Orange County NC Website
PUBLIC HEALTH TASK FORCE 2004: PRELIMINARY RECOMMENDATIONS <br />PUBLIC HEALTH IMPROVEMENT PLAN <br />16a) Empower local health departments to charge. fees <br />for food and lodging program activities at local <br />level to cover operational costs. <br />Need Addressed /Rationale <br />Local health directors and county commissioners on the finance committee highlighted the tremendous <br />local burden that environmental health services/ programs in general put on county governments. <br />Additionally, it was evident from several of the documents that we have reviewed, as well as the <br />review of DPH funding, that the amount of funding that the state provides to local health departments <br />to support environmental health is extremely small. <br />Currently, local health departments are allowed to charge a fee to support the on -site sewage program <br />(septic tank permitting) in their counties. This fee is set by the Board of Health and varies by health <br />department. However, it is the local option to determine how much fee base they choose to have and <br />how much local appropriations they use to support this activity. <br />In contrast, local public health agencies are currently prohibited by state statute to charge a fee to <br />support the Food and Lodging Program Currently, a fee of $50.00 is charged each food establishment <br />once per year at the state level. The funds generated come to the state and are redistributed to locals <br />according to a base of $5,500 with an additional amount provided if 100% of the county's restaurants <br />are inspected the appropriate number of times. The total amount that any health department receives is <br />significantly below the cost of the program (ranging from .07 to .66 per capita). <br />Infrastructure /Capacity Improvement <br />Will require legislative action to remove the prohibition from the current statute. Could eliminate the <br />state fee based on the new local fee option. <br />Budget FTEs <br />No new funding required: (0) State : <br />(0) Local <br />33 <br />