CLOSE THE MEDICAID COVERAGE GAP/FUNDS.

View NCGA Bill Details2019-2020 Session
Senate Bill 834 (Public) Filed Tuesday, May 26, 2020
AN ACT TO CLOSE THE MEDICAID COVERAGE GAP FOR FAMILIES AND INDIVIDUALS IN NORTH CAROLINA.
Intro. by Robinson, Foushee, Blue.

Status:

Bill History:

No bill history found
S 834

Bill Summaries:

  • Summary date: May 26 2020 - More information

    Section 1

    Repeals Section 3 of SL 2013-5, which prohibited any State entity from expanding Medicaid eligibility as provided in PL 111-148 (the Affordable Care Act) and SL 2011-145.

    Section 2

    Enacts GS 108A-54.3B, providing criteria under which individuals are considered part of the Medicaid coverage gap and are eligible for Medicaid benefits through an Alternative Benefit Plan established by the Department of Health and Human Services (DHHS), unless the individual is exempt from mandatory enrollment in an Alternative Benefit Plan under 42 CFR 440.315. Eligibility is based on income, age, and ineligibility for enrollment in described Medicaid coverage. Mandates that co-payments for benefits provided under the Alternative Benefit Plan must be the same as those required for Medicaid beneficiaries not under the Alternative Benefit Plan.

    Directs DHHS to provide coverage to individuals eligible under new GS 108A-54.3B, consistent with SL 2015-245, as amended (Medicaid Transformation and Reorganization).

    The above provisions are effective on the date that capitated coverage begins as required under SL 2015-245, as amended. 

    Section 3

    Specifies the intent of the General Assembly to enact legislation during the 2020 Regular Session to replace the Hospital Provider Assessment Act (Article 7, GS Chapter 108A) with a similar hospital provider assessment that will impose an assessment to pay for the State share of the program and administrative costs associated with Medicaid expansion.

    Section 4

    Appropriates $100,000 in nonrecurring funds for 2020-21 from the General Fund to the DHHS, Division of Health Benefits for planning and preparation related to implementation of the Medicaid coverage in the act.


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