The County changed to moist by a vote in September 2015, that approved alcohol-by-the-drink sales in Middlesboro, Kentucky.

Under ABC terminology, a limited county is an otherwise dry county in which at least one city has approved the sale of alcohol by the drink at restaurants that both seat a state-mandated number of diners and derive no more than 30% of their revenue from alcoholic beverages.

In the case of Bell County, Pineville had voted to allow alcohol by the drink in restaurants that seat at least 100 diners.

[6] This terminology was used to describe the area until the Middlesboro vote allowed retail sale of alcohol.

[7] The Middlesborough, KY Micropolitan Statistical Area includes all of Bell County.

The community of "South America" (known as Frakes since the 1930s) in Bell County appears to have been established in the Spanish Era.

Spain made land grants in Old Kentucky prior to English settlement.

It is located on the high school campus and the buildings are connected by an elevated, enclosed walkway.

The new technology center is also slated to house the County Board of Education pending its move from their office in the city of Pineville building.

In recent years Middlesboro Independent Schools has leased the X-shaped building formerly used as East End Intermediate to a local church.

The county's smallest district; its boundaries generally, but do not exactly, follow the corporate limits of Pineville.