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North Carolina Public Health Law

Consolidated Human Services Agencies (CHSAs)

In 2012, the North Carolina General Assembly enacted legislation that provided counties with new options for how they can organize and govern some local human services agencies, including local health departments and departments of social services. All counties are now allowed, but not required, to create consolidated human services agencies that are either governed by an appointed board or by the board of county commissioners. Counties are also now allowed to keep separate county public health and social services departments but abolish their appointed governing boards and have the elected board of county commissioners assume that role.

Almost immediately after the law was enacted, several counties began exploring these new options and making changes at the local level. The School of Government (SOG) tracked the legislative developments closely, conducted research on organization and governance of local public health agencies, and has been providing technical assistance to counties since the law was enacted. This site is intended to serve as a centralized location for information and resources prepared or collected by SOG faculty members.

2012 Legislation

Session Law 2012-126 (House Bill 438)

Organization and Governance of Local Public Health & Other Human Services Agencies: Summary of S.L. 2012-126 (H 438) (Jill Moore, July 2012)

Overview Presentation

SOG faculty members have been invited to talk with local government officials across the state as they have been evaluating the new options for organization and governance of local human services agencies. Click here for a version of the presentation that has been used during those talks.

There is also a free Legislative Update Webinar from August 2013 that is available on-demand. During the webinar, SOG faculty members describe some of the key features of the legislation. Click here for more information.

Coates' Canons Blog Posts on CHSAs

Consolidated Human Services Agencies (Aimee Wall, May 29 2012)

County Commissioners and Local Boards of Health: What Would Pending Legislation Allow, and What Would it Mean? (Jill Moore, June 20 2012)

Organization and Governance of Social Services: New Options for Counties (Aimee Wall, August 10, 2012)

Recent Developments in Organization and Governance of Local Human Services Agencies (Aimee Wall, September 25 2012)

Consolidated Human Services Agencies and the NC Local Health Department Accreditation Program (Jill Moore, November 27 2012)

An Update on Recent Changes for Local Human Services Agencies (Aimee Wall, April 23 2013)

What is a County Advisory Committee on Health and Who Has to Have One? (Jill Moore, June 21 2013)

You've Consolidated: Do You Know Who Your Local Health Director Is? (Jill Moore, March 25 2014)

Coates' Canons Blog Posts on Related Issues

Access to Confidential Client Records by Social Services Governing Boards (Aimee Wall, April 26 2016)

Delegating Local Health Director Powers and Duties (Jill Moore, March 30 2015)

Map of NC Public Health & Social Services Agencies

This document is updated periodically. Please note the date on the document you retrieve. Click here  for the map.

Research Comparing Types of Local Public Health Agencies

In 2011, the SOG recevied grant funding from the Robert Wood Johnson Foundation for a research project designed to compare the types of local public health agencies in operation across the state, including consolidated human services agencies. Click here for the full research project website. Click here for the final report.

CHSALeaders Listserv

SOG administers a listserv for county and state officals to communicable with each other about issues of importance to consolidated human services agencies. To subscribe to the listserv, contact Stoney Blevins, Director in Buncombe County (stoney.blevins@buncombecounty.org)  

Resolutions from North Carolina Counties

The following documents were developed by the respective counties and are offered for informational purposes only. It is up to each user of this website to review and evaluate the documents to determine whether they are useful and appropriate for the user's particular need. The documents were not created by School of Government faculty, nor have they been selected as models, best practices, or templates. We encourage users of this site to contact representatives of the jurisdiction that originated the document if you have questions about it. The School of Government, by making these documents available, does not make any representation about their legal validity. We strongly recommend that you consult with your local attorney before using any document obtained from this site.

Brunswick County

Resolution of the Brunswick County Board of Commissioners Exercising Its Power to Assume Control of the Activities of a Consolidated Human Services Board (September 17 2012)

Cabarrus County

Resolution of the Cabarrus County Board of Commissioners Creating a Consolidated Human Services Agency Which the Board of Commissioners Will Govern and Related Actions (June 17 2013)

Carteret County

A Resolution Consolidating the Carteret County Health Department and the Carteret County Department of Social Services into the Carteret County Consolidated Human Services Agency (April 21 2014)

Dare County

A Resolution Consolidating the Dare County Department of Health and the Dare County Transportation Department into the Dare County Consolidated Human Services Agency (August 19 2013)

A Resolution Consolidating the Dare County Department of Social Services into the Dare County Consolidated Human Services Agency (November 4 2013)

Guilford County

Resolution of the Guilford County Board of Commissioners Exercising Its Powers to Assume Control of the Activities of a Consolidated Human Services Board (May 22 2014)

Haywood County

Haywood County Health Department and Department of Social Services Integration Study: Final Report (February 2013)

Resolution Approving the Creation of a Consolidated Human Services Agency in Haywood County in Accordance with NCGS 153A-77 (January 6 2014)

McDowell County

Resolution Abolishing the McDowell County Board of Social Services and Assuming and Conferring Upon the Board of Commissioners All Powers, Responsibilities and Duties of the McDowell County Board of Social Services Pursuant to North Carolina General Statutes 153A-76 and 153A-77 (September 2013)

Montgomery County

Resolution of the Board of Commissioners of the County of Montgomery, North Carolina - Adoption of Human Services Flexibility (August 21 2012)

Stokes County

Resolution of the Stokes County Board of Commissioners (June 10 2013)

Union County

Resolution of the Union County Board of Commissioners Pertaining to the Consolidation of Human Services (February 18 2013)

Yadkin County

Resolution of the Yadkin County Board of Commissioners Exercising Its Power to Assume Control of the Activities of a Consolidated Human Services Board (February 18 2013)