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MINUTES - Draft <br /> ORANGE COUNTY BOARD OF HEALTH <br /> February 24, 2021 <br /> anticipated Refugees resettled in Orange County) and an additional allocation of COVID-19 <br /> funding for the Regional Prevention and Support Team (RPST) program totaling $434,052 <br /> (regional team providing Infection Prevention training and support to long term care facilities in a <br /> nine county region, including Orange County). We also received a decrease of$1,950 in the <br /> Breast and Cervical Cancer Control Program (BCCCP) (related to the anticipated decrease in <br /> eligible BCCCP screenings by the state), and the Healthy Communities program of$180, which <br /> will not impact service delivery. <br /> Motion was made by Alison Stuebe to approve the total budget requested in the amount <br /> of$10,759,555 for FY 2021-2022 and forward to the County Manager and Board of County <br /> Commissioners for action, seconded by Jessica Frega and carried without dissent. <br /> Commissioner Hamilton abstained. <br /> Proposed Fee Changes <br /> The FY 21-22 requested budget includes fee changes and additions for the Personal Health and <br /> Environmental Health divisions. In reviewing Health Department fee schedules, which are done <br /> on an annual basis, the Department would like to make multiple fee changes in Environmental <br /> Health and Personal Health. <br /> Environmental Health <br /> Environmental Health requests to adjust multiple Onsite Well and Septic Program (OWSP) fees. <br /> The division proposes to discontinue the Wastewater Treatment Management Program (WTMP) <br /> specific fee in order to conduct those time consuming inspections during a typical Existing <br /> System Inspection. This will save on staff time and create efficiencies. The Existing System <br /> Inspection fee would increase from $175 to $200 to offset the additional staff time costs for that <br /> inspection. The division also proposes to increase the fees for Existing System Authorizations <br /> (office visit only), Septic Tank Contractor Annual Renewals, and Follow-Up Inspections, which <br /> have not been increased since 2017 and will offset staff costs. <br /> The total financial impact from Environmental Health fee changes is projected to be a decrease <br /> of$1,665. <br /> Personal Health <br /> Personal Health requests to increase the fee for prescription drug dispensing by $1 (to reflect <br /> the minimum fee charged by Walgreens for prescriptions as the medical clinics finalize the <br /> move to outsource primary care medication dispensing to Walgreens to prevent duplicated data <br /> entry as Epic does not have an outpatient dispensing platform), to add fees to charge for <br /> telehealth (this is happening but hasn't officially been added to the county fee schedule) and to <br /> continue scheduled adjustments to the fees for 340B drugs (Family Planning drugs not including <br /> birth control pills) to equal the county's cost to purchase them, as required by the state and <br /> federal government. <br /> The total financial impact from Personal Health fee changes is projected to be a maximum <br /> increase of$2,809. <br /> S:\Managers Working Files\BOH\Agenda &Abstracts\2021 Agenda &Abstracts/ <br /> February Page 4 <br />