Bill > H372

This bill aims to transform North Carolina's Medicaid and NC Health Choice programs to ensure budget predictability for taxpayers while maintaining quality care for recipients, by establishing a new Division of Health Benefits within the Department of Health and Human Services (DHHS) to oversee these programs, creating a Joint Legislative Oversight Committee on Medicaid and NC Health Choice to monitor the transformation, and shifting towards a system of capitated contracts with Prepaid Health Plans (PHPs) – which can be commercial entities or provider-led organizations – to manage the delivery of services, with the General Assembly retaining authority over eligibility and income standards and the DHHS responsible for program administration and implementation, including the development of waivers and state plan amendments to achieve these goals, and setting specific timelines for these changes to occur.