Requires the Department of Health and Human Services, Division of Health Benefits (Division), to amend the North Carolina Innovations waiver to increase the number of available slots by a maximum of 500, which must be made available on the later of January 1, 2020, or upon approval by the Centers for Medicare and Medicaid Services. Requires that of these slots 125 must be reserved capacity slots to be distributed using the allocation formula currently in place. Requires the remaining slots to be distributed to the local management entities/managed care organizations (LME/MCOs) based on a per capita basis to then be made available to the counties on a per capita basis to be filled on a first-come, first-served basis. 

Appropriates $5,435,100 in recurring funds for 2019-20 and $10,870,200 in recurring funds for 2020-21 from the General Fund to the Division to fund these additional slots.

Effective July 1, 2019.