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MINUTES ORANGE COUNTY BOARD OF HEALTH February 25, 2009 Board of Health Minutes Transcription completed by Anne Miles Cassell 2 February 25, 2009 but is anticipated at the same level as this current year as well ($20,130). Final guidance on budgetary amounts will be provided in July. The following program areas receive specific categorical funding and must be spent in that particular program: General Aid to Counties Communicable Disease (incl TB Control) Maternal Health Child Health HIV Testing & Counseling Child Service Coordination Family Planning Immunization Action Plan Food and Lodging Public Health Preparedness Environmental Health Health Promotion Refugee Health Each year supplemental funds become available during the fiscal year in various programs depending on state and federal action and on performance by the county. The total anticipated amount of funding as of July 1, 2009 represents between 8%-10% of the overall health department budget. In the past two years, through General Assembly action, the county has received an additional $63,000 in General Aid to County funds that may be used for any program that relates to the provision of public health essential services as defined by NC General Statute 130A. The state consolidated agreement is anticipated to provide $426,340 federal and state dollars to the county to provide specific services for fiscal year 2009-2010. A spreadsheet provided to Board members detailed the amounts anticipated by program area. C. Acceptance of Additional State/Federal Funding The Orange County Health Department has received notification of additional funding from the State of North Carolina Department of Environment & Natural Resources (NCDENR) for the Food & Lodging program, and Federal funds (Title X) for the Family Planning program as follows: Food & Lodging ($10,100.67): Performance-based distribution of funds based on 2007-08 compliance with mandated inspections of food & lodging establishments. The calculated rate of compliance for Orange County is 94%. OCHD has already received the base amount of $750. An additional distribution of $10,100.67 has been allocated to the Environmental Health Services Division for the FY 08-09 budget year. Family Planning ($4,628): Federal Title X (Family Planning) has approved one-time bonus funding for all local health departments. The WCHS Liaison Committee has approved the method of distribution, which includes a base amount for all counties and an additional amount determined by performance. Each county will receive at least $1,647. Additionally, 57 counties (including Orange County) will receive performance- based bonus funds calculated on an increase in their patient caseload. OCHD’s allocation is $4,628. These funds may be used for any Title X approved expenditure (for example: birth control). Motion to accept items on the Consent Agenda was made by Matt Vizithum, seconded by Anissa Vines, and carried without dissent.