city and county of san francisco year budget task...county health mandates - updated nov 2011...
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County Health Mandates - Updated Nov 2011
Community Behavioral Health Services
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
Adult and Children's Mental Health Services
1) CCR, Title 9, Div. 1, Chapter 11; 2) W&I Code, Div. 5, §§5000 et seq.; 3) Government Code, Title 1, Div. 7, Chap. 26.5, §§7570-7587 (impact of Realignment 2011?)
1) Specialty mental health services shall be provided to Medi-Cal beneficiaries of each county through a mental health plan which contracts with the CA Department of Mental Health to provide services to Medi-Cal beneficiaries and to share in the financial risk of providing those services; 2) The California Mental Health Act, including the Lanterman Petris-Short Act and Bronzan-McCorquodale Act; 3) Services necessary to provide a child with a disability (including mental health) with a free public education.
1) & 2) Medi-Cal
Entitlement 3) Sep
Entitlement Yes
Alcohol and Drug Abuse Services 1) Penal Code §§1210-1210.1; Health and Safety Code §§ 11999.4 - 11999.13, 11999.20 - 11999.25; 2) CCR, Title 9, Div. 4, Chap. 3; 3) Penal Code §§ 1000 - 1000.6, 1000.8 - 1000.10
1) Certain non violent adult drug offenders are placed on formal probation and are required to participate in drug treatment, in lieu of incarceration; 2) Regulates Programs for Alcohol and Drug Impaired Drivers; 3) Regulates Deferred Entry of Judgement (PC 1000) Programs.
Somewhat
Alcohol, tobacco, and drug abuse prevention services throughout the County.
1) PL 102-321; 2) CCR Title 22, Div. 5; 3) H&S Code, Div. 10.5, §§11750 et seq. and Div. 10.7, §11999 et seq.; 4) 45 CFR 96.124&96.125; 5) SB 627, Statutes of 1992; 6) H&S Code, §11802
1) Counties accepting mental health and substance abuse block grants agree to provide services in accordance with federal and State statute; 2) Regulates substance abuse prevention and treatment services; 3) Regulates substance abuse prevention and treatment services; 4) Federal regulations governing Substance Abuse Prevention and Treatment Block Grants; 5) Authorizes Negotiated Net Amount Contract between State and County to administer substance abuse funding; 6) Regulates primary prevention activities between County and schools.
Through Negotiated Net Amount Contract with
State.
Behavioral Health Services Admin. 1) CCR, Title 9, Div. 1 and Div. 4; 2) W&I Code §§ 5751 - 5751.2; 3) W&I Code, §§ 5520 - 5523
1) Includes administrative requirements for community mental health and county alcohol & drug programs; 2) Regulates qualifications of local mental health directors, staff, and contractors ; 3) State requirements for patients' rights avocates.
Yes
City and County of San FranciscoSummary of Service Mandates Related to Health
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County Health Mandates - Updated Nov 2011
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
Children and Youth Services 1) Government Code, Title 1, Div. 7, Chap. 26.5, §§7570 - 7587 (impact of Realignment 2011?) ; 2) W&I Code §§5600 et seq.; 3) CCR, Title 15, Div. 4; 4) CCR Title 9, Div. 1, Chap. 11, and Title 22, Divs. 5 - 6
1) Services necessary to provide a child with a disability (including mental health) with a free public education 2) Mental health (Bronzan-McCorquodale Act) services provided to seriously emotionally disturbed children and adolescents; 3) Juvenile health services, (includies mental health services) provided to youthful offenders detained at juvenile halls, juvenile homes, campus, or forestry camps; 4) Medi-Cal Specialty Mental Health Services provided to children under age 21 to correct or ameliorate a mental illness.
Yes
Crisis Counseling 1) Robert T. Stafford Disaster Relief and Emergency Assistance Act (as amended by Public Law 100-707), §416 (42 U.S.C. §5183; 2) Government Code §3100 et.seq.; 3) Government Code §8607; 4) W&I Code §5600.3
1) Federal law regarding crisis counseling services following presidential declaration of disaster; 2) California regulations declare all public employees to function as disaster services workers; 3) California regulations establish standardized emergency management system; 4) California regulations specify mental health programs' target population to include persons who need brief treatment as a result of natural disaster or severe local emergency.
No
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County Health Mandates - Updated Nov 2011
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
Communicable disease and epidemic investigation and control
H&S Code §§120130, 120175-120250, 120275-120300; CCR Title 17, Div. 1, Chap. 3, §1276(c), Chap. 4, §§2501(a), 2514-2524, 2530-2592, 2594-2606.2, 2608-2640
Health Officer responsibilities and powers to control the communicable diseases, including the use of quarantine and isolation
Yes
Reportable diseases and conditions
CCR, Title 17, Div. 1, Chap. 4, §§2500-2643.20
Duties of Health Officer related to reporting of reportable diseases to the State Department of Public Health
Yes
Tuberculosis control H&S Code §§121360-121460; CCR, Title 17, Div. 1, Chap. 3, §1276(c)
Local health department and Health Officer requirements related to tuberculosis identification and control
Yes
STD control H&S Code §§120500-120715; CCR, Title 17, Div. 1, Chap. 3, §1276(c)
Local health department and Health Officer requirements related to sexually transmitted disease control
Yes
Refugee health 8 USC §1521 (Immigration & Naturalization Act §411)
Federal requirements to notify and pay local health authorities for refugees determined to have medical conditions affecting the public health and requiring treatment
No
Immunization H&S Code §§120400 et seq. Health Officer may establish immunization programs, including for childhood immunization, rubella, measles, and anti-rabic treatment
No
Travel immunization None N/A No
Adult influenza immunization None N/A No
City and County of San FranciscoSummary of Service Mandates Related to Health
Communicable Disease Control & Prevention
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County Health Mandates - Updated Nov 2011
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
Refugee health 8 USC §1521 (Immigration & Naturalization Act §411)
Federal requirements to notify and pay local health authorities for refugees determined to have medical conditions affecting the public health and requiring treatment
No
Juvenile hall health and mental health services
CCR, Title 15, Div. 1, Chap. 1, §§1400, et seq.; W&I Code §§209, 14029.5; specific juvenile court orders
Determines level of medical and mental health services to be provided to minors in detention
Yes
City and County of San FranciscoSummary of Service Mandates Related to Health
Community Programs
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County Health Mandates - Updated Nov 2011
Emergency Medical Services
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
Advanced life support (paramedic) program
H&S Code §§1797, et seq. Counties with an EMS system must designate a local EMS agency to plan, implement and evaluate an EMS system, have a medical director to provide medical control and to assure medical accountability, and be responsible for implementation of advanced life support systems and for monitoring of training programs.
Yes
Paramedic base hospitals; trauma centers
H&S Code §§1798, et seq. Mandates the local EMS agency to designate and contract with base hospitals to provide medical direction of prehospital emergency medical care personnel; requires the local EMS agency implementing a trauma care system to establish policies and procedures and to designate and regulate the trauma centers.
Yes
Disaster management H&S Code §§1797.150-1797.153 Requires the State EMS Authority to coordinate through local EMS agencies, medical and hospital disaster preparedness with other local, state and federal agencies and departments having a responsibility relating to disaster response, including authority to mobilize and coordinate emergency medical mutual aid resources
No
Bioterrorism Preparedness and Response
CDC Local Public Health Preparedness and Response to Bioterrorism Program Agreement
Establishes key focus areas for strengthening the public health response to bioterrorism. By accepting the agreement with CDPH, the Department agrees to plan and implement preparedness and response activities consistent with the agreement
Yes, per agreement with CDPH
Natural or intentional biological, chemical, or other health threats
H&S Code §101230 Use of public health funds allowed to increase capacity to respond to natural or intentional biological, chemical, or other health threats
No
City and County of San FranciscoSummary of Service Mandates Related to Health
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County Health Mandates - Updated Nov 2011
Environmental and Occupational Health Services
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
Beach monitoring program H&S Code §§115875-115915 Local requirements for beach testing, sanitation, closure, and posting Yes
Well monitoring program H&S Code §§116325-116345 Local requirements for inspection, monitoring, and surveillance of water supply systems.
Yes
Food safety program H&S Code §§113700-113725.3 Requirements and local enforcement of California Retail Food Code NoHazardous waste management program
H&S Code §§25100-25250.30 Requirements regarding the proper disposal and handling of hazardous waste
Yes
Underground storage tanks H&S Code §§25280-25299.8 Inspection and permitting of underground storage tanks YesSolid waste management Penal Code §§374.3-374.5 Local authority regarding proper disposal of solid waste NoSwimming pool & spa program Yes, CHSC Local inspection of public pools and spas YesChildhood Lead Poisoning Prevention
H&S Code §§105275-105310, 124125-124165; CCR, Title 17, Div. 1, Chap. 6, §33008
Local requirements related to the Childhood Lead Poisoning Prevention Program
Yes
California Smoke-free Workplace Law.
Labor Code §6404.5 Local enforcement of California's Smoke-free Workplace law Yes
Vector control H&S Code §§101275-101285, 116110-116112, 116175-116183
Local authority and requirements on prevention of and response to vector borne diseases
No
Body art H&S Code §§119300-119309 Register practicioners and inspect local body arts establishments NoMedical waste regulation H&S Code §§117600-118360 Disposal requirements of medical waste including local authority and
requirementsYes
Housing and institutions H&S Code §§17000-17910, 17920-17928, 18897, 101045
Inspection authority for hotels, motels, detention facilities, employee housing, labor camps, and organized camps
No
Rodent extermination H&S Code §§116125-116170 Local authority regarding extermination of rodent infestations YesEnvironmental health specialists H&S Code §§10600-106735 Requirements related to registered enviornmental health specialists NoEmployee health 1) CCR, Title 17, Div. 1, Chap. 3,
§1276(j); 2) CCR, Title 17, Div. 1, Chap. 3, §1306; 3) CCR, Title 8, Div. 1, Chap. 4, §5193; 4) CCR, Title 8, Div. 1, Chap. 4, §5197
1) Occupational health as a basic health service of a local health department; 2) Qualifications for occupational health trained staff; 3) Bloodborne pathology control plan, post-exposure evaluation and treatment; 4) Aerosol transmissible diseases
Yes, but level flexible
City and County of San FranciscoSummary of Service Mandates Related to Health
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County Health Mandates - Updated Nov 2011
Health Promotion & Prevention
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
Health Education CCR, Title 17, Div. 1, Chap. 3, §1276(b)
Minimum standards for health education programs. No
Bicycle, Scooter, Skateboard, Skate Helmet Requirement
VC §21212 Establishes requirements for helmet use by individuals under age 18, distribution of fines for non-use, including to local health departments, and appropriate expenditures of trust fund
No
Child Passenger Restraint Requirements
VC §§27360, et seq. Establishes requirements for child passenger restraint, distribution of fines for non-use, including to local health departments, and appropriate expenditures of trust fund
No
Tobacco Control CCR, Title 17, Div. 1, Chap. 4, §§6901-6905; H&S Code §104350-104495
Requirements for local tobacco control activities Yes
California Smoke-free Workplace Law.
Labor Code §6404.5 Local enforcement of California's Smoke-free Workplace law Yes
City and County of San FranciscoSummary of Service Mandates Related to Health
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County Health Mandates - Updated Nov 2011
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
Ryan White-funded services Title XXVI of the Public Health Services Act (PL 111-87)
Provisions of funding under the Ryan White HIV/AIDS Treatment Extension Act of 2009
Yes
City and County of San FranciscoSummary of Service Mandates Related to Health
HIV Health Services
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County Health Mandates - Updated Nov 2011
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
HIV testing, reporting, and intervention
H&S Code §§120900-121140, 121025-121035; CCR, Title 17, Div. 1, Chap. 4, §§2641.5-2643.20
Responsibilities and requirements related to HIV testing, reporting, and intervention, including partner notification
Yes
Reportable diseases and conditions
CCR, Title 17, Div. 1, Chap. 4, §§2500-2643.20
Duties of Health Officer related to reporting of reportable diseases to the State Department of Public Health
Yes
City and County of San FranciscoSummary of Service Mandates Related to Health
HIV Prevention Services
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County Health Mandates - Updated Nov 2011
Jail Health Services
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
Jail medical services Penal Code §§4000 et seq., 6030 et seq.; CCR, Title 15, Div. 1, Chap. 1, §§1200, et seq.; Federal Case Law (Estelle v. Gamble, Stewart v. Gates)
Minimum required level of health services, or need to identify alternative services (e.g., contract hospital), availble to adults in correctional facilities. Case Law establishes standard of access to health care. Can be done through Sheriff via contract.
Yes
Jail mental health services Penal Code §§4000 et seq., 6030 et seq.; Title 15, Div. 1, Chap. 1, §§1200, et seq.; Federal Case Law (Estelle v. Gamble, Stewart v. Gates, Coleman v. Schwarzenegger)
Minimum required level of mental health services, or need to identify alternative services, availble to adults in correctional facilities. Case Law establishes standard of access to mental health care. Can be done by Sheriff via contract.
Yes
City and County of San FranciscoSummary of Service Mandates Related to Health
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County Health Mandates - Updated Nov 2011
Maternal, Child, and Adolescent Health (MCAH)
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
MCAH Services Generally CCR, Title 17, Div. 1, Chap. 3, §1276
Requirement that local health provide medical, nursing, educational, and other services to promote maternal and child health
No
Comprehensive Perinatal Services H&S Code §§123225-123255, W&I Code §14134.5
Establishes local requirements for local Comprehensive Perintal Services programs
Yes
Childhood Health, Disability & Prevention Services (CHDP)
H&S Code §§ 124025-124110; CCR, Title 17, Div. 1, Chap. 4, §§6800 et seq.; CCR, Title 22, Div. 3, Chap. 3, §§51340, 51532
Requirements for the CHDP program, including EPSDT services provided through CHDP
Yes
Pediatric Immunization H&S Code §§120325-120380, 120400-120435
Requirements related to pediatric immunization Yes
Perinatal Hepatitis B Program Not mandated but a State contract requirement; H&S Code §§125080-125105
Designate a Perinatal Hep B coordinator & case manage low income women (& their babies) testing Hep B positive at time of birth
Yes
Adolescent Family Life & Sibling Pregnancy Prevention Programs (AFLP)
Not mandated but State contract requirement; H&S Code §§124175-124200
Designate an AFLP coordinator & coordinate an AFLP incl providing medical/social/nutritional/education case management to parenting/pregnant teens
Yes
Family Planning CCR, Title 17, Div. 1, Chap. 3, §1276(k), H&S Code §§101050, 101055, 124300; W&I Code §14132; Title X of the Public Health Service Act (PL 91-572)
Requirements related to family planning, birth control, and pregnancy services.
Yes, but can be available
via community clinics
Family Planning Education H&S Code, §§101050, 101055, 124300; CCR, Title 17, Div. 1, Chap. 3, §1276(k); Title X of the Public Health Service Act (PL 91-572)
Designates Title X Family Planning Coordinator and coordinates Title X activities, including clinical and educational interventions, at local level
Yes
Well Child / Sick Child clinics 1) CCR, Title 17, Div. 1, Chap. 4, §§6800, et seq., W&I Code §§16934 et seq. ; 2) CCR, Title 22, Div. 3, Chap. 3, §§51340, 51532, et seq.
1) Requirements under CHDP; 2) Service mandates for EPSDT Yes
City and County of San FranciscoSummary of Service Mandates Related to Health
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County Health Mandates - Updated Nov 2011
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
Pediatric Immunization H&S Code §§120325-120380, 120400-120435
Requirements related to pediatric immunization Yes
Child Health and Disability Prevention Education
H&S Code §§124025-124110, 104395
Designates CHDP Medical Director and delineates CHDP activities at local level
Yes
Sudden Infant Death Syndrome H&S Code, §123740 Establishes qualifications and duties of SIDS follow up by local health departments
Yes
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County Health Mandates - Updated Nov 2011
Maternal, Child, and Adolescent Health (MCAH)
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
California Children's Services H&S Code §§123800-123995; CCR Title 17, Div. 1, Chap. 3, §1253, Div. 1, Chap. 4, §§2890-2932; CCR Title 22, Div. 2, Chaps. 1-13, §§41510-42720
Regulation for administration of California Children Services program, county match, determination of eligiblity, and administrative staffing standards
Yes
California Children's Services CCR, Title 22, Div. 3, Chap. 3, §51013
Case Management of Medi-Cal beneficiaries Yes
California Children's Services CCR, Title 2, Div. 9, Chap. 1, §§60300-60330; Government Code §§7570-7587
Medical Therapy Program relationship with Education Agencies Yes
California Children's Services Insurance Code §§12693.62-12693.69
California Children Services program carve-out from Healthy Families Yes
California Children's Services W&I Code §§14093-14094.3 California Children Services program carve-out from Medi-Cal managed careYes
City and County of San FranciscoSummary of Service Mandates Related to Health
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County Health Mandates - Updated Nov 2011
Maternal, Adolescent and Child Health (MCAH) - Pubic Health Nursing
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
Public Health Nursing H&S Code §§101100-1011115; CCR, Title 17, Div. 1, Chap. 3, §§1253, 1276(d)
Requirements for local Public Health Nursing, including basic services (communicable and infectious disease control; maternal, child & adolescent health; abuse prevention & detection in the home; case management of handicapped children; assessment/prevention of accidents in the home; & provision of services for populations at risk)
No
Registered Nurses CCR Title 16, Div. 14, Art. 9, §§1409-1459, 1470-1474
Nursing regulations for Registered Nurses Yes
Public Health Nurses CCR Title 16, Div. 14, Art. 9 §§1490- 1494
Certification requirements for Public Health Nurses Yes
Pre- and Perinatal Substance Abuse
H&S Code, Sec.123600, 123605 Pre- and perinatal substance abuse protocols Yes
Foster Care Public Health Nursing W&I Code §§160101-16010.6, 16501.3
Health Care Program for Children in Foster Care Yes
Services for Children with Special Health Care Needs
W&I Code §17710 Requirements for children with special health care needs, including individualized health care plan and individualized health care team
Yes
Mandated Reporters W&I Code §§15610-15610.65, 15630-15632, 15659
Mandated reporting of abuse of the elderly and dependent adults No
Mandated Reporters PC §§11164-11174.3 Mandated reporting of child abuse or neglect NoPublic health nurses H&S Code §§101100-101115 Cities or counties may employ public health nurse(s), who are registered
nurses, and who shall attend to the health and sanitary conditions of the city or county
Yes
City and County of San FranciscoSummary of Service Mandates Related to Health
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County Health Mandates - Updated Nov 2011
Medically Indigent Programs
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
Medical services for indigents W&I Code §§17000, et seq. Requires County to relieve and support all incompetent, poor, indigent persons, and those incapacitated by age, disease, or accident, when such persons are not supported and relieved by their relatives or friends, their own means, by state hospitals or other state or private institutions
No
Emergency Medical Services (Maddy) Fund (EMSF)
H&S §§1797.98(a), et seq. Authorizes establishment of the Emergency Medical Services Fund and provides specifications on the distribution of penalty assessments
No
Emergency Medical Services Appropriation (EMSA)
AB 430, Chapter 171, Statutes of 2001
Reimbursement of uncompensated emergency services provided by physicians to the indigent population
No
Trauma Care Funds (TCF) H&S Code §1797.199 Reimbursement for hospitals that provide trauma care services Yes
City and County of San FranciscoSummary of Service Mandates Related to Health
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County Health Mandates - Updated Nov 2011
Population Health & Prevention (PHP) - General Public Health Mandates
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
Appointment of a Health Officer H&S Code §§101000-101010 Mandate and qualifications for a Health Officer Yes
Enforcement of Health Officer orders by Sheriff and peace officers
H&S Code §101029 Sheriff and peace officers may enforce orders of Health Officer to prevent the spread of any contagious, infectious, or communicable disease
No
Control of communicable disease H&S Code §101030 The Health Officer shall enforce orders and ordinances of the board of supervisors, pertaining to the public health and sanitary matters; orders, including quarantine and other regulations, prescribed by CDPH; and statutes relating to public health
No
Medical advisement H&S Code §101035 The Health Officer shall advise on medical matters any board or body vested with the management of any county pension or retirement system
No
Emergency measures H&S Code §101040 The Health Officer may take necessary preventive measures during "state of war emergency," "state of emergency," or "local emergency" as defined in Government Code, and may certify any public health disaster condition if required for federal or state disaster relief
No
Sanitary conditions of jails and detention facilities
H&S Code §101045 The Health Officer shall investigate health and sanitary conditions in every county jail, every other publicly operated detention facility in the county and all private work furlough facilities and programs
No
County family planning and birth control clinics
H&S Code §101050 The Health Officer shall prepare a list of family planning and birth control clinics located in the county
No
Control of prescription drugs and controlled substances
H&S Code §101070 The Health Officer may take action against a person who, without a license, is distributing a prescription drug, controlled substance, or dangerous drug or device
No
Local public health funding H&S Code §101230 Formula for and uses of public health funding including communicable disease control and public health surveillance activities
No
City and County of San FranciscoSummary of Service Mandates Related to Health
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County Health Mandates - Updated Nov 2011
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
Collection, tabulation, and analysis of public health statistics
CCR Title 17, Div. 1, Chap. 3, §1276(a).
Collection, tabulation and analysis of public health statistics, including mortality, natality, and morbidity, are required
Type of product is at discretion of the Health
Officer
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County Health Mandates - Updated Nov 2011
Population Health & Prevention (PHP) - Public Health Laboratory
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
Availability of public health laboratory services
H&S Code §§101150 et seq. The local health department shall have the services of a public health laboratory for the examination of specimens from suspected cases of infectious and environmental diseases.
No
Public Health Laboratory H&S Code §101150-101160; CCR, Title 17, Div. 1, Chap. 2, §§1029 et seq., 1705-1084
Requirement that the public health, the local health department of a city or county have available the services of a public health laboratory for the examination of specimens from suspected cases of infectious and environmental disease. Requires the laboratory and its personnel be approved by the State Department of Public Health and comply with the requirements of the federal Clinical Laboratory Improvement Amendments (CLIA).
Yes, but can be done
regionally
Public Health Laboratory CCR, Title 17, Div. 1, Chap. 2, §§1255 and 1302
Standards and requirements of the Public Health Laboratory Director Yes
Public Health Laboratory Yes, CCR, Title 17, Div. 1, Chap. 2, §1276
Basic public health laboratories required for counties of 50,000 or more Yes
Public Health Laboratory CCR, Title 17, Div. 1, Chap. 4, §2505
Reporting requirements for laboratories confirming specific diseases or agents
Yes
Public Health Laboratory CCR, Title 17, Div. 1, Chap. 4, §2534
Public health laboratory test requirements for release of a case or carrier of specified communicable diseases
Yes
Public Health Laboratory CCR, Title 17, Div. 1, Chap. 4, §2550
Clearance of food handlers for amebiasis must be performed by a public health laboratory
Yes
Public Health Laboratory CCR, Title 17, Div. 1., Chap. 4, §2606
Requirements for testing of rabies samples by a public health laboratory Yes
Public Health Laboratory CCR, Title 17, Div. 1, Chap. 4, §2612
Requirements for testing of salmonella infection samples by a public health laboratory
Yes
Public Health Laboratory CCR, Title 17, Div. 1., Chap. 4, §2613
Requirements for testing of shigella infection samples by a public health laboratory
Yes
Public Health Laboratory CCR, Title 17, Div. 1, Chap. 4, §2628
Requirements for testing of typhoid fever samples by a public health laboratory
Yes
City and County of San FranciscoSummary of Service Mandates Related to Health
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County Health Mandates - Updated Nov 2011
Central Administration - Vital Records
Program Area Mandate Citation Mandate DescriptionIs a level of
service mandated?
Registration of all births and deaths, including fetal deaths, and issuance of burial permits
H&S Code §§ 102275 et seq.; CCR Title 17, Div. 1., Chapter 1, §§901 - 916 and Chapter 3, §1276(a); Elections Code §2205
Local administration of birth and death registration and role of local health departments; sets fee amounts; regulations for records and statistics and public health services; requires notification of deaths to County election officials; can be done in conjunction with County Recorder's office.
Yes
Sale of certified copies of the record of births, fetal deaths, and deaths
H&S Code §103525 et seq. The local registrar shall, upon request and payment of the required fee, supply a certified copy of the record of any birth, fetal death, or death registered with the official.
Yes
Data entry of birth, fetal death, and death information into the Automated Vital Statistics System (AVSS)
CCR Title 17, Sec 1276(a). Requirement to collect, tabulate and analyze all public health statistics, including population data, natality, mortality and morbidity records
The method is at the
discretion of the Health
Officer
City and County of San FranciscoSummary of Service Mandates Related to Health
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CBHSCDCPCommunity ProgEMSEHSHealth EdHIV Health SvcsHIV Prevention SvcsJail HealthMCAHMCAH-CCSMCAH-PH NursingMedically IndigentPHP-GeneralPHP-PH LabVital Recs.