Amends GS 108D-45 (Number and nature of contracts for standard benefit plans) to incorporate references to GS 108D‑65(6), and divides the statute into existing text in subsection (a) and new language in subsection (b). In new subsection (b), establishes requirements for standard benefit contracts under GS 108D‑65(6), including (1) that all contracts provide Medicaid coverage statewide, (2) that there are no more than four contracts with prepaid health plans, and (3) that the criteria used to evaluate the RFPs for contracts must assign higher weight to PLEs and bidders with higher provider satisfaction measures.
CRITERIA FOR PHP CONTRACT PROCUREMENT.
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View NCGA Bill Details(link is external) | 2025-2026 Session |
AN ACT TO UPDATE THE CRITERIA FOR PROCUREMENT OF FUTURE MEDICAID PREPAID HEALTH PLAN CONTRACTS.Intro. by Reeder, Potts, Lambeth.
Status: Ref to the Com on Health, if favorable, Insurance, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House (House action) (Mar 31 2025)
Bill History:
H 558
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Bill H 558 (2025-2026)Summary date: Mar 27 2025 - View Summary
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