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Mrs. Alfaro noted that nicotine is harmful to the development of adolescent brains. Since 2018 there <br />has been a decrease in vaping and smoking among youth in Kittitas County and if funding continues the <br />department hopes to make more kits for youth in the future. <br />Other Business <br />Board of Health Membership Update <br />James Donaldson announced his resignation today. Mr. Donaldson will be moving back to the west side. <br />He will be able to attend next month's meeting and maybe November. Chelsey Loeffers informed the <br />board that the current opening has two applicants and would like to get that position filled first. Then <br />the department will post to fill the Consumers of Public Health seat. <br />A rave by Resolution Amendments to B Iivvs <br />Chelsey Loeffers reviewed the Board of Health bylaws with the board members and noted that the <br />version in front of them is the version brought forward for review in September. The board chose to <br />adopt version 3, which does not provide for alternatives to seats. Today the final version of option 3 is <br />presented for adoption by resolution. <br />Motion to approve Resolution 2023-002 adopting the amended Kittitas County Board of Health bylaws. <br />Motion 09.02: Motion to approve Resolution 2023-002 adopting the amended Kittitas County Board of <br />Health bylaws. Brett Wachsmith moved to approve Resolution 2023-002 adopting the amended Kittitas <br />County Board of Health bylaws. James Donaldson second. All approved. Motion 09-02 carried to <br />approve Resolution 2023-002 adopting the amended Kittitas County Board of Health bylaws. <br />2024 Preliminary Fees Presentation and Discussion <br />Jesse Cox reviewed the 2024 proposed fees for the health department. The following information was <br />discussed: <br />Proposed 2024 Fees <br />• Estimated total fee revenue: $865,925. <br />• Compared to 2023 fees: <br />0 29 Fees will see no change. <br />0 35 fees will be decreased. <br />0 40 fees will increase. <br />• Other fee changes: <br />o Removed Adequate Water Supply Limited Review. <br />o Updated Camps fee to remove "parks". <br />o Added vital records mailing fee. <br />• Review of timeline for 2024 Fee Changes review and approval. <br />2024 Preliminary Budget Presentation and Discussion <br />Chelsey Loeffers reviewed the following 2024 Preliminary Budget Breakdown: <br />• Estimated total revenue: $4,185,923. <br />• Estimated total revenue with program percentages. <br />• Estimated total expenses: $4,185,923. <br />• Estimated total Expenses with program percentages. <br />■ Fund balance $2,634,512. <br />■ Budgeted new positions for 2024. <br />• Budgeted vacant positions for 2024. <br />■ Updated for final budget: <br />o Update to COVID-19 funds. <br />o Addition of workforce development funding revenue. <br />o Additions of syndemic grant funding revenue for the Harm Reduction program. <br />o Additional Community Health Specialist position. <br />