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MINUTES ORANGE COUNTY BOARD OF HEALTH March 23, 2000 Board of Health Minutes Transcription completed by 2 March 23, 2000 Two public hearings on the budget are scheduled and Board members are expected to attend one of the meetings. Discussion ensued regarding means of controlling expenses through training cutbacks and acquisition of revenue by registrations held at rabies clinics, and an increase in kennel fees. The point was made that as health care providers that has direct impact on how well we provide services and that much of the training is necessary to retain certifications. There are seven areas that increased 20 percent or more than our 12-month estimate. A large part of the increase is attributed to medical contracts, and the cost of the Customer Service Survey by an outside source. The motion to accept the budget as proposed was made by Lee Werley and seconded by Ron Holdway, and carried without dissent. A. Community Programs Committee 1. Public Health Month Proclamation Rosemary Summers presented this report since this committee has not had a chance to meet. The April 13th vaccination clinics listed on the Public Health Month Proclamation are rabies vaccination clinics, not immunization. Louise Echols was recognized for her hard work as coordinator of Public Health Month activities this year. The April 15th Health Expo is a Health Fair event that is sponsored and staffed by Health Department employees. The Board was encouraged to come see how we do what we do. The Health Expo will be held at Wal-Mart, which is considered a high traffic area yielding easy access by the public. The motion to accept the proclamation and endorse the planned activities for Public Health Month was made by Mel Hurston and seconded by Martha Stucker and carried without dissent. B. Presentation of FY2000-2001 Budget Request 1. Eligibility and Fee Policies Medicaid billing requires the existence of a fee schedule and a consultant has been hired to help develop this. Income levels will be determined on a gross income basis, based on State requirements for written documentation in Orange County to be eligible for services. It was decided that a collection policy would be established and maintained to ensure that our clients are kept aware of any outstanding charges that are due and also to ensure that they know that our expectations are that they remit payment. Payment would be due by the 10th of the month and two more consecutive months if necessary and then going forward at 3-month intervals, bills would be submitted until the 12-month time period has elapsed. Only by then will an account be pursued by our collections. We do not know what it is going to cost to bill or what the sliding fee scale is going to be. The fee scale should be available by the next meeting and will be reviewed by the County Finance Director or Revenue Director. The motion to approve the policy as presented was made by Sandra Quinn and seconded by Martha Stucker and carried without dissent. 2. Access to Health Services for Minors It is very clear that a board’s authority is limited and therefore cannot supercede a state law.