LIMIT MEDICAID REIMB. FOR FACILITY FEES (NEW).

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View NCGA Bill Details2025-2026 Session
House Bill 727 (Public) Filed Wednesday, April 2, 2025
AN ACT TO LIMIT MEDICAID REIMBURSEMENT FOR CERTAIN FACILITY FEES.
Intro. by Reeder, Blackwell, Wheatley, Gable.
Status: Re-ref Com On Rules and Operations of the Senate (Senate action) (Apr 30 2026)

SOG comments (1):

Long title change

Submitted by wunsche@sog.unc.edu on

The Senate committee substitute changes the act's title; the previous title was: AN ACT TO MODIFY THE LAWS OF MARRIAGE AND FAMILY THERAPY LICENSURE.

Bill History:

H 727

Bill Summaries:

  • Bill H 727 (2025-2026)
    Summary date: Apr 30 2026 - View Summary

    Senate committee substitute to the 2nd edition replaces the content of the previous edition with the following and makes conforming title changes.

    Directs the Department of Health and Human Services (DHHS), to the extent allowed under federal law, to ensure that the Medicaid program does not reimburse for facility fees unless the services are provided on a hospital's main campus, at a facility that includes an emergency department, or at an ambulatory surgical facility. Defines facility fee as any fee charged or billed by a health care provider for outpatient services provided in a hospital-based facility that is (1) intended to compensate the health care provider for the operational expenses of the health care provider, (2) separate and distinct from a professional fee, and (3) charged regardless of the modality through which the health care services were provided.

    Specifies that DHHS is not required to maintain, after June 30, 2027, any modifications to the Medicaid program required by this act, except for statutory changes or where otherwise specified.

    Requires that the act be implemented as soon as practicable after the date that it becomes law.

    Government, State Agencies, Department of Health and Human Services, Health and Human Services, Health, Health Care Facilities and Providers, Health Insurance, Social Services, Public Assistance
    UNCODIFIED
  • Bill H 727 (2025-2026)
    Summary date: Apr 29 2025 - View Summary

    House committee substitute to the 1st edition makes the following changes.

    Changes the proposed changes to GS 90-270.56(1) by specifying that a marriage and family therapist who has been licensed and actively practicing for at least two continuous years and is licensed in another state is eligible for reciprocal licensure, removing the previous edition’s alternative of passing a jurisprudence examination.

    Business and Commerce, Occupational Licensing, Health and Human Services, Health, Health Care Facilities and Providers
    GS 90
  • Bill H 727 (2025-2026)
    Summary date: Apr 4 2025 - View Summary

    Amends GS 90-270.56 by now requiring (was, allowing) the North Carolina Marriage and Family Therapy Licensure Board (Board) to issue a license as a marriage and family therapist (was, marriage and family therapist or associate) by reciprocity to any person who applies for the license as prescribed by the Board and meets the additional requirements at all times during the application process.

    Amends the additional requirements in the following ways: requires the applicant be currently licensed as a marriage and family therapist (was, marriage and family therapist or associate) in another state and to have been licensed for two continuous years (was, five); adds a new requirement that the applicant must have passed the Board’s examination on jurisprudence testing knowledge of state law and rules; and allows an applicant to show that they have passed either the National Marriage and Family Therapy examination or the clinical examination required by California’s licensing board regulating marriage and family therapy in that state (was, only the National Marriage and Family Therapy examination).

    Amends GS 90-270.63 to make conforming changes. Permits the Board to adopt rules to implement provisions of this act.

    Effective October 1, 2025, and applies to applications on or after that date.

    Business and Commerce, Occupational Licensing, Health and Human Services, Health, Health Care Facilities and Providers
    GS 90
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