Orange County NC Website
Health & Human Services Goals & Guiding Principles <br /> Guiding Principles <br /> • The Association supports county, regional and state collabo- <br /> ration to improve agency automation and simplify programs, <br /> to streamline administration and to improve client interac- <br /> tion. <br /> • The Association opposes earmarking of block grant funds, <br /> and supports increased funding for mandated services, pro- <br /> vided the increases do not require additional county expen- <br /> ditures. <br /> • Counties must be actively engaged in setting health and hu- <br /> man services policy and program requirements. Programs <br /> should be flexible and recognize the state's changing demo- <br /> graphics. <br /> • Health and human services programs should encourage re- <br /> sponsible behavior and should be targeted to those citizens <br /> least able to care for themselves. They should encourage <br /> families to be responsible supporters of their children and <br /> help individuals find sustainable, long-term employment. <br /> • The state should take the lead in financing, implementing, <br /> maintaining, and supporting statewide automated systems; <br /> automation efforts undertaken by the state should connect <br /> and integrate with county automation initiatives. <br /> • Members of county human service agency boards should be <br /> appointed by the boards of county commissioners. <br /> Goals <br /> HH-1: Support continued state funding of Medicaid and sup- <br /> port efforts by the state to provide healthcare access for all <br /> citizens. <br /> • The state historically required counties to fund a portion of <br /> all Medicaid service costs and required counties to fund all <br /> Medicaid administrative costs not reimbursed by the federal <br /> government. County Medicaid costs were outpacing proper- <br /> ty tax base growth, and most counties were spending more <br /> on Medicaid than for school capital needs. <br /> 2015 Legislative Goals <br /> North Carolina Association of County Commissioners <br />