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7 <br /> 1 David Remington said another topic for discussion is pedestrian and bike connectivity. <br /> 2 He said there has been and a lot of work done with greenways within the Town, but there are <br /> 3 many residents outside of the Town limits, and there is a real need for pedestrian access. He <br /> 4 said new developments were supposed to install sidewalks, but the Town has been taking <br /> 5 payment in lieu in hopes that with enough funds there could be a more coordinated approach to <br /> 6 sidewalk connectivity at some point. <br /> 7 Commissioner Jacobs said David Remington may want to approach the Orange Unified <br /> 8 Transportation Board (OUTBoard), which is also interested in pedestrian access. <br /> 9 <br /> 10 2. County Commissioners — Boards and Commissions —Annual Work Plans/Reports <br /> 11 Boards and their representatives below: <br /> 12 <br /> 13 • ABC Board: already presented at March 7th meeting <br /> 14 <br /> 15 • Adult Care Home Community Advisory Board: Max Mason, Chair <br /> 16 Max Mason said he does not have a formal presentation, but does have a few issues for <br /> 17 discussion. He said the main issue is reimbursement for individuals that require special <br /> 18 assistance to pay for their care. He said as facilities struggle to make ends meet, due to low <br /> 19 reimbursement rates, they are looking for ways to not admit these individuals. He sees this <br /> 20 becoming an increasing problem as the population ages. He said rates received are very low. <br /> 21 He said the Advisory Board will lean heavily on the Department on Aging to assist with getting <br /> 22 learning initiatives into some of their facilities. <br /> 23 Commissioner Burroughs asked if the state sets reimbursement rates. <br /> 24 Max Mason said yes, and it is about $36/day, which is not a lot to work with. <br /> 25 Commissioner Burroughs encouraged the Advisory Board to contact legislators to <br /> 26 inform them of these needs. <br /> 27 Commissioner Rich asked if the North Carolina Association of County Commissioners <br /> 28 (NCACC) is doing anything to work with the adult care boards. She said this is another avenue <br /> 29 to work with, as the NCACC comes up with legislative goals to forward to the state. <br /> 30 Commissioner Price said NCACC designates a steering committee, and there is one on <br /> 31 health and human services, which is focusing heavily on mental health. <br /> 32 Commissioner Price suggested talking to their delegation about this. <br /> 33 Max Mason said he would be happy to do this. <br /> 34 <br /> 35 • Advisory Board on Aging: Peggy Cohn, Chair <br /> 36 Peggy Cohn said assisted living and nursing home care in the County is very important, <br /> 37 and the struggles are entangled with Medicaid funding. <br /> 38 Commissioner Burroughs said to copy the Board of County Commissioners on these <br /> 39 discussions. <br /> 40 Commissioner Jacobs also encouraged the boards to copy the BOCC on this. He said <br /> 41 he had to deal with facilities with his own mother recently, and noticed a vast difference <br /> 42 between those paying publicly and those paying privately. He would be interested in knowing if <br /> 43 there are problem facilities in this County, as well as political problems. <br /> 44 Max Mason said the performance of these facilities needs to be improved. <br /> 45 Peggy Cohn said she is very proud of the Department on Aging, which is greatly <br /> 46 supported by the Board of County Commissioners but as well as staff members Mary Fraser <br /> 47 and Janice Tyler. <br /> 48 Peggy Cohn said the BOCC is familiar with the Master Aging Plan (MAP), and the <br /> 49 number of older adults is increasing daily in Orange County. She said the MAP has gotten <br /> 50 input from all segments and organizations in Orange County, and the Board of County <br />