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overall wait times for well and septic inspections while contributing additional revenue to the <br />department. <br /> <br />State Funding <br /> <br />The NC Department of Health and Human Services has provided us with the FY 18-19 <br />Consolidated Agreement Addenda. We received a minor decrease in six programs for a total <br />of $12,441, which will be offset by an anticipated decrease in expenditures for the Refugee <br />Health and Youth Tobacco programs. Refugee Health funding is determined based on the <br />number of refugees assigned to Orange County. Since we have seen fewer refugees in FY 17- <br />18, most likely due to decreased immigration in the existing political climate, the FY 18-19 <br />funding allocation was decreased. The FY 17-18 Youth Tobacco program allocation included a <br />one-time $8,000 increase for QuitlineNC services, which was not included in the FY 18-19 <br />allocation. <br /> <br />Fee Changes <br /> <br />The FY 18-19 requested budget includes fee changes for the Personal Health, Dental Health, <br />and Environmental Health divisions. Staff recommends multiple fee changes for Personal <br />Health to add a new UNC lab test for colorectal cancer screening and adjust the fees for 340B <br />drugs according to state and federal policies around 340B drugs. In addition, Dental Health <br />would like to add a fee for root extractions, which they are currently performing but without an <br />associated fee. Also, Environmental Health would like to add several new swimming pool and <br />Food Service Establishment permit fees. All proposed fee increases are described in more <br />detail in a separate Fee Change abstract. <br /> <br /> <br />Recommended Motion: <br /> <br />To approve the total budget requested in the amount of $10,251,749 for FY 2018-2019 as <br />presented and forward to the County Manager and Board of County Commissioners for action. <br />