ORD-2012-044 Fiscal Year 2012-13 Budget Amendment #3

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A establish a fee of $20 per vaccine which associated covers excluding the administration fee. 1 -693 Form Completion: Immigrants who are attempting to adjust their immigration status must have a Report of Medical Examination and Vaccination Record Form (1693) completed as required by the . U.S. Citizenship and Immigration Services Agency of the Department of Homeland Security. This form can only be completed by medical providers who have been approved to do so. The form serves as verification of required vaccines needed for the adjustment of immigration status, and takes an additional 25 -30 minutes to complete. HIB Vaccine & Kinrix Vaccine: These vaccines were provided at no charge by the state in the past. Subsequently, the Health Department never purchased them, and thus did not have a need to establish a charge. However due to vaccine shortages and projected changes in the availability of free vaccine from the state, we anticipate the need to purchase these vaccines beginning this fiscal year. We are requesting to establish a charge in order to cover our costs associated with the provision of the vaccines. Tobacco Use Cessation Counseling: Tobacco use cessation counseling is currently being provided by nursing staff during scheduled office visits. In order to cover costs associated with the counseling sessions we are requesting to charge the maximum Medicaid allowable reimbursement rate. The Board of County Commissioners amends the FY 2012 -13 County Fee Schedule to include the above mentioned new fees in the Health Department. Efland Volunteer Fire Company, Inc. 11.At its September 18, 2012 meeting, the Board of County Commissioners approved the Financing Arrangement for Efland Volunteer Fire Company, Inc. to purchase a Fire Engine truck, as well as an appropriation of $45,000 from the department's unassigned fund balance to help with the purchase of the truck. With this appropriation, approximately $5,000 remains in their County -held fund balance. This budget amendment provides for the budgeting of this $45,000 appropriation within the Fire District Fund. (See Attachment 1, column i) FINANCIAL IMPACT: Financial impacts are included in the background information above. RECOMMENDATION(S): The Manager recommends the Board of County Commissioners approve budget, grant, and capital project ordinance amendments for fiscal year 2012 -13.