Health and Human Services Board Meeting | April 24, 2026

Buncombe County Health and Human Services Board Meeting Recap – April 24, 2026

On April 24, 2026, the Buncombe County Health and Human Services Board held a virtual public meeting to review departmental activities, discuss ongoing challenges, and plan for the future. This recap provides an overview of the key topics discussed and decisions made during this important meeting, ensuring residents are informed about the work impacting our community.

The Board approved both the agenda and the minutes from their previous meeting in March, setting the stage for a comprehensive review of several critical areas. A significant portion of the meeting was dedicated to updates from various committees, including the Community Opportunity, Safety, and Health Committees. The Community Opportunity Committee focused on improving feedback mechanisms for departmental programs while also brainstorming support strategies for residents potentially affected by upcoming changes to Medicaid work requirements, which could impact approximately 30% of Buncombe County’s 16,000 Medicaid recipients. The Community Safety Committee highlighted the implementation of Path NC and addressed ongoing difficulties in hiring social workers across several divisions, including investigations, Adult Protective Services (APS), and permanency planning. The Community Health Committee received an update on wastewater disposal regulations, confirming the county's compliance with state guidelines.

A particularly concerning presentation was delivered by Chris Frink, representing the newly formed Riverview Housing Coalition. Mr. Frink detailed the precarious situation facing 13 small businesses operating 46 residential living facilities (group homes) within Buncombe County, many struggling financially and potentially jeopardizing housing stability for vulnerable residents. The Riverview Housing Coalition aims to provide these operators with crucial support and resources, including pursuing grant funding and developing a small business incentive program. The Board expressed significant concern regarding this issue, recognizing the potential impact on vulnerable populations and committing to ongoing monitoring.

Ellis Matheson, chair of the Child Fatality Review Team, presented their 2025 report, revealing a decrease in child fatalities compared to the previous year (14 in 2024 versus 2023). The report emphasized the importance of continued focus on drowning prevention, suicide prevention (though rates remain concerning), and promoting safe sleep practices for infants. The Board reaffirmed its support for the Child Fatality Review Team’s recommendations and pledged to continue advocating for these vital safety measures. Finally, David, the Department Director, provided an update on the evolving hospital landscape in Buncombe County, noting expansions by Advent Health, HCA Mission and Novant.

While no formal votes were taken beyond the agenda and minute approvals, several key action items emerged from the meeting. The Riverview Housing Coalition will continue its efforts to support group home operators, seeking funding and developing incentive programs. The Board committed to closely monitoring the potential impacts of Medicaid work requirements, ensuring residents receive necessary support. Addressing staffing shortages within various departments remains a priority for the Health and Human Services Department, and discussions will continue regarding board member positions, including seeking a physician (psychiatrist) and individuals with housing expertise. The Board will also continue budget work sessions next Tuesday to finalize the county’s overall financial plan, which will directly impact these programs and services.

This meeting highlighted the complex challenges facing Buncombe County’s health and human service system, from supporting vulnerable residents in group homes to addressing staffing shortages and ensuring child safety. The Board’s ongoing commitment to these issues, along with the work of dedicated committees and organizations like the Riverview Housing Coalition, demonstrates a focus on improving the well-being of all residents. Residents are encouraged to stay informed about these developments and participate in future public forums as the Board continues its work.