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ORANGE COUNTY HEALTH DEPARTMENT <br />Board of Health Policy and Procedures Manual <br />Section III: Board Processes <br />Process A: Operating Procedures <br />Reviewed by: Health Director <br />Approved by: Health Director, Board of Health <br />Review Annually (July) Page 4 of 7 <br />Original Effective Date: February 8, 1979 <br />Revision Dates: 12/18/1980, 4/16/1981; 4/26/1984; 11/16/2000; 2/23/2007; 10/24/2007; 4/23/2009, 7/24/12, <br />11/5/13, 11/14, 8/15 <br /> <br />S:\MANAGERS WORKING FILES\BOH\AGENDAS & ABSTRACTS \2018 Agenda & Abstracts\September 2018\VI. A. BOH 2018 <br />Review of Operating Procedures.docx <br />meeting. For regular meetings, the Board may add items to the agenda or <br />subtract items from the agenda by a majority vote. The agenda for a special or <br />emergency meeting may be altered only if permitted by and in accordance <br />with the North Carolina open meetings laws. <br /> <br />C. Presiding Officer <br />The Chair of the Board shall preside at Board meetings if he or she is present. <br />If the Chair is absent, the Vice-Chair shall preside. If the Chair and Vice- <br />Chair are both absent, another member designated by a majority vote of <br />members present at the meeting shall preside. <br /> <br />D. Quorum <br />A majority of the actual membership of the Board, excluding vacant seats, <br />shall constitute a quorum. A member who has withdrawn from a meeting <br />without being excused by a majority vote of the remaining members shall be <br />counted as present for purposes of determining whether or not a quorum is <br />present. <br /> <br />E. Voting <br />Each Board member shall be permitted to abstain from voting, by so <br />indicating when the vote is taken. A member must abstain from voting in <br />cases involving conflicts of interest as defined by North Carolina law. If a <br />member has withdrawn from a meeting without being excused by a majority <br />vote of the remaining members, the member’s vote shall be recorded as an <br />abstention. <br /> <br />F. Minutes <br />The Secretary shall prepare minutes of each Board meeting. Copies of the <br />minutes shall be made available to each Board member before the next regular <br />Board meeting. At each regular meeting, the Board shall review the minutes <br />of the previous regular meeting as well as any special or emergency meetings <br />that have occurred since the previous regular meeting, make any necessary <br />revisions, and approve the minutes as originally drafted or as revised. The <br />public may obtain copies of Board meeting minutes at the Board of Health <br />website <br />(http://www.orangecountync.gov/departments/health/agendas_and_minutes.p <br />hp). <br /> <br />VII. Contract Negotiations <br />The Health Director is authorized to enter into a contract with any governmental or <br />private agency or with any person, for the provision or receipt of public health