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Connect NC Bond

Chapel Hill –Carrboro Chamber of CommerceEconomic Development and Public Policy Committee

January 7, 2016

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Connect NC

http://www.connect.nc.gov/ and http://www.voteyestoinvest.com

House Bill 943 - $2.0 billion in targeted long-term infrastructure investments

• General Obligations bonds• 6 year plan• 20 year bond• Higher Education, Agriculture, Public safety, National Guard, Parks and Natural

Resources, Water and Sewer• Election date – March 15, 2016

Transportation - $2.64 billion cash funded• Pay-as-you-go @ $440 million each year for 6 years• Bridges, Maintenance, Resurfacing, Repairs, State Ports improvements• Not tied to bond referendum

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Connect NC

Impact on public higher education• $1.065 billion for all constituent institutions of the UNC System for

strategic capital STEM projects, including $45 million for targeted repairs and renovations

• $350 million for new construction, repairs and renovations at the 58 community colleges

State government infrastructure• Water and Sewer $309.5 million• Agriculture $94 million• State Parks $75 million• National Guard $70 million

Regional Highlights Map

Virginia

South Carolina

Tennessee

Kentucky

Georgia

SOUTH CENTRALConvert Samarcand to Statewide Law Enforcement CenterUNC Pembroke New Business SchoolFayetteville State University Lyons Science Building RenovationsImproving Lumber River State Park Improving Singletary Lake State Park Sandhills Community CollegeFayetteville Technical Community College Bladen Community College

CONNECT NCInvesting in our

future.Regions based on N.C. Department of Commerce

Prosperity ZonesNORTHEAST

East Carolina University Life Sciences & Biotech BuildingImproving Goose Creek State Park Improving Pet tigrew State ParkImproving Merchants Millpond State ParkBeaufort County Community College Improving Jockey’s Ridge State Park Halifax Community CollegeMar tin Community College

V.2 (10/22/15)

SOUTHEASTUNC-Wilmington Health/Nursing BuildingCape Fear Community College “Improving Fort Macon State ParkImproving For t Fisher State Recreation AreaCraven Community College Lenoir Community College Wayne Community CollegeCoastal Carolina Community College

NORTH CENTRALUNC-Chapel Hill Medical Education BuildingN.C. Central University School of BusinessN.C. State University Engineering BuildingPlant Sciences Building Ag/N.C. State University PartnershipImproving Kerr Lake State Recreation AreaImproving Jordan Lake State Recreation AreaEdgecombe Community College Johnston Community College

SOUTHWESTImproving Crowders Mountain State ParkUNC Charlot te Science Building Rowan-Cabarrus Community College Cleveland Community College Gaston CollegeStanly Community CollegeSouth Piedmont Community College Mitchell Community College

NORTHWESTAppalachian State University College of NursingN.C. School of Math & Science School of Technology & EngineeringImproving Stone Mountain State Park Improving National Guard Facilities Improving Grandfather Mountain State Park Improving Mount Mitchell State Park McDowell Community CollegeWilkes Community College

PIEDMONT-TRIAD

UNC-Greensboro Nursing School BuildingN.C. A&T State University College of Engineering FacilityWinston-Salem State University Science BuildingImproving National Guard Facilities Improving Pilot Mountain State Park Improving N.C. Zoo Exhibits Alamance Community College Rockingham Community College

WESTERNWestern Carolina University Science and STEM FacilityImproving Chimney Rock State Park Improving Gorges State ParkHaywood Community CollegeAsheville-Buncombe Technical Community CollegeTri-County Community College Southwestern Community College Blue Ridge Community College

REGIONAL HIGHLIGHTS

Mecklenbu

rg

Forsyth

Wake

Johnston

Duplin

Pender

Onslow

Carteret

Jones

Craven

Wilson

Pitt

Lenoir

SampsonHok

eAnson

Union

Stanl

y

HarnettMoor

e

Randolph

Guilford

Alaman

ce

Orang

e Durham

Granville Vanc

e

Davidson

Davie

StokesSurr

y

Alleghany

Wilkes

AsheWatau

ga

Avery

YanceyMadiso

n

BuncombeHaywoo

dSwain

Jackson

MaconCla

y

Cherokee

Graham

Henderson

Transylva

nia

Polk

MitchellCaldwell

Catawba Lincoln

Gaston

Cleveland

Rutherford

BurkeMcDowe

ll

Alexand

er

Yadkin

Caswell Perso

n

Warren

Halifax

Hertford

Gates

Currituck

Camden

PasquotankPerquima

nsChowa

n

Bertie

Tyrrell Dar

eHyde

Martin

Washingt

on

Beaufort

Pamlico

Northampton

Nash

Edgecombe

Franklin

Rockingham

Chatham

Cabarrus

Scotl

and

Lee

Cumberland

Richmond

Montgome

ry

Blade

n

Columb

us

Robeson

Brunswick

Wayne

New Hanover

Greene

Iredell Rowa

n

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Why invest now?

ConnectNC will pay for assets that will last for 50+ years

Interest rates on government bonds remain low

Even with this debt issuance, debt service as a percentage of general fund revenue will not be above the suggested limit of 4%

Projects focus on areas that will boost the state’s economic activity

No new taxes or tax increases proposed as a result of this bond

Last voter-approved debt for higher education infrastructure was 15 years ago

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UNC-Chapel Hill #1 Priority: New Medical Education Building to Educate Next Generation of Physicians for North Carolina

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Why a New Medical Education Building?

2014More people will require medical care as health reform goes into effect

201565+ population will increase by 30+%. They will require more and longer care

2015 U.S. physician shortage estimated to reach > 60,000

20201/3 of today’s practicing MDs will have retired

We expect a physician shortage in North Carolina by 2020

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Our ability to meet NC’s need for more physicians is constrained by inadequate facilities

Current Medical School Building• Opened in 1970, but designed to meet the needs of

the 1960s

• When the building opened, we had 353 medical students. In 2014, we trained 2,400.

• Teaching spaces not optimal for today’s teaching & learning style

• Competing Medical Schools across the country have invested in facilities to meet the demands of 21st century medical education

• Despite top-tier program offerings, recruiting top students is difficult with existing learning spaces

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The UNC School of Medicine is the State’s largest physician teaching program

• The UNC School of Medicine is a top-tier, nationally

prominent medical school

• Recent US News & World Report Rankings

#2 for Primary Care #6 for AIDS

#5 for Rural Medicine #22 for Research

• In 2014, 2,400 students trained across 26 departments and

23 centers

• We graduate 180 new physicians each year; 1/3 match into

residencies in NC.

• To meet the growing needs of North Carolina, we expanded

our medical school training to campuses to Asheville 2009,

Charlotte 2010 and pending approval Wilmington 2016.

• Nearly half of all doctors trained at the UNC School of

Medicine practice in the state of North Carolina.

Comparative Size of NC Medical Schools**

(based on total MD students)

**Campbell University started a medical program in 2014. They have not yet graduated a class.

UNC WFU Duke ECU

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The delivery method for Medical Education has changed significantly since 1970

From large section, auditorium style lecture…

…to smaller-scale, multi-faceted, hands-on learning• Immersive Experiences• Simulation Laboratories• Integrated Learning Support• Informal Interactions• Small Group Breakdown• Communication

Development

• Procedural Skills Techniques• Team-based Medicine• Convergence of Physical & Virtual• Self Directed Learning

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Educate More NC Doctors = Save More NC Lives

• The new medical education building will be home to all students for their first two years of foundation training.

• Students will be based in Chapel Hill and at our regional campuses in their third and fourth years:

• Asheville• Charlotte• Wilmington

• School of Medicine class size can be increased to accommodate growth in these regional programs

• Current class size of 180• Approval by the Board of Governors is

already in place for a class size of 230

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Funding Sources

Investment needed in our New Medical Education Building:

Voter Approved Funding $68.0MOther Support $22.6MTotal $90.6M

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Calendar

Absentee Voting by Mail begins January 25, 2016

Voter Registration Deadline for Primary February 19, 2016

One-Stop Voting Early Voting Begins March 3, 2016

One-Stop Early Voting Ends March 12, 2016

UNC-Chapel Hill Spring Break March 14-18, 2016

STATEWIDE PRIMARY ELECTION March 15, 2016