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MINUTES ORANGE COUNTY BOARD OF HEALTH August 25th, 2010 Board of Health Minutes Transcription completed by Lisa Smith 3 August 25th, 2010 Dr. Chelminski had already agreed to assume the leadership of the Clinical and Community Programs Committee. Dr. Haggerty and Dr. Kelm will serve on the Clinical and Community Programs Committee. D. Accept Additional Funds The Health Department received notification that the annual Family Planning TANF funds (Temporary Assistance to Needy Families) have been allocated. Orange County Health Department will receive $7,650 in federal TANF funds. These funds are reimbursement only, and must be spent no later than May 31, 2011. It is a federal requirement that TANF funds be accounted for by Social Service Directors, as it is part of the federal block grant to social services. The Health and Social Services Directors must concur on the use of these funds. TANF Out-of-Wedlock birth prevention funds will be used to purchase Implanon birth control for high-risk and uninsured clients and some outreach to high- risk clients to encourage use of family planning services. Motion to approve items A, B, C, and D on the Consent Agenda was made by Steve Yuhasz, seconded by Michael Wood, and carried without dissent. VI. Reports and Discussion with Possible Action A. New Fees for Immunizations and Screening Tool With the passage of the 2010-11 NC State budget, funding that made free vaccines available for all children, regardless of insurance status, no longer exists. The federal Vaccine for Children program will continue. The Vaccine for Children program provides selected vaccines at no charge to children between 0-18 years of age who are uninsured, Medicaid eligible, American Indian, Alaskan Native or underinsured (vaccines not covered). Children with insurance plans (Including Health Choice) that cover vaccines after co-payments and deductibles are met are not eligible for vaccines through the Vaccine for Children program. As a result of this change, we anticipate a number of providers will refer their privately insured children to the Health Department for vaccine services rather than incur the risk of ordering and not using vaccine, thus experiencing a financial loss. Additionally, some families of insured children who have traditionally received their vaccinations through the Health Department will no longer be eligible for the free vaccines and will be charged for the vaccine. A fee must be established In order to recover the cost of the vaccine and ancillary costs when possible. The State Medicaid agency instituted a new required screening tool called M-CHAT for 18 and 24 month olds during a well child visit. The screening can be billed separately from the well child visit. A $13.00 fee is proposed that will cover the cost of the additional personnel time for administering the screening tool. The Board was presented with a list of the new fees proposed for the various vaccines and the M-CHAT requirement. OCHD will need to purchase additional vaccine. This was not budgeted as the State budget was not finalized until the passage of the county budget. The proposed vaccine fees cover the cost of the vaccine and some ancillary costs (time of personnel to order, receive, and store vaccine). We anticipate having identified needed policy changes for action by the Board at the September meeting.