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Budget Committee Meeting August 31, 1999 Page 2 which has not been changed since 1989. Mr. Anderson questioned as to what the state charges. Mr. Bethel said the state charges $250.00 for a septic fee, and also advised Lamar County is the one who set this fee. After discussing the fees for septic systems, County Judge Superville, who was in the audience, said that if Mr. Bethel would call his office and request that this be place on their agenda, he would see that this item is placed on their agenda for consideration. Mr. Wilson stated that since this is a joint venture between the county and the city, who set the salaries and wages for the Health Departments. Mr. Bethel advised that they have a board that they work under and several years ago the board decided that this department needed to fall under someone's guidelines. The board voted to adopt the City of Paris's personnel and hiring policies. Mr. Bethel stated that their staff is down about one - fourth over what it was two years ago, and there were five people that have left and has not been replaced. Mr. Bethel said there were only 13 employees at this time. Mr. Bethel explained that one clerk position has not be replaced, which is a full time job doing the Medicare, Medicaid, and private pay billing. There is a clerk that makes appointments, answers the telephone, and pulls charts, also there is a receptionist that signs them in and processes the paperwork, so those two clerks are doing three jobs. Mr. Bethel advised that the Health Department gets enough money to cover the salaries for this department. Councilman McWaters asked if there was any anticipation of losing any of the grants. Mr. Bethel said there is one, the WIC Program Grant, which has an immunization incentive policy where they can give shot, but this is going to be cutout effective January 1St. If the WIC Program is in with the Health Department where they can get a shot there, they will stop funding the immunization part of WIC. Mr. Bethel advised the Committee that they had increased the fee for water testing, and up until this spring, they had done water testing and physicals for the city and county that they did not charge for that. Mr. Bethel said due to the