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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 5 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 />services. The Board of Commissioners or its designee must approve contracts <br />requiring payment for services rendered to the Health Department. The Health <br />Director will discuss with the Board contracts that represent significant deviation <br />from current Board of Health policy prior to authorizing that contract. <br /> <br />VIII. Amendments to Operating Procedures <br />These operating procedures may be amended at any regular meeting or at any <br />properly called special meeting that includes amendment of the operating procedures <br />as one of the stated purposes of the meeting. A quorum must be present at the <br />meeting at which amendments are discussed and approved, and any amendments <br />must be approved by a majority of the members present at the meeting. <br /> <br />IX. Other Procedural Matters <br />The Board shall refer to Bell, II, A. Fleming. Suggested Rules of Procedure for Small <br />Local Government Boards, Second Edition, Institute of Government, The University <br />of North Carolina at Chapel Hill, 1998 to answer procedural questions not addressed <br />in this document, so long as the procedures prescribed in Suggested Rules of <br />Procedure for Small Local Government Boards do not conflict with North Carolina <br />law. <br /> <br />X. Rules Development Procedure <br />The board shall evaluate the need for adoption of rules to protect and promote the <br />public health. In addition, existing rules should be evaluated periodically for the need <br />for revisions to respond to new risks, advances in technology, or changes in statutes <br />or state regulations. <br />A. The Board will follow the procedures outlined in NCGS 130A-39. <br />1. Not less than 10 days before the adoption, amendment or repeal of any <br />local board of health rule, the proposed rule shall be made available at <br />the office of the county clerk, and a notice shall be published in a <br />newspaper having general circulation within Orange County. The notice <br />shall contain: <br />a. A statement of the substance of the proposed rule or a <br />description of the subjects and issues involved. <br />b. The proposed effective date of the rule, and <br />c. A statement that copies of the proposed rule are available at <br />the local health department. <br />A local board of health rule shall become effective upon adoption <br />unless a later effective date is specified in the rule. <br />2. Copies of all rules shall be filed with the secretary of the local board of <br />health and will be made available to all Board of Health members.