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MINUTES ORANGE COUNTY BOARD OF HEALTH June 23, 2010 Board of Health Minutes Transcription completed by Anne Miles Cassell 6 June 23, 2010 health equity. The first draft that came back from the Human Rights and Relations had more state-wide policy implications than they did local, such as making sure there was health insurance for everyone. Many of the things that came back to the Board the second time were outside of the scope of what a single county government can do. Since then the only thing noted was a change in focus to medical care instead of health care. It does have some enormous implications for the county, both financial implications as well as policies. Tony Whitaker stated that in reading through the social justice goals use of the word “ensure” waved a red flag at him. It implies the highest level of execution and funding towards that particular goal and that may not be the reality we live in. Steve Yuhasz added that he had also noted the wording usage when he read the document. Jim Stefanadis said the document as it stands has serious implications for the county and needs to be looked at more closely. He suggested a letter to the BOCC expressing these thoughts would be in order. Both BOH subcommittees agreed to look at this more closely. Motion to refer the draft Social Justice Goals to committees for discussion was made by Jim Stefanadis, seconded by Christopher Cooke and carried without dissent. E. Budget Update The final work session on the FY 2011 was June 8, 2010 and the Board of Commissioners adopted the budget at their regular meeting on June 15th. Rosemary Summers reported on the outcome of the county budget. It included additional resources back to the department. Permission was received to recruit to two vacated retirement positions and also $100,000 in funds for dental health equipment. One unexpected item was the transfer of one position to the health department of the breastfeeding outreach worker from Cooperative Extension. This new staff member is fully bilingual and will be a good fit with our maternal health care program. The House and Senate Budget Conference Committees have met to come to consensus on differing provisions within the state budget bill. At this point no final vote has been taken. Childhood vaccination funding is in question. Also, the accreditation program was being zeroed out. Representative Insko was able to replace $350,000 in the budget for accreditation this year. These are big concerns right now. Smart Start funding is also questionable at this point and the department stands to lose two of its programs if funding is eliminated. Christopher Cooke stated that the idea of going to a national accreditation standard is unreasonable because North Carolina’s accreditation standards is ten years in development now and is really very advanced. He stated that the national standard is a watered down copy of what North Carolina already has in practice. This would affect the state’s ability to achieve its 2020 health goals and that he hopes the