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MINUTES ORANGE COUNTY BOARD OF HEALTH October 27, 2010 C. Follow-up from Joint Meeting with Board of Commissioners The Board of Health met in a joint meeting with the Board of Commissioners on October 12. This agenda item allows the Board to discuss their impressions of the meeting and to determine whether there were any follow-up items to consider. Steve Yuhasz feels the BOCC will look to the BOH for advice on the new health care reform and how it will affect the Health Department and its current programs. It was mentioned that Orange County is a high wealth county with resources and will probably be looked at to figure it out with other counties that are similar. D. Changes to Fee and Eligibility Policy 1) Approve the increase in the minimum fee for dental health services from $25 to 30 and forward the increase to the Board of County Commissioners for approval. 2) Approve the revisions to Policy E Fee and Eligibility Policy of the Board of Health Policy Manual as presented. 3) Schedule a courtesy review of the final draft of the newly revised Policy and Procedure for Fee, Eligibility, and Collection Procedures in the Administrative Policy and Procedure Manual for the November Board meeting. A question was regarding other minimum charges and Rosemary Summers responded that this minimum charge of $30 is still below the minimum charged by piedmont that only slides to 50% of the fee for all clients and uses the 200% of the federal poverty level as the 100% pay level. Motion to approve Changes to Fee and Eligibility Policy was made by Paul Chelminski, seconded by Carol Haggerty, and carried without dissent. E. Landfill Area Assistance Fund Procedures At the November 17, 2009 BOCC meeting, the County Manager proposed the creation of a fund to assist residents who live near the Orange County Landfill. The fund would provide financial assistance to residents who experience problems with their wells and potentially septic systems. The Manager compared this fund to the No-Fault Well Repair Fund (NFWRF) which was established to assist residents near the American Stone Quarry who experienced well failures that are not attributable to the quarry operation. The NFWRF program relies on money from Martin Marietta and OWASA to replenish the fund. The Orange County Health Department administers the NFWRF policy by providing the testing, determining the available remedies, and overseeing contractors, repairs, and permitting. Aside from the differences in the funding source and the lack of a “no-fault” determination, it is anticipated that this program will operate similarly to the NFWRF. In January of 2010, the BOH considered and discussed an assistance fund that would include repair assistance for both wells serving homes within 3000 foot of the landfill. Septic system assistance was also discussed, but not included as an element of this proposed policy. The Board of Health did not take action on this item. The Orange County Manager obtained authorization from the BOCC in February 2010 for the establishment of the assistance policy to be funded by the Solid Waste Enterprise Fund (Attachment 1). This same authorization was passed by the towns of Carrboro and Hillsborough and most recently by the Chapel Hill Town Council. Board of Health Minutes Transcription completed by Lisa Smith 3 October 27, 2010