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6 <br /> <br />made one minor revision to the text amendment regarding signage pertaining to <br />the advertisement of a temporary health care structure. <br /> <br />June 3, 2015 – Recommendation to the BOCC. This item was reviewed and the <br />following comments were made: <br /> Planning Board Member Comment: Why is this amendment being <br />proposed? <br />Staff Response: Due to the adoption of Session Law 2014-94 in August <br />2014, all cities and counties within the state must recognize and allow <br />for temporary health care structures. As a result, Planning staff began <br />the process to amend the UDO in November 2014 in order to recognize <br />the new land use, provide information and access regarding permitting <br />regulations to Orange County residents, and to be consistent with State <br />Law. <br /> <br /> Planning Board Member Comment: Only a small percent of residents <br />will be able to utilize a temporary health care structure due to the <br />proposed standards and financial costs. <br />Staff Response: Due to proposed standards (based on Session Law <br />2014-94), environmental health regulations, and potential cost, many <br />residents may have a limited opportunity to have a temporary health <br />care structure be placed on their property. However, the proposed <br />amendment for temporary health care structures is not the only option <br />available, but is instead providing an additional option to Orange <br />County residents. These standards and financial costs can also limit <br />the opportunity for residents to build an efficiency apartment, construct <br />an addition to an existing residential structure, or place a temporary <br />mobile home. The purpose of all these residential uses, including <br />temporary health care structures, is to provide temporary or permanent, <br />more affordable, higher quality, and accessible housing option s for <br />those in need. <br /> <br />The initial cost of a temporary health care structure can be alarming. A <br />temporary health care structure can include a onetime cost up to <br />$125,000 or a lease cost up to $2,000 a month, both costs depend on <br />added medical and/or technology features. When compared to the <br />median monthly and yearly cost of a nursing home or assisted living <br />facility in the state of North Carolina and the Chapel Hill-Durham area, <br />it can be viewed as a less expensive option for Orange County <br />residents. <br />Median Cost of Assisted Living or Nursing Home Room Compared to a <br />Temporary Health Care Structure <br /> <br />North Carolina Chapel Hill – Durham Area Temporary Health <br />Care Structure Nursing <br />Home <br />Assisted <br />Living <br />Nursing <br />Home <br />Assisted <br />Living <br />Monthly Cost $5,977 $2,900 $6,388 $3,500 $2,000 <br />Yearly Cost $71,723 $34,800 $76,650 $42,000 $24,000 <br />Source: North Carolina State Specific Data from the Genworth Cost of Care Survey <br /> 9