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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 5 the well water test is medically-referred. The majority of clients whose medical professional refers them to have their well water tested qualify for Medicaid or have a low enough income to pay $0 on the medical clinic sliding fee scales. • Personal Health requests the addition of new fees for multiple procedures codes. These procedures may have been in use at other times under different procedure codes or are more descriptive than current procedure codes that are in use. The division also requests to charge fees for new vaccine types and brands on the market. Finally, Personal Health requests to increase the fees for multiple vaccines that have increased in cost since the last fee change; in many cases this was in 2009 and 2012. In response to BOH members’ comments, Dr. Bridger informed them that there was no cost- impact to the Health Department and that the Health Department is also looking into the logistics associated with discounting charges prior to applying the sliding fee scale. She also mentioned that there is no statute on how many times/when the fees can change; although, the General Statute does offer guidance. She also indicated that the fees the Orange County Health Department charges are based on what Medicaid will pay which is consistent with most of the other county health departments. The BOH members had several questions that were addressed by Colleen Bridger. Motion was made by Jessica Frega to approve the proposed fee changes for 2015-2016 as presented and forward to the Board of County Commissioners for action, Sam Lasris seconded, and carried without dissent. C. BOH Recommendations – Engineer & General Public Positions BOH members, Nick Galvez and Dan Dewitya, reviewed several applications for the General Public and Engineer positions. They recommended Barbara Chavious for the General Public position and Timothy Smith for the Engineer position. Barbara Chavious, who is very involved in the community, had been a previous BOH member years ago and has a passion for substance abuse and mental health issues. Timothy Smith has been an engineer for 36 years, has environmental health experience and was deemed good critical thinker and long-time Orange County resident. Motion to recommend Barbara Chavious and Timothy Smith to the BOCC that Sam Lasris be appointed to the BOH, was motioned by Nick Galvez, seconded by Tony Whitaker, and carried without dissent. D. Health Director’s Report There were no questions from the Board regarding the Health Director’s Report included in the packet. Dr. Bridger emphasized that the Health Department has had a busy couple of days in regard to Communicable Diseases in Orange County. She gave a brief description of some of the cases that the Health Department had to monitor including pertussis, salmonella, malaria, and possible rabies. She stressed that vaccinations, both animal and human, are essential. Based on the conversation and comments made by the BOH members, a possible future agenda action item in reference to vaccination statistics for school children was suggested.