BOH minutes 022719 - Laserfiche WebLink

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MINUTES ORANGE COUNTY BOARD OF HEALTH February 27, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ February Page 4 In relation to new staff requests, the Health Department requests to convert nine (8.75 FTEs) contract Family Success Alliance Navigators to permanent employees in order to ensure consistent training, supervision, and benefits across all Navigators. This conversion will be fully funded with existing contract services dollars within the FSA budget that were used to pay partner agencies to employ the Navigators, $34,043 in eligible Medicaid Cost Settlement funds, and $28,272 in Kenan grant funds. The department also requests to increase the ongoing line item for Environmental Health Specialist temporary employees. The EHS temps are used to help with an increased number of WTMP inspections and have also helped 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 19-20 Consolidated Agreement Addenda. We received increases in the Family Planning, Child Fatality Prevention, CLAS Standards Advancing Health Equity, and Refugee Health Assessments programs totaling $34,618. That increase was offset by an anticipated decrease of $107,407 in the Youth Tobacco program (funding not available in FY 19-20) and in the Maternal and Child Health mini-grant, Bright Futures grant, and Mosquito Control grant programs, which were all one time funding sources we received last fiscal year. In relation to fee changes, the FY 19-20 requested budget includes fee changes for the Personal Health and Environmental Health divisions. Staff recommends multiple fee changes for Personal Health, mainly to adjust vaccine fees to reflect purchase costs and to Environmental Health, which are mainly to adjust water sampling fees to remain competitive with private sector water sampling labs. All proposed fee increases are described in more detail in a separate Fee Change abstract. B. FY 2019-20 Fee Changes The proposed fee changes in Environmental Health and Personal Health are summarized below with a detailed list of the fees in the attached fee schedule: Environmental Health Environmental Health requests to adjust multiple water sampling, Tattoo Artist, and Pool/Spa permitting fees, and add a Temporary Tattoo permit fee. The water sampling fees will be adjusted higher and lower in order to remain competitive with both private sector water sampling services and surrounding jurisdictions. These adjustments should have little to no impact on the total fee revenue. Fee increases for the Tattoo Artist Annual Permit and Annual Year Round Pool/Spa will support service level goals of additional inspections besides the initial permitting inspection to help ensure public safety. The proposed new fee for a Temporary Tattoo Permit (less than 30 days) will prevent short-term artists from tattooing without an inspection and encourage apprentices and guest artists to obtain permits. Proceeds will be used to host a Bloodborne Pathogens certification course for tattoo artists. The total financial impact from Environmental Health fee changes is projected to be: $9,970. Personal Health Personal Health requests to adjust multiple fees for vaccines (to reflect the cost to purchase the vaccines), to add a fee to perform Department of Transportation physicals now that we have a provider certified to provide them, to add a fee for emergency contraceptives (to be charged on a sliding fee scale for self-pay clients or those that do not wish to bill insurance), and to convert a single minimum fee for colposcopies into four separate minimum fees to distinguish differing