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iir - APPROVED : 8-6-90 MINUTES ORANGE COUNTY BOARD OF COMMISSIONERS BUDGET WORK SESSION MAY 31, 1990 The Orange County Board of Commissioners met on May 31, 1990 at 7:30 p.m. in Superior Courtroom, Hillsborough, North Carolina for the purpose of holding a budget work session on the Manager's proposed 1990-1991 budget. BOARD MEMBERS PRESENT: Chairman Moses Carey, Jr., and Commissioners Shirley E. Marshall, Stephen Halkiotis, John Hartwell and Don Willhoit. STAFF PRESENT: County Manager John Link, Assistant County Manager Ellen Liston, Economic Development Commission Director Ted Abernathy, Deputy Clerk to the Board Kathy Baker, Agricultural Extension Director Fletcher Barber, Clerk to the Board Beverly Blythe, Finance Director Ken Chavious, DSS Director Marti Pryor Cook, Health Promotion Coordinator Mary Bobbitt Cooke, Health Director Dan Reimer, EMS Support Staff Jeanette Smith, Budget Administrator Rod Visser, EMS Director Nick Waters, and Budget Analyst Donna Wagner. Chairman Carey explained that the Manager would present the 1990-1991 budget at this meeting. A Public Hearing will be held on June 12th at which time the public may comment on the budget. County Manager John Link used overhead slides to summarize the contents of the budget for 1990-1991. A copy of the presentation is in the permanent agenda file. Commissioner Hartwell asked Reimer to address the issue of Sexually Transmitted Diseases (STD's), and visiting programs for infants and pregnant women in this county. Reimer indicated that there has been a stabilization of several of the STD's, however, some of the other categories are on the increase. Also, the demand for clinical services has been on the increase and has taken away from time that was available for family planning patients. The additional staff members will enable the Health Department to increase the time available for this testing from two full days to 3 1/2 days. The use of the clinic by infants and pregnant women has increased 100% over the last three years. Because staff has not been increased during this time, home visits after delivery have decreased to below the standard set for this service. The increased usage of prenatal services at the Health Department is a result of the quality of the service, the change in the eligibility requirement for pregnant women and the increased media promotion statewide for women to get prenatal care early in their pregnancy. Commissioner Hartwell mentioned that he was glad to see the Coordinated Transportation System (C.A.T. ) listed separate from the Aging Department. He mentioned that a joint effort has been under way to establish a Senior Center in the eastern part of Chapel Hill. The goal of the Aging Board would be to rent space for this Center. Link indicated that money had not been allocated for this project. He stated that the goal for this year was to examine and assess the needs. Next year's goal will be to allocate funds.