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

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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.