Bill > H653

This bill modifies North Carolina's Medicaid expansion coverage rules by changing the threshold for discontinuing Medicaid coverage for certain individuals. Specifically, the bill alters the federal medical assistance percentage (FMAP) trigger that would cause coverage to be discontinued. Instead of the previous fixed 90% threshold, the bill now ties the potential coverage discontinuation to a comparison between the FMAP for "newly eligible individuals" (those added under Medicaid expansion) and the FMAP for other Medicaid recipients. When the FMAP for newly eligible individuals falls below the FMAP for other Medicaid recipients, the state would be required to discontinue coverage for the Medicaid expansion population. The bill also mandates that the Secretary of Health and Human Services must notify specific legislative committees, the State Budget Office, and the Fiscal Research Division, and post a notice on the department's website when such a situation arises. Additionally, the bill provides a definition for "newly eligible individuals" by referencing federal regulations. The legislation would take effect immediately upon becoming law, potentially providing the state with more flexibility in managing Medicaid expansion coverage based on federal funding levels.

Government Affairs

https://www.ncleg.gov/BillLookUp/2025/H653