NC govwatch

← All meetings

Board of Commissioners — Health and Human Services Committee

Wake County · Board of Commissioners
Monday, October 5, 2026 at 10:00 am · Remote

Committee meeting Health and human servicesBudget and appropriationsFarmland and open spaceGrants and outside fundingIntergovernmental agreements

Agenda document Meeting page Watch

What's on this agenda

Wake County's Health and Human Services Committee meets remotely Monday to hear what the federal budget law known as HR1 will cost the county in food assistance. Staff put the cost at $2.5 million to $4 million in lost revenue this fiscal year, as the federal share of SNAP administration falls from 50% to 25% on 1 October. Twice-yearly Medicaid rechecks are estimated to add $2.3 million to $3.3 million from December. From October 2027 the state plans to pass a benefit-cost penalty down to counties. Staff estimate the county's share at $12 million a year, unless North Carolina keeps its SNAP payment error rate below 6%. Wake's rate was 10.43% in state fiscal 2025 and 7.2% as of May.

Staff also say they plan to move some of the 25 Medicaid positions the board approved this spring over to SNAP to work on that error rate. Cooperative Extension then reports on the 2023 food security plan's ARPA programs, which close in December, and Social Services gives an overview of child support, which collected $44.5 million in fiscal 2026.

Summarized from the published agenda. Read the agenda itself before acting on it.

Speaking at this meeting

Public comment runs 5:30 to 6 p.m. at the first regular meeting of the month and 2:30 to 3 p.m. at the second. Speakers get three minutes. Written comments can be submitted online between 9 a.m. and noon on the day of a regular meeting.

Wake County's own rules for public comment — check them before you rely on anything here.

Agenda items (7)

Procedural · 3Presentation · 3Minutes approval · 1
  1. Call Meeting to Order
    Procedural
  2. 16-7410 Agenda
    Procedural
  3. 16-7411 Approval of the Minutes of the Health and Human Services Committee on June 15, 2026
    Minutes approval Health and human services
  4. 16-7412 HR1 Impacts on SNAP: A Deep Dive
    Presentation Budget and appropriationsHealth and human servicesIntergovernmental agreements
    Staff estimate HR1's cost to Wake County: $2.5 million to $4 million as the federal share of SNAP administration halves on 1 October 2026, $2.3 million to $3.3 million for twice-yearly Medicaid rechecks from December, and about $12 million a year from October 2027 if the state passes its SNAP error-rate penalty down to counties. The law also extends SNAP work requirements to adults through age 64, ends Medicaid eligibility for many legally present non-citizens on 1 October, and leads staff to propose shifting some newly approved Medicaid positions to SNAP.
  5. 16-7413 Food Security Update
    Presentation Farmland and open spaceGrants and outside fundingHealth and human services
    Cooperative Extension reports on the 2023 food security plan's ARPA programs, most ending in December 2026. Partners distributed more than 2 million pounds of fresh food from 2024 to 2026 and generated $11 million in sales for local producers. The update also covers continuing farmers market SNAP support, the farm-to-child-care program, and work on a 2027 plan.
  6. 16-7414 Child Support Program Overview
    Presentation Health and human services
    Social Services gives an overview of the child support program: parent location, paternity, setting and enforcing orders. Wake collected $44.5 million in fiscal 2026, established 877 new orders, and collected 69.79% of current support owed.
  7. Adjourn
    Procedural

Other recent meetings of this board