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MINUTES <br /> ORANGE COUNTY BOARD OF HEALTH <br /> April 24, 2024 <br /> Dr. Stuebe asked Commissioner Fowler to comment on the process of young adults <br /> transitioning out of pediatric care and whether they receive guidance on how to find an adult <br /> Primary Care Provider (PCP), to which Commissioner Fowler replied that once her patients turn <br /> eighteen, she begins regularly reminding them that they can continue to see her until they turn <br /> twenty-two but they can also make an appointment with an adult PCP if preferred. She added <br /> that once they turn twenty-one, she reminds them that it can take up to a year to get an <br /> appointment with a new provider and encourages them to schedule an appointment with an <br /> adult PCP as soon as possible. <br /> In response to Dr. Jonnal's suggestion of reaching out to folks who are in the justice system, Dr. <br /> Stuebe pointed out that incarcerated individuals lose their Medicaid while in prison and must <br /> have it reinstated upon release. Ms. Stewart said that Sherrif Blackwood wants to change this <br /> practice, which is mandated by the state. Dr. Jonnal observed that carceral healthcare is quite <br /> minimal compared to what is covered under Medicaid, and Dr. Baldwin said that in his past <br /> practice he saw many prisoners who needed specialty eye care but that it was a clunky process. <br /> Dr. Royce shared that there is an online dashboard where board members can track Medicaid <br /> enrollment from month to month, which can be found here: <br /> https://medicaid.ncdhhs.gov/reports/dashboards/enrollment-dashboard <br /> The other two committees — Behavioral Health and Connections to Community Support—will <br /> each convene for the first time during the month of May. <br /> V. Approval of the April 24, 2024 Agenda <br /> Motion to approve the agenda of the April 24, 2024 BOH meeting was made by Dr. Lee <br /> Pickett, seconded by Commissioner Amy Fowler, and carried without dissent. <br /> VI. Approval of March 27, 2024 Minutes <br /> Motion to approve the minutes of the March 27, 2024 BOH meeting was made by Dr. <br /> Alison Stuebe, seconded by Dr. Lee Pickett, and carried without dissent. <br /> VII. Consent Agenda <br /> Mr. Bagby applauded the detail of the financial report and said that the highlights and comments <br /> by Frederick Perschau, Finance and Administrative Services Director, preemptively answered <br /> all his questions. <br /> Motion to approve the consent agenda was made by Dr. Alison Stuebe, seconded by <br /> Commissioner Amy Fowler, and carried without dissent. <br /> S:\Managers Working Files\BOH\Agendas &Abstracts\2024 Agenda and Abstracts/ <br /> April Page 3 <br />