6/1/22,
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The Daily Bulletin: 2022-06-01 | Legislative Reporting Service
UNC
SCHOOL OF GOVERNMENT
The Daily Bulletin: 2022-06-01
PUBLIC/HOUSE BILLS
H 149 (2021) EXPANDING ACCESS TO HEALTHCARE. (NEW) Filed Feb 24 2021, AN ACT EXPANDING ACCESS TO
HEALTHCARE IN NORTH CAROLINA.
Senate amendments make the following changes to the 3rd edition.
Amendment #1 makes the following changes.
Part I.
Changes the effective date of the provisions of Section 1.1. which ( 1 ) repeal Section 3, SL 2013-5, which bars the State from
expanding the State's Medicaid eligibility under the Medicaid expansion provided in the Affordable Care Act. PL 1 1 1-148, as
amended, and bars State entities from attempting to expand the Medicaid eligibility standards provided in SL 201 1-145, as
amended, or elsewhere in State law, unless directed by the NCGA; and (2) amends GS 108A-54.3 to enact new subdivision
(24), requiring the Department of Health and Human Sendees (DFfflS) to provide Medicaid coverage to individuals described
in section 1902(a)(10)(A)(i)(VIII) of the Social Security Act who are in compliance with work requirements established in the
State Plan and in rule. Makes the provisions effective at the earlier of July 1. 2023, or the date that the work requirements
developed under Part II. of the act become effective (was, effective upon the later of six months after the date the act becomes
law, or on the date the work requirements developed under Part 11. of the act becomes law). Makes a technical change to new
GS 1 08A-54.3(24). to require individuals to be in compliance with any work requirements established in the State Plan.
Changes the effective date of the provisions of Section 1.2, which ( 1) enacts GS 108A-54.3B. providing legislative intent to
fully fund the nonfederal share of the cost of NC Health Works, meaning the provision of Medicaid coverage to the individuals
described in new GS 108A-54.3A(24). through a combination of specified funding sources, establishes reporting requirements
for DHHS, and requires expeditiously discontinuing coverage for the individuals described in new GS 108A-54.3A(24) if the
nonfederal share of the cost cannot be fully funded through the described sources; and (2) enacts GS 108A-54.3C to require
expeditious discontinuation of Medicaid coverage if the federal medical assistance percentage for Medicaid coverage provided
to the individuals described in new GS 108A-54.3A(24) falls below 90%. and establishes requirements identical to those for
discontinuation due to insufficient funds from identified sources in GS 108A-54.3B. Makes provisions effective at the earlier
of July 1. 2023, or the date that the work requirements developed under Part 11. of the act become effective (was. effective
upon the later of six months after the date the act becomes law, or on the date the work requirements developed under Part 11.
of the act becomes law).
Changes the application of Section 1.5, which establishes hospital health advancement assessments for licensed hospitals for
State fiscal quarters beginning October 1. 2022, through December 3 1. 2022. and beginning January 1. 2023. and April 1 ,
2023. Makes the assessment rate described for quarters beginning January 1 , 2023, and April 1 . 2023, effective on the effective
date of the Medicaid coverage described in Section 1.1 of the act. and sunsets the assessment rate on June 30. 2023. Adds that
if the effective date of Medicaid coverage described in Section 1.1 of the act occurs after June 30, 2023. the assessment should
not be imposed and no payments should be made to county departments.
Part II.
Revises the leading language of Section 2, which directs DHHS to develop work requirements for certain individuals eligible
for Medicaid under new GS 108A-54.3A(24) as a contingency to NC Health Works participation, aligned with the Able-
Bodied Adults Without Independents (ABAWDs) policy under the Supplemental Nutrition Assistance Program (SNAP), to
frame as legislative intent the provisions requiring certain individuals eligible for Medicaid under the new subdivision of GS
1 08A-54.3A be subject to work requirements as a contingency of NC Health Works participation, and frame the directive to
DHHS to develop such work requirements as a means to meet that legislative intent.
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