Ignoring the "elephant in the room" (that the Health Deprtment is providing services that should be the product of the private sector), I think a fee study is an appropriate way to establish fees and the legislation should include a provision that a fee study be performed every 5 years or so. I have always felt that all citizens of the Commonwealth should not have to underwrite services perfomed for a select few: namely, those people that are building a new house, addition or new well. Affected persons should pay for services rendered.