Bill > H655

This bill, the "NC Health Care for Working Families," aims to establish a health care program in North Carolina that provides coverage to residents who are ineligible for Medicaid but cannot afford health insurance. The key provisions include: 1. The Department of Health and Human Services (DHHS) will design the "NC Health Care for Working Families" program to cover residents who meet certain criteria, such as being below 133% of the federal poverty level and not eligible for Medicaid or Medicare. 2. The benefit package will be similar to the state's 2017 Essential Health Benefits Benchmark Plan and the Blue Cross and Blue Shield PPO plan, with a focus on preventive care and wellness. 3. Participants will pay a monthly premium set at 2% of their household income, with some exemptions for low-income or hardship cases. 4. The program will include co-payments, preventive care and wellness activities, and mandatory employment activities (with some exemptions). 5. The program will be funded through federal funds, participant contributions, and a combination of state and county funds, including increased revenue from the gross premiums tax and hospital assessments. 6. The implementation and continuation of the program are contingent on various factors, such as federal approval, sufficient funding, and the Federal Medical Assistance Percentage (FMAP) remaining at or above 90%.

Government Affairs, Health and Social Services

https://www.ncleg.gov/BillLookUp/2019/H655