Kimberly Collins, Chair

Jack Swann, Vice-Chair
Public Member

Shannon Jennings

Richard Edwards
In Lieu Optometrist


Public Member/Vacant



Jan Dawson
Public Member

George R. Brown, Jr.

Pammela Baker, FNP
(Physician Replacement)

Angela Livingood

1.  Rule-Making

  • G.S. 130A-39: “A local board of health shall have the responsibility to protect and promote the public health. The board shall have the authority to adopt rules necessary for that purpose.”
    • May adopt a regulation for almost any activity
    • Cannot be overly broad
    • Must be linked to legitimate public health goals
  • Examples of such regulations: septic tank installation, roadside meat and fish sales, second-hand tobacco smoke exposure
  • For more on rule-making, please see “The Rulemaking Authority of North Carolina Local Boards of Health,” in section IV of your orientation binder

2.  Adjudication

  • G.S 130A-24
    • Board of Health must hold a hearing when a citizen brings an appeal to a decision or interpretation of a rule
    • Rulings must be made in writing
    • If a party is dissatisfied with the board’s ruling, (s)he may appeal to the district court.

3.  Administration

  • G.S. 130A-40
    • Major responsibility under this statue is the appointment, evaluation, and termination of the local health director.
      • Appointment must include consultation with the county board (or boards) of commissioners and the State Health Director
      • Exception- a director of a Consolidated Human Service Agency is hired and fired by the county manager, nor the board
  • G.S. 130A-39(g)
    • Board of Health is responsible for imposing fees for services
      • Must be approved by the county commissioners
      • Must be reasonable and cost-based
  • Board of Health should review the health department budget since money allocation is a significant statement of policy.

Association of North Carolina Boards of Health
National Association of Local Boards of Health

Translate »