What happens to the local boards of health and social services when a CHSA is formed? How is the new CHSA governing board formed?

If the county department of social services and the local health department have both been consolidated into a CHSA, then the governing boards for those agencies are dissolved when the CHSA is formed. The board of county commissioners (BOCC) then has two options for governance of the new CHSA. The BOCC may appoint a new consolidated human services board or may serve directly as the governing board for the CHSA.

If it decides to appoint a consolidated human services board, the BOCC must first create a nominating committee that includes members of the current (pre-consolidation) board of health and social services board, as well as the board responsible for managing mental health, developmental disabilities, and substance abuse services in the county. The nominating committee then recommends members for the new consolidated human services board and the BOCC makes appointments based upon those recommendations. After the initial board is in place, the BOCC will fill vacancies based upon nominees presented by the members of the consolidated human services board.

G.S. 153A-77(c).