summary
Introduced
03/24/2025
03/24/2025
In Committee
10/21/2025
10/21/2025
Crossed Over
Passed
Dead
Introduced Session
2025-2026 Session
Bill Summary
AN ACT TO FUND THE MEDICAID REBASE.
AI Summary
This bill appropriates $190 million in nonrecurring funds from the Medicaid Contingency Reserve to the North Carolina Department of Health and Human Services' Division of Health Benefits for the 2025-2026 fiscal year to adjust Medicaid funding. The funding will account for projected changes in enrollment, service costs, capitation rates, federal match rates, and the implementation of the Children and Families Specialty Plan in December 2025. Additionally, the bill requires local management entities/managed care organizations (LME/MCOs) to make specific intergovernmental transfers totaling $18,028,217 in both the 2025-2026 and 2026-2027 fiscal years, with individual transfer amounts specified for four healthcare organizations: Alliance Behavioral Healthcare, Partners Health Management, Trillium Health Resources, and Vaya Health. The bill also grants the Division of Health Benefits the authority to reallocate intergovernmental transfer amounts if counties change LME/MCO alignments during the fiscal biennium, ensuring the total transfer amount remains consistent. The act is set to be effective retroactively to July 1, 2025.
Committee Categories
Government Affairs, Health and Social Services
Sponsors (22)
Jimmy Dixon (R)*,
Donny Lambeth (R)*,
Heather Rhyne (R)*,
Donna White (R)*,
Dean Arp (R),
Brian Biggs (R),
Hugh Blackwell (R),
John Blust (R),
Celeste Cairns (R),
Grant Campbell (R),
Jennifer Capps Balkcom (R),
Cody Huneycutt (R),
Jake Johnson (R),
Jeff McNeely (R),
Ben Moss (R),
Howard Penny (R),
Reece Pyrtle (R),
Paul Scott (R),
Larry Strickland (R),
Bill Ward (R),
David Willis (R),
Matthew Winslow (R),
Last Action
Held by House Clerk (on 10/23/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.ncleg.gov/BillLookUp/2025/H491 |
| Analysis - Summary H491-SMTR-46(CSTRa-7)-v-3 | https://dashboard.ncleg.gov/api/Services/BillSummary/2025/H491-SMTR-46(CSTRa-7)-v-3 |
| BillText | https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H491v2.pdf |
| Analysis - Summary H491-SMTR-3(e1)-v-5 | https://dashboard.ncleg.gov/api/Services/BillSummary/2025/H491-SMTR-3(e1)-v-5 |
| BillText | https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H491v1.pdf |
| BillText | https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H491v0.pdf |
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