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Agenda Item Number <br /> <br />ORANGE COUNTY BOARD OF HEALTH <br />AGENDA ITEM SUMMARY <br /> <br />Meeting Date: February 28, 2018 <br /> <br />Agenda Item Subject: FY 2018-19 Fee Schedule <br /> <br />Attachment(s): Fee Schedule & Requested Changes <br /> <br />Staff/Board Member Reporting: Quintana Stewart, Health Director <br /> <br />Purpose/Recommended Action: ___ Action/Approve <br /> _x_ Action/Approve & forward to Board of Commissioners <br /> ___ Information with possible action <br /> ___ Accept as information <br /> ___ Revise & schedule for future action <br /> <br />Summary Information: <br /> <br />In reviewing Health Department fee schedules, which are done on an annual basis, the <br />Department would like to make multiple fee changes in Personal Health, add a fee in Dental <br />Health, and add several new fees in Environmental Health. The proposed changes are <br />detailed below: <br /> <br />Personal Health <br /> <br />Personal Health requests annually scheduled adjustments to our fees for 340B drugs (Family <br />Planning drugs not including birth control pills) to make them match the county’s cost to <br />purchase them, as required by the state and federal government. This will have very little <br />impact on both the department and patients as only 10% of self-pay patients pay more than $0 <br />for Family Planning drugs or procedures and of that 10% we had no patients in prior years that <br />have had to pay 100% of the cost. Personal Health would also like to add a UNC lab test that <br />is a patient-friendly take-home screen for colorectal cancer. <br /> <br />Personal Health Fee Changes <br />Name of Fee 2017-18 Rate 2018-19 Proposed <br />Rate <br />Anticipated Revenue <br />from Fee Change <br />Fecal Immunoassay <br />Test (FIT) <br />$0.00 $21.82 $218.20 <br />Depo Provera $24.00 $25.82 $291.00 <br />Mirena $235.00 $310.26 $1,430.00 <br />Nexplanon $399.00 $400.50 $56.00 <br />Paragard $264.43 $237.14 ($55.00) <br />Skyla $235.00 $375.38 $281.00 <br />Liletta $50.00 $47.04 $0.00