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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH October 28, 2015 S:\Managers Working Files\BOH\Agenda & Abstracts\2015 Agenda & Abstracts/ June Page 3 cessation program, QuitlineNC, provides 8 weeks of free NRT to our clients through OCHD providers. With the launching of the OC Partners for Tobacco Cessation, focus has been given to the behavioral health clients in the community. • They continue to focus on high non-compliance areas. More permanent signage has been posted and several downtown Chapel Hill retailers have placed also placed signage in their storefront windows. • Enforcement through monitoring and responding to complaints is a continuous effort. The OCHD continues to send quarterly reports to key partners on reported violations and outreach efforts. • They continue to promote smoke-free multi-unit housing. Technical assistance was provided to Chapel Hill Public Housing as it considered adopting a smoke-free policy by conducting resident surveys at all 336 units, presenting results to their leadership, and providing Freshstart classes onsite. It is anticipated that HUD will soon require that all public housing be smoke-free. • Lastly, they were pleased to be featured on a panel of success stories at the NC Public Health Association Educational Conference in September and at a statewide tobacco policy training in August. The BOH members had several questions that were addressed by Ms. Austin. C. Fee & Eligibility Policy Review Ms. Crawford began with an overview of the recommended changes to the Fee and Eligibility Policy that occurred as a result of the Family Planning monitoring visit conducted by the NC Division of Public Health in October. The most essential changes include: • Purpose (Section I.E.): As recommended by the Family Planning auditors, the following statement was added to the Purpose section to explicitly state that: There will be no charge for Title X Services provided for individuals with income less than 100% of the Federal Poverty Level (FPL.) • Income Eligibility (Section III.C.): The Environmental Health section was revised to clarify that WTMP and mobile home park fees are billed on a different schedule than other Environmental Health fees. • Fee Collection (Section VI.K.): As recommended by the Family Planning auditors, the Health Department’s detailed cost analysis process for fee changes will be included in the policy rather than merely identifying that the Health Department conducts a cost analysis. • Fee Collection (Section VII.E.): As recommended by the Family Planning auditors, clients will now be given a statement at each visit showing the cost of services provided along with any outstanding balances rather than only being informed of those items. • Fee Collection (Section VII.G.): The client Payment Plan section was modified to clarify that a client must make a payment in any amount in order to activate a payment plan.