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Bill > S464


NC S464

NC S464
Inmate Medicaid Suspension/Team-Based Care


summary

Introduced
03/24/2025
In Committee
03/25/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 Session

Bill Summary

AN ACT TO REQUIRE TEAM-BASED CARE COORDINATION IN MEDICAID SUBSTANCE USE TREATMENT AND MODIFY THE MEDICAID PROGRAM TO SUSPEND RATHER THAN TERMINATE MEDICAID ELIGIBILITY FOR INCARCERATED INDIVIDUALS.

AI Summary

This bill directs the North Carolina Department of Health and Human Services (DHHS) to develop a comprehensive team-based care coordination service for Medicaid recipients with substance use disorders, focusing on screening, medication-assisted treatment, recovery support, and case management. The DHHS is required to submit a detailed report to legislative oversight committees by October 1, 2025, outlining the service's costs, implementation date, and potential contract modifications. Additionally, the department must create a statewide educational campaign to inform healthcare providers and community leaders about new substance use disorder treatment approaches and encourage provider participation in the Medicaid program. The bill also mandates compliance with federal requirements to suspend, rather than terminate, Medicaid coverage when a recipient is incarcerated, requiring the DHHS and Department of Adult Corrections to establish a data-sharing memorandum of understanding to facilitate this process, potentially as early as July 1, 2025. This approach aims to improve substance use disorder treatment accessibility and maintain healthcare coverage continuity for individuals experiencing incarceration.

Sponsors (7)

Last Action

Ref To Com On Rules and Operations of the Senate (on 03/25/2025)

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