Creates the 12-member Joint Legislative Committee on Medicaid Sustainability (Committee), consisting of six senators and six representatives, to consider ways that the North Carolina Medicaid program could be modified to respond to any decreases in federal support in order to maintain current State funding levels. Sets out six modifications that might be included, including the reduction or elimination of optional services or eligibility groups, reduction of reimbursement rates, and strategies for achieving managed care efficiencies. Requires a final report on the results of the study to be submitted to the NCGA by April 30, 2026. Terminates the Committee upon the earlier of April 30, 2026, or the submission of the final report.