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No events on calendar for this bill.
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Representative Donna McDowell White(R)
Representative Allen Chesser(R)
Representative Timothy Reeder, MD(R)
Representative Heather H. Rhyne(R)
Representative Grant L. Campbell, MD(R)
Representative Shelly Willingham(D)
Representative Todd Carver(R)
Representative Larry W. Potts(R)
Representative Donnie Loftis(R)
Representative Bill Ward(R)
Representative Phil Rubin(D)
Representative Charles Smith(D)
Representative A. Reece Pyrtle, Jr.(R)
Representative Maria Cervania(D)
Representative Renée A. Price(D)
Representative Jonathan L. Almond(R)
Representative Becky Carney(D)
Representative Sarah Crawford(D)
Representative Julia Greenfield(D)
Representative Pricey Harrison(D)
Representative Frances Jackson, PhD(D)
Representative Jeffrey C. McNeely(R)
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Re-ref Com On Rules, Calendar, and Operations of the HouseHouse2025-04-17Withdrawn From ComHouse2025-04-17Re-ref Com On FinanceHouse2025-04-16Reptd FavHouse2025-04-16Re-ref Com On InsuranceHouse2025-04-15Reptd Fav Com SubstituteRef to the Com on Health, if favorable, Insurance, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the HouseHouse2025-03-31Passed 1st ReadingHouse2025-03-31Filed
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FiledNo fiscal notes available.Edition 1No fiscal notes available.Edition 2No fiscal notes available.
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CORRECTIONAL INSTITUTIONS; DHHS; HEALTH SERVICES; INSURANCE
HEALTH; MEDICAID; POVERTY; INMATES; PUBLIC; PUBLIC HEALTH; SOCIAL SERVICES; SUBSTANCE ABUSE; ADULT CORRECTION DEPT.
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No counties specifically cited.
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H546: Inmate Medicaid Suspension/Team-Based Care. Latest Version
Session: 2025 - 2026
AN ACT to require team‑based care coordination in medicaid substance use treatment and to modify the medicaid program to suspend rather than terminate medicaid eligibility for incarcerated individuals.
The General Assembly of North Carolina enacts:
SECTION 1.(a) The Department of Health and Human Services, Division of Health Benefits (DHB), is directed, in coordination with a working group of stakeholders established by DHB, to develop a team‑based care coordination Medicaid service that includes, at a minimum, screening for alcohol use disorder, opioid use disorder, and other mild to moderate substance use disorders; prescription medications for opioid use disorder and alcohol use disorder; recovery support; and case management.
SECTION 1.(b) No later than October 1, 2025, the Department of Health and Human Services, Division of Health Benefits, shall submit a report to the Joint Legislative Oversight Committee on Medicaid and the Fiscal Research Division containing details on the new Medicaid service developed in accordance with this section. The report shall include all of the following:
(1) The State share of the cost of the service.
(2) The intended start date for the coverage of the service.
(3) The types of PHP capitated contracts that will cover the service and any related proposed statutory changes to Article 4 of Chapter 108D of the General Statutes.
SECTION 1.(c) The Department of Health and Human Services, Division of Health Benefits, is directed to develop a statewide campaign to (i) educate healthcare providers and community leaders about any changes made to the Medicaid program related to the treatment of alcohol use disorder, opioid use disorder, and other mild to moderate substance use disorders, (ii) train interested providers in clinical care for alcohol use disorder, opioid use disorder, and other mild to moderate substance use disorders, and (iii) encourage substance use disorder provider participation in the Medicaid program.
SECTION 2. The Department of Health and Human Services (DHHS), Division of Health Benefits, shall continue to implement its policy changes to suspend, rather than terminate, Medicaid benefits upon a Medicaid beneficiary's incarceration, as required by the federal Consolidated Appropriations Act, 2024, P.L. 118‑42. No later than October 1, 2025, DHHS shall submit to the Joint Legislative Oversight Committee on Medicaid and the Fiscal Research Division a report on (i) DHHS's progress implementing the automated process in the NCFAST eligibility information system that allows data sharing between county jails and DHHS and (ii) any ongoing challenges to meeting the federal requirement to suspend, rather than terminate, Medicaid benefits upon a Medicaid beneficiary's incarceration.
SECTION 3. This act is effective when it becomes law.