Bill Summary for S 4 (2013-2014)

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Summary date: 

Feb 25 2013

Bill Information:

View NCGA Bill Details2013-2014 Session
Senate Bill 4 (Public) Filed Wednesday, January 30, 2013
A BILL TO BE ENTITLED AN ACT (1) TO CLARIFY THE STATE'S INTENT NOT TO OPERATE A STATE-RUN OR "PARTNERSHIP" HEALTH BENEFIT EXCHANGE, (2) TO PROVIDE THAT FUTURE MEDICAID ELIGIBILITY DETERMINATIONS WILL BE MADE BY THE STATE RATHER THAN THE FEDERALLY FACILITATED EXCHANGE, AND (3) TO REJECT THE AFFORDABLE CARE ACT'S OPTIONAL MEDICAID EXPANSION.
Intro. by Apodaca, Brown, Rucho.

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Bill summary

Conference report recommends the following changes to the 3rd edition to reconcile matters in controversy.

Appropriates to the Department of Insurance, for fiscal year 2012-13,up to $11 million of funds from a 2013 Exchange-related grant award. Provides that the funds are to be used to reimburse the state for expenses allowed under the grant for either of the following: (1) technology and personnel expenses incurred before the effective date of this act or (2) personnel expenses, if any, that are associated with ceasing the expenditures funded by the Exchange-related grants and occurred after the effective date of this act.

Directs the Department of Health and Human Services (DHHS)to seek available federal Medicaid funding at the 90/10 match rate for North Carolina Families Accessing Services through Technology (NC FAST) to provide Medicaid eligibility determinations for the federal health benefit exchange if (1) funds for the state matchare available from existing (was, prior)appropriations for NC FAST and (2) the total amount of the state match does not exceed $5 million. Appropriates the Medicaid funding for NC FAST obtained in fiscal year 2012-13 to DHHS for fiscal year 2012-13 to develop NC FAST's ability to provide Medicaid eligibility determinations for the federally facilitated Health Benefit Exchange (was, providedthat such Medicaid funding in 2012-13 is not subject to specified consultation requirements in the 2011 Appropriations Act for grant awards).