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21 <br /> Commissioner Greene asked if the avoidance of the production of greenhouse gases <br /> should be mentioned somewhere in the abstract. <br /> Commissioner Price suggested somewhere in attachment 2. <br /> Commissioner Marcoplos asked Brennen Bouma if there is a simple formula. <br /> Brennen Bouma said attachment 2 is not recommended. He said these prompts were <br /> created to summarize what the Board of County Commissioners had adopted in 2005, and <br /> these prompts open to change. <br /> Commissioner Greene proposed "resultant impact on natural resources and air quality," <br /> and "minimize reduction of greenhouse gases". <br /> Commissioner McKee said he will vote against this, and this item will clutter up the <br /> abstract, which is already cluttered. He said this is not worth doing. <br /> Commissioner Marcoplos said this is a good way for the Board and the public to focus <br /> on the environmental impacts. <br /> Commissioner Greene said it is good to have it stated clearly on the impacts, in order to <br /> keep it front and center in everyone's mind. <br /> A motion was made by Commissioner Dorosin, seconded by Commissioner Greene to <br /> approve the abstract template provided in Attachment 4 incorporating an Environmental Impact <br /> section into agenda abstracts, and approval of the environmental impact prompts provided in <br /> Attachment 5 which are based on the County's Environmental Responsibility Goal, with <br /> suggested changes from Commissioner Greene. <br /> VOTE: Ayes, 5; Nays, 1 (Commissioner McKee) <br /> b. Letter to North Carolina Association of County Commissioners Expressing a <br /> Regional Preference for Medicaid Tailored Plans <br /> The Board considered voting to authorize the Chair to sign a letter to the North Carolina <br /> Association of County Commissioners expressing Orange County's preference to align its <br /> Medicaid Tailored Plan Region with Durham and Wake counties. <br /> Travis Myren presented this item: <br /> BACKGROUND: <br /> In February 2019, the North Carolina Association of County Commissioners was asked by the <br /> North Carolina Department of Health and Human Services to assist with phase two of Medicaid <br /> transformation by coordinating and facilitating a process to develop recommended regions for <br /> Tailored Plans. <br /> The Association has organized a committee to coordinate recommendations. The Committee <br /> consists of county commissioner representatives from each Managed Care Organization (MCO) <br /> region. This Committee has invited stakeholder input on the composition of Tailored Plan <br /> regions. The deadline to provide input is April 17, 2019. <br /> At the April 2, 2019 regular Board meeting, a petition was made requesting that the County <br /> communicate Orange County's preference to be part of a Tailored Plan region that also includes <br /> Durham and Wake counties. Staff has attached draft language for a proposed letter addressing <br /> that interest. It is proposed that the Board formally authorize the Chair, on behalf of the Board, <br /> to sign a letter expressing the County's preference, and requested that the Clerk to the Board <br /> submit the letter before the April 17 deadline. <br /> Chair Rich said Commissioner Bedford brought this petition forward. <br /> Commissioner Dorosin asked if Orange County is grouped with particular counties <br /> currently. <br />