BOH Agenda 032520 - Laserfiche WebLink

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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH February 26, 2020 have seen many benefits to the residents of Orange County through this program and have reallocated County General Funds to support keeping the position on a permanent basis. In relation to state funding, the NC Department of Health and Human Services has provided us with the FY 20-21 Consolidated Agreement Addenda. We received increases in the Family Planning and Breast and Cervical Cancer Control Program (BCCCP) programs totaling $30,521. That increase was offset by an anticipated decrease of$20,000 in the CLAS program (funding not available in FY 20-21), in the Refugee Health program (related to the decrease in Refugees coming to Orange County for resettlement), and the Healthy Communities program, which was an anticipated decrease from a one-time funding increase we received last fiscal year. The BOH had questions that were addressed by Ms. Crawford and Ms. Stewart. Motion to approve the total budget requested in the amount of$11,074,200 for FY 2020- 2021 as presented and forward to the County Manager and Board of County Commissioners for action was made by Liska Lackey, seconded by Aparna Jonna and carried without dissent. Ms. Stewart praised Kimberlee Quatrone, Business Officer, Rebecca Crawford, and the other division directors for doing a great job with their involvement on the budget. Proposed Fee Changes In reviewing Health Department fee schedules, which are done on an annual basis, the Department would like to make multiple fee changes in Environmental Health and Personal Health. The proposed changes are summarized below with a detailed list of the fees in the attached fee schedule: Environmental Health Environmental Health requests to adjust multiple sample testing fees, Tattoo Artist, and Pool/Spa permitting fees and add two well permit fees and a Mobile Food Unit fee. The sampling fees will be adjusted in order to remain competitive with both private sector sampling services and surrounding jurisdictions and the fee for a Radon Air Sample kit will be deleted as these are no longer provided. These adjustments should have little to no impact on the total fee revenue. A fee increase for the Tattoo Artist Annual Permit will offset the cost for annual training offered to tattoo. The proposed new fees for Well Repair Permits with Water Sample (with and without Liner) will ensure that well water is tested for contamination after well repairs (currently there is no requirement for homeowners to test the water after a repair, which can impact basic potability). The proposed new fee for Mobile Food Units (MFU) removes MFUs from an umbrella fee category (Shared Kitchen, MFU, PC, LFSE Plan Review and Permit) due to the time and complexity required to inspect and permit a MFU, which is similar to the time and complexity required for a brick and mortar establishment. The total financial impact from Environmental Health fee changes is projected to be: $14,675. Personal Health Personal Health requests to adjust multiple fees for vaccines (to reflect the cost to purchase the vaccines), to add fees to charge for maternal health ultrasounds (will help patients avoid hospital visits and will be adjusted on a sliding fee scale for self-pay patients), to delete procedure codes that are no longer used (originally added with specific modifiers as required by Medicaid Cost Settlement but no longer required), and to add a new MMR and Varicella S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/ February Page 5