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MINUTES ORANGE COUNTY BOARD OF HEALTH January 21, 2009 Board of Health Minutes Transcription completed by Anne Miles Cassell 2 January 21, 2009 approved for this year and a second budget that includes a 10% reduction. The Dental Preschool Screening Project this past year had requested a change in the traditional method of conducting this project and had received approval from Commissioners to move forward with a full-time dental hygienist position to provide both project support funded by the grant and clinical services to prenatal patients funded through a combination of fee reimbursements and county funding. Due to the inability to quickly recruit a hygienist, staff requested a temporary return to the old model of contracting for the coordination services required by the grant and suspension of the prenatal portion of the position. Because of the need to cut budgets both for Smart Start and the county at 10% , this project is requested to return to the prior method of project delivery for the 09-10 fiscal year, delaying the implementation of a full time coordinator/hygienist. This will have impacts on the delivery of the follow- up services required by these grant funds. The Families in Focus Program has been partially funded by the OCPYC since 1999. This is the only child abuse prevention program focusing on at-risk parents currently in place in the county. Other funds that have been used to fund parts of the program in previous years have either not been available (state reductions in 2002 and 2003) or reassigned to mandated functions in the department. In 2008-2009 OCPYC funding was consolidated to fully support the salary and benefits of one full-time equivalent (FTE) public health nurse II to meet the program deliverables. A social worker II that had been partially funded by these grant funds was transferred to full-time responsibilities as a child service coordinator where our demand was outstripping our ability to meet needs. A 10% reduction in Smart Start Funds for 2009-2010 would necessitate additional county support to be able to conduct this program. As this program is not a mandated program, a 10% cut would likely result in a health department decision to discontinue this program and the staff person either be reassigned if there is an available opening, or subject to a reduction in force. It is too soon to tell at what level Smart Start will experience funding reductions. The Child Care Health Consultant/NAPSACC Program has been fully grant funded for the past two years. Even with a 10% reduction in overall funds, the program will be affected only by its ability to purchase educational materials and other supplies. It will not affect the staffing. The Department will not know about state funding until July. C. Acceptance of Grant Renewal Funds for Teen Tobacco The Health Department received a grant renewal award letter from the Health and Wellness Trust Fund for the Teen Tobacco Prevention Projects for the period beginning July 1, 2009 through June 30, 2012. This will mark the second three-year renewal of the project, providing the county with a solid nine year track record by the end of the grant period. The total amount of funding for the program for the three year period is $277,000. This will support the total costs of the project and will not require county general fund support. D. New Medicaid Co-Payment Fee