Agenda - 04-18-2016 - 2016 Orange County Legislative Breakfast Cover Letter

Browse Search

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