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Commissioners ask state lawmakers to move Moore County from Trillium Southern region or exempt county from SB205/down‑zoning provisions
Summary
Moore County commissioners approved a letter asking the legislative delegation to move the county out of Trillium Health Services’ Southern region into the Mid‑State region or another LME/MCO, and adopted a resolution urging the General Assembly not to ratify Senate Bill 205 or to exempt Moore County from its down‑zoning provisions.
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The Moore County Board of Commissioners approved two related actions asking state legislators to intervene on regional mental‑health management and on recent state land‑use restrictions.
County Attorney Misty Leland introduced a drafted letter requesting that the county be removed from Trillium’s Southern region and either placed in Trillium’s Mid‑State region or reassigned to another Local Management Entity/Managed Care Organization (LME/MCO). The letter says the Southern region is “not serving the needs of Moore County residents,” complains that Trillium left two newly constructed buildings in 7 Lakes unoccupied, and notes Moore County is now governed under a 46‑county regional structure rather than the smaller consortium the county was previously part of.
Commissioner Pacerno explained the county’s prior participation in a smaller regional consortium and said the larger Trillium structure has made local oversight difficult. The board voted to send the letter to the county’s legislative delegation.
Separately, Commissioner Von Cannon asked the board to adopt a resolution urging the North Carolina General Assembly not to ratify Senate Bill 205 — described in the board discussion as a bill that could limit local authority to engage in land‑use planning. The resolution asks the delegation to “restore and maintain Moore County’s authority to engage in smart planning” and, if the General Assembly passes SB205, to exempt Moore County from that law and from the down‑zoning portion of Session Law 2024‑57 enacted in December 2024.
During debate, one commissioner reported that the bill’s zoning restrictions had been added on the House side and said that while the item was a prudent resolution, the speaker of the state House should also receive the board’s statement. The board amended the motion to send the resolution to the speaker of the House as well as to the Senate and then adopted it.
Both the letter regarding Trillium and the SB205 resolution passed on voice vote. The board did not record a roll‑call tally in the meeting minutes provided. Commissioners said they intend to work with the county’s legislative delegation to seek changes or exemptions they believe are necessary for Moore County to preserve local planning authority and to address concerns with regional mental‑health management under the current LME/MCO structure.
