Requires the Department of Health and Human Services, Division of Health Benefits (Division), to amend the Medicaid State Plan to set and adjust rates for all services provided by licensed ambulatory surgical centers so that these services are reimbursed at a rate of at least 95% of the Medicare Ambulatory Surgical Centers fee schedule in effect as of January 1 of each year, as published by the Centers for Medicare and Medicaid Services (CMS). Specifies that the initial rate adjustments are effective on the effective date approved by CMS for the State Plan amendment.
Appropriates $10,476,000 from the General Fund to the Division in recurring funds for each year of the 2025-27 biennium to implement the changes required by the act. Specifies that the funds provide a State match for the $19,135,000 in recurring federal funds during this time.
Effective July 1, 2025.
MEDICAID RATES/AMBULATORY SURGICAL CENTERS.
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View NCGA Bill Details(link is external) | 2025-2026 Session |
AN ACT TO ADJUST MEDICAID RATES PAID TO AMBULATORY SURGICAL CENTERS.Intro. by Potts, White, Reeder, Campbell.
Status: Ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House (House action) (Feb 27 2025)
Bill History:
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Wed, 26 Feb 2025 House: Filed(link is external)
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Thu, 27 Feb 2025 House: Passed 1st Reading(link is external)
H 229
Bill Summaries:
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Bill H 229 (2025-2026)Summary date: Feb 26 2025 - View Summary
View: All Summaries for Bill