EXPAND MEDICAID ELIGIBILITY.

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View NCGA Bill Details2015-2016 Session
House Bill 1073 (Public) Filed Tuesday, May 10, 2016
AN ACT TO EXPAND ELIGIBILITY FOR THE MEDICAID PROGRAM TO INCLUDE ALL PEOPLE UNDER AGE SIXTY-FIVE WHO HAVE INCOMES EQUAL TO OR BELOW ONE HUNDRED THIRTY-THREE PERCENT OF THE FEDERAL POVERTY LEVEL, TO APPROPRIATE FUNDS FOR COSTS ASSOCIATED WITH THE EXPANSION, AND TO ACCOUNT FOR THE SAVINGS TO OTHER STATE PROGRAMS AS A RESULT OF THE EXPANSION.
Intro. by Ager, Insko, Harrison, Fisher.

Status: Ref To Com On Appropriations (House Action) (May 11 2016)

Bill History:

H 1073

Bill Summaries:

  • Summary date: May 10 2016 - View Summary

    Includes several whereas clauses concerning Medicaid expansion.

    Repeals SL 2013-5, Section 3, that prohibits Medicaid expansion provided in the federal Affordable Care Act, and bars any department, agency or institution of the state from attempting to expand medicaid eligibility standards provided in SL 2011-145, as amended, or elsewhere in state law, unless directed to do so by the General Assembly.  

    Requires the Department of Health and Human Services (DHHS), Division of Medical Assistance (DMA), to provide Medicaid coverage to all people under age 65 who have incomes equal to or less than one 133% of the federal poverty guidelines. Provides that the medical assistance provided to persons in this Affordable Care Act expansion group is to consist of the coverage described in 29 U.S.C. § 1396a(k)(1).  Effective January 1, 2017.

    Appropriates $7,008,705 from the General Fund to the DMA in recurring funds for the 2016-17 fiscal year for administrative costs associated with the Medicaid expansion required by this act. Provides that these appropriations will provide a state match for an estimated $21,026,116 in federal funds for the 2016-17 fiscal year.  Provides that those federal funds are appropriated to pay administrative costs associated with the Medicaid expansion required by this act, and if the amount of federal funds available for this purpose exceeds the amounts set forth in this section, then the expenditure of state funds for this purpose is to be reduced by an amount equal to the amount of excess federal funds that are available, and these excess federal funds are appropriated for the purposes described in this act.

    Provides that the expansion of Medicaid services under this act will affect only half of the 2016-17 fiscal year and appropriates $47,632,240 from the General Fund to the DMA in recurring funds for the 2016-17 fiscal year as part of the Medicaid rebase. Provides that these funds are to provide a state match for an estimated $1,222,560,822 in federal funds in the 2016-17 fiscal year, and those federal funds are appropriated to the DMA to pay for Medicaid services.

    Makes the following reductions to reflect savings in other state programs as a result of Medicaid expansion required by this act since the expansion of Medicaid services under this act will affect only half of the 2016-17 fiscal year: (1) the appropriation to DHHS, Division of Mental Health, is reduced by $8,185,997 in recurring funds for the 2016-17 fiscal year; (2) the appropriation for the AIDS Drug Assistance Program (ADAP) in DHHS, Division of Public Health, is reduced by $14,308,623 in recurring funds for the 2016-17 fiscal year; and (3) the appropriation for the Inmate Health Care program within the Department of Public Safety, Division of Adult Correction, is reduced by $8.5 million in recurring funds for the 2016-17 fiscal year.

    Effective July 1, 2016.