Orange County NC Website
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Expenditures in this chart include Aid to County Funds Aid Environmental Health EH <br />and Categorical Cat funds It does not include outside funded grant programs such as <br />the Smart Start grants except for the local portion and direct federal grants Medical <br />Reserve Corps It does include the public health preparedness funds <br />Categorical funds can generally be thought of as program funds that are in service <br />categories such as family planning women and childrenshealth communicable <br />disease etc <br />Local funds include receipts from fees Medicaid and other third party reimbursement <br />sources and any county general funds <br />Orange County ranks the lowest in state and federal funds allocations One historic <br />reason for this is the WomensChildren and Infants WIC nutrition program It is <br />offered by all health departments except for Orange Chatham and Person counties <br />Piedmont Health Services Inc applied for and received the contract for services in <br />these counties in the early 90s <br />The county ranks 61St in per capita local funding <br />The chart shows that in overall funding for public health services Orange County ranks <br />74 among the 85 health departments that reported data for this report <br />The Statewide average per capita funding was 5945 and Orange Countys per capita <br />funding was 3797 <br />Commissioner Jacobs referred to the Local Health Department Expenditures Selected <br />County Comparison chart in their agenda packet and said one of the things that occurred to him <br />as he looked at the chart was the education spending for the same counties listed on the chart <br />Orange County spends 354 more per capita than Alamance County 359 more than <br />Davidson 434 more than Harnett 324 more than Pitt 187 more than New Hanover 446 <br />more than Robeson 303 more than Rowan and 404 more than Wayne He said that schools <br />are a huge constraint because half of the budget goes to education in Orange County This <br />affects the flexibility for other services He said that the Board needs to show the Health <br />Department what the Countys restraints really are He said that the numbers are useful and <br />sobering but there has been a choice as a County for how to spend the budget <br />Timothy Carey said that the demographics trends are not going away and planning <br />should start now rather than later when they cannot meet core services because they would be <br />broke <br />Christina Harlan said that she does not want to compete with the schools or other <br />services She also does not want to blame immigrants She said that Orange County has one <br />of the widest splits in income of any county in the United States She said that nobody could <br />have quality of life if the community has terrible diversity issues <br />Chair Carey said that these are good points and the comments from Board of County <br />Commissioners are just the facts At first glance he is depressed at the figures from the BOH <br />but they have to be put into context He asked the Board of Health to keep this in mind and <br />convey the need to voters about the referendum for the local option revenue source <br />With no further items to discuss the meeting was adjourned at 715pm <br />Moses Carey Jr Chair <br />Donna S Baker CMC <br />Clerk to the Board