House committee substitute makes the following changes to 2nd edition.
Adds a definition for navigator in proposed GS 58-50-300. Changes the North Carolina Health Benefit Exchange Authority Board (Board) to include 12 members (rather than 11) in addition to the Commissioner of Insurance and the Director of the Division of Medical Assistance (DMA), and specifies the appointing authority and member requirements. States that the Director of DMA will only vote in the case of a tie. Adds that the annual salary for the Executive Director will not exceed 150% of the annual salary for Council of State members. Directs the Exchange Authority to also consider the extent to and the circumstances under which benefits for spiritual care services, as defined, will be made available under the Exchange Authority. Deletes, from the list of the Exchange Authority's duties, the directive to credit the amount of any free choice voucher to the monthly premium of the plan in which a qualified employee is enrolled. Specifies that any insurer offering only catastrophic plans outside of the Exchange Authority without offering any plans in the Exchange will be required to participate and offer identical catastrophic plans inside the Exchange Authority. Adds provision stating that proposals submitted by the Exchange Authority to ensure solvency will not include General Fund appropriations. Clarifies that an annual budget for the Exchange Authority will be submitted to the Commissioner of Insurance (Commissioner) at least 120 days before the beginning of the next fiscal year. Removes directive to the Commissioner to promulgate regulations pursuant to the Administrative Procedure Act. Makes additional clarifying changes.