HomeMy WebLinkAbout022149 ORD - 01/24/1995•
AN ORDINANCE
REPEALING SECTION 23-18 OF ARTICLE I, CHAPTER 23 OF THE
CODE OF ORDINANCES CONCERNING THE HEALTH CLINIC VISIT FEE
AND REPLACING THAT SECTION WITH A SCHEDULE OF FEES FOR
CLINICAL HEALTH SERVICES AND SPECIFYING RULES CONCERNING
THE IMPOSITION AND COLLECTION OF SUCH FEES.
WHEREAS, the Texas Board of Health has adopted changes to the
Texas Department of Health ("TDH") income guidelines for clinical
health services; and
WHEREAS, there have also been adopted certain rules concerning
the imposition and collection of such fees; and
WHEREAS, it is appropriate to adopt the fee schedule for
clinical health services and these rules to maintain program
planning and funding on basis consistent with that of the TDH,
NOW, THEREFORE, BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY
OF CORPUS CHRISTI, TEXAS:
SECTION 1. The Code of Ordinances, City of Corpus Christi
(the "Corpus Christi Code") Chapter 23, Article I, Section 23-18,
"Health clinic visit fee", is repealed and replaced as follows:
Sec. 23-18. Schedule of fees for clinical health
services and policies related to the imposition and
collection of such fees.
1) Unless otherwise provided herein, a fee
shall be charged to each patient for each
visit to any city -county health clinic
facility funded in whole or in part by the
City of Corpus Christi. The fees shall be
based upon federal poverty income guidelines
and shall be in the following amounts:
Schedule of Fees for
CliniscaliletatileniQeA
Poverty Family Size Charge/Visit
Income
Maximum
Charge/Family
0 - 99% 1-8 $00.00 $00.00
100 - 199% 1-8 $ 5.00 $10.00
200 - 299% 1-8 $10.00 $30.00
300%+ 1-8 $30.00 No Maximum
022149 h11CROflLM_f .
2) No recipient or client eligible for
Medicaid shall be charged a fee in addition to
the amount reimbursable by Medicaid.
3) No recipient or client eligible for
Title XX family planning services shall be
charged a fee. (The maximum income limit for
Title XX family planning services is 150% of
the federal poverty income level).
4) Each city -county health clinic will
determine if a person is able to pay in
accordance with the appropriate schedule;
however, the clinic will not deny services
because of a person's inability to pay.
5) Patients or clients whose incomes are
above the 200% + poverty level will be
referred to the private sector for care unless
extenuating circumstances exist. Such
circumstances include provision of
immunization services, prevention and control
of communicable diseases, unusually high
medical expense or the unavailability of
specific care needed. Such exceptions may
receive care at the city -county health clinic
in accordance with the schedule of fees.
6) A city -county health clinic may not charge
a fee which exceeds the cost to the clinic of
providing service or if prohibited by federal
funding requirements.
7) The city -county health clinic shall make a
reasonable effort to collect the fees, but the
clinic may waive collection if the
administrative cost of collection will exceed
the fee to be collected.
8) The city -county health department may
modify, suspend, or terminate services to a
person, determined able to pay, for nonpayment
of fees after notice to the person and
opportunity for hearing. The criteria upon
which the city -county health department will
take such action is when the person
fraudulently or deliberately misrepresents a
material fact about his or her eligibility,
ability to pay, or the application of the
schedule of fees to him/her. The city -county
health department will conduct such a hearing
in accordance with the formal hearing
procedures specified in sections 1.21-1.34 of
title 25, Texas Administrative Code.
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January 3, 1995 (2:15pm)
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That the foregoing ordinance was rea4
to its second reading on this the I
19 ct5 , by the following vote:
Mary Rhodes
Dr. Jack Best
Melody Cooper
Cezar Galindo
Betty Jean Longoria
a Jost kid
n 0
That the foregoing ordinance was
pass94finally on this the 2`t
19 �5 , by the following vote:
Mary Rhodes Cut
Dr. Jack Best Oft
Melody
Melody Cooper 6L AF
Cezar Galindo
BettyJean Longoria
PA4AED AND APPROVED, this the 2G"
19 's
ATTEST:
City Secretary
for the first time and passed
day of JOi4JU1/LJ
U
.I
4
Edward A. Martin
Dr. David McNichols
David Noyola
Clif Moss
read for the second time and
day of 1,'AAAg/YV1
Edward A. Martin
Dr. David McNichols
David Noyola
Clif Moss
day of_iovrAArn
MAYOR
THE CITY F CORPUS CHRISTI
, 19 %5
APPROVED: %i DAY OFj44Z4-Clr-�a
JAMES R. BRAY, JR., CITY ATTORNEY/
By/'/
Assistant City Attorney
\:orm.\044
022149
PUBLISHER'S AFFIDAVIT
State of Texas, } CITY OF CORPUS CHRISTI
County of Nueces } ss: Ad 80663
PO N
Before me, the undersigned, a Notary Public, this day personally came Connie Haralson, who
being first duly sworn, according to law, says that he is Business Office Administrative Assistant
of the Corpus Christi Caller -Times, a daily newspaper published at Corpus Christi in said
County and State, generally circulated in Aransas, Bee, Brooks, Cameron, Duval, Hidalgo, Jim
Hogg, Jim Wells, Karnes, Kenedy, Kleberg, Live Oak, Nueces, Refugio, San Patricio, Victoria,
and Webb Counties, and that the publication of NOTICE OF PASSAGE OF ORDINANCE
NO. 022149 ORDINANCE REPEALING SECTION 23-18 OF ARTICLE 1. CHAPTER 23
which is the annexed is a true copy, was published in the Corpus Christi Caller -Times on the
30TH day(s) of JANUARY. 1995.
ONE (1) Time(s)
$ 42.50
EDNA KOSTER
Notary Public
State of Texas
My Comm. Exp. 11-30-96
Business Office Administrative Assistant
Subscribed and sworn to before me this 7th day
February. 1995.
Notary Public, Nuece Cou�rty, Texas
EDNA KOSTER
Print or Type Name of Notary Public
My commission expires on 11/30/96.
ti *. Jamey 30, 1n995G( utClrNiic s-TN sWei
ra
149
ORDINANCE REPEALING SEC-
TION 23-18 OF ARTICLE 1,
CHAPTER 23 OF THE CORE
FUS CHRISTI CODE OF
ORDINANCES. CONCERNING
THE HEALTH CLINIC VISIT
FEE AND REPLACING THAT
SECTION WITH A SCHEDULE
OF F
FEALTHS SERRVSVIC INICAL AND
SPECIFYING RULES CON-
CERNING THE IMMON
MO COLLECTION OF SUCH
PUGLICAND TION. VIDING PQM
The ordinance was pawed
end approved by the; Oty
Ewncffl of the City of
Anus Christi on the 24th
dry of January, 1888.