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MINUTES ORANGE COUNTY BOARD OF HEALTH October 26, 2000 Board of Health Minutes Transcription completed by V. Anne Miles 2 October 26, 2000 Motion was made by Alan Rimer, seconded by Barry Jacobs and carried without dissent to recommend that the Board of Commissioners re-appoint Mr. Dean Edwards as the County-Appointed Cruelty Investigator for 2000-2001 B. Nominating/By-Laws Committee 1. Presentation of Slate of Officers for Calendar Year 2001 Janet Southerland presented the Nominating Committee report. The Committee recommends a delay of presentation of slate of officers until after the Board of County Commissioners has acted on a request to consider a third term for three Board of Health members. These Board members received an appointment letter stating that they were eligible for three terms. 2. Review of Proposed By-Laws Revisions The last revision of the by-laws was in 1984. Since that time, legislative changes have occurred that make revisions in some sections of the by-laws necessary in order to comply with General Statutes. Other revisions are proposed based on the customary practices that the Board has adopted over time. The proposed revisions reorganize and reclassify the By-Laws into 1) Charge, 2) Duties, and 3) Rules and Procedures. An additional change was suggested that a Conflict of Interest statement be signed by new Board members. The current by-laws state that revisions must be presented at the meeting prior to the meeting where they are adopted, therefore these revisions cannot be adopted until the November meeting of the Board. C. Executive Committee 1. Receipt of Medicaid Cost Settlement Funds Beginning in 1994, North Carolina chose to “set aside” a portion of annual Medicaid earnings from local health departments as a potential cushion against overspending those funds. Since that time, the state has not used all of the withheld funds. Last year, Orange County received cost settlement funds for fiscal year 1997 – 98. The allocation received in the last two years by the Health Department has been placed in a capital project ordinance for use in eligible programs. Funds that are unexpended at the end of the fiscal year are carried forward for use in subsequent years. The funds are required to be budgeted and expended to further the objectives of the program that generated the receipts. Funds may be expended for a variety of public health needs and activities or they may be held in reserve for future needs of the department. The funds are not to replace current budget allocations for these program areas. Over the past two years funds from this account have been used to purchase imaging