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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH August 26, 2015 S:\Managers Working Files\BOH\Agenda & Abstracts\2015 Agenda & Abstracts/ August Page 4 There were no questions asked by the BOH members. VII. Reports and Discussion with Possible Action A. BOH Policy & Procedure/By-laws Review Meredith Stewart, Public Health Program Manager, began by informing the BOH members that the BOH is required to review their Policies and Procedures each year to meet accreditation standards. She then informed them that this is just a review of the recommended edits and the Fee and Eligibility sections will be presented at the BOH meeting in October. Next, Ms. Stewart outlined the recommended changes with the BOH members to which the final approval of the revised policies will occur in October. Ms. Stewart also brought before the BOH members the recommendation of voting to repeal the by-laws in October as well. The reasoning is that the accreditation guidance on this issue states: “This activity requires that the BOH have Operating Procedures. Although the BOH may have Bylaws, a set of Bylaws alone will not meet the requirements of this activity. There have been past concerns that local health departments may include items in bylaws that do not comply with state statutes. The Institute of Government recommends that the BOH have operating procedures instead of bylaws. An Operating Procedures template is located on the NCLHDA website. It has been reviewed by the Institute of Government and is free of any potential legal problems. Please note that in many instances a BOH will usually repeal their Bylaws and replace them with the Operating Procedures.” (Accreditation Benchmark 34, Activity 1). The Operating Procedures template matches the format and content of the Board of Health’s existing Policy III.A. Necessary information from the By-Laws, including Terms of Office, have been moved to Policy III.A. The remainder of the content of the existing By-Laws will be moved to a procedural document to be referenced as needed by the Board. After several comments from the BOH members, they chose to not make any changes to the BOH Policies and Procedures. Ms. Stewart concluded with stating that they will be seen again without the tracked changes for voting at the BOH October’s meeting. Dr. Bridger added the reminder that the voting will take place at October’s meeting as the meeting in September is dedicated to BOH training. The BOH members had several questions that were answered by Meredith Stewart and Dr. Bridger. B. Fee Schedule and Requested Changes Dr. Colleen Bridger began by stating that the fee schedules are reviewed on an annual basis. These fees are associated with clinical services. The Orange County Health Department fee schedule was reviewed by the BOH members. The proposed changes are to: • Eliminate Environmental Health well water testing fees for medical referrals. This will allow clients in the Newborn/Postpartum Homevisiting Program that are on well water to have the water tested at no charge. The Health Department would waive the fee if