Health Care Advisory Board Procedures
The Health Care Advisory Board (HCAB) is appointed by the Board of
Supervisors. There are eleven members of the HCAB. Members represent
each supervisory district and there are two at-large members appointed
by the Chairman of the Board of Supervisors. The at-large members are
required to be health care providers and have traditionally been
The HCAB chairperson and two vice-chairs are elected by the members
for two year terms beginning July 1.
Compensation for the HCAB was eliminated in FY 1997. The only Fairfax
County boards, authorities or commissions which receive compensation
are those mandated by state or federal regulations.
Time and Place of Meetings
The regular monthly meeting of the HCAB is the 2nd Monday of each
month at 7:30 p.m., although meeting schedules can be subject to
change. Every attempt is made to adhere to the regularly scheduled
meeting; however, extra meetings sometimes are required or regular
meeting dates may fall on observed holidays. When this is the case,
staff will poll the membership in writing or by phone offering
alternative meeting dates. Meeting dates will be selected to
accommodate the most HCAB members.
Meetings are generally held in the Fairfax County Government Center,
unless otherwise specified. Special arrangements are made periodically
to meet at local health facilities, with a tour arranged.
Meeting Notices, Background Materials and Agenda
A meeting notice, agenda and background materials are sent to HCAB
members during the week prior to the meeting. The agenda is
set/approved by the Chair in discussion with staff prior to the
meeting. Any member of the HCAB may add to the agenda either by
notifying staff in advance or by request at the meeting.
Minutes of HCAB meetings are prepared by staff and approved by the
Parliamentary Meeting Procedure
Health Care Advisory Board meetings follow "Robert's Rules of
Order" as much as possible. Meetings generally are informal;
however, discussions of issues, etc., are orderly with all members
being given the opportunity to speak and ask questions prior to action
of the Board. Members are recognized by the Chair.
Generally, HCAB reports are addressed to the Board of Supervisors
directly, or are accompanied by a transmittal to the Board of
Supervisors. HCAB reports, recommendations and positions are presented
to the Board in the Board Package and/or in memo form from the HCAB
HCAB staff is responsible for developing written reports using the
specific rationale presented by the HCAB. When possible, HCAB
reports will be circulated in draft to members for corrections.
When time does not permit this, either members will be polled by
telephone or the chair/vice-chair will approve the wording.
In the case of substantive difference of opinion, HCAB members who
vote in the minority may develop a minority report. The intention
of developing a minority report should be indicated preferably at
the time of the meeting, but if later, then by telephone. Minority
reports must be identified by author and must be forwarded together
with the majority report to the HCAB as well as the body for whom
it is intended as soon as possible. Although staff is not required
to prepare minority reports, some assistance may be provided.
Testimony before the Board of Supervisors or other groups
Health Care Advisory Board testimony will be presented by the
chair or, in his or her absence, by the vice chair or a designated
HCAB relationships with other groups and individuals
Board of Supervisors:
HCAB reports and recommendations will be presented in the Board
package or by memo from the HCAB chair. The chair will represent
the HCAB, except for the case of minority reports which will be
handled as indicated above. HCAB members are encouraged to
communicate with their appointing Supervisor.
Other boards and agencies:
HCAB staff will make working contacts with other boards and
agencies. Presentation of HCAB views or testimony will be handled
as with the Board of Supervisors.
Any member of the HCAB may contact the HCAB staff.
Any member of the HCAB may speak to the press if contacted.
However, the structure on majority and minority views applies; the
majority view must be presented by a member who voted with the
majority, and the minority view may only be presented by a member
who voted with the minority.
The County Health Planner(s), administratively part of the County
Health Department, provides staff support, technical assistance and
coordination to the HCAB. This position has a variety of other duties,
but support to the HCAB is among the top priority. Staff generally
provides background materials, reports, studies, etc. to the HCAB and,
as appropriate, recommendations. Staff prepares written work of the
HCAB, following specified language, findings and conclusions detailed
by the HCAB at meetings. Staff is available to all HCAB members.
The HCAB maintains committees as needed. Generally, committees consist
of two to three HCAB members and may include interested citizens and
service providers. Committees may be ad hoc or standing, depending on
their function and need. Meetings are held as necessary, with the
committee's chair reporting to the full HCAB. Staff support is provided
to all committees. Generally at any given time, there are up to three
committees. Over the years, HCAB committees have included:
- Emergency Medical Services
- Hospital Budget
- Needs and Services
- Nursing Homes- Primary Care, HIV Committee
- Executive Committee (Chair & Vice-Chairs)
Currently, the HCAB committees are:
- Executive Committee
- Budget Committee (a committee of the whole)
- Affordable Health Care Community Advisory Committee
- Communicable Disease Committee
- Environmental Health Committee