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H._ is .J In terms of the impact of the Manager's proposed budget in environmental health, Mr. Robinson stated his department would be able to meet all required minimal work loads and activities. He recommended that the Board delay any attempt to regulate private and semi-private water supplies until next fiscal year. Not providing this service will cut free revenue potential approximately in half. In family planning, the Department will continue as at present; however, Mr. Robinson pointed out that by not doing certain activities now will lead to additional cost later. The generalised preventative health education effort for the community will not be implemented. The Department will not act on a recommendation to hire a V.D. worker in the family planning program. The Department will not be able to give proper attention to tuberculosis as proposed, will not attempt any colorectal cancer screening, but will expand the present level of other chronic disease screening. The Maternal Health and Child program will continue as at present. Mr. Robinson recommended that the Board not continue to provide more aid to Chapel Hill- Carrboro schools than to Orange County schools in regard to school health. He envisioned the school health situation as getting worse without expansion a.n this area. Mr. Robinson pointed out that as inflation rises, more people are using the services of the Health Department, particularly for preventative clinical services. He stated he would have to either turn people away or provide less of something else. The Health Director stated his department had picked up momentum and are progressing; however, a hold-the-line budget will be disastrous to the department. Finally, the Health Director spoke of the use of non-local funds used by his department. He stated the Finance Director had informed him that if certain programs generate revenue, then that revenue should be used to offset the local cost of these programs. The County Manager indicated to him that this policy would not prohibit using new revenue unrelated to existing programs to open a new service, if paid for totally by the new revenue. Mr. Robinson stated his problem with these sentiments are: (a) Public Health program funding is not that categorical and the expectation is for the department to finance new efforts by generating new revenue from existing programs; (b) given the depressed level of non-local funding, the department could never expand its services ,. but decrease the local tax dependency by the department by a small margin. This philosophy would exclude the Health Department from a vast amount of potential federal programs because guidelines state that federal monies cannot be used to offset local cost. Dr. Mayes informed the Board that on May 18, 1978, the I3ealth Board adopted a policy to charge a fee for services not to exceed a certain amount for selective environmental services. The Board feels these fees should be collected because a certain privilege group is not paying for services that the general taxpayer in the County is paying. He added that the Health Board strongly urged that the fees be directed back to the Health Department. By the selective privilege group, Dr. Mayes stated he was referring to developers and individual home builders. Commissioner Walker stated these services are mandated and the developers usually pass this cast on to the consumer. He added the Health Department is funded by the tax dollar to provide a service. Sy charging a fee for these services, taxpayers are paying taxes twice. He stated that he was totally in disagreement with charging fees for services.