Approved Minutes of February 22, 2023

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MINUTES ORANGE COUNTY BOARD OF HEALTH February 22, 2023 State Funding The NC Department of Health and Human Services (NCDHHS) has provided us with a majority of the FY 23-24 Consolidated Agreement Addenda. We received an increase in Family Planning, BCCCP, CC4C, RIPS and CD Pandemic Recovery for a total amount of$631,315. We received a decline in funding for Healthy Communities, BT Preparedness and Refugee Health. Advancing Equity, COVID School Liaison and Speech and Hearing are no longer being funded and we have exhausted the funding provided by the COVID Testing and COVID Vaccine funding. This decrease is in the amount of$160,953. Staff anticipate various other public health allocations to be awarded in the coming months. Fee Changes The FY 23-24 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: lowering new well construction permit by another$50, adding a new Mobile Food Unit Plan Review fee to offset staffing costs for multiple site visits and increasing the Public Pool Plan Review which hasn't changed since 2018/19. Due to the large contractors/builders purchasing numerous permits and paying with credit cards, Environmental Health is losing a portion of each transaction to credit card fees, and therefore have requested a new fee for credit card processing. All proposed fee increases are described in more detail in a separate Fee Change abstract. In response to Dr. Alison Stuebe's question about wastewater sampling, Ms. Stewart stated that NC DHHS will be continue this program which tests wastewater for the virus that causes COVID-19. In response to Rachel Royce's question about CD Pandemic funds and outreach, Ms. Stewart replied that our new Communications Manager will assist with outreach and the dissemination of information. COVID-19 will be treated the same as flu in that cost will not be a deterrent for those needing vaccinations. In response to Dr. Stuebe's question regarding whether CD Pandemic funds can be used for mental health associated with the pandemic, Kimberlee Quatrone noted that there is statement that mentioned "reduce morbidity, etc." as an allowable expense. In response to Tony Whitaker's question regarding the requested IT position, Ms. Stewart clarified that it is indeed an IT person and not informatics. In response to Ms. Royce's question about interpreter services, Ms. Stewart stated that the visit is coded appropriately as each division uses those services. VII. Reports and Discussion with Possible Action A. Media Items Marcy Williams, Public Health Education Manager, briefly mentioned the article that was included in the agenda packet that was on UNC lead testing at its facilities on campus. S:\Managers Working Files\BOH\Agenda&Abstracts\2023 Agenda &Abstracts/ February Page 4