Appropriates $36.7 million in recurring funds for 2023-24 and $72.5 million in recurring funds for 2024-25 from the General Fund to the Department of Health and Human Services, Division of Health Benefits (DHB), to be used for increasing the number of North Carolina Innovations Waiver slots. The funds are a match for $99.3 million in recurring federal funds for 2023-24, and $191.9 million in recurring federal funds for 2024-25, and those funds are also appropriated to DHB for implementation of the act. 

Requires DHB to amend the Innovations Waiver to increase the number of slots by 2,000 for the 2023-24 fiscal year, to be available beginning October 1, 2023, unless approval through the Centers for Medicare and Medicaid Services is required. Directs DHB to allocate the additional 2,000 waiver slots through the currently applicable allocation formula. Establishes a procedure for distributing waiver slots that are not accepted by the initially selected recipients. 

Requires DHB to amend the Innovations Waiver for 2024-25 to increase the number of slots available by 2,000, using the same applicable allocation formula. These slots are made available on July 1, 2024. 

Effective July 1, 2023.