I was elected as a county commissioner. The board of county commissioners appointed me to the CHS board. When I ran for re-election as a county commissioner, I lost. Does this affect my ability to serve on the CHS board?

Yes. A county commissioner who serves ex officio on the CHS board may serve on the CHS board only as long as the individual is a county commissioner (G.S. 153A-77(c)). This is different than a county commissioner who serves ex officio on a traditional 3-member or 5-member social services board, whose term on the board is not affected by the termination of their term as a commissioner.