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MINUTES <br />ORANGE COUNTY BOARD OF HEALTH <br />June 26, 2013 <br /> <br /> Page 6 <br />Tony Whitaker asked if there was any difference in the fee for a two year old <br />versus an adult. Ms. McCall responded that the fee is the same, however might <br />take longer to complete on a child based on what is required during the <br />assessment. Ms. McCall explained how the waiver works. Either the Health <br />Director or Nursing Director can approve the waiver without their being a delay <br />in services for the patient. <br /> <br />Corey Davis asked if we could see the refugees for the physical and I-693 <br />assessment at the same time. Ms. McCall responded that when we started <br />providing this service, we didn’t have the capacity to see them. Several years <br />ago, we tried providing the physical and I-693 assessment at the same time, <br />however found that many of the patients had physical problems beyond what we <br />could treat or see. In order to assist them we referred them to other physicians <br />to be seen. <br /> <br />The physical is provided when they initially get into the county within 30 days of <br />arriving. They then have a year to complete the I-693 assessment. By the time <br />we see them, many have already received the required vaccines because they <br />have Medicaid the first 7 months of being here which covers them. If they don’t <br />get the vaccines required during that time they may have to pay out of pocket for <br />the vaccine in addition to the $25 for the assessment. <br /> <br />Tony Whitaker recommended the Board of Health show their support via a <br />statement supporting appropriate use of fee waivers. The board agreed without <br />objections. No further action recommended. <br /> <br />c. Health Director’s Report- See attached Health Directors Report. No additional <br />information to report. <br /> <br />Motion was made by Tony Whittaker to go into closed session for the purpose of <br />consulting with an attorney employed or retained by the public body in order to <br />preserve the attorney-client privilege between the attorney and the public body, <br />which privilege is hereby acknowledged, to discuss the matter of Phillips and <br />Osborne v. Orange county Health Department. The motion was seconded by <br />Susan Elmore and carried without dissent <br /> <br />Closes Session-Discussion <br /> <br />Motion was made by Corey Davis, to go back into open session. The motion was <br />seconded by Susan Elmore and carried without dissent. <br /> <br />Action taken during closed session: <br /> <br />Motion was made by Liska Lackey to appeal the Judge’s order regarding the <br />Board of Health’s WTMP Rules. The motion was seconded by Tony Whitaker and <br />carried without dissent.