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4 <br />than 25 members. However, the area board for a mvlticounty <br />area authority consisting of eight or more counties may have <br />up to 30 members... appointments shall take into account sufficient <br />citizen participation, representation of the disabilifiy groups, <br />and equitable representation of the parficipating covnties." <br />Area authorities across the state are concerned that the existing governance <br />model will not adequately supporf operations in a managed care environment <br />from the perspective of both board size and subject specific expertise on the <br />board. On the other hand there are also concerns about the role of the <br />participating counties in the management of behavioral healthcare in the future. <br />A placeholder bill was introduced in the 201 1 long session of the North Carolina <br />General Assembly that opened the door for discussions related to possible changes <br />in the governance model, with the hope that either new or revised legislation could <br />be considered in the 2012 shorf session. <br />To respond to all aspects of this issue and to prepare ourcommunities forsuccessful <br />implementation of the Medicaid waiver, PBH and their participating partners have <br />created the attached proposal related to governance. In summary this proposal <br />creates a Community Oversight Board that is appointed by local Commissioners; is <br />responsible for oversight of the local service system; and has input at the <br />governance level. A new Governance Board would be created with <br />representation from each of the local advisory boards; requires appointment of two <br />Commissioners from within the catchment area; has a voting seat for a Consumer 8~ <br />Family Advisory Committee representative; and has representation from subject <br />specific experts in the field. <br />The proposed model could be adopted under NCGS § 122C-1 18.1 which reads <br />"The boards of county commissioners within the multicounty area <br />shall have the option to appoint the members of the area board in a <br />manner other than as required under this section by adopting a <br />resolution to that effect." <br />Recommended Action: <br />PBH and their participating parfners would ask that the Orange County Board of <br />Commissioners pass the attached resolution. The OPC Area Board met on February <br />13th and all members in attendance agreed to supporf the model as presented. <br />Summary of information - Item 2: OPC Area Authority is considered a local <br />political subdivision of the state and as such our employees have been eligible to <br />participate in the state employees' retirement system. At the time of retirement <br />healthccire coverage for eligible retirees was defined by policy established by the <br />