Bill Summary for H 830 (2015-2016)

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Summary date: 

Apr 17 2015

Bill Information:

View NCGA Bill Details2015-2016 Session
House Bill 830 (Public) Filed Tuesday, April 14, 2015
AN ACT TO PROVIDE FOR THE NORTH CAROLINA HEALTH PLAN TO COVER ALL STATE RESIDENTS WITH COMPREHENSIVE HEALTH BENEFIT COVERAGE.
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Bill summary

States the General Assembly's intent that the State offer the North Carolina Health Plan (Health Plan), which is a comprehensive health care plan for all state residents, on January 1, 2017, when the Patient Protection and Affordable Care Act, allows states to offer their citizens alternatives to the Health Insurance Exchanges. Requires the Department of Insurance and the Department of Health and Human Services to study the issues and propose statutory changes to facilitate the operation of the Health Plan, as described in this act, and report to the House Committees on Health and Human Services and Insurance and to the Senate Committee on Insurance no later than June 1, 2015. Requires the the Health Plan provide health benefits that include, but not limited to, the nine specified benefits, including durable medical equipment, mental health treatment, and dental services. Prohibits charging copayments or deductibles for the first two years of the Health Plan and sets limits on the amounts that may be charged after that time. Provides for enrollment and provider reimbursement. Requires that the Health Plan by funded by all state taxpayers based on their ability to pay and by means of a stable funding stream that accounts for the increasing costs of health care services. Requires the use of a smart identity card for plan participants as well as a centralized, secured medical record system. Provides for the governance and auditing of the Health Plan.