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MINUTES <br /> ORANGE COUNTY BOARD OF HEALTH <br /> November 20, 2024 <br /> permanent supportive housing for individuals transitioning out of incarceration or behavioral <br /> health support. She added that Justice United is also planning a meeting to discuss Medicaid <br /> Expansion and help promote Medicaid to individuals who are reluctant to enroll, especially in <br /> rural areas, and that she thought this may be of interest to the Access to Care committee. <br /> Dr. Aparna Jonnal <br /> Dr. Jonnal commented that one of the hospitals at which she works, Person Memorial <br /> Hospital, has a social worker who has won some awards for the number of people she has <br /> enrolled into Medicaid, and that she is very persistent and will follow patients to the parking lot <br /> to have a conversation about Medicaid. She suggested that Orange County could invite this <br /> social worker to speak with them in the future. <br /> Dr. Rachel Royce <br /> Dr. Royce provided an update on Orange County's current Medicaid enrollment numbers, <br /> saying that the county is up to 63% of the projected enrollment target and continues to inch up <br /> at a slow rate of increase month to month. She added that she still would like the denominator <br /> data for the projected target to assist with identifying the missing individuals. Ms. Stewart said <br /> that we would continue to follow up with Department of Social Services (DSS) about obtaining <br /> this data, and changes in leadership have likely delayed the ability to get it. <br /> Dr. Rodgers commented that there are some new commercials promoting Medicaid Expansion. <br /> Dr. Alison Stuebe <br /> Dr. Stuebe shared that over the weekend she attended a meeting focused on infant feeding <br /> in emergency situations, and that often it is difficult or impossible to bottle feed babies during <br /> emergencies because bottles cannot be cleaned or sanitized without clean water. She <br /> explained that birthing parents who have stopped breastfeeding are often able to re-lactate by <br /> beginning the breastfeeding process, and that they will generally begin to express and resume <br /> their prior supply within a week or two. Agencies can distribute bottle sanitizing kits that use <br /> chemicals instead of water and disposable bottles can be used for parents who are unable to <br /> breastfeed, but breastfeeding at the breast is the safest option to feed babies in an emergency. <br /> She added that in an emergency situation it is important for formula donations to all go through <br /> the emergency team to ensure the formula is safe (e.g., not expired, not powdered because that <br /> cannot be prepared without clean water). <br /> Dr. Jonnal commented that it feels strange to hear about people navigating these kinds of <br /> situations in such an affluent country. <br /> Keith Bagby <br /> Mr. Bagby spoke about his recent visit to his former high school, John Marshall High School <br /> in Richmond Virginia, to provide career preparedness consulting for the students. He shared <br /> that he made a video, which he shared with the students, and that he spoke with them about <br /> some of his own career experiences and motivations. He explained that it is an inner-city school <br /> and is under resourced, and that he feels it's important to help as much as he can. He added <br /> that he plans to go back for career preparedness counseling next year as well. <br /> S:\Managers Working Files\BOH\Agendas &Abstracts\2024 Agenda and Abstracts/ <br /> November Page 2 <br />