Final Minutes of February 23, 2022

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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH February 23, 2022 State Funding The NC Department of Health and Human Services (NCDHHS) has provided us with the FY 22- 23 Consolidated Agreement Addenda. We received an increase in the Refugee Health Assessment program of$5,200 for a total allocation of$10,400 (related to an increase in anticipated refugees resettled in Orange County) and an additional allocation of Advancing Equity of$28,080 for a total allocation of$67,980 (to address COVI D-1 9-related health disparities and advance health equity). Staff anticipate various COVID-19 allocations to be awarded in the coming months. Fee Changes The FY 22-23 requested budget includes fee changes and additions for the Personal Health and Environmental Health divisions. Staff recommends multiple fee changes for Personal Health, reflecting adjustments from vendors, Medicaid, Medicare, and as well as new UNC Labs, COVID-19 administration, and vaccine fees. Environmental Health fee changes include revision of fee structure in OSWP and adjusting fees that have not been changed since 2016-2017. All proposed fee increases are described in more detail in a separate Fee Change abstract. 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 fees in multiple programs including On-Site Well & Septic and Food & Lodging. The division proposes to change the fee structure of residential improvement and construction fees to be $1 per gallon per day rather than a flat rate for various sized septic systems. This change will benefit residents with smaller homes making the fees lower to the majority of residents. The workload required is directly proportional to the size of the septic system, but the fees have not historically reflected that variance. Additionally, six requested fee changes are to cover increased programmatic costs; these fees have not changed since 2016-2017. There are three new fees requested per customer demand and to cover additional staff time required for multiple site visits and permit revisions. Lastly, the Health Department is requesting to waive two fees for solar system inspections to aid County sustainability goals and reduce a mobile home space inspection fee to address health equity. The total financial impact from Environmental Health fee changes is projected to be an increase of$27,320. Personal Health Personal Health requests to add 55 new fees to the fee schedule. The majority of these are UNC Labs fees that are needed infrequently by patients, but have not historically been on the schedule. In addition, we would like to add administration fees for COVID-19 vaccines (to be used when/if the distribution of COVID-19 vaccines begin in the clinics). Lastly, the Department requests to continue scheduled adjustments to the fees for 340B drugs to equal the County's cost to purchase them, as required by the state and federal government, and to reflect Medicaid, vendor, and Medicare rate changes. The total financial impact from Personal Health fee changes is projected to be a maximum decrease of$792. S:\Managers Working Files\BOH\Agenda &Abstracts\2022 Agenda &Abstracts/ January Page 4