Health and Human Services Steering Committee

2020-2021 Health & Human Services Legislative Goals

HHS-1: Support legislation and state resources for social service reform efforts as identified by the Social Services Working Group to improve outcomes for individuals, families, and children, as well as increase state funding for social services programs, and to continue the NCACC’s opposition to mandated regionalization, including revisions to the annual written agreement process under G.S. 108A-74. 

HHS-2: Support continued state funding of Medicaid and support efforts to close coverage gaps.

HHS-3: Support legislation for hold harmless provisions and staggered payment plans to control/cap the liability to counties under the Medicaid and NCHC overpayment recoupment plan, which holds counties financially responsible for the erroneous issuance of Medicaid benefits and Medicaid claim payments resulting when the county DSS takes any action that requires payment of Medicaid claims for an ineligible individual. 

HHS-4: Seek additional funding and preserve block grant allocations to increase access to high quality childcare, early childhood education, child welfare services, adult protective services and guardianship, including: 

  • Women’s and Children’s Health Services Block Grant funding to local health departments for critical services like maternal health, child health and women’s health services to address unfavorable infant mortality rates; 
  •  Home & Community Care Block Grant; Senior Center General Purpose Funds; Social Services and Human Services Block Grants; TANF; and 
  • emergency childcare funding to ensure the safety and stability of our childcare system.

HHS-5: Support adequate funding and policy initiatives to support local health departments and public health services. 

HHS-6: Seek legislation to clarify and simplify the reaccreditation process for local health departments by aligning statutory and administrative code requirements; setting reaccreditation at five-year intervals; and making the process a contracted service between the N.C. Institute of Public Health and the governing body for the local health department. 

HHS-7: Increase state funding and support legislation for behavioral health services and facilities, including dedicated resources for community paramedicine projects; inpatient crisis beds; substance use disorders; specialty courts; individuals with mental health issues in county jails; and single stream funding for area authorities.

HHS-8: Support legislation to improve processes and regulations to increase child support collections. 

HHS-9: Support legislation to ensure ROAP (Rural Operating Assistance Program) funding is restored for fiscal year 2021.

Presentations from April 2022 Steering Committee Meeting

View Guiding Principles

Committee Schedule

View the steering committee meeting schedule

2021 NCACC County Map Book

NCACC Health & Human Services Committee Guiding Principles

  • The Association supports county, regional and state collaboration to improve agency automation and simplify programs, to streamline administration and to improve client interaction.
  • The Association opposes earmarking of block grant funds, and supports increased funding for mandated services, provided the increases do not require additional county expenditures.
  • As partners with the state in funding and delivering services, counties must be actively engaged in setting health and human services policy and program requirements.
  • Health and human services programs should encourage responsible behavior and should be targeted to those citizens least able to care for themselves.
  • Health and human services programs should encourage equitable opportunity for health, social, and economic prosperity. Programs should provide intergenerational success and address long term social impacts on health to help individuals thrive.
  • The State should take the lead in financing, implementing, maintaining, and supporting statewide automated systems; automation efforts undertaken by the State should connect and integrate with county automation initiatives.
  • Members of county human service agency boards should be appointed by the boards of county commissioners.

Committee Chair

Brenda Vaughn
McDowell County

Discussions on County Health & Human Services Initiatives

Transylvania County Commissioner Page Lemel and Jaime Laughter, County Manager, and Dr. Jeanette Betancourt, Senior Vice President, Social Impact, Sesame Workshop discuss how they are using the collective impact model and partnership with Sesame Street in Communities to cultivate resilient kids.

Commissioner Jeff Phillips discusses Guilford County’s innovative partnership on integrated care for behavioral and mental health Jeff Phillips – 2019 NCACC Annual Conference Story Booth

2019 NCACC Annual Conference Story Booth interview with Kay Cashion, Guilford County Commissioner, who helped develop the Guilford County Family Justice Center, a full service resource for domestic violence survivors

CountyQuarterly Resources

Transylvania County’s Partnership Approach to Early Childhood Outcomes: A rural model and gateway to Sesame Street in Communities

by Lacy Pate, NCACC Public Relations Manager
CountyQuarterly, Fall 2019.

A Primer on Medicaid Transformation

by Hugh Johnson, NCACC Government Relations Coordinator
CountyQuarterly, Winter 2019

The Family Justice Center: Restoring Hope with Care for Survivors, and Support for Caregivers

by Sara Mogilski, NCACC Chief Operations Officer
County Quarterly, Summer 2019.

Steering Committee membership

Steering Committee membership is open to all county commissioners, as well as county staff who specialize in committee-related fields. If you would like to join a Steering Committee, please complete this sign-up form and join us for a meeting.