RES-2012-032 Joint Resolution of BOCC of Alamance Cabarrus Caswell Chatham Davidson Franklin Granville Halifax Orange Person Rowan Stanly Union Vance and Warren

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Section 3. Governance There is hereby created and established pursuant to G.S. 122C-118.1 an Area Board, which shall be the governing unit of Cardinal Innovations. The Area Board shall be comprised of a single Governing Board and Community Oversight Boards, one for each Community Operations Center. The appointment of members to the Governing Board and Community Oversight Boards shall be in accordance with bylaws set forth for such purpose and may be amended as necessary or convenient to comply with changes in state or federal law or to carry out the functions,powers, duties, and responsibilities contained in this Joint Resolution. Due to the complexity of operations, financial risk, and responsibility for public funding the Governing Board must be highly functional in order to ensure accountability to finders,the financial solvency of Cardinal Innovations, compliance with state and federal laws and regulations including quality standards,and a service delivery system that is customized for localities and which provides access and choice for citizens in need of mental health,intellectual and developmental disabilities, substance abuse and related services. (1) Membership of the Governing Board shall be comprised of a mix of individuals with the necessary expertise to govern large Managed Care Organizations and individuals who represent the constituencies Cardinal Innovations serves. Membership will be as follows: (a) Two(2)at-large County Commissioners from among the County Commissioners serving on Community Oversight Boards (defined below), selected by the Governing Board,based on diversity of geographic representation; (b) One(1)member from the Regional Consumer and Family Advisory Committee, either the Chair or other elected member; (c) Six(6)members, selected by the Governing Board, with professional experience and expertise in healthcare, insurance, finance,health/behavioral health, intellectual/developmental disabilities,and a physician or other clinical professional,and no more than two members from any single specialty area; and (d) One(1)member from each Community Oversight Board, either the Chair or other elected member. (e) Except for members appointed by the Community Oversight Boards and the Regional Consumer and Family Advisory Committee,the initial members of the Governing Board shall be nominated by the PBH Board,with consultation from the Boards of Five County and OPC Area Authorities, and affirmed by the Secretary of the North Carolina Department of Health and Human Services. (2) The Governing Board's primary responsibilities will include determining policy; strategic planning, including consideration of local priorities as determined by the Community Oversight Boards;budgets;hiring and evaluations of the Chief Executive Officer;monitoring of deliverables, including overall performance and financial management; government affairs and advocacy;reporting to constituent counties; responding to concerns and feedback from the Community Oversight Boards; and ensuring the overall health of Cardinal Innovations. (3) The bylaws of the Governing Board shall establish Community Oversight Boards, one for each Community Operations Center,which shall ensure involvement of local stakeholders,promote understanding and collaboration at the local level, and monitor the performance of each Community Operations Center. Membership of the Community Oversight Boards will be as follows: