Approved Minutes of May 28, 2025

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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH May 28, 2025 have a positive impact, and that she does not really have a "dream program" that she would like to see funded if money wasn't an object. • Dr. Crandell asked about the possibility of using Opioid Settlement Funds to support the Behavioral Health Urgent Care facility that is in development in Orange County, but Commissioner Fowler explained that there is not enough settlement funding to support the facility. She added that the commissioners are trying to smooth out the distribution of opioid funds from year to year, as the funding tapers off over time. • Dr. Stuebe noted that there seemed to be more direction for how to use the Opioid Settlement Funds compared to the Tobacco Settlement Funds. Ms. Stewart agreed, saying that a lot of lessons were learned from the tobacco settlement and that she would share some additional materials, including impact reports, with the Board after the meeting. Vill. Actions Items A. Fee Update Carla Julia, Public Health Nursing Director, and Victoria Hudson, Environmental Health Director, presented new fee update requests to the board. The proposed new Personal Health service fees were primarily Behavioral Health related, creating new fees for existing mental health services. In response to Dr. Jonnal's question, Ms. Stewart confirmed that the Health Department will still offer sliding scale and have the option to waive fees for those with need, but creating billing codes will allow the Health Department to charge the insurance of those who have it for these services. The proposed Environmental Health service fee also creates a new fee for an existing service, which will better cover the cost of staff time. Ms. Hudson explained that the new fee applies to the permitting of complex septic systems for large homes, which are required by the state to be re-permitted every five years, as they require more monitoring and maintenance than regular septic systems. Dr. Royce asked if the fee will consider potential increases to cost over time, to which Ms. Hudson explained that the primary goal of this new fee is to adjust the existing septic permit fee amount for larger systems to recover the cost of staff time, as inspecting and completing paperwork for complex septic systems presents a substantial time commitment. She added that the fee can always be increased in the future if needed. In response to Dr. Baldwin's question, Commissioner Fowler confirmed that fee approvals go before the BOCC for final confirmation and will most likely appear on a future BOCC consent agenda. Motion to approve the fee updates as presented was made by Dr. Rachel Royce, seconded by Dr. Shielda Rodgers, and carried without dissent. IX. Reports and Discussion with Possible Action A. Media Items S:\Managers Working Files\BOH\Agendas &Abstracts\2025 Agenda and Abstracts/ May Page 7