Agenda - 09-17-2024; 8-h - Fee Schedule Changes for Health Department

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4 comply with conditions of Permits or violations of Rules and North Carolina Administrative Codes. Fee Request 3 The Environmental Health Division requests a new fee which will be added to Building Permits requiring administrative review by Environmental Health. This fee is only assessed when the Building Inspections Office requests the review. It is collected by the Building Inspections Office as part of the Building Permit. This fee will not be assessed for any other Environmental Health/ Health Department function of the County. A decision will need to be made regarding the account where funds will be deposited. Health Equity Impact The Building Permit Review Fee is based on the total square footage of the building project. The fee is set at only 10 per square foot with a $25 minimum. Over the course of a fiscal year, these cents will add up. If possible in FY25-26, Environmental Health staff will deposit funds into an enterprise project account to fund environmental health equity assistance with the Orange County Housing Department to meet goals of the Division Strategic Plan. Fee Request 4 Personal Health Services requests a new fee be added for a Stand-Alone School Health Assessment. Proof of a health assessment for a child entering NC public schools for the first time is required according to NC General Statue 130A-440. The health assessment must have been completed within 12 months prior to the date of entry to public school. If the school hasn't received the health assessment form and a record of completed immunizations by the 30th calendar day from the first day of a child's attendance, the principal is required by law to exclude the child from school on the 31st day until such evidence has been presented by the parent or guardian. Many children come to the health department for their school health assessment and immunizations during that 30-calendar day period before school exclusion. If an age- appropriate child health preventive health visit cannot be performed during time allotted for the School Health Assessment, the NC Division of Child and Family Well-Being, Whole Child Health Section allows for a Stand-Alone School Health Assessment at a fixed rate to improve access for children and adolescents to avoid exclusion from school. The Personal Health Services Division would like to add the following fee to their fee schedule in order to bill for the allowable stand-alone fee: 2024 ICD-10-CM Diagnosis Code Z02.0 - Encounter for examination for admission to educational institution - $40.00 Health Equity Impact Preventive examinations on OCHD's fee schedule range from $205.00 to $275.00. The average fee for Z02.0 at walk-in clinics is $60.00 to $200.00. We believe a flat fee of $40.00 will allow our lower income community members the opportunity to pay less than what they would pay at a private sector walk-in clinics when a complete preventive