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MINUTES ORANGE COUNTY BOARD OF HEALTH October 22, 1998 Board of Health Minutes Transcription completed by Patsy L. Bateman 7 October 22, 1998 sufficient provider resources in the county to take care of Orange County Health Department children. The advent of the N.C. Health Choice Program makes it more attractive for providers to care for these children. The biggest concern is for those children that might still fall between the cracks. There are three groups of children being served by the Orange County Health Department. The first are children who are covered by Medicaid insurance. These children already have a designated private provider. The Orange County Health Department needs to find out why they are coming to us rather than their own provider. The second group of children are the Health Choice children. The Orange County Health Department needs to find out whether the private providers will provide services to them. This is a fee-for-service reimbursement. The third group of children are those 201% - 205% or more of the poverty level who remain uninsured. Where do they go for services? We don’t know how large that group of children is in the county. This is basically a plan to gather some additional information to make these determinations as a first step. There were multiple concerns expressed by board members regarding client and community perceptions of the proposed change in services. The Board requested additional information in this regard and a careful examination of the alternative of expanding services to full primary care. A report by the staff will be made at a future board meeting. The motion to recommend that the Board of Health approve the proposed plan to study the feasibility of transitioning the Orange County Health Department Child Health Clinic patients to other primary care providers in the community and to discontinue the Orange County Health Department Child Health Clinic Services was made by Barbara Chavious, seconded by Mel Hurston and carried without dissent. IV. DISCUSSION ITEMS – PART TWO (Due to the time, by common consent the only item on the remaining agenda to be considered was Item IV. C.) C. Extended November Board Meeting The motion to conduct the November 19, 1998 Board of Health meeting from 6:00pm until 10:00pm was made by Jonathan Klein, seconded by Barbara Chavious and carried without dissent. V. ADJOURN A motion was made by Mel Hurston and seconded by Barbara Chavious / Brenda Crowder-Gaines to adjourn the meeting at 10:10 p.m. The next regular Board of Health meeting will be held on November 19, 1998 at the Health Department Conference Room in Hillsborough, North Carolina. Respectfully submitted, Rosemary L. Summers, MPH, DrPH Health Director Secretary to the Board RLS:plb