Authority cited: Sections 208, 600, 602 and 1130, Health and Safety Code. Reference: Section 600, 602, 605 and 1130, Health and Safety Code.
s 1306. Occupational Health Trained Staff.
Qualifications for each discipline included in the definition of trained staff shall conform to the following specifications:
(a) Occupational Health Physician. M.D. degree and license to practice medicine in California, and either:
(1) a master's degree in public health or occupational medicine and two years' experience in the full-time practice of occupational medicine, or
(2) four years' experience in the full-time practice of occupational medicine, at least one year of which shall have been in a public health program.
(b) Occupational Health Nursing Consultant. Baccalaureate degree and possession of a valid license as a registered nurse and a valid California Public Health Nurse certificate, and, either:
(1) a master's degree in public health and two years' experience in the full-time practice of occupational health nursing, or
(2) four years' experience in the full-time practice of occupational health nursing, and two years in a generalized public health nursing program.
(c) Industrial Hygiene Engineer. Baccalaureate degree in engineering, and either:
(1) a master's degree in public health or industrial hygiene and two years' experience in the full-time practice of industrial hygiene engineering, or
(2) four years' experience in the full-time practice of industrial hygiene engineering, at least one year of which shall have been in a public health program.
(d) Industrial Hygienist. Baccalaureate degree with major in a physical or biological science, and, either:
(1) a master's degree in public health or industrial hygiene and two years' experience in the fill-time practice of industrial hygiene, or
(2) four years' experience in the full-time practice of industrial hygiene, at least one year of which shall have been in a public health program, or
(3) registration as a sanitarian in California with four years' experience in a local health department, three years of which shall have been in the full-time practice of industrial hygiene.
(e) Industrial Hygiene Chemist. Baccalaureate degree with major in chemistry or biochemistry, and, either:
(1) a master's degree in chemistry, biochemistry, or a related field of environmental chemistry and two years' experience as a professional chemist doing increasingly complex analytical procedures, or
(2) four years' experience as a professional chemist doing increasingly complex analytical procedures.
Note: Authority cited: Sections 208, 1111 and 1130, Health and Safety Code. Reference: Section 1130, Health and Safety Code.
s 1307. Occupational Health Sanitarian.
(a) Qualifications for an Occupational Health Sanitarian shall conform to the following specifications:
(1) Registration as a sanitarian in California;
(2) Three years' full-time experience in environmental sanitation;
(3) One year of experience in an occupational health program of a local health department under direct supervision of an Industrial Hygiene Engineer or Industrial Hygienist as defined in Section 1306, or satisfactory completion of a two-week intensive training course in the recognition of occupational health hazards conducted by the California State Department of Public Health, or the equivalent of such a course conducted by an institution acceptable to the Department.
(b) An Occupational Health Sanitarian with two years' full-time experience in that classification may qualify as an Industrial Hygienist for the purposes of Section 1276(j)(4) of this Code by completing two additional years of full-time experience in industrial hygiene under the direct supervision of an Industrial Hygiene Engineer or Industrial Hygienist qualified under Section 1306 above.
Note: Authority cited: Sections 208, 1111 and 1130, Health and Safety Code. Reference: Sections 519, 1111 and 1130, Health and Safety Code.
s 1308. Director of Environmental Health.
A director of Environmental Health shall hold a valid certificate of registration as a Sanitarian in the State of California and shall have had three or more years' experience in an environmental health agency (a Master's Degree in Public Health, Health Science, Public Administration, or related field may be substituted for one year of the required experience).
Note: Authority cited: Sections 208, 1111 and 1130, Health and Safety Code. Reference: Sections 1130 and 1155, Health and Safety Code.
s 1325. Use of Funds.
Funds available to local health departments under Chapter 8, Part 2, Division 1 of the Health and Safety Code may be expended for personnel, including but not limited to new or additional personnel and adjustments of salaries of existing personnel, maintenance and operation, equipment, and for capital expenditures. The funds may be used only to augment local appropriations provided for public health purposes, through the local public health department, including those functions listed in Article 2, but not including any of the following:
(a) Medical, hospital and therapeutic care of physically handicapped children.
(b) Maintenance of hospitals (including emergency hospitals and first aid stations), sanatoria and homes.
(c) Garbage and refuse collection and disposal, and sewage disposal.
(d) Street cleaning.
(e) Inspection of building construction.
(f) Inspection of plumbing.
(g) Maintenance of dog or animal pounds.
(h) Inspection of cemeteries.
Note: Authority cited: Sections 100275, 100295 and 100950, Health and Safety Code. Reference: Sections 100295, 101250 and 101255, Health and Safety Code.
s 1326. Restrictions on Matching Funds.
For matching purposes as specified in Section 101255 of the Health and Safety Code, local health departments shall not include funds appropriated for functions listed under subsections (a) to (h), inclusive of Section 1325 above.
Note: Authority cited: Sections 100275, 100295 and 100950, Health and Safety Code. Reference: Sections 100295, 101250 and 101255, Health and Safety Code.
s 1327. Deposit and Expenditure of Funds.
The governing body of each local health department shall set up a special fund or account as approved by the State Department and all payments received from the State by the governing body shall be deposited in that fund or account. No money shall be expended from such fund or account except for public health purposes in accordance with Division 1, Part 2, Chapter 8, of the Health and Safety Code, and the rules and regulations adopted by the State Department of Health Services pursuant thereto.
Note: Authority cited: Sections 100275, 100295 and 100950, Health and Safety Code. Reference: Sections 100295, 101250 and 101255, Health and Safety Code.
s 1328. Budget and Program.
Local health departments shall submit a budget each year, showing a total plan for the expenditure of public health funds during the year, together with an outline of the program contemplated. The appropriation made in support of such budget shall also be reported.
Note: Authority cited: Sections 100275, 100295 and 100950, Health and Safety Code. Reference: Sections 100295, 101250 and 101255, Health and Safety Code.
s 1329. Reports.
Local health departments shall report their expenditures, and shall submit reports of services and operations, upon forms provided for that purpose, at such times as the State Department of Health Services may require.
Note: Authority cited: Sections 208, 1111 and 1130, Health and Safety Code. Reference: Sections 1130, 1153 and 1154, Health and Safety Code.
s 1351. Comprehensive Environmental Agency.
"Comprehensive Environmental Agency" means an agency responsible to the board of supervisors which has been assigned the total function of providing environmental health and sanitation services and programs and other related environmental management functions which the board of supervisors may choose to delegate to the agency.
Note: Authority cited: Sections 208, 1111 and 1155.6, Health and Safety Code. Reference: Section 1155.5, Health and Safety Code.
s 1353. Environmental Health and Sanitation Services and Programs.
"Environmental Health and Sanitation Services and Programs" means those agency provided services and programs which are required by the Director of the State Department of Health to meet local environmental health and sanitation needs. The term shall include additional environmentally related services and programs for which responsibility has been delegated to the agency by the county Board of Supervisors or Health District Board.
Note: Authority cited: Sections 208, 1111 and 1155.6, Health and Safety Code. Reference: Section 1155.5, Health and Safety Code.
s 1355. Director of Environmental Health.
(a) There shall be a full-time Director of Environmental Health who shall be responsible for the administration of environmental health and sanitation services and programs.
(b) The Director shall meet the following minimum qualifications:
(1) Possession of a valid certificate of registration as a sanitarian in the State of California.
(2) Three or more years' experience in an environmental health agency. A Master's Degree in Public Health, Health Science, Public Administration, or a related field may be substituted for one year of the required experience.
Note: Authority cited: Sections 208, 1111 and 1155.6, Health and Safety Code. Reference: Sections 1155.5 and 1155.6, Health and Safety Code.
s 1357. Environmental Health Staff.
There shall be an adequate staff of Registered Sanitarians meeting the qualifications established by the State Department of Health pursuant to provisions of the Health and Safety Code and other support personnel necessary to implement agency services and programs. Staffing units shall be equal to or greater than those levels provided by the environmental health unit of the health department prior to the transfer.
Note: Authority cited: Sections 208, 1111 and 1155.6, Health and Safety Code. Reference: Sections 1155.5 and 1155.6, Health and Safety Code.
s 1359. Clerical Staff.
There shall be sufficient, properly supervised clerical staff to meet agency needs. Staffing levels shall be equal to or greater than those levels provided by the environmental health unit of the health department prior to the transfer.
Note: Authority cited: Sections 208, 1111 and 1155.6, Health and Safety Code. Reference: Sections 1155.5 and 1155.6, Health and Safety Code.
s 1361. Office Facilities.
There shall be provided publicly accessible office facilities which shall be in operation full time during the normal county government work week.
Note: Authority cited: Sections 208, 1111 and 1155.6, Health and Safety Code. Reference: Sections 1155.5 and 1155.6, Health and Safety Code.
s 1363. Conditions of Transfer.
(a) Prior to transferring environmental health and sanitation services and programs from a local health department to an agency, the following shall be met:
(1) The county board of supervisors or health district board shall authorize the total environmental health and sanitation services and programs to be transferred and maintained as a single organizational unit.
(2) The Director of the State Department of Health shall give written approval for the transfer.
(3) The proposed agency shall have a State Department of Health approved annual program plan.
Note: Authority cited: Sections 208, 1111 and 1155.6, Health and Safety Code. Reference: Sections 1155.5 and 1155.6, Health and Safety Code.
s 1365. Powers and Duties of the County Health Officer.
The county health officer shall retain powers, duties, and responsibilities relating to the protection of public health as set forth in Section 452 of the Health and Safety Code.
Note: Authority cited: Sections 208, 1111 and 1155.6, Health and Safety Code. Reference: Sections 452, 1155.5 and 1155.6, Health and Safety Code.
s 1367. Powers and Duties of the District Health Officer.
The district health officer shall retain powers, duties, and responsibilities relating to the protection of public health as set forth in Division 1, Part 2, Chapter 6 (commencing with Section 880) of the Health and Safety Code.
Note: Authority cited: Sections 208, 1111 and 1155.6, Health and Safety Code. Reference: Division 1, Part 2, Chapter 6 (commencing with Section 880) (Pursuant to the Savings Clause in Statutes 1959, Chapter 380, Page 2305, Section 3, as amended by Statutes 1961, Chapter 1362, Page 3137, Section 1; Statutes 1968, Chapter 468, Page 1099, Section 1) and Sections 1155.5 and 1155.6, Health and Safety Code.
s 1369. Powers and Duties of the Director of Environmental Health.
(a) The Director of Environmental Health shall have powers and duties relating to environmental health and sanitation services and programs.
(b) The powers and duties shall be clearly delineated in writing and shall provide for well-defined, direct lines of communication with the county or district health officer to assure coordination of public health programs and environmental health and sanitation services and programs.
(c) These regulations shall not be deemed to diminish or impede any additional powers and duties of the Director of Environmental Health specified by statute, rule, regulation, resolution or order, or which may have been delegated to him by the county or district health officer.
Note: Authority cited: Sections 208, 1111 and 1155.6, Health and Safety Code. Reference: Sections 1155.5 and 1155.6, Health and Safety Code.
s 1371. Basic Program.
(a) Environmental health and sanitation services and programs shall be offered in accordance with an annual program plan approved by the State Department of Health and the applicable services and program standards an specified in the State Department of Health "Services in a Local Environmental Health and Sanitation Program," September 1976. The required services and programs shall be as follows:
(1) Food.
(2) Housing and institutions.
(3) Radiological health in local jurisdictions contracting with the State Department of Health to enforce the Radiation Control Law pursuant to Sections 25600-25654 and Sections 25800-25876, Health and Safety Code.
(4) Land development and uses.
(5) Milk and dairy products in local jurisdictions maintaining an approved milk inspection service pursuant to Section 32503, Food and Agricultural Code.
(6) Occupational health.
(7) Water oriented recreation.
(8) Safety.
(9) Vector control.
(10) Wastes management.
(11) Water supply.
(12) Additional environmentally related services and programs as required by the County Board of Supervisors, City Council, or Health District Board.
(13) Air sanitation.
Note: Authority cited: Sections 208, 1111 and 1155.6, Health and Safety Code. Reference: Sections 1155.5 and 1155.6, Health and Safety Code.
s 1373. Annual Program Plans.
(a) Each county or district shall submit to the State Department of Health, annually for approval, program plans in each of the categories specified in Section 1371.
(b) The annual program plans shall contain information pertaining to community needs, authority, goals, objectives, activities, personnel, and program evaluation as may be required by the State Department of Health.
Note: Authority cited: Sections 208, 1111 and 1155.6, Health and Safety Code. Reference: Sections 1155.5 and 1155.6, Health and Safety Code.
s 1375. State Financial Aid.
County or district eligibility for funds pursuant to Division 1, Part 2, Chapter 8 (commencing with Section 1100) of the Health and Safety Code shall be contingent upon fulfillment by the agency of all environmental health and sanitation requirements imposed upon county or district health departments by state statutes, rules, regulations and orders, and by local ordinances.
Note: Authority cited: Sections 208, 1111 and 1155.6, Health and Safety Code. Reference: Sections 1155.5 and 1155.6, Health and Safety Code.
s 1401. Application of Subchapter.
Subchapter 3 shall apply to local jurisdictions that elect to apply for State funds under the provisions of Part 4.5 of Division 9 of the Welfare and Institutions Code.
Note: Authority cited: Section 16712, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Sections 16700 and 16702, Welfare and Institutions Code.
s 1403. Section Headings.
Section headings contained herein shall not be deemed to govern, limit, or modify the provisions of any section.
Note: Authority cited: Section 16712, Welfare and Institutions Code. Reference: Section 16712, Welfare and Institutions Code.
s 1405. Addendum.
Note: Authority cited: Section 16812, Welfare and Institutions Code. Reference: Section 16990, Welfare and Institutions Code.
s 1407. Agreement.
"Agreement" means the Standard Agreement for County Health Services entered into and signed by the governing body of each local jurisdiction and the Director of the State Department of Health Services which specifies the conditions under which monies shall be transferred to each local jurisdiction from the County Health Services Fund pursuant to Part 4.5 of Division 9 of the Welfare and Institutions Code.
Note: Authority cited: Section 16712, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Sections 16700 and 16704(b), Welfare and Institutions Code.
s 1409. Allocation.
Note: Authority cited: Section 16712, Welfare and Institutions Code. Reference cited: Sections 16702 and 16704, Welfare and Institutions Code.
s 1411. Annual Local Jurisdiction Budget.
"Annual Local Jurisdiction Budget" means the official local jurisdiction budget adopted each year by the governing body of the local jurisdiction.
Note: Authority cited: Section 16812, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16990, Welfare and Institutions Code.
s 1411.1. Benefits Chart.
Note: Authority cited: Section 10725, Welfare and Institutions Code; Section 100275, Health and Safety Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16709, Welfare and Institutions Code.
s 1413. Budget.
Note: Authority cited: Section 16712, Welfare and Institutions Code. Reference cited: Section 16700, Welfare and Institutions Code.
s 1415. City Health Services.
"City health services" means public health services, outpatient health services, and inpatient health services provided directly by a city or financed or purchased by a city through grants, contracts, or agreements, but not including services provided pursuant to Division 5, Welfare and Institutions Code, or Division 10.5, Health and Safety Code.
Note: Authority cited: Section 16712, Welfare and Institutions Code. Reference: Section 16701(c), Welfare and Institutions Code.
s 1417. County Health Services.
"County health services" means public health services, outpatient health services, and inpatient health services provided directly by a local jurisdiction or financed or purchased by a local jurisdiction through grants, contracts, or agreements but not including services provided:
(1) Pursuant to Division 5, Welfare and Institutions Code.
(2) Pursuant to Division 10.5, Health and Safety Code.
(3) In Fiscal Year 1977-78 which are not part of the reported net county costs for Fiscal Year 1977-78.
Note: Authority cited: Section 16712, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Sections 16700 and 16701(a), Welfare and Institutions Code.
s 1418. County Health Services Allocation.
"County Health Services Allocation" means monies disbursed from the County Health Services Fund established pursuant to subdivision (a) of Section 16703, Welfare and Institutions Code, in an amount specified in the Standard Agreement for County Health Services entered into and signed by duly authorized local jurisdiction officials and the Director of Health Services. The "County Health Services Allocation" consists of an amount based on county population, in the case of a county, and may include an amount based on net costs budgeted by a local jurisdiction for the provision of health services.
Note: Authority cited: Section 16712, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Sections 16700, 16702 and 16704, Welfare and Institutions Code.
s 1419. County Health Services Fund.
"County Health Services Fund" means the fund created by Section 16703, subdivision (a), Welfare and Institutions Code, for deposit of monies appropriated for distribution to the local jurisdictions pursuant to Part 4.5 of Division 9 of the Welfare and Institutions Code.
Note: Authority cited: Section 16712, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Sections 16700 and 16703, Welfare and Institutions Code.
s 1420.1. County Medical Services Program.
Note: Authority cited: Section 10725, Welfare and Institutions Code; Section 100275, Health and Safety Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16709, Welfare and Institutions Code.
s 1420.2. County Medical Services Program Account.
Note: Authority cited: Section 10725, Welfare and Institutions Code; Section 100275, Health and Safety Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16709(d), Welfare and Institutions Code.
s 1420.3. County Medical Services Program Contract.
Note: Authority cited: Section 10725, Welfare and Institutions Code; Section 100275, Health and Safety Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16709, Welfare and Institutions Code.
s 1420.4. Declaration of Intent to Enter into Contract.
Note: Authority cited: Section 10725, Welfare and Institutions Code; Section 100275, Health and Safety Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16709, Welfare and Institutions Code.
s 1420.5. County Medical Services Program Reserve Account.
Note: Authority cited: Section 10725, Welfare and Institutions Code; and Section 100275, Health and Safety Code. Reference: Section 16709(g), Welfare and Institutions Code.
s 1421. Department.
"Department" means the State Department of Health Services.
Note: Authority cited: Section 16712, Welfare and Institutions Code. Reference cited: Section 16702, Welfare and Institutions Code.
s 1422. Director.
"Director" means the Director of the State Department of Health Services.
Note: Authority cited: Section 16712, Welfare and Institutions Code. Reference cited: Section 16700, Welfare and Institutions Code.
s 1422.1. Eligible Contract County.
"Eligible Contract County" means a county which has requested the transfer of funding pursuant to Section 1157.5 of the Health and Safety Code.
Note: Authority cited: Section 16712, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16704, Welfare and Institutions Code.
s 1422.3. Eligibility Manual.
Note: Authority cited: Section 10725, Welfare and Institutions Code; Section 100275, Health and Safety Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16709, Welfare and Institutions Code.
s 1423. Expenditures.
"Expenditures" means funds budgeted or expended to support health program operations and includes:
(1) Health services supplied or provided for through purchase or contract.
(2) Salaries and employee benefits.
(3) Operation and maintenance costs.
(4) Depreciation of facilities owned by a local jurisdiction.
(5) Administrative costs.
(6) Federal Revenue Sharing Funds budgeted or expended for these health activities.
Note: Authority cited: Section 16712, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16708, Welfare and Institutions Code.
s 1425. Fixed Assets, Fixtures, Structures and Improvements.
Note: Authority cited: Section 16812, Welfare and Institutions Code. Reference: Section 16708, Welfare and Institutions Code.
s 1427. Inpatient/Outpatient Services.
"Inpatient/outpatient services" means those medical care services provided directly by a local jurisdiction or purchased or provided through contracts with other providers which may include but not be limited to:
(1) General acute inpatient hospital services.
(2) Outpatient services administered by hospital staff, non-hospital based county clinics, and community clinics funded by a local jurisdiction.
(3) Skilled nursing facilities.
(4) Licensed home health agencies.
(5) Rehabilitation facility services.
(6) Inpatient/outpatient services for criminal justice inmates.
(7) Ambulance and related emergency services.
Note: Authority cited: Section 16712, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Sections 16700 and 16701(a), Welfare and Institutions Code.
s 1428. Local Jurisdiction.
"Local Jurisdiction" means a county, the San Joaquin Local Health District, a city which has not transferred to the county enforcement authority of applicable health statutes and regulations, or a city which provides public health services pursuant to a contract with a county through an organized health department recognized by the Department.
Note: Authority cited: Section 16712, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16700, Welfare and Institutions Code.
s 1429. Maximum Allocation.
Note: Authority cited: Section 16812, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16705, Welfare and Institutions Code.
s 1430. May, Shall, Should.
"May" means permissible. "Shall" means mandatory. "Should" means desirable.
Note: Authority cited: Section 16712, Welfare and Institutions Code. Reference: Section 16712, Welfare and Institutions Code.
s 1430.1. Medically Indigent Services Account.
Note: Authority cited: Section 16812, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16803(b), Welfare and Institutions Code.
s 1430.2. Medically Indigent Services Allocation.
Note: Authority cited: Section 16812, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16803, Welfare and Institutions Code.
s 1430.3. Multi-Year Budget.
Note: Authority cited: Section 16812, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16990, Welfare and Institutions Code.
s 1430.4. Multi-Year Plan.
"Multi-Year Plan" means the County Health Services three-year plan which describes proposed county health services in a format specified by the Department and submitted by a local jurisdiction pursuant to Part 4.5 of Division 9 of the Welfare and Institutions Code.
Note: Authority cited: Section 16712, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16700, Welfare and Institutions Code.
s 1431. Net City Costs for Health Services.
Note: Authority cited: Section 16812, Welfare and Institutions Code. Reference: Section 16801(e), Welfare and Institutions Code.
s 1432. Net County Costs for Health Services.
"Net county costs for health services" means expenditures for county health services less revenues received for county health services plus Federal Revenue Sharing funds budgeted or expended for county health services.
Note: Authority cited: Section 16712, Welfare and Institutions Code. Reference: Section 16701(b), Welfare and Institutions Code.
s 1433. Plan.
Note: Authority cited: Section 16712, Welfare and Institutions Code. Reference: Section 16700, Welfare and Institutions Code.
s 1435. Public Health Services.
"Public health services" means those health promotion, surveillance, and disease prevention services designed to protect the health of the public, population groups, and individuals.
Note: Authority cited: Section 16812, Welfare and Institutions Code. Reference: Section 16801, Welfare and Institutions Code.
s 1437. Reported Net County Costs for Fiscal Year 1977-78.
"Reported net county costs for Fiscal Year 1977-78" means those net county costs for health services for Fiscal Year 1977-78 which were originally reported to the Department pursuant to Section 20 of Chapter 292 of the Statutes of 1978 or amended pursuant to County Health Services Bulletin #2- 1979. These costs are those exact amounts listed below by county except that the amount listed for Alameda County does not include the net costs for Berkeley and the amount listed for San Joaquin County does not include the net costs for the San Joaquin Local Health District:
Alameda $22,649,584 Orange $21,552,624
Alpine $23,704 Placer $812,227
Amador $491,123 Plumas $115,890
Butte $1,179,463 Riverside $10,248,905
Calaveras $35,861 Sacramento $9,646,438
Colusa $273,457 San Benito $80,536
Contra Costa $11,924,448 San Bernardino $7,920,785
Del Norte $106,435 San Diego $10,797,538
El Dorado $1,015,867 San Francisco $40,124,175
Fresno $11,853,293 San Joaquin $3,006,398
Glenn $121,505 San Luis Obispo $1,889,127
Humboldt $1,238,729 San Mateo $8,280,966
Imperial $1,035,813 Santa Barbara $4,647,590
Inyo $593,006 Santa Clara $16,715,698
Kern $8,830,127 Santa Cruz $2,592,658
Kings $718,199 Shasta $563,682
Lake $64,719 Sierra $15,916
Lassen $401,705 Siskiyou $285,207
Los Angeles $177,838,404 Solano $1,006,584
Madera $311,721 Sonoma $1,439,658
Marin $1,760,674 Stanislaus $4,384,380
Mariposa $24,291 Sutter $999,607
Mendocino $547,607 Tehama $474,072
Merced $1,301,322 Trinity $318,281
Modoc $164,312 Tulare $2,317,423
Mono $424,737 Tuolumne $328,064
Monterey $4,200,837 Ventura $5,803,840
Napa $820,398 Yolo $1,419,400
Nevada $171,556 Yuba $334,214
Note: Authority cited: Section 16812, Welfare and Institutions Code. Reference: Section 16990, Welfare and Institutions Code.
s 1439. Revenues.
"Revenues" means income budgeted or received for health services from fees, fines, grants, subventions, and/or monetary aid from government agencies but excluding property taxes, Federal Revenue Sharing, and monies provided pursuant to Part 4.5 of Division 9 of the Welfare and Institutions Code.
Note: Authority cited: Section 16712, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16700, Welfare and Institutions Code.
s 1440. "Update."
Note: Authority cited: Section 16812, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Section 16936, Welfare and Institutions Code.
s 1445. Multi-Year Plan and Budget Submission.
(a) Beginning in 1983, and each third subsequent year thereafter, the governing body of each county, the Cities of Berkeley, Long Beach, and Pasadena, and the San Joaquin Local Health District shall adopt and shall submit a Multi-Year Plan and Budget to the Director in the form and in accordance with procedures specified in this Article on or before September 15.
(b) Beginning in 1984, and each year thereafter, the governing body of each county, the Cities of Berkeley, Long Beach, and Pasadena, and the San Joaquin Local Health District shall adopt and shall submit an update of its adopted Multi-Year Plan and Budget to the Director in the form and in accordance with procedures specified in this Article on or before September 15.
(c) Copies of the Multi-Year Plan and Budget and Update shall be submitted to the appropriate area health planning agency simultaneously to submission to the Department.
(d) Submission of a Multi-Year Plan and Budget or Update shall not:
(1) Relieve any county of its indigent health care obligation under Section 17000, Welfare and Institutions Code.
(2) Restrict the ability of the State or any interested person or persons to obtain any judicial relief to which there is entitlement.
NOTE: Authority cited: Section 16712, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Sections 16700 and 16711, Welfare and Institutions Code.
s 1451. Multi-Year Plan and Budget and Update Content.
(a) The Multi-Year Plan and Budget submitted by each local jurisdiction shall contain but not be limited to a:
(1) Narrative section which provides a description of public health, and inpatient and outpatient services be provided or contracted for by the local jurisdiction.
(2) Budget section which details proposed expenditures, revenues and net county costs for county health services.
(3) Certification section containing signatures necessary for the formal transfer of State and/or Federal monies to the local jurisdiction pursuant to the Multi-Year Plan and Budget.
(b) The Multi-Year Plan and Budget shall include only health programs, services, and administrative support that are part of the reported net county costs for Fiscal Year 1977-78 and may include any new health programs which have been instituted since Fiscal Year 1977-78.
(c) Health programs and associated costs which existed during Fiscal Year 1977- 78 and which are not part of the reported net county costs for Fiscal Year 1977-78 shall be excluded from the Multi-Year Plan and Budget, but may be in the Addendum identified in (d).
(d) The Multi-Year Plan and Budget may contain an Addendum which includes narrative descriptions and estimated expenditures, revenues, and net county costs for health services, exclusive of mental health, alcohol, and drug abuse treatment, not reported in the Plan and Budget.
(e) In those counties, except the County of Alameda, where the governing body of a city has not transferred to the county enforcement authority of applicable public health statutes and regulations or where public health services are provided b a city pursuant to a contract with a county, such a county shall, in the Multi-Year Plan and Budget, Update, and Agreement, provide for continuation and funding of such services.
(f) The Multi-Year Plan and Budget shall include only fiscal information which is consistent with the regulations on capital expenditures, depreciation, and administrative overhead as listed below:
(1) Capital expenditures for local jurisdiction structures and fixtures, and improvements to local jurisdiction structures and fixtures shall not be considered allowable costs.
(2) Depreciation for local jurisdiction structures and fixtures, and improvements to local jurisdiction structures and fixtures shall be an allowable expense for purposes of applying for monies pursuant to 1466. Depreciation also shall be an allowable expense for purposes of applying for monies pursuant to 1465(a) only if the:
(A) Reported net county costs for Fiscal Year 1977-78 included depreciation expenses for such local jurisdiction structures and fixtures, or improvements to local jurisdiction structures and fixtures; or,
(B) Reported net county costs for Fiscal Year 1977-78 included capital expenditures for such local jurisdiction structures and fixtures, or improvements to local jurisdiction structures and fixtures; or,
(C) Capital expense was incurred after June 30, 1978 and was for an allowable expense as determined by Department guidelines and regulations.
(3) Expenditures for fixed assets involving inpatient or outpatient health services for persons certified eligible pursuant to Section 17000 of the Welfare and Institutions Code shall be depreciated and all other expenditures for fixed assets may be either expensed or depreciated, but not both.
(4) Administrative overhead shall be listed as a single line item or distributed across all programs, but not both.
(5) The Multi-Year Plan and Budget and Update shall include the Cost Allocation Summary presented annually to the State Controller's Office for the determination of indirect costs for Federal grants and contracts.
(g) The Multi-Year Plan and Budget and Update shall include information pertaining to medical services provided to indigent county residents. Specifically the Plan and Budget and Update shall include but not be limited to:
(1) The eligibility criteria the county uses to determine whether a person is certified as eligible for health services under Section 17000 of the Welfare and Institutions Code.
(2) A description of the county's eligibility process used to determine whether a person is eligible for services under Section 17000 of the Welfare and Institutions Code.
(3) A description of how county residents are notified or informed of the availability of county financed services pursuant to Section 17000 of the Welfare and Institutions Code.
(4) A listing of services or benefits which are provided.
(5) A listing of the location of services and how the county ensures reasonable accessibility of such services.
(6) A description of the county's fee collection policies, fee schedules, procedures and expected revenues for persons covered by Section 17000 of the Welfare and Institutions Code.
(7) An estimate of the Section 17000 target population size and an estimate of the number of persons who will use the services/benefits.
(8) A projection of the estimated costs of serving the medically indigent population under Section 17000 of the Welfare and Institutions Code.
(h) The annual Update of the Multi-Year Plan and Budget submitted by the local jurisdiction shall contain but not be limited to:
(1) The requirements specified in subdivisions (a) through (g), and any other instructions, forms, and guidelines developed by the Department pertaining to the annual Update.
(2) The Update shall not duplicate any of the material in the Multi-Year Plan and Budget.
(3) The Update also shall serve as a progress report evaluating what has been accomplished over the past year and shall provide specific time-limited measurable objectives in relation to each of the elements in the Multi-Year Plan and Budget during the applicable fiscal year.
Note: Authority cited: Section 16712, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Sections 16700, 16709, 16710 and 16711, Welfare and Institutions Code.
s 1457. Plan and Budget Review.
(a) The Department shall review the County Health Services Multi-Year Plan and Budget or Update submitted by each local jurisdiction to ensure as a minimum that the Multi-Year Plan and Budget or Update:
(1) Have been submitted in accordance with the procedures specified by the Director.
(2) Are in the format and cover the content specified by the Director.
(3) Contain the necessary signatures and certifications as specified by the Director.
(4) Contain budgeted financial data by budget unit as specified in the Annual County Budget and are presented in the format specified by the Department.
(5) Include copies of revenue and appropriations pages from the Annual County Budget for each budget unit listed pursuant to (4). Interim documentation may be submitted until an official Annual County Budget has been printed.
(6) Are in conformance with:
(A) Uniform accounting standards and procedures.
(B) Fiscal policies stated in these regulations.
(C) Guidelines issued by the Department.
(b) Based on the review of the Multi-Year Plan and Budget or Update, the Department may require a local jurisdiction to submit additional data or information in a format specified by the Department.
(1) The data or information shall be requested to augment an incomplete or inaccurate submission.
(2) Any local jurisdiction which does not comply with the request shall be considered as not having submitted a Multi-Year Plan and Budget or Update in conformance with Department guidelines and regulations and shall not receive per capita monies from the County Health Services Fund.
(c) All fiscal information submitted as part of the Multi-Year Budget or Update shall be verifiable and shall be subject to State audit.
Note: Authority cited: Section 16712, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Sections 16700 and 16704, Welfare and Institutions Code.
s 1465. County Health Services Allocation.
Note: Authority cited: Section 16812, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Sections 16704 and 16705, Welfare and Institutions Code.
s 1466. Medically Indigent Services Allocation.
(a) The Department shall compute each county's Medically Indigent Services Allocation in accordance with Subdivision (d) of Section 16703 of the Welfare and Institutions Code.
(b) A county may apply for all or a portion of its total allocation pursuant to 1473(c). If the County chooses to apply for these funds, it shall be bound by conditions and limitations contained in paragraph (1) of subdivision (c) of Section 16704 of the Welfare and Institutions Code on the use of such funds.
Note: Authority cited: Section 16712, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Sections 16703(b), 16704(c) and 16709(a), Welfare and Institutions Code.
s 1467. Medically Indigent Services Application.
(a) In order to apply for the Medically Indigent Services Allocation, a county shall submit to the Department an Application adopted by the County Board of Supervisors prior to the disbursement of funds from the Medically Indigent Services Account. The Application shall be in a form and in accordance with procedures specified by the Director and shall contain but not be limited to the following:
(1) Unless a county has contracted with the Department pursuant to Article 6, an assurance by the County that it will incur no less in net costs of county funds for county health services in any fiscal year than the amount required to obtain the maximum allocation as specified in 1465(a).
(2) An assurance by the county that funds allocated pursuant to 1466 shall be expended only for health services included in Sections 14132 and 14021 of the Welfare and Institutions Code for persons certified eligible pursuant to Section 17000 of the Welfare and Institutions Code. A county shall not be bound by utilization control provisions which are specified within Sections 14132 and 14021.
(3) An assurance by the county that funds allocated pursuant to 1466 shall not be expended for costs of services specified in county Short-Doyle plans which are in excess of the 125 percent limitation specified in Section 5705.1 of the Welfare and Institutions Code.
Note: Authority cited: Section 16712, Welfare and Institution Code; and Statutes of 1982, Chapter 1594, Section 8(c). Reference: Sections 16704(c) and 16706, Welfare and Institutions Code.
s 1469. Agreement.
(a) Upon completion of the Departmental review of a local jurisdiction's Multi-Year Plan and Budget or Update, the Department shall issue an Agreement for review and signature by appropriate officials representing the local jurisdiction. The agreement shall include, as appropriate, but shall not be limited to: (continued)