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Minutes 04-16-2019 Regular Meeting
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Minutes 04-16-2019 Regular Meeting
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BOCC
Date
4/16/2019
Meeting Type
Regular Meeting
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Minutes
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Agenda - 04-16-2019 Regular Meeting
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
Agenda 04-16-2019 4-a - Proclamation Recognizing Frederick Lewis Battle
(Attachment)
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
Agenda 04-16-2019 4-b - County Government Month Proclamation
(Attachment)
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
Agenda 04-16-2019 4-c - Resolution in Response to Recent Acts of Racial and Ethnic Intimidation on the Campus of UNC-Chapel Hill
(Attachment)
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
Agenda 04-16-2019 5-a - Unified Development Ordinance (UDO) Table of Permitted Uses
(Attachment)
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
Agenda 04-16-2019 5-a - Attachment 7a, 7b, 7c
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
Agenda 04-16-2019 6-a - Potential Addition of an Environmental Impact Section to Agenda Abstracts
(Attachment)
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
Agenda 04-16-2019 6-b - Letter to North Carolina Association of County Commissioners Expressing a Regional Preference for Medicaid Tailored Plans
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
Agenda 04-16-2019 8-a - Minutes
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
Agenda 04-16-2019 8-b - Resolution to Support Juvenile Crime Prevention Council Allocation Expansion
(Attachment)
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
Agenda 04-16-2019 8-c - Approval of Budget Amendment #7-E for Repair of the District Attorney Building
(Attachment)
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
Agenda 04-16-2019 8-d - Approval of Proposed Changes to the Affordable Housing Bond Program
(Attachment)
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
Agenda 04-16-2019 8-e - Lease Modification for Hillsborough Commons
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
Agenda 04-16-2019 11-a - Nursing Home Community Advisory Committee - Appointment
(Attachment)
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
Agenda 04-16-2019 11-b - Orange County Parks and Recreation Council - Appointments
(Attachment)
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
Agenda 04-16-2019 11-c - Orange County Planning Board - Appointments
(Attachment)
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
Agenda 04-16-2019 12-1 - Information Item - April 2, 2019 BOCC Meeting Follow-up Actions List
(Attachment)
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\Board of County Commissioners\BOCC Agendas\2010's\2019\Agenda - 04-16-19 Regular Meeting
ORD-2019-015 UDO amendment Permitted Uses Table
(Attachment)
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\Board of County Commissioners\Ordinances\Ordinance 2010-2019\2019
ORD-2019-016 Approval of Budget Amendment #7-E for Repair of the District Attorney Building
(Attachment)
Path:
\Board of County Commissioners\Ordinances\Ordinance 2010-2019\2019
PRO-2019-009 Proclamation recognizing Frederick Lewis Battle
(Attachment)
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\Board of County Commissioners\Proclamations\2010-2019\2019
PRO-2019-010 Proclamation of County Government Month April 2019
(Attachment)
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\Board of County Commissioners\Proclamations\2010-2019\2019
RES-2019-024 Resolution supporting Juvenile Crime Prevention Council Allocation Expansion
(Attachment)
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\Board of County Commissioners\Resolutions\2010-2019\2019
RES-2019-025 Resolution in response to recent acts of racial and ethnic intimidation at UNC-CH
(Attachment)
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\Board of County Commissioners\Resolutions\2010-2019\2019
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22 <br /> Travis Myren said for behavioral health purposes, Orange County is grouped in the <br /> Cardinal Innovations MCO region, which does not include Durham and Wake counties, which <br /> are with Alliance. He said it does include Mecklenburg County. <br /> Chair Rich said the Board received a letter from Cardinal earlier today, detailing some of <br /> the actions that Cardinal Innovations takes, which supply support for Orange County locally. <br /> Commissioner Dorosin asked if this change is made, would Orange County be with <br /> Alliance, instead of Cardinal Innovations. <br /> Chair Rich said yes. <br /> PUBLIC COMMENT: <br /> Trey Sutton, CEO Cardinal Innovations (CI), asked if the BOCC would consider the <br /> potential disruptions of this proposed change to members. He said he also questions the issues <br /> with the geography, as the CI provider network includes UNC, Duke, Wake Med, etc. He said <br /> historically Cl has had a strong relationship with Orange County, and last year Cl received <br /> capitation with care costs associated with members of$26 million, but spent $35.4 million. He <br /> said this is a loss, but CI is not a business, it is a mission-focused organization that has a <br /> commitment to this County. He said Cl also made several investments in community <br /> organizations, including Compass Center, El Futuro, YMCA, Special Olympics, etc. He said IC <br /> has as many employees in Orange County as it does in other counties, as well as an office. He <br /> said the stakes are of this decision are high for the organization and the County. <br /> Commissioner Greene asked him to relay how long he has been in charge, and the <br /> issues he has had to address. <br /> Trey Sutton said he joined Cardinal Innovations about 18 months, a month prior to the <br /> Department of Health and Human Services rating, which dissolved the Cl board, escorted <br /> executives out of the building, and put him into the interim CEO role. He said he was the CFO <br /> at the NC Department of Health and Human services prior to being at Cl. He said since taking <br /> the position, CI has reconstituted its board, implemented a corrective action plan, and began <br /> focusing on a strategic plan that contains 5 focus areas: <br /> • Members <br /> • Providers <br /> • Communities <br /> • Invest in CI employees <br /> • Tailored plan (integrated care for all members) <br /> Commissioner McKee referred to the $9 million deficit for Orange County, and said he <br /> would like to know the overall profit/loss balance sheet for last year. <br /> Trey Sutton said CI lost $30 million last year, and are on track to lose a little bit less this <br /> year. <br /> Commissioner McKee said this is surprising to him. He said he sat on the local Cl <br /> board several years ago, and found the corporate board difficult to work with. He said he is <br /> aware of families that are still struggling to get the necessary services with Cardinal. He said it <br /> was like pulling teeth to get Cl involved with Club Nova. <br /> Trey Sutton said he disagreed, and Club Nova spent a fair amount of time at CI board <br /> meetings. He said he has entertained all of Club Nova's requests, and Cl remains committed to <br /> the $500,000 it has promised to Club Nova. <br /> Commissioner Dorosin asked if Commissioner Price had any thoughts. <br /> Commissioner Price said Commissioner Bedford is the current BOCC representative, <br /> and also uses the services personally. <br /> Commissioner Price said she was on the board during the transition, and it is a night and <br /> day difference for the better. She said she understands about the geography issue, but the <br /> grass is not always greener, and many changes have to come from the state. <br />
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