Craven County directors warn of state funding cuts impacting local health services

June 06, 2025 | Durham County, North Carolina


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Craven County directors warn of state funding cuts impacting local health services
The Durham Board of County Commissioners convened on June 6, 2025, for the Durham Legislative Breakfast, focusing on critical issues affecting local services and funding. The meeting highlighted concerns regarding potential changes in state policies that could significantly impact county-level access to essential services.

One of the primary topics discussed was the potential shift of certain responsibilities from county departments to the state, which could lead to a loss of direct access for residents seeking assistance. Officials expressed alarm over the implications of this change, particularly regarding the ability of residents to interact with caseworkers locally. The concern was raised that individuals might have to travel to Raleigh for services, complicating access for many families in need.

The directors emphasized the importance of maintaining strong relationships with local management entities (LMEs) to ensure that services for children and families remain intact. They noted that any reduction in county funding would still leave the county responsible for administrative costs, creating a financial burden without the necessary resources to support local needs.

In response to these challenges, the board plans to meet with state representatives and the Department of Health and Human Services (DHHS) to discuss these issues further. The directors highlighted the potential difficulties of relying solely on electronic services for applications, citing past issues with the ePass system that could hinder effective service delivery.

Additionally, concerns were raised about workforce challenges, particularly in recruiting qualified personnel for Medicaid positions, as state compensation rates are lower than those offered by the county. This issue is expected to affect all counties, regardless of political affiliation, prompting a call for a coalition among DSS directors to advocate for necessary changes.

The meeting concluded with a commitment to continue discussions with state officials and to explore solutions that would protect the interests of Durham County residents and ensure the availability of vital services.

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