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MINUTES ORANGE COUNTY BOARD OF HEALTH October 26, 2011 Board of Health Minutes Transcription completed by Lisa Smith October 26, 2011 3 2. There are two vaccination fees and the 3 hour glucose test that were previously introduced for services but did not receive final approval. 3. The 17 alpha-hydroxyprogesterone caproate injection is now reimbursable by Medicaid and needs an approved fee. Accept the increase in fees in the proposed Fee Schedule, effective January 1, 2012 and forward to the BOCC for approval. Motion to approve the consent agenda items was made by Tony Whitaker, seconded by Michael Wood, and carried without dissent. V. Reports and Discussion with Possible Action A. Follow up on WTMP fee discussion At the September Board of Health meeting, the board discussed the Wastewater Treatment Management Program (WTMP) and inspection fees charged to the owners of septic systems that are permitted by the state Division of Water Quality. The Board concluded that there was no compelling reason to reduce the number of inspections that the county provides considering: • these are higher risk systems with regard to protection of public health, • certified operators are not required by the state, • they require ongoing maintenance for proper operation and disinfection, • inspection results show that wastewater disinfection is often neglected, and • inspections conducted by the state are not mandated. The Board discussed various strategies for administering fees for cost recovery of this portion of the program. Currently homeowners are charged the same fee as other system owners; that is, $125 per inspection. The inspections occur once every three years. The Board directed staff to develop a fee proposal for discussion that would introduce the waiver of a county fee if the owner had a current inspection from the state indicating the system was in a compliant condition. In this scenario, the County would still inspect the system on the required interval, but would waive certain fees. The board discussed potential improvements and possible duplication between the state and local programs. The board would like to recommend that Orange County continue its current schedule of inspections and fees for this program. The board would like to have better public education to avoid confusion regarding the fees, particularly given that the state does not charge for their inspections. Staff will develop informational material for explaining the purpose of the local monitoring inspection and the inspection fee. Staff will draft a letter and forward the Board of County Commissioners with the recommendation of maintaining the local program and fee structure that is currently in place. Motion to forward the recommendation of maintaining the local program and fee structure that is currently in place to the BOCC was made by Liska Lackey, seconded by Michael Wood, and carried without dissent.