Approved Minutes of June 28, 2023

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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH June 28, 2023 May 24, 2023. The department also completed the Women, Infant, and Wellness Section (WICWS) policy and clinical record review for June 13 through June 15, 2023. Administrative and Nursing Consultants from both visits recommended changes to the Board of Health Fee and Eligibility Policy. Carla Julian, Public Health Nursing Director, presented the following recommended changes: • III.A.4.b. Add description of Family Planning Income Verification process including required statement that verbal report of income is acceptable for Family Planning patients. • III.B.2.a. Add statement that Family Planning patients can make verbal declaration of income without any supporting documentation. • III.B.3.a. Add statement that Family Planning patients cannot be charged at 100% of sliding fee scale for not providing proof or verification of income. • W.C. Add statement that all Maternal Health, Child Health, and Family Planning residents must be placed on a sliding fee scale. • V.E. Add sex characteristics, marital status, familial status, gender identity, and number of pregnancies to conditions for which OCHD will not deny services. • VI.O. Add statement that OCHD bills Medicaid acquisition cost of 340B drugs and devices and include summary of process for doing so. • VII.H. Add statement of how fee waivers are documented and where these records are maintained in the agency. Ms. Stewart followed up by stating that most of these changes are because of the state's guidance which assists in removing barriers to care. In response to Dr. Royce's question asking if the OCHD has enough funds to provide care, Ms. Stewart replied yes. In response to Dr. Royce's question regarding whether the clinic sees out-of-county patients, Ms. Julian replied yes. She added that, although the clinic provides services to some out of county residents, many of the patients start out as county residents and then move out of the county. Dr. Rodgers added that it may be other reasons that out-of-county residents come to the OCHD such as convenience and proximity. In response to Dr. Stuebe's question regarding whether out-of-county residents are tracked, Ms. Julian replied yes and that they're able to run reports based on zip codes. In response to Dr. Baldwin's question regarding receiving verbal reporting of income, Ms. Julian stated that verbal reporting of income is acceptable for family planning due to Title X to prevent any barriers. Motion to approve the suggested changes to the Fee & Eligibility Policy was made by Dr. Alison Stuebe, seconded by Dr. Lee Pickett, and carried without dissent. VII. Educational Sessions A. Annual Communicable Disease Report Michael DeFranco, Public Health Nurse III, gave an overview of the communicable disease (CD) data for the year 2022, which began with the purpose of the CD program within the health S:\Managers Working Files\BOH\Agenda&Abstracts\2023 Agenda&Abstracts/ June Page 3