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MINUTES-Final ORANGE COUNTY BOARD OF HEALTH February 22, 2017 S:\Managers Working Files\BOH\Agenda & Abstracts\2017 Agenda & Abstracts/ February Page 4 Dr. Bridger facilitated a discussion about the proposed fee changes which touched briefly on the fee changes in Personal Health, add a fee in Dental Health and continue with Phase III of the planned fee increases in the Environmental Health division. Personal Health requests fee increases for three child health fees required by NC DHHS and Medicaid and scheduled adjustments to our fees for 340B drugs (Family Planning drugs not including birth control pills) to make them match the county’s cost to purchase them, as required by the state and federal government. This will have very little impact on both the department and patients as only 10% of self-pay patients pay more than $0 for Family Planning drugs or procedures and of that 10% we had no patients in prior years that have had to pay 100% of the cost. Dental Health requests to add an additional fee for scaling as this is a fee this has just been added to the approved Medicaid list of fees. This will have very little impact on anticipated revenue as staff projects only 30 procedures will be performed per fiscal year. The Board of Health voted to enact Phase I of a three year phased Environmental Health fee increase in order to reach full cost recovery for on-site and well services during the FY 15-16 budget process. Due to declining rate of development in Orange County, we will not reach full cost recovery by FY 2017-18 but will do a full fee review during the fiscal year to study the impact. Motion to approve all fee changes for FY 2017-2018 as presented and forward to the Board of County Commissioners for action as well as to approve the total budget requested in the amount of $10,101,460 for 2017-2018 as presented which includes $32,168 in grant funding for the Susan G. Komen project, and forward to the County Manager or Board of County Commissioners for action without edits was made by Susan Elmore, seconded by Paul Chelminski and carried without dissent. B. Select Topics for BOCC Work Session The Board of County Commissioners (BOCC) will review the Annual Work Plan reports from their advisory boards and commissions, including the BOH, at their March 28th Work Session. Liska Lackey, Chair, stated that she and Dorothy Cilenti, Interim Health Director, will attend and update the BOCC on the Strategic Plan. Susan Elmore, Vice-chair, reminded Ms. Lackey to remind the BOCC about the E-cigarettes rule which prompted Dr. Bridger to inform Ms. Lackey to remind the BOCC that they have no say in the passing of the rule as it is E-cigarette use and not cigarette. VII. Reports and Discussion with Possible Action A. BOH/BOCC Relationship Liska Lackey, Chair, began by mentioning the BOCC’s recommendation for pharmacist at-large position. The BOH does a thorough job in finding a candidate for the open Board positions which includes reviewing all of the applications and interviewing the desired candidates. Paul Chelminski, Susan Elmore and Ms. Lackey were involved with the interviewing process. Vice- chair, Susan Elmore, spoke on the interviewing process. She expressed that it’s important for the interviewees to know what they’re getting involved in, the BOH’s charge, understanding the BOH’s responsibilities. The BOH’s interviewing process ensures that the interviewees have this