Bill > H229

This bill requires the North Carolina Department of Health and Human Services to modify Medicaid reimbursement rates for ambulatory surgical centers (ASCs) to ensure they are paid at least 95% of the Medicare Ambulatory Surgical Centers fee schedule as published by the Centers for Medicare and Medicaid Services (CMS) each year. To implement these rate adjustments, the bill appropriates $10,476,000 in state recurring funds and matches this with $19,135,000 in federal recurring funds for each year of the 2025-2027 fiscal biennium. The rate adjustments will become effective on the date approved by CMS for the State Plan amendment, and the entire act will take effect on July 1, 2025. By setting Medicaid reimbursement rates closer to Medicare rates, the bill aims to ensure that ASCs receive more comprehensive compensation for their services, potentially improving access to surgical care for Medicaid patients.

Budget and Finance

https://www.ncleg.gov/BillLookUp/2025/H229