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MINUTES ORANGE COUNTY BOARD OF HEALTH February 28, 2018 S:\Managers Working Files\BOH\Agenda & Abstracts\2018 Agenda & Abstracts/ February Page 6 decrease overall wait times for well and septic inspections while contributing additional revenue to the department. In relation to state funding, the NC Department of Health and Human Services has provided us with the FY 18-19 Consolidated Agreement Addenda. We received a minor decrease in six programs for a total of $12,441, which will be offset by an anticipated decrease in expenditures for the Refugee Health and Youth Tobacco programs. Refugee Health funding is determined based on the number of refugees assigned to Orange County. Since we have seen fewer refugees in FY 17-18, most likely due to decreased immigration in the existing political climate, the FY 18-19 funding allocation was decreased. The FY 17-18 Youth Tobacco program allocation included a one-time $8,000 increase for QuitlineNC services, which was not included in the FY 18-19 allocation. In relation to fee changes, the FY 18-19 requested budget includes fee changes for the Personal Health, Dental Health, and Environmental Health divisions. Staff recommends multiple fee changes for Personal Health to add a new UNC lab test for colorectal cancer screening and adjust the fees for 340B drugs according to state and federal policies around 340B drugs. In addition, Dental Health would like to add a fee for root extractions, which they are currently performing but without an associated fee. Also, Environmental Health would like to add several new swimming pool and Food Service Establishment permit fees. All proposed fee increases are described in more detail in a separate Fee Change abstract. Ms. Crawford facilitated a discussion about the proposed fee changes which touched briefly on making multiple fee changes in Personal Health, adding a fee in Dental Health, and adding several new fees in Environmental Health division. Personal Health requests annually scheduled adjustments to our fees for 340B drugs (Family Planning drugs not including birth control pills) to make them match the county’s cost to purchase them, as required by the state and federal government. This will have very little impact on both the department and patients as only 10% of self-pay patients pay more than $0 for Family Planning drugs or procedures and of that 10% we had no patients in prior years that have had to pay 100% of the cost. Personal Health would also like to add a UNC lab test that is a patient-friendly take-home screen for colorectal cancer. Dental Health requests to add a fee for the removal of the root or a root fragment of a tooth after the tooth itself has previously been removed but not completely. The Dental clinic is performing this procedure but has not had a fee in their schedule for which to charge. We anticipate performing 20 root tip extracts in FY 18-19. Environmental Health requests to add multiple new swimming pool and food service fees and corrections to two other fees. The new swimming pool fees are directly related to year round pools and the increased time required to make no fewer than two annual site visits and the additional visits required for those that do not meet standards. One new Food Service Establishment (FSE) fee also focuses on extra time required for additional site visits when a permit is denied. The final FSE fee addition is used in our surround counties but is new to Orange County. This fee is typically used when a FSE changes ownership; the transitional permit is able to be used until the county determines if a new permit is required. Motion to approve all fee changes for FY 2018-2019 as presented, the total budget requested in the amount of $10,251,749 for FY 2018-2019 as presented and forward to the