1. Carol Quest, RN Director/Health Officer Watertown Department of Public Health

2. Types of Funding Grants State (minimal) and Federal Fee for service Local tax levy - Annual budgeting completed through the local process

3. Grants Grant requirements change and that requires redirecting of programs. Must be flexible with expectations of the program. Childhood Lead Immunization Maternal Child Health Prevention Radon

4. Fee for Services Charge individual or business Environmental Health program is entirely fee based Billing Medicare or Medicaid Working on billing for private insurances with changes in programs (ex: Immunization)

5. Local Tax Levy Different types of restrictions Ex: cannot use for Environmental Health Rigorous audit