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Board of Commissioners Briefing

August 18, 2026 at 3:00 PM

1st Floor Conf. Room, 200 College St, Asheville, NC, 28801

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The Buncombe County Board of Commissioners will hold a briefing on August 18th, followed by a key vote on September 1st regarding significant changes to the county's employee health plan. Discussions will center around managing healthcare costs, particularly concerning pharmacy benefits and weight management programs. Updates will also be provided on the North Carolina Association of County Commissioners’ legislative goals and a letter of support for UNC.

The most impactful decisions expected involve altering pharmacy coverage, potentially removing certain medications (like those used for weight management) from standard plans and introducing a program to help employees manage costs. Commissioners will also consider transitioning pharmacy management services to a new provider, Employers Health-CVS (EHCVS), which could affect how employees access and pay for prescriptions. These changes are expected to impact employee medical premiums, deductibles, and contributions to health savings accounts.

These decisions will directly affect county employees and their families, impacting healthcare access and costs. While the August 18th briefing is primarily informational, the September 1st vote will determine whether these changes are implemented in January 2027. Interested residents can find more details on the Buncombe County Government website and are encouraged to attend or watch the September 1st Board of Commissioners meeting.

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