[email protected] LISBON — As the state is looking at its upcoming budget, something proposed in Ohio House Bill 110 could change the way health departments operate in our local area. There are currently 113 health departments in Ohio’s 88 counties. In Columbiana County there are three — the General County Health District plus the East Liverpool and Salem city health departments. County Health Commissioner Wes Vins said originally, the proposal had been made to close those health departments serving a population of less than 50,000 people. A modification to the House bill now would call for a review of those department. Vins said it would include evaluating the efficiency and effectiveness of merging the smaller city health departments with the county general health district.