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Public-health clinic proposes three fee changes; action postponed for lack of quorum
Summary
Staff proposed three clinical-service fees — $10 for a TB risk-screening questionnaire, $109.43 for a tissue biopsy pathology exam, and $38.09 for penicillin G benzathine — but the body lacked a quorum and deferred formal approval.
County public-health staff presented three proposed clinic fees during the meeting: a $10 fee for a tuberculosis (TB) risk-screening questionnaire (previously free), a recommended biopsy pathology fee of $109.43 (compared with Medicaid and commercial reimbursement benchmarks), and a $38.09 fee for penicillin G benzathine.
Staff said the TB questionnaire fee aligns with fees in other North Carolina counties for screening when a skin test cannot be used. The nursing director was present to answer operational questions. Commissioners asked whether the fees would be patient-paid or covered by insurance; staff said the TB questionnaire is a patient fee and the other items may have commercial reimbursement codes.
The body lacked a quorum to take formal action. Staff said they would determine whether the consensus from the meeting can be carried forward to the Board of County Commissioners or whether a formal vote must be taken at a subsequent meeting.
