Contains whereas clauses.

Appropriates $319 million in recurring funds and associated receipts for 2025-26 from the General Fund to the Department of Human Services, Division of Health Benefits and an additional $728 million in recurring funds and associated receipts for 2026-27 to adjust Medicaid funding. Retroactively effective July 1, 2025.

Adds new GS 108D-22(c) requiring each prepaid health plan (PHP) to develop and maintain a closed network of providers for research-based behavioral health treatment services. Amends GS 108D-22(a) to allow a PHP to exclude providers from network in accordance with new subsection (c).

Amends GS 108D-24 to add research-based behavioral health treatment services to list of services for which the closed-network requirement applies.

Removes “intensive” from subsubdivision (l) of GS 108D-35(b)(1) list of Medicaid services covered by capitated PHP contracts so it now reads “research-based behavioral health treatment.”

Repeals GS 108A-54.3B and GS 108-54.3C (mandatory discontinuation of Medicaid coverage for NC Health Works participants if certain cost conditions fall below prescribed thresholds).