Bill Summary for S 4 (2013-2014)

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Bill: NO N.C. EXCHANGE/NO MEDICAID EXPANSION.

Summary date: 

Jan 30 2013
S.L. 2013-5

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

As title indicates. Repeals language in the 2011 Appropriations Act stating intention to establish a state health exchange in compliance with the Patient Protection and Affordable Care Act (ACA). Repeals GS 58-2-40(10), which granted authority to the Commissioner of Insurance to administer the ACA. States that the General Assembly will define the state's amount of interaction with the federally-facilitated Health Benefit Exchange (Exchange). Provides that the State will no longer draw down Exchange-related grant funds, and requires the Department of Insurance and the Department of Health and Human Services (DHHS) to stop all expenditures funded by specified Exchange-related grants. Requires DHHS to confirm that the NC Families Accessing Services through Technology system will provide Medicaid eligibility determinations for the federal Exchange. States that the General Assembly reserves the authority to decide whether or not to expand Medicaid eligibility under the ACA.