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 funds for Medicaid rebase adjustments and intergovernmental transfers for the 2025-2026 and 2026-2027 fiscal years.
* The Department of Health and Human Services, Division of Health Benefits, receives $190,000,000 in nonrecurring funds from the Medicaid Contingency Reserve for the 2025-2026 fiscal year to adjust Medicaid funding for projected changes in enrollment, costs, and the implementation of the Children and Families Specialty Plan.
* Local Management Entities/Managed Care Organizations (LME/MCOs) are required to make intergovernmental transfers totaling $18,028,217 in the 2025-2026 fiscal year and $18,028,217 in the 2026-2027 fiscal year to the Department of Health and Human Services, Division of Health Benefits. The specific amounts for Alliance Behavioral Healthcare, Partners Health Management, Trillium Health Resources, and Vaya Health are detailed for both fiscal years. The Division of Health Benefits can reallocate these transfer amounts if a county changes its LME/MCO affiliation, ensuring the aggregate transfer amounts are met.
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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