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MINUTES <br /> ORANGE COUNTY BOARD OF HEALTH <br /> August 28,2024 <br /> Ms. Stewart added that this new fee, if approved, would serve as a pilot and that it may be <br /> adjusted depending on how it is received and utilized. <br /> Dr. Stuebe observed that since permits for buildings begin at only 400 square feet in size, it <br /> seems like the minimum fee being $25 may not be equitable, to which Ms. Hudson replied that <br /> unfortunately$25 is the administrative cost of doing business and it's not possible to go lower. <br /> Personal Health Services <br /> Carla Julian, Public Health Nursing Director, presented a new fee for a Stand-Alone School <br /> Health Assessment. Ms. Julian explained that when children enter school there is a 30-day <br /> period to ensure they are in compliance with a required health assessment and immunizations. <br /> She added that last year the Health Department held several clinics to help local families reach <br /> compliance before the cutoff date, but that these shorter visits are not able to be billed as a well- <br /> child visit and allow for reimbursement. Therefore, this fee would allow personal health services <br /> to charge a $40 flat fee for school health assessments, with the ability to slide or waive the fee <br /> when a patient is unable to afford the fee. <br /> Motion to approve the proposed fee changes with the corrected pool reinspection fee <br /> and forward them to the Board of County Commissioners was made by Dr. Lee Pickett, <br /> seconded by Dr. Shielda Rodgers, and carried without dissent. <br /> B. Ad Hoc Committee: Annual Board Retreat Planning <br /> On behalf of Chair Jonnal, Dr. Stuebe called for the formation of an ad hoc committee to help <br /> support planning for the upcoming Board Retreat in the Spring. Ms. Stewart added that for the <br /> board retreat in 2022, Chair Baldwin and vice-Chair Bagby were very involved in retreat and Ms. <br /> Stewart wanted to give the board the opportunity to have a hand in planning the board retreat <br /> and agenda. Dr. Stuebe encouraged board members to reach out to Jean Phillips-Weiner, <br /> Board of Health Strategic Plan Manager, and Ms. Stewart if interested in volunteering. <br /> Dr. Royce and Dr. Nickelson expressed interest in participating. <br /> IX. Reports and Discussion with Possible Action <br /> A. Media Items <br /> Libbie Hough, Communications Manager, presented the media packet to the board. Topics <br /> included Medicaid development and recent changes, a coal/ash project in Chapel Hill that may <br /> impact environmental health, a case of rabies recently identified in Orange County, and a recent <br /> collaboration between the Health Department and the Safe Kids Orange County program on <br /> summer water safety. <br /> Media items were in the packet, which focused on Orange County's events, our <br /> involvement in various efforts, and various public health topics. <br /> B. Health Directors Report <br /> Ms. Stewart presented her report to the Board. Below are brief highlights of her report. <br /> S:\Managers Working Files\BOH\Agendas &Abstracts\2024 Agenda and Abstracts/ <br /> August Page 9 <br />