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t~ Commissioner Willhoit stated that additional sanitari.ans were added to the Health Department's staff last February due to the increased environmental health services. That .fees are a cost of development and that the cost should be put up front. He stated that to provide the services to the public which the Health Department is now providing will mean an increase in the tax rate if the fee schedule is not implemented. The Health Board is also considering the possibility of adding fees for other health services. Josephine Barbour spoke against the setting of fees in the Health Department. Gerry Cohen, a Chapel Hill Alderman, stated that because of the way in which the County tax structure is set up, many new residents in the County do not pay taxes for the first two years before their homes come up for taxation. He added that he felt it only fair that people pay for septic tank inspections and building permits. This way, new home owners do pay some of the cost of county government. Mr. Whitfield asked the Board to consider two questions: 1) Why can't a private builder in the County hire his own engineer or architect to perform soil analysis and septic inspections and 2) Why does the Board want to tack more administrative cost on the taxpayers by the changing of fees? Jerry Robinson stated that a sanitarian acts as an agent for the State of North Carolina and that he does not know whether or not there is a provision in the State law that would alloev for a private engineer to perform these tasks. The County of Orange does not control the method in which the law performs. He suggested that the County Attorney research this suggestion further. Other unidentified persons spoke against the fee collection system. Chairman.Whitted stated that the Board would continue discussion of the proposed fee schedule and would reach some resolution re- garding the matter very soon. The Chairman then asked the. Health Chairman to discuss Item C under Budget Discussion. Dr. Mayes informed the Board of new health programs efforts from the State which needed response, On June 9th, the Division of Health Services asked the Health Board to provide public health services to Orange County migrant workers_ The State will pay for all primary care and hospitalization.. The Department is asked to provide nursing time and local staff support costs to locate, screen, refer and follow-up. It is estimated that one nurse will be needed for two months. On June 9th, Health Services asked the Department to follow-up on all home delivered infants in the Cbunty in an effort to reduce infant mortality and morbidity. Over one year's time, it is esti- mated 2 months nursing time will be needed. Health Services on June 13 asked the Health Department to be the lead agency far all Supplemental Security rncome disabled children supported by the Social Security program in the County. On a yearly basis, it is estimated 3 months nursing time will be needed. - Dr. Mayes pointed out that these were county problems and should be dealt with by the County Health Department_ The Health Director read to the Board a statement comparing the present County Health Services with those services provided by District Health. Mr. Robinson stated that the Health Department was proud of what has been accomplished in a few short months and asked that the County establish priorities and fund accordingly.