2026-09-14 - Bimonthly Morning Discussion Session
Summary
Written from auto-generated captions, which start at the call to order. Names and numbers may be misheard.
- Chair Gloria D. Whisenhunt opened the morning session, which had three presentations: the community survey, a health and human services update, and a planning and development services update. No votes were taken in the captioned portion.
- Community survey. A consultant presented the spring 2026 resident survey: invitations to about 19,000 addresses, about 1,200 responses, margin of error plus or minus 3%. Quality of life was rated excellent or good by 79%, up from 76% in 2023 but below 86% in 2021. Libraries, parks and recreation, EMS, 911 and the sheriff scored best. Satisfaction with communication fell below 50%, and residents often confuse the county with the City of Winston-Salem. Pickleball courts were the lowest-rated park amenity, though improving. About 40% supported a tax increase, 40% did not, and 20% were unsure.
- Focus groups found residents value the county's mix of rural and urban life; concerns included housing affordability, schools, emergency preparedness, transportation and jobs. District A residents rated the county's direction, education and public health more positively; District B rated parks, libraries and the website higher.
- Board discussion: a commissioner asked for more public education on data centers, which the board takes up at the 2 p.m. briefing. Staff said a text alert system is being rolled out, starting with county employees, and utility meter upgrades will add communication options. A draft public dashboard for the survey data was shown.
- Health and human services. Partners Health Management and VIA Health are merging as VIA Partners, effective October 1; G. Gray Wilson will serve on the new governing board and Denise Price on its advisory board. Staff described Medicaid changes: some non-citizens lose coverage starting October 1, 2026 (about 700 to 800 locally), and work requirements begin January 1, 2027. About 130,000 county residents receive Medicaid and just under 29,500 adults would need to comply with work requirements.
- Planning and development. Chris Murphy reported $306 million in permit value for the quarter, about 60% residential. The Northeast Suburban Area Plan is expected to go to the commissioners and city council in October or November, and the Rural Hall Area Plan kicks off September 23 at Rural Hall Town Hall.
Issues discussed
- Resident Community Survey 2026
- Medicaid Changes and LME-MCO Merger
- Countywide Data Center Moratorium
- Pickleball Courts at Tanglewood Park
Sources
Video
Transcript
These are auto-generated captions; names and numbers may be misheard.
Transcript
11:14Good morning. Uh welcome to our
11:17bimonthly
11:19uh discussion session. We have three
11:22presentations today. The first one is
11:25the community survey update. Ed, Ed
11:29McNeel. Uh, second is Health and Human
11:32Services Update, Denise Price and
11:35Christa Smith. Uh, the third one is
11:38planning and development services update
11:41given to us by Chris Murphy. Uh, and we
11:44will begin, Ed, whenever you're ready.
11:49>> Good morning, Chairwoman Wizen Hunt,
11:51members of the board. The community
11:54survey was first approved in 2021. We
11:57did a another one two years after that.
12:00This one was expected in 25. I had to go
12:03back and do a new contract. We selected
12:07a different vendor and but we used the
12:10same survey tool and at the behest of
12:13this board we were asked to add a focus
12:16group to give us the opportunity to hear
12:19from people directly beyond the survey.
12:22And so what you're going to see here is
12:24you're going to see the presentation of
12:26the survey back and this will be
12:29presented by Michelle Kobayashi. She is
12:31an executive strategist with PCO. Um and
12:35so Michelle should be on your screens
12:37there. And
12:39>> she is
12:39>> I am going to
12:42share
12:45the presentation here.
12:48>> And I think she needs to share so she
12:50can control it.
12:52Michelle, can you hear that?
12:54>> I can, but I'm I'm prepared just to say
12:57next for the next slide if that works.
12:59>> Okay.
13:00>> Um, it's up to you guys.
13:01>> All right. Stand by.
13:05Can you see that?
13:07>> I can. Can everybody else?
13:10>> Sure.
13:10>> You see it? Yes, ma'am. Okay. And allow
13:13me to select the show
13:17there.
13:19Okay.
13:21Excellent. So, welcome. Thank you all
13:24for having me here today. I am Michelle
13:26Koashi, as Ed said, from uh Pulco, and I
13:29have been working since 1989 with uh
13:32local governments, city and county
13:33governments, helping them um use data to
13:36inform uh decision-m and really
13:38specializing in the use of surveys to
13:40bring residents voice into government
13:42decision-making. So, super happy to be
13:44here today and talk to you all. I want
13:46to thank uh Nicholas Delari who is my
13:48survey scientist on our firm who
13:49actually worked closely with Ed
13:51throughout the survey process. I
13:52conducted the focus groups and then
13:54because I've been working so much with
13:56the project in the last few months I'm
13:57the one giving your presentation. So um
14:00and feel free you can ask questions
14:02throughout or we can wait till the end.
14:03But anyways we will just start uh moving
14:06through the slide deck and uh just let
14:08me know if you have any questions and
14:09want to stop me. Next slide please.
14:15Can you afford it, Ed? Next slide. I
14:17>> can't see it.
14:19>> Sorry. And we also don't have full
14:21screen. I don't know if that help, but
14:22it's fine if you want to see on the
14:23side, but if you want a full screen,
14:24they might see the fonts a little bit
14:26bigger.
14:30Yes. Well, okay, we'll just be on that
14:32slide. Um, so just a little bit about
14:34PCO. You did use another survey uh
14:37vending firm in the past, but PCO um I
14:40actually helped create National Research
14:42Center in uh 1995. We were the group
14:45that actually uh pioneered local
14:47government surveys and I've been doing
14:49this and our company's been doing this
14:51for more than 30 years. Um we were
14:53reacquired by PCO which was a technology
14:56company five or six years no about eight
14:58years ago to make all the survey work
15:00more automated and more efficient. Um I
15:03lost the slide deck. I don't know if
15:04others have.
15:07>> This is survey methodology.
15:10>> Yeah, I don't see the slides anymore. Um
15:12do other people see them?
15:14They can still see them. Stand by just a
15:16moment.
15:16>> Okay, that guy. Yeah.
15:37There we go. Thank you, Ed.
15:39Okay. So, um just just so PCO and we'll
15:42talk a little bit more at PCO at the
15:44end, but again, we are a company who's
15:45been specializes in local government
15:47decision-m have tons of different tools
15:50and ways we help local governments um
15:52bring stakeholders into decision-m and
15:54make good decisions in terms of
15:56strategic planning, budgeting, uh policy
15:58decisions. So, in terms of the survey
15:59methodology, we did the survey this
16:02spring. Um we sent out invitations to
16:04about 19,000. We ended up with 1,200
16:07responses. the margin of error around
16:081,200 is plus or minus 3%. Um we
16:12actually used at r probability sample
16:15where we used addresses to um send out
16:17the postcards and then we followed up
16:19with the first 10,000 people we sent
16:20out. We also sent them mail and text. We
16:23also sent out a second wave of the 9,000
16:25postcards just because we didn't have
16:27quite enough people responding from the
16:29Winston Salem area. So we did that just
16:31to augment um the survey methods that we
16:33typically use. Um in terms of the margin
16:36of error when uh you see most of the
16:39polls for the nation they usually use
16:41sample sizes of 350 as a way to
16:43represent the nation and that really
16:45does depend on probability based
16:47sampling which we used here and
16:49statistical waiting of the data which we
16:50do. We look at who responds and what the
16:52demographic profile is of your community
16:55and we statistically weight those
16:56results. So 1 1200 gives you usually you
16:58talk about plus or - 5% precision. We
17:01have a tighter precision here which is
17:03plus or minus 3% which is nice
17:05especially when you start to compare
17:06from year to year. It's nice to have um
17:08more precision when you're trying to
17:10detect if there's a statistically
17:11significant change. Also throughout the
17:14presentation I have put little arrows
17:16when you went significantly up or down
17:17more than plus or minus 5 percentage
17:19points again with your margin of error.
17:22Um that's how we calculate that. Um, we
17:24also have a double arrow and I'll point
17:25that out. When it's more than plus or
17:27minus 10 percentage point shift from
17:282023.
17:31Next slide, please. So, let's go on to
17:32the key findings.
17:39So, number one, and so we've gone
17:41through all your uh report and also
17:44obviously you'll have access to it. So,
17:45there's much more information than I can
17:46present today because I don't want to go
17:48through a million things. But um we have
17:50our key findings and so I'm going to go
17:51through each key finding and then I'll
17:53end by talking about some comparisons to
17:54the benchmarks um district uh
17:57differences across the different areas
17:59of the county um and just follow-ups and
18:02the focus groups. So our first finding
18:04is that community life remains stable,
18:06strong um people the quality of life
18:09here is nice. Next slide please.
18:14And so, oh,
18:16I don't know why that's happening. Um,
18:19there actually should be a line chart
18:21that shows um
18:24quality of life uh in 2021 from your
18:27first survey started um maybe at 18. Let
18:30me see. I actually can pull it up on my
18:31side. Um was up dropped for 2023. It is
18:36back again on the rise. And let me see.
18:39Uh, let me look up over here just so I
18:42see I can give you the actual numbers.
18:44Um, the actual numbers are if until Ed
18:47can find it. You were at 86% in 2021.
18:50You went to 76% drop and you're back up
18:53to 79%. So uh on the right uh
18:58uh path uh but again not quite as high
19:01as you were in 2021 according to the
19:04results from your first survey. Uh it
19:07actually again you have more 80% of
19:09people say it's excellent or good. So
19:11that's nice. Next slide please.
19:15We also look at the quality of county
19:17services in the survey. So we asked
19:18about a bunch of the services provided
19:19by the county. And again you can see the
19:21percentage of people here that are
19:23saying very satisfied or satisfied. Um
19:25and so the highest scoring services are
19:27your libraries, your parks and
19:28recreation, EMS, uh 911, sheriff. So
19:32safety uh recreation libraries. Are you
19:35getting your highest scores? Lowest
19:37scores have to do with the airport, uh,
19:41K through2 education, buildings, uh,
19:43environmental assistance, and some of
19:45the tax, um, services offered by the
19:48county. And so again, you see those
19:49arrows in terms of your top rated
19:52services, the libraries, parks and
19:54recreation, EMS, you saw significant
19:56increases from the last survey
19:58iteration. Um where we see some
20:00decreases is tax services and in terms
20:03of uh yeah the tax services and then
20:06also you see the double arrow that's
20:08where you see the double arrows we see a
20:10double uh more than a 10% decline in the
20:12North Carolina cooperative extension
20:14services and if I understand correctly
20:17at least what I understand from
20:18extension services that's actually a
20:19combination of services where you do
20:21part of it but the state does as well so
20:24not sure if those ratings make sense to
20:26you but that's a more significant drop
20:27we see in the results.
20:30Next slide, please.
20:34Oh, again that chart is not showing. I'm
20:37not sure why. I can tell you on my
20:39screen um that basically we have about
20:4240% of people saying their quality of
20:44life has stayed the same, about a third
20:46saying it's getting better, and about a
20:49third saying it's getting worse. So,
20:50pretty equally divided, although 40%
20:53saying staying the same. So again, I
20:55don't I would not attribute this to
20:57what's happening in Fors County. I would
20:58attribute this more to nationally how
21:01people are, you know, concerned about
21:02their future with everything happening
21:04um in terms of not everybody saying it's
21:05on the rise and crazy high. Next slide,
21:08please.
21:11Second finding, family ties and housing
21:13options attract residents to Fors
21:15County. Next slide, please.
21:19So here are some of the items. Um, and
21:21we're asking people to check all the
21:22reasons why they choose to live in
21:24Forset County. And so you will see that
21:26um, the number one reasons are they're
21:28close to family and friends, the
21:30housing, you're close to your work and
21:31school, access to health care. Again,
21:34you can see the arrows. Um, so close to
21:37family and friends is decreased some.
21:39Um, and you see more people actually
21:41coming here because work and school. And
21:43then, um, also in terms of healthcare
21:45services, that's a drop slightly from
21:47last time. You see increases in terms of
21:49traffic. why people are moving here and
21:51also crime rates. So, and we'll talk a
21:54little bit more about crime, but that's
21:55really important um to have folks um
21:57understanding crime and safety in your
21:59community. Next slide, please.
22:05Residents emphasize safety, core needs,
22:07and clear priorities for the future.
22:09Next slide. So, we ask residents on the
22:11survey a number of questions about
22:13what's important to the quality of life
22:14here and what are their priorities for
22:16changing. And what we find in terms of
22:17quality of life, I'm sorry, back. Yeah,
22:20one more back.
22:23Yeah, one left. Yeah, perfect. We asked
22:25them how important a number of different
22:27amenities are to the quality of life in
22:30Forset County. And so again, and this
22:32was similar to uh past years, safety,
22:35low crime is one of the most important
22:37things. And I can tell you from working
22:38with cities and counties across the
22:40nation, safety uh and economy are the
22:42most important things to most residents
22:44all the time. They want to feel safe and
22:46they want to have, you know, jobs. Um,
22:48number two, healthcare access is really
22:51important. And then number three,
22:53natural open space. Number four,
22:54housing. And so the these are the same
22:56issues we found in past surveys. I would
22:59mention that natural o the natural open
23:01space and the housing are slightly
23:03improving in terms of being important.
23:05And I would say that's actually again a
23:07national trend. We're finding
23:09nationally. The housing crisis is really
23:11really um one of the hottest topics with
23:14uh local governments across the country.
23:16whether you have control over it or not,
23:18but housing and homelessness is a huge
23:20issue and natural open space. And it's
23:22not just, and we'll talk more about
23:23that, it is really important for
23:24residents to have parks and open space,
23:26but also people are becoming more um
23:29interested learning more about the
23:30natural environment in terms of uh
23:32emergency resilience. And you all living
23:34in North Carolina with the hurricanes
23:36and flooding and things such as that, I
23:37think it's much more top of the mind to
23:40residents and a lot of the local
23:41governments we work with the states. So
23:43again, issues very similar to the past,
23:45but a little bit more emphasis being
23:46placed on housing and open and uh the
23:48open space and nature, natural
23:50environment around them. Next slide,
23:52please.
23:56The next slide is we asked them what
23:58three categories do you think should
23:59receive the most emphasis from the
24:00county in the next two years? And so the
24:03highest scoring items um are the quality
24:05of K through 12 education buildings,
24:09natural disaster preparedness,
24:11communication with the public, um public
24:13health services. Now, we did not compare
24:16this directly. Um you can see in the
24:18report if you want to what we asked uh
24:20what was asked in 2023, but that's
24:21because we added a few new items. So in
24:23the past it really was more about safety
24:25and health services but because these
24:28new items on the K through2 buildings
24:30natural disaster preparedness
24:31communication those actually kind of
24:33jumped to the top of the list and so
24:35just adding in some new issues that we
24:37felt were relevant and what were coming
24:38from the discussions you were having
24:40with folks kind of brought those to our
24:42attention. So again uh those are some of
24:44the topics we see in terms of people
24:45saying this is what they'd like to see
24:46some emphasis placed on in the county.
24:49Next slide please.
24:53Parks and open spaces are widely used
24:55and highly valued. Next slide.
24:59So, we looked at uh the county parks
25:01usage and what you can see is you
25:03actually have pretty high proportion of
25:05your residents at least using some of
25:06these parks, especially Tanglewood Park.
25:08But um really nice numbers in terms of
25:10park visitation and also we see that
25:12those visitation numbers are on the rise
25:14which is great in terms of you know
25:16residents using your amenities. Uh but
25:18conversely it just means there's
25:19probably more upkeep. uh costs coming
25:22your way which relates to the next slide
25:25uh
25:27and that is the condition of the county
25:29parks. We still see you get really high
25:31ratings in terms of uh the condition you
25:34know 90s 80s but we do see significant
25:37decreases um in just residents ratings.
25:40So again, not sure. Um you already have
25:42such high ratings that these aren't
25:43concerning. But the fact that you see
25:45some double drops uh does maybe warrant
25:48some discussion about whether the
25:50condition of the parks needs uh you know
25:52more funding put towards it or if things
25:53have been cut or maybe there's been
25:54something recent in the newspaper
25:56sometimes the sensationalization of
25:57media. But again still really high
26:00ratings just we did see that's where we
26:02see some of the biggest drops in the
26:03survey ratings from 2023.
26:06Next slide please.
26:08But again satisfaction ratings with uh
26:11most part parts of the parks are pretty
26:13high in terms of uh like tang and
26:16different services but you know the
26:18tanglewood parks festival of lights
26:20fairly high highly rated your open space
26:22natural areas highly rating see
26:24maintenance overall 70% still getting
26:26good scores and all these are actually
26:28kind of coming up you see those double
26:29arrows a lot in the parks and amenities
26:32some of the lowest scoring is pickle
26:34ball courts but again that's going up
26:36and just pickle ball is crazy across the
26:38nation. So, you probably just can't give
26:40people enough of what they want. But
26:42again, we see a lot of positive trends
26:44in the parks and recreation services,
26:46which is nice to see. Next slide,
26:48please.
26:51Finding number five, libraries are a
26:53trusted and wellused community resource.
26:55Next slide.
26:58And so, we have some visitations rates
27:00here again. And I work with a lot of
27:02local governments and you know libraries
27:04are really in a place where they're
27:06trying to identif find their new
27:07identity with all the online books and
27:10you know Audible a lot of libraries are
27:12really really confused about what role
27:15they play in the community what they
27:16should do now that people are checking
27:18out you know books at the library and
27:20coming to the library and they've often
27:22been you know a community cornerstone
27:24and so with a loss of kind of community
27:26these days and people not going to the
27:27library we have a lot of discussions
27:29around what is the future of libraries.
27:32But um really nice to see your survey
27:34results and see that you still have
27:36pretty high visitation rates. Um again,
27:38a lot of people still going to the
27:40library and also really interesting to
27:42me is that you have visitation
27:44increasing. So what's happening at your
27:47library is pretty awesome and whatever
27:49you're doing, I would keep doing it
27:51because uh you we are seeing trends here
27:53that I have not seen nationally very
27:54well. Also more visitation to the
27:56website. We do see that's happening
27:57because more people are checking out
27:58books online. Uh but again nice ratings
28:01in your libraries. Next slide.
28:04And also conditions of libraries very
28:06very positive ratings 90s 80s percents
28:09and the libraries that are the lowest
28:11rating we're seeing uh you know
28:13increases except the Carver School Road
28:15building. But again very positive
28:17results related to your libraries and
28:19you know kudos to you in a time when
28:20libraries are struggling. Next slide
28:23please.
28:26So now we're looking for the
28:27opportunities for improvement in
28:28emerging priorities. Um and so we'll
28:31talk a little bit about those areas we
28:32see. Next slide please. So in terms of
28:35and you know we do this for every local
28:36government we work with. We want to tell
28:38you your strengths but we also like to
28:40look at challenges and actually really
28:41help people figure out if there are some
28:42areas where they should move. And so
28:44what we did here is pull out the
28:46services the county provides that
28:48received the lowest ratings. And so you
28:50can see um in terms of the very lowest
28:52rated things in the survey, these are
28:54the satisfaction rates are between 30
28:56and 40%. Quality of tax uh services,
28:59quality of environmental assistance, K
29:01through2 education buildings and the
29:03airport. Um well then you jump up
29:07>> just one moment, Michelle.
29:08>> Um
29:09>> yeah, sure.
29:10>> As I'm so I can understand this. So, in
29:13in how you're presenting the data,
29:15you're presenting very satisfied or
29:18satisfied. I know there's another
29:20category, not sure.
29:22>> And I'm just wondering,
29:23>> we remove we remove that. We remove that
29:25from the analysis. You can see it in the
29:27full report, what percentage, but we
29:30actually remove that when we do the
29:31percentage rating. So, you're not being
29:33if people have a don't know answer, we
29:35don't hold that against you, if that
29:36makes sense.
29:37>> Okay? because I figured there's probably
29:39a lot of people that may not know much
29:40about Seth Reynolds, which
29:43>> Okay,
29:44>> thank you.
29:44>> Yeah, so we removed that before we do
29:46this. We just do it for summary, but you
29:48can look in the report, but yes, a lot
29:49of people don't know about airports, and
29:52some people give ratings even when they
29:54don't know. I, you know, I hate to say
29:56that, but that's just the way it is. Um,
29:58so, and I could say too in these terms
30:00of these, um, your ratings have the
30:02lowest satisfaction. When there are
30:04local airports, they rarely get rated
30:06very high. people either don't know
30:08about them, they actually compare them
30:10to a international airport nearby or
30:14they're upset because that airport and I
30:16don't know if this is the case for any
30:17for where you are like there's noise
30:19from the airport. So generally we don't
30:21see local regional airports getting very
30:24high ratings so it's not surprising at
30:26all to me. Um, and also the tax scores,
30:29um, residents hate taxes. So, I don't
30:31know, you know, uh, in terms of those
30:34results, I don't find any of that
30:35shocking either. Um, again, but we do
30:38remove the don't know, um, if that makes
30:40sense. And so you can look down and see
30:42the also the ones that are the 40 to
30:4450%, you see um the taxes again you
30:47again see that drop in the North
30:48Carolina cooperative extension services
30:51code enforcement social services and
30:53then we also see some about um
30:55communication and natural disaster and I
30:57had already talked about the importance
30:59of natural disaster how it's kind of
31:00emerging in communities across the
31:02nation. So again, um, residents are
31:05starting to become more sophisticated or
31:07more interested and more concerned in
31:08terms of natural disasters, emergency
31:11communications.
31:12So, but the one thing that's important
31:14to note is you ask these same questions
31:16in 2023 and besides the two, they're
31:19about the same scores as 2023. So,
31:22there's not a lot of there was not a lot
31:24of um movement downward except we see
31:27with that North Carolina extension
31:29services.
31:30Next slide, please.
31:34And so one of the things we did focus on
31:36a little bit is we do see a number of um
31:39the areas relating to communication um
31:41falling below you know the 50% mark and
31:44so we ask about the satisfaction with
31:46county communications like the ease of
31:48getting the information your experience
31:50engaging
31:52pe you know county efforts to keep
31:53people informed people open transparent
31:56and so again I want to say to you even
31:58though we don't match these all these
31:59questions per se with our national
32:01benchmarks Um, it is hard to score well
32:05with communications with residents. They
32:07always think you're not doing enough.
32:08The other thing I want to point out and
32:09I've been talking with Ed about this and
32:11we definitely will find more talk more
32:13about this in the focus groups. Um, so
32:15just a teaser about that is I work with
32:17a lot of people where the city county
32:19differentiation is extremely difficult
32:21to communicate. And so we'll talk more
32:23about this later, but just know that it
32:25is really hard to have residents
32:27understand the difference between
32:28Winston Salem and yourself. Um, I've
32:30worked when I started my career, I
32:32worked for the city of Boulder,
32:33Colorado. There was a Boulder County
32:35that was not the same entity and we
32:36spent, you know, years trying to get
32:38people to understand the difference. Um,
32:40I've worked with many communities who
32:42still work really hard and it's just a
32:44really difficult thing to do. That said,
32:46that doesn't mean I think all local
32:48governments these days really need to do
32:50more and more to try to engage and
32:51figure out ways to be creative and
32:52engaged. And we'll talk about that, but
32:54just want you to know upfront that there
32:56is a real true difficulty uh being a
32:59county government and being
33:01differentiated from the city government
33:03nearby.
33:04>> Next slide.
33:05>> I'd like to um share since we're here.
33:07Good morning. My name is Commissioner
33:09Tanya McDaniel. Um thank you. with
33:12regards to the part of um communication
33:16and understanding city and county
33:19government. We were in a conference and
33:21Cabaris County has um an answer in my
33:25opinion um relative to the youth
33:29commission that they're using and I
33:30would hope that this commission um would
33:33be introduced into that opportunity
33:37where you have teens that would be
33:39participating in the community being
33:42active citizens while learning what the
33:45actual county government does. Um we
33:48have done a tremendously
33:50well job. Thank you Ed so very much um
33:53for joining our team. Um but I still
33:56believe that there is room and
33:58especially in a new era of um social
34:02interaction with our youth. We we're
34:05we're going to have to be become more
34:07innovative. So thank you.
34:09>> Yes, ma'am.
34:09>> I would just like to um good good
34:12morning. Um, and this is Commissioner
34:14Woodbury for the young lady that's on
34:16the call. I'm sorry I wasn't here in the
34:18beginning, so I didn't get your name,
34:20but I want to expound upon the
34:22opportunity for us to strategically
34:25communicate, especially within our
34:28school system. Um I think that um if we
34:32can start, you know, um earlier on with
34:36our citizens, then they don't grow older
34:38not knowing the difference between
34:40county and city and um some of the other
34:44um governing agencies. But I do know
34:46that um the state now through curriculum
34:50is being very intentional about making
34:52sure that um our students have lived
34:55experiences locally with um any of the
34:59governing agencies. So I think if we
35:01were to reach out to the school district
35:03to see how we can be more involved in
35:06their civics courses to bring some of
35:09our staff even including us as county
35:12commissioners to go into those
35:13classrooms to talk about what we do and
35:16how um you know they are essential to
35:20how we govern um locally. that would be
35:24a way to communicate um absolutely more
35:27directly with our younger citizens.
35:30>> Yes, ma'am. And I do think that there is
35:33I don't know if I'm speaking of the same
35:36county um that Commissioner McDaniel is,
35:39but there is a county in North Carolina
35:41that has a kind of a summer um
35:44experience for youth that the county um
35:48hire some way with some funds youth to
35:52come in and um kind of have an
35:55apprenticeship with the county to learn
35:57more um about the county. and it it
36:00seems to be, you know, worth the return
36:02on investment because in that county,
36:04they've seen those young people actually
36:07come back as employees. So, it's a great
36:11recruitment effort as relates to a model
36:14that is being used in in one of the
36:16other counties. And I'll go through my
36:18notes to try to figure out what which
36:20county that was. It may be the same one
36:22that Commissioner McDaniel is
36:23referencing.
36:24>> And this is uh Commissioner Wilson. And
36:27I also was concerned that a number of
36:30these figures were skewed, but you
36:31provided good explanation for that. I
36:33noted that our airport was on the lowest
36:36of the list of quality of service. Uh
36:39higher education only got 13%, we have
36:42six colleges in this county. I think
36:44that's unique in this state. And but I
36:46was pleased to see the pickle ball is at
36:48the bottom of that other list.
36:51[laughter]
36:53And um yeah, and the thing is I love the
36:54way you guys are thinking about um
36:56different ways because I think the ways
36:58that we've traditionally communicated we
37:00have to be more creative and in the use
37:02we kind of like to call it general
37:03citizenmies but especially working with
37:05youth. But the whole idea of getting
37:07people to know a local government system
37:09before there's a crisis before something
37:11bad happens and educating people from a
37:13young age of the differences is are
37:16really important ways to move forward.
37:18And I I love the idea that you're going
37:20to be creative in terms of figuring out
37:22ways to maybe think of ways to
37:25how to increase awareness and knowledge
37:27of the differences because even I I mean
37:29I have friends um they they cannot
37:32understand local government versus state
37:33government versus federal government,
37:35let alone city versus county. Um, and so
37:38it is a it's a real challenge for us all
37:39to educate folks and make people aware
37:42and also in this day and age to get
37:44people to work proactively on issues in
37:47their community um in a more positive
37:49nature instead of wait till you know
37:51things come to conflict. Um so these
37:54ideas and it's great a neighboring
37:55county is doing it um but figuring out
37:57ways to move forward is great and we we
37:59have more about this um in the focus
38:00groups because we did talk more about
38:02the communication. Um, I'll move on to
38:04the next slide and then we'll talk more
38:05about the communication. Um, so Ed, next
38:08slide. I have a feeling that graphic is
38:10not you can't see the pie chart, but
38:13basically after we asked people about
38:14the areas they wanted to improve in the
38:16county, we asked them if they would be
38:18um interested in a tax increase um or
38:21supportive of a tax increase if it was
38:23related to the services that needed most
38:25emphasis. And what we find is uh kind of
38:27a mixed bag. You have about 40% saying
38:29they'd be supportive. you have about
38:31almost 40% saying they're not
38:33supportive, 20% not sure. So again, you
38:35kind of have a mixed population. Um and
38:38so in terms of tax increases, we're
38:40working more and more with people um who
38:42want to put referendums on their ballots
38:44or, you know, uh put more taxes on the
38:47ballot just because local government
38:49budgets have decreased so much and the
38:51just resident expectations are so high.
38:53So, I do think this is more a generic
38:55sense of if people want tax increases,
38:58if you actually decide there are some
39:00areas you want to uh really push forward
39:02a tax increases, we do see local
39:03governments being successful in getting
39:06tax increase support, but you really
39:07have to be very specific about we're
39:09actually going to expand this rec
39:11center. We're actually going to do a
39:12policy for affordable housing and this
39:15is exactly how much it's going to cost
39:16you. You will see that the numbers can
39:18change based on how important the issue
39:20is. And then when you say tax increase
39:22is that, you know, does that cost my
39:24household $30 a month or is that costing
39:26my household $700 a month or $7,000? So
39:29again, it's a generic sentiment that's
39:31basically saying some people would be
39:33interested, some would not. And the fact
39:35that you actually have 40% um saying
39:38they would be somewhat supportive um
39:40given they don't even know what you're
39:42asking for taxes for is actually kind of
39:44a good indicator. But again, before you
39:46would make jump to the conclusion you
39:47could raise taxes, I would do a lot more
39:49work to identify the areas and be very
39:52specific on what type of taxes we're
39:54talking about. Next slide, please.
39:58So now I want to tell you a little bit.
40:00So that's kind of the, you know, summing
40:01up some of the key findings. Um, I
40:03wanted to compare your survey items that
40:05we have where we compare to our national
40:07benchmarks and we have a huge national
40:08benchmark database, the best in the
40:10country, thou hundreds and thousands
40:11representing millions of Americans. Your
40:13survey doesn't match to every question,
40:15but we were able to map some and I will
40:18show you the ones where you have the
40:19ratings um where we can compare. Next
40:21slide, please. So, uh we were able to
40:23benchmark 24 of your questions,
40:26measurements from your survey. And what
40:28we found is for most of those items, you
40:30were on par with the nation. And when I
40:31say on par with the nation, what I
40:32should say is our national data set is
40:34actually based on high performing
40:36communities because it's only based on
40:38people who are willing to ask their
40:40residents these questions. And um I we
40:42talk to communities who a are not
40:44willing to ask because a they don't want
40:46to spend the resources. But sometimes
40:47and more often the um elected officials
40:50believe that they were elected and they
40:52have the answers. So they don't really
40:54need to ask the residents or we have
40:55folks who are really fearful of hearing
40:57what the public thinks because they
40:59don't want to get a low mark. They're
41:00nervous. And so it is a best practice.
41:02Um so congratulate every community that
41:05you included that actually chooses to do
41:07this with her residents. But again, my
41:09national data set is only comparative to
41:12those folks who are also high
41:13performing. So for us, if you're even on
41:15par with the nation, this is awesome.
41:17Sorry, go back. And so you're on par
41:19with the nation in all these items we
41:21list here, which is awesome. You also
41:22are above the nation in terms of your
41:24affordable housing rating. And again,
41:26this day and age, housing is probably
41:27the hottest topic in local government.
41:30And the fact that you are scoring higher
41:32in affordable housing, even though we
41:34still know residents in your community
41:35are concerned, that's a great finding.
41:38Next slide.
41:40So there are a few areas, six areas
41:41where you fell below the nation and
41:43again those are the high performing
41:45nations but um as a place to educate
41:47children um open transparent
41:49information, customer service, animal
41:52services, public involvement and local
41:54decisions and keeping residents
41:56informed. So again we see that theme of
41:57communication again but you are a county
42:01and it is more difficult. You will see
42:02in the focus groups that you were very
42:04uh confused with Winston Salem. I would
42:07like to say those are
42:09>> I would like to say before we go to the
42:11next slide I think we probably would be
42:14remissed if we didn't indicate that some
42:17of the communication issue as we have
42:20heard from citizens is about um the
42:23timing of our meetings where possibly
42:25some of our citizens that can't come
42:28during um the times when we have our
42:31meetings may be a part of um some of
42:35some of the scoring too. But I think
42:37that um as we try to compromise and
42:41negotiate that as a board, we are I
42:43think moving in the right direction. But
42:45I did want to put that um I did want to
42:50share that with the public
42:54>> and that did come up in the focus
42:56groups.
42:59Next slide.
43:02Now we also wanted to compare the
43:03responses. We did ask the districts and
43:06compare those responses and again you
43:07can look at the report to see a full
43:09comparison but wanted to show a few
43:10summary trends. Next slide please. So
43:13first slide is um we so I'll have a
43:16couple slides to talk about it. So if we
43:18compare district A and district B um
43:20you'll see the bottom chart might be the
43:22most descriptive but on the 88 um areas
43:25we could compare you see that district A
43:2753 scored higher and then on the uh 35
43:31in district B and where we see the fine
43:33the kind of differences where they
43:35diverge. Um district A was had a more
43:38positive countywide outlook. They often
43:40more said quality of life is improving
43:42the county is moving in the right
43:44direction. Um also they were stronger in
43:46their ratings of education like public
43:48and then county systems like public
43:50health social services. Uh district B
43:52were more positive about park. They had
43:54more emphasis on parks and open space
43:56usage and they were just generally using
43:58the parks and the libraries much more
44:00so. Next slide please. be before we move
44:03forward. Um I'm one of the I'm one of
44:06the district A representatives and
44:08>> this is good to see although I know that
44:11there is um still room for improvement
44:13but it's good to know. And then I'll
44:15just piggyback a little bit relative to
44:18where um I did not see the Highland
44:21Avenue Park listed um and also um near
44:26our libraries the Carver school road.
44:29So, I just want this board in our
44:31budgeting and in our thoughts um and
44:33when we do the listening sessions and um
44:36the focus groups to remember that we
44:39need to continue to place emphasis on
44:42the the uh residents in district A um as
44:46well as the county as whole. Thank you.
44:50>> Just clarification on Highland Avenue
44:52Park. It hadn't been open like for a
44:54full year yet in order to add it.
44:56>> I was wondering
44:57>> add it to the survey, but it will be on
44:59the on the next one. Yes, ma'am.
45:01>> Fair enough.
45:02>> Thank you.
45:06>> Okay, next slide, please. Um, so here's
45:10another district A is more positive
45:11about direction, opportunity, and county
45:12engagement. So, we're getting just a
45:14little more details. The quality of life
45:16improving place to educate children and
45:18their experience engaging with the
45:20county. you get higher ratings in
45:21district A. Um, also public health
45:23services, courthouse condition, place to
45:25retire, and again we're just calling out
45:27the differences that are statistically
45:28significant. Um, then the next slide is
45:30going to be where county B gave higher
45:32ratings, open space, Tanglewood Park,
45:35active recreation, the libraries, um,
45:38the county website. So, you see some of
45:40these differences um, just so you can
45:42compare. And you know, we just talk
45:43about where um if you need to have
45:45awareness campaigns or if you need to
45:47actually devote more resources if
45:48there's a funding issue. Um that's when
45:51these results come into a play. Um uh in
45:54terms of uh moving forward,
45:56>> I do have a quick question before you go
45:58to the next slide as it relates to
46:00>> do you all um
46:04can you all share what were the zip
46:07codes in district A? And the reason why
46:09I say that is because unfortunately most
46:12of the lowest performing schools not
46:14only in our county but even in our state
46:17exist in district A. So I would be
46:20interested to know kind of how district
46:24A um was this you know highly satisfied
46:28with education and and I mean you can
46:31share that with us on the back end but
46:33that sort of perplexes me to be honest.
46:37We will have the report that breaks
46:39every single question. The one thing,
46:41these are perceptions. So it may not be
46:42just because you live in that area. You
46:44may not be rating your schools. You
46:45might be, you know, you're listening to
46:47the news about the county. You may be
46:49young and don't even have kids yet. So,
46:50you know, these ratings are perceptions.
46:53It may not be you have a kid in school
46:54district A and B. So, just keep that in
46:57mind. But also, in terms of how we drew
46:59up the boundary map, we did work with
47:01you to get the zip codes. And I know we
47:03can share that back with you in the
47:04methods, but we you guys helped us
47:06decide what the zip codes were included.
47:08But again, I wouldn't take that to mean
47:09I'm a parent in A, I'm a parent in B,
47:11and I think the school's better or
47:12worse. I it's it could be older adults,
47:14it could be young adults, and and you
47:16know, if you have I what I understand A
47:18would have probably younger adults. And
47:20so those folks may exper, you know, they
47:22may not have as much experience in the
47:24school system or they may have a lot of
47:25young families, but if you have a lot of
47:26singles, my experience is most people
47:29between the ages of 18, 25, 18, 30, they
47:32don't really understand what's happening
47:33in the school districts unless they see
47:35the headline about school funding or
47:37things like that, right? So just take
47:38that into account when you're looking at
47:40the ratings.
47:42Next slide, please.
47:45And so here's just a summary of the
47:46findings that I already went over. your
47:48qual quality of community life remains
47:50strong. Your quality of life is stable.
47:52Family ties and housings really attract
47:55people to your county. Um your residents
47:57emphasize safety um and clear
47:59priorities. Parks and open space really
48:02highly valued and used. Library
48:04libraries are trusted and a great
48:06resource. And then the opportunities
48:08improvement, they talk, you know, we
48:10talked a little bit about taxes in some
48:12of those areas, but again that's just
48:13something people dislike no matter how
48:16well you do taxes. Um [clears throat]
48:17but really talk about maybe um thinking
48:20through ways to communicate and be
48:21transparent and kind of find
48:23opportunities for public uh engagement
48:26with the county government is some of
48:27the recommendations that come out from
48:29our report. Next slide please. So then I
48:32want to talk a little bit about the
48:33focus groups and then I'll turn it back
48:34to discussion with you all. So we did
48:37focus groups afterwards. conducted two
48:39focus groups with and what we did was
48:40recruit residents who already
48:42participated from the survey to ask them
48:44if they would pay you know come and join
48:46with us a deeper discussion and we
48:49wanted we decided to focus it because
48:51these findings kind of related to
48:52communication and engagement we kind of
48:54focus we did um make the focus groups
48:57around these themes to dig deeper so we
48:59held them in August we had two focus
49:01groups we ended up recruiting 17 and 10
49:04attended that's about typical
49:06unfortunately people say they're going
49:07to come and they weren't paid But they
49:08still, you know, people just don't show
49:09up as well. But again, we expect about
49:1150% response rate. Got a little bit
49:13higher. And so we had online discussions
49:15with two groups of residents. We held
49:16one in the evening and one in the
49:18daytime just to vary um in terms of
49:20people's schedules. Next slide, please.
49:24And so what we found is um the first
49:26questions we kind of opened up with just
49:28about like what what's best about living
49:30here and what would you change? Um and
49:32so kind of just general questions. is
49:34kind of an icebreaker we use on focus
49:35groups, but also you really want to get
49:37to what are some of the things that are
49:38really going on in people's minds. And
49:40what they found in terms of what they
49:42really like about the county is, you
49:43know, we kind of heard a number of
49:44comments about the best of both worlds.
49:46It's being like feeling like a small
49:49city or small community but having the
49:51amenities of a big city. We heard that
49:52over and over. Um distinctive assets,
49:54the parks, arts and culture,
49:56neighborhoods, and the educational
49:57institutions. People kept bringing up
49:59that is what really uh the county has to
50:01offer. And then also they really said it
50:03had a place worth staying. They love the
50:06small town friendliness. Again, big city
50:08convenience, but they just really love
50:09that mix of how you guys are really
50:11providing a place that feels small and
50:14friendly. Um, at the same time they have
50:16amenities. In terms of the priorities,
50:18um, they started to talk they were
50:19talking about housing affordability and
50:21path to home ownership. Even though you
50:23do score higher than the nation in terms
50:25of housing affordability, um, the nation
50:27is a very poor goal. We have so many
50:30communities right now where people are
50:32struggling with um homelessness, rent
50:34burden, you know, paying more than 35%
50:36of your uh income on rent. And a number
50:39of residents have brought up the fact
50:40that uh it has been challenging and
50:42especially those who maybe have children
50:44going up and trying to get houses and
50:46how affordability is changing and
50:48increasing pretty dramatically. So those
50:50concerns came up. um issues around
50:52school support had a number of people
50:54talking about the school funding issues
50:56and um maybe a shooting in the school
50:58and just some safety, but in general
51:00just making sure that the school
51:01finances and safety were in order. Um
51:03emergency preparedness, which I talked
51:05about already, but natural disasters,
51:08those types of things and people had
51:09talked about the boiled water um
51:11incident that had happened. But again,
51:12being able to um have be prepared and be
51:16able to communicate with folks. um
51:18transportation. We did hear people talk
51:20about the roads and the connectivity and
51:22some congestion. And then um some folks
51:24were concerned really about job
51:26creation, downtown revitalization, again
51:28more towards Winston Salem, but how
51:30we're bringing good jobs and making sure
51:32we have the right uh economy and jobs
51:34moving forward. So that's the general
51:35trends we found in terms of what's
51:37working well and what are the bigger
51:38broader challenges. And again, we didn't
51:40aim this specifically to the county of
51:43Forsith and what they should do. It's
51:44just what about living in Forset County?
51:47um you know affects you. Next slide
51:50please.
51:52Um so the core challenge we actually
51:54found really was because we had asked
51:56then a number of questions about do you
51:57understand the difference between the
51:59city and the county and how the school
52:00district and county work together and
52:02what we generally found is people were
52:04extremely confused. Um even people we
52:06had I think two of the people in the
52:08focus groups were ex county employees
52:10and what I found out later they may have
52:12been misinformed at least one of them on
52:14some of the things happening within the
52:15county. So again, people were tended to
52:18be very interested in what you all are
52:20doing, but they were confusing
52:21constantly um what Winston Salem does,
52:24what you do, and then also just didn't
52:26know um when we talked about um the
52:29social media, the websites, all those
52:31things. Many of the folks were
52:32interested, but again didn't know how to
52:34get on, how to find them. So people were
52:36asking me throughout the focus groups,
52:37can you send us the information about
52:39how to join and sign up? And so I had Ed
52:41send me the information, and then I had
52:43people thanking me in email saying,
52:44signed up right away. So again, it's not
52:47that people don't care. Um, it's just
52:49that they actually are just confused
52:51about where to go and again confusing
52:53you quite constantly with the city of
52:55Winston Salem.
52:57>> Next slide, please.
52:59>> And um, again, and then we asked them
53:01kind of what kind of communication you
53:03want, like if the, you know, what kind
53:05of count information are you looking for
53:06with the county? And again, this isn't
53:08saying it's not what you don't offer
53:10already, but the themes came out is real
53:13concern over making sure they get urgent
53:14indications. So, are they getting the
53:16text alerts when they had the boil water
53:18issue? If things happen or if there's an
53:19active shooting, they want to make sure
53:21that they actually get information when
53:23there's something that's an emergency.
53:24Um, in terms of everyday information,
53:27they're interested, but they want short,
53:28more frequent updates, not, you know,
53:30clear headlines. They, you know, would
53:31reference things where you get to click
53:32on the one thing if you want to read
53:33more, but just real brief summaries. Um
53:36there was quite a bit of discussion
53:38about who likes social media versus who
53:39likes printed newsletters versus who
53:41likes a news newspaper versus who likes
53:43radio but kind of the agreement is we
53:46need to figure out ways to communicate
53:47with everyone which there is a cost to
53:49that obviously and then uh the
53:51accessibility and one commissioner had
53:53talked about um timing of the meetings
53:54they were confusing you I think
53:56sometimes with Winston Salem but um
53:59talking about when the meetings are held
54:00and if they're the time of day people
54:02can participate and also talking about
54:04where these meetings are held and if
54:05there's parking rates and if it's
54:07difficult to get to and figure out ways
54:09to make it where you meet people more
54:10where they're at or making it more
54:12accessible. So those are some of the
54:13kinds that came up and next slide
54:18and then we put you know some notes in
54:20just in our report just about um you
54:23know some next steps is to promote what
54:25all already exists if the critical alert
54:28system specifically making sure people
54:29have signed up figuring out ways to
54:31broaden participation um and this survey
54:34and the focus groups are a great way to
54:36already start engaging folks but love
54:37the ideas you guys are talking about
54:38involving the youth through the schools
54:40partnering with other folks being in
54:41these citizens andmies finding different
54:43ways to actually start to connect with
54:46folks and then again reporting back
54:48visibly. One of the things we find a lot
54:49with local governments is they may
54:51listen to their residents but they're
54:52not as good at telling people how they
54:54use the information. So you get the
54:56survey and because you've used the
54:58survey, you know, maybe you'll have a
54:59press release saying this is what we
55:01found. But what we'd love to see is if
55:03you've done something differently in the
55:04next year or two years between the next
55:06survey, you say to folks because we
55:08heard from you XYZ, we are now doing
55:10something different. People love to hear
55:12that. They love to know that you asked
55:15them. Not only asked them, but you're
55:17actually doing something different. And
55:18even if the doing something different is
55:20we're going to, you know, have a launch
55:22a study on this and look into it and
55:24we're actually even if we decide we're
55:25not going to do what you all want, we'll
55:27actually be able to communicate with
55:28you. We know you're concerned. This is
55:30why we're mitigating this. This is why
55:31we're doing it this way. This is why
55:33we're going to do this other type of
55:34study. But people want to feels heard.
55:36And so again, people often forget about
55:38that closing the loop part of
55:40communication. So you can communicate
55:42all you want, but sometimes there it's
55:44not enough. you want to make sure folks
55:46know that you're actually listening. So,
55:48um that's just some uh recommendations
55:50we gave to you all. And the next slide.
55:52Um and I also just wanted to point out
55:54to you an awesome tool I at least I
55:56believe you have. One of the things we
55:58have at PCO as part of your we do the
56:00survey with you in the focus groups, but
56:02you then have a subscription with us.
56:04that you've already paid for where
56:06basically as part of the survey we ask
56:08these residents who took the survey um
56:10if they actually would like to engage
56:12with the county in the future if they
56:14have any types of surveys work whatever
56:16and you actually had 1918 people who
56:18signed up and said yeah I actually
56:19really want to engage with the county.
56:21So now we have clients we do this with
56:23all our clients um that never choose to
56:26reach out to these 918. We reached out
56:28to them to recruit for the focus group.
56:30So we pulled those focus group folks to
56:31do it. But some folks after they do the
56:33survey with us, they will actually
56:35decide to more continuously engage. So
56:37then and we will train Ed on this if he
56:40wants to after this or whoever else
56:42wants to be trained. But we have the
56:43opportunity where you can actually go on
56:45our dashboard and say you have a survey
56:47about affordable housing or short-term
56:49rentals or how you want to change
56:51Tanglewood Park or um and here's some
56:54example on the lefth hand side where
56:55people are building a new park and what
56:56amenities do you want to see fixed you
56:58know or put money towards but you have
57:01this tool that you could actually use
57:02going forward use it as often as you
57:04want and we have some communities that
57:06have 10 20,000 people on their panels
57:08where whenever the board council has an
57:10important question you send it out to
57:12the folks saying, you know, even if it's
57:14just like, we're going to um have a
57:15farmers market. Would you rather come
57:16Wednesday night or Saturday morning?
57:18What types of booths are you interested
57:20in? We have people who do a really good
57:21job using this. And I feel like it
57:23really does promote that engagement. And
57:25also within the platform, you can
57:26actually there's a feedback loop that
57:28says an outcome of what happened. So, we
57:30did the survey. We found out people want
57:31more of a splash pad versus a dog park.
57:34You tell people this is what the survey
57:36results were. This is why we're doing
57:37it. But it's a great way to kind of
57:39close the feedback loop. So, again,
57:40don't need to use this. Um it's free but
57:43just wanted to give you a heads up that
57:44you do have um this as part of your
57:46subscription and could be a good way to
57:49start working on that engagement
57:50communication gap.
57:53Next slide. So with that that's all I'm
57:55going to present but I did want to open
57:57it up for any questions answers or if
57:59you guys want to have some discussion
58:01about next steps I'm happy to be part of
58:03that as well.
58:04>> Uh thank you Michelle that has been a
58:06very thorough report and we do thank
58:09you. I'm sure there's lots of questions
58:11and we'll now open it up for questions.
58:16Commissioner Bessie.
58:22>> Thank you, Madam Chair. This is Dan
58:24Bessie. Um the atlarge representative
58:27>> for like short pieces fed in for like
58:30short pieces fed in. But then there's
58:32super some folks who really want all the
58:34details and so those folks could click
58:35and find um again and I'm most of them
58:38were not familiar like to the extent
58:40with your newsletter to be able to give
58:42me feedback on it to say if that was not
58:44as condensed as they liked but again
58:47they were just telling me ideally what
58:48they'd like to see.
58:49>> Was there any
58:50>> and again they were some people want the
58:52mailed newsletter still some people want
58:54the you know some people say their email
58:56box is all full of junk so they don't
58:58want it. I mean there's a lot of
58:59different types of opinions of what they
59:02want you to do everything and you can't
59:03but um there are people using different
59:05types of resources for sure in your
59:07community.
59:08>> Sure. Did uh from from the specific
59:11comments did you have any sense whether
59:14they were talking about um you know
59:16expecting daily updates or weekly uh um
59:20>> we didn't ask frequency straight out but
59:23I would I think they were talking
59:24>> break break and that was on television
59:27and it was on uh social media. I did see
59:30that it was on the news but what type of
59:32text messaging goes out if any?
59:36That question really speaks to um I'm
59:38going to say emergency management uh
59:41emergency management and and I can go
59:43back to a couple instances where they've
59:45used the notification system from the
59:47state. I can't rightly quickly call the
59:50name of it but it is their system is not
59:54subscriberbased.
59:56They have the ability to reach um kind
59:59of um once they kind of draw a polygon
1:00:01on a map they can notify that area. The
1:00:04notification system that we have used in
1:00:07the past has been a subscriber-based
1:00:10system. So where there are promotions
1:00:11where we say to people, if you want to
1:00:13be notified about activities in these
1:00:16different areas, sign up. And so that
1:00:20means you're relying on people saying,
1:00:22hey, I want to be notified.
1:00:24>> And uh and that means you don't get
1:00:26everyone. Yeah. Uh outside of that, um
1:00:29one of our strategies has been to do
1:00:32notification on the county's website
1:00:34that goes to all of the child pages. So
1:00:37any page on the website when the um when
1:00:40there was the water matter for city
1:00:42county utilities, we put our information
1:00:44onto that page as well as onto our
1:00:47social media pages. Um I think that's
1:00:50about all that I can offer right now
1:00:51unless do you remember anything else? We
1:00:54are in the process of implementing a
1:00:58text alert system. So, we started with
1:01:01um county employees. Some of you may
1:01:04have received that we were testing it
1:01:06and I know Miss Wizenhunt text me
1:01:08because it was a weird text. Um but we
1:01:10are in the process of um doing that for
1:01:12county employees and then rolling out to
1:01:15citizens as well for alerts. But again,
1:01:18it is going to be you have to opt in
1:01:21there. We do not have the ability to
1:01:22just capture people's cell phone numbers
1:01:25and send things out in that way in the
1:01:27way in which like a a state emergency
1:01:29management system can.
1:01:31>> Yeah. I So I in my mind I'm just
1:01:33thinking that we probably need to just
1:01:35do a reminder quarterly or however just
1:01:37to get individuals to know that there's
1:01:40an option to opt into the notification.
1:01:43>> Yes. Once we roll it out, we will. One
1:01:45of the things Ed and I even talked about
1:01:47is um utilizing more of even putting it
1:01:50in mailers. So like inserting it in
1:01:53water bills and you know v various other
1:01:55tactics of things we have at our
1:01:58disposal. Again it's not oneizefits-all
1:02:01but different people get information in
1:02:03different ways.
1:02:04>> Sure. And my question I wanted to lift
1:02:06up the ABCs of uh the data centers.
1:02:10They're here. Um, I think it's important
1:02:13for us to do more education or we're
1:02:16going to see citizens fired up and ready
1:02:18to go. Um, there we want to talk about
1:02:21the tax implication, good, bad, and
1:02:24indifferent. We should be talking about
1:02:27moratoriums and what that looks like.
1:02:29Um, how they attribute to the natural
1:02:32disasters and how it's all
1:02:34interconnected. So, I think that that's
1:02:36something that we as a board need to be
1:02:38realizing um with throughout the
1:02:40education that um we're all just kind of
1:02:44researching to get through. But I I'd
1:02:46love to see that be lifted up in this
1:02:48next couple of months.
1:02:50>> So, I think today
1:02:51>> I just put in a Sorry,
1:02:53>> I was just going to say I mean today we
1:02:54are starting the conversations on data
1:02:57center, but it's part one um at our 2
1:02:59p.m. briefing um and then we'll
1:03:01certainly continue as much as the board
1:03:03would like. Yeah, that's on our agenda
1:03:05for today.
1:03:08>> Just to talk about that PCO Engage again
1:03:10where you have that panel of residents.
1:03:11I do work with a number of communities
1:03:13where I ask a bunch of data center
1:03:14questions about what parts are important
1:03:16to them, pros and cons of data centers.
1:03:18If you want to use the PCO Engage
1:03:20platform, I'm happy to help Ed with some
1:03:22questions. If you want to go out to the
1:03:24community and start getting their
1:03:25priorities, their understanding, and I
1:03:26know how to ask these questions in very
1:03:28neutral ways. I'm also uh so just so you
1:03:32know there are and natural disaster I'm
1:03:34doing a lot of work with communities
1:03:35with questions about asking the
1:03:36residents how prepared they are and what
1:03:38if they're aware of what disasters are
1:03:40most important and what they would do.
1:03:42So again if you want to dig deeper into
1:03:43those I'm actually happy to help Ed with
1:03:46that if that's if the way you want to
1:03:47start engaging folks.
1:03:48>> Oh I would love to see that. Absolutely.
1:03:51AI is here and we use it every day. I
1:03:54don't think that people realize that,
1:03:56but um education is just important. So,
1:03:58we just have to have continue to have
1:04:00that conversation. Sounds like we're
1:04:02going to do that this afternoon. So,
1:04:03thank you,
1:04:07>> Mr. Parker.
1:04:08>> If I could if I could add on a little
1:04:10bit about utilities. So, we at
1:04:13utilities, we have invested a
1:04:15substantial amount of money in what's
1:04:17called AMI, which are the automated uh
1:04:20meters. Um, and a lot of those are
1:04:23already in place. I think u Courtney
1:04:26Driver, head of utility should be here
1:04:28at the two o'clock session so she can
1:04:30give more detail. But as part of that is
1:04:33a communications platform which should
1:04:36be coming on I think in the next few
1:04:38months. And as part of that
1:04:40communications platform,
1:04:42people who want to be engaged, they can
1:04:44select either text or email that would
1:04:46get down to the level where they would
1:04:48be able to if you've got a water leak,
1:04:50you're going to know a lot quicker than
1:04:52when your next bill comes. Now, under
1:04:55that scenario, if if all of that had
1:04:57been in place, there probably would have
1:05:00been the text and the emails and
1:05:02notifications coming out when it came to
1:05:04that water mane break. So the better we
1:05:08can do obviously, but I think there is
1:05:10some there is some things that are
1:05:12coming forward and obviously all of the
1:05:15different government agencies working
1:05:17together on this um to have those kind
1:05:20of level of uh communications on that.
1:05:23So just wanted to kind of add that to
1:05:25Commissioner McDaniel's question.
1:05:29>> Thank you so much.
1:05:30>> Oh, I just had one. Sorry. Okay,
1:05:32Chairwoman,
1:05:34>> one more question.
1:05:35>> Yes, ma'am. So, um,
1:05:38County Manager Robinson, I have, um,
1:05:41maybe two questions as it relates, one
1:05:44to the airport and then the library. So,
1:05:46one for the airports, as I mentioned to
1:05:49you previously, and I just want to put
1:05:50this on the record, a citizen went over
1:05:52to the airport and felt like it was off
1:05:55limits. And I said, "Oh, that's public
1:05:57property." So, I spoke with you about it
1:06:00and you kind of gave a very concise um
1:06:04reply as it relates to the limitations
1:06:07of um the airport for you know um legal
1:06:11reasons. And then there are some things
1:06:13that citizens should be aware of as it
1:06:15relates to you know general access. I
1:06:18know that I don't have um a an um an
1:06:21airplane that sits over there. So, I I
1:06:24don't spend much time over there myself,
1:06:26but I think some citizens, you know,
1:06:28felt like that the airport is an
1:06:31exclusive asset that they're not, you
1:06:34know, a part of or can be a part of. So,
1:06:37can you just give some feedback on that?
1:06:39>> Yes, ma'am. Thank you for the question.
1:06:40Um I had shared the citizen complaint
1:06:42with our airport director and quite
1:06:44honestly he was very disappointed to
1:06:46hear that because um they had made a lot
1:06:49of concerted efforts to make the
1:06:51facility when it was renovated welcoming
1:06:53and accessible to the public. And so the
1:06:56renovated terminal includes a public
1:06:58lounge, a balcony, a porch where
1:07:01visitors can spend time and watch
1:07:03aircraft activity. Um there's also
1:07:05historic photographs and descriptions.
1:07:07though it is open for the public to use.
1:07:10Um but there are um and so I'll say
1:07:13regarding public access, there's no rest
1:07:15general restriction on members of the
1:07:17public entering or using the designated
1:07:20public areas. However, there are
1:07:22restricted um areas including the
1:07:26aircraft ramp and taxiways and runways
1:07:29as well as spaces leased and controlled
1:07:31by airport tenants. Um, so for example,
1:07:35the pilots's lounge is leased by
1:07:37Signature Aviation. It's reserved for
1:07:40their customers only, and access to
1:07:42those areas is controlled by um the
1:07:45tenant. Um, in addition, um, individuals
1:07:49can utilize the county's conference and
1:07:51meeting rooms. Um, but they do have to
1:07:53reserve um, that space. Um, we believe
1:07:57that it possibly the confusion was
1:08:00Signature Aviation, which is one of our
1:08:02tenants, provides complimentary coffee
1:08:05and snacks for their customers and
1:08:07posted signage indicating that it's for
1:08:09their customer use only. So, it's
1:08:11possible that maybe a member of the
1:08:13public went to try to utilize that. And
1:08:15what they said was the primary reason
1:08:17they did that was because some of the
1:08:19other tenants employees were coming and
1:08:21basically just grabbing all of the
1:08:22refreshments. So, long story short,
1:08:24there is a lot of public areas in there
1:08:27and um certainly very open and welcoming
1:08:29to the public and Mark was going to talk
1:08:31with um the tenants [snorts] just to
1:08:33make sure everybody was on the same
1:08:34page.
1:08:35>> And there is a um airport board meeting
1:08:38tomorrow at 4:00 and they're welcome to
1:08:40attend that. If that doesn't do it, tell
1:08:42them I'll take them up for a spin.
1:08:44[laughter]
1:08:45>> I don't think.
1:08:47>> Okay. So my last question um is about
1:08:51the Malloord Jordan Cultural Center and
1:08:53the SL um library there. I I was happy
1:08:56to see that there is an increase in um
1:09:00visitation at that um library but it's
1:09:04still very low and I know that um we
1:09:07have talked about trying to emphasize
1:09:10the cultural component and how that
1:09:13could draw more excitement to that to
1:09:17that area. So, uh, do you know where we
1:09:19are with that?
1:09:20>> Um, I know we've had some meetings, um,
1:09:23with the community, um, as a followup to
1:09:25like the last meeting that, um, we all
1:09:28had. I think from staff's perspective,
1:09:31um, our library director is trying to
1:09:33work on a plan and they will absolutely
1:09:35involve the community. I think you and
1:09:37I, our discussion was it is called a
1:09:39heritage center, but it has never really
1:09:42been a heritage center. It's really
1:09:44functioned as a library with a few
1:09:46pieces in there. Um, and so I think the
1:09:48goal is to try to figure out how we
1:09:51really embrace and enhance the heritage
1:09:53um, center piece of it. Um, still in
1:09:57library because it is a library, but I'm
1:09:59trying to work on that. I'm looking at
1:10:00our deputy county manager to see if he
1:10:02has more of an update for me.
1:10:03>> No, I think that covers it. Yeah, I know
1:10:05after that meeting that we had, our
1:10:07library staff is
1:10:13I think we are going through kind of
1:10:14that strategic planning process and
1:10:15involving the community to figure out
1:10:16how we can more enhance the heritage
1:10:18center like the county manager
1:10:19mentioned.
1:10:22>> Again, Michelle, we thank you so much.
1:10:25Um, our next item is health and human
1:10:28services update. I mean, I'm sorry. Um,
1:10:32Chair Wizenhunt, two seconds. We also
1:10:35just wanted to share with the board our
1:10:38map forcythe team. Um I'm gonna ask
1:10:40Patrick Fab to come up. Um has started
1:10:43working on a public dashboard. So they
1:10:45got all the raw data from um PCO and um
1:10:50we're working on a public dashboard to
1:10:52show the comparisons of the previous
1:10:54years. We're just going to show real
1:10:55quick. It's still a work in progress. So
1:10:57we'll post the results of the survey and
1:10:59then we're also going to kind of work on
1:11:01this dashboard because map for is
1:11:02fantastic. So Patrick like two minutes
1:11:04just show what you all are working on.
1:11:07>> Sure. Yeah. Thank you. Good morning
1:11:08everyone. Um, so my name is Patrick F.
1:11:10I'm a business analyst in Map Forcy. So
1:11:12I'm part of our projects team that deals
1:11:14with data analysis, reporting, the
1:11:16analytics, and dashboarding as you'll
1:11:18see here. So we do have a brief overview
1:11:20here of a dashboard that we've just
1:11:22started working on after receiving some
1:11:23of the data. Uh, and this is is really
1:11:26meant to complement the community survey
1:11:28and focus group presentation that you
1:11:29just saw. So this is still in a draft
1:11:32state but hopefully developed enough to
1:11:33get a clear idea of how these tools
1:11:35could be used together to get a deep
1:11:37understanding of the survey data and the
1:11:39valuable insights to be gained. So one
1:11:42thing to keep in mind here is the
1:11:43importance of the data interpretation
1:11:46which assigns a meaning to the data
1:11:48collected. So some of the the visuals
1:11:50that you'll see here are quite similar
1:11:52to pieces from the presentation. Others
1:11:54have been intentionally designed with a
1:11:56slightly different perspective of the
1:11:58same data with the goal of providing the
1:12:00most comprehensive picture available. So
1:12:02this will help us as we identify trends
1:12:04and patterns to apply a datadriven
1:12:07decision-making process to better
1:12:09support our employees and our citizens.
1:12:13So this first page you see here is a
1:12:16more broad overview of some of the
1:12:17demographic information received in the
1:12:19survey as well as a couple qualitative
1:12:21questions such as the quality of life
1:12:24and the do you think you will live in
1:12:25forth county in 5 years. So each of
1:12:28these visuals here can be interacted
1:12:29with in a dynamic way. So you'll see as
1:12:32I click on some of these you can now see
1:12:34a subset of the data based on the filter
1:12:37that you've selected. So you can do this
1:12:39with any number of these to really dig
1:12:40down dynamically in a way that other
1:12:45visuals, other charts, other data may
1:12:46not show you quite as cleanly. Now, as I
1:12:49think Denise has seen here, you can dig
1:12:51into this for an hour or more if you
1:12:52want, but that's not really the scope of
1:12:54the presentation here. So we'll remain
1:12:56kind of brief on that, but there's a lot
1:12:58of power here. What you can slice and
1:12:59dice and and get really granular with is
1:13:02almost limitless uh to to what the data
1:13:05that we have access to.
1:13:10We have another one here. This is a bar
1:13:12chart that shows the relative percentage
1:13:14distribution of each of the visioning
1:13:16categories broken down by the rating
1:13:18level. So you'll see the very important,
1:13:21somewhat important, not important, and
1:13:23not sure. This is set up so that each of
1:13:26these bars is set to equal 100%. Which
1:13:28is a bit clear as we know that some of
1:13:30the survey years uh differ in the number
1:13:33of responses received. So this helps to
1:13:35equalize that data in a way that you can
1:13:37see more appropriately some of these
1:13:38percentages.
1:13:44We now go to more of the trending data
1:13:46here. So we can see up at the top we've
1:13:48got highest five rated categories and
1:13:50lowest five rated categories. So what we
1:13:52do here is we take the visioning
1:13:54category responses which are the items
1:13:56that you see in the bottom left. You've
1:13:58got safety, low crime, library services,
1:14:01housing, healthcare access.
1:14:03We take those with those matching rating
1:14:05responses such as the very important,
1:14:07somewhat important, not important and
1:14:09not sure. And we calculate [snorts] a
1:14:11count of all these responses that
1:14:12selected very important for the highest
1:14:14five and then not important for the
1:14:16lowest five. So by sorting this, we see
1:14:19what sees what what seems to be the the
1:14:21highest priority and the lowest priority
1:14:23based on these category questions.
1:14:26You'll see in the bottom we have a line
1:14:28chart here as well that tracks the
1:14:30trending data over this the period of of
1:14:32time that we've collected these surveys.
1:14:34So we've got absolute responses here.
1:14:36You'll see and it may be tough to see on
1:14:37the the screen. I apologize. So we have
1:14:39absolute numbers here in the black text
1:14:41and then beside that is the relative
1:14:43percentage for that given survey year.
1:14:46So that way you can see for example in
1:14:472021 for safety and low crime we had
1:14:501192 responses uh 84.9%
1:14:55saw that as very important slight dip in
1:14:582023 but then as you look at 2026
1:15:01although we had fewer total responses
1:15:04132 compared to 2021 it was actually a
1:15:07higher percentage of the total number
1:15:09for that given year. So what we've done
1:15:11here is given more of an apple apples to
1:15:13apples comparison so that you can see by
1:15:15percentage how this may vary from year
1:15:17to year.
1:15:22We have the same two pages that I just
1:15:24showed you for the visioning pieces. Now
1:15:26for the foresight county ratings as
1:15:27well. So this touches on the the pieces
1:15:30that we've touched on earlier of as a
1:15:31place to retire, live, work. Some of
1:15:33these categories you can see how those
1:15:35were rated in this bar chart.
1:15:40And then the same selection, the same
1:15:41highest five categories based on
1:15:43excellent and lowest five based on poor
1:15:46as well as another line chart for the
1:15:47different Forsat County ratings. So we
1:15:49can see as we click on some of these how
1:15:52some of these ratings change over these
1:15:54survey years.
1:15:58So this is really meant to be a
1:16:00complement to the comprehensive report
1:16:02that we've just seen. The nice thing is
1:16:05we can continue to work and refine and
1:16:07improve this. we can iterate this over
1:16:08and over and add more details, add more
1:16:10data. Really getting down to what you
1:16:12guys are wanting to see and how you want
1:16:13to see these insights visualized.
1:16:16So,
1:16:18so that's just a real highle overview.
1:16:20We just wanted to show you we're taking
1:16:22the raw data. We're trying to analyze
1:16:23it. We'll put a dashboard as well up for
1:16:26the public, but then also for you, you
1:16:28can go in and as you saw saw, it's very
1:16:30dynamic. But I mean, the team pulled
1:16:32this off in like literally a day or two.
1:16:34So, it's a work in progress. They are
1:16:36absolutely made.
1:21:56Our
1:22:11our next session is health and human
1:22:13services update. Uh Denise Price and
1:22:17Christa Smith will present our update.
1:22:21>> Good morning, commissioners. So, I'm
1:22:22going to provide a brief update on the
1:22:24local management entity managed care
1:22:26organization. I'll refer to that as the
1:22:29LME MCO as we go through. As you may
1:22:32know, LME MCOs's manage care for a
1:22:36number of plans. Probably the most
1:22:38familiar will be the tailored plans.
1:22:40That's for individuals that have um a
1:22:42prevalent mental health, substance use,
1:22:45intellectual, developmental disability,
1:22:47or traumatic brain injury need. And they
1:22:50manage the whole person care. So, it's
1:22:52physical health, um, specialized
1:22:54services, and pharmacy services for
1:22:57folks with NC Medicaid. Again, that's
1:22:59called a tailored plan. They also manage
1:23:01state funded services, which is a
1:23:03limited um, amount of money that is
1:23:06passed through from the state. And
1:23:08additionally, they coordinate for mental
1:23:10illness, substance use, ID, and TBI for
1:23:13NC Medicaid direct recipients. That's
1:23:16another plan type. Although the physical
1:23:19health services and the um care
1:23:21management are managed through community
1:23:23care of North Carolina
1:23:26currently in Foresight County, Partners
1:23:29Health Management um manages the
1:23:32services for those three plans for our
1:23:35um residents. They serve a total of 15
1:23:38communities
1:23:41and VIA Health has um a a footprint of
1:23:4632 counties in North Carolina. They have
1:23:49announced that they are going to merge
1:23:50that will be effective October the 1st
1:23:53and you can see here on this um map that
1:23:55they'll be serving 47 communities. The
1:23:58other North Carolina communities are
1:24:00served by two other LME MCOs. The green
1:24:03on the map is your Trillium Health
1:24:06Resources footprint and the pink is
1:24:09Alliance Health. So, it kind of goes up
1:24:10the the center up underneath where it
1:24:13says serving um and Meckllinburgg.
1:24:17So, a few updates regarding the planned
1:24:19merger. The new entity name is
1:24:21creatively going to be VIA VIA partners.
1:24:24So, we don't have to remember a new
1:24:25name. We just take the two and combine
1:24:27them. One of the major task for
1:24:30preparing for a merger is a readiness
1:24:32review that has been successfully
1:24:35completed. So um to our knowledge there
1:24:37is no reason to anticipate a delay in
1:24:40the merger. Provider enrollments are
1:24:43transitioning here locally. What that
1:24:45means is that our pharmacy is getting
1:24:47enrolled with VIA. If you were enrolled
1:24:49with partners but not with VIA, you are
1:24:52having to do new enrollments. One of the
1:24:54um main issues that we're always
1:24:56concerned about whenever there is a
1:24:58merger is whether or not all of our
1:24:59hospitals are enrolled and they
1:25:01currently are. So there will be no gaps
1:25:03there. We also wanted to know what's
1:25:06going to happen with employees. What
1:25:08does that look like? Are we still going
1:25:09to see the same people that we know and
1:25:11have become accustomed to here boots on
1:25:13the ground? And in fact, we will still
1:25:16see those folks. All employees that want
1:25:18to transition, we are told, will be
1:25:20given the opportunity to do so. they may
1:25:23um seek to ch achieve some future
1:25:25efficiencies through attrition.
1:25:28We do have a local transition team. This
1:25:30is a a process that's worked well for us
1:25:32in prior mergers and um disengagements.
1:25:36Just a group of stakeholders who are
1:25:38given their thoughts, opinions, having
1:25:40communications with leadership of both
1:25:42VIA and partners regarding what's
1:25:44working here, what's not working here,
1:25:46what do we want to see continue, and
1:25:48where are their opportunities.
1:25:52We will have board representation on the
1:25:54new merged in entity. Um the governing
1:25:57board commissioner Gray Wilson will
1:25:59participate and I will be a member of
1:26:01the advisory board and also a voting
1:26:03member. We are seeing NC fast beginning
1:26:06to process member reassignments that
1:26:08started September the 9th. Um with a
1:26:11communication to members, bulk mailings
1:26:13on September the 8th and the 18th and
1:26:16welcome packets going out later this
1:26:18week. I will say that in my experience
1:26:20of sitting on both sides of mergers that
1:26:23this is a time that can be confusing for
1:26:25our residents. So if you have calls,
1:26:28emails or concerns, please send folks my
1:26:31way to Michael Duncan's way. We're happy
1:26:33to help them to navigate this. And there
1:26:36is a new VIA partners website. Lots of
1:26:38information posted. You can go to either
1:26:40entities website or to the new merged
1:26:43entities um website to get the same
1:26:45information but updates as well.
1:26:49be happy to answer any questions.
1:26:52>> Questions.
1:26:54Thank you so much.
1:27:04>> Hi, good morning. I'm here to talk to
1:27:06you about some of the biggest Medicaid
1:27:08changes that we have seen since um
1:27:10Medicaid started and it's happening very
1:27:13soon.
1:27:14Um, there are four major changes I'm
1:27:17going to go over today. The first one is
1:27:19that many non US citizens, even with
1:27:22documentation status, may may no longer
1:27:26be able to have Medicaid coverage
1:27:27starting October the 1st, 2026.
1:27:31Also, most adults ages 19 through 64 who
1:27:34receive Medicaid will need to begin
1:27:37showing that they participated in work
1:27:39requirements. That does include work,
1:27:42school, volunteering, or being able to
1:27:45in order to be able to have healthc care
1:27:47coverage through Medicaid beginning at
1:27:50the beginning of the year, so January
1:27:521st, 2027.
1:27:54Also, most adults 18 19 through 64 will
1:27:58begin having to renew their Medicaid
1:28:00every six months instead of every 12
1:28:03months. And there are changes coming to
1:28:06the length of retroactive coverage for
1:28:08all people who are applying for
1:28:10Medicaid.
1:28:13So, first, the new federal rules for
1:28:16non-citizens.
1:28:17Beginning October 1st, the federal law
1:28:20will only allow the following
1:28:22non-citizens to continue to have health
1:28:24coverage through Medicaid. That includes
1:28:27lawful permanent residents, those people
1:28:29who have a green card, children up to
1:28:33age 19, and women who are pregnant or
1:28:36within 12 months postpartum after birth,
1:28:40who are lawfully residing in the United
1:28:42States but do not yet have permanent
1:28:44immigration status, people with Cuban or
1:28:47Haitian entrance status, and citizens of
1:28:50the freely associated states living in
1:28:52the United States.
1:28:55Now, people who are not going to have
1:28:57Medicaid anymore starting October the
1:28:591st may still qualify for emergency
1:29:02Medicaid if they meet both an emergency
1:29:05medical need and other eligibility
1:29:07criteria for Medicaid.
1:29:11The second change is work requirements
1:29:14for our expansion population that begins
1:29:17January the 1st and mult most adults who
1:29:21have Medicaid
1:29:24or will apply starting that date will
1:29:27have to comply with the work
1:29:29requirements. These rules apply to
1:29:32adults who are 19 through 64 who do not
1:29:35have a disability, are not pregnant or
1:29:38eligible for postpartum coverage, are
1:29:41not a parent, guardian, caretaker,
1:29:44relative or family caregiver of a
1:29:46dependent child under age 14 or a person
1:29:49with disability and do not qualify for
1:29:53another exception or exclusion.
1:29:57So, let's go through those exceptions.
1:29:59First, the exceptions are children up to
1:30:02age 19,
1:30:04people who qualify for Medicare, people
1:30:07who qualify and receive Social Security
1:30:11um supplemental social security income,
1:30:13so SSI, or Social Security disability
1:30:17insurance, SSDI,
1:30:19and people who are incarcerated in jail
1:30:22or prison at some time during the last
1:30:24three months.
1:30:27We have quite a few categories of
1:30:29exclusions as well. The first is
1:30:32medically frail. That is the definition
1:30:35for that is a person with special
1:30:37medical needs that significantly impact
1:30:39their ability to comply with the work
1:30:41and community engagement requirement.
1:30:44Kind of broad and vague. So there's some
1:30:47subcategories to that at the bottom of
1:30:48your slide in the blue box. That
1:30:51includes blind and disabled, people who
1:30:53have a diagnosed substance use disorder,
1:30:56a disabling mental disorder, serious or
1:30:59complex medical condition, or have a
1:31:02physical, intellectual, or developmental
1:31:04disability that impairs one or more of
1:31:07their activities of daily living.
1:31:10Also excluded is active participants in
1:31:13a drug or alcohol treatment and
1:31:15rehabilitation program or parents,
1:31:18guardians, caretakers, relatives, or
1:31:21family caregivers of a dependent child
1:31:24under the age of 14 or a person with a
1:31:26disability.
1:31:28We have more exclusions as well.
1:31:31Veterans with a total disability rating.
1:31:34This is 100% disabled.
1:31:37people who are in a household receiving
1:31:39Supplemental Nutrition Assistance
1:31:41Program, SNAP. In North Carolina, we
1:31:44call that FNS, food and nutrition
1:31:46services or food stamps. Um, and are not
1:31:50exempt from those work requirements.
1:31:52Those work requirements will carry over
1:31:54to the Medicaid for them. So, we will be
1:31:57able to pull from that side of the
1:31:58system. people who already meet the work
1:32:01rules for temporary assistance for needy
1:32:04families or TANIF. In North Carolina, we
1:32:07call that program the work first
1:32:09program.
1:32:10American Indians, Alaskan natives, or
1:32:13other members that are eligible for
1:32:14Indian health services,
1:32:17current and former foster youth under
1:32:19the age of 26, inmates of a public
1:32:23institution, prison or jail, and
1:32:25pregnant or eligible for postpartum
1:32:27coverage for 12 months.
1:32:31What do the work requirements look like
1:32:34to continue to have health coverage
1:32:35through Medicaid? The adults ages 19
1:32:38through 64 who do not meet an exception
1:32:40or an exclusion have to either work at a
1:32:44paid job or inind work or participate in
1:32:48a work training program. They can
1:32:50volunteer in the community. They can
1:32:53attend school at least halfime. This is
1:32:55usually six credit hours. They have to
1:32:58have a monthly income that's at least
1:33:00$580
1:33:02a month. they can include from other um
1:33:06adults in the household with them or be
1:33:09a seasonal worker whose average monthly
1:33:12income was at least $580 over the past
1:33:16six months, which is equal to the
1:33:18federal minimum wage. The activities can
1:33:21be combined to meet the hours
1:33:24requirement for that month, but they
1:33:26have to add up to 80 hours each month of
1:33:29the three months before they apply for
1:33:31Medicaid.
1:33:34I have a I have a quick question if you
1:33:36can go back please. So the volunteer
1:33:39opportunities and the work training
1:33:42programs those are programs that are
1:33:44already listed someplace approve
1:33:48community um volunteer opportunities.
1:33:51>> We have partnerships with a lot of
1:33:53organizations and can refer people so
1:33:56that they can get those hours in.
1:33:57>> So it just can't be some random
1:33:59something. I went to go pick up trash in
1:34:02my neighborhood.
1:34:04>> Right. Somebody has to oversee and
1:34:06certify that it has been done.
1:34:08>> All right. Thank you.
1:34:09>> I may find following up on that line of
1:34:12question there. Um
1:34:14I had read that there is a lot of
1:34:17confusion or u uh difficulty sometimes
1:34:21in providing evidence of uh the hours of
1:34:24work. uh if you know you're a gig worker
1:34:27um uh you have um part-time work with
1:34:32multiple uh employers um uh what kind of
1:34:36evidence do they have to amass that they
1:34:39actually worked for the 80 hours during
1:34:42the month? So, our recommendation, and
1:34:45I'll I'll get to some really good ones
1:34:46at the end for you, but is if you have
1:34:49those questions come to you, refer them
1:34:51over to me because we definitely want to
1:34:53be talking to people now about what they
1:34:56need to be doing so that they can engage
1:34:58now so that they don't lose their
1:34:59Medicaid.
1:35:01>> One of the difficulties that I'm
1:35:02concerned about is people giving up on
1:35:04the process because they don't
1:35:06understand it. So, they don't know to
1:35:07come to us with questions. They just
1:35:09say, you know, I'm not sick now.
1:35:12Hopefully I won't get sick.
1:35:14>> Right. Right. Absolutely. And and we are
1:35:16concerned about that as well, which is
1:35:18why we're not just bringing this to you
1:35:20all. We're kind of taking the show on
1:35:21the road. We are going to community
1:35:23organizations that interface with the
1:35:25same people that we do, making sure that
1:35:27they are aware of what's coming so they
1:35:29can have those conversations. We're also
1:35:31going to be doing town hall meetings and
1:35:33public sessions and doing some direct
1:35:36outreach to people in the three months
1:35:38before they come up for their
1:35:40reertification.
1:35:41>> Thank you. So, so it sounds like to me,
1:35:43so for example, if you're presenting to
1:35:45the primary care office, you would have
1:35:48someone facilitating those conversations
1:35:50with that patient.
1:35:53Yes. Okay. I see a head from Denise.
1:35:56Thank you.
1:35:57>> And the state has released a um a media
1:35:59toolkit. So, we're also getting those
1:36:02things printed and the digital
1:36:03information and we're working with
1:36:05communications department to push that
1:36:07out as much as we can.
1:36:14So the next change is Medicaid
1:36:15reertification. It's going to every six
1:36:17months. Um prior to this change, most
1:36:20people's certification periods for were
1:36:23for one year. Beginning January the 1st,
1:36:26most of the adults impacted by the work
1:36:28requirements will also need to reertify
1:36:31or renew their Medicaid every six months
1:36:33instead of every year.
1:36:35So, um, on top of this, um,
1:36:38administrative burden of of proving the
1:36:40work requirements, they're now going to
1:36:42have to prove that twice a year unless
1:36:44they meet an exception or an exclusion.
1:36:47>> And we have prepared oursel with
1:36:49staffing to support this.
1:36:52>> Um,
1:36:53>> I guess that's a manager question.
1:36:56you you will you will actually be seeing
1:36:59some surge staff a contract for some
1:37:01surge staffing um coming before you
1:37:04probably in the next month or six weeks.
1:37:07>> Yes, I can see that. In just a bragging
1:37:09moment, Christa also has done a
1:37:11wonderful job of building efficiencies
1:37:14um not just with people but with
1:37:16equipment and telephone systems. And you
1:37:18may remember um a proven
1:37:22of equipment that's going to help with
1:37:25um and also other things like the the
1:37:28telephone system that's really
1:37:32staff
1:37:35equipment is doing.
1:37:37Yeah, in fact,
1:37:38>> we are hoping to tackle this with some
1:37:40technology and some people.
1:37:42>> I want to commend the staff for your
1:37:44hard work on this. I know that this was
1:37:46an unfunded mandate came down requiring
1:37:50more local administrative staff time and
1:37:53our our assistance to cover that staff
1:37:57time has been simultaneously cut.
1:38:00>> So,
1:38:00>> yes,
1:38:01>> thanks for
1:38:02>> Thank you. Thank you for the
1:38:03acknowledgement. Our staff does work
1:38:05really hard on this. [snorts]
1:38:07Um so with the Medicaid reertification
1:38:10every six months um that will impact
1:38:13this same group ages 19 through 64
1:38:15unless they meet an exception or
1:38:17exclusion and uh and they will have to
1:38:19prove that um twice a year and it will
1:38:23be for three out of the past six months.
1:38:26So it will become a little more flexible
1:38:28with the reertification because it won't
1:38:30have to be the three preceding months.
1:38:33Um, but they will still have to prove it
1:38:36for three months.
1:38:38Um, this does not apply to American
1:38:40Indians, Alaskan natives, or other
1:38:42members that are eligible for the Indian
1:38:44Health Services. So, they're getting a
1:38:46waiver from this rule change.
1:38:50Then the last change is retroactive
1:38:52Medicaid coverage. So, in the past, it
1:38:56was a threemonth look back at somebody's
1:38:59medical bills for the potential for
1:39:02Medicaid to cover um their um their
1:39:05medical bills in the three months before
1:39:07they apply for Medicaid as long as they
1:39:10met eligibility and um and the the
1:39:14amount of the medical bills met a
1:39:16certain threshold. Now, that is
1:39:18changing. For most adults ages 19
1:39:21through 64 who don't have a disability,
1:39:23that look back period is only going to
1:39:25be one month um for the health care
1:39:28costs that were incurred before their
1:39:30application. Now, children, adults ages
1:39:3365 and older, and people with a
1:39:35disability will get two months of a look
1:39:37back period, but we're not going to have
1:39:40a threemonth look back on medical bills
1:39:42anymore.
1:39:49One thing that I think is really
1:39:50important for you all to know is that um
1:39:54while these changes start in January
1:39:58uh for the work requirements because
1:40:01there is three months that has to be
1:40:03proven of those work requirements before
1:40:06their renewal. That does actually start
1:40:08October the 1st for people who renew in
1:40:11January. And so it's really important
1:40:14that we get the word out now and we
1:40:17start engaging with people who are set
1:40:19to renew in January. We have pulled a
1:40:22lot of the um addresses and plan to do
1:40:24some direct outreach to them. Um, but if
1:40:28you come across any adult ages 19
1:40:31through 64, you notice the exclusion
1:40:34list is really long, I suggest that they
1:40:37look at that list themselves on the
1:40:39Medicaid website or that they reach out
1:40:40to us as their caseworker and we can
1:40:43help them determine if they have an
1:40:45exclusion or an exemption that we can go
1:40:47ahead and put on record for them. If
1:40:50they don't qualify for an exception or
1:40:52an exclusion, they're going to need to
1:40:54start saving the the data that's going
1:40:57to prove that they meet the work
1:40:59requirements and they need to start now.
1:41:02Um, three months of payubs, school
1:41:04records, volunteer logs, and we can help
1:41:06engage them in some um some volunteer
1:41:10activities or with a uh work readiness
1:41:13program here in the community.
1:41:16The number one thing that we know is
1:41:18that our population tends to move and
1:41:21they tend to move and not remember to
1:41:24update us about their address. That's
1:41:26not the first thing on their mind. So,
1:41:28um, we are really encouraging people to
1:41:31update their contact information with
1:41:34us, their address and their phone
1:41:36number. We're picking up the phone to
1:41:37call people if we can't get them at
1:41:39their address and their letters come
1:41:41back to us. Um, so if they can contact
1:41:44us now, even if it's just to say, "Let
1:41:46me make sure you've got my right contact
1:41:48information." That's really important.
1:41:53What questions do you have,
1:41:56>> Commissioner Parker?
1:41:57>> So, I've got I've got a few. Indulge me
1:41:59on these. Uh, Mr. Watkins per uh
1:42:03Commissioner Bessie's um comment on the
1:42:06unfunded mandate it part of our
1:42:08legislative priorities we are kind of
1:42:11communicating actual data on how much
1:42:14this is going to cost us as a county.
1:42:17>> Yes. And and we we have done that in the
1:42:19past and we will continue to do that
1:42:21with Medicaid and SNAP and and other
1:42:23issues like that. But you're you're ab
1:42:25both of you are absolutely correct.
1:42:26These are unfunded mandates but they are
1:42:28mandates
1:42:29>> from that. Okay. And so if I could
1:42:32continue with this. So what happens when
1:42:35someone who doesn't meet the
1:42:37requirements and they may not know
1:42:39something may have changed. So they have
1:42:41a medical emergency and they show up the
1:42:43emergency room and then they're no
1:42:46longer eligible. What happens? Who pays
1:42:48for that?
1:42:50Um, so that's going to go through the
1:42:53hospital system of what they do with any
1:42:55other person that is unable to pay and
1:42:58has no health insurance that pays. They
1:43:01often will attempt to make payment
1:43:03arrangements or they'll charge those off
1:43:05eventually
1:43:06>> from that. Okay. Well, what about
1:43:08communic communicable diseases?
1:43:12How are we going to handle that?
1:43:14>> That's a great public health question.
1:43:18Public health has a lot of what we call
1:43:20AAS or agreement agendas that go towards
1:43:23support for communicable diseases. That
1:43:25will not change. Um it certainly would
1:43:28not cover a hospitalization. For
1:43:30instance, if you had someone who needed
1:43:32a higher level of care and would not
1:43:37still open and available and Medicaid,
1:43:40Medicare
1:43:45and
1:43:50>> okay, that I'll just say that is good. I
1:43:54would have a concern about somebody
1:43:56having a communicable disease saying I
1:43:58don't have coverage anymore and then
1:44:00they continue to share.
1:44:03>> We're seeing an overall downward trend
1:44:05in the number of people receiving SNAP
1:44:07in for Scythe County. Trend in the
1:44:10number of people receiving SNAP in for
1:44:12Scythe County ever since um since the
1:44:16COVID exemp exemptions started to roll
1:44:19back in May of 2025. We've leveled out
1:44:22to about 50,000 households receive here
1:44:26in Force. And just to give you some
1:44:28perspective on what that looks like um
1:44:32populationwise to Medicaid, we have
1:44:35close to 30% of our residents here in
1:44:37Forsythe County receiving some form of
1:44:39Medicaid. It's about 130,000 Medicaid
1:44:43recipients. Now, the work requirements
1:44:46is a smaller subset of that group. it's
1:44:49about 30,000 just under 29,500
1:44:54um will have to comply with these work
1:44:56requirements. To give you an idea on the
1:44:59noncitizen impact, we're somewhere
1:45:01between 700 and 800. So that is a very
1:45:04small group and um we are finding that
1:45:08many of those we're still processing
1:45:10some of those but many of those um 700
1:45:13to 800 are going to be eligible to
1:45:16continue to receive. I don't have exact
1:45:18numbers, but I'll be happy to share them
1:45:19back to you when I do.
1:45:22Um I I think in reference to your last
1:45:25question though, that look back period
1:45:28is really significant. When somebody is
1:45:30hospitalized, those bills often easily
1:45:33meet the threshold for Medicaid to pick
1:45:36them up retroactively.
1:45:38And um the federal legislation allowed
1:45:43each state to determine their look back
1:45:46period. no longer than three months. And
1:45:48our state chose to take that opportunity
1:45:51to shorten the look back period to one
1:45:54month for uh those impacted by the work
1:45:56requirements and two months for all
1:45:58others
1:46:00up to December of this year. It is still
1:46:02a threemonth look back period.
1:46:09>> Commissioner Bessie,
1:46:10>> thank you. A follow up on the um on the
1:46:13work requirement documentation. Um, an
1:46:16example, uh, in in my neighborhood,
1:46:18there are a bunch of people, um, uh,
1:46:21who, uh, are self-employed. Uh, they
1:46:25have landscaping work. I'll see the
1:46:29their pickups with their trailers
1:46:31running up and down the streets all the
1:46:33time as they come and go. Um, for them
1:46:38often a lot of uh their their customers
1:46:41are irregular in when they use a
1:46:44service, whether they use it weekly or
1:46:46can only afford to do it every couple of
1:46:48weeks, and they'll pay in cash. Um, and
1:46:51a lot of those uh folks who have the
1:46:54trailer
1:46:56um with the equipment will go and pick
1:46:58up somebody. Uh and so they'll you'll
1:47:01either have somebody who is um working
1:47:05as an independent small business person
1:47:07or you'll have somebody who is working
1:47:09for them. Uh and now they're mostly
1:47:14going to fall in a couple of categories.
1:47:15Either they were if they had health
1:47:18insurance, they were getting it through
1:47:20the ACA market and they've now lost
1:47:22their subsidies.
1:47:24uh or they were low enough on the income
1:47:27scale uh that they were actually met
1:47:30Medicaid requirements. For folks that
1:47:32were low enough and medic met the
1:47:34Medicaid requirements, how are they
1:47:36going to need
1:47:37>> from my boss or the person who gives
1:47:39from my boss or the person who gives me
1:47:41cash?
1:47:42>> Bottom line, there are ways to do it,
1:47:44but you'll have to work with them
1:47:46because they're not necessarily
1:47:47intuitive.
1:47:48>> Correct.
1:47:49>> All right. Thank you.
1:47:51>> Other questions?
1:47:53Thank you, Christa. Other questions?
1:47:57Thank you, Christa.
1:47:58>> Thank you,
1:48:06>> Chris Murphy.
1:48:20Good morning. I feel [clears throat]
1:48:22like you see me enough, I feel like I
1:48:23should be able to breeze through this
1:48:25fairly quickly. Um, but u
1:48:28with the amount of time we have left, I
1:48:30think I can make it. Uh, just a little
1:48:32bit of an update dealing with dealing
1:48:34with staffing and work volume. Uh, the
1:48:37permit office, we have no vacancies,
1:48:39which is great.
1:48:40>> Uh, we're still uh hitting our review
1:48:44timeliness as far as the amount of time
1:48:45it takes us to do our reviews on
1:48:47projects. Uh we continue with high call
1:48:50volumes and we'll probably have
1:48:52extremely high call volumes this week
1:48:54because something I neglected to put in
1:48:56here is the fact that we are uh today we
1:48:58rolled out an update to our permitting
1:49:00system uh city works. It's called City
1:49:03Works Respond. It's a an update we had
1:49:05to do for uh security reasons. So it is
1:49:09uh it's new and it rolled out today. Um,
1:49:12but I think so far things are going
1:49:13well, but we'll probably have to help
1:49:14some uh of our contracting partners uh
1:49:17through that effort. As far as planning,
1:49:20uh, we have one vacancy and, uh, that
1:49:22was due to a retirement. Uh, normal work
1:49:26volumes and case load, although you may
1:49:27feel that it's been abnormally high for
1:49:30the county, but overall our workload has
1:49:32been fairly consistent, but as uh, there
1:49:35is less developable property within the
1:49:37city of Winston Salem, I think you will
1:49:38continue to see more zoning cases in the
1:49:40county.
1:49:41Um again, we're preparing background
1:49:44research uh for future text amendments
1:49:46related to adoption of the comprehensive
1:49:48plan forward 2045.
1:49:51Um northeast suburban area plan uh
1:49:54actually has already uh wrapped up. Uh
1:49:57the planning board has recommended
1:49:58approval of that to both elected bodies
1:50:00and u both you and the city council will
1:50:03be considering that over the next month
1:50:04or two. And that brings us to finally
1:50:08the last thing under the planning
1:50:09division is a we beginning the second
1:50:12area plan and that one will be in rural
1:50:14hall. We're kind of concentrating on the
1:50:16the beltway corridor since that's where
1:50:19we expect to see the most change in urb
1:50:22and emerging changes over the next
1:50:24decade. So we wanted to make sure we did
1:50:26those two plans first. So that area plan
1:50:29will actually get underway and I have
1:50:30another slide on that later in the
1:50:32presentation. As far as inspections and
1:50:35plan review uh field and the zoning,
1:50:37there are no vacancies and all field
1:50:39inspections are within acceptable range
1:50:42which generally is within 24 hours.
1:50:45>> Quick quick question. Um Northeast
1:50:47Suburban, does that include Walkertown
1:50:49or is there separate?
1:50:50>> It is separate. It has some areas on the
1:50:53edge of Walkertown, but it does not
1:50:54include the town.
1:50:56>> Thank you.
1:50:56>> Correct.
1:50:58Uh just some development related trends.
1:51:00I'm going to kind of breeze through
1:51:02these fairly quickly. As far as
1:51:04residential construction permit values,
1:51:06we're trending uh ahead of where we were
1:51:09uh for the same quarter in the years
1:51:11past.
1:51:13Uh slightly uh behind the last two years
1:51:16for non-residential construction permit
1:51:17values, but still trending ahead of
1:51:19where we were in the years 22 and 23.
1:51:23Uh as far as development related trends,
1:51:26the overall permit value, we had 306
1:51:28million uh total permit value within the
1:51:32quarter. About 60% 60% of that was
1:51:35residential.
1:51:38Uh looking at housing, um we continue to
1:51:41see an upward trend in housing units. As
1:51:45far as single family and multif family,
1:51:47we are um this past quarter we issued um
1:51:5267
1:51:54permits
1:51:55uh for single family and multifamily
1:51:58development. So again, that trend
1:51:59continues to be moving up over the last
1:52:02five years.
1:52:04And this is just a map that kind of
1:52:06shows where all of the uh permits have
1:52:09been issued within the quarter. There is
1:52:11a change in the way we are calculating
1:52:13our data now and we are no longer
1:52:16capturing the Kernersville data just
1:52:18because we don't serve Kernersville. In
1:52:21the past we got their data and included
1:52:23it in the report but it wasn't anything
1:52:24that our staff had any direct
1:52:26involvement in. They have their own
1:52:28trends report I believe. Um, so we just
1:52:32decided that it was time to kind of
1:52:35eliminate that from our reports because
1:52:37it didn't really show and reflect on the
1:52:39work volume that our staff was doing.
1:52:42I mentioned forward 2045, of course,
1:52:44that was adopted by the county back last
1:52:46fall. Uh you've seen this slide before,
1:52:48but as far as moving forward, the things
1:52:50we're going to be working on with text
1:52:52amendments, dealing with general
1:52:53density, infill options, making sure
1:52:56we're making effective use of our
1:52:57infrastructure, both what we currently
1:52:59have and what's being planned as far as
1:53:01infrastructure in in uh expansion in the
1:53:04future. And then also trying to find
1:53:06ways to allow folks to age in space, age
1:53:09in place. And one of those things are
1:53:11would be to again allow for where uh
1:53:15life care communities can can go and
1:53:18allow those in residential districts uh
1:53:20as opposed to in commercial and multif
1:53:23family districts. So that's something to
1:53:24look out for over the next uh six
1:53:27months. Uh again, area plan 4.0, you
1:53:30know, kind of reminder of the what it's
1:53:32this is again still looking forward.
1:53:34It's just trying to put a little more
1:53:36granular focus on um future land use
1:53:39recommendations, but it doesn't change
1:53:40the law. It's just looking at
1:53:42recommendations. Um we did retool the
1:53:46boundaries. Uh there are no longer any
1:53:48gaps. If you remember some of the cases
1:53:50around Clemens and Louisville, there
1:53:52have been instances where we didn't have
1:53:53partial specific recommendations because
1:53:56Clemens and Lewisville kind of took the,
1:53:58you know, had that in their plan and we
1:54:00didn't want to kind of step on their
1:54:02toes. They didn't. So we're not doing
1:54:05that anymore. Any area within for
1:54:07precise county unincorporated u will be
1:54:10incorporated into our plans so that you
1:54:12have something that you have adopted as
1:54:14far as a land use recommendation. And I
1:54:17did mention focus on the beltway first.
1:54:19U again we want to make sure since that
1:54:22is a large change in our community. We
1:54:24feel like that might be a driver for u
1:54:27you know additional development. We we
1:54:29want to make sure we get regulations in
1:54:30place as quickly as possible.
1:54:34I did mention the northeast suburban
1:54:36area plan. It is a large area. Um it
1:54:40encompasses, this is one of those plans
1:54:41that actually encompasses growth
1:54:43management area 2, which are the urban
1:54:45neighborhoods all the way out to GMA 5,
1:54:47the rural area. So it's a very diverse
1:54:50plan. Again, that will be coming to you
1:54:52probably, I would say, in the October,
1:54:55November time frame. It did go to the
1:54:59planning board. It was adopted by them
1:55:01in August and it's moving forward to
1:55:03both city council and county
1:55:04commissioners.
1:55:06Um now
1:55:08the rural hall area plan uh that will
1:55:12actually kick off on September 23rd. The
1:55:14meetings will be at the rural hall town
1:55:16hall and they would be from 5:30 to
1:55:187:30. You see the the dates that we have
1:55:21planned there. Probably not an issue
1:55:23with December. January will probably be
1:55:26weather dependent. I think we had to
1:55:27move one of the meetings back for the uh
1:55:30northeast suburban area plan because of
1:55:32weather. But again, these are the
1:55:33tentative dates. Um also uh Dan Roberts
1:55:37and myself are scheduled to go on WBFJ
1:55:39this Thursday morning just to talk about
1:55:42the plan uh and you know what it is and
1:55:44what it isn't. The one thing we want to
1:55:46make sure that folks understand is this
1:55:47is not a plan about the data center.
1:55:50This is a plan about land use. That's
1:55:52going to be a hard thing to continue to
1:55:54communicate to the citizens. It will
1:55:56certainly be part of the discussion, but
1:55:57this is not just a referendum on data
1:55:59centers. So, uh again, stay tuned for
1:56:02that.
1:56:04Uh other long range planning updates, um
1:56:07text amendments, we have a PRD buffer
1:56:09yard text amendment that's going to be
1:56:11working its way through. Uh North
1:56:14Carolina general statute changes. There
1:56:15have been some things again that we need
1:56:17to continue to need to bring through.
1:56:20We're looking to create an RM26 district
1:56:22and that will be more of an urban
1:56:24application.
1:56:26Don't know if we'll bring it to the
1:56:27county for consistency. Uh it may be
1:56:29that we have some applications for that
1:56:31within activity centers that might have
1:56:33part of the county in it. So, we might
1:56:34still bring it to the county. uh looking
1:56:37at revising our infield uh standards,
1:56:40looking at providing some provisions in
1:56:42the ordinance and our sign section
1:56:44dealing with historic signs and allowing
1:56:46for some more flexibility for um signs
1:56:50that are historic in nature. I did
1:56:52mention life care communities and
1:56:54looking at expansion there. Again,
1:56:56looking at accessory dwelling units and
1:56:58bringing some changes forward there.
1:57:01city-only text amendment dealing with
1:57:03syringe exchange program uh that the
1:57:05county uh that the city council asked
1:57:07for in committee that should be moving
1:57:09forward within the next month and we'll
1:57:11see kind of where that goes. And then
1:57:14also the housing choice and trying to
1:57:16provide more opportunities for attached
1:57:19product in uh single family areas in the
1:57:23correct locations. And that might be
1:57:24something such as in a PRD or in a
1:57:27certain growth management area, but just
1:57:29trying to find ways to continue to try
1:57:31to expand uh housing choice age in place
1:57:35options besides strictly single family
1:57:38homes. As far as other things our
1:57:41department uh continues to work on, we
1:57:43continue to provide economic development
1:57:44assistance to both the city and the
1:57:46county. Greater Winston Salem, Inc. Uh
1:57:49we continue to provide park uh and site
1:57:51analysis and design when requested by
1:57:53both the city and the county. Uh our HRC
1:57:56has uh created a number of uh walking
1:57:59tour brochures with some of our small
1:58:01towns and those are available on on I
1:58:04believe our website as well as the town
1:58:05websites. We have our continued efforts
1:58:08with the historic marker program. The
1:58:10applications for those historic markers
1:58:12open in October and run the whole month
1:58:15and they'll make decisions on those
1:58:16historic markers in November. And then
1:58:19finally, our GIS team uh dealing with
1:58:22our website ADA compliance uh trying to
1:58:24get our site make sure that we are 100%
1:58:26in compliance with that even though they
1:58:28did push back the effective date of that
1:58:30for a year. We want to be ahead of the
1:58:32curve and have that stuff already
1:58:33planned out. some things that you have
1:58:36seen in the past, the precise county uh
1:58:38Guilford County boundary updates. Uh we
1:58:40think we have that fully satisfied now
1:58:44but now we're going to be doing the same
1:58:45thing along the
1:58:49to provide both federal and state
1:58:50annexation boundary and population
1:58:52estim.
