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MINUTES ORANGE COUNTY BOARD OF HEALTH March 4, 2004 Board of Health Minutes Transcription completed by Anne Miles Cassell 2 March 4, 2004 The recommended revisions to the Eligibility and Fee Policy were presented to the Board for approval. C. Dental Clinical Services Fees At the July 24, 2003 Board of Health meeting, the Dental Cost Study was presented for review and approval. It was determined, from the activity based cost study that certain dental fees need to be increased. At that time, the Board of Health’s recommendation was for staff to determine a cost recovery procedure that would be applied to the dental cost study. The Health Director along with staff and the county Budget office recommendation is for a 75% cost recovery for clinic fees for several that are treatment related. The Board was given a list of dental fees to be increased to the 75% level and preventive services that need to be increased to the 60% level. Preventive services were only increased to the 60% level, which were more in line with the market value and wee judged not to present a barrier to seeking services. The Board was asked to approve the increase in dental fees effective with the 2004-05 budget. D. Additional Immunization Funds The Health Department was notified that additional one-time funds in the amount of $2,259 are available for the immunization program. Staff is recommending utilizing the funds to replace the commercial refrigerators at both locations. The refrigerators were purchased when Southern Human Services Center opened in 1998. The old refrigerators will first be offered internally for use, then to the animal shelter for their use if no one internally needs them. The Board was asked to accept the one-time immunization funds from the state and to authorize the expenditure of the funds for the purchase of equipment and/or supplies for the immunization program and to forward this recommendation to the Board of Commissioners. Motion to approve the minutes of January 22, 2004 and items on the Consent Agenda was made by Lee Werley, seconded by Alan Rimer, and carried without dissent. V. Reports and Discussion with Possible Action A. Water Quality Discussion The Board of Commissioners established the Commission for the Environment (CFE) in 1999. It annually produces a “State of the Environment Report” that outlines progress toward environmental goals that the Commission establishes and advocates for. One area that is being presented by the Commission for the Environment to the Commissioners is establishment of a Water Resources Initiative and a position associated with this initiative. The CFE presented this to the Commissioners at their annual planning retreat at the end of January. Commissioner Jacobs requested that the CFE discuss this proposal with the Board